The program began in 2015 after firearms became the leading cause of death in U.S. children and adolescents in 2019
DENVER — Discussion around safe firearms storage could be the key to preventing both unintentional and intentional firearm injuries and death, according to research presented during the American Academy of Pediatrics 2025 National Conference & Exhibition at the Colorado Convention Center Sept. 26-30.
The research, "Store it Safe: Quality Improvement, Community Engagement and Advocacy to Prevent Accidental Firearm Injuries/Death in Children and Suicide by Firearms in Adolescents," describes a program developed in 2015 to train healthcare providers to screen for depression and suicide, discuss lethal means, distribute safe storage lock boxes, and provide resources for families. The program, "Store it Safe," was developed in Ohio alongside firearms organizations in an effort to curtail unintentional firearm injury and death in young children and suicide by firearm in adolescents.
"We know that safe storage can save lives. 'Store it Safe' is supporting families, training providers, and building strong community partnerships to create a safer environment for children across Ohio and beyond," said Sarah Denny, MD, FAAP, research author and medical director of "Store it Safe".
Data showed that approximately 130,000 Ohioans were engaged with the program with 14,000 adolescents screened for depression and suicidality. In addition, over 3,500 firearms lock boxes were distributed.
Program results showed a significant increase in suicidality screening rates, jumping from 15% to 77%. The rate in which physicians were conducting lethal means restriction discussions at youth preventive visits also improved, rising to 76% from the initial 17%.
"The 'Store It Safe' program provides a model for how healthcare providers and community leaders can work together to reduce unintentional injuries and suicides involving firearms," said Denny.
Plans to expand the program are already in motion. "Store it Safe" has been implemented in Indiana through a partnership with the Indiana AAP Chapter. In addition, two Ohio communities have been recognized as Store It Safe Communities with plans to continue designating communities later this year.
The authors received financial support for this research from the Ohio Department of Health; Ohio Mental Health and Addiction Services and the Ohio Emergency Medical Services for Children/Department of Public Safety.
