Stanley Ian H, Isler William C, Marx Brian P, Button Christopher J, Obergfell David, Simonson Jordan, Sonnek Scott M, Meyer Eric G
Department of Emergency Medicine, University of Colorado School of Medicine.
Joint Base San Antonio.
Psychol Serv. 2024 Oct 10. doi: 10.1037/ser0000904.
We examined beliefs and practices regarding firearm assessment and lethal means safety counseling (LMSC) among U.S. Air Force (USAF) mental health providers (MHPs) and behavioral health technicians (BHTs). Data were collected from 204 USAF MHPs (74.0%; = 151) and BHTs (26.0%; = 53) via an anonymous, voluntary survey. A modest proportion indicated they believe that firearm ownership (42.2%) and storage practices (58.3%) are related to suicide risk. A minority indicated they "strongly"/"extremely" believe that LMSC will yield changes in storage practices (30.9%) and decreases in suicide risk (29.9%). Across patient scenarios, most indicated that "most of the time"/"always" they assess for firearm access (74.5%-99.5%) and provide LMSC (57.8%-95.6%). About half (52.5%) reported having distributed cable locks. Most (59.3%) indicated they are in receiving additional training on LMSC. MHPs, compared with BHTs, were significantly more likely to report believing a link between firearm ownership and storage practices and suicide risk, believing LMSC is effective at reducing suicide risk, providing LMSC to female patients and patients with current suicidal ideation, and having distributed cable locks. Findings suggest that there is not widespread agreement among USAF MHPs and BHTs that personal firearm ownership and nonsecure storage practices are associated with elevated suicide risk, and there were low levels of confidence in the effectiveness of LMSC. Yet, most USAF MHPs and BHTs reported they integrate firearm access assessment and LMSC as part of their routine clinical care, particularly for patients with identified suicide risk. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
我们调查了美国空军心理健康服务提供者（MHP）和行为健康技术员（BHT）在枪支评估和致死手段安全咨询（LMSC）方面的信念和做法。通过一项匿名自愿调查，收集了204名美国空军MHP（74.0%；n = 151）和BHT（26.0%；n = 53）的数据。适度比例的人表示，他们认为枪支拥有情况（42.2%）和储存做法（58.3%）与自杀风险有关。少数人表示，他们“强烈”/“极其”相信LMSC会使储存做法发生改变（30.9%）并降低自杀风险（29.9%）。在各种患者场景中，大多数人表示，他们“大多数时候”/“总是”会评估枪支获取情况（74.5%-99.5%）并提供LMSC（57.8%-95.6%）。约一半（52.5%）的人报告发放过电缆锁。大多数人（59.3%）表示他们有兴趣接受关于LMSC的额外培训。与BHT相比，MHP更有可能报告相信枪支拥有与储存做法和自杀风险之间存在关联，相信LMSC能有效降低自杀风险，向女性患者和有当前自杀意念的患者提供LMSC，以及发放过电缆锁。研究结果表明，美国空军MHP和BHT对于个人枪支拥有和不安全储存做法与自杀风险升高之间的关联并未达成广泛共识，并且对LMSC的有效性信心较低。然而，大多数美国空军MHP和BHT报告称，他们将枪支获取评估和LMSC纳入日常临床护理的一部分，特别是针对已确定有自杀风险的患者。（PsycInfo数据库记录（c）2024美国心理学会，保留所有权利）
