Studying the Feasibility and Acceptability of an Interactive Web-based Lethal Means Safety Decision Aid for Hospitalized Adults With Suicide Risk (Lock to Live).

IF 1.3 4区医学 Q3 PSYCHIATRY Journal of Psychiatric Practice Pub Date : 2023-07-01 DOI:10.1097/PRA.0000000000000718

Mandeep Singh, Brian Levins, William V McCall, Michael Anderson, Erik Olsen, Victoria Yee, Michaela Cushing, E Vanessa Spearman-McCarthy

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Abstract

Objective: Lock to Live is an interactive web-based lethal means safety decision aid that promotes temporary storage of firearms and medications. It has primarily been provided to suicidal patients in emergency department settings. The goal of this study was to evaluate the feasibility and acceptability of the Lock to Live decision aid with hospitalized adults at increased risk of suicide.

Methods: Subjects provided demographic information and completed the Columbia-Suicide Severity Rating Scale after which they completed the Lock to Live program followed by a survey.

Results: Twenty participants were recruited for this study, 5 of whom had access to firearms and 19 of whom had access to medications. Lock to Live was feasible to use as the mean length of time to complete the program was 10.0±5.3 minutes. It was acceptable to most participants as 75% of participants found it to be easy to use, and 65% of participants agreed that Lock to Live was helpful in making a decision about changing access to firearms/medications.

Conclusion: Lock 2 Live decision aid appears to be a feasible and acceptable tool for hospitalized patients at risk for suicide.

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为有自杀风险的住院成人研究基于网络的互动式致命手段安全决策辅助工具的可行性和可接受性（Lock to Live）。

目标：上锁求生 "是一种基于网络的交互式致命手段安全决策辅助工具，可促进枪支和药物的临时存放。它主要提供给急诊科有自杀倾向的病人。本研究的目的是评估 "锁住生命 "决策辅助工具对自杀风险较高的住院成人的可行性和可接受性：受试者提供人口统计学信息并完成哥伦比亚自杀严重程度评定量表，然后完成 "锁住生命 "项目，最后进行调查：本研究共招募了 20 名参与者，其中 5 人可获得枪支，19 人可获得药物。使用 "锁住生命 "是可行的，因为完成程序的平均时间为 10.0±5.3 分钟。75%的参与者认为该程序易于使用，65%的参与者认为 "Lock to Live "有助于他们做出改变枪支/药物使用权的决定：对于有自杀风险的住院病人来说，"锁住生命 "决策辅助工具似乎是一种可行且可接受的工具。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Psychiatric Practice PSYCHIATRY-

CiteScore

2.30

自引率

10.50%

发文量

159

审稿时长

>12 weeks

期刊介绍： Journal of Psychiatric Practice® seizes the day with its emphasis on the three Rs — readability, reliability, and relevance. Featuring an eye-catching style, the journal combines clinically applicable reviews, case studies, and articles on treatment advances with practical and informative tips for treating patients. Mental health professionals will want access to this review journal — for sharpening their clinical skills, discovering the best in treatment, and navigating this rapidly changing field. Journal of Psychiatric Practice combines clinically applicable reviews, case studies, and articles on treatment advances with informative "how to" tips for surviving in a managed care environment.