A toolkit for safe firearm storage in your community

The U.S. Department of Veterans Affairs (VA) is on a mission to end suicide among those who have served, or are currently serving, in the armed forces. Suicide is complicated and tragic, but it’s also preventable  –  and safe firearm storage is an important part of suicide prevention. There is no single cause of suicide: […]

Method-specific suicide rates and accessibility of means: A small-area analysis in Taipei City, Taiwan

Background: Few studies have investigated whether means accessibility is related to the spatial distribution of suicide. Aims: To examine the hypothesis that indicators of the accessibility to specific suicide methods were associated with method-specific suicide rates in Taipei City, Taiwan. Method: Smoothed standardized mortality ratios for method-specific suicide rates across 432 neighborhoods and their associations with means accessibility indicators were estimated using […]

Firearm type and number: Examining differences among firearm owning suicide decedents

Objective The present study sought to determine if among a sample of firearm owning suicide decedents, the type and number of firearms owned was associated with dying by suicide using a firearm compared to another method. Method Data were collected as part of a larger online study that gathered information on suicide decedents and the […]

LINC to Life: Evaluation of a safety planning training program with clinicians and mental health staff

Suicide rates continue to rise, and clinicians and mental health staff play a critical role in keeping suicidal clients safe. Safety planning, including means safety, may help to decrease suicide risk. Unfortunately, availability and evaluation of safety planning training for these providers are scarce. The goal of the present study was to evaluate a safety […]

Safety planning and lethal means counseling with youth (IN: Youth Suicide Prevention and Intervention, edited by J.P. Ackerman & L.M. Horowitz)

Lethal means counseling and safety planning (i.e., a written list of individualized coping strategies and sources of support) are empirically supported strategies to prevent suicidal behavior. Both approaches are often prescribed as ways to manage clients’ risk of suicide. However, there is limited guidance on how to effectively implement these strategies with youth. In this […]

Five-year mortality after hospitalisation for suicide attempt with a violent method

Objective This study aimed to estimate the 5-year mortality among people admitted into a transdisciplinary unit providing combined psychiatric and somatic rehabilitation treatment. Methods In this retrospective study, we analyzed the clinical records of all individuals admitted into the transdisciplinary unit from 01/01/2011 to 12/31/2017 after a suicide attempt using violent means. Vital status was […]

Frequency of clinicians’ assessments for access to lethal means in persons at risk for suicide

Objective We measured the frequency of clinicians’ assessments for access to lethal means, including firearms and medications in patients at risk of suicide from electronic medical and mental health records in outpatient and emergency settings. Methods We included adult patients who reported suicide ideation on the PHQ-9 depression screener in behavioral health and primary care […]

Lethal means assessment in psychiatric emergency services: Frequency and characteristics of assessment

Objective Lethal means safety is an effective suicide prevention strategy with demonstrated results at the population level, yet individual-level uptake is less well understood. Methods Using automated data extraction methods, we conducted an investigation of electronic health records from psychiatric emergency service (PES) patients from January 1, 2012 to December 31, 2017 at a busy […]

The Tool for Evaluating Media Portrayals of Suicide (TEMPOS): Development and application of a novel rating scale to reduce suicide contagion

Research suggests that media adherence to suicide reporting recommendations in the aftermath of a highly publicized suicide event can help reduce the risk of imitative behavior, yet there exists no standardized tool for assessing adherence to these standards. The Tool for Evaluating Media Portrayals of Suicide (TEMPOS) allows media professionals, researchers, and suicide prevention experts […]

Perceptions towards charcoal-burning suicide and the surge of this lethal method in Taiwan

Objective: Whether sociocultural perceptions of charcoal-burning suicide have influenced its rapid increase in prevalence is unclear. We aimed to explore perceptions of Taiwan’s general population regarding charcoal-burning suicide, their personal belief in life after death, and related feelings of thoughts associated with those who attempt charcoal-burning suicide. Methods: An online web-based survey, focussing on sociocultural attitudes towards […]

Demographic and clinical correlates of high-lethality suicide attempts: A retrospective study in psychiatric inpatients

Assessment of the lethality of suicide attempts is a neglected topic in the literature in this area. Based on the hypothesis that suicide attempters who choose a highly lethal method differ from those who use less lethal methods, we analyzed the characteristics of suicide attempters who used different suicide methods to determine demographic and clinical […]

Revisiting evidence of primary prevention of suicide among adult populations: A systematic overview

