Suicide and Violence Prevention: Parent Education in the Emergency Department
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. Prospective follow-up of 103 adults whose children made an emergency department visit for mental health a...
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| Veröffentlicht in: | Journal of the American Academy of Child and Adolescent Psychiatry 1999-03, Vol.38 (3), p.250-255 |
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| container_title | Journal of the American Academy of Child and Adolescent Psychiatry |
| container_volume | 38 |
| creator | Kruesi, Markus J.P. Grossman, Janet Pennington, James M. Woodward, Paul J. Duda, David Hirsch, Jay G. |
| description | 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.
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.
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.
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. |
| doi_str_mv | 10.1097/00004583-199903000-00010 |
| format | Article |
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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.
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.
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.</description><identifier>ISSN: 0890-8567</identifier><identifier>EISSN: 1527-5418</identifier><identifier>DOI: 10.1097/00004583-199903000-00010</identifier><identifier>PMID: 10087685</identifier><identifier>CODEN: JAAPEE</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adolescent ; adolescents ; Adult ; Child ; Child psychology ; Emergency Service, Hospital ; Female ; firearms ; Follow-Up Studies ; Humans ; injury prevention ; Male ; Outcome and Process Assessment (Health Care) ; Parents & parenting ; Parents - education ; Prevention ; Prospective Studies ; suicide ; Suicide - prevention & control ; Suicide - psychology ; Suicides & suicide attempts ; Violence ; Violence - prevention & control ; Violence - psychology ; Wounds and Injuries - prevention & control ; Wounds and Injuries - psychology</subject><ispartof>Journal of the American Academy of Child and Adolescent Psychiatry, 1999-03, Vol.38 (3), p.250-255</ispartof><rights>1999 The American Academy of Child and Adolescent Psychiatry</rights><rights>Copyright Lippincott Williams & Wilkins Mar 1999</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c397t-fb3f83548fc38d7675917a4608ff0f5649c5189fdfe812decfb57ad91bcba1d23</citedby><cites>FETCH-LOGICAL-c397t-fb3f83548fc38d7675917a4608ff0f5649c5189fdfe812decfb57ad91bcba1d23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1097/00004583-199903000-00010$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3548,27923,27924,30998,45994</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10087685$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kruesi, Markus J.P.</creatorcontrib><creatorcontrib>Grossman, Janet</creatorcontrib><creatorcontrib>Pennington, James M.</creatorcontrib><creatorcontrib>Woodward, Paul J.</creatorcontrib><creatorcontrib>Duda, David</creatorcontrib><creatorcontrib>Hirsch, Jay G.</creatorcontrib><title>Suicide and Violence Prevention: Parent Education in the Emergency Department</title><title>Journal of the American Academy of Child and Adolescent Psychiatry</title><addtitle>J Am Acad Child Adolesc Psychiatry</addtitle><description>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.
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.
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.
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.</description><subject>Adolescent</subject><subject>adolescents</subject><subject>Adult</subject><subject>Child</subject><subject>Child psychology</subject><subject>Emergency Service, Hospital</subject><subject>Female</subject><subject>firearms</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>injury prevention</subject><subject>Male</subject><subject>Outcome and Process Assessment (Health Care)</subject><subject>Parents & parenting</subject><subject>Parents - education</subject><subject>Prevention</subject><subject>Prospective Studies</subject><subject>suicide</subject><subject>Suicide - prevention & control</subject><subject>Suicide - psychology</subject><subject>Suicides & suicide attempts</subject><subject>Violence</subject><subject>Violence - prevention & control</subject><subject>Violence - psychology</subject><subject>Wounds and Injuries - prevention & control</subject><subject>Wounds and Injuries - psychology</subject><issn>0890-8567</issn><issn>1527-5418</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkFtL5TAQgIOs6PHyFyT44Fs1aZubb6t7VgVFwctrSJOJRk7bs0kr-O9NPSriyw4MkwnfTMKHEKbkkBIljkiOmsmqoEopUuWuyEnJGppRVoqC1VT-QjMiFSkk42ITbaX0PCFCyg20SQmRgks2Q1e3Y7DBATadww-hX0BnAd9EeIFuCH13jG9MzEc8d6M10w0OHR6eAM9biI-ZfsV_YGni0GZqB617s0iw-1G30f3f-d3peXF5fXZx-vuysJUSQ-GbysuK1dLbSjrBBVNUmJoT6T3xjNfKMiqVdx4kLR1Y3zBhnKKNbQx1ZbWNDlZ7l7H_N0IadBuShcXCdNCPSXPFK8YEz-D-D_C5H2OX_6ZLWvJS1vUEyRVkY59SBK-XMbQmvmpK9ORbf_rWX771u-88uvexf2xacN8GV4IzcLICIOt4CRB1smFy7EIEO2jXh_-_8gb1FY7i</recordid><startdate>19990301</startdate><enddate>19990301</enddate><creator>Kruesi, Markus J.P.