ArticleMilitary psychology : the official journal of the Division of Military Psychology, American Psychological Association2022
What is "safety"?: Lethal means counseling as a cross-cultural communication.
Article in Military psychology : the official journal of the Division of Military Psychology, American Psychological Association, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Provider Perspectives on Healthcare System Barriers to Engaging Caregivers of Rural US Veterans in Firearm Suicide Prevention.Journal of general internal medicine · 2025Article
- 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
- Suicide risk assessment and management protocol for research within the Department of Veterans Affairs.Journal of psychopathology and clinical science · 2025Article
- Firearm leadership: Development, analysis, and application of a novel concept to message secure storage of firearms in the military.Military psychology : the official journal of the Division of Military Psychology, American Psychological Association · 2025Article
- Are veterans willing to assist with firearm safety for suicide prevention?Military psychology : the official journal of the Division of Military Psychology, American Psychological Association · 2025Article
- The association of alcohol use and heavy drinking with subsequent handgun carrying among youth from rural areas.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2024Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
U.S. suicide rates have risen every year over the past two decades with self-directed firearm use as the method accounting for the highest proportion of deaths. This pattern is particularly pronounced among veterans and members of the U.S. Armed Forces. The numerical burden of firearm-related suicide accompanied by characteristics of self-directed firearm injury have motivated the development of lethal means safety initiatives focused on firearms. Simultaneously, research has sought to characterize patterns of firearm ownership and use among veterans as well as optimal strategies for clinicians to deliver suicide prevention messages to firearm owners. Increasingly, findings from research have been understood as cultural factors that warrant greater attention to improve the quality of lethal means counseling. Here, we review and interpret selected research on cultural aspects of firearm ownership and suggest that cultural differences between health care practitioners and firearm owners may result in health care practitioners delivering clinical interventions that are broadly divergent from perspectives within the cultural frameworks of firearm owners. We follow by organizing these cultural factors into existing frameworks of cultural competency training as a basis for developing curriculum for health care practitioners to improve clinical care.
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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.