Profile picture
Rebecca Bell, MD @RebeccaBellMD
, 8 tweets, 2 min read Read on Twitter
I'm a Pediatric ICU doctor. I take care of kids & adolescents who attempt suicide.

The biggest predictor of whether my patients live or die lies in the method used and firearms are by far the deadliest means of suicide – greater than all other means combined.
(Thread)
Should we try to prevent suicide though? Aren’t they just going to find a way no matter what?
Actually, no – they don’t find another way,
90% of people who survive a suicide attempt don’t go on to die by suicide. They go on to live their lives.
Means matter.
But aren’t those who use a firearm in a suicide attempt really intent on dying?
Actually, no.
Young people who use firearms do so impulsively.
They are less depressed, less likely to have a mental health hx, less likely to have planned the attempt than those who use other means
Young people who die by firearm suicide are often experiencing a crisis:
a fight with a friend or parent or girlfriend/boyfriend. A bad test grade. Bullying.

These are short-term crises. We can’t prevent them all, but we can prevent kids from dying during one of these crises.
So what do pediatricians recommend?
First, the safest home for kids is one without firearms.
But we recognize that many families have firearms in their homes and we give evidence-based recommendations on safe storage of firearms.
The risk of firearm injury and death can be reduced if:
- all firearms are stored unloaded in a locked container
- ammunition is locked and stored separately from firearm
It's not enough to tell kids not to touch their parents' firearms.
It's not enough to enroll them in firearm safety course.
Firearms need to be stored so that they are truly inaccessible to young people.
Access to lethal means + impulsivity + crisis = deadly combination

We can save lives by acknowledging this and employing evidence-based interventions.

#ThisIsOurLane
Missing some Tweet in this thread?
You can try to force a refresh.

Like this thread? Get email updates or save it to PDF!

Subscribe to Rebecca Bell, MD
Profile picture

Get real-time email alerts when new unrolls are available from this author!

This content may be removed anytime!

Twitter may remove this content at anytime, convert it as a PDF, save and print for later use!

Try unrolling a thread yourself!

how to unroll video

1) Follow Thread Reader App on Twitter so you can easily mention us!

2) Go to a Twitter thread (series of Tweets by the same owner) and mention us with a keyword "unroll" @threadreaderapp unroll

You can practice here first or read more on our help page!

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just three indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member and get exclusive features!

Premium member ($30.00/year)

Too expensive? Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal Become our Patreon

Thank you for your support!