@article{ref1,
title=""Lock and protect": development of a digital decision aid to support lethal means counseling in parents of suicidal youth",
journal="Frontiers in psychiatry",
year="2021",
author="Asarnow, Joan R. and Zullo, Lucas and Ernestus, Stephanie M. and Venables, Chase W. and Goldston, David B. and Tunno, Angela M. and Betz, Marian E.",
volume="12",
number="",
pages="e736236-e736236",
abstract="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. <br><br>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. <br><br>RESULTS: The final &quot;Lock and Protect&quot; decision aid was viewed as &quot;useful for changing access to lethal means&quot; 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 &quot;human touch,&quot; as part of safety and discharge planning. <br><br>CONCLUSIONS: &quot;Lock and Protect&quot; 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.<p /> <p>Language: en</p>",
language="en",
issn="1664-0640",
doi="10.3389/fpsyt.2021.736236",
url="http://dx.doi.org/10.3389/fpsyt.2021.736236"
}