Counseling on Access to Lethal Means in the Emergency Department: A Script for Improved Comfort.
Kristen L MuellerDanielle ChirumboleSonya NaganathanPublished in: Community mental health journal (2020)
Individuals with suicidal ideation (SI) frequently present to the emergency department (ED). We hypothesized that CALM: Counseling on Access to Lethal Means training improves non-physician provider comfort with delivering an ED-based counseling intervention on lethal means restriction. Ten non-physician intervention counselors who currently provide CALM to ED patients presenting with SI were surveyed for demographics, prior experience caring for patients with SI, prior CALM experience, comfort providing CALM, and which method of training most improved comfort with CALM. Survey response rate was 100%. Following CALM training, 80% of respondents expressed confidence in their ability to counsel patients on safe storage of lethal means, although 50% felt that a script most improved comfort. Most survey respondents reported feeling comfortable counseling suicidal patients on safe storage of lethal means, but that the addition of a script for the counseling session improved comfort more than the online CALM training.
Keyphrases
- emergency department
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- primary care
- smoking cessation
- randomized controlled trial
- newly diagnosed
- ejection fraction
- chronic kidney disease
- peritoneal dialysis
- hiv testing
- prognostic factors
- depressive symptoms
- virtual reality
- healthcare
- hepatitis c virus
- room temperature
- human immunodeficiency virus
- men who have sex with men
- hiv infected
- high intensity
- ionic liquid
- antiretroviral therapy
- adverse drug