ArticleDepression and anxiety2016
LETHAL MEANS ACCESS AND ASSESSMENT AMONG SUICIDAL EMERGENCY DEPARTMENT PATIENTS.
Article in Depression and anxiety, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
37 citing papers in PubMed.
- Acceptability of Long Versus Short Firearm Safety Education Videos in the Emergency Department: A Pilot Randomized Controlled Trial.Annals of emergency medicine · 2023Trial
- An Interactive Web-Based Lethal Means Safety Decision Aid for Suicidal Adults (Lock to Live): Pilot Randomized Controlled Trial.Journal of medical Internet research · 2020Trial
- Article
- Mental and Physical Health-Related Risk Factors Among Females Who Died by Firearm Suicide.JAMA network open · 2025Article
- Suicide Prevention and Telehealth in Children's Hospital Emergency Departments.Pediatric emergency care · 2025Article
- Suicide among physicians and the role of firearms in the USA: a cross-sectional study.BMJ public health · 2025Article
- Adapting the Zero Suicide framework to the adult emergency department setting: Strategies for nurse leaders.Archives of psychiatric nursing · 2024Article
- Critical gaps in understanding firearm suicide in Hispanic communities: demographics, mental health, and access to care.Health affairs scholar · 2023Article
- Employee attitudes toward suicide prevention and Counseling on Access to Lethal Means: initial findings from an academic medical center implementing the Zero Suicide framework.Frontiers in public health · 2023Article
- National estimates of emergency department visits for medication-related self-harm: United States, 2016-2019.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2022Article
- Patient and Clinician Perspectives of a Standardized Question About Firearm Access to Support Suicide Prevention: A Qualitative Study.JAMA health forum · 2022Article
- Talking about firearm injury prevention with patients: a survey of medical residents.BMC medical education · 2022Article
- Suicide Risk in Youth and Young Adults with Type 1 Diabetes: a Review of the Literature and Clinical Recommendations for Prevention.Current diabetes reports · 2021Review
- A Scoping Review of Current Social Emergency Medicine Research.The western journal of emergency medicine · 2021Article
- Self-reported Access to Firearms Among Patients Receiving Care for Mental Health and Substance Use.JAMA health forum · 2021Article
- Patient Characteristics and Perspectives of Firearm Safety Discussions in the Emergency Department.The western journal of emergency medicine · 2021Article
- Documentation of Screening for Firearm Access by Healthcare Providers in the Veterans Healthcare System: A Retrospective Study.The western journal of emergency medicine · 2021Article
- Self-Inflicted Gun Shot Wounds: A Retrospective, Observational Study of U.S. Trauma Centers.The western journal of emergency medicine · 2021Observational
- Lethal Means Counseling for Suicidal Adults in the Emergency Department: A Qualitative Study.The western journal of emergency medicine · 2021Article
- Emergency Physician Survey on Firearm Injury Prevention: Where Can We Improve?The western journal of emergency medicine · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
backgroundReducing access to lethal means (especially firearms) might prevent suicide, but counseling of at-risk individuals about this strategy may not be routine. Among emergency department (ED) patients with suicidal ideation or attempts (SI/SA), we sought to describe home firearm access and examine ED provider assessment of access to lethal means.
methodsThis secondary analysis used data from the Emergency Department Safety Assessment and Follow-up Evaluation, a three-phase, eight-center study of adult ED patients with SI/SA (2010-2013). Research staff surveyed participants about suicide-related factors (including home firearms) and later reviewed the ED chart (including documented assessment of lethal means access).
resultsAmong 1,358 patients with SI/SA, 11% (95% CI: 10-13%) reported ≥1 firearm at home; rates varied across sites (range: 6-26%) but not over time. On chart review, 50% (95% CI: 47-52%) of patients had documentation of lethal means access assessment. Frequency of documented assessment increased over study phases (40-60%, P < .001) but was not associated with state firearm ownership rates. Among the 337 (25%, 95% CI: 23-27%) patients discharged to home, 55% (95% CI: 49-60%) had no documentation of lethal means assessment; of these, 13% (95% CI: 8-19%; n = 24) actually had ≥1 firearm at home. Among all those reporting ≥1 home firearm to study staff, only half (50%, 95% CI: 42-59%) had provider documentation of assessment of lethal means access.
conclusionsAmong these ED patients with SI/SA, many did not have documented assessment of home access to lethal means, including patients who were discharged home and had ≥1 firearm at home.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.