- Other studies reviewed revealed that families in general are honest
about their gun ownership status so it is likely that self reporting
was accurate in the study.2
- Despite failure to show significant differences in this study, counseling
may be more effective over the long term and is not harmful. We
know that behavior change does not occur quickly and this seems like
it would be similar to smoking cessation which often requires repeated
messages and office visits before patients become motivated to quit.
Physician organizations such as the AAP are strongly endorsing gun safety
counseling in the context of health supervision visits.
- Laws vary from state to state regarding gun control and safety requirements
so it may be difficult to come up with standardized counseling formats.
- No study has as of yet shown trigger locks and safety devices to be
effective in prevention childhood death and injury by firearms.
Grossman DC, et al. Firearm safety counseling in primary care
pediatrics: A randomized, controlled trial. Pediatrics
Becher EC, Christakis NA. Firearm injury prevention counseling: Are
we missing the mark? Pediatrics 1999; 104(3).
AAP guidelines on firearm counseling.
Author: Andrea Nederveld, MD
CAT Appraisers: Jonathan
September 11, 2001
October 14, 2001
of Pediatrics and Communicable Diseases
© 1998-2002 University of Michigan Health System