ArticleThe western journal of emergency medicine2020
Counseling on Access to Lethal Means-Emergency Department (CALM-ED): A Quality Improvement Program for Firearm Injury Prevention.
Article in The western journal of emergency medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
What it found
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The trial behind it
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Who cites it
16 citing papers in PubMed.
- 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
- Adapting the Zero Suicide framework to the adult emergency department setting: Strategies for nurse leaders.Archives of psychiatric nursing · 2024Article
- ThisJournal of graduate medical education · 2024Article
- Implementation strategies in suicide prevention: a scoping review.Implementation science : IS · 2024Article
- Successful pilot implementation of mailing lethal means safety devices to veterans calling the Veterans Crisis Line.Frontiers in psychiatry · 2024Article
- Reducing firearm access for youth at risk for suicide in a pediatric emergency department.Frontiers in public health · 2024Article
- Views of voluntary, temporary out-of-home firearm storage among individuals living in a firearm-owning home: results from a qualitative study in two states.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2023Article
- Using Financial Incentives to Increase Safe Storage of Firearms and Medications Among Veterans at Risk for Suicide.Psychiatric services (Washington, D.C.) · 2023Article
- Practices, knowledge, and concerns for out-of-home firearm storage among those with access to firearms: results from a survey in two states.Injury epidemiology · 2023Article
- Pandemics and Suicide Risk: Lessons From COVID and Its Predecessors.The Journal of nervous and mental disease · 2022Review
- Nonfatal Firearm Injuries by Intent in the United States: 2016-2018 Hospital Discharge Records from the Healthcare Cost and Utilization Project.The western journal of emergency medicine · 2021Article
- Equity in Emergency Mental Health Care.Pediatrics · 2021Article
- Updates in Firearms Access Screening.Academic pediatricsReview
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
Abstract
introductionSuicide is the 10
methodsWe conducted this single-center, prospective, quality improvement study (QI) in an urban, academic ED with over 90,000 annual patient visits. The study looked at adult patients who were discharged after presenting to the ED with suicidal crisis. Assessment of access to lethal means was conducted at the bedside, followed by a counseling session regarding safe storage of lethal means and follow-up via telephone call 48-72 hours after ED discharge. We collected data on patient's sociodemographics, psychiatric history, access to lethal means, lethal means storage methods, the patient's specific plans for lethal means storage after discharge, and post-discharge follow-up care.
resultsOf 215 eligible patients, 166 voluntarily agreed to participate in CALM-ED, of whom 84 (51%) reported access to lethal means. Following the intervention, 75% of patients described a specific storage plan for their lethal means. Patients with and without access to firearms were equally likely to participate in the follow-up telephone call.
conclusionAn ED-based CALM QI intervention is feasible for implementation by non-physician personnel and is well received by patients and families. This intervention has the potential to help saves lives at times of suicide crisis.
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Registered trials
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