{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T17:59:11Z","timestamp":1790618351630,"version":"4.1.0"},"reference-count":30,"publisher":"American Academy of Pediatrics (AAP)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,1,1]]},"abstract":"<jats:sec>\n                    <jats:title>OBJECTIVES:<\/jats:title>\n                    <jats:p>Firearm-related deaths remain a top cause of mortality in American children and adolescents. In a 2012 policy statement, the American Academy of Pediatrics urged pediatricians to incorporate questions about the availability of firearms into their patient history taking. We aim to evaluate the frequency of screening for home firearms in an academic tertiary-care hospital inpatient setting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS:<\/jats:title>\n                    <jats:p>This retrospective chart review examined patients with the following pediatric diagnoses admitted to a tertiary-care pediatric hospital from 2006 to 2015: asthma, bronchiolitis, cellulitis, jaundice, single liveborn infant, bacterial and viral pneumonia, and all mood disorders. Data analysts then searched the patient charts that met these inclusion criteria for documentation of firearm screening as indicated by use of the terms \u201cfirearm,\u201d \u201cpistol,\u201d \u201cgun,\u201d \u201chandgun,\u201d \u201cbullet,\u201d \u201cammunition,\u201d or \u201crifle\u201d in the admissions history and physical.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>Evidence of screening for firearms in the home was found in 1196 of the 40\u2009658 charts included in the study (2.94%). The most frequently screened diagnosis and admitting service were mood disorders and child psychiatry, respectively (1159 of 3107; 37.3%). Only 19.8% of identified gun-owning families received specific anticipatory guidance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS:<\/jats:title>\n                    <jats:p>Firearm screening and gun safety education occurred infrequently in the inpatient setting. Inpatient encounters may provide an opportunity for increased screening and education because the hospital environment also includes additional resources, exposure to a greater number of providers, and the presence of more family members or caregivers. Further studies are warranted to explore barriers to inpatient screening and possible mechanisms for improvement.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1542\/hpeds.2019-0040","type":"journal-article","created":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T09:15:10Z","timestamp":1577870110000},"page":"37-42","source":"Crossref","is-referenced-by-count":23,"title":["Firearms Screening in the Pediatric Inpatient Setting"],"prefix":"10.1542","volume":"10","author":[{"given":"Kimberly K.","family":"Monroe","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Michigan Medicine, and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah Q.","family":"Fried","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Michigan Medicine, and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandra","family":"Rubin","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Michigan Medicine, and"},{"name":"School of Medicine, Washington University, St. Louis, Missouri; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa R.","family":"Markman","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Michigan Medicine, and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alanna","family":"Shefler","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Michigan Medicine, and"},{"name":"Medical School, and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harlan","family":"McCaffery","sequence":"additional","affiliation":[{"name":"Center for Human Growth and Development, University of Michigan, Ann Arbor, Michigan;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nonie S.","family":"Arora","sequence":"additional","affiliation":[{"name":"Medical School, and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel R.","family":"Osborn","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Michigan Medicine, and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine L.","family":"Freundlich","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, School of Medicine, Vanderbilt University, Nashville, Tennessee"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kerry P.","family":"Mychaliska","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Michigan Medicine, and"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2020,1,1]]},"reference":[{"key":"2021120817571740400_B1","article-title":"National Center for Injury Prevention and Control, CDC using WISQARS. 10 leading causes of death by age group, United States \u2013 2016","author":"National Vital Statistics System, NCHS, CDC"},{"issue":"5","key":"2021120817571740400_B2","doi-asserted-by":"crossref","first-page":"940","DOI":"10.1016\/j.jamcollsurg.2013.07.381","article-title":"Firearm injuries and children: a policy statement of the American Pediatric Surgical Association","volume":"217","author":"Nance","year":"2013","journal-title":"J Am Coll Surg"},{"issue":"12","key":"2021120817571740400_B3","doi-asserted-by":"crossref","first-page":"1195","DOI":"10.1001\/jamapediatrics.2018.3091","article-title":"Trends in the incidence of and charges associated with firearm-related injuries among pediatric patients, 2006-2014","volume":"172","author":"Gani","year":"2018","journal-title":"JAMA Pediatr"},{"issue":"5","key":"2021120817571740400_B4","article-title":"Firearm-related injuries affecting the pediatric population","volume":"130","author":"Dowd","year":"2012","journal-title":"Pediatrics"},{"issue":"6","key":"2021120817571740400_B5","doi-asserted-by":"crossref","first-page":"707","DOI":"10.1001\/jama.293.6.707","article-title":"Gun storage practices and risk of youth suicide and unintentional firearm injuries","volume":"293","author":"Grossman","year":"2005","journal-title":"JAMA"},{"issue":"8","key":"2021120817571740400_B6","doi-asserted-by":"crossref","first-page":"749","DOI":"10.1001\/archpedi.152.8.749","article-title":"The smoking gun: do clinicians follow guidelines on firearm safety counseling?","volume":"152","author":"Barkin","year":"1998","journal-title":"Arch Pediatr Adolesc Med"},{"issue":"4","key":"2021120817571740400_B7","doi-asserted-by":"crossref","first-page":"246","DOI":"10.1097\/01.pra.0000281485.96698.6d","article-title":"Screening for risk factors associated with violence in pediatric patients presenting to a psychiatric emergency department","volume":"13","author":"Giggie","year":"2007","journal-title":"J Psychiatr Pract"},{"key":"2021120817571740400_B8","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1016\/j.psychres.2017.11.038","article-title":"Frequency of lethal means assessment among emergency department patients with a positive suicide risk screen","volume":"260","author":"Betz","year":"2018","journal-title":"Psychiatry Res"},{"issue":"3","key":"2021120817571740400_B9","doi-asserted-by":"crossref","first-page":"S23","DOI":"10.1097\/TA.0000000000000320","article-title":"Restricting youth suicide: behavioral health patients in an urban pediatric emergency department","volume":"77","author":"Rogers","year":"2014","journal-title":"J Trauma Acute Care Surg"},{"key":"2021120817571740400_B10"},{"issue":"3","key":"2021120817571740400_B11","doi-asserted-by":"crossref","first-page":"216","DOI":"10.1136\/injuryprev-2015-041586","article-title":"Gun ownership and social gun culture","volume":"22","author":"Kalesan","year":"2016","journal-title":"Inj Prev"},{"key":"2021120817571740400_B12","unstructured":"Witt\u2008WP, Weiss\u2008AJ, Elixhauser\u2008A; 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