Comprehensive Framework of Firearm Violence Survivor Care: A Review. JAMA Surg 2023 May 01;158(5):541-547
Date
03/23/2023Pubmed ID
36947025DOI
10.1001/jamasurg.2022.8149Scopus ID
2-s2.0-85159344888 (requires institutional sign-in at Scopus site) 6 CitationsAbstract
IMPORTANCE: Firearm violence is a public health crisis placing significant burden on individuals, communities, and health care systems. After firearm injury, there is increased risk of poor health, disability, and psychopathology. The newest 2022 guidelines from the American College of Surgeons Committee on Trauma require that all trauma centers screen for risk of psychopathology and provide referral to intervention. Yet, implementing these guidelines in ways that are responsive to the unique needs of communities and specific patient populations, such as after firearm violence, is challenging.
OBSERVATIONS: The current review highlights important considerations and presents a model for trauma centers to provide comprehensive care to survivors of firearm injury. This model highlights the need to enhance standard practice to provide patient-centered, trauma-informed care, as well as integrate inpatient and outpatient psychological services to address psychosocial needs. Further, incorporation of violence prevention programming better addresses firearm injury as a public health concern.
CONCLUSIONS AND RELEVANCE: Using research to guide a framework for trauma centers in comprehensive care after firearm violence, we can prevent complications to physical and psychological recovery for this population. Health systems must acknowledge the socioecological context of firearm violence and provide more comprehensive care in the hospital and after discharge, to improve long-term recovery and serve as a means of tertiary prevention of firearm violence.
Author List
Timmer-Murillo SC, Schroeder ME, Trevino C, Geier TJ, Schramm AT, Brandolino AM, Hargarten S, Holena D, de Moya M, Milia D, deRoon-Cassini TAAuthors
Amber Brandolino in the CTSI department at Medical College of Wisconsin - CTSIMarc Anthony De Moya MD Chief, Professor in the Surgery department at Medical College of Wisconsin
Timothy J. Geier PhD Assistant Professor in the Surgery department at Medical College of Wisconsin
Daniel N. Holena MD Professor in the Surgery department at Medical College of Wisconsin
David J. Milia MD Professor in the Surgery department at Medical College of Wisconsin
Andrew T. Schramm PhD Assistant Professor in the Surgery department at Medical College of Wisconsin
Mary Elizabeth Schroeder MD Associate Professor in the Surgery department at Medical College of Wisconsin
Sydney Timmer-Murillo PhD Assistant Professor in the Surgery department at Medical College of Wisconsin
Colleen Trevino PhD APP Clinical Dir Inpatient 2 in the Surgery department at Medical College of Wisconsin
Terri A. deRoon Cassini PhD Center Director, Professor in the Surgery department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
FirearmsHumans
Public Health
Trauma Centers
Violence
Wounds, Gunshot
