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Reported firearm access among patients admitted to a dual diagnosis medically-assisted withdrawal unit over five years

BACKGROUND: Up to one-third of firearm-related suicides were carried out by individuals who had consumed alcohol shortly before their death. Despite the critical role of firearm access screening in suicide risk assessment, few studies have examined firearm access among patients with substance use di...

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Autores principales: Weleff, Jeremy, Butler, Robert S., Streem, David, Barnett, Brian S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9949337/
https://www.ncbi.nlm.nih.gov/pubmed/36845895
http://dx.doi.org/10.1016/j.dadr.2022.100034
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author Weleff, Jeremy
Butler, Robert S.
Streem, David
Barnett, Brian S.
author_facet Weleff, Jeremy
Butler, Robert S.
Streem, David
Barnett, Brian S.
author_sort Weleff, Jeremy
collection PubMed
description BACKGROUND: Up to one-third of firearm-related suicides were carried out by individuals who had consumed alcohol shortly before their death. Despite the critical role of firearm access screening in suicide risk assessment, few studies have examined firearm access among patients with substance use disorders. This study examines the rates of firearm access among those admitted to a co-occurring diagnosis unit over a five year period. METHODS: All patients admitted to a co-occurring disorders inpatient unit from 2014 to mid-2020 were included. An analysis contrasting the differences among patients reporting firearms was performed. A multivariable logistic regression model using factors from initial admission were chosen based on clinical relevance, past firearms research, and statistical significance on bivariate analysis was used. RESULTS: Over the study period there were 7332 admissions representing 4055 patients. Documentation of firearm access was completed in 83.6% of admissions. Firearm access was reported in 9.4% of admissions. Patients reporting firearm access were more likely to report never having suicidal ideation (p = 0.001), be married (p = <0.001), and report no past history of suicide attempts (p = <0.001). The full logistic regression model revealed that being married (OR: 2.29 and p < 0.0001) and employed (OR: 1.51 and p = 0.024) were factors associated with firearms access. CONCLUSIONS: This is one of the largest reports assessing factors associated with firearm access among those admitted to a co-occurring disorders unit. Firearm access rates in this population appear lower than rates in the general population. The roles employment and marital status play in firearm access deserve future attention.
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spelling pubmed-99493372023-02-23 Reported firearm access among patients admitted to a dual diagnosis medically-assisted withdrawal unit over five years Weleff, Jeremy Butler, Robert S. Streem, David Barnett, Brian S. Drug Alcohol Depend Rep Full Length Report BACKGROUND: Up to one-third of firearm-related suicides were carried out by individuals who had consumed alcohol shortly before their death. Despite the critical role of firearm access screening in suicide risk assessment, few studies have examined firearm access among patients with substance use disorders. This study examines the rates of firearm access among those admitted to a co-occurring diagnosis unit over a five year period. METHODS: All patients admitted to a co-occurring disorders inpatient unit from 2014 to mid-2020 were included. An analysis contrasting the differences among patients reporting firearms was performed. A multivariable logistic regression model using factors from initial admission were chosen based on clinical relevance, past firearms research, and statistical significance on bivariate analysis was used. RESULTS: Over the study period there were 7332 admissions representing 4055 patients. Documentation of firearm access was completed in 83.6% of admissions. Firearm access was reported in 9.4% of admissions. Patients reporting firearm access were more likely to report never having suicidal ideation (p = 0.001), be married (p = <0.001), and report no past history of suicide attempts (p = <0.001). The full logistic regression model revealed that being married (OR: 2.29 and p < 0.0001) and employed (OR: 1.51 and p = 0.024) were factors associated with firearms access. CONCLUSIONS: This is one of the largest reports assessing factors associated with firearm access among those admitted to a co-occurring disorders unit. Firearm access rates in this population appear lower than rates in the general population. The roles employment and marital status play in firearm access deserve future attention. Elsevier 2022-03-02 /pmc/articles/PMC9949337/ /pubmed/36845895 http://dx.doi.org/10.1016/j.dadr.2022.100034 Text en © 2022 The Authors. Published by Elsevier B.V. https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Full Length Report
Weleff, Jeremy
Butler, Robert S.
Streem, David
Barnett, Brian S.
Reported firearm access among patients admitted to a dual diagnosis medically-assisted withdrawal unit over five years
title Reported firearm access among patients admitted to a dual diagnosis medically-assisted withdrawal unit over five years
title_full Reported firearm access among patients admitted to a dual diagnosis medically-assisted withdrawal unit over five years
title_fullStr Reported firearm access among patients admitted to a dual diagnosis medically-assisted withdrawal unit over five years
title_full_unstemmed Reported firearm access among patients admitted to a dual diagnosis medically-assisted withdrawal unit over five years
title_short Reported firearm access among patients admitted to a dual diagnosis medically-assisted withdrawal unit over five years
title_sort reported firearm access among patients admitted to a dual diagnosis medically-assisted withdrawal unit over five years
topic Full Length Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9949337/
https://www.ncbi.nlm.nih.gov/pubmed/36845895
http://dx.doi.org/10.1016/j.dadr.2022.100034
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