Should Healthcare Professionals Ask About Guns in the Home?

Nurses General Nursing

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Most Americans have strong feelings about gun control, whether in favor of more or less. Legislation has even been passed restricting physicians from discussing guns with patients. What is your opinion about healthcare professionals discussing safekeeping of guns in the home?

Gun ownership and regulation is a very emotional issue in the U.S. and there has been strong reaction to whether physicians and other healthcare providers should be involved in doing more to curb gun related injuries and deaths. I would like to hear some of your opinions regarding physician involvement, but first let's look at some of the gun statistics in the U.S.

More than 108,000 people are shot per year in murders, assaults, suicides, suicide attempts, unintentional shootings or by police intervention.

* More than 32,000 of them die.

* The U.S. has the most gun homicides of any developed nation. 29.7 per 100,000.

* Everyday 297 people are shot.

* 89 people die.

* 31 of them are murdered.

* 55 are suicides.

* 2 are killed unintentionally.

* 1 is killed by police.

* 1 is unknown intent.

* One in five deaths are people ages 15-29.

Over 17,000 American children and teens are injured or killed each year due to gun violence.

* 2,677 of those children die.

* Nearly 48 youth are shot per day including 7 fatalities.

* 5 are murdered and 2 are suicides.

1 in 3 homes with children have guns.

* 42% of parents with guns keep at least one unlocked.

* 25% of parents with guns keep at least loaded.

* 3 in 4 children know where firearms are kept in the home.

(Statistics; bradycampaign.org).

It has been suggested that clinicians could play a major role in reducing children's access to guns by asking if there is a gun in the home, and if so, counseling on firearm storage practices. One study showed that patients who received counseling on firearm storage were more likely to make a change in storage practice than patients who did not receive counseling. (64% vs 33%). (J Am Board Fam.Pract).

Pediatrician's offices and hospitals routinely give out infant and car seats, would it also be appropriate to distribute trigger locks and lockboxes? Firearm related injuries are a public health issue, so should there be public health initiatives regarding firearms such as there have been for reducing tobacco, toy and motor vehicle related deaths?

Specializes in Critical Care, Med-Surg, Psych, Geri, LTC, Tele,.

And this is why I chose to obtain a GSD with working lines In her genealogy, versus getting a gun for protection.

I'm a single mom, and safety is paramount. But, oh, to try to figure out how to have a gun for safety PLUS try to keep my little one safe....I couldn't figure out how to do both.

That's why I have a doggie alert system!

Specializes in Behavioral Health.
But how do people decide what method to use.... will someone with no guns in the house become fixated on a gun suicide? Vice versa?

Part of it is socialization. Men and boys are significantly more likely to die by firearm or hanging, and women and girls by overdose or carbon monoxide poisoning. It was traditionally thought that when women attempt suicide it isn't "real" and is "a cry for help." This is bollocks. While more men complete suicide than women, the potential lethality of their plans is often relatively equal. The difference is efficiency of the method. Obviously, this isn't a complete answer, but like I said suicide is a complex topic. My only point was to say that restricting firearms does save lives. So, from a child safety standpoint if we care about preventing suicides then asking about gun storage seems reasonable.

Firearms-related youth suicides are outnumbered by non-firearms-related youth suicides. Do we also ask parents of teens if there are knives, razors, prescription drugs, ropes, belts, etc., in the home and, if so, are they "properly secured"? Where does that line get drawn?

Yes. In the child clinic I'm at one day a week we ask this about ten times a day. Should I stop?

But how do people decide what method to use.... will someone with no guns in the house become fixated on a gun suicide? Vice versa?

Firearms-related youth suicides are outnumbered by non-firearms-related youth suicides. Do we also ask parents of teens if there are knives, razors, prescription drugs, ropes, belts, etc., in the home and, if so, are they "properly secured"? Where does that line get drawn?

All those "weapons" also have other uses.

Guns exist to shoot people.

Specializes in Telemetry.
All those "weapons" also have other uses.

Guns exist to shoot people.

And I strongly doubt anyone accidentally killed themselves or another person while cleaning their belt.

Specializes in Medsurg/ICU, Mental Health, Home Health.
"According to the Guttmacher Institute, there were 1.21 million abortions performed in the United States in 2008, the most recent year for which data is available. This amounts to 3,322 abortions per day.

Q & A about Abortion

And we are worried about guns?

Yeah, I've never been afraid to have a curette pulled on me when I've accidentally cut someone off in traffic...

Specializes in Cardio-Pulmonary; Med-Surg; Private Duty.
And this is why I chose to obtain a GSD with working lines In her genealogy, versus getting a gun for protection.

I'm a single mom, and safety is paramount. But, oh, to try to figure out how to have a gun for safety PLUS try to keep my little one safe....I couldn't figure out how to do both.

That's why I have a doggie alert system!

Way more kids are injured by dogs each year than are injured by firearms.

Don't get me wrong -- I'm a huge dog-lover and have three Labs in my home.

