Key Points found in Scroll Box below:
1. Introduction: Addressing Access to Lethal Means
2. Reducing Access to Lethal Means: Firearms
a. Current Status Suicide, and Firearms; Existing Vermont Laws & Regulations 2014 State Legislative Activity
b. Addressing Access by Suicidal Individuals Existing Vermont Research Base; Existing Vermont Infrastructure; Firearm Community & Safety Norms; Legislative Advocacy; Existing Program Interventions
c. Summation
3. Reducing Access to Lethal Means: Other A. Overview; B. Other Means: Poisoning, Falls, Suffocation, Drowning, Cutting/Piercing; C. Summation
4. Recommendations
-Firearms:
A. EXPEDITE IMPLEMENTATION.
Create a Gun Shop Project workgroup.
Facilitate workgroup for highest efficacy.
B. TAILOR IMPLEMENTATION.
Honor and build upon existing cultural cohesion.
Locate community partners in firearm-owning com-munity.
Use open and positive language.
C. REPLICATE IMPLEMENTATION SUCCESSES.
Utilize New Hampshire “road map.
Publically utilize other states’ successes
Utilize pre-existing successful materials.
Move beyond “gun shops.”
-Other Means:
1. Additional research focused on oth-er means.
2. Implement CALM training.

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- Nelson, E. MD, Delaney, T. Ph.D., Barber, C. MPA, Frank, E. MHS, Fenner-Lukaitis E. MSW. Reducing Suicide Risk by Limiting Access to Lethal Means. Vermont Department of Mental Health. October 2014.

Update
Assessment of Lethality
and Its Clinical Correlates in Suicide
Attempters with Mood Disorders

- Chawla, N., Deep, R., Gupta, S., Vishwakarma, A., & Sen, M. S. (2022). Assessment of lethality and its clinical correlates in suicide attempters with mood disorders. Industrial psychiatry journal, 31(2), 221–227.

Peer-Reviewed Journal Article References:
Capps, R. E., Michael, K. D., & Jameson, J. P. (2019). Lethal means and adolescent suicidal risk: An expansion of the peace protocol. Journal of Rural Mental Health, 43(1), 3–16.

Carter, G., & Spittal, M. J. (2018). Suicide risk assessment: Risk stratification is not accurate enough to be clinically useful and alternative approaches are needed. Crisis: The Journal of Crisis Intervention and Suicide Prevention, 39(4), 229–234.

Stanley, I. H., Hom, M. A., Sachs-Ericsson, N. J., Gallyer, A. J., & Joiner, T. E. (2020). A pilot randomized clinical trial of a lethal means safety intervention for young adults with firearm familiarity at risk for suicide. Journal of Consulting and Clinical Psychology, 88(4), 372–383.

QUESTION 17
What are four lethal means of suicide? To select and enter your answer go to Test.