TY - JOUR
PY - 2024//
TI - Emergency medical services (EMS) clinicians' views on EMS-delivered interventions to promote secure firearm storage practices
JO - Suicide and life-threatening behavior
A1 - Stanley, Ian H.
A1 - Hom, Melanie A.
A1 - Wright, Angela
SP - ePub
EP - ePub
VL - ePub
IS - ePub
N2 - INTRODUCTION: Lethal means safety counseling (LMSC) to promote secure firearm storage may reduce the risk of firearm-involved deaths, including suicide. We examined if emergency medical services (EMS) clinicians, including emergency medical technicians and paramedics, may be suitable LMSC messengers.
METHOD: We conducted a web-based survey of 229 US EMS clinicians.
RESULTS: While few EMS clinicians supported EMS-delivered LMSC to all patients (17.0%), most supported EMS-delivered LMSC to patients in an acute suicidal crisis (64.2%) or with a known suicide attempt history (55.9%). Barriers to EMS-delivered LMSC included lack of training (73.4%), perceptions that LMSC is outside EMS clinicians' scope of practice (58.1%), and lack of standard operating procedures (56.3%). Most reported at least some interest in receiving training on EMS-delivered LMSC (67.7%). Participants holding more accurate beliefs about the link between firearm storage practices and suicide risk, as well as the efficacy of LMSC, were more likely to support EMS-delivered LMSC across patient scenarios (ORs = 2.18-5.21, ps <0.01) and express interest in receiving LMSC training (ORs = 3.78-5.43, ps <0.001).
CONCLUSION: Given that many EMS clinicians interface with patients at elevated suicide risk, targeted LMSC training may be strategic; however, research is needed to determine if and how EMS clinicians might be viable LMSC messengers.
Language: en
LA - en SN - 0363-0234 UR - http://dx.doi.org/10.1111/sltb.13005 ID - ref1 ER -