An easy way to get around this new proposed law -
Me: How do you plan to hurt yourself?
Patient: With a gun.
Me: Can you explain the scenario to me? Have you thought about it?
Patient: I have a loaded gun that I have been playing with, and I might actually do it tonight.
I think we are misunderstanding each other. You are right, that would seem like a great way to get around the restriction of straight up asking them about gun ownership, but the NRA thought of that. From reading the bill, I understood it to mean that physicians would be forbidden from documenting
anything related togun ownership, so you couldn't write that conversation down (not without redacting key parts).
You are assuming it is a hammer fired gun, and that someone would play with the hammer before attempting suicide.
Yes, I made up that scenario. I was just demonstrating that documenting his gun ownership would seem to be important.
The scenario might be as rare as asking a patient if they plan to jump in front of a red camaro (what about every other car/truck?).
A suicidal patient playing with a gun and fantasizing about killing himself is rare? Maybe I should play the lotto then because I've seen that a few times just by shadowing in my 1st & 2nd years of med school.
I "play" with my hammer (the one on my gun) routinely when I am at the shooting range. I also have many guns without a hammer.
Lol I guess the hammer was distracting! I didn't mean to imply that a gun with a hammer is more dangerous, I was merely trying to tell a story, ie the patient looks as though he's moved on from the planning phase and is high risk.
I also routinely have my gun out for target practice (loaded), cleaning it, etc. Doesn't mean I want to hurt myself or others.
You're not suicidal (I hope!), so I don't think we'd be concerned with your hobby.
Remember, we're talking about interviewing psychiatric patients. So the fact that I ate an entire box of girl scout biscuits the other day isn't a big deal to me, as compared to a bulimia pt which might set off some red flags.
I don't understand why everyone here is so upset.
I am upset because it is an unnecessary restriction on physician practices that could lead to incomplete encounters that would then lead to pt deaths that could have been avoided.
Psychiatrists are not out to take away the rights of law abiding citizens who are not ill. Where is the evidence that this bill is necessary? Are we to believe that doctors are confiscating guns? I am mad because this bill seems to have no basis.
And I disagree that it's a straightforward way for physicians to get off the hook. That 'regents of california' case demonstrated that doctors have to intervene when lives are at stake. If a psychopath tells you about his upcoming killfest with guns in your office, which law do you follow? Sure you could report it, but don't you think you should warn the florida police about his arsenal so they can plan appropriately? But if you mention his gun stockpile, you'd be breaking the law. This is arguable, but the fact that this isn't addressed in the bill means you have to interpret it which leaves room for getting making sued.