ArticlePsychiatry research2018
Frequency of lethal means assessment among emergency department patients with a positive suicide risk screen.
Article in Psychiatry research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05288517 (Firearm Safe Storage Decision Aid for Adults With Suicide Ideation), which is not on this map. Cited by 33 papers, 1 of them a synthesis that pooled it.
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.
Firearm Safe Storage Decision Aid for Adults With Suicide Ideation
Who cites it
33 citing papers in PubMed, 1 synthesis or guideline pooled it, 82 citations in OpenAlex.
- Stakeholder perceptions of lethal means safety counseling: A qualitative systematic review.Frontiers in psychiatry · 2022Pooled it
- A Randomized Control Trial of a Digital Health Tool for Safer Firearm and Medication Storage for Patients with Suicide Risk.Prevention science : the official journal of the Society for Prevention Research · 2024Trial
- 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
- Frequency of Black and American Indian/Alaskan Native US Residents Screened for Firearm Access.Journal of racial and ethnic health disparities · 2026Article
- Impact of telemental health on suicide prevention care in U.S. emergency departments.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2025Article
- Patient and Health Care Provider Experiences With Suicide-Related Tele-Mental Health Evaluations in the Emergency Department: Multiphase Qualitative Study.JMIR mental health · 2025Article
- Suicide Prevention and Telehealth in Children's Hospital Emergency Departments.Pediatric emergency care · 2025Article
- Adapting the Zero Suicide framework to the adult emergency department setting: Strategies for nurse leaders.Archives of psychiatric nursing · 2024Article
- Suicide Screening, Risk Assessment, and Lethal Means Counseling During Zero Suicide Implementation.Psychiatric services (Washington, D.C.) · 2024Article
- Management of youth with suicidal ideation: Challenges and best practices for emergency departments.Journal of the American College of Emergency Physicians open · 2024Article
- Designing Implementation Strategies for a Digital Suicide Safety Planning Intervention in a Psychiatric Emergency Department: Protocol for a Multimethod Research Project.JMIR research protocols · 2023Article
- Critical gaps in understanding firearm suicide in Hispanic communities: demographics, mental health, and access to care.Health affairs scholar · 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
- Factors Associated With 7-Day Follow-Up Outpatient Mental Healthcare in Older Adults Hospitalized for Suicidal Ideation, Suicide Attempt, and Self-Harm.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2022Article
- Reported firearm access among patients admitted to a dual diagnosis medically-assisted withdrawal unit over five years.Drug and alcohol dependence reports · 2022Article
- "Lock to Live" for firearm and medication safety: Feasibility and acceptability of a suicide prevention tool in a learning healthcare system.Frontiers in digital health · 2022Article
- 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
- 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 at 5 institutions in 1 country.
Funding
Abstract
Prior work from surveys and limited populations suggests many emergency department (ED) patients with suicide risk do not have documented lethal means assessments (e.g., being asked about home firearms). The specific objectives of this study were to, in an ED with universal screening for suicide risk: (1) estimate how often ED providers documented lethal means assessment for suicidal patients, and (2) compare patients with and without documented lethal means assessments. We reviewed 800 total charts from a random sample of adults in three a priori age groups (18-34 years; 35-59 years; ≥ 60 years) with a positive suicide risk screen from 8/2014 to 12/2015. Only 18% (n = 145) had documentation by ≥ 1 provider of assessment of lethal means access. Among these 145, only 8% (n = 11) had documentation that someone discussed an action plan to reduce access (most commonly changing home storage or moving objects out of the home). Among 545 suicidal patients discharged home from the ED, 85% had no documentation that any provider assessed access to lethal means. Our findings highlight an important area for improving care: routine, documented lethal means assessment and counseling for patients with suicide risk. There is an urgent need for further exploration of barriers and facilitators.
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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.