</creator><creator>Grossman, Janet</creator><creator>Pennington, James M.</creator><creator>Woodward, Paul J.</creator><creator>Duda, David</creator><creator>Hirsch, Jay G.</creator><general>Elsevier Inc</general><general>Elsevier BV</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7TK</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>19990301</creationdate><title>Suicide and Violence Prevention: Parent Education in the Emergency Department</title><author>Kruesi, Markus J.P. ; Grossman, Janet ; Pennington, James M. ; Woodward, Paul J. ; Duda, David ; Hirsch, Jay G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c397t-fb3f83548fc38d7675917a4608ff0f5649c5189fdfe812decfb57ad91bcba1d23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Adolescent</topic><topic>adolescents</topic><topic>Adult</topic><topic>Child</topic><topic>Child psychology</topic><topic>Emergency Service, Hospital</topic><topic>Female</topic><topic>firearms</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>injury prevention</topic><topic>Male</topic><topic>Outcome and Process Assessment (Health Care)</topic><topic>Parents & parenting</topic><topic>Parents - education</topic><topic>Prevention</topic><topic>Prospective Studies</topic><topic>suicide</topic><topic>Suicide - prevention & control</topic><topic>Suicide - psychology</topic><topic>Suicides & suicide attempts</topic><topic>Violence</topic><topic>Violence - prevention & control</topic><topic>Violence - psychology</topic><topic>Wounds and Injuries - prevention & control</topic><topic>Wounds and Injuries - psychology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kruesi, Markus J.P.</creatorcontrib><creatorcontrib>Grossman, Janet</creatorcontrib><creatorcontrib>Pennington, James M.</creatorcontrib><creatorcontrib>Woodward, Paul J.</creatorcontrib><creatorcontrib>Duda, David</creatorcontrib><creatorcontrib>Hirsch, Jay G.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the American Academy of Child and Adolescent Psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kruesi, Markus J.P.</au><au>Grossman, Janet</au><au>Pennington, James M.</au><au>Woodward, Paul J.</au><au>Duda, David</au><au>Hirsch, Jay G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Suicide and Violence Prevention: Parent Education in the Emergency Department</atitle><jtitle>Journal of the American Academy of Child and Adolescent Psychiatry</jtitle><addtitle>J Am Acad Child Adolesc Psychiatry</addtitle><date>1999-03-01</date><risdate>1999</risdate><volume>38</volume><issue>3</issue><spage>250</spage><epage>255</epage><pages>250-255</pages><issn>0890-8567</issn><eissn>1527-5418</eissn><coden>JAAPEE</coden><abstract>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.
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.
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.
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.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>10087685</pmid><doi>10.1097/00004583-199903000-00010</doi><tpages>6</tpages></addata></record> |
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| ispartof | Journal of the American Academy of Child and Adolescent Psychiatry, 1999-03, Vol.38 (3), p.250-255 |
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| source | MEDLINE; Applied Social Sciences Index & Abstracts (ASSIA); Journals@Ovid Ovid Autoload; ScienceDirect Journals (5 years ago - present) |
| subjects | Adolescent adolescents Adult Child Child psychology Emergency Service, Hospital Female firearms Follow-Up Studies Humans injury prevention Male Outcome and Process Assessment (Health Care) Parents & parenting Parents - education Prevention Prospective Studies suicide Suicide - prevention & control Suicide - psychology Suicides & suicide attempts Violence Violence - prevention & control Violence - psychology Wounds and Injuries - prevention & control Wounds and Injuries - psychology |
| title | Suicide and Violence Prevention: Parent Education in the Emergency Department |
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