'Lock to Live': development of a firearm storage decision aid to enhance lethal means counselling and prevent suicide
'Lock to Live': development of a firearm storage decision aid to enhance lethal means counselling and prevent suicide
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DOI：
10.1136/injuryprev-2018-042944
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发表时间：
2019-09-01
影响因子：
3.7
通讯作者：
Matlock, Daniel D.
中科院分区：
文献类型：
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作者：
Betz, Marian E.;Knoepke, Christopher E.;Matlock, Daniel D.
目标 我们力求 (1) 澄清有家庭枪支使用权的自杀成年人的决策需求； (2) 确定准确、公正和可接受的内容和消息传递方法； (3) 开发一种通过平板电脑提供的枪支存储选项决策辅助工具。方法 按照国际标准，我们利用利益相关者访谈来制定决策辅助工具，以帮助做出“选择什么选项来减少有自杀风险的成年人在家中使用枪支”的决策。参与者是有个人或家族自杀意念或行为史、拥有枪支或在枪支靶场或商店工作、参与自杀预防领域或担任急诊科或其他医疗保健提供者的成年人。结果 通过 64 次访谈，我们创建了“锁定生存”决策辅助工具，其中包括 (1) 详细说明决策的简介、(2) 偏好和物流的澄清、(3) 存储选项表以及 (4) 包含具体后续步骤的摘要。最终的工具具有很高的用户接受度。结论 如果“锁定生命”决策援助在试点可行性试验和后续测试中被证明是有用的，它可以加强致命手段咨询并有助于防止枪支自杀。
Objectives We sought to (1) clarify decision needs among suicidal adults with home firearm access; (2) identify accurate, unbiased and acceptable approaches for content and messaging; and (3) develop a tablet-delivered decision aid for firearm storage options. Methods Following international standards, we used stakeholder interviews to develop a decision aid for the decision, 'what option(s) to choose to reduce home access to firearms for an adult at risk of suicide'. Participants were adults with personal or family history of suicidal ideation or behaviours, firearm ownership or employment in a firearm range or store, involvement in suicide prevention field, or work as emergency department or other healthcare provider. Results Through 64 interviews, we created the 'Lock to Live' decision aid, which includes (1) introduction specifying the decision, (2) clarification of preferences and logistics, (3) table of storage options and (4) summary with specific next steps. The final tool had high user acceptability. Conclusions Should the 'Lock to Live' decision aid prove useful in a pilot feasibility trial and subsequent testing, it could enhance lethal means counselling and help prevent firearm suicide.