Psychiatr Serv 52:1057-1061, August 2001
© 2001 American Psychiatric Association
Firearms Risk Management in Psychiatric Care
Marion E. Sherman, M.D.,
Kathryn Burns, M.D., M.P.H.,
James Ignelzi, M.S.W.,
James Raia, Ph.D.,
Veronica Lofton, L.I.S.W., M.S.W.,
Doris Toland, L.I.S.W., M.S.W.,
Bob Stinson, Psy.D.,
John L. Tilley, Psy.D. and
Timothy Coon, M.A.
OBJECTIVE: This study sought to assess the effectiveness of a firearms risk management program. METHODS: A firearms risk management program, which included multidisciplinary assessment, treatment, and discharge planning, was developed and implemented among 46 civilly committed psychiatric inpatients at the Twin Valley Psychiatric System, a behavioral health organization of the Ohio Department of Mental Health. RESULTS: The research sample comprised mainly men who had personality disorders and histories of substance abuse and who had expressed an intent to use a firearm to commit suicide. On discharge, none of the patients had access to a firearm. Of the 16 patients who were hospitalized during the next 24 months, only five were noted to have threatened to harm themselves or others with a firearm or to have access to a firearm. CONCLUSIONS: Multidisciplinary and focused assessment, treatment, and discharge planning can be effective in neutralizing the risk of firearms use among psychiatric patients.
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D. A. Brent and J. Bridge
Firearms Availability and Suicide: Evidence, Interventions, and Future Directions
American Behavioral Scientist,
May 1, 2003;
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A. Z. Berg
Firearms Risk Management
Psychiatr Serv,
April 1, 2002;
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(4):
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