Abstract
Both angry and depressed patients may become a potential violent risk to self or others under some conditions. Means/harm reduction is a standard part of safety planning in violent risk clinical emergencies. Fortunately, a minority of patients in US households have access to firearms. Safe storage practices, temporary transfer of firearms, and removal of ammunition are options for reducing the risk to self and others. Psychotherapeutic work on the causes of and relief from the factors triggering anger or depression are essential to making the potentially violent individual not violent.
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02 March 2021
A Correction to this paper has been published: https://doi.org/10.1007/s42843-021-00033-6
References
American Academy of Pediatrics (2012). Firearm-Related Injuries Affecting the Pediatric Population. Pediatrics November 2012, 130 (5) e1416-e1423; DOI: https://doi.org/10.1542/peds.2012-2481
Anglemyer, A., Horvath, T., & Rutherford, G. (2014). The accessibility of firearms and risk for suicide and homicide victimization among household members: A systematic review and meta-analysis. Annals of Internal Medicine, 160(2), 101–110. https://doi.org/10.7326/m13-1301
Azrael, D., Hepburn, L., Hemenway, D., & Miller, M. (2017). The Stock and Flow of U.S. Firearms: Results from the 2015 National Firearms Survey. RSF, 3(5), 38–57. https://doi.org/10.7758/rsf.2017.3.5.02
Azrael, D., Cohen, J., Salhi, C., & Miller, M. (2018). Firearm Storage in Gun-Owning Households with Children: Results of a 2015 National Survey. Journal of Urban Health, 95(3), 295–304. https://doi.org/10.1007/s11524-018-0261-7
Berrigan, J., Azrael, D., Hemenway, D., & Miller, M. (2019). Firearms training and storage practices among US gun owners: A nationally representative study. Injury Prevention, 25(Suppl 1), i31–i38. https://doi.org/10.1136/injuryprev-2018-043126
Betz, M. E., Azrael, D., Barber, C., & Miller, M. (2016). Public Opinion Regarding Whether Speaking With Patients About Firearms Is Appropriate: Results of a National Survey. Annals of Internal Medicine, 165(8), 543–550. https://doi.org/10.7326/m16-0739
Betz, M. E., McCourt, A. D., Vernick, J. S., Ranney, M. L., Maust, D. T., & Wintemute, G. J. (2018). Firearms and Dementia: Clinical Considerations. Annals of Internal Medicine, 169(1), 47. https://doi.org/10.7326/M18-0140
Cleveland, E. C., Azrael, D., Simonetti, J. A., & Miller, M. (2017). Firearm ownership among American veterans: Findings from the 2015 National Firearm Survey. Inj Epidemiol, 4(1), 33. https://doi.org/10.1186/s40621-017-0130-y
Colorado Firearm Safety Coalition (2019). [Map]. Gun Storage Map. [Map]. https://coloradofirearmsafetycoalition.org/gun-storage-map/
Gallup (2019). What Percentage of Americans Own Guns? https://news.gallup.com/poll/264932/percentage-americans-own-guns.aspx (last visited 8/31/2020).
Giffords Law Center (2020). Domestic Violence & Firearms. https://lawcenter.giffords.org/gun-laws/policy-areas/who-can-have-a-gun/domestic-violence-firearms/ (last visited 8/31/2020).
Grinshteyn, E., & Hemenway, D. (2016). Violent Death Rates: The US Compared with Other High-income OECD Countries, 2010. American Journal of Medicine, 129(3), 266–273. https://doi.org/10.1016/j.amjmed.2015.10.025
Harborview Injury Prevention & Research Center (2020). Washington Firearm Safe Storage Map. [Map]. https://depts.washington.edu/hiprc/firearm-storage-wa/
Harris, E. C., & Barraclough, B. (1997). Suicide as an outcome for mental disorders: A meta-analysis. British Journal of Psychiatry, 170(3), 205–228. https://doi.org/10.1192/bjp.170.3.205
Hedman, L. C., Petrila, J., Fisher, W. H., Swanson, J. W., Dingman, D. A., & Burris, S. (2016). State Laws on Emergency Holds for Mental Health Stabilization. Psychiatric Services, 67(5), 529–535. https://doi.org/10.1176/appi.ps.201500205
Hemenway, D., & Nelson, E. (2020). The Scope of the Problem: Gun Violence in the USA. Current Trauma Reports, 6(1), 29–35. https://doi.org/10.1007/s40719-020-00182-x
Jobes, D. (2020). Commonsense Recommendations for Standard Care of Suicidal Risk. Journal of Health Service Psychology, 46. https://doi.org/10.1007/s42843-020-00020-3
Johnson, R. M., Barber, C., Azrael, D., Clark, D. E., & Hemenway, D. (2010). Who are the owners of firearms used in adolescent suicides? Suicide and Life-Threatening Behavior, 40(6), 609–611. https://doi.org/10.1521/suli.2010.40.6.609
Kaplan, M. S., McFarland, B. H., Huguet, N., Conner, K., Caetano, R., Giesbrecht, N., & Nolte, K. B. (2013). Acute alcohol intoxication and suicide: A gender-stratified analysis of the National Violent Death Reporting System. Injury Prevention, 19(1), 38–43. https://doi.org/10.1136/injuryprev-2012-040317
Kivisto, A. J., & Phalen, P. L. (2018). Effects of Risk-Based Firearm Seizure Laws in Connecticut and Indiana on Suicide Rates, 1981-2015. Psychiatric Services, appips201700250. https://doi.org/10.1176/appi.ps.201700250
Miller, M., Barber, C., White, R. A., & Azrael, D. (2013). Firearms and Suicide in the United States: Is Risk Independent of Underlying Suicidal Behavior? American Journal of Epidemiology, 178(6), 946–955. https://doi.org/10.1093/aje/kwt197
National Opinion Research Center. (2015). Trends in Gun Ownership in the United States, 1972-2014. https://www.norc.org/PDFs/GSS%20Reports/GSS_Trends%20in%20Gun%20Ownership_US_1972-2014.pdf (last visited 8/31/2020).
