TY -的AU -贝茨,玛丽安E AU - Knoepke,克里斯托弗·E AU -辛普森,斯科特AU -戴维斯,邦妮J AU -克莱门特,阿什利AU -桑德斯,塔玛拉盟-约翰逊,瑞秋盟——死神,黛博拉盟博,埃德温·维盟——Omeragic,法里斯AU -亚当斯,利亚米非盟-杏仁,悉尼盟——Juarez-Colunga伊丽莎白AU -马特洛克,丹尼尔·D PY - 2020 DA - 2020/1/29 TI -一个交互式网络致命手段的安全援助决定自杀的成年人(锁住):试点随机对照试验JO - J医疗互联网Res SP - e16253 VL - 22 IS - 1kw -互联网KW -枪支KW -自杀KW -药物AB -背景:建议对有自杀倾向的成年人进行咨询，以减少获取致命手段，如枪支和药物，但不经常发生。我们开发了基于网络的“锁定生活”(L2L)决策辅助工具，以帮助有自杀倾向的成年人及其家人选择更安全的家庭存储方式。目的:本研究旨在测试L2L在急诊科自杀成人中的可行性和可接受性。方法:在4个急诊科，我们在一项先导性随机对照试验中招募了参与者(讲英语、居住在社区、有自杀倾向的成年人)。参与者以13:7的比例随机分配到L2L组或对照组(有一般自杀预防信息的网站)，并接受了为期一周的随访电话。结果:干预组(n=33)和对照组(n=16)的基线特征相似。在基线时，许多参与者报告有机会获得枪支(33/ 49,67%)，药物(46/ 49,94%)，或两者都有(29/ 49,59%)。参与者观察L2L的中位时间为6分钟(IQR 4-10分钟)。L2L的可接受度也很高; almost all participants reported that they would recommend it to someone in the same situation, that the options felt realistic, and that L2L was respectful of values about firearms. In an exploratory analysis of this pilot trial, more participants in the L2L group reported reduced firearm access at follow-up, although the differences were not statistically significant. Conclusions: The L2L decision aid appears feasible and acceptable for use among adults with suicide risk and may be a useful adjunct to lethal means counseling and other suicide prevention interventions. Future large-scale studies are needed to determine the effect on home access to lethal means. Trial Registration: ClinicalTrials.gov NCT03478501; https://clinicaltrials.gov/ct2/show/NCT03478501 SN - 1438-8871 UR - //www.mybigtv.com/2020/1/e16253/ UR - https://doi.org/10.2196/16253 UR - http://www.ncbi.nlm.nih.gov/pubmed/32012056 DO - 10.2196/16253 ID - info:doi/10.2196/16253 ER -