Biting the Bullet: Firearm Ownership in Persons with Dementia. A Registry-Based Observational Study.
Alzheimer’s disease
behavioral and psychological symptoms of dementia
dementia
firearm
frontotemporal
neuropsychiatric symptoms
risk assessment
vascular
violence
Journal
Journal of Alzheimer's disease : JAD
ISSN: 1875-8908
Titre abrégé: J Alzheimers Dis
Pays: Netherlands
ID NLM: 9814863
Informations de publication
Date de publication:
2021
2021
Historique:
pubmed:
16
3
2021
medline:
16
9
2021
entrez:
15
3
2021
Statut:
ppublish
Résumé
In Sweden, 2,296,000 firearms were legally owned by private persons in 2017 and there were 150,000 persons living with a dementia diagnosis. A proportion of these persons owning a firearm may pose safety concerns. The aim was to describe firearm ownership in persons with dementia in Sweden and examine which characteristics are explaining physicians' decision to report a person to the police as unsuitable to possess a firearm. This was a registry-based observational study. 65,717 persons with dementia registered in the Swedish Dementia Registry were included in the study. Logistic regression was used to evaluate which of the persons' characteristics were most important in predicting the likelihood of being reported as unsuitable to possess a firearm. Relative importance of predictors was quantified using standardized coefficients (SC) and dominance analysis (DA). Out of 53,384 persons with dementia, 1,823 owned a firearm and 419 were reported to the police as unsuitable owners. Firearm owners were predominantly younger, males, living alone, and without assistance of homecare. The most important predictors of being reported to the police were: living with another person (SC = 0.23), frontotemporal dementia (SC = 0.18), antipsychotics prescription (SC = 0.18), being diagnosed in a memory/cognitive clinic (SC = -0.27), female gender (SC = 0.18), mild (SC = -0.25) and moderate (SC = -0.21) dementia, and hypnotics prescription (SC = 0.17). Firearm owners with dementia were mostly younger males who were still living more independent lives. The decision to remove a weapon was not solely based on a diagnosis of dementia but a combination of factors was considered.
Sections du résumé
BACKGROUND
In Sweden, 2,296,000 firearms were legally owned by private persons in 2017 and there were 150,000 persons living with a dementia diagnosis. A proportion of these persons owning a firearm may pose safety concerns.
OBJECTIVE
The aim was to describe firearm ownership in persons with dementia in Sweden and examine which characteristics are explaining physicians' decision to report a person to the police as unsuitable to possess a firearm.
METHODS
This was a registry-based observational study. 65,717 persons with dementia registered in the Swedish Dementia Registry were included in the study. Logistic regression was used to evaluate which of the persons' characteristics were most important in predicting the likelihood of being reported as unsuitable to possess a firearm. Relative importance of predictors was quantified using standardized coefficients (SC) and dominance analysis (DA).
RESULTS
Out of 53,384 persons with dementia, 1,823 owned a firearm and 419 were reported to the police as unsuitable owners. Firearm owners were predominantly younger, males, living alone, and without assistance of homecare. The most important predictors of being reported to the police were: living with another person (SC = 0.23), frontotemporal dementia (SC = 0.18), antipsychotics prescription (SC = 0.18), being diagnosed in a memory/cognitive clinic (SC = -0.27), female gender (SC = 0.18), mild (SC = -0.25) and moderate (SC = -0.21) dementia, and hypnotics prescription (SC = 0.17).
CONCLUSION
Firearm owners with dementia were mostly younger males who were still living more independent lives. The decision to remove a weapon was not solely based on a diagnosis of dementia but a combination of factors was considered.
Identifiants
pubmed: 33720891
pii: JAD201365
doi: 10.3233/JAD-201365
pmc: PMC8203223
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
179-188Références
Am J Psychiatry. 2013 Sep;170(9):977-84
pubmed: 23897090
Am J Geriatr Psychiatry. 2008 Mar;16(3):220-8
pubmed: 18310552
Int J Geriatr Psychiatry. 2000 Mar;15(3):254-9
pubmed: 10713584
Am J Prev Med. 1998 Jul;15(1):60-4
pubmed: 9651640
Lancet. 2015 Oct 24;386(10004):1672-82
pubmed: 26595641
Int J Geriatr Psychiatry. 1999 Oct;14(10):889-91
pubmed: 10521889
JAMA Neurol. 2015 Mar;72(3):295-300
pubmed: 25559744
Mov Disord. 2007 Sep 15;22(12):1689-707; quiz 1837
pubmed: 17542011
Korean J Radiol. 2004 Jan-Mar;5(1):11-8
pubmed: 15064554
N Engl J Med. 2020 Jun 4;382(23):2220-2229
pubmed: 32492303
J Gerontol Nurs. 1996 Nov;22(11):30-8
pubmed: 8954390
J Neurol Neurosurg Psychiatry. 1994 Apr;57(4):416-8
pubmed: 8163988
Sci Rep. 2017 Jul 21;7(1):6136
pubmed: 28733627
J Alzheimers Dis. 2014;42(4):1203-8
pubmed: 25024318
Front Neurosci. 2018 Jun 01;12:371
pubmed: 29910709
Curr Alzheimer Res. 2016;13(10):1083-99
pubmed: 27449996
Am J Prev Med. 2007 Nov;33(5):370-3
pubmed: 17950401
J Psychiatr Ment Health Nurs. 2006 Oct;13(5):611-8
pubmed: 16965482
Bull Am Acad Psychiatry Law. 1989;17(2):183-8
pubmed: 2758119
J Alzheimers Dis. 2016 May 5;53(2):631-8
pubmed: 27163829
Aust N Z J Psychiatry. 1994 Mar;28(1):136-40
pubmed: 8067958
Cortex. 2012 Apr;48(4):429-46
pubmed: 21237452
Arch Neurol. 2004 Apr;61(4):556-60
pubmed: 15096405
Am J Psychiatry. 1995 Jun;152(6):901-6
pubmed: 7755121
Int J Geriatr Psychiatry. 2000 Jul;15(7):582-5
pubmed: 10918337
Ann Intern Med. 2018 Jul 3;169(1):47-49
pubmed: 29801058
J Am Geriatr Soc. 1999 Oct;47(10):1183-6
pubmed: 10522950
N Engl J Med. 2019 Feb 21;380(8):705-707
pubmed: 30786184
Am J Epidemiol. 2013 Sep 15;178(6):946-55
pubmed: 23975641
Med J Aust. 1998 Feb 2;168(3):143-4
pubmed: 9484340
Behav Sci Law. 2007;25(5):629-39
pubmed: 17899534
J Alzheimers Dis. 2006;9(3 Suppl):417-23
pubmed: 16914880
Geriatrics. 2008 Nov;63(11):21-6
pubmed: 18998764
Int Psychogeriatr. 2009 Jun;21(3):469-75
pubmed: 19243654
JAMA. 1993 Feb 24;269(8):1007-11
pubmed: 8429581
Ann Indian Acad Neurol. 2016 Jan-Mar;19(1):83-8
pubmed: 27011635
Geriatr Gerontol Int. 2011 Oct;11(4):408-13
pubmed: 21843201
J Neuropsychiatry Clin Neurosci. 2011 Spring;23(2):132-40
pubmed: 21677240
JAMA. 2019 Nov 5;322(17):1639-1642
pubmed: 31617862
PLoS One. 2015 Feb 19;10(2):e0116538
pubmed: 25695768
Int Psychogeriatr. 2013 Sep;25(9):1415-23
pubmed: 23782794
Front Neurol. 2012 May 07;3:73
pubmed: 22586419