Evidence map›Paper›PMID 34125016›Full record

ArticleThe western journal of emergency medicine2021

Lethal Means Counseling for Suicidal Adults in the Emergency Department: A Qualitative Study.

Bonnie J Siry, Christopher E Knoepke, Stephanie M Ernestus, Daniel D Matlock, Marian E Betz

Abstract read
In one paragraph

Article in The western journal of emergency medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
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

5 authors.

Bonnie J SiryUniversity of Colorado School of Medicine, Department of Emergency Medicine, Aurora, Colorado.
Christopher E KnoepkeUniversity of Colorado School of Medicine, Division of Cardiology, Aurora, Colorado.
Stephanie M ErnestusStonehill College, Department of Psychology, Easton, Massachusetts.
Daniel D MatlockUniversity of Colorado School of Medicine, Adult & Child Consortium for Outcomes Research & Delivery Science, Aurora, Colorado.
Marian E BetzUniversity of Colorado School of Medicine, Department of Emergency Medicine, Aurora, Colorado.

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

introductionLethal means counseling (to reduce access to firearms or other suicide methods) is a recommended critical yet challenging component of care of suicidal patients. Questions remain about communication strategies for those in acute crisis.

methodsThis qualitative study was an analysis of semi-structured interviews with English-speaking, community-dwelling adults with a history of lived-experience of suicidal ideation or attempts in themselves or a family member. We used a mixed inductive and deductive approach to identify descriptive themes related to communication and decision-making.

resultsAmong 27 participants, 14 (52%) had personal and 23 (85%) had family experience with suicide ideation or attempts. Emergent themes fell into two domains: (1) communication in a state of high emotionality; and (2) specific challenges in communication: initiating, maintaining engagement, considering context.

conclusionEngaging suicidal individuals in lethal means counseling may be more effective when messaging and approaches consider their emotional state and communication challenges.

Indexed as

Suicidal IdeationAdultCounselingEmergency Service, HospitalFamilyFemaleFirearmsHumansMaleMiddle AgedQualitative ResearchSuicide, Attempted

Identifiers

PMID34125016
PMCPMC8203001

What OpenQuestion holds

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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.