ArticleThe western journal of emergency medicine2017
Loaded Questions: Internet Commenters' Opinions on Physician-Patient Firearm Safety Conversations.
Article in The western journal of emergency medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
21 citing papers in PubMed.
- Acceptability of Long Versus Short Firearm Safety Education Videos in the Emergency Department: A Pilot Randomized Controlled Trial.Annals of emergency medicine · 2023Trial
- Experiences Implementing a Suite of Decision Aids for Implantable Cardioverter Defibrillators: Qualitative Insights From the DECIDE-ICD Trial.Circulation. Cardiovascular quality and outcomes · 2022Trial
- An Interactive Web-Based Lethal Means Safety Decision Aid for Suicidal Adults (Lock to Live): Pilot Randomized Controlled Trial.Journal of medical Internet research · 2020Trial
- Youth Firearm Injury: A Review for Pediatric Critical Care Clinicians.Critical care clinics · 2023Review
- Practices, knowledge, and concerns for out-of-home firearm storage among those with access to firearms: results from a survey in two states.Injury epidemiology · 2023Article
- How Americans encounter guns: Mixed methods content analysis of YouTube and internet search data.Preventive medicine · 2022Article
- Variation in Left Ventricular Assist Device Postdischarge Caregiver Requirements: Results From a Mixed-Methods Study With Equity Implications.Circulation. Heart failure · 2022Article
- "Lock to Live" for firearm and medication safety: Feasibility and acceptability of a suicide prevention tool in a learning healthcare system.Frontiers in digital health · 2022Article
- What is "safety"?: Lethal means counseling as a cross-cultural communication.Military psychology : the official journal of the Division of Military Psychology, American Psychological Association · 2022Article
- News media coverage of extreme risk protection order policies surrounding the Parkland shooting: a mixed-methods analysis.BMC public health · 2021Article
- "What Will Happen If I Say Yes?" Perspectives on a Standardized Firearm Access Question Among Adults With Depressive Symptoms.Psychiatric services (Washington, D.C.) · 2021Article
- Strategies for Discussing Firearms Storage Safety in Primary Care: Veteran Perspectives.Journal of general internal medicine · 2021Article
- Implementation and perceived effectiveness of gun violence restraining orders in California: A qualitative evaluation.PloS one · 2021Article
- Evaluation of the Safety and Design of Community Internet Resources for Veteran Suicide Prevention.Crisis · 2019Article
- 'Lock to Live': development of a firearm storage decision aid to enhance lethal means counselling and prevent suicide.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2019Article
- Quality of Medical Advice Provided Between Members of a Web-Based Message Board for Patients With Implantable Defibrillators: Mixed-Methods Study.JMIR cardio · 2018Article
- Storage Practices of US Gun Owners in 2016.American journal of public health · 2018Article
- Hospital Emergency Department Lethal Means Counseling for Suicidal Patients.American journal of preventive medicine · 2018Article
- Frequency of lethal means assessment among emergency department patients with a positive suicide risk screen.Psychiatry research · 2018Article
- Points of Influence for Lethal Means Counseling and Safe Gun Storage Practices.Journal of public health management and practice : JPHMPArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
introductionMedical and public health societies advocate that healthcare providers (HCPs) counsel at-risk patients to reduce firearm injury risk. Anonymous online media comments often contain extreme viewpoints and may therefore help in understanding challenges of firearm safety counseling. To help inform injury prevention efforts, we sought to examine commenters' stated opinions regarding firearm safety counseling HCPs.
methodsQualitative descriptive analysis of online comments posted following news items (in May-June, 2016) about a peer-reviewed publication addressing when and how HCPs should counsel patients regarding firearms.
resultsAmong 871 comments posted by 522 individuals, most (57%) were generally negative toward firearm discussions, 17% were positive, and 26% were neutral/unclear. Two major categories and multiple themes emerged. "Areas of agreement" included that discussions may be valuable (1) when addressing risk of harm to self or others, (2) in pediatric injury prevention, and (3) as general safety education (without direct questioning), and that (4) HCPs lack gun safety and cultural knowledge. "Areas of tension" included whether (1) firearms are a public health issue, (2) counseling is effective prevention practice, (3) suicide could/should be prevented, and (4) firearm safety counseling is within HCPs' purview.
conclusionAmong this set of commenters with likely extreme viewpoints, opinions were generally negative toward firearm safety conversations, but with some support in specific situations. Providing education, counseling, or materials without asking about firearm ownership was encouraged. Engaging firearm advocates when developing materials may enhance the acceptability of prevention activities.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.