Firearm-Related Injuries Affecting the Pediatric Population

摘要: * Abbreviations: AAP — : American Academy of Pediatrics NVDRS National Violent Death Reporting System The absence guns from children’s homes and communities is the most reliable effective measure to prevent firearm-related injuries in children adolescents. Adolescent suicide risk strongly associated with firearm availability. Safe gun storage (guns unloaded locked, ammunition locked separately) reduces injury. Physician counseling parents about safety appears be effective, but education programs directed at are ineffective. The Pediatrics continues support a number specific measures reduce destructive effects lives adolescents, including regulation manufacture, sale, purchase, ownership, use firearms; ban on semiautomatic assault weapons; strongest possible regulations handguns for civilian use. Although rates have declined since (AAP) issued original policy statement 1992, deaths continue as 1 top 3 causes death youth.1 As shown Fig 1, firearm-associated rate among youth ages 15 19 has fallen its peak 27.8 per 100 000 1994 11.4 2009, driven by decline homicide rates.1 No single study adequately explained rates. Postulated reasons include improved socioeconomic conditions, violence prevention programs, crack/cocaine market, changes legislation, declines firearms availability other reasons, community policing. Nevertheless, disability remain unacceptably high. FIGURE Firearm-related 100 000 people through years age United States, 1995–2009. (Adapted Center Injury Prevention Control, US Centers Disease Control Prevention. Web-Based Statistics Query & System (WISQARS) Mortality Reports, 1999–2009, national, regional, …