Lock and Protect”
Development of a Digital Decision Aid to Support Lethal Means Counseling in Parents of Suicidal Youth
Bibliographic Data
| ID | 15523905 |
|---|---|
| Authors | Joan Rosenbaum Asarnow (0000-0002-1610-044X, University of California, Los Angeles, corresponding author), Lucas Zullo (0000-0001-5363-5227, University of California, Los Angeles), Stephanie M Ernestus (0000-0003-4257-3352, Stonehill College), Chase W Venables (0000-0002-6833-2103, University of California, Los Angeles), David B Goldston (0000-0001-7182-6553, Duke University), Angela M Tunno (Duke University), Marian E Betz (0000-0003-1643-6565, University of Colorado Denver) |
| Year | 2021 |
| Volume | 12 |
| Pages | 736236-736236 |
| Publication date | 2021-10-06 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Frontiers in Psychiatry (JOURNAL) |
| Journal identifiers | ISSN: 1664-0640 • E-ISSN: 1664-0640 |
| Publisher | Frontiers Media (PUBLISHER • CH) |
| DOI | 10.3389/fpsyt.2021.736236 |
| PMID | 34690841 |
| OpenAlex | W3203262348 |
| Language | EN |
| Citations received | 5 |
| References cited | 30 |
Objective: Reducing access to lethal methods is an effective suicide prevention strategy that is often neglected in routine care. Digital interventions have shown promise for addressing such gaps in care; and decision aids have proven useful for supporting complicated health-related decisions, like those involving lethal means restriction. This article describes a parent/caregiver-facing web-based decision aid, the development process, and user testing. Method: A user-centered, participatory, mixed methods development design was employed. Beginning with an adult-focused decision aid developed by members of our team, we assessed ten iterations of the parent/caregiver decision aid with stakeholders ( N = 85) using qualitative interviews and quantitative surveys. Stakeholders included: parents/caregivers whose children had histories of suicidal episodes before age 25, young adults with histories of suicidal thoughts/behaviors, firearm owners/representatives from firearm stores/ranges/groups, mental and medical health care providers, and emergency responders. Results: The final "Lock and Protect" decision aid was viewed as "useful for changing access to lethal means" by 100% of participants. Ninety-four percent of participants rated the information on reducing access to lethal means as good to excellent, and 91% rated the information on storage options as good to excellent. Qualitative feedback underscored a preference for offering this digital tool with a "human touch," as part of safety and discharge planning. Conclusions: "Lock and Protect" is a user-friendly web-based tool with potential for improving rates of lethal means counseling for parents/caregivers of suicidal youth and ultimately reducing pre-mature deaths by suicide
Lock (firearm · Medical emergency · Poison control · Psychological intervention · Qualitative research · Suicide prevention · Engineering · Gun Ownership and Violence Research · Medicine · Nursing · Psychology · Suicide and Self-Harm Studies · Traumatic Brain Injury Research
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| Citations per year | 1.25 |
|---|---|
| Citation span | 2022 - 2023 (2) |
| Highly cited | No |