When safe firearm storage isn't enough: Examining risk profiles among firearm suicide decedents.


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:
08 2023
Historique:
revised: 01 05 2023
received: 27 02 2023
accepted: 29 05 2023
medline: 10 8 2023
pubmed: 7 7 2023
entrez: 7 7 2023
Statut: ppublish

Résumé

Suicide is a leading cause of death in the United States, and firearms are the most frequently used suicide method. Research suggests risk for firearm suicide increases with greater access to firearms (e.g., storing loaded or unlocked). Although safe firearm storage is promoted as a means of risk reduction, no studies have explored factors differentiating firearm suicide decedents who stored firearms safely vs. those who stored unsafely prior to death. Utilizing data from the National Violent Death Reporting System, the current study aimed to determine which factors distinguish firearm suicide decedents who stored firearms safely vs. those who stored unsafely. The current sample included decedents for whom data were available on whether the firearm used in the suicide was stored loaded or unloaded (n = 4269) and unlocked or locked (n = 6273) prior to their death. Results revealed using a long gun in the suicide (as opposed to a handgun) was associated with five times greater odds of storing unloaded prior to death, suggesting this safe firearm storage practice alone does not mitigate risk among all long gun owners. These findings indicate a need to increase suicide prevention efforts within the long gun owning community.

Identifiants

pubmed: 37417720
doi: 10.1111/sltb.12971
doi:

Types de publication

Journal Article Research Support, U.S. Gov't, Non-P.H.S.

Langues

eng

Sous-ensembles de citation

IM

Pagination

655-665

Subventions

Organisme : CSRD VA
ID : IK2 CX001978
Pays : United States

Informations de copyright

Published 2023. This article is a U.S. Government work and is in the public domain in the USA.

