Proceedings from the Second Medical Summit on Firearm Injury Prevention, 2022: Creating a Sustainable Healthcare Coalition to Advance a Multidisciplinary Public Health Approach

Sakran, Joseph V.; Bornstein, Sue S.; Dicker, Rochelle; Rivara, Frederick P.; Campbell, Brendan T.; Cunningham, Rebecca M.; Betz, Marian E.; Hargarten, Stephen W.; Williams, Ashley Y; Horwitz, Joshua; Nehra, Deepika; Burstin, Helen; Sheehan, Karen; Dreier, Fatimah Loren; James, Thea; Sathya, Chethan; Armstrong, John H.; Rowhani‐Rahbar, Ali; Charles, Scott; Goldberg, Amy J.; Lee, Lois K.; Stewart, Ronald M.; Kerby, Jeffrey D.; Turner, Patricia L.; Bulger, Eileen M.

doi:10.1097/xcs.0000000000000662

Cited by 14 publications

(6 citation statements)

References 72 publications

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“…No state or federal laws prohibit clinicians from discussing firearm access with their patients; such discussions are important in cases of elevated risk . National clinician organizations support discussing firearm safety with patients and families and urge clinicians to be proactive . This is especially important because even reporting mental health events and conditions to NICS may not result in the removal of firearms from a home.…”

Section: Discussionmentioning

confidence: 99%

State Reporting Requirements for Involuntary Holds, Court-Ordered Guardianship, and the US National Firearm Background Check System

Betz,

Bowen,

Rowhani-Rahbar

et al. 2023

JAMA Health Forum

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ImportanceFirearm violence is a leading cause of death in the US. There is broad public agreement that individuals at high risk of perpetrating violence should not be allowed to purchase or possess firearms. The National Instant Criminal Background Check System (NICS) is a national system intended to stop firearm purchases or possession by prohibited persons, but there is heterogeneity in how states interact with and report data to NICS.ObjectiveTo examine variability in state requirements for NICS reporting for mental health prohibitions.Design and SettingThis cross-sectional study in the US reviewed current statutes for all 50 states and the District of Columbia (enacted through the 2021 legislative session) regarding reporting mental health prohibitions to NICS or state systems. Data were analyzed from October 2022 to April 2023.Main Outcomes and MeasuresFor each state, the following were recorded: reliance on Federal Bureau of Investigation vs state point of contact for NICS checks; regulation requiring or allowing reporting to NICS for 3 hypothetical cases; and details on reporting responsibility and time frame. The number of NICS listings for adjudicated mental health reasons was obtained, and state rates per 1000 population were calculated. To compare states, we developed 3 hypothetical cases of individuals with risk of firearm violence, whether possibly temporary (involuntary commitment for decompensated psychosis, or involuntary short-term psychiatric hold for suicidal ideation) or chronic and progressive (court-appointed guardianship for dementia).ResultsA total of 39 states required and 5 allowed reporting to NICS for court-ordered, involuntary psychiatric hospitalization. Thirteen states required and 5 allowed reporting to NICS when a court determines an individual is mentally incompetent to manage their affairs (with or without guardianship). Two states required NICS reporting for short-term emergency psychiatric holds. Five states and the District of Columbia had no legislation explicitly requiring or allowing NICS reporting in the 3 scenarios.Conclusions and RelevanceIn this cross-sectional study of state laws, there was substantial heterogeneity in NICS reporting requirements and lack of clarity around processes. This raises questions about the ability of NICS to be used to block firearm purchases or possession by individuals with court-identified high risk of perpetrating violence toward themselves or others.

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Section: Discussionmentioning

confidence: 99%

State Reporting Requirements for Involuntary Holds, Court-Ordered Guardianship, and the US National Firearm Background Check System

Betz,

Bowen,

Rowhani-Rahbar

et al. 2023

JAMA Health Forum

Self Cite

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show abstract

“…That led to a variety of things including the American College of Surgeons (ACS) hosting the first firearm medical summit that brought together 47 different medical organizations from across the country that united the medical community to determine how best to approach this public health problem. Recently, we had our second firearm medical summit and the proceedings, which were just published in JACS 5 allowed us to continue moving the needle forward. The first summit, people were very hesitant to engage in policy; however, the temperature and interest in the room were clearly different during this second summit (Figure 1).…”

Section: Policy Is Not Equal To Politicsmentioning

confidence: 99%

The Roger T. Sherman Lecture: How Health Care Professionals Drive Social Change

Sakran

2023

The American Surgeon™

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“…I trust you would, too. Statistics on firearm-related deaths are staggering and worsening [21], but also generally well known to this audience [11], so I won’t reprise them here. Partisans from the left and right have offered thoughts, prayers, and policy suggestions with approximately equal impact—which is to say little discernible impact at all.…”

mentioning

confidence: 99%

Editorial: Congress Is AWOL and the Public Is Polarized—Is There a Sensible Middle Path for Orthopaedic Surgeons Who Want to Reduce Gun-related Injuries and Deaths?

Leopold

2024

Clin Orthop Relat Res

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Proceedings from the Second Medical Summit on Firearm Injury Prevention, 2022: Creating a Sustainable Healthcare Coalition to Advance a Multidisciplinary Public Health Approach

Cited by 14 publications

References 72 publications

State Reporting Requirements for Involuntary Holds, Court-Ordered Guardianship, and the US National Firearm Background Check System

State Reporting Requirements for Involuntary Holds, Court-Ordered Guardianship, and the US National Firearm Background Check System

The Roger T. Sherman Lecture: How Health Care Professionals Drive Social Change

Editorial: Congress Is AWOL and the Public Is Polarized—Is There a Sensible Middle Path for Orthopaedic Surgeons Who Want to Reduce Gun-related Injuries and Deaths?

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