ArticleFrontiers in digital health2022
"Lock to Live" for firearm and medication safety: Feasibility and acceptability of a suicide prevention tool in a learning healthcare system.
Article in Frontiers in digital health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
What it found
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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.
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Who cites it
7 citing papers in PubMed.
- A Randomized Control Trial of a Digital Health Tool for Safer Firearm and Medication Storage for Patients with Suicide Risk.Prevention science : the official journal of the Society for Prevention Research · 2024Trial
- "It's Just So Important to Make Them Feel Seen": Teen and Caregiver Perspectives of Lethal Means Safety Planning for the Emergency Department.Annals of emergency medicine · 2026Article
- 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
- Firearm Suicide Prevention in the Military Health System: A Qualitative Study of Clinician Training, the "Lock to Live" Decision Aid, and Connection to Out-of-Home Firearm Storage.The journal of behavioral health services & research · 2025Article
- 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
- Cost of Intentional Drug Overdose and Other Self-Harm Among Youth in the United States, 2021.Academic pediatricsArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objective: Few patients with suicide risk are counseled on lethal means safety by health providers. This study tested the feasibility of different delivery methods for Lock to Live (L2L), a web-based decision aid of safe storage options for firearms and medications. Methods: Patients reporting suicide ideation on the PHQ9 depression screener during outpatient health visits were included. Invitation messages to visit L2L were sent Results: The population-based method reached 2,729 patients and the best method (EHR message plus 2 email reminders) had 11% uptake (L2L visitation rate). Provider referral had small reach (14 patients) and 100% uptake (all visited). Provider interviews identified several strategies to promote uptake including: EHR reminders, provider training, quality metrics with accountability, a clearly communicated lethal means screening/counseling policy, and strong organizational leadership support. Conclusion: Despite the low uptake for population-based (11%), far more patients with suicide risk were engaged in the L2L tool through population-based outreach than provider-referral over the same time frame.
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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.