Safe Storage to Save Lives: The Role of Guns in Adolescent Suicide

Safe Storage to Save Lives: The Role of Guns in Adolescent Suicide

Suicide is the second leading cause of death for children, adolescents and young adults ages 10 to 24. Roughly 7% to 8% of adolescents attempt suicide each year and 17% report significant suicidal ideation. However, while so many kids are affected, diagnosing them isn’t so simple. “We know the numbers have climbed significantly. If you look at the trends, we’re probably nearly double what we were 20 years ago,” Eric Sigel, MD, says.

In this episode, we shine a light on how to clinically identify youth at risk for suicide and determine if they have access to lethal means, such as firearms or medications. In addition, we will discuss evidence-based approaches to reduce or eliminate access to lethal means. That includes counseling and safe storage device distribution.

Our guest, Dr. Sigel, specializes in adolescent medicine at Children’s Hospital Colorado. He is the lead for firearm injury prevention, as well as a professor of pediatrics at the University of Colorado School of Medicine. In addition, he serves as co-chair of the American Academy of Pediatrics firearm injury prevention special interest group. “I think it’s an incredible privilege to sit down with a teenager, hear their story and understand a little bit what they may be going through, while being able to help them figure out a better direction to avoid harm,” Dr. Sigel says.

This episode was recorded at the 2023 American Academy of Pediatrics National Conference and Exhibition. Some highlights from this episode include:

  • The prominence of adolescent suicide in today’s society
  • Approaches to suicidal identification in a clinical setting
  • How a change in easy firearm access can prevent suicide
  • Evidence on counseling and safe storage of firearms

For more information on Children’s Colorado, visit: childrenscolorado.org

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Season 3: Teaser

Season 3: Teaser

Welcome back Charting Pediatrics listeners! We are so excited to announce the third season of the podcast which will release on August 6th. With the success of Season 2, going from under 500 to almost 20,000 listeners per month, we are expectant to see what Season 3 will have in store. In this new season, we will explore case studies in the nuanced art of practicing pediatric medicine, covering topics from innovative care approaches to bread-and-butter diagnoses that you deal with on a daily basis. The podcast is also going on the road again, where we will be broadcasting live from the American Academy of Pediatrics National Conference and Exhibition in New Orleans from October 25th through to the 28th of this year. On behalf of the host team, thank you for your faithful support in listening and engaging with us and also sharing the content with your colleagues. Be sure to join us weekly for yet another great season!

27 Heinä 20191min

Toxicity and the Most Common Pediatric Overdoses (S2:E29 Rebroadcast)

Toxicity and the Most Common Pediatric Overdoses (S2:E29 Rebroadcast)

In today's episode we dive in to the topic of toxicity and the most common overdoses in pediatric medicine. Our guest is Sam Wang, MD, returning from earlier this season when we covered the topic of Marijuana as Medicine (S2:E14). Dr. Wang is a Pediatric Emergency Medicine Physician and Medical Toxicologist at Children’s Hospital Colorado and the University of Colorado School of Medicine.  Let us know what you thought of today's episode: Tweet Dr. Brent (@AlisonBrentMD) or write to us, chartingpediatrics@childrenscolorado.org.

23 Heinä 201933min

 Pain Management in Kids (S2:E24 Rebroadcast)

Pain Management in Kids (S2:E24 Rebroadcast)

The practice of pediatric pain management has developed significantly in the last decade with the use and validation of pain assessment tools specific to pediatric patients, yielding evidence-based pain management guidelines in children of all ages. Still, pharmacological intervention options coupled with practicing safe prescribing can be overwhelming in the primary care setting.  In today’s episode we are joined by Tom Majcher, DO, to discuss a practical approach to outpatient pain management in pediatrics and the prevalence of conditions associated with acute and chronic pain. Dr. Majcher is Chair of Anesthesiology at Children’s Hospital Colorado and Professor of Anesthesiology at the University of Colorado School of Medicine.

16 Heinä 201922min

E-Cigarettes and Vaping (S2:E23 Rebroadcast)

E-Cigarettes and Vaping (S2:E23 Rebroadcast)

A real public health problem has snuck up on us as pediatricians - vaping and e-cigarettes use. On today’s episode, we will unpack the facts about e-cigarettes and vaping, provide you with practical tools to counsel your patients and families and talk about upcoming advocacy and policy work pertaining to e-cigarettes. Our guests today are Jennifer Woods, MD, Medical Director of the Adolescent Medicine Clinic at Children’s Hospital Colorado and associate professor of pediatrics at the University of Colorado School of Medicine; and Heather Hoch, MD pediatric pulmonologist at Children’s Hospital Colorado and assistant professor the CU School of Medicine. From today's episode: The 2018 NIH Monitoring the Future Survey Results were released last month. The survey found that 37% of 12th graders and 18% of 8th graders have vaped in the last year and the number of kids who used vaping products in the last month jumped from 11 to 21% in 12th graders and from 9 to 16% in 10th graders — those changes are the biggest jumps in adolescent substance use that has been seen in the 4 decades of conducting the Monitoring the Future Survey. From the AAP: 5 Facts to talk to Teens about Vaping The FDA held a public hearing on January 18, 2019 to discuss efforts to eliminate youth e-cigarette use, with a focus on the potential role of drug therapies to support cessation and the issues impacting the development of such therapies. If this is a topic you are passionate about, we encourage our listeners to visit the FDA website to submit a public comment, those public comment submissions will be available through February 1, 2019 https://www.fda.gov/TobaccoProducts/Labeling/ProductsIngredientsComponents/ucm456610.htm) Pediatricians Push for Laws to Prevent Teen Vaping Colorado Bill Introduced to Combat Skyrocketing Youth E-Cigarette Use, Clean Indoor Air Act, House Bill 19-1076 Feedback on this episode or suggestions for a future topic? Write to us at chartingpediatrics@childrenscolorado.org - we love hearing from our listeners!

9 Heinä 201926min

Abnormal Head Growth and Shapes in Pediatrics (S2:E18 Rebroadcast)

Abnormal Head Growth and Shapes in Pediatrics (S2:E18 Rebroadcast)

In this episode, we discuss abnormal pediatric head growth, shape and treatment options with Todd Hankinson, MD. Dr. Hankinson is a Pediatric Neurosurgeon at Children’s Hospital Colorado and Associate Professor of Neurosurgery at the University of Colorado School of Medicine.

2 Heinä 201933min

Atopic Eczema (S2:E17 Rebroadcast)

Atopic Eczema (S2:E17 Rebroadcast)

Today’s guests are Dr. Lori Prok and Pediatric Nurse Practitioner, Julieann Tibbetts, here to discuss the most common clinical presentations, causes, and treatment of Atopic Eczema. Dr. Prok is a Pediatric Dermatologist at Children’s Colorado and Associate Professor of Dermatology at the University of Colorado School of Medicine. Julieann is a Pediatric Nurse Practitioner in the Dermatology Department at Children’s Colorado and Senior Instructor of Dermatology at the University of Colorado School of Medicine.

25 Kesä 201927min

Henoch–Schönlein Purpura, HSP: Diagnosis and Management (S2:E12 Rebroadcast)

Henoch–Schönlein Purpura, HSP: Diagnosis and Management (S2:E12 Rebroadcast)

Today’s guests are Dr. Jens Goebel and Dr. Robert Fuhlbrigge, here to discuss Henoch-Schönlein purpura (HSP). Dr. Goebel is the Section Head of Nephrology at Children’s Colorado and Professor of Pediatrics at the University of Colorado School of Medicine. Dr. Fuhlbrigge is Section Head of Rheumatology at Children’s Colorado and Professor of Pediatrics also at the University of Colorado School of Medicine.

18 Kesä 201923min

Case Study: Laryngomalacia (S2:E11 Rebroadcast)

Case Study: Laryngomalacia (S2:E11 Rebroadcast)

In today’s episode, we’re examining a case that started in a primary care pediatrician’s office and ended in the Children’s Hospital Colorado Aerodigestive Program.  Joining us are the three physicians involved in the patient’s care examine: Larissa Applegate, MD, a pediatrician at Pediatrics West in Wheat Ridge, Colorado; RyanCaltagirone, MD, a pediatricemergency room physician at Children’s Colorado; and Sven Streubel, MD, an otolaryngologist with Children's Colorado.  In this episode: Our three guests examine their roles in the patient’s care and share their key takeaways to inform other medical professionals The origins of the case and how the patient, baby Rachel, first presented in the hospital Steps taken once Rachel’s respiratory struggles were evident and next steps to get her to the Emergency Department Importance of clear communication between departments and with patient families in complex, multidisciplinary cases Approaching a patient who presents with laryngomalacia from an ENT perspective Using a bedside scope to determine the severity of the laryngomalacia The various elements of Rachel’s multidisciplinary care, including: admission procedure, observation of feedings, continued oxygen support and plan for next steps Most common medical treatment plan for patients with laryngomalacia Designing a long-term management plan for a child with laryngomalacia that supports the patient as well as their family Accounting for comorbidities that come along with laryngomalacia Update from patient and key takeaways from the case

11 Kesä 201931min

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