Prepped and ready: educating caregivers to secure firearms and medications via webinars.

Shayla A Sullivant, Hung-Wen Yeh, Alex Hartwig, Omar Abdelmoity, Mark Connelly
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Abstract

Background: Means restriction is an approach to suicide prevention that has been shown to be effective but is underutilized in the United States. For the current study, we sought to determine if a webinar-based education intervention could impact caregiver means restriction knowledge and behaviors.

Methods: Nine webinars for caregivers were offered by a children's hospital in conjunction with community groups. Education on raising teenagers was paired with information about suicide prevention, including the importance of securing medications and firearms. Participants completed surveys prior to the presentation, immediately following and two weeks later to measure change in knowledge and storage of medications and firearms. Participants were provided a safety toolkit to secure medications and firearms.

Results: Of the 327 participants who completed the baseline survey, 299 and 257 completed the second and third surveys. By the conclusion of the study, 46.6% of participants reported they had disposed of unneeded medications and 44.1% had locked up medications. Among firearm owners, use of a cable gun lock rose from 13.7% to 25.8%. In addition, 40.2% of firearm owners reported learning more about how their firearms were stored at the final survey. Most participants (88.3%) strongly agreed that the presentation provided value.

Conclusion: This study shows that a webinar on safe storage appears to have some impact on behavior changes for caregivers of adolescents. A controlled study could help to clarify if the webinar format or the timing during the Covid-19 pandemic might have played a role in the degree of behavior change reported.

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准备就绪:通过网络研讨会教育护理人员如何保护枪支和药物。
背景:手段限制是一种预防自杀的方法,已被证明是有效的,但在美国却未得到充分利用。在本研究中,我们试图确定基于网络研讨会的教育干预措施能否影响照顾者的手段限制知识和行为:方法:一家儿童医院与社区团体联合举办了九场针对照顾者的网络研讨会。在提供有关抚养青少年的教育的同时,还提供了有关预防自杀的信息,包括保护药物和枪支的重要性。参加者在讲座前、讲座后和两周后分别填写了调查问卷,以了解他们在药物和枪支知识以及储存方面的变化。参与者还获得了一个安全工具包,以确保药物和枪支的安全:在完成基线调查的 327 名参与者中,分别有 299 人和 257 人完成了第二和第三次调查。在研究结束时,46.6% 的参与者表示他们已经处理了不需要的药物,44.1% 的参与者已经将药物上锁。在枪支所有者中,使用枪锁的比例从 13.7% 上升到 25.8%。此外,40.2% 的枪支所有者表示在最后一次调查中了解了更多关于如何存放枪支的信息。大多数参与者(88.3%)都非常认同讲座的价值:这项研究表明,关于安全存放的网络研讨会似乎对青少年照顾者的行为改变有一定的影响。对照研究有助于澄清网络研讨会的形式或 Covid-19 大流行期间的时间安排是否会对所报告的行为改变程度产生影响。
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