Références

Anestis, M. D., Bandel, S. L., Butterworth, S. E., Bond, A. E., Daruwala, S. E., & Bryan, C. J. (2020). Suicide risk and firearm ownership and storage behavior in a large military sample. Psychiatry Research, 291, 1-5. https://doi.org/10.1016/j.psychres.2020.113277
Anestis, M. D., Bryan, C. J., Capron, D. W., & Bryan, A. O. (2021). Lethal means counseling, distribution of cable locks, and safe firearm storage practices among the Mississippi National Guard: A factorial randomized controlled trial, 2018-2020. American Journal of Public Health, 111(2), 309-317. https://doi.org/10.2105/ajph.2020.306019
Anestis, M. D., Daruwala, S., & Capron, D. W. (2019). Firearm ownership, means safety, and suicidality. Suicide and Life-Threatening Behavior, 49(4), 1044-1057. https://doi.org/10.1111/sltb.12509
Anestis, M. D., Khazem, L. R., & Anestis, J. C. (2017). Differentiating suicide decedents who died using firearms from those who died using other methods. Psychiatry Research, 252, 23-28.
Barber, C. W., & Miller, M. J. (2014). Reducing a suicidal person's access to lethal means of suicide: A research agenda. American Journal of Preventive Medicine, 47(3), S264-S272. https://doi.org/10.1016/j.amepre.2014.05.028
Betz, M. E., Rooney, L. A., Barnard, L. M., Siry-Bove, B. J., Brandspigel, S., McCarthy, M., Simeon, K., Meador, L., Rivara, F. P., Rowhani-Rahbar, A., & Knoepke, C. E. (2022). Voluntary, temporary, out-of-home firearm storage: A qualitative study of stakeholder views. Suicide and Life-Threatening Behavior, 52(4), 655-667. https://doi.org/10.1111/sltb.12850
Bond, A. E., Karnick, A. T., Bandel, S. L., Capron, D. W., & Anestis, M. D. (2022). Demographic differences in the type of firearm and location of bodily injury in firearm suicide decedents. Death Studies. https://doi.org/10.1080/07481187.2022.2144547
Butterworth, S. E., Daruwala, S. E., & Anestis, M. D. (2020). The role of reason for firearm ownership in beliefs about firearms and suicide, openness to means safety, and current firearm storage. Suicide and Life-Threatening Behavior, 50(3), 617-630. https://doi.org/10.1111/sltb.12619
Carter, P. M., Losman, E., Roche, J. S., Malani, P. N., Kullgren, J. T., Solway, E., Kirch, M., Singer, D., Walton, M. A., Zeoli, A. M., & Cunningham, R. M. (2022). Firearm ownership, attitudes, and safe storage practices among a nationally representative sample of older U.S. adults age 50 to 80. Preventive Medicine, 156, 1-10. https://doi.org/10.1016/j.ypmed.2022.106955
CDC. (2018). National Violent Death Reporting System (NVDRS) coding manual revised [Online]. https://www.cdc.gov/injury/
CDC. (2022). Web-based injury statistics query and reporting system: Fatal injury reports 1981-2020. https://wisqars.cdc.gov/fatal-reports
Chen, H., Cohen, P., & Chen, S. (2010). How big is a big odds ratio? Interpreting the magnitudes of odds ratios in epidemiological studies. Communications in Statistics-Simulation and Computation®, 39(4), 860-864.
Daruwala, S. E., Butterworth, S. E., & Anestis, M. D. (2018). Openness to firearm storage safety as a suicide prevention tool among those exposed to suicide: The role of perceived closeness to the suicide decedent. Psychiatry Research, 269, 437-443. https://doi.org/10.1016/j.psychres.2018.08.050
Dempsey, C. L., Benedek, D. M., Zuromski, K. L., Riggs-Donovan, C., Ng, T. H. H., Nock, M. K., Kessler, R. C., & Ursano, R. J. (2019). Association of firearm ownership, use, accessibility, and storage practices with suicide risk among US Army soldiers. JAMA Network Open, 2(6), e195383. https://doi.org/10.1001/jamanetworkopen.2019.5383
Fowler, K. A., Jack, S. P., Lyons, B. H., Betz, C. J., & Petrosky, E. (2018). Surveillance for violent deaths-National violent death reporting system, 18 states, 2014. MMWR Surveillance summaries, 67(2), 1-36. https://doi.org/10.15585/mmwr.ss6702a1
Horn, A., Grossman, D. C., Jones, W., & Berger, L. (2003). Community based program to improve firearm storage practices in rural Alaska. Injury Prevention, 9(3), 231-234.
Joiner, T. E. (2005). Why people die by suicide. Harvard University Press.
Kellermann, A. L., Rivara, F. P., Somes, G., Reay, D. T., Francisco, J., Banton, J. G., Prodzinski, J., Fligner, C., & Hackman, B. B. (1992). Suicide in the home in relation to gun ownership. New England Journal of Medicine, 327(7), 467-472. https://doi.org/10.1056/nejm199208133270705
Klonsky, E. D., & May, A. M. (2015). The three-step theory (3ST): A new theory of suicide rooted in the “ideation-to-action” framework. International Journal of Cognitive Therapy, 8(2), 114-129.
Mann, J. J., & Michel, C. A. (2016). Prevention of firearm suicide in the United States: What works and what is possible. American Journal of Psychiatry, 173(10), 969-979. https://doi.org/10.1176/appi.ajp.2016.16010069
Miller, M., Barber, C., White, R. A., & Azrael, D. (2013). Firearms and suicide in the United States: Is risk independent of underlying suicidal behavior? American Journal of Epidemiology, 178(6), 946-955. https://doi.org/10.1093/aje/kwt197
Morgan, E. R., Gomez, A., & Rowhani-Rahbar, A. (2018). Firearm ownership, storage practices, and suicide risk factors in Washington state, 2013-2016. American Journal of Public Health, 108(7), 882-888. https://doi.org/10.2105/ajph.2018.304403
National-Geographic. (2022). United States regions. National Geographic. https://education.nationalgeographic.org/resource/united-states-regions
Parker, K., Horowitz, J., Igielnik, R., Oliphant, B., & Brown, A. (2017). America's complex relationship with guns: An in-depth look at the attitudes and experiences of U.S. adults. Pew Research Center. https://www.pewresearch.org/social-trends/wp-content/uploads/sites/3/2017/06/Guns-Report-FOR-WEBSITE-PDF-6-21.pdf
Ranganathan, P., Pramesh, C., & Aggarwal, R. (2017). Common pitfalls in statistical analysis: Logistic regression. Perspectives in Clinical Research, 8(3), 148-151.
Simonetti, J. A., Azrael, D., & Miller, M. (2019). Firearm storage practices and risk perceptions among a nationally representative sample of U.S. veterans with and without self-harm risk factors. Suicide and Life-Threatening Behavior, 49(3), 653-664. https://doi.org/10.1111/sltb.12463
Simonetti, J. A., Azrael, D., Rowhani-Rahbar, A., & Miller, M. (2018). Firearm storage practices among American veterans. American Journal of Preventive Medicine, 55(4), 445-454. https://doi.org/10.1016/j.amepre.2018.04.014
Simonetti, J. A., Rowhani-Rahbar, A., King, C., Bennett, E., & Rivara, F. P. (2018). Evaluation of a community-based safe firearm and ammunition storage intervention. Injury Prevention, 24(3), 218-223. https://doi.org/10.1136/injuryprev-2016-042292
Simonetti, J. A., Simeona, C., Gallagher, C., Bennett, E., Rivara, F., & Rowhani-Rahbar, A. (2019). Preferences for firearm locking devices and device features among participants in a firearm safety event. Western Journal of Emergency Medicine, 20(4), 552-556. https://doi.org/10.5811/westjem.2019.5.42727
True, G., Facundo, R., Houtsma, C., Raines, A. M., Asher, A., & Constans, J. I. (2020). Veteran-informed safety intervention and outreach network (VISION): A public health approach to preventing firearm suicides [Conference presentation]. Annual conference on the science of dissemination and implementation. National Institutes of Health and Academy Health, Washington, D.C.
Uspal, N. G., Strelitz, B., Cappetto, K., Tsogoo, A., Jensen, J., Rutman, L. E., Schloredt, K., Bradford, M. C., Bennett, E., & Paris, C. A. (2021). Impact of a firearm safety device distribution intervention on storage practices after an emergent mental health visit. Academic Pediatrics, 21(7), 1209-1217.
Williams, J. (2023). The best trigger locks for multiple gun types. Revolar. https://revolar.com/best-trigger-locks/

Auteurs

Claire Houtsma (C)

Southeast Louisiana Veterans Health Care System, New Orleans, Louisiana, USA.
South Central Mental Illness Research, Education and Clinical Center, New Orleans, Louisiana, USA.
Louisiana State University Health Sciences Center, New Orleans, Louisiana, USA.

Amanda M Raines (AM)

Southeast Louisiana Veterans Health Care System, New Orleans, Louisiana, USA.
South Central Mental Illness Research, Education and Clinical Center, New Orleans, Louisiana, USA.
Louisiana State University Health Sciences Center, New Orleans, Louisiana, USA.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH