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

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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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Background
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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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Suicide and Violence Prevention: Parent Education in the Emergency Department

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