Rose M C Kagawa, Alexander D McCourt, LeAnn Gajunia, Shannon Hearney, Sydney Sohl, Daniel W Webster
{"title":"Factors that may influence uptake of private party background checks for firearm transfers: a mixed-method descriptive study.","authors":"Rose M C Kagawa, Alexander D McCourt, LeAnn Gajunia, Shannon Hearney, Sydney Sohl, Daniel W Webster","doi":"10.1136/ip-2024-045417","DOIUrl":"https://doi.org/10.1136/ip-2024-045417","url":null,"abstract":"<p><strong>Objective: </strong>To understand how the implementation and enforcement of universal background check (UBC) laws may influence the use of background checks during private party firearm transfers in the USA.</p><p><strong>Methods: </strong>This is a mixed-method, descriptive study. Data included the content of relevant state statutes and sentencing information from the 19 states with UBC laws in 2019, prosecutions and convictions for private party firearm transfer violations from 5 states and New York City, firearm transfer education and promotion efforts, and key informant interviews.</p><p><strong>Results: </strong>Information on conducting safe and legal private-party firearm transfers was widely available, but persuasive language encouraging background checks was rare. The median maximum prison time for violating UBC laws was 12 months and the median of the maximum fines was US$5000. However, the chances of being prosecuted in our sample states were extremely low. Finally, public support for UBC policies is high, but among some firearm owners, the perceived utility of such laws is very low.</p><p><strong>Conclusions: </strong>Available data suggest that enforcement of UBC requirements for private party transfers is rare. Additionally, advocacy efforts to encourage private gun sellers to make sales contingent on buyers passing background checks are few. People may choose to avoid the additional burden of undergoing a background check when they feel neither social nor legal pressure to comply. The results of this research can be used to identify potential avenues for enhancing enforcement of and compliance with private party firearm background check laws.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143624440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alicia May Lim, Yang Yann Foo, Ashley Xue Ting Ko, Shu Xin Oh, Khin Chaw Yu Aung, Shelly-Anne Sherwood, Nirmal Visruthan Kavalloor, Ronald Ming Ren Tan, Jasmine Feng, Arif Tyebally, Shu-Ling Chong
{"title":"Barriers and facilitators in the implementation of a child restraint system discharge programme in Singapore: a qualitative study.","authors":"Alicia May Lim, Yang Yann Foo, Ashley Xue Ting Ko, Shu Xin Oh, Khin Chaw Yu Aung, Shelly-Anne Sherwood, Nirmal Visruthan Kavalloor, Ronald Ming Ren Tan, Jasmine Feng, Arif Tyebally, Shu-Ling Chong","doi":"10.1136/ip-2024-045507","DOIUrl":"https://doi.org/10.1136/ip-2024-045507","url":null,"abstract":"<p><strong>Objective: </strong>Child restraint systems (CRS) are essential in preventing injury during road traffic collisions, yet neonatal CRS discharge programmes are lacking worldwide. Trained healthcare providers have reported a lack of confidence in providing CRS advice during discharge. We aimed to study the barriers and facilitators in implementing a formal neonatal CRS discharge programme through the lens of healthcare providers.</p><p><strong>Methods: </strong>We interviewed 10 allied health and nursing staff who received CRS training to find out the barriers and facilitators they perceived and experienced when engaging parents of newborns with CRS education prior to hospital discharge. Interviews were audio-recorded and transcribed verbatim. Inductive analysis sensitised by Billett's workplace-based learning theory was conducted using Braun and Clarke's thematic analysis.</p><p><strong>Results: </strong>We constructed three themes. At the personal agency level, how participants viewed themselves and directed their cognition to the task affected their involvement in CRS education. At the social agency level, institutional and ward safety culture including the presence of ward CRS champions were powerful motivators for CRS education. Parental receptivity to CRS education was also important. Lastly, at the situational level, barriers to implementing a CRS discharge programme included factors such as competing duties at neonatal discharge.</p><p><strong>Conclusion: </strong>Using a workplace learning theory, our study highlights that healthcare providers' commitment and delivery of CRS education at neonatal discharge is a complex interplay of personal agency, social agency and situational factors. Future efforts must address these factors to optimise the effectiveness of a neonatal CRS discharge programme.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143585308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Asma Mamri, José Ignacio Nazif-Munoz, Thomas Gordon Brown, Marie Claude Ouimet
