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Reducing Access to Lethal Means

Reducing Access to Lethal Means. Access presence and access to lethal means Firearms Medications Household poisons Impulse control Gender Patterns in Suicide Method Modification of the environment. Risk of imminent harm through self-injurious behaviors or lethal means:.

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Reducing Access to Lethal Means

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  1. Reducing Access to Lethal Means • Access presence and access to lethal means • Firearms • Medications • Household poisons • Impulse control • Gender Patterns in Suicide Method • Modification of the environment

  2. Risk of imminent harm through self-injurious behaviors or lethal means: Objects, substances, and actions commonly used in suicide attempts Other Methods

  3. Risk of imminent harm through self-injurious behaviors or lethal means: Impulsivity and Lethality of Means • Impulsivity is a risk factor correlated with higher rates and greater lethality of suicide attempts • Mixed studies suggest that there is a relationship between intent and perceived lethality of choice in suicide method • Lethality factors • Inherent deadliness • Ease of use • Accessibility • Ability to abort mid-attempt • Acceptability to attempter • Majority of attempters do not attempt again

  4. Effect of Gender on Means of Suicide

  5. Effect of Age on Means of Suicide

  6. Fatality Rates of Suicide Means

  7. Conceptual Model of How Restriction to Means Prevents Suicide

  8. Environment Modification • Helps with controlling access to lethal means; important to safeguard environment • Consider hospitalization or outpatient treatment for those with high risks • Communicate with inpatient care • Hospitalization of chronically suicidal patients may not be effective

  9. Risk of imminent harm through self-injurious behaviors or lethal means: Communication Strategies • Discuss storage of firearms with the patient and third parties • Limit access to medication with risk of suicide • Educate on securing household poisons and chemicals • Evaluate attitude of third party towards restriction of means • Routine check-ups on access to means

  10. Risk of imminent harm through self-injurious behaviors or lethal means: Screening and Restricting Access to Lethal Means • Prescribed medicine that could be lethal • Discuss firearms • Securing potential lethal means • Include in safety plan • Assess patient’s compliance • Change of environment

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