Pub. Date:
National Academies Press
Health Systems Interventions to Prevent Firearm Injuries and Death: Proceedings of a Workshop

Health Systems Interventions to Prevent Firearm Injuries and Death: Proceedings of a Workshop


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Firearm injuries and death are a serious public health concern in the United States. Firearm-related injuries account for tens of thousands of premature deaths of adults and children each year and significantly increase the burden of injury and disability. Firearm injuries are also costly to the health system, accounting for nearly $3 billion in emergency department and inpatient care each year.

The National Academies of Sciences, Engineering, and Medicine convened a workshop to examine the roles that health systems can play in addressing the epidemic of firearm violence in the United States. This publication summarizes the presentations and discussions from the workshop.

Product Details

ISBN-13: 9780309488396
Publisher: National Academies Press
Publication date: 05/17/2019
Pages: 142
Product dimensions: 6.00(w) x 9.00(h) x 0.40(d)

Table of Contents

Acronyms and Abbreviations xv

1 Introduction 1

Organization of the Proceedings 4

2 Why Do Health Systems Have a Role? 5

Gun Violence: A Complex Biopsychosocial Disease Requiring a Strengthened Health Care System Response 6

3 The Toll on Individuals and Communities 11

A Pediatric Victim and Opportunities the Health System Had to Intervene 11

The Psychological and Social Burden of Firearm Violence on Communities 15

Discussion 21

4 Identifying Individuals at Higher Risk for Firearm Violence 27

Identifying Survivors of Domestic Violence Who Are at High Risk for Firearm-Related Violence 28

Applying a Medical Model of Disease to Identify Those at Risk of Firearm Violence 29

Factors to Consider When Thinking About Identifying Risk of Firearm Violence 30

Discussion 31

5 Developing Health System Interventions 37

Developing a Firearm Storage Decision Aid to Enhance Counseling on Access to Lethal Means 37

Creating Consensus: Developing a Firearm Injury Research Agenda 41

Discussion 44

6 Key Issues from the Workshop's First Day 47

Getting Health Systems Involved 48

Helping Providers with the Aftermath of Gun Violence 50

Helping Health System Leaders Act 51

Shifting the Paradigm 51

Discussion 52

7 Programs and Research 55

Project Ujima 56

Helping Individuals with Firearm Injuries Clinical Trial 59

SafERteens: An Evidence-Based Youth Violence Prevention Program 61

Participatory Approaches to Implementing Firearm Safety Promotion in Pediatric Primary Care 66

State of the Science for Hospital-Based Violence: Research and Policy Implications 69

Discussion 71

8 Developing Networks and Sharing Information 75

Building a Learning Health Care System for Suicide Prevention 75

Violence Intervention and Collaboration 79

Discussion 81

9 Developing a Culture of Health Care Providers as Interveners 85

Hospitals Against Violence Initiative 85

Consensus-Based Firearm Injury Prevention Strategy 87

The Cure Violence Approach 89

Discussion 91

10 Closing Remarks 97

References 99


A Workshop Agenda 105

B Speaker Biographical Sketches 113

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