Journal of the American Academy of Child & Adolescent Psychiatry
ArticlesCompliance With Recommendations to Remove Firearms in Families Participating in a Clinical Trial for Adolescent Depression
Section snippets
Sample
Subjects were adolescents between the ages of 13 and 18 years with major depressive disorder, defined by DSM-III-R (American Psychiatric Association, 1987), who agreed to enter a randomized clinical psychotherapy trial for the treatment of major depression. Of 122 eligible subjects, 107 entered the study (87.7%). The treatment outcome of this sample has been reported previously Birmaher et al., 2000, Brent et al., 1997, Brent et al., 1998, Brent et al., 1999b, Renaud et al., 1998. Demographic
Comparison of Those With and Without Reported Firearms in the Home
Those with firearms in the home at intake (n = 29, 27.4%) were quite similar to those without firearms in the home (n = 77, 72.6%) on almost all demographic, clinical, and family-environmental variables. Patients with guns in the home were more likely to be male (37.9% [11/29] versus 19.5% [15/77], χ2 = 3.87, df = 1, p = .05, ES = 0.2), but guns in the home were not associated with age, race, socioeconomic status, county, or family constellation. Those with guns in the home, compared with those
DISCUSSION
This study documents that parent education about firearms in the context of the treatment of adolescent depression results in the removal of guns in only about one fourth to one third of cases. Moreover, another 5% of parents, who did not receive any education, obtained guns over the relatively brief 3-month period of the acute treatment phase of the study, and about 1 in 6 acquired guns over the 2-year course of follow-up. The implications of these results will be discussed after putting them
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Who owned the gun in firearm suicides of men, women, and youth in five US states?
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This work was supported by NIMH grants MH46500 and MH55123. The expert assistance of Beverly Sughrue in preparation of the manuscript is appreciated.