Project Safe Guard: Challenges and opportunities of a universal rollout of peer-delivered lethal means safety counseling at a US military installation.

IF 2.7 3区医学 Q2 PSYCHIATRY Suicide and Life-Threatening Behavior Pub Date : 2024-06-01 Epub Date: 2024-02-21 DOI:10.1111/sltb.13050

Ian H Stanley, Michael D Anestis, Craig J Bryan, Jayna Moceri-Brooks, Justin C Baker, Jessica Buck-Atkinson, AnnaBelle O Bryan, Megan Johnson, Kyleanne Hunter, Rachel L Johnson, Mengli Xiao, Marian E Betz

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Abstract

Introduction: The US Department of Defense recommends lethal means safety counseling (LMSC) to promote firearm injury prevention via secure storage of personal firearms. We describe the rollout of a universal, peer-delivered adaptation of Project Safe Guard (PSG)-a brief, single-session LMSC discussion-at a US Space Force installation.

Method: Program evaluation data were collected via anonymous, voluntary, and online surveys. Of approximately 862 eligible active-duty service members and embedded civilians, 324 completed the preprogram survey and 68 and 37 completed the 1- and 2-month follow-ups, respectively.

Results: At preprogram, 69.1% agreed that peer-delivered LMSC is appropriate. After rollout, 100% of the 222 firearm locking devices available to service members were requested from the on-base Violence Prevention Integrator. The effectiveness of PSG was indeterminable due to the low survey response rates.

Conclusions: Despite strong preprogram support for peer-delivered LMSC and behavioral indicators of secure firearm storage (e.g., firearm locking device requests), several challenges limited the uptake and evaluability of the PSG program in this naturalistic environment, including military survey fatigue and competing mission priorities. Additional work is needed to determine the effectiveness of peer-delivered LMSC in a military context. Sustained base support and military-civilian collaborations will be critical.

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安全卫士项目：在美国军事设施中普遍推广由同伴提供的致命手段安全咨询所面临的挑战和机遇。

导言：美国国防部建议开展致命性武器安全咨询（LMSC），通过安全存放个人枪支来预防枪支伤害。我们介绍了在美国太空部队的一个设施中推广普遍的、由同伴提供的 "安全卫士项目"（PSG）--一种简短的、单会期的致命性武器安全咨询讨论--的情况：方法：通过匿名、自愿的在线调查收集项目评估数据。在约 862 名符合条件的现役军人和随军文职人员中，324 人完成了计划前调查，68 人和 37 人分别完成了 1 个月和 2 个月的跟踪调查：结果：在计划实施前，69.1% 的人同意由同伴提供 LMSC 是合适的。计划推出后，在提供给军人的 222 个枪支上锁装置中，100% 都是向基地暴力预防集成商申请的。由于调查回复率较低，PSG 的效果无法确定：结论：尽管计划前对同伴提供的 LMSC 和枪支安全存放行为指标（如枪支上锁装置申请）给予了大力支持，但在这种自然环境下，PSG 计划的接受度和可评估性受到了一些挑战的限制，其中包括军事调查疲劳和任务优先级的竞争。还需要开展更多工作，以确定在军事环境中由同伴提供的 LMSC 的有效性。持续的基地支持和军民合作至关重要。

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来源期刊

Suicide and Life-Threatening Behavior Medicine-Public Health, Environmental and Occupational Health

CiteScore

5.40

自引率

3.10%

发文量

期刊介绍： An excellent resource for researchers as well as students, Social Cognition features reports on empirical research, self-perception, self-concept, social neuroscience, person-memory integration, social schemata, the development of social cognition, and the role of affect in memory and perception. Three broad concerns define the scope of the journal: - The processes underlying the perception, memory, and judgment of social stimuli - The effects of social, cultural, and affective factors on the processing of information - The behavioral and interpersonal consequences of cognitive processes.