{"title":"Exploring the association between a periodic safe-ride program and urban alcohol-impaired driving crashes in Quebec, Canada: a cross-sectional time-series analysis.","authors":"Asma Mamri, José Ignacio Nazif-Munoz, Thomas Gordon Brown, Marie Claude Ouimet","doi":"10.1136/ip-2024-045532","DOIUrl":"https://doi.org/10.1136/ip-2024-045532","url":null,"abstract":"<p><strong>Introduction: </strong>In Canada, alcohol-impaired driving is a persistent public health concern in need of effective community-based prevention strategies. This study examined the association between the number of rides offered by a safe-ride program in the province of Quebec every December and alcohol-related injury crashes during the 2000-2019 period.</p><p><strong>Method: </strong>Safe-ride programs in four cities were examined (Montreal, Quebec, Sherbrooke and Trois-Rivières) using an ecological approach. The data set was structured as a balanced cross-sectional time series. Random-effects negative binomial regression modelled the relationship between the number of rides provided by the safe-ride program and night-time alcohol-related crashes involving serious injuries and fatalities, with individual city population as an offset variable.</p><p><strong>Results: </strong>The median number of night-time alcohol-related crashes for the months of December for the 2000-2019 period was 3.0 (IQR=1.5-4.5). The median number of rides offered was 16 894 (IQR=15 586-18 391). The association between the number of rides provided by the safe-ride program and night-time alcohol-related crashes (IRR=1.0002; 95% CI 0.9999, 1.0005) was not significant.</p><p><strong>Conclusion: </strong>The role of the number of rides provided by the safe-ride program in reducing night-time alcohol-related crashes was inconclusive. Specific program features may influence the findings. Future research is needed to understand the specific characteristics of safe-ride programs that could influence their putative benefits.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143515606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Benedek Paskuj, Mahdi Zaki, Ágnes Zsila, Nicola Bailey, Gábor Orosz
{"title":"Explosive Ordnance Risk Education boosts interpersonal discussion to increase safe behavioural intentions in Afghanistan.","authors":"Benedek Paskuj, Mahdi Zaki, Ágnes Zsila, Nicola Bailey, Gábor Orosz","doi":"10.1136/ip-2024-045316","DOIUrl":"https://doi.org/10.1136/ip-2024-045316","url":null,"abstract":"<p><strong>Background: </strong>Explosive remnants of war claim more than three lives every day in Afghanistan. This study evaluates the impact of BBC Media Action Afghanistan's Explosive Ordnance Risk Education project in raising public awareness and promoting safe behaviours regarding explosive ordnances in Afghanistan. The project deployed a multimedia approach to reach a mass audience, including a radio discussion show, public service announcements on TV and radio, social media content and playing content on intercity buses.</p><p><strong>Methods: </strong>A panel study with 400 participants from high-risk provinces assessed knowledge, discussion and behavioural intentions related to explosives before and after a mass media intervention. In the broadcast period, the research unobtrusively monitored the dosage of exposure to the media content.</p><p><strong>Results: </strong>Findings from the panel study indicated a significant increase in discussions about explosive risks and safer behavioural interventions (e.g. avoiding and reporting explosive ordnances) post intervention.</p><p><strong>Conclusion: </strong>The results constitute one of the first pieces of systematically collected evidence on media and communication's potential in explosive risk education by facilitating interpersonal discussion and in turn change of behavioural intentions in areas contaminated by explosive ordnances and remnants of war.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143482897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Paul Reeping, Grace Killian, Ariana N Gobaud, Christina Mehranbod, Sonali Rajan
