Lethal Means Safety for a Client or Patient
As a medical or behavioral health professional, you play a unique role in the lives of your patients or clients. You are with them in some of their most vulnerable moments as a trusted authority on their health and well-being. If you are able to help a suicidal person put time and space between themselves and a method of suicide, you will significantly lower the chances that they will impulsively harm themselves. We call this lethal means safety.
If you can identify the crisis signs, work with the person to remove their access to lethal means, and get them the help they need, you can help save the life of a person in distress. While most of these resources center around veterans, much of the guidance can be used when working with other populations.
Lethal Means Safety and Suicide Prevention
From the U.S. Department of Veterans Affairs, this video gives clinicians and community providers guidance on talking to veterans about the safe storage of lethal means, such as firearms and poisons.
A Discussion on Veteran Suicide – Reducing Access to Lethal Means
This thoughtful panel discussion from Clackamas County, Oregon brings together mental health and veterans’ services professionals to discuss reducing access to lethal means.
This video demonstrates a lethal means safety conversation between a clinician and a client—from the Suicide and Trauma Reduction Initiative for Veterans.
Counseling on Access to Lethal Means (CALM)
Free online training on how to reduce access to the methods people use to kill themselves.
Recommendations for Clinicians: Lethal Means Counseling
A guide for how to conduct lethal means safety counseling from the Harvard T.H. Chan School of Public Health.
Mental Health Special: Care of American Veterans, Depression, PTSD, Suicide (Lethal Means)
The Lethal Means section of a course for healthcare professionals called, “Mental Health Special: Care of American Veterans, Depression, PTSD, Suicide” from ATrain Education offers a more research-focused approach that is applicable when treating both veteran and non-veteran patients.
Laws to keep people safe
Extreme Risk Protection Order laws (ERPO laws), like their name suggests, are for the rare but dangerous situations in which a person poses serious risk to themselves or others and needs to be temporarily kept from accessing firearms. States have different approaches to ERPO laws, also called “red flag laws,” so it’s important to know the laws in your state.
Rhode Island’s Extreme Risk Protection Order laws:
General overview: Here is a general overview of the ERPO law in Rhode Island. (Giffords Law Center)
Comparison to other states’ laws: This is a brief overview of the ERPO law in Rhode Island; the webpage has links to other states’ ERPO laws for comparison. (Johns Hopkins Bloomberg School of Public Health)
Video discussion: Here is an interview in which representatives from the Rhode Island Police Chiefs Association discuss Red Flag policy in Rhode Island. (WPRI-TV, 2018)
ERPO Laws in the United States:
Fact Sheet: Here is a fact sheet about the impact of ERPO laws in states that have them. (Everytown)
Rhode Island resources for lethal means safety
Medicine drop-off sites: See where you can drop off unwanted or expired medications in Rhode Island.
Free medicine lock bags: Use this form to request a free medication lock bag. This will help you lock up medicines in your home. Lock bags and boxes are also sold by major retailers.
Overdose prevention in Rhode Island: Read about opioid safety and overdose prevention.
Bridge safety in Rhode Island: Partner organizations and groups are working towards greater safety on Rhode Island’s bridges. You can see some of that work here:
The RI Samaritans Helpline signs on local bridges (photo)
Bristol Health Equity Zone Suicide Prevention Group sign on Mount Hope Bridge (photo)
Bridging the Gap for Safety and Healing Facebook group
Having hard conversations
Talking to someone about suicide is hard. Talking to them about reducing their access to things like their own medicines, firearms, a local bridge, or other potentially lethal methods can be even harder. Here are some tools that can help.
A conversation about lethal means safety may start with a general conversation about suicide. Here are resources about talking about suicide in general and about safety planning. These resources can be helpful as you prepare to talk with a family member, friend, client, or patient:
A #RealConvo Guide: A guide about how to respond when someone tells you they are considering suicide (American Foundation for Suicide Prevention)
Reach Out: How To Help Someone At Risk Of Suicide: An article and radio segment about how open up a conversation about suicide with someone you care about (National Public Radio).
The five action steps: Five steps to use for communicating with someone who may be suicidal (#BeThe1To).
Collaborating on Safety Plans: A video on how to collaborate with a person at risk of suicide in order to create their safety plan (Suicide Prevention Resource Center)
Firearm Safety Counseling: A video showing a lethal means safety conversation between a clincian and a client (Suicide and Trauma Reduction Initiative for Veterans)
Safety planning resources
Safety planning is a way of helping a person at risk of suicide create a plan to keep themselves safe during challenging times. You can create a safety plan for a family member, for a client or patient, or for yourself. Safety planning conversations can be hard, but they can save a life.
Lock To Live: This tool helps people thinking about suicide and their loved ones make decisions about reducing access to potentially dangerous objects in the home during a difficult time.
Start the Conversation: Safety Planning: A safety plan template that someone thinking about suicide can fill out with the help of a loved one, a trusted adviser, or a mental health professional.
Collaborate Safety Planning for Older Adults: A manual designed to be used by clinicians working with older veterans, but it is helpful for any older adult.
Useful Information about lethal means safety for everyone
Means Matter: Read all about the importance of lethal means safety on the Means Matter website from the Harvard T.H. Chan School of Public Health.
Reduce Access to Means of Suicide: Learn why lethal means safety is important, what you can do, and how you can take action on this webpage from the Suicide Prevention Resource Center.
Lethal Means and Suicide Prevention for Industry and Community Leaders: Read about lethal means safety in this report from the National Action Alliance for Suicide Prevention.
Lethal Means Safety & Suicide Prevention, Veterans Affairs: Read about veteran-oriented lethal means safety on this page from the U.S. Department of Veterans Affairs.
Jed’s Impact: Watch this brief video about the importance of restricting access to lethal means on college campuses and elsewhere in order to prevent suicide from the JED Foundation.
Information for range owners or retailers: Here is useful information for concerned gun range owners or firearm retailers. You can download a brochure or bring a Talk Saves Lives firearms presentation to your range or establishment.