There is no one single answer that fits every single family's needs. Everyone should educate themselves on their chosen method(s). The problem (IMO) is that nobody wants to be responsible for their own actions anymore.

Way more kids are injured by dogs each year than are injured by firearms.

Don't get me wrong -- I'm a huge dog-lover and have three Labs in my home.

There is no one single answer that fits every single family's needs. Everyone should educate themselves on their chosen method(s). The problem (IMO) is that nobody wants to be responsible for their own actions anymore.

Like securing firearms? That would secure most families' needs.

I love dogs, too. I have to ask that they are put away before a HH visit as well.

Safety.

Specializes in Cardio-Pulmonary; Med-Surg; Private Duty.
All those "weapons" also have other uses.

Guns exist to shoot people.

Guns also exist for hunting and for enjoyment.

Trampolines and go-karts and pogo sticks have no use other than being fun...and they can cause injury and death if not used properly.

How about alcohol? What PURPOSE is there for drinking alcohol? Look at all the victims of drunk driving. Deaths due to alcoholism. Destroyed families due to alcoholism. The economic losses due to alcoholism. Guns are NOTHING compared to the toll that booze takes on our society. Tobacco is right up there on the useless scale, too.

So why is it that guns are the focus of so much vitriol? (Rhetorical, not directed at any one person.) If we really want to protect children and society in general from senseless death, why aren't we focusing on booze and tobacco?

Guns are not evil. People using them irresponsibly is the problem. But, unfortunately, being stupid and irresponsible is one's "right" in the USA.

Specializes in Critical Care.
This is the biggest point to consider, IMO -- if you want to lecture people about proper gun storage/safety, you had better be well-educated in that regard.

If someone is an actual gun enthusiast and/or has a license to carry a concealed weapon, I daresay there's not a darned thing that the average healthcare professional could teach them about gun safety -- they are already very well-versed in the subject.

I own a handgun and have gotten the "do you keep a gun in the house" question from our Pediatrician and she was actually very well informed.

The assumption that because someone owns a gun there gun safety knowledge and adherence is probably perfect is extremely ill-informed. One of my wife's good friends is the wife of a police officer. While just outside their family car they suddenly heard a gunshot from inside the car, then found their young daughter with a fatal gunshot wound after their son found his unsecured gun in the car. I'd like to say that's the only example of a gun owner who should have known better but it's far from the only example.

Specializes in Critical Care.
Guns also exist for hunting and for enjoyment.

Trampolines and go-karts and pogo sticks have no use other than being fun...and they can cause injury and death if not used properly.

How about alcohol? What PURPOSE is there for drinking alcohol? Look at all the victims of drunk driving. Deaths due to alcoholism. Destroyed families due to alcoholism. The economic losses due to alcoholism. Guns are NOTHING compared to the toll that booze takes on our society. Tobacco is right up there on the useless scale, too.

So why is it that guns are the focus of so much vitriol? (Rhetorical, not directed at any one person.) If we really want to protect children and society in general from senseless death, why aren't we focusing on booze and tobacco?

Guns are not evil. People using them irresponsibly is the problem. But, unfortunately, being stupid and irresponsible is one's "right" in the USA.

I think the goal is to prevent senseless death from all of those things by taking reasonable safety precautions, you don't think pediatricians ask parents if they smoke in the home? Assessing for and addressing modifiable risks are a big part of what pediatricians and nurses do, why should guns not be included in that?

I personally do not own a gun and I never will (no hate on those who own guns, my father was a hunter before he passed away and my mom owns 2 hand guns that are locked up). I also admit that I know next to nothing about firearms. I am not against responsible gun owners and MOST guns, as long as they are secured properly. I really don't see why asking someone if they have guns and if they are stored properly is so controversial. If I were asked this question, and I probably have been at some point during my 23 years on this planet, I really would not care. I liken it to a doctor asking me if I do illegal drugs, smoke, drink, have multiple sexual partners, or am sexually active. Just a question they ask to assess my health, safety, and well being. It's a valid question.

I own a handgun and have gotten the "do you keep a gun in the house" question from our Pediatrician and she was actually very well informed.

The assumption that because someone owns a gun there gun safety knowledge and adherence is probably perfect is extremely ill-informed. One of my wife's good friends is the wife of a police officer. While just outside their family car they suddenly heard a gunshot from inside the car, then found their young daughter with a fatal gunshot wound after their son found his unsecured gun in the car. I'd like to say that's the only example of a gun owner who should have known better but it's far from the only example.

Uuuuuugh.

One of my old coworkers who was working nights was married to a LEO.

She came home from work to see him sleeping on the couch, in uniform, with his loaded gun on the coffee table. Her 3 kids sitting on the floor eating cereal and watching tv, not 2 feet from the table. Oldest kid was 8.

She picked up the gun, put it to her husbands head and said "Wake up and look at your kids. Should you be scared right now?"

Crazy.

But you can bet he never did that again.

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