A family member-focused lethal means safety intervention for the prevention of Veteran suicide: A clinical pilot study

Abstract: The rate of death by suicide is a significant health concern for veterans and is significantly higher than non-veteran populations, likely due to the relatively higher proportion of veterans using firearms as lethal means of suicide. Family members and other supporters are often highly aware of a veteran’s suicidal thoughts and of their firearm ownership; thus, they may play a role in suicide prevention. This paper describes the development and feasibility testing of a lethal means safety strategy with family members and close friends of veterans. A telephone-based coaching strategy was developed using an educational website, worriedaboutaveteran.org, that presents information about suicide, guidelines for communication, and other information about securing lethal means. This coaching strategy is innovative in its approach of working with a concerned family member or friend without the direct involvement of the veteran, while encouraging collaboration with the veteran around reducing access to lethal means. Family members of twenty-three veterans at risk for suicide were engaged in a telephone-based coaching clinical project to encourage the use of a lethal means safety strategy to reduce suicide risk. Results suggested the intervention is feasible and that most participants accessed and integrated information from the website with coaching support and role-play practice of recommended communication methods. These results provide initial support that family members can learn and use the communication strategies and that it can result in a reduction of veterans’ immediate access to lethal means.

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