{"pk":14462,"title":"Lethal Means Counseling for Suicidal Adults in the Emergency Department: A Qualitative Study","subtitle":null,"abstract":"Introduction\n: Lethal means counseling (to reduce access to firearms or other suicide methods) is a recommended critical yet challenging component of care of suicidal patients. Questions remain about communication strategies for those in acute crisis.\n \nMethod\n: This qualitative study was an analysis of semi-structured interviews with English-speaking, community-dwelling adults with a history of lived-experience of suicidal ideation or attempts in themselves or a family member. We used a mixed inductive and deductive approach to identify descriptive themes related to communication and decision-making.\n \nResults\n: Among 27 participants, 14 (52%) had personal and 23 (85%) had family experience with suicide ideation or attempts. Emergent themes fell into two domains: (1) communication in a state of high emotionality; and (2) specific challenges in communication: initiating, maintaining engagement, considering context.\n \nConclusion\n: Engaging suicidal individuals in lethal means counseling may be more effective when messaging and approaches consider their emotional state and communication challenges.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Suicide Prevention"},{"word":"firearms"},{"word":"lethal means"},{"word":"behavior change"},{"word":"Qualitative Research"}],"section":"Violence Assessment and Prevention","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9pp6f5sx","frozenauthors":[{"first_name":"Bonnie","middle_name":"J.","last_name":"Siry","name_suffix":"","institution":"University of Colorado School of Medicine, Department of Emergency Medicine, Aurora, Colorado","department":"None"},{"first_name":"Christopher","middle_name":"E.","last_name":"Knoepke","name_suffix":"","institution":"University of Colorado School of Medicine, Division of Cardiology, Aurora, Colorado \nUniversity of Colorado School of Medicine, Adult & Child Consortium for Outcomes Research & Delivery Science, Aurora, Colorado \nUniversity of Southern California, USC Suzanne Dworak-Peck School of Social Work, Los Angeles, California","department":"None"},{"first_name":"Stephanie","middle_name":"M.","last_name":"Ernestus","name_suffix":"","institution":"Stonehill College, Department of Psychology, Easton, Massachusetts","department":"None"},{"first_name":"Daniel","middle_name":"D.","last_name":"Matlock","name_suffix":"","institution":"University of Colorado School of Medicine, Adult & Child Consortium for Outcomes Research & Delivery Science, Aurora, Colorado\nUniversity of Colorado School of Medicine, Department of Geriatric Medicine, Aurora, Colorado\nVA Eastern Colorado Geriatric Research Education and Clinical Center, Aurora, Colorado","department":"None"},{"first_name":"Marian","middle_name":"E.","last_name":"Betz","name_suffix":"","institution":"University of Colorado School of Medicine, Department of Emergency Medicine, Aurora, Colorado \nVA Eastern Colorado Geriatric Research Education and Clinical Center, Aurora, Colorado","department":"None"}],"date_submitted":"2020-08-11T14:55:38Z","date_accepted":"2020-08-11T14:55:38Z","date_published":"2021-05-07T21:01:44Z","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/14462/galley/7408/download/"}]}