ArticleAcademic pediatrics
Adapting Safety Check as a Universal Suicide Prevention Strategy in Pediatric Primary Care.
Article in Academic pediatrics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Pediatric healthcare worker perspectives on implementation of a secure firearm storage program: a qualitative study.BMC pediatrics · 2026Trial
- Applying the ADAPT-ITT Framework to Develop a Team-based Mental Health Support Model for Young Adults Transitioning from Homelessness to Housing.Children and youth services review · 2026Article
- A mixed methods evaluation of mechanisms for facilitation in pediatric primary care.Implementation science communications · 2026Article
- Car Seat Tolerance Screening for Infants with Critical Congenital Heart Disease.Pediatric cardiology · 2026Article
- Pediatric Healthcare Worker Perspectives on Implementation of a Secure Firearm Storage Program: A Qualitative Study.Research square · 2025Article
- Harnessing Implementation Science in Clinical Psychology: Past, Present, and Future.Annual review of clinical psychology · 2025Review
- Equitable implementation of S.A.F.E. Firearm: A multi-method pilot study.Preventive medicine · 2022Article
- A mixed methods protocol to implement universal firearm injury risk screening and intervention among youth and adults in emergency departments across a large US health system.Implementation science communications · 2022Article
- A protocol for applying health equity-informed implementation science models and frameworks to adapt a sleep intervention for adolescents at risk for suicidal thoughts and behaviors.Frontiers in public health · 2022Article
- Study protocol for a type III hybrid effectiveness-implementation trial of strategies to implement firearm safety promotion as a universal suicide prevention strategy in pediatric primary care.Implementation science : IS · 2021Article
- A mixed methods evaluation of parents' perspectives on the acceptability of the S.A.F.E. Firearm program.The journal of applied research on children : informing policy for children at risk · 2021Article
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Authors and funding
14 authors.
Funding
Abstract
objectiveThe presence of unlocked firearms in the home is associated with increased risk of suicide and unintentional injury in youth. We adapted an evidence-based program for promoting safe firearm storage, Safety Check, to enhance its acceptability as a universal suicide prevention strategy in pediatric primary care.
methodsWe applied ADAPT-ITT, an established adaptation framework, to guide iterative program adaptation with ongoing input from key stakeholders. The present study describes 2 phases of ADAPT-ITT: the Production phase (generating adaptations) and the Topical Experts phase (gathering stakeholder feedback on adaptations). After generating proposed program adaptations based on 3 inputs (stakeholder feedback collected in a prior study, the behavioral science literature, and best practices in pediatric medicine), we elicited feedback from stakeholders with firearm expertise. The adaptations included changes such as clarifying firearm ownership will not be documented in the medical record and offering follow-up reminders. We also crowdsourced feedback from 337 parents to select a new name and program logo.
resultsSaturation was reached with 9 stakeholders. Feedback confirmed the value of adaptations that: 1) considered context (eg, reason for ownership), 2) promoted parent autonomy in decision-making, and 3) ensured privacy. The most preferred program name was Suicide and Accident prevention through Family Education (SAFE) Firearm.
conclusionsGuided by an established adaptation framework that prioritized multistage stakeholder feedback, adaptations to the original Safety Check were deemed acceptable. We plan to test the SAFE Firearm program as a universal suicide prevention strategy in pediatric primary care via a hybrid effectiveness-implementation trial.
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