ArticlePsychiatric services (Washington, D.C.)2021
"What Will Happen If I Say Yes?" Perspectives on a Standardized Firearm Access Question Among Adults With Depressive Symptoms.
Article in Psychiatric services (Washington, D.C.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Stakeholder perceptions of lethal means safety counseling: A qualitative systematic review.Frontiers in psychiatry · 2022Pooled it
- The Role of Psychopathy in Subtypes of Aggression and Gun Violence.Journal of psychopathology and behavioral assessment · 2025Article
- A machine-learning prediction model to identify risk of firearm injury using electronic health records data.Journal of the American Medical Informatics Association : JAMIA · 2024Article
- Suicide Screening, Risk Assessment, and Lethal Means Counseling During Zero Suicide Implementation.Psychiatric services (Washington, D.C.) · 2024Article
- Reducing Firearm Access for Suicide Prevention: Implementation Evaluation of the Web-Based "Lock to Live" Decision Aid in Routine Health Care Encounters.JMIR medical informatics · 2024Article
- Lethal Means Counseling for Suicidal Firearm Owners.Journal of contemporary psychotherapy · 2023Article
- Women Veterans' perspectives, experiences, and preferences for firearm lethal means counseling discussions.PloS one · 2023Article
- Patient and Clinician Perspectives of a Standardized Question About Firearm Access to Support Suicide Prevention: A Qualitative Study.JAMA health forum · 2022Article
- Patient expectations of and experiences with a suicide risk identification algorithm in clinical practice.BMC psychiatry · 2022Article
- Prevalence of Firearm Ownership Among Individuals With Major Depressive Symptoms.JAMA network open · 2022Article
- Patient-Reported Firearm Access Prior to Suicide Death.JAMA network open · 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
- Firearm Lethal Means Counseling Among Women: Clinical and Research Considerations and a Call to Action.Current treatment options in psychiatry · 2022Review
- Self-reported Access to Firearms Among Patients Receiving Care for Mental Health and Substance Use.JAMA health forum · 2021Article
- Comfort With Talking to Healthcare and Community Professionals About Firearm Safety: Insights for Suicide Prevention From a Sample of Black Adults.Journal of primary care & community healthArticle
Corrections and comments
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Authors and funding
11 authors.
Funding
Abstract
objectiveAddressing firearm access is recommended when patients are identified as being at risk of suicide. However, the practice of assessing firearm access is controversial, and no national guidelines exist to inform practice. This study qualitatively explored patient perspectives on a routine question about firearm access to optimize the patient centeredness of this practice in the context of suicide risk.
methodsElectronic health record data were used to identify primary care patients reporting depressive symptoms, including suicidal thoughts, within 2 weeks of sampling. Participants completed a semistructured telephone interview (recorded and transcribed), which focused broadly on the experience of being screened for suicidality and included specific questions to elicit beliefs and opinions about being asked a standard firearm access question. Directive (deductive) and conventional (inductive) content analysis was used to analyze responses to the portion of the interview focused on firearm assessment and disclosure.
resultsThirty-seven patients in Washington State ages 20-95 completed the qualitative interview by phone. Organizing themes included apprehensions about disclosing access to firearms related to privacy, autonomy, and firearm ownership rights; perceptions regarding relevance of the firearm question, informed by experiences with suicidality and common beliefs and misconceptions about the inevitability of suicide; and suggestions for connecting questions about firearms and other lethal means to suicide risk.
conclusionsClarifying the purpose and use of routine firearm access assessment, contextualizing firearm questions within injury prevention broadly, and addressing misconceptions about suicide prevention may help encourage disclosure of firearm access and increase the patient centeredness of this practice.
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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.