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Randomized Controlled Trial
. 2021 Feb;111(2):309-317.
doi: 10.2105/AJPH.2020.306019. Epub 2020 Dec 22.

Lethal Means Counseling, Distribution of Cable Locks, and Safe Firearm Storage Practices Among the Mississippi National Guard: A Factorial Randomized Controlled Trial, 2018-2020

Michael D Anestis  1 , Craig J Bryan  1 , Daniel W Capron  1 , AnnaBelle O Bryan  1
Affiliations
Randomized Controlled Trial

Lethal Means Counseling, Distribution of Cable Locks, and Safe Firearm Storage Practices Among the Mississippi National Guard: A Factorial Randomized Controlled Trial, 2018-2020

Michael D Anestis et al. Am J Public Health. 2021 Feb.

Abstract

Objectives. To examine whether lethal means counseling and provision of cable locks prompt safe firearm storage relative to control among firearm-owning members of the Mississippi National Guard.Methods. This randomized controlled trial utilized a 2 × 2 factorial design (lethal means counseling vs control, provision of cable locks vs no cable locks). Follow-up assessments took place at 3 and 6 months after baseline. Data were collected (n = 232; 87.5% male; mean age = 35.01 years; 77.2% White) from February 2018 through July 2020.Results. Relative to control, lethal means counseling and provision of cable locks resulted in greater adoption of several safe storage methods over time. Lethal means counseling outperformed control (3 months: 55.0% vs 39.0%; odds ratio [OR] = 1.91). Cable locks outperformed control at 3 and 6 months on number of storage methods (1.41 vs 1.11; d = 0.29 and 1.34 vs 1.16; d = 0.15, respectively) and locking devices (59.8% vs 29.9%; OR = 3.49 and 58.4% vs 35.8%; OR = 2.52, respectively)Conclusions. Lethal means counseling and cable locks can result in sustained changes in firearm storage.Public Health Implications. The military may benefit from lethal means counseling, perhaps administering at point of entry.Trial Registration. Clinical Trials.gov identifier: NCT03375099.

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Figures

FIGURE 1—
FIGURE 1—
CONSORT Diagram for Individuals Assessed for Eligibility for Trial Regarding Lethal Means Counseling, Distribution of Cable Locks, and Safe Firearm Storage Practices Among the Mississippi National Guard
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References

    1. Centers for Disease Control and Prevention. Web-based inquiry statistics query and reporting system (WISQARS) 2020. Available at: http://www.cdc.gov/injury/wisqars/index.html. Accessed July 10, 2020.
    1. Department of Defense. Department of Defense Suicide Event Report (DoDSER): calendar year 2018 annual report. 2018. Available at: https://www.pdhealth.mil/sites/default/files/images/docs/TAB_B_2018_DoDS.... Accessed July 20, 2020.
    1. Simon RI. Gun safety management with patients at risk for suicide. Suicide Life Threat Behav. 2007;37(5):518–526. doi: 10.1521/suli.2007.37.5.518. - DOI - PubMed
    1. Anestis MD, Houtsma C. The association between gun ownership and statewide overall suicide rates. Suicide Life Threat Behav. 2018;48(2):204–217. doi: 10.1111/sltb.12346. - DOI - PubMed
    1. Miller M, Barber C, White RA, Azrael D. Firearms and suicide in the United States: is risk independent of underlying suicidal behavior? Am J Epidemiol. 2013;178(6):946–955. doi: 10.1093/aje/kwt197. - DOI - PubMed

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