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Informing Federal Policy on Firearm Restrictions for Veterans with Fiduciaries: Risk Indicators in the Post-Deployment Mental Health Study.
Adm Policy Ment Health 2018; 45(4):673-683AP

Abstract

This article examines the public safety rationale for a federal policy of prohibiting gun sales to veterans with psychiatric disabilities who are assigned a fiduciary to manage their benefits from the Department of Veterans Affairs. The policy was evaluated using data on 3200 post-deployment veterans from the Iraq and Afghanistan war era. Three proxy measures of fiduciary need-based on intellectual disability, drug abuse, or acute psychopathology-were associated in bivariate analysis with interpersonal violence and suicidality. In multivariate analysis, statistical significance remained only for the measure based on acute psychopathology. Implications for reforms to the fiduciary firearm restriction policy are discussed.

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    • Authors+Show Affiliations

    Swanson J
    Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, DUMC Box 3017, Durham, NC, 27710, USA. jeffrey.swanson@duke.edu. Department of Veterans Affairs (VA) Mid-Atlantic Mental Illness Research, Education, and Clinical Center (VISN 6 MIRECC), Durham, NC, USA. jeffrey.swanson@duke.edu.
    Easter M
    Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, DUMC Box 3017, Durham, NC, 27710, USA.
    Brancu M
    Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, DUMC Box 3017, Durham, NC, 27710, USA. Department of Veterans Affairs (VA) Mid-Atlantic Mental Illness Research, Education, and Clinical Center (VISN 6 MIRECC), Durham, NC, USA.
    VA Mid-Atlantic MIRECC Workgroup
    No affiliation info available
    Fairbank JA
    Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, DUMC Box 3017, Durham, NC, 27710, USA. Department of Veterans Affairs (VA) Mid-Atlantic Mental Illness Research, Education, and Clinical Center (VISN 6 MIRECC), Durham, NC, USA.

    MeSH

    AdultFederal GovernmentFemaleFirearmsHumansMaleMental CompetencyMental DisordersPublic PolicyRisk AssessmentRisk FactorsSuicideUnited StatesUnited States Department of Veterans AffairsVeteransViolence

    Pub Type(s)

    Journal Article
    Research Support, Non-U.S. Gov't

    Language

    eng

    PubMed ID

    29797151

    Citation

    Swanson, Jeffrey, et al. "Informing Federal Policy On Firearm Restrictions for Veterans With Fiduciaries: Risk Indicators in the Post-Deployment Mental Health Study." Administration and Policy in Mental Health, vol. 45, no. 4, 2018, pp. 673-683.
    Swanson J, Easter M, Brancu M, et al. Informing Federal Policy on Firearm Restrictions for Veterans with Fiduciaries: Risk Indicators in the Post-Deployment Mental Health Study. Adm Policy Ment Health. 2018;45(4):673-683.
    Swanson, J., Easter, M., Brancu, M., & Fairbank, J. A. (2018). Informing Federal Policy on Firearm Restrictions for Veterans with Fiduciaries: Risk Indicators in the Post-Deployment Mental Health Study. Administration and Policy in Mental Health, 45(4), pp. 673-683. doi:10.1007/s10488-018-0881-y.
    Swanson J, et al. Informing Federal Policy On Firearm Restrictions for Veterans With Fiduciaries: Risk Indicators in the Post-Deployment Mental Health Study. Adm Policy Ment Health. 2018;45(4):673-683. PubMed PMID: 29797151.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Informing Federal Policy on Firearm Restrictions for Veterans with Fiduciaries: Risk Indicators in the Post-Deployment Mental Health Study. AU - Swanson,Jeffrey, AU - Easter,Michele, AU - Brancu,Mira, AU - ,, AU - Fairbank,John A, PY - 2018/5/26/pubmed PY - 2019/5/29/medline PY - 2018/5/26/entrez KW - Fiduciary KW - Gun violence KW - Mental Illness KW - Suicide KW - Veterans SP - 673 EP - 683 JF - Administration and policy in mental health JO - Adm Policy Ment Health VL - 45 IS - 4 N2 - This article examines the public safety rationale for a federal policy of prohibiting gun sales to veterans with psychiatric disabilities who are assigned a fiduciary to manage their benefits from the Department of Veterans Affairs. The policy was evaluated using data on 3200 post-deployment veterans from the Iraq and Afghanistan war era. Three proxy measures of fiduciary need-based on intellectual disability, drug abuse, or acute psychopathology-were associated in bivariate analysis with interpersonal violence and suicidality. In multivariate analysis, statistical significance remained only for the measure based on acute psychopathology. Implications for reforms to the fiduciary firearm restriction policy are discussed. SN - 1573-3289 UR - https://www.unboundmedicine.com/medline/citation/29797151/Informing_Federal_Policy_on_Firearm_Restrictions_for_Veterans_with_Fiduciaries:_Risk_Indicators_in_the_Post-Deployment_Mental_Health_Study L2 - https://doi.org/10.1007/s10488-018-0881-y DB - PRIME DP - Unbound Medicine ER -