Firearm Safety Interventions for Suicide Prevention
(FSN Trial)
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial aims to determine if two types of counseling sessions can improve home safety by promoting safer gun and medication storage. It targets families primarily in Northwest Alaska, especially those concerned about someone in their home being at risk of suicide. Participants may be assigned to either a motivational interview session or a scripted session, both focusing on reducing access to lethal means (FSN Intervention). Those not concerned about mental health risks will join a general gun safety session. The trial seeks adults who live in a household with at least one gun, understand English, have a phone for texts, and have young people present.
As an unphased trial, this study offers a unique opportunity to contribute to important safety research that could benefit the community.
Will I have to stop taking my current medications?
The trial information does not specify whether you need to stop taking your current medications. It seems focused on firearm safety and does not mention medication changes.
What prior data suggests that the Family Safety Net intervention is safe for improving home safety?
Research has shown that the Family Safety Net (FSN) program aims to reduce youth firearm suicides by improving safety practices at home. Supported by the National Institutes of Health, the FSN program encourages the secure storage of firearms and medications to make homes safer.
While past studies have not provided specific data on negative effects or safety issues with the FSN program, it is important to note that the program is primarily educational and supportive. It uses motivational talks and planned sessions to promote safe practices, rather than introducing new drugs or medical procedures. This focus on providing information and resources suggests the program is likely to be well-received.
Participants in the FSN program receive tools like trigger locks and ammo boxes, along with regular follow-up support through text messages. This approach aims to help families practice safety without causing harm, indicating a strong safety record.12345Why are researchers excited about this trial?
Researchers are excited about this trial because it aims to tackle suicide prevention through innovative firearm safety interventions. Unlike traditional mental health treatments that primarily focus on therapy or medication, these interventions directly address the accessibility of lethal means in households. The trial explores different methods, like motivational interviewing and scripted interventions, to encourage families to implement firearm safety measures. This approach is unique as it integrates mental health support with practical safety practices, potentially reducing the immediate risk of suicide in vulnerable households.
What evidence suggests that this trial's interventions could be effective for improving firearm safety and reducing suicide risk?
This trial will compare different approaches to firearm safety interventions for suicide prevention. Research has shown that programs like the Family Safety Net (FSN), which focus on reducing access to dangerous items, can help prevent suicides. Participants in this trial may be assigned to the FSN Lethal Means Reduction arm, which includes interventions like the MI FSN or Scripted FSN. Studies have found that discussing safe firearm storage can lead to better safety habits. In one study, almost 61% of participants found the program helpful, indicating it might change behavior. Additionally, limiting access to dangerous items during risky times is linked to a lower chance of suicide. These findings suggest that FSN programs could make homes safer and lower the risk of suicide by promoting safer firearm storage methods.16789
Who Is on the Research Team?
Lisa M Wexler, PhD, MSW
Principal Investigator
University of Michigan
Are You a Good Fit for This Trial?
This trial is for adults over 18 who have lived in Northwest Alaska for at least 5 years, can read and understand English, live with a gun in the house, have a text-capable phone, and where young people are present. It excludes households that already participated.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Baseline Survey and Intervention
Participants complete a baseline survey and are assigned to one of the intervention groups based on their responses. They participate in either a motivational interviewing session or a scripted session focused on firearm safety.
Text Message Follow-up
Participants receive 4 weeks of tailored text message reminders and encouragement related to firearm safety and mental health support.
Follow-up Survey and Interview
Participants complete a follow-up survey and are invited to participate in a semi-structured interview to assess satisfaction and perceptions of the program.
What Are the Treatments Tested in This Trial?
Interventions
- Comparison
- FSN Intervention
- General Firearm Comparison - General Firearm Safety
- General Firearm Safety Intervention - General Firearm Safety
- MI FSN - Lethal Means Reduction
- Scripted FSN - Lethal Means Reduction
Find a Clinic Near You
Who Is Running the Clinical Trial?
University of Michigan
Lead Sponsor
Maniilaq Association
Collaborator