scholarly journals Caring Letters for Military Suicide Prevention: A Randomized Controlled Trial

2015 ◽  
Author(s):  
David D. Luxton ◽  
Nigel Bush ◽  
Gregory Gahm ◽  
Mark Reger ◽  
Nancy Skopp ◽  
...  
2012 ◽  
Author(s):  
David Luxton ◽  
Nigel Bush ◽  
Gregory Gahm ◽  
Mark Reger ◽  
Nancy Skopp ◽  
...  

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S824-S825
Author(s):  
Matthew C Fullen ◽  
Mary Chase Mize ◽  
Laura R Shannonhouse

Abstract A challenge in preventing late-life suicide is identifying and responding to persons-at-risk prior to a suicide attempt. Distressed older adults are less likely to turn to a mental health professional, meaning that community-based prevention strategies are vitally important to comprehensive prevention frameworks. Due to their “natural helper” role, nutrition services (NS) volunteers may be well-positioned to identify suicide warning signs and respond accordingly. Unfortunately, there is a lack of systematic, empirically-tested evaluations of the effectiveness of community-based strategies to prevent older adult suicide, including the use of NS volunteers. To remedy this, the authors partnered with several home- and community-based service organizations to measure the impact of training nutrition services volunteers in suicide prevention skills. The authors will present preliminary findings from this federally-funded randomized, controlled trial of suicide prevention training (i.e., ASIST; safeTALK) on late-life suicidality and its correlates.


10.2196/16253 ◽  
2020 ◽  
Vol 22 (1) ◽  
pp. e16253 ◽  
Author(s):  
Marian E Betz ◽  
Christopher E Knoepke ◽  
Scott Simpson ◽  
Bonnie J Siry ◽  
Ashley Clement ◽  
...  

Background Counseling to reduce access to lethal means such as firearms and medications is recommended for suicidal adults but does not routinely occur. We developed the Web-based Lock to Live (L2L) decision aid to help suicidal adults and their families choose options for safer home storage. Objective This study aimed to test the feasibility and acceptability of L2L among suicidal adults in emergency departments (EDs). Methods At 4 EDs, we enrolled participants (English-speaking, community-dwelling, suicidal adults) in a pilot randomized controlled trial. Participants were randomized in a 13:7 ratio to L2L or control (website with general suicide prevention information) groups and received a 1-week follow-up telephone call. Results Baseline characteristics were similar between the intervention (n=33) and control (n=16) groups. At baseline, many participants reported having access to firearms (33/49, 67%), medications (46/49, 94%), or both (29/49, 59%). Participants viewed L2L for a median of 6 min (IQR 4-10 min). L2L also had very high acceptability; almost all participants reported that they would recommend it to someone in the same situation, that the options felt realistic, and that L2L was respectful of values about firearms. In an exploratory analysis of this pilot trial, more participants in the L2L group reported reduced firearm access at follow-up, although the differences were not statistically significant. Conclusions The L2L decision aid appears feasible and acceptable for use among adults with suicide risk and may be a useful adjunct to lethal means counseling and other suicide prevention interventions. Future large-scale studies are needed to determine the effect on home access to lethal means. Trial Registration ClinicalTrials.gov NCT03478501; https://clinicaltrials.gov/ct2/show/NCT03478501


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