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SuicideHSINCT06216327

Home Safety Intervention

A study testing household safety intervention in people with Suicide and Firearm Injury, run by VA Office of Research and Development at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Access to lethal methods of self-harm such as firearms and medications increases risk for suicide. As such, VA/DoD guidelines for the care of individuals with elevated suicide risk include recommendations that clinicians deliver interventions to reduce access to lethal methods of suicide among patients who are… Read more about this study

Who is it for?
Ages 18 to 100 years
Conditions the study is for
Suicide, Firearm Injury, Overdose
What is being tested?
household safety intervention
Could I receive a placebo?
No, everyone receives an active treatment
How many people
40 participants
Where
1 siteUnited States
Study dates
8 Oct 2024to 18 Aug 2025
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 100 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Encounter at VHA ED or urgent care setting, outpatient mental health, women's health, or primary care
  • >17 years
  • Discharged home from the encounter (rather than hospital admission)
  • Positive Columbia Screener
  • Patient-reported access to self-owned firearms and/or medications

Who cannot join

  • Unable to consent due to cognitive impairment, severity of illness (including psychiatric symptoms), intoxication with drugs and/or alcohol
  • Unreliable telephone access
  • Unreliable video access (because remote intervention)
  • Those currently experiencing unsheltered homelessness
  • No mailing address
  • Active opioid or stimulant use disorder
  • Active alcohol use disorder with daily alcohol consumption

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Rocky Mountain Regional VA Medical Center, Aurora, CO

    Aurora, Colorado, 80045-7211

Other trials in United States

About this study

Official title: Veteran-Centered Lethal Means Safety Suicide Prevention Intervention (CDA 19-076)

Access to lethal methods of self-harm such as firearms and medications increases risk for suicide. As such, VA/DoD guidelines for the care of individuals with elevated suicide risk include recommendations that clinicians deliver interventions to reduce access to lethal methods of suicide among patients who are identified as having elevated suicide risk. However, no interventions have been developed or tested among Veterans with elevated suicide risk. The aim of this study is to pilot test a lethal means safety intervention developed specifically for Veterans who seek care in VHA clinical settings and are identified as having elevated suicide risk.

Read the detailed description

The investigators will pilot the LMS intervention among up to 50 Veterans to assess feasibility and acceptability. The study was suspended from April to June 2024 due to low study enrollment; modification of recruitment procedures and study approach.

Being tested
household safety intervention
Keywords
firearm
Medical subject headings
Suicide, Drug Overdose

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • household safety interventionBehavioural

    This intervention includes a household safety intervention that is delivered by an interventionist with specific training in facilitating lethal means safety discussions, and the provision of no-cost safety devices for medications and firearms.

Study groups in NCT06216327
Study groupRoleWhat they receive
Intervention armExperimentalThere is a single intervention arm with no comparator for this pilot study.
Receives: Behavioral: household safety intervention

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Feasibility: Number of Participants Recruited Within One Year

    Ability to recruit 40 Veterans in one year. Count represents number of participants recruited within one year.

    Measured: through study completion, an average of one year

  2. Feasibility: Number of Participants Who Attend Their 4 Week Follow Up

    >80% of participants attend their 4 week follow up. Count represents number of participants who completed their 4 week follow up visit.

    Measured: approximately 4 weeks

  3. Acceptability: Number of Participants With CSQ Scores ≥24

    >80% with score greater than 23 (Client Satisfaction Questionnaire 8). 8 items, each with 4 answer options (1-4) on a Likert Scale. Likert options are different for each item. Score range is 8 to 32. Higher scores indicate higher satisfaction.

    Measured: day of intervention delivery - day 0; and at 4 weeks

  4. Acceptability: Number of Participants Who Reported the Intervention to be Acceptable

    Count of participants who deemed the intervention acceptable via a qualitative evaluation of participant's experiences during the intervention. Assessed using the Narrative Evaluation of Intervention Interview (NEII): A 16-item semi-structured qualitative interview that helps participants evaluate the process and outcome of interventions.

    Measured: at 4 weeks

  5. Number of Participants Who Found the Intervention Discussion to be Comfortable/Very Comfortable

    Count represent the number of participants who reported feeling "Comfortable" or "Very comfortable".

    "How comfortable did you feel engaging in the discussion?"

    Likert responses:

    • Very uncomfortable
    • Uncomfortable
    • Neither
    • Comfortable
    • Very comfortable

    Measured: day of intervention delivery - day 0; and at 4 weeks

  6. Number of Participants Who Found the Intervention to be Very Helpful/Extremely Helpful in Medication Storage Decisions

    Count represent the number of participants who reported that their interaction was "Very helpful" or "Extremely helpful".

    "How helpful was your interaction in making decisions about medication storage and safety?"

    Likert responses:

    • Not at all
    • Slightly helpful
    • Moderately helpful
    • Very helpful
    • Extremely helpful

    Measured: day of intervention delivery - day 0; and at 4 weeks

  7. Number of Participants Who Found the Intervention to be Very Helpful/Extremely Helpful in Firearm Storage Decisions

    Count represent the number of participants who reported that their interaction was "Very helpful" or "Extremely helpful".

    "How helpful was your interaction in making decisions about firearm storage?"

