• Mitchell L Doucette, Harrison Dayton, Garry Lapidus, Kevin T Borrup, and Brendan T Campbell.
• Department of Health Sciences, Eastern Connecticut State University, Willimantic, Connecticut, USA.
• J Am Geriatr Soc. 2020 Sep 1; 68 (9): 2128-2133.

ObjectivesUsing available literature, our aim was to design a firearm safety counseling protocol tool for dementia patients.DesignWe conducted a literature review on firearm safety counseling by healthcare providers using several databases to inform the creation of our evidence-based protocol.SettingRoughly 5.7 million Americans currently live with some form of dementia with approximately 60% of persons with dementia (PWD) owning a firearm. The mental deterioration associated with dementia creates an opportunity for firearm abuse, misuse, and injury. Patient and family safety counseling from a healthcare provider is one potential opportunity for reducing the level of danger. This literature review identifies the available clinical guidelines for firearm safety for PWD and creates a firearm safety counseling protocol based on existing literature.ParticipantsPersons with dementia and their families or care takers.MeasurementsDatabases were searched using variations of the terms "Firearms," "Dementia," and "Alzheimer's disease." Studies were included for review if they provided either recommendations or guidelines for healthcare provider's counseling around firearm safety for PWD or their families.ResultsSearch terms yielded 456 articles, of which 12 met inclusion criteria. Using the available literature, we developed a firearm safety counseling protocol that provides measurable means to assess risk and offer harm mitigation strategies for patients and their families. Mitigation strategies are based on Clinical Dementia Rating scale assessment at time of patient interaction and results of risk assessment.ConclusionProviding standardized and effective clinical guidelines to healthcare providers who interact with firearm-owning PWD can act as a means to reduce firearm injury and violence. The protocol proposed in this article needs further testing and validation to determine if it will help reduce firearm-related events in PWD.© 2020 The American Geriatrics Society.

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