Backgrounds Primary prevention of suicidal behaviors in the general population is required to interrupt the trend of self-inflicted deaths worldwide. We reviewed the evidence of the efficacy of primary prevention of suicide among the adult population. Methods This is an overview of systematic reviews. We searched PubMed, EMBASE, Scopus, PsycINFO, and Cochrane databases to identify […]

Lethal means counseling, distribution of cable locks, and safe firearm storage practices among the Mississippi National Guard: A factorial randomized controlled trial, 2018-2020

Objectives. To examine whether lethal means counseling and provision of cable locks prompt safe firearm storage relative to control among firearm-owning members of the Mississippi National Guard. Methods. This randomized controlled trial utilized a 2 × 2 factorial design (lethal means counseling vs control, provision of cable locks vs no cable locks). Follow-up assessments took place at […]

Adolescent gun violence prevention: Reducing access to lethal means of suicide (IN: Adolescent Gun Violence Prevention, edited by N.A. Dodson)

Suicidality remains an incredible mortality threat to adolescents in the United States. While self-harm continues to serve as a concerning risk factor for suicide, reassuring evidence suggests that the majority of individuals that survive their first suicide attempt will ultimately never complete suicide. Therefore, the lethality of suicide method makes a significant impact on the […]

Clinical strategies for reducing firearm suicide

Suicide is complex, with psychiatric, cultural, and socioeconomic roots. Though mental illnesses like depression contribute to risk for suicide, access to lethal means such as firearms is considered a key risk factor for suicide, and half of suicides in the USA are by firearm. When a person at risk of suicide has access to firearms, […]

Assessment of rural-urban and geospatial differences in perceived handgun access and reported suicidality among youth in Colorado

Objectives  To understand the associations of rurality, school-level prevalence of easy handgun access, and suicidality measures in Colorado youth, to explore spatial distribution of school-level measures, and to identify communities with high prevalence of both easy handgun access and suicidality. Design, Setting, and Participants  This cross-sectional study used data from the 2019 Healthy Kids Colorado Survey, an […]

“What will happen if I say yes?”: Perspectives on a standardized firearm access question among adults with depressive symptoms

Objective: Addressing firearm access is recommended when patients are identified as being at risk of suicide. However, the practice of assessing firearm access is controversial, and no national guidelines exist to inform practice. This study qualitatively explored patient perspectives on a routine question about firearm access to optimize the patient centeredness of this practice in […]

The practice of lethal means restriction counseling in US emergency departments to reduce suicide risk: A systematic review of the literature

Suicide is a leading cause of death in the US. Lethal means restriction (LMR), which encourages limiting access and reducing the lethality of particular methods of suicide, has been identified as a viable prevention strategy. For this approach to be successful, adequate education about risks and means must be communicated to families and individuals at […]

Characteristics of suicides and toxicology in a cohort of individuals with opioid use disorder

Suicide in patients with opioid use disorder (OUD) is a complex issue. In addition to accidental intoxications, a higher prevalence of fatal suicides in patients with OUD can be found compared to the general population. In this study, suicides with a diagnosis of OUD documented in the project “Suicides, A National Survey” were extracted from […]

Lethal means counseling for suicide prevention: Views of emergency department clinicians

Objective Lethal means safety – counseling and guidance about reducing access to home firearms and medications – is recommended for emergency department patients at risk of suicide. Decision aids are tools that can facilitate potentially difficult decisions by incorporating personal preferences and values. The present study evaluates clinician perceptions about the implementation and utility of […]

An examination of preferred messengers on firearm safety for suicide prevention

This study sought to determine differences in preferred messengers on the topic of safe firearm storage and suicide prevention between firearm owners and non-firearm owners, and among firearm owners of different racial groups and sexes. Participants were 6200 United States residents recruited via Qualtrics Panels to complete an online survey. Data were collected during March 2020. […]

‘It’s changed how we have these conversations’: Emergency department clinicians’ experiences implementing firearms and other lethal suicide methods counseling for caregivers of adolescents

Counseling parents to reduce access to firearms and other potentially lethal suicide methods is commonly known as lethal means counseling (LMC). The current study explores the experiences that emergency department-based behavioural health clinicians described having as they provided lethal means counseling to parents of adolescents at risk for suicide. Clinicians were purposively sampled from four […]

Counseling on Access to Lethal Means-emergency Department (CALM-ED): A quality improvement program for firearm injury prevention

Introduction: Suicide is the 10th leading cause of death in the United States, with firearms reported as the cause of death in up to 50% of these cases. Our goal was to evaluate the feasibility of the Counseling on Access to Lethal Means intervention in the Emergency Department (CALM-ED) by non-physician personnel. Methods: We conducted this single-center, prospective, […]