Determining who military service members deem credible to discuss firearm safety for suicide prevention

Objectives To examine rankings of credible sources for discussing secure storage within a representative sample of firearm-owning service members, and examine how combinations of demographic variables impact the ranking of credible sources. Methods The probability-based sample was collected with the help of Ipsos. Participants were US service members who owned a firearm at the time […]

Project Safe Guard: Challenges and opportunities of a universal rollout of peer-delivered lethal means safety counseling at a US military installation

Introduction The US Department of Defense recommends lethal means safety counseling (LMSC) to promote firearm injury prevention via secure storage of personal firearms. We describe the rollout of a universal, peer-delivered adaptation of Project Safe Guard (PSG)—a brief, single-session LMSC discussion—at a US Space Force installation. Method Program evaluation data were collected via anonymous, voluntary, […]

Emergency medical services (EMS) clinicians’ views on EMS-delivered interventions to promote secure firearm storage practices

Introduction Lethal means safety counseling (LMSC) to promote secure firearm storage may reduce the risk of firearm-involved deaths, including suicide. We examined if emergency medical services (EMS) clinicians, including emergency medical technicians and paramedics, may be suitable LMSC messengers. Method We conducted a web-based survey of 229 US EMS clinicians. Results While few EMS clinicians […]

The forever decision: A qualitative study among survivors of a suicide attempt

Background Suicide attempts have a profound emotional impact on both individuals and society as a whole. This qualitative study delves into three key aspects: 1) the progression through the suicidal process, 2) the influential factors facilitating the transition from ideation to attempt using the volitional moderators within the integrated motivational-volitional (IMV) model, and 3) preventive […]

Sociodemographic and psychosocial risk factors of railway suicide a mixed-methods study combining data of all suicide decedents in the Netherlands with data from a psychosocial autopsy study

Background: Railway suicide has profound implications for the victims and their family, and affects train drivers, railway personnel, emergency services and witnesses. To inform a multilevel prevention strategy, more knowledge is required about psychosocial and precipitating risk factors of railway suicide. Methods: Data from Statistics Netherlands of all suicides between 2017 and 2021 (n = 9.241) of […]

Perceptions of the utility of secure firearm storage methods as a suicide prevention tool among firearm owners who currently store their firearms loaded and unlocked

Background Although secure firearm storage can prevent firearm injury and death, secure storage is relatively rare. This tendency may be driven in part by a perceived lack of utility for secure storage in preventing suicide and other gun violence-related outcomes. Method We recruited a large (n = 3510) representative sample of residents from five US states and […]

Stakeholder perceptions of lethal means safety counseling: A qualitative systematic review

Introduction: Lethal means safety counseling (LMSC) is an evidence-based suicide prevention intervention during which providers encourage patients to limit their access to lethal means (e.g., firearms, medications). Despite agreement about the importance of LMSC, it is underutilized in clinical practice. Methods: To better understand the individual and contextual factors that influence LMSC and its implementation, we conducted […]

Older adults and planning for firearm safety: A qualitative study of healthcare providers

Purpose/Background Firearm injury, particularly self-directed, is a major source of preventable morbidity and mortality among older adults. Older adults are at elevated risk of serious illness, cognitive impairment, and depression—all known risk factors for suicide and/or unintentional injury. Healthcare providers are often the first to identify these conditions and, although they commonly deliver safety guidance […]

Women Veterans’ perspectives, experiences, and preferences for firearm lethal means counseling discussions

Aims Firearms have become an increasingly common method of suicide among women Veterans, yet this population has rarely been a focus in firearm suicide prevention research. Limited knowledge is available regarding the preferences, experiences, or needs of women Veterans with respect to firearm lethal means counseling (LMC), an evidence-based suicide prevention strategy. Understanding is necessary […]

The suicide magnet: Inside the battle to erect a safety barrier on Toronto’s Bloor Viaduct

The inside story of the grassroots fight to have a suicide barrier erected on Toronto’s “bridge of death.” Most Torontonians have no idea their city once hosted the second most popular suicide magnet in North America, behind the Golden Gate Bridge. Since its completion in 1918, more than four hundred people jumped to their death […]

Banning highly hazardous pesticides saves the lives of young people, particularly females, in low‑ and middle‑income countries

Pesticide self-poisoning is a public health problem mostly affecting low- and middle-income countries. In Sri Lanka, India and China suicide rates have reduced among young people, particularly females, following highly hazardous pesticides (HHP) bans. This success story requires attention to encourage more research on differential effects of HHP bans.

