Rocco Pallin, MPH; Sarabeth A. Spitzer, BA; Megan L. Ranney, MD, MPH; Marian E. Betz, MD, MPH; Garen J. Wintemute, MD, MPH
CME Objective: To review current evidence for epidemiology; health benefits, harms, and risk groups; screening; prevention; and practice improvement of preventing firearm-related death and injury.
Funding Source: American College of Physicians.
Disclosures: Dr. Ranney, ACP Contributing Author, reports grants from the National Institute of Child Health and Human Development during the conduct of the study and grants from the National Institute of Mental Health outside the submitted work and is a pro bono officer for the American Foundation for Firearm Injury Reduction in Medicine (AFFIRM). Dr. Wintemute, ACP Contributing Author, reports grants from the Heising-Simons Foundation and The California Wellness Foundation during the conduct of the study. Authors not named here have disclosed no conflicts of interest. Disclosures can also be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M19-0333.
Editors' Disclosures: Christine Laine, MD, MPH, Editor in Chief, reports that her spouse has stock options/holdings with Targeted Diagnostics and Therapeutics. Darren B. Taichman, MD, PhD, Executive Editor, reports that he has no financial relationships or interests to disclose. Cynthia D. Mulrow, MD, MSc, Senior Deputy Editor, reports that she has no relationships or interests to disclose. Jaya K. Rao, MD, MHS, Deputy Editor, reports that she has stock holdings/options in Eli Lilly and Pfizer. Catharine B. Stack, PhD, MS, Deputy Editor, Statistics, reports that she has stock holdings in Pfizer, Johnson & Johnson, and Colgate-Palmolive. Christina C. Wee, MD, MPH, Deputy Editor, reports employment with Beth Israel Deaconess Medical Center. Sankey V. Williams, MD, Deputy Editor, reports that he has no financial relationships or interests to disclose. Yu-Xiao Yang, MD, MSCE, Deputy Editor, reports that he has no financial relationships or interest to disclose.
With the assistance of additional physician writers, the editors of Annals of Internal Medicine develop In the Clinic using MKSAP and other resources of the American College of Physicians.
In the Clinic does not necessarily represent official ACP clinical policy. For ACP clinical guidelines, please go to https://www.acponline.org/clinical_information/guidelines/.
Deaths and injuries from firearms are significant public health problems, and clinicians are in a unique position to identify risk among their patients and discuss the importance of safe firearm practices. Although clinicians may be ill-prepared to engage in such discussions, an adequate body of evidence is available for support, and patients are generally receptive to this type of discussion with their physician. Here, we provide an overview of existing research and recommended strategies for counseling and intervention to reduce firearm-related death and injury.
Pallin R, Spitzer SA, Ranney ML, Betz ME, Wintemute GJ. Preventing Firearm-Related Death and Injury. Ann Intern Med. 2019;170:ITC81–ITC96. doi: 10.7326/AITC201906040
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Published: Ann Intern Med. 2019;170(11):ITC81-ITC96.
Emergency Medicine, Prevention/Screening.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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