ArticleAmerican journal of preventive medicine2018
Hospital Emergency Department Lethal Means Counseling for Suicidal Patients.
Article in American journal of preventive medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 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
- Ketamine and Esketamine in Acute Suicidal Presentations: Evidence, Limits, and a Conceptual Recovery-Enabling Downstaging Framework.Neuropsychiatric disease and treatment · 2026Review
- Safety Planning for Youth in the Emergency Department Who Have Suicide Risk.Journal of the American College of Emergency Physicians open · 2025Article
- 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
- Multidisciplinary lethal means safety counseling design and implementation: training and identifying barriers in a children's hospital.Injury epidemiology · 2025Article
- Evaluating the Effect of Routine Lethal Means Counseling in the Emergency Department on Suicide Mortality Among Mental Health Patients.AJPM focus · 2025Article
- Dealing with the directive to restrict access to lethal means: parents' perspectives.BJPsych open · 2025Article
- Store Safely: A firearm injury prevention strategy for rural families.Rural mental health · 2024Article
- Adapting the Zero Suicide framework to the adult emergency department setting: Strategies for nurse leaders.Archives of psychiatric nursing · 2024Article
- Detection of Youth Suicide Interventions in Clinical Record Text using an Open-Source Language Model.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2024Article
- Reducing firearm access for youth at risk for suicide in a pediatric emergency department.Frontiers in public health · 2024Article
- A Scoping Review of Current Social Emergency Medicine Research.The western journal of emergency medicine · 2021Article
- The practice of lethal means restriction counseling in US emergency departments to reduce suicide risk: a systematic review of the literature.Injury epidemiology · 2021Review
- 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
- "Lock and Protect": Development of a Digital Decision Aid to Support Lethal Means Counseling in Parents of Suicidal Youth.Frontiers in psychiatry · 2021Article
- Lethal Means Assessment and Counseling in the Emergency Department: Differences by Provider Type and Personal Home Firearms.Suicide & life-threatening behavior · 2020Article
- Counseling on Access to Lethal Means-Emergency Department (CALM-ED): A Quality Improvement Program for Firearm Injury Prevention.The western journal of emergency medicine · 2020Article
- 'Lock to Live': development of a firearm storage decision aid to enhance lethal means counselling and prevent suicide.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2019Article
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
Abstract
introductionLethal means counseling of suicidal individuals in emergency departments has the potential to reduce suicide. This study examines the provision of lethal means counseling and the presence of written protocols in a region with high rates of both firearm ownership and suicide.
methodsIn 2015-2016, emergency department nurse managers in hospital-based emergency departments throughout eight states were surveyed using an 80-item survey developed through qualitative interviews and pilot testing. Questions focused on discharge counseling with suicidal patients and the presence of written protocols. Using survey weights to adjust for nonresponse, relationships of protocols with counseling practices were examined.
resultsData were obtained from 52.3% of all 363 eligible hospital emergency departments in the region. Among facilities that discharge suicidal patients, 79.7% (95% CI=75.0%, 84.4%) reported asking about access to firearms and 68.9% (95% CI=62.9%, 74.8%) counsel about safe storage when patients reported access. Forty-four percent of emergency departments reported having written protocols for lethal means counseling. Presence of written protocols was associated with a higher rate of counseling for all suicidal patients even if they were not planning to use a gun (45.0% [95% CI=33.4%, 56.7%] in hospitals with protocols vs 21.5% [95% CI=14.9%, 29.0%] in facilities without protocols).
conclusionsThere are significant gaps in attention to lethal means counseling in emergency departments. This signals an opportunity to increase consistency and thoroughness of care for suicidal patients in the emergency department and for leadership from key professional organizations to advocate for protocols.
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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.