Evidence map›Paper›PMID 42592737›Full record

Trial reportSuicide & life-threatening behavior2026

The Impact of Lethal Means Counseling on Openness to Out-of-Home Firearm Storage: Results From Project Safe Guard.

Michael D Anestis, Jennifer Paruk, Allison E Bond, Nicholas Allan, Craig J Bryan, Daniel W Capron, AnnaBelle O Bryan, Daniel Semenza

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Suicide & life-threatening behavior, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03375099 (Comparison of Lethal Means Counseling and an Active Control Condition, With and Without Provision of Gun Locks for Improving Safe Storage of Personal Firearms Among National Guard Personnel), which is not on this map. Not yet cited in PubMed.

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

NCT03375099 nacompletednot on this map

Comparison of Lethal Means Counseling and an Active Control Condition, With and Without Provision of Gun Locks for Improving Safe Storage of Personal Firearms Among National Guard Personnel

TypeinterventionalSponsorUniversity of Southern MississippiRan2017 to 2020Enrolled232ConditionsIntentional Self-Harm by Other Specified MeansArmsLethal Means Counseling, Health and Stress Reduction
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Michael D AnestisNew Jersey Gun Violence Research Center, Piscataway, New Jersey, USA.ORCID https://orcid.org/0000-0001-8738-8877
Jennifer ParukUniversity of Michigan, Ann Arbor, Michigan, USA.
Allison E BondNew Jersey Gun Violence Research Center, Piscataway, New Jersey, USA.ORCID https://orcid.org/0000-0001-7703-4805
Nicholas AllanOhio State University Wexner Medical Center, Columbus, Ohio, USA.
Craig J BryanUniversity of Vermont, Burlington, Vermont, USA.ORCID https://orcid.org/0000-0002-9714-0733
Daniel W CapronLouisiana State University, Baton Rouge, Louisiana, USA.ORCID https://orcid.org/0000-0002-5066-4644
AnnaBelle O BryanOhio State University Wexner Medical Center, Columbus, Ohio, USA.
Daniel SemenzaNew Jersey Gun Violence Research Center, Piscataway, New Jersey, USA.ORCID https://orcid.org/0000-0002-3843-9559

Funding

Military Suicide Research Consortium W81XWH-16-2-0003
6 · The paper itself

Abstract

introductionFirearm access increases suicide risk and lethal means safety (LMS) counseling is widely promoted to reduce this risk by encouraging voluntary limitations on firearm access during crises. Although LMS has been shown to increase secure in-home firearm storage, less is known regarding its ability to promote temporary out-of-home storage-an approach that may more clearly prevent suicide. This study evaluated whether Project Safe Guard (PSG), a brief LMS intervention, increases willingness to store firearms outside the home during periods of heightened distress.

methodParticipants were 232 Mississippi National Guard members with home firearm access enrolled in the original PSG randomized trial. Individuals received either a single session of PSG or a time-matched control condition. Willingness to store firearms outside the home during personal or household distress was assessed pre-intervention, post-intervention, and at 3 and 6-month follow-ups. Repeated-measures ANOVAs tested change over time and the impact of condition.

resultsParticipants receiving PSG showed significantly greater increases in willingness to store firearms outside the home when distressed, with effects more robust immediately post-treatment and in analyses focused on participants' own distress.

conclusionPSG increases openness to temporary out-of-home storage and may represent a promising firearm suicide prevention strategy.

trial registrationClinicalTrials.gov ID: NCT03375099.

Indexed as

CounselingFirearmsMilitary PersonnelSuicide PreventionAdultFemaleHumansMaleMiddle AgedSafetyYoung Adult

Identifiers

PMID42592737
PMCPMC13470657

What OpenQuestion holds

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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.