    Likert responses:

    • Not at all
    • Slightly helpful
    • Moderately helpful
    • Very helpful
    • Extremely helpful

    Measured: day of intervention delivery - day 0; and at 4 weeks

  8. Number of Participants Who Found the Intervention to be Respectful/Very Respectful of Their Values as Firearm Owners

    Count represents the number of participants who reported that their interaction was "Respectful" or "Very respectful".

    "To what extent was this intervention respectful of your values as a firearm owner?

    Likert responses:

    • Very disrespectful
    • Disrespectful
    • Neither
    • Respectful
    • Very respectful

    Measured: day of intervention delivery - day 0; and at 4 weeks

Secondary outcomes (20)
  1. Average Participant Trust in the VA Healthcare System

    "On a scale from 0 to 10, where 10 indicates complete trust and 0 indicates complete distrust (so 5 would indicate that you neither trust, nor distrust), Please indicate your level of trust in the VA healthcare system?" Answer range: 0-10

    Measured: Day of intervention delivery (day 0) and at 4 weeks

  2. Average Participant Beliefs About Importance of Secure Medication Storage When Someone is Suicidal

    "On a scale of 0 to 10, I want to ask you about whether you find the following safety measures to be important. Someone who answers 0 does not consider them to be important at all, while someone who answers 10 considers them to be extremely important. It is important to securely store medications when I or someone in my household has had recent thoughts of suicide." Answer range: 0-10

    Measured: Day of intervention delivery (day 0) and at 4 weeks

  3. Average Participant Beliefs About Importance of Secure Medication Storage Always

    "On a scale of 0 to 10, I want to ask you about whether you find the following safety measures to be important. Someone who answers 0 does not consider them to be important at all, while someone who answers 10 considers them to be extremely important. It is always important to securely store medications even if someone is not at risk for suicide in the home." Answer range: 0-10

    Measured: Day of intervention delivery (day 0) and at 4 weeks

  4. Average Participant Beliefs About Importance of Secure Firearm Storage When Someone is Suicidal

    "On a scale of 0 to 10, I want to ask you about whether you find the following safety measures to be important. Someone who answers 0 does not consider them to be important at all, while someone who answers 10 considers them to be extremely important. It is important to securely store firearms when I or someone in my household has had recent thoughts of suicide." Answer range: 0-10

    Measured: Day of intervention delivery (day 0) and at 4 weeks

  5. Average Participant Beliefs About Importance of Secure Firearm Storage Always

    "On a scale of 0 to 10, I want to ask you about whether you find the following safety measures to be important. Someone who answers 0 does not consider them to be important at all, while someone who answers 10 considers them to be extremely important. It is always important to store firearms securely in a locked space, or with a locking device, even if someone is not at risk for suicide in the home." Answer range: 0-10

    Measured: Day of intervention delivery (day 0) and at 4 weeks

  6. Average Participant Beliefs About Importance of Unloaded Firearm Storage Always

    "On a scale of 0 to 10, I want to ask you about whether you find the following safety measures to be important. Someone who answers 0 does not consider them to be important at all, while someone who answers 10 considers them to be extremely important. It is always important to securely store firearms unloaded even if someone is not at risk for suicide in the home." Answer range: 0-10

    Measured: Day of intervention delivery (day 0) and at 4 weeks

  7. Average Participant Readiness to Securely Store All Firearms

    "One thing some people consider doing to reduce risk of suicide or injury for themselves and others in their household is to securely store all firearms. On a scale from 0 to 10, where 0 is not at all, and 10 is completely, how would you rate your readiness to [make a change] like that?" Answer range: 0-10

    Measured: Day of intervention delivery - day 0

  8. Average Participant Readiness to Securely Store All Medications

    "One thing some people consider doing to reduce risk of suicide or injury for themselves and others in their household is to securely store all medications. On a scale from 0 to 10, where 0 is not at all, and 10 is completely, how would you rate your readiness to [make a change]?" Answer range: 0-10

    Measured: Day of intervention delivery at visit #1 (day 0)

  9. Average Number of Firearms in Household

    Number of firearms in household: Answer range: 0 to 10,000

    Measured: Day of intervention delivery (day 0) and at 4 weeks

  10. Number of Participants Who Forget to Take Their Medications Often/Always

    Count represents number of participants who said 'very often' or 'always'. "To what extent have you had difficulty remembering to take your medications in the past month?"

    Likert responses:

    • Never
    • Rarely
    • Sometimes
    • Very Often
    • Always

    Measured: at 4 weeks

  11. Number of Participants With Firearms Present in the Home

    Changes in whether household firearms are present in a participant's home from day of intervention delivery (day 0) to 4 weeks. Count represents the number of participants who reported having at least 1 firearm in their home.

    Measured: Day of intervention delivery (day 0) and at 4 weeks

  12. Number of Participants Securely Storing All Firearms

    Changes in whether household firearms are stored securely. Count represents number of participants who had 'all' firearms locked.

    "Are any firearms in or around your home currently stored locked?"

    Answers:

    • Yes, all of them are locked
    • Yes, some of them are locked
    • None of them are locked
    • I'm not sure
    • Decline to respond

    Measured: Day of intervention delivery (day 0) and at 4 weeks

  13. Number of Participants Securely Storing All Medications

    Changes in whether present medication are all stored securely. Count represents the number of participants who stored 'all' of their medications locked.

    "Are the medