Department of Health Policy, Harvard Injury Control Research Center, Harvard T. H. Chan School of Public Health, Boston, MA, USA.
Department of Emergency Medicine, University of Colorado School of Medicine, Aurora, CO, USA.
Crisis. 2023 May;44(3):216-223. doi: 10.1027/0227-5910/a000855. Epub 2022 Apr 29.
While some suicide prevention initiatives distribute locking devices for firearms and medication, little evidence exists to guide the selection of devices. This study aimed to describe safety standards for locking devices and compare parental acceptance rates for different types of devices. As part of the larger SAFETY Study, behavioral health clinicians provided free locking devices to parents whose child was evaluated in the emergency department (ED) for a suicide-related or behavioral health-related problem. For logistical reasons, we changed the specific devices offered midstudy. Data on device use came from follow-up interviews with 226 parents. Few effective standards exist for locking devices for home use; we could easily break into some. At follow-up, twice as many gun-owning parents were using ED-provided handgun lockboxes as cable locks (28% vs. 14%, = .02). Overall, 55% of parents reported using an ED-provided medication lockbox, with more using the drawer-sized lockbox than the larger, steel toolbox (60% vs. 42%, < .01). Storage outcomes are from parents' self-report and from one state only. Parents appeared to prefer some devices over others. Our findings suggest the need for (a) effective safety standards, (b) affordable devices meeting these standards, and (c) further research on consumer preferences to ensure use.
虽然有些自杀预防计划分发枪支和药物的锁定装置，但几乎没有证据可以指导设备的选择。本研究旨在描述锁定装置的安全标准，并比较不同类型装置的家长接受率。作为更大规模 SAFETY 研究的一部分，行为健康临床医生向因自杀相关或行为健康相关问题在急诊室 (ED) 接受评估的儿童的父母提供免费的锁定装置。出于后勤原因，我们在研究中途更改了提供的具体装置。关于设备使用的数据来自对 226 名父母的随访访谈。很少有针对家庭使用的锁定装置的有效标准；我们可以轻松地闯入一些。随访时，拥有枪支的父母使用 ED 提供的手枪锁箱的比例是电缆锁的两倍（28%比 14%，<.02）。总体而言，55%的父母报告使用 ED 提供的药物锁箱，使用抽屉大小的锁箱的比例高于较大的钢工具箱（60%比 42%，<.01）。存储结果来自父母的自我报告和仅一个州的数据。父母似乎更喜欢某些设备而不是其他设备。我们的研究结果表明需要（a）有效的安全标准，（b）符合这些标准的经济实惠的设备，以及（c）进一步研究消费者偏好以确保使用。
