2f:I[703058,["/_next/static/immutable/chunks/3bhq_5eh1d760.js","/_next/static/immutable/chunks/1855-ogyi8eh4.js","/_next/static/immutable/chunks/2pfsjpn6k6zlg.js","/_next/static/immutable/chunks/26c7v3_3uwnwu.js","/_next/static/immutable/chunks/25a3ozcrvi1ff.js","/_next/static/immutable/chunks/2r4wx50nvjh_4.js","/_next/static/immutable/chunks/23fsw06hsi5b1.js","/_next/static/immutable/chunks/06_yt270h41rg.js","/_next/static/immutable/chunks/3ezsiz-7shkna.js","/_next/static/immutable/chunks/20x2y96ldu5wx.js","/_next/static/immutable/chunks/2lxntcm3pd1_h.js","/_next/static/immutable/chunks/00dgco8irq3jw.js","/_next/static/immutable/chunks/00nwe-kq0rboc.js","/_next/static/immutable/chunks/2051ffx3xzio9.js"],"PaperListPageClient"] 30:T7bf,Providing lethal means counseling to caregivers is an underutilized component of emergency department (ED)-based suicide prevention. We assessed the feasibility and acceptability of Lock and Protect, a web-based lethal means counseling decision aid, among caregivers of adolescents who presented to the ED for self-injurious and/or suicidal thoughts and behaviors. We conducted a pilot feasibility study of caregiver-adolescent dyads in a pediatric ED. Adolescents were 13-17 years old with current suicidal ideation, suicide attempt, or non-suicidal self-injury. Caregivers received the Lock and Protect intervention plus usual care while their child was in the ED. Feasibility was measured via enrollment rates, duration of time caregivers interacted with Lock and Protect, and tool completion rates. Caregiver acceptability was measured with the Ottawa Acceptability Scale. Follow-up assessments measured changes in home storage at 2- and 4-weeks after enrollment. Of 47 caregivers screened and eligible, 40 enrolled (85.1%), of whom 39/40 and 1/40 reported home access to medications and firearms, respectively. Caregivers found Lock and Protect respectful of their family values about medications (100%) and firearms (97.5%). Almost all caregivers (95.0%) reported the length was "just right" and 92.5% reported the amount of information was "just right". All caregivers completed the tool in the ED, using it for a mean of 8 min (SD = 3.4 min). All would recommend the tool to others. Ottawa Acceptability Scale scores demonstrated that 95.0% of caregivers found the options in Lock and Protect realistic, and 97.5% found the tool useful for changing home medication access. Follow-up was completed for 77.5% of caregivers, with 20/31 (64.5%) reporting safer home storage of medications. Lock and Protect, a web-based lethal means counseling decision aid, was feasible to administer in the pediatric ED and acceptable to caregivers of adolescents at risk for suicide.31:Ta5c,ABSTRACT Background Providing lethal means counseling to caregivers is an underutilized component of emergency department (ED)‐based suicide prevention. We assessed the feasibility and acceptability of Lock and Protect, a web‐based lethal means counseling decision aid, among caregivers of adolescents who presented to the ED for self‐injurious and/or suicidal thoughts and behaviors. Methods We conducted a pilot feasibility study of caregiver‐adolescent dyads in a pediatric ED. Adolescents were 13–17 years old with current suicidal ideation, suicide attempt, or non‐suicidal self‐injury. Caregivers received the Lock and Protect intervention plus usual care while their child was in the ED. Feasibility was measured via enrollment rates, duration of time caregivers interacted with Lock and Protect, and tool completion rates. Caregiver acceptability was measured with the Ottawa Acceptability Scale. Follow‐up assessments measured changes in home storage at 2‐ and 4‐weeks after enrollment. Results Of 47 caregivers screened and eligible, 40 enrolled (85.1%), of whom 39/40 and 1/40 reported home access to medications and firearms, respectively. Caregivers found Lock and Protect respectful of their family values about medications (100%) and firearms (97.5%). Almost all caregivers (95.0%) reported the length was “just right” and 92.5% reported the amount of information was “just right”. All caregivers completed the tool in the ED, using it for a mean of 8 min (SD = 3.4 min). All would recommend the tool to others. Ottawa Acceptability Scale scores demonstrated that 95.0% of caregivers found the options in Lock and Protect realistic, and 97.5% found the tool useful for changing home medication access. Follow‐up was completed for 77.5% of caregivers, with 20/31 (64.5%) reporting safer home storage of medications. Conclusions Lock and Protect, a web‐based lethal means counseling decision aid, was feasible to administer in the pediatric ED and acceptable to caregivers of adolescents at risk for suicide. 25:[[["$","script","0",{"type":"application/ld+json","dangerouslySetInnerHTML":{"__html":"{\"@context\":\"https://schema.org\",\"@type\":\"CollectionPage\",\"name\":\"Lethal Means Counseling: modality Research & Clinical Takeaways\",\"description\":\"Explore peer-reviewed papers on Lethal Means Counseling (modality). Clinician-written summaries and actionable practice insights. 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Caregivers found Lock and Protect respectful of their family values about medications (100%) and firearms (97.5%). Almost all caregivers (95.0%) reported the length was \"just right\" and 92.5% reported the amount of information was \"just right\". All caregivers completed the tool in the ED, using it for a mean of 8 min (SD = 3.4 min). All would recommend the tool to others. Ottawa Acceptability Scale scores demonstrated that 95.0% of caregivers found the options in Lock and Protect realistic, and 97.5% found the tool useful for changing home medication access. Follow-up was completed for 77.5% of caregivers, with 20/31 (64.5%) reporting safer home storage of medications.","abstract":"$30","keywords":["adolescent suicide","lethal means counseling","suicide prevention"],"pubmed_id":"42101340","conclusions":"","publication_date":"2026-05-08T00:00:00"},"crossref":{"DOI":"10.1111/acem.70313","URL":"https://doi.org/10.1111/acem.70313","ISSN":["1069-6563","1553-2712"],"link":[{"URL":"https://onlinelibrary.wiley.com/doi/pdf/10.1111/acem.70313","content-type":"application/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https://onlinelibrary.wiley.com/doi/full-xml/10.1111/acem.70313","content-type":"application/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https://onlinelibrary.wiley.com/doi/pdf/10.1111/acem.70313","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"page":null,"type":"journal-article","issue":"5","score":1,"title":["Lock and Protect, Reducing Access to Adolescent Means of Suicide: A Pilot Feasibility Study"],"author":[{"given":"Ashley M.","family":"Blanchard","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine Columbia University Medical Center New York New York USA"}]},{"given":"Joandalys","family":"Tejada","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Columbia University Medical Center New York New York USA"}]},{"given":"Shekinah","family":"Pettway","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Columbia University Medical Center New York New York USA"}]},{"given":"Emma","family":"Cornell","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Columbia University Medical Center New York New York USA"},{"name":"Center for Gun Violence Prevention, Northwell Health New Hyde Park New York USA"}]},{"given":"Jennifer A.","family":"Hoffmann","sequence":"additional","affiliation":[{"name":"Division of Pediatric Emergency Medicine, Department of Pediatrics and Medical Social Sciences Northwestern University, Ann and Robert H. 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Enrollment, tool completion, acceptability (Ottawa Acceptability Scale), and changes in home storage were assessed at 2- and 4-week follow-up.","key_result":"Of 47 eligible caregivers, 40 enrolled (85.1%); 100% completed the tool in the ED (mean use: 8 min). At follow-up (77.5% completion), 20/31 (64.5%) reported safer home storage of medications. Acceptability was high: 97.5% found the tool useful for changing home medication access and all caregivers would recommend it.","limitations":"Small pilot sample (n=40) limits generalizability; only 1/40 caregivers reported home firearm access, so firearm-specific outcomes could not be meaningfully assessed; follow-up was completed by only 77.5% of enrollees.","practice_takeaway":"A brief (~8-min) web-based lethal means counseling tool is feasible to deploy in the pediatric ED during an adolescent's visit and is highly acceptable to caregivers. Over 60% of caregivers reported safer medication storage at follow-up, supporting its routine use as part of ED-based suicide prevention."}}],"initialOffset":1,"fetchConfig":{"kind":"tags","tags":[{"tag_type":"modality","value":"Lethal Means Counseling"}]},"breadcrumbItems":[{"name":"Home","href":"/"},{"name":"Research Hub","href":"/hub"},{"name":"Modalities","href":"/hub/tag/modality"},{"name":"Lethal Means Counseling"}],"hrefConfig":{"basePath":"/hub/papers","webViewQueryParams":{"hub_ctx":"tag","hub_tag_type":"modality","hub_tag_value":"Lethal Means Counseling"}}}]]

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