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Discover Pediatric Collections on COVID-19 and Racism and Its Effects on Pediatric Health

American Academy of Pediatrics
Pediatrics Perspective

Safe Firearm Storage: A Call for Research Informed by Firearm Stakeholders

Rinad S. Beidas, Frederick Rivara and Ali Rowhani-Rahbar
Pediatrics November 2020, 146 (5) e20200716; DOI: https://doi.org/10.1542/peds.2020-0716
Rinad S. Beidas
aDepartment of Psychiatry, Perelman School of Medicine and
bPenn Implementation Science Center, Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania;
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Frederick Rivara
cFirearm Injury & Policy Research Program, Harborview Injury Prevention & Research Center,
dDepartment of Pediatrics, School of Medicine, and
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Ali Rowhani-Rahbar
cFirearm Injury & Policy Research Program, Harborview Injury Prevention & Research Center,
eDepartment of Epidemiology, School of Public Health, University of Washington, Seattle, Washington; and
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    American Academy of Pediatrics
  • Firearm injury and mortality is a major public health concern that has taken a devastating toll on young Americans for decades. In 2018, 3335 young people (aged 1–19) died of firearm injuries, specifically homicide (55%), suicide (39%), and unintentional injury (3%).1 In a recent article, the Firearm Safety Among Children and Teens Consortium2 recommended increased attention to safe firearm storage in the home and other places (eg, cars) where individuals <18 years of age may have unauthorized access to prevent firearm injury and mortality, specifically suicide and unintentional injury. Such efforts draw on robust empirical findings that suggest that safer firearm storage will save lives.3 A simulation study revealed that a modest increase in safe firearm storage would result in a 32% decrease in lives lost.4

    One setting ripe for delivering anticipatory guidance paired with safe storage devices, such as cable locks or lockboxes, is the pediatric health care setting. In this Pediatrics Perspectives, we offer suggestions for needed research to allow pediatric clinicians to offer recommendations that reflect effective and acceptable ways to safely store firearms to keep youth safe and that incorporate the voices of firearm stakeholders.

    Knowledge Gap

    What does it mean to store firearms safely from the perspective of parents and legal guardians (hereinafter referred to as parents) with children <18 years of age in the home? There is no universally agreed on recommendation that accounts for the nuanced reasons that parents own firearms.

    Specifically, major national organizations, depending on guild, offer different recommendations. The …

    Address correspondence to Rinad S. Beidas, PhD, Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, 3535 Market St, 3015, Philadelphia, PA 19107. E-mail: rbeidas{at}upenn.edu

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    Pediatrics
    Vol. 146, Issue 5
    1 Nov 2020
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    Safe Firearm Storage: A Call for Research Informed by Firearm Stakeholders
    Rinad S. Beidas, Frederick Rivara, Ali Rowhani-Rahbar
    Pediatrics Nov 2020, 146 (5) e20200716; DOI: 10.1542/peds.2020-0716

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    Safe Firearm Storage: A Call for Research Informed by Firearm Stakeholders
    Rinad S. Beidas, Frederick Rivara, Ali Rowhani-Rahbar
    Pediatrics Nov 2020, 146 (5) e20200716; DOI: 10.1542/peds.2020-0716
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    More in this TOC Section

    • Mitigating Armed Conflict Casualties in Children
    • Children’s Coverage Vulnerabilities With Loss of a Parent’s Employer-Sponsored Insurance
    • The Need for New Cost Measures in Pediatric Value-Based Payment
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