NRA (National Rifle Association). (2020). Safety and Education. https://explore.nra.org/interests/safety-and-education/ (last visited 8/31/2020).
Pallin, R., Charbonneau, A., Wintemute, G. J., & Kravitz-Wirtz, N. (2019). California Public Opinion On Health Professionals Talking With Patients About Firearms. Health Affairs, 38(10), 1744–1751. https://doi.org/10.1377/hlthaff.2019.00602
Pew Research Center (2017). America’s Complex Relationship with Guns. https://www.pewsocialtrends.org/2017/06/22/the-demographics-of-gun-ownership/ (last visited 8/31/2020).
Rowhani-Rahbar, A., Simonetti, J. A., & Rivara, F. P. (2016). Effectiveness of Interventions to Promote Safe Firearm Storage. Epidemiologic Reviews, 38(1), 111–124. https://doi.org/10.1093/epirev/mxv006
Sehgal, A. R. (2020). Lifetime risk of death from firearm injuries, drug overdoses, and motor vehicle accidents in the United States. American Journal of Medicine, https://doi.org/10.1016/j.amjmed.2020.03.047
Shah, S., Hoffman, R. E., Wake, L., & Marine, W. M. (2000). Adolescent suicide and household access to firearms in Colorado: Results of a case-control study. Journal of Adolescent Health, 26(3), 157–163
Simon O.R., Swann A.C., Powell K.E., Potter L.B., Kresnow M.J. & O’Carrol P.W. (2001). Characteristics of impulsive suicide attempts and attempters. Suicide and Life-threatening Behavior. 32(1 Suppl):49. https://doi.org/10.1521/suli.32.1.5.49.24212
Simonetti, J. A., Azrael, D., Rowhani-Rahbar, A., & Miller, M. (2018). Firearm Storage Practices Among American Veterans. American Journal of Preventive Medicine. https://doi.org/10.1016/j.amepre.2018.04.014
Sommers-Flanagan, J. (2018) Conversations about Suicide: Strategies for Detecting and Assessing Suicide Risk. Journal of Health Service Psychology 44, 33–45. https://doi.org/10.1007/BF03544661
Spangenberg, K. B., Wagner, M. T., Hendrix, S., & Bachman, D. L. (1999). Firearm presence in households of patients with Alzheimer’s disease and related dementias. Journal of the American Geriatrics Society, 47(10), 1183–1186
Stanley, I. H., Hom, M. A., Rogers, M. L., Anestis, M. D., & Joiner, T. E. (2017). Discussing firearm ownership and access as part of suicide risk assessment and prevention: “Means safety” versus “means restriction.” Archives of Suicide Research, 21(2), 237–253. doi: https://doi.org/10.1080/13811118.2016.1175395
Swanson, J. W., McGinty, E. E., Fazel, S., & Mays, V. M. (2015). Mental illness and reduction of gun violence and suicide: Bringing epidemiologic research to policy. Annals of Epidemiology, 25(5), 366–376. https://doi.org/10.1016/j.annepidem.2014.03.004
Swanson, J. W., Norko, M. A., Lin, H.-J., Frisman, L. K., Baranoski, M. V., Easter, M. M., Robertson, A. G., Swartz, M. S., & Bonnie, R. J. (2017). Implementation and Effectiveness of Connecticut’s Risk-Based Gun Removal Law: Does it Prevent Suicides? LAW AND CONTEMPORARY PROBLEMS, 80(2), 179–208.
U.S. Department of Veterans Affairs. (2020, April 12). Suicide Prevention is Everyone’s Business: A Tookkit for Safe Firearm Storage in Your Community. https://www.blogs.va.gov/VAntage/73736/va-releases-safe-firearm-storage-toolkit-suicide-prevention-effort/
U.S. Department of Veterans Affairs, Office of Suicide Prevention. (2016). Suicide Among Veterans and Other Americans 2001–2014. https://www.mentalhealth.va.gov/docs/2016suicidedatareport.pdf
VandenBos, G. R. (2017). Analysis of Violent Incidents in the Community and in the Hospital: Use in Prevention, Treatment, and Training. In Toch, H. (editor). Violent Men: An Inquiry into the Psychology of Violence. Washington, DC: American Psychological Association.
Wintemute, G. J., Betz, M. E., & Ranney, M. L. (2016). Yes, you can: Physicians, patients, and firearms. Annals of Internal Medicine, 165(3), 205–213. https://doi.org/10.7326/m15-2905
Wintemute, G. J., Wright, M. A., Castillo-Carniglia, A., Shev, A., & Cerdá, M. (2018). Firearms, alcohol and crime: Convictions for driving under the influence (DUI) and other alcohol-related crimes and risk for future criminal activity among authorised purchasers of handguns. Injury Prevention, 24(1), 68–72. https://doi.org/10.1136/injuryprev-2016-042181
§ 27882 Cal. Penal Code (2020). https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?lawCode=PEN§ionNum=27882.
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Miller, M.O., VandenBos, G.R. RETRACTED ARTICLE: Collaborating with Patients on Firearms Safety in High-Risk Situations. J Health Serv Psychol 46, 165–172 (2020). https://doi.org/10.1007/s42843-020-00022-1
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DOI: https://doi.org/10.1007/s42843-020-00022-1