Evidence map›Paper›PMID 30317220›Full record

ArticleInjury prevention : journal of the International Society for Child and Adolescent Injury Prevention2019

'Lock to Live': development of a firearm storage decision aid to enhance lethal means counselling and prevent suicide.

Marian E Betz, Christopher E Knoepke, Bonnie Siry, Ashley Clement, Deborah Azrael, Stephanie Ernestus, Daniel D Matlock

Registry-linked trialAbstract read
In one paragraph

Article in Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention, 2019. 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 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

NCT05288517 nacompletednot on this mapstarted 2021, after this paper: background citation

Firearm Safe Storage Decision Aid for Adults With Suicide Ideation

TypeinterventionalSponsorKaiser PermanenteRan2021 to 2022Enrolled20,131ConditionsSuicide and Self-harmArmsLock to Live
3 · Its place in the literature

Who cites it

25 citing papers in PubMed.

  1. 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 · 2024
    Trial
  2. Trial
  3. Article
  4. Article
  5. Are veterans willing to assist with firearm safety for suicide prevention?Military psychology : the official journal of the Division of Military Psychology, American Psychological Association · 2025
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Lethal Means Counseling for Suicidal Firearm Owners.Journal of contemporary psychotherapy · 2023
    Article
  11. Review
  12. Article
  13. Article
  14. Article
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  16. Article
  17. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Marian E BetzDepartment of Emergency Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA marian.betz@ucdenver.edu.
Christopher E KnoepkeDivision of Cardiology, University of Colorado School of Medicine, Aurora, Colorado, USA.
Bonnie SiryDepartment of Emergency Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA.
Ashley ClementDepartment of Emergency Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA.
Deborah AzraelHarvard Injury Control Research Center, Harvard School of Public Health, Boston, Massachusetts, USA.
Stephanie ErnestusDepartment of Psychiatry, University of California Los Angeles, Los Angeles, California, USA.
Daniel D MatlockAdult and Child Consortium for Outcomes Research and Delivery Science, University of Colorado School of Medicine, Aurora, Colorado, USA.

Funding

A Patient Decision Aid to Augment Lethal Means Counseling for Suicidal PatientsR34MH113539 · NIMH · UNIVERSITY OF COLORADO DENVER · PI BETZ, MARIAN ELIZABETH · 2017 to 2018
$1.1M
NIMH NIH HHS R34 MH113539
6 · The paper itself

Abstract

objectivesWe sought to (1) clarify decision needs among suicidal adults with home firearm access; (2) identify accurate, unbiased and acceptable approaches for content and messaging; and (3) develop a tablet-delivered decision aid for firearm storage options.

methodsFollowing international standards, we used stakeholder interviews to develop a decision aid for the decision, 'what option(s) to choose to reduce home access to firearms for an adult at risk of suicide'. Participants were adults with personal or family history of suicidal ideation or behaviours, firearm ownership or employment in a firearm range or store, involvement in suicide prevention field, or work as emergency department or other healthcare provider.

resultsThrough 64 interviews, we created the 'Lock to Live' decision aid, which includes (1) introduction specifying the decision, (2) clarification of preferences and logistics, (3) table of storage options and (4) summary with specific next steps. The final tool had high user acceptability.

conclusionsShould the 'Lock to Live' decision aid prove useful in a pilot feasibility trial and subsequent testing, it could enhance lethal means counselling and help prevent firearm suicide.

Indexed as

CounselingFirearmsSuicide PreventionAdultAgedDecision Support TechniquesFemaleHumansMaleMiddle AgedOwnershipSuicidal IdeationSuicideWounds, Gunshotcounselingfirearmsuicide/self?harm

Identifiers

PMID30317220
PMCPMC6533157

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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.