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Reducing Firearm Access for Suicide Prevention: Implementation Evaluation of the Web-Based “Lock to Live” Decision Aid in Routine Health Care Encounters

Reducing Firearm Access for Suicide Prevention: Implementation Evaluation of the Web-Based “Lock to Live” Decision Aid in Routine Health Care Encounters

Firearm-related suicide accounts for approximately half of the suicide deaths in the United States annually [1]. Firearms are common in Americans’ lives [2]; about one-third of Americans report owning firearms [3], and an additional 10% report living in a household with a firearm [4], with higher rates in western states [2], among veterans [5], and in rural areas [6]. Moreover, the rate of ownership of new firearms appears to have increased recently among women, Black people, and Hispanic people [7].

Julie Angerhofer Richards, Elena Kuo, Christine Stewart, Lisa Shulman, Rebecca Parrish, Ursula Whiteside, Jennifer M Boggs, Gregory E Simon, Ali Rowhani-Rahbar, Marian E Betz

JMIR Med Inform 2024;12:e48007

Changes in the Demographic Distribution of Chicago Gun-Homicide Decedents From 2015-2021: Violent Death Surveillance Cross-sectional Study

Changes in the Demographic Distribution of Chicago Gun-Homicide Decedents From 2015-2021: Violent Death Surveillance Cross-sectional Study

Although there is much discussion of firearm violence in Chicago in news publications [12] and, less often, research literature [13,14], there is little detailed information available on the demographics of gun-homicide decedents in the face of changes in violence other than to note broad populations at the highest risk at one point in time.

Maryann Mason, Rushmin Khazanchi, Audrey Brewer, Karen Sheehan, Yingxuan Liu, Lori Post

JMIR Public Health Surveill 2023;9:e43723

Feasibility and Acceptability of a Web-Based Caregiver Decision Aid (Safety in Dementia) for Firearm Access: Pilot Randomized Controlled Trial

Feasibility and Acceptability of a Web-Based Caregiver Decision Aid (Safety in Dementia) for Firearm Access: Pilot Randomized Controlled Trial

Although Si D situates firearm access within the context of other safety considerations (eg, driving and household safety) [6], we focused this evaluation on the firearm component of Si D. We evaluated Si D in a 2-phase study by using samples from the Amazon Mechanical Turk (MTurk) platform [9]. MTurk is a web-based crowdsourcing platform where individuals complete tasks in exchange for digital currency.

Marian E Betz, Evan Polzer, Kathryn Nearing, Christopher E Knoepke, Rachel L Johnson, Lauren Meador, Daniel D Matlock

JMIR Form Res 2021;5(9):e30990

Collateral Crises of Gun Preparation and the COVID-19 Pandemic: Infodemiology Study

Collateral Crises of Gun Preparation and the COVID-19 Pandemic: Infodemiology Study

Firearm injuries may be one such hazard. Citing examples of past emergencies [2], it has been suggested that individuals will respond to the uncertainty of the COVID-19 pandemic by preparing guns, including buying new guns or removing guns from lockers or other storage units. The link between gun access and unintentional firearm injury/death is well established in the literature.

Theodore L Caputi, John W Ayers, Mark Dredze, Nicholas Suplina, Sarah Burd-Sharps

JMIR Public Health Surveill 2020;6(2):e19369

An Interactive Web-Based Lethal Means Safety Decision Aid for Suicidal Adults (Lock to Live): Pilot Randomized Controlled Trial

An Interactive Web-Based Lethal Means Safety Decision Aid for Suicidal Adults (Lock to Live): Pilot Randomized Controlled Trial

Previous work suggests that ED clinicians bring up firearm safety with fewer than half of suicidal patients [13,14]. Likely barriers to counseling include inadequate provider training and awareness along with time demands on busy clinicians; clinicians may also be uncomfortable bringing up a sensitive topic, although previous work shows that patients are generally open to respectful discussion [11,15-17].

Marian E Betz, Christopher E Knoepke, Scott Simpson, Bonnie J Siry, Ashley Clement, Tamara Saunders, Rachel Johnson, Deborah Azrael, Edwin D Boudreaux, Faris Omeragic, Leah M Adams, Sydney Almond, Elizabeth Juarez-Colunga, Daniel D Matlock

J Med Internet Res 2020;22(1):e16253