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Cited by 252Suicide and Self-Harm StudiesGun Ownership and Violence ResearchHomicide, Infanticide, and Child Abuse

Suicide and violence prevention: Parent education in the emergency department

Kruesi, Markus J.P., Grossman, Janet, Pennington, James M., Woodward, Paul J., Duda, David, Hirsch, Jay G.·1999·Journal of the American Academy of Child & Adolescent Psychiatry
DOI 10.1097/00004583-199903000-00010
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Abstract

Objective To determine prospectively whether parental receipt of injury prevention education is associated with new action limiting access to lethal means and if so, what action was taken for which means.Method Prospective follow-up of 103 adults whose children made an emergency department visit for mental health assessment or treatment. Record review assessed whether hospital staff provided injury prevention education. Logistic regression was used to determine the likelihood of new caretaker action limiting access to the following potentially lethal means: firearms, alcohol, prescription medications, and over-the-counter medications.Results Significant associations were found between exposure to injury prevention education and action to limit access (adjusted odds ratio = 3.6, 95% confidence interval = 1.1-12.1, p = .04). Five of 8 adults whose households contained firearms took new action to limit access after injury prevention education, whereas none of the 7 firearm-owning families who did not receive injury prevention education took new action to limit firearm access. Similar patterns were seen for other means. Adults more often chose to lock up rather than dispose of lethal means.Conclusions Injury prevention education should be provided to parents during child/adolescent emergency department mental health-related visits. Potential for violence prevention is real because parents do take new action to limit access to lethal means when means restriction education is provided.

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Crossref · 10.1097/00004583-199903000-00010

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  • Lethal means restriction counseling provided to parents of youth in the ED resulted in parents being four times more likely to restrict their child's access.

    “Lethal means restriction counseling provided to parents of youth in the ED resulted in parents being four times more likely to restrict their child’s access.71”

    From Evidence-based youth suicide prevention and intervention in pediatric primary care settings. (2024) · cites this paper as [71]

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Authors
Kruesi, M. J. P., Grossman, J., Pennington, J. M., Woodward, P. J., Duda, D., & Hirsch, J. G.
Affiliations
University of Illinois Chicago (US)
Corresponding author
Kruesi, Markus J.P.
Venue
Journal of the American Academy of Child & Adolescent Psychiatry
Publisher
Elsevier BV
Published
1999-03
Volume
38
Issue
3
Pages
250-255
ISSN
0890-8567 (ISSN-L)
DOI
10.1097/00004583-199903000-00010
OpenAlex
W1974471858
Cited by
251
References
45
Citations by year
2026: 2 · 2025: 3 · 2024: 7 · 2023: 6 · 2022: 6 · 2021: 14 · 2020: 12 · 2019: 8 · 2018: 4 · 2017: 44 · 2016: 13 · 2015: 5 · 2014: 13 · 2013: 6 · 2012: 9
FWCI
7.70
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Journal of the American Academy of Child & Adolescent Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Social Sciences › Health › Gun Ownership and Violence Research
  • Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
Keywords
suicide prevention, violence prevention, injury prevention education, parental education, emergency department, means restriction, firearm access, alcohol access, prescription medication access, child and adolescent mental health
MeSH terms
Suicide Prevention, Adolescent, Adult, Child, Emergency Service, Hospital, Female, Follow-Up Studies, Humans, Male, Outcome and Process Assessment, Health Care, Parents, Prospective Studies, Suicide, Violence, Wounds and Injuries

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