Houtsma Claire, Reyes Lauren, MacWilliams Katherine, True Gala
Southeast Louisiana Veterans Health Care System, New Orleans, LA, USA.
South Central Mental Illness Research, Education and Clinical Center, 2400 Canal Street, New Orleans, LA, 70119, USA.
Inj Epidemiol. 2024 Sep 2;11(1):41. doi: 10.1186/s40621-024-00526-0.
Firearm suicide is a leading cause of death in the United States. Suicide prevention experts have advocated for upstream interventions that can be implemented prior to the development of suicidal thoughts, particularly those that focus on lethal means safety (LMS; e.g., increasing secure firearm storage). To reach firearm owners with LMS messaging, researchers have developed suicide prevention training content which can be incorporated into firearm training courses. However, no study to date has evaluated impact of such training on firearm course students' subsequent knowledge, attitudes, and openness related to secure firearm storage. Thus, the current study sought to examine both the feasibility and acceptability of a LMS-focused suicide prevention training module among firearm course students, as well as the impact of this module on students' secure firearm storage-related knowledge, attitudes, and openness.
Firearm instructors (N = 6) and students in firearm classes (N = 83) were recruited to participate. Students were invited to complete voluntary, anonymous pre- and post-surveys during courses they attended that were led by these instructors. Instructors and students were also invited to complete a brief qualitative interview.
Results indicated that firearm instructors and students in firearm courses found the module feasible and acceptable. Additionally, students' knowledge about the relationship between firearms and suicide, openness to changing firearm storage practices, and endorsement of the importance of discussing firearms and suicide with fellow firearm owners, as well as willingness and confidence to do so, all significantly increased after viewing the module.
These findings provide strong support for the use of such culturally competent LMS messaging as upstream suicide prevention in settings such as concealed carry courses.
在美国,枪支自杀是主要的死亡原因之一。自杀预防专家提倡在自杀念头产生之前实施上游干预措施,尤其是那些侧重于致命手段安全(LMS;例如,增加枪支安全储存)的措施。为了向枪支拥有者传达LMS信息,研究人员开发了可纳入枪支培训课程的自杀预防培训内容。然而,迄今为止,尚无研究评估此类培训对枪支课程学生随后与枪支安全储存相关的知识、态度和开放性的影响。因此,本研究旨在检验以LMS为重点的自杀预防培训模块在枪支课程学生中的可行性和可接受性,以及该模块对学生与枪支安全储存相关的知识、态度和开放性的影响。
招募了枪支教练(N = 6)和枪支课程学生(N = 83)参与研究。邀请学生在由这些教练授课的课程期间完成自愿、匿名的课前和课后调查。还邀请教练和学生完成简短的定性访谈。
结果表明,枪支教练和枪支课程学生认为该模块可行且可接受。此外,学生在观看该模块后,对枪支与自杀关系的了解、改变枪支储存做法的开放性、对与其他枪支拥有者讨论枪支和自杀重要性的认可,以及这样做的意愿和信心均显著提高。
这些发现为在诸如隐蔽携带课程等环境中使用这种具有文化适应性的LMS信息作为上游自杀预防措施提供了有力支持。