Association between the New York SAFE Act and firearm suicide and homicide: An analysis of synthetic controls, New York State, 1999-2019

Objectives. To assess the association between the New York Secure Ammunition and Firearms Enforcement Act (NY SAFE Act) and firearm suicide and homicide rates. Methods. We employed a synthetic controls approach to investigate the impact of the NY SAFE Act on firearm suicide and firearm homicide rates. We collected state-level data on firearm mortality from the Centers for […]

Long term effect of reduced pack sizes of paracetamol on poisoning deaths and livertransplant activity in England and Wales: Interrupted time series analyses

Objective: To assess the long term effect of United Kingdom legislation introduced in September 1998 to restrict pack sizes of paracetamol on deaths from paracetamol poisoning and liver unit activity. Design: Interrupted time series analyses to assess mean quarterly changes from October 1998 to the end of 2009 relative to projected deaths without the legislation based on […]

Firearm possession rates in home countries and firearm suicide rates among US- and foreign-born suicide decedents in the United States: Analysis of combined data from the National Violent Death Reporting System and the Small Arms Survey

Background: Suicide by firearms is a serious public health issue in the United States. However, little research has been conducted on the relationship between cultural backgrounds and suicide by firearms, specifically in those born and raised in the United States compared to those who have immigrated to the United States. Objective: To better understand the […]

Women Veterans’ experiences discussing household firearms with their intimate partners: Collaborative, devalued, and deferential relational types

Background Rates of firearm suicide have increased among women Veterans. Discussing firearm access and reducing access to lethal means of suicide when suicide risk is heightened are central tenets of suicide prevention, as is tailoring suicide prevention strategies to specific populations. While research has begun to explore how to optimize firearm lethal means safety counseling […]

A veteran’s guide to discussing STORES: Secure storage to reduce risk (Brief version)

About This Guide (Brief Version) What will I learn from this guide? The brief version contains the essential information for Veterans to understand how to identify when a fellow Veteran may be at risk for suicide. You will learn the basics of how to talk with someone about making the environment safer to prevent suicide. […]

The effectiveness of installing trackside fencing in preventing railway suicides: A pre-post study design in Victoria, Australia

WHAT IS ALREADY KNOWN ON THIS TOPIC Restricting access to means has been shown to be an effective suicide prevention measure in public places in general, and in the railway environment specifically. Some examples of restricting access to means that have been effective in the railway environment include the installation of platform screen doors and […]

Women veterans’ experiences discussing household firearms with their intimate partners: Collaborative, devalued, and deferential relational types

Background: Rates of firearm suicide have increased among women Veterans. Discussing firearm access and reducing access to lethal means of suicide when suicide risk is heightened are central tenets of suicide prevention, as is tailoring suicide prevention strategies to specific populations. While research has begun to explore how to optimize firearm lethal means safety counseling with […]

Leveraging community, context, data, and resources to inform suicide prevention strategies

Colorado has consistently had one of the highest rates of suicide in the United States, and El Paso County has the highest number of suicide and firearm-related suicide deaths within the state. Community-based solutions like those of the Suicide Prevention Collaborative of El Paso County may be more effective in preventing suicide as they are […]

Are people who die by intentional medication poisoning dispensed those medications in the year prior to death?

Objective: The rate of suicidal poisoning in the United States has increased substantially over the past 20 years. Understanding whether prescription medications used for self-poisoning were recently dispensed would help inform suicide prevention efforts. Alternatively, medications for self-poisoning could have been formerly dispensed or collected from friends, family, or illicit sources. Methods: Among those who died by […]

Selection and use of firearm and medication locking devices in a lethal means counseling intervention

Background: While some suicide prevention initiatives distribute locking devices for firearms and medication, little evidence exists to guide the selection of devices. Aims: This study aimed to describe safety standards for locking devices and compare parental acceptance rates for different types of devices. Method: As part of the larger SAFETY Study, behavioral health clinicians provided free locking devices to parents […]

Re-thinking spatial design in homes to include means and access restrictions with material impacts as passive suicide prevention methods: A systematic review of design for Australian homes

This systematic review analyses research that introduces commercial design applications that could be adopted for suicide prevention in homes. Furthermore, this literature review captures social, spatial and biophilic design methods to improve wellness in homes using environmental design psychology. Safety and human wellness frame this spatial design research that examines means and access restriction to […]

From suicide surveillance to restricting access to means: A time series study of suicide prevention at the Story Bridge

Surveillance is a crucial part of suicide prevention, for identifying suicide trends, risk groups, suicide clusters (World Health Organization (WHO), 2014) and frequently used locations for suicide. Suicide sites are  usually public, natural or man-made objects known for their use for suicidal behaviour (e.g. bridges or cliffs) (Ross et al., 2020). Some suicide prevention activities […]