{"title":"Predictors of ATF inspections of FFLs and subsequent violations.","authors":"Paul Reeping, Grace Killian, Ariana N Gobaud, Christina Mehranbod, Sonali Rajan","doi":"10.1136/ip-2024-045360","DOIUrl":"https://doi.org/10.1136/ip-2024-045360","url":null,"abstract":"<p><strong>Background: </strong>The Bureau of Alcohol, Tobacco, Firearms and Explosives (ATF) conducts inspections of Federal Firearms Licensees (FFLs) to ensure compliance with federal laws in an effort to keep the public safe from firearm violence. However, the criteria for which FFLs are inspected lacks transparency, potentially signalling inefficiencies or biases.</p><p><strong>Methods: </strong>We extracted data on FFL inspections and violations (2016-2017) requiring remedial action from the <i>Gun Store Transparency Project</i> database and the ATF's FFLs listings. Using a generalised linear mixed model with a random effect for states and robust SE, we estimated the census tract and state level predictors of 1) the likelihood of the ATF inspecting an FFL and 2) among those inspected, the likelihood of a violation.</p><p><strong>Results: </strong>Of the 93,420 FFLs, 22 921 were inspected and 2392 had violations requiring remedial action. Increased likelihood of inspection was statistically significantly associated with higher levels of poverty, lower median income, greater non-White population percentages, and older census tract median ages. The sole predictor of an FFL receiving a violation requiring remedial action was the state's firearm law permissiveness.</p><p><strong>Discussion: </strong>ATF inspections disproportionately targeted communities with higher poverty, lower median income, larger non-White populations, and older demographics. This indicates potential racial and socioeconomic biases, diverting attention from jurisdictions with more lenient firearm laws where violations were more likely to occur.</p><p><strong>Conclusion: </strong>The ATF needs to reassess the influence of potential biases on its strategies for selecting FFLs for inspections and instead focus on risk-based assessments in order to promote public safety.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143364444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Valerie Frances Pagnotta, Jian Liu, Michelle Vine, William Pickett
{"title":"Insufficient sleep, impaired sleep and medically treated injury in Canadian adolescents: a national cross-sectional study.","authors":"Valerie Frances Pagnotta, Jian Liu, Michelle Vine, William Pickett","doi":"10.1136/ip-2024-045529","DOIUrl":"https://doi.org/10.1136/ip-2024-045529","url":null,"abstract":"<p><strong>Background: </strong>Insufficient and impaired sleep are common in adolescents and can adversely impact health and well-being. One likely consequence of poor sleep is a risk of unintentional injuries, yet the evidence base is limited for such relationships. We, therefore, documented contemporary sleeping behaviours of young people in Canada and examined relationships between these behaviours and risks for injury.</p><p><strong>Methods: </strong>A cross-sectional study was employed using records from the 2017/2018 Canadian Health Behaviour in School-aged Children study (n=21 745). Indicators of poor sleep (insufficient sleep on school and non-school days, impaired sleep, daytime sleepiness) and annual reports of medically treated injuries (any, serious) were obtained. Descriptive and hierarchical modified Poisson regression analyses were performed to explore these relationships, while controlling for potential confounders.</p><p><strong>Results: </strong>Insufficient sleep, impaired sleep and daytime sleepiness were reported by 11.3-35.3% of adolescents; variations in these estimates were observed by gender. Sleep indicators were modestly but consistently associated with risks for the occurrence of 'any injury', whereas impaired sleep and daytime sleepiness were the only meaningful and significant risk factors for 'serious injuries' in adjusted models (prevalence ratio range: 1.18-1.30). The analysis of interactions revealed boys with insufficient sleep on non-school days as well as impaired sleep to have higher injury risks compared with girls.</p><p><strong>Discussion and conclusions: </strong>Impaired sleep and its effects have emerged as a quiet epidemic, affecting up to one-third of Canadian adolescents and being associated with risks for injury. Sleep hygiene may therefore act as a plausible focus for clinical and public health initiatives to mitigate injury risks.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143364440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hunter M Boehme, Brent R Klein, M Dylan Spencer, Alex Jones, Morgan McMains-Nurisio, Kayon Morgan, Jeffrey Trowbridge
{"title":"Social determinants of health, driving time to trauma hospitals, racial composition, and firearm violence in South Carolina.","authors":"Hunter M Boehme, Brent R Klein, M Dylan Spencer, Alex Jones, Morgan McMains-Nurisio, Kayon Morgan, Jeffrey Trowbridge","doi":"10.1136/ip-2024-045442","DOIUrl":"https://doi.org/10.1136/ip-2024-045442","url":null,"abstract":"<p><strong>Background: </strong>Neighbourhood-level social determinants of health ('SDOHs') have been linked to negative health outcomes which may include elevated risk of firearm-related injury. This study investigates whether certain SDOHs, including average drive time to trauma hospitals, are associated with increased risk of firearm-related violence and death.</p><p><strong>Methods: </strong>We execute a cross-sectional examination of pooled firearm incidents (2018-2023) and the relationship of neighbourhood-level SDOHs across the state of South Carolina using negative binomial count regression models.</p><p><strong>Results: </strong>Findings indicate that neighbourhood disadvantage, residential mobility, per cent black, the percentage of older housing units, lack of technology access and lack of insurance access were all positively associated with an increased risk of firearm victimisation and death. The relationship between neighbourhoods with longer drive times of firearm incidents to trauma hospitals and firearm-related death was significantly moderated by the per cent black of residents within census tracts.</p><p><strong>Conclusions: </strong>Public health neighbourhood risk factors that are detrimental to individuals' physical health are also associated with increased risk of firearm victimisation. Longer drive times from trauma hospitals increase the risk of death and this relationship disproportionately affects black Americans. The built environment of neighbourhoods and extended drive times to trauma centres 'doubly disadvantages' historically disadvantaged populations.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143189169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hind A Beydoun, Dorota Szymkowiak, Ted K S Ng, Jack Tsai
{"title":"Characteristics of injury deaths among homeless and non-homeless US veterans (2017-2021).","authors":"Hind A Beydoun, Dorota Szymkowiak, Ted K S Ng, Jack Tsai","doi":"10.1136/ip-2024-045366","DOIUrl":"https://doi.org/10.1136/ip-2024-045366","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this study is to assess whether experiencing homelessness may be associated with future risk of injury death and characterise these injury deaths by homelessness status among veterans who received healthcare through the US Department of Veterans Affairs (VA).</p><p><strong>Methods: </strong>A retrospective cohort study was conducted among 6 128 921 veterans (399 125 homeless and 5 729 796 non-homeless) who received VA healthcare between 2017 and 2020 and were followed until 2021 using linked data from VA's Corporate Data Warehouse, Homeless Operations Management System and the VA/Department of Defense Joint Mortality Data Repository. Injury death rates were estimated by homelessness status with 95% CIs using the exact Poisson method. Multivariable Cox regression models were applied to estimate HRs with 95% CI for homelessness as a predictor of injury deaths, controlling for demographic, clinical, substance use and mental health characteristics.</p><p><strong>Results: </strong>The injury-specific mortality rate (per 100 000 person-years) was estimated at 254.4 (95% CI 252.5 to 256.4) and was higher among homeless (453.3 (95% CI 443.3 to 463.5)) versus non-homeless (239.9 (95% CI 237.9 to 241.9)) veterans. There were disparities in anatomical sites and injury type by homelessness status. Injury-related risk of death was twice as high among veterans with versus without a homelessness experience (adjusted HR 1.93, 95% CI 1.88 to 1.98).</p><p><strong>Conclusion: </strong>Homeless veterans may be at high risk for specific patterns of injury death. Injury prevention efforts should target exposures that distinguish this vulnerable population from other veterans seeking VA healthcare services.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143052388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Md Faisal Kabir Rozars, Nawshin Ahmed, Naima Sultana, A S M Ishtiak, Md Tohidul Alam, Md Elias Hossan, Nazmun Nahar, Shahriar Zaman, Hurun Naher, Md Abdullah Saeed Khan, Mohmmad Delwer Hossain Hawlader
{"title":"Factors associated with road traffic injury in a high-risk zone of Bangladesh: a mixed-method study.","authors":"Md Faisal Kabir Rozars, Nawshin Ahmed, Naima Sultana, A S M Ishtiak, Md Tohidul Alam, Md Elias Hossan, Nazmun Nahar, Shahriar Zaman, Hurun Naher, Md Abdullah Saeed Khan, Mohmmad Delwer Hossain Hawlader","doi":"10.1136/ip-2023-045001","DOIUrl":"10.1136/ip-2023-045001","url":null,"abstract":"<p><strong>Introduction: </strong>Road traffic injuries are a significant public health issue in low-income and middle-income countries. This study was designed to explore the pattern and factors associated with road traffic injury in a high-risk zone of Bangladesh.</p><p><strong>Method: </strong>This mixed-method study included a total of 363 road traffic injury victims for the quantitative component, and 10 traffic-related officials and 10 drivers for the qualitative element. Data were collected using a pretested questionnaire, key informant interviews and a focus group discussion using a focus group discussion guide. Quantitative and qualitative analyses were done using Stata V.17 and NVivo V.12, respectively.</p><p><strong>Results: </strong>Most participants were male, illiterate and young (<30 years) with age averaging 31.50±9.16 years. Of all road traffic injury victims, most had mild (45.18%) injuries, and the least had severe (5.79%) injuries, with head being the most common site (34.44%). The highest proportion of injuries were sustained by motor vehicle drivers (57.58%), followed by cyclists/rickshaw pullers (22.59%) and passengers (19.83%). Most vehicles were new (75.21%), and the rest were old (24.79%). Nearly one-third of the participants did not know about driving rules. The presence of knowledge was associated with less severe injury (p<i>=</i>0.031) compared with the absence of knowledge. The qualitative component of the study identified several factors related to road traffic injury, including driver factors (lack of sleep, bad driving habits and lack of helmets), driving activity factors (ignoring rules, overtaking, crossing speed limits and using bright headlights), road-related factors (broken roads, unplanned curves and angles, the need for spacious streets and the lack of appraisal of previous crash records) and traffic control factors (stringent traffic rules, effective implementation and training on using speed guns).</p><p><strong>Conclusion: </strong>The factors related to road traffic injury identified in this study could be used to plan targeted interventions for road safety improvement.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"32-39"},"PeriodicalIF":2.5,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11874372/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141175607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gabriela Khazanov, Elizabeth Spitzer, Suzanne Thomas, Lisa A Brenner, Joseph A Simonetti
{"title":"Financial barriers and facilitators to secure firearm and medication storage among veterans with elevated suicide risk: a qualitative study.","authors":"Gabriela Khazanov, Elizabeth Spitzer, Suzanne Thomas, Lisa A Brenner, Joseph A Simonetti","doi":"10.1136/ip-2024-045232","DOIUrl":"10.1136/ip-2024-045232","url":null,"abstract":"<p><strong>Objective: </strong>To explore financial barriers and facilitators to promoting secure firearm and medication storage among patients at risk for suicide.</p><p><strong>Methods: </strong>Veterans seeking care in Veterans Affairs emergency care settings (N=28) participated in qualitative interviews on barriers and facilitators to adopting secure firearm and medication storage behaviours. Thematic analysis with inductive and iterative coding was used to identify themes pertaining to financial barriers and facilitators. Interviews were double-coded for reliability.</p><p><strong>Results: </strong>We identified four themes-two related to financial barriers and two to financial facilitators. Barrier-related themes included: (1) the high cost of firearms and medications made owners less likely to dispose of medications, relinquish ownership of firearms or pursue out-of-home storage for firearms; (2) the high cost of out-of-home storage and preferred locking devices were barriers to secure storage. Facilitator-related themes included: (1) no-cost services or locking devices may help motivate secure firearm and medication storage and (2) preferences varied for no-cost locking devices versus coupons for devices.</p><p><strong>Conclusions: </strong>Addressing financial barriers and leveraging financial facilitators may motivate secure storage of lethal means, which could enhance suicide prevention efforts.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"73-76"},"PeriodicalIF":2.5,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11549247/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140897916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}