Home Safety Intervention (HSI)

VA Office of Research and Development

Status

Completed

Conditions

Firearm Injury

Overdose

Suicide

Treatments

Behavioral: household safety intervention

Study type

Interventional

Funder types

Other U.S. Federal agency

Identifiers

NCT06216327

CDX 24-001

1IK2HX002861-01A2 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

Access to lethal methods of self-harm such as firearms and medications increases risk for suicide. As such, VA/DoD guidelines for the care of individuals with elevated suicide risk include recommendations that clinicians deliver interventions to reduce access to lethal methods of suicide among patients who are identified as having elevated suicide risk. However, no interventions have been developed or tested among Veterans with elevated suicide risk. The aim of this study is to pilot test a lethal means safety intervention developed specifically for Veterans who seek care in VHA clinical settings and are identified as having elevated suicide risk.

Full description

The investigators will pilot the LMS intervention among up to 50 Veterans to assess feasibility and acceptability.

Enrollment

40 patients

Sex

All

Ages

18 to 100 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Encounter at VHA ED or urgent care setting, outpatient mental health, women's health, or primary care

->17 years
Discharged home from the encounter (rather than hospital admission)
Positive Columbia Screener
Patient-reported access to self-owned firearms and/or medications

Exclusion criteria

Unable to consent due to cognitive impairment, severity of illness (including psychiatric symptoms), intoxication with drugs and/or alcohol
Unreliable telephone access
Unreliable video access (because remote intervention)
Those currently experiencing unsheltered homelessness
No mailing address
Active opioid or stimulant use disorder
Active alcohol use disorder with daily alcohol consumption