ArticleSuicide & life-threatening behavior2020
Lethal Means Assessment and Counseling in the Emergency Department: Differences by Provider Type and Personal Home Firearms.
Article in Suicide & life-threatening behavior, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 12 papers.
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.
Firearm Safe Storage Decision Aid for Adults With Suicide Ideation
Expanding Provider Capacity to Prevent Rural Veteran Suicide: Virtual Reality Lethal Means Safety Training
Who cites it
12 citing papers in PubMed, 20 citations in OpenAlex.
- Lock and Protect, Reducing Access to Adolescent Means of Suicide: A Pilot Feasibility Study.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026Article
- A mixed methods evaluation of mechanisms for facilitation in pediatric primary care.Implementation science communications · 2026Article
- Opportunities and barriers to engaging caregivers in firearm suicide prevention: findings from focus groups with caregivers of veterans.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
- Whether and how to store firearms in the home: Qualitative insights from care partner experiences in the Safety in Dementia Trial.Journal of the American Geriatrics Society · 2025Article
- Suicide Screening, Risk Assessment, and Lethal Means Counseling During Zero Suicide Implementation.Psychiatric services (Washington, D.C.) · 2024Article
- Reducing firearm access for youth at risk for suicide in a pediatric emergency department.Frontiers in public health · 2024Article
- What is "safety"?: Lethal means counseling as a cross-cultural communication.Military psychology : the official journal of the Division of Military Psychology, American Psychological Association · 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
- Lethal Means Counseling for Suicidal Adults in the Emergency Department: A Qualitative Study.The western journal of emergency medicine · 2021Article
- Lethal means counseling for suicide prevention: Views of emergency department clinicians.General hospital psychiatryArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors at 7 institutions in 1 country.
Funding
Abstract
objectiveThis study examined emergency department (ED) and behavioral health (BH) provider attitudes and behaviors related to lethal means screening and counseling of patients with suicide risk, specifically examining differences by provider type and whether providers had firearms in their own home.
methodsEmergency department providers (physicians and mid-level practitioners) and behavioral health (BH) providers at four Colorado EDs completed an anonymous, web-based survey.
resultsFewer ED providers (35%) than BH providers (81%) felt confident in their ability to counsel patients about lethal means (p < .001). In multivariable analysis, the only clinical or provider factor associated with often or almost always asking patients about firearm access was provider type, with BH providers more likely than ED providers to ask in all scenarios (OR: 5.58, 95% CI 1.68-18.6). Behaviors and attitudes about lethal means counseling did not vary by whether the provider had firearms at home. Almost all providers said that additional training and protocols about how to help patients make firearm storage decisions would be helpful.
conclusionsGaps in ED-delivered lethal means counseling persist, highlighting directions for future provider education and protocol development.
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.