Firearms risk management in psychiatric care.
OBJECTIVE
This study sought to assess the effectiveness of a firearms risk management program.


METHODS
A firearms risk management program, which included multidisciplinary assessment, treatment, and discharge planning, was developed and implemented among 46 civilly committed psychiatric inpatients at the Twin Valley Psychiatric System, a behavioral health organization of the Ohio Department of Mental Health.


RESULTS
The research sample comprised mainly men who had personality disorders and histories of substance abuse and who had expressed an intent to use a firearm to commit suicide. On discharge, none of the patients had access to a firearm. Of the 16 patients who were hospitalized during the next 24 months, only five were noted to have threatened to harm themselves or others with a firearm or to have access to a firearm.


CONCLUSIONS
Multidisciplinary and focused assessment, treatment, and discharge planning can be effective in neutralizing the risk of firearms use among psychiatric patients.
Sherman
M E
ME
Twin Valley Psychiatric System, Columbus, OH 43223, USA.
Burns
K
K
Ignelzi
J
J
Raia
J
J
Lofton
V
V
Toland
D
D
Stinson
B
B
Tilley
J L
JL
Coon
T
T
D000293:Adolescent; D000328:Adult; D000368:Aged; D001521:Behavior Therapy; D005260:Female; D005389:Firearms / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000534:rehabilitation*; D008605:Mental Health Services / Q000458:organization & administration* / Q000592:standards; D008875:Middle Aged; D010348:Patient Care Team; D012308:Risk Management