How Can Clinicians Effectively Counsel Patients about the Risk of Firearm Injury?

Barnhorst, Amy; Bayer, Angela M; Aubel, Amanda J; Gonzales, Hilary; Pallin, Rocco; Wintemute, Garen · NEJM Evid · 2026

expert_opinion · Level V

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Abstract

AbstractFirearm ownership in the United States is increasing, as is the belief that firearms keep households safe, even though having a firearm in the home increases household members' risk of firearm injury and death. Research shows that firearm owners and clinicians are receptive to conversations with each other about firearm injury prevention. However, these conversations rarely take place, in part because clinicians lack training on the topic. This Curbside Consult presents the Approach, Assess, Act 3As Framework, which guides clinicians through conversations with patients and clients in clinical situations where firearms pose a risk of injury.

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