Firearm Storage Device Distribution to Families of Children With Mental Health Complaints
Impact of Firearm Safety Device Distribution on Firearm Exposure in the Households of Patients With Mental Health Complaints
This study aims to describe the baseline rate of safe firearm storage device use in the homes of pediatric patients with mental health complaints treated in the Emergency Department (ED) and/or inpatient psychiatric unit of an urban tertiary pediatric hospital.
Follow-up data will be collected to ascertain any change(s) in the rate of safe firearm storage device use after patients have been treated for a mental health complaint, which includes standardized recommendations for safe firearm storage practices. This study also involves an intervention to distribute safe firearm storage devices to families of pediatric mental health patients during their hospital visit, and assesses whether safe storage device distribution impacts reported future rate of firearm safety device use.
調査の概要
状態
詳細な説明
Firearm injuries are a significant cause of morbidity and mortality for children and teens. Access to firearms has been associated with suicide completion in the pediatric mental health population. Current practice in our pediatric Emergency Department (ED) and inpatient psychiatric unit is to screen all mental health patients for firearm access, and to recommend safe firearm storage practices. However, there is no data on the baseline rate of safe firearm storage device use in the homes of these patients, or on the effectiveness of providing these recommendations during hospitalization.
This study has two phases, a baseline and an intervention. During the baseline phase, the research team will study whether there is an improvement in safe firearm storage device use in the homes of participants 7 or 30 days after safe storage practices are recommended during an ED or inpatient psychiatric visit. During the intervention phase, in addition to the standard recommendation of safe storage practices during the visit, the research team will distribute firearm safety storage devices such as a lock box, trigger lock, and and/or cable lock to families at the time of study enrollment. The investigators will study whether there is an improvement in safe firearm storage device use in the homes of intervention participants after 7 or 30 days compared to the usual care group.
研究の種類
入学 (実際)
段階
- 適用できない
連絡先と場所
研究場所
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Washington
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Seattle、Washington、アメリカ、98105
- Seattle Children's
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参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
説明
Inclusion Criteria:
- Age 0-17 years, inclusive
- Evaluated in the Emergency Department or inpatient psychiatric unit for a primary mental health complaint
- Presence of a firearm in household where patient resides at least one day per week and/or will reside for at least one of the 7 days following enrollment
- Accompanied by a parent or legal guardian
- Parent or legal guardian is proficient in English
- Parent or legal guardian is 18 years of age or older
Exclusion Criteria:
- Patient is 18 years of age or older
- Patient is not evaluated for a mental health complaint in the Emergency Department or inpatient psychiatric unit
- The adult participant has previously enrolled in the intervention phase of the study.
- Patient is accompanied by a parent/legal guardian who has previously enrolled a different child in the intervention phase of the study
- Patient is not accompanied by a parent or legal guardian during their PMBU or ED visit
- Parent or legal guardian accompanying patient does not reside and/or does not anticipate residing in the household with patient for any of the 7 days following enrollment and no other adult household member is present to consent Note: Adult household members may only consent to participate in this study if a parent or legal guardian is also present to provide informed consent.
For adult household members only:
Inclusion Criteria:
- 18 years of age or older
- Lives in same household as patient at least one day per week
- Has primary or shared responsibility for at least one firearm stored in the household
- Proficient in English
Exclusion Criteria:
- Resides in household with patient less than one day per week, and/or does not anticipate residing in the household with patient for any of the 7 days following enrollment
- Is not responsible for firearm storage in the home
研究計画
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：防止
- 割り当て：ランダム化
- 介入モデル：順次割り当て
- マスキング：独身
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
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介入なし：Baseline
Participants receive the standard of care recommendations for safe firearm storage device usage.
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実験的：Free Device
Participants receive the standard of care recommendations for safe firearm storage device usage In addition, the study intervention is provision of a free safe firearm storage device (lock box, trigger lock and/or cable lock) for firearm storage at the time of enrollment.
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Participants in the experimental phase of the study receive a safe firearm storage device at the time of study enrollment.
They are randomized to receive a free device.
Safe firearm storage devices include a California Department of Justice-approved lock box, trigger lock and/or cable lock.
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実験的：Low Cost Device
Participants receive the standard of care recommendations for safe firearm storage device usage.
In addition, the study intervention is the provision of a low cost ($5) firearm storage device (lock box, trigger lock and/or cable lock) for firearm storage at the time of enrollment.
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Participants in the experimental phase of the study receive a safe firearm storage device at the time of study enrollment.
They are randomized to receive a low cost ($5) device.
Safe firearm storage devices include a California Department of Justice-approved lock box, trigger lock and/or cable lock.
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この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Change in the number of unsecured firearms stored in the household.
時間枠：7 and 30 days post-enrollment
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Comparison in the participant-reported number of unsecured firearms stored in their household at the time of enrollment, 7 days post-enrollment, and 30 days post-enrollment.
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7 and 30 days post-enrollment
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二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Proportion of participants with all firearms safely secured
時間枠：Baseline, 7 days and 30 days post-enrollment
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Description of participants with all firearms secured using "triple safe" storage methods: firearms stored in a locked location, unloaded, and with ammunition stored in a separate, locked location
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Baseline, 7 days and 30 days post-enrollment
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Proportion of participants who report storing fewer firearms in their homes at follow-up
時間枠：Baseline, 7 days and 30 days post-enrollment
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Description of participants who report storing fewer firearms in their homes during follow-up surveys compared to reported number of firearms at baseline
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Baseline, 7 days and 30 days post-enrollment
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Proportion of participants who report using a firearm safety storage device at follow-up
時間枠：Baseline, 7 days and 30 days post-enrollment
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Description of participants who report using any safe firearm storage device at follow-up, change in any safe firearm storage device use from baseline
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Baseline, 7 days and 30 days post-enrollment
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協力者と研究者
捜査官
- 主任研究者：Neil Uspal, MD、Seattle Children's Hospital
研究記録日
主要日程の研究
研究開始 (実際)
一次修了 (実際)
研究の完了 (実際)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。
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