Lethal Means Assessment and Counseling in the Emergency Department: Differences by Provider Type and Personal Home Firearms.
Journal
Suicide & life-threatening behavior
ISSN: 1943-278X
Titre abrégé: Suicide Life Threat Behav
Pays: England
ID NLM: 7608054
Informations de publication
Date de publication:
10 2020
10 2020
Historique:
received:
25
11
2019
revised:
09
03
2020
accepted:
17
04
2020
pubmed:
1
7
2020
medline:
28
4
2021
entrez:
30
6
2020
Statut:
ppublish
Résumé
This study examined emergency department (ED) and behavioral health (BH) provider attitudes and behaviors related to lethal means screening and counseling of patients with suicide risk, specifically examining differences by provider type and whether providers had firearms in their own home. Emergency department providers (physicians and mid-level practitioners) and behavioral health (BH) providers at four Colorado EDs completed an anonymous, web-based survey. Fewer ED providers (35%) than BH providers (81%) felt confident in their ability to counsel patients about lethal means (p < .001). In multivariable analysis, the only clinical or provider factor associated with often or almost always asking patients about firearm access was provider type, with BH providers more likely than ED providers to ask in all scenarios (OR: 5.58, 95% CI 1.68-18.6). Behaviors and attitudes about lethal means counseling did not vary by whether the provider had firearms at home. Almost all providers said that additional training and protocols about how to help patients make firearm storage decisions would be helpful. Gaps in ED-delivered lethal means counseling persist, highlighting directions for future provider education and protocol development.
Identifiants
pubmed: 32598076
doi: 10.1111/sltb.12649
pmc: PMC7722150
mid: NIHMS1605982
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
1054-1064Subventions
Organisme : NHLBI NIH HHS
ID : K23 HL153892
Pays : United States
Organisme : NIMH NIH HHS
ID : R34 MH113539
Pays : United States
Organisme : NCRR NIH HHS
ID : UL1 RR025780
Pays : United States
Informations de copyright
© 2020 The American Association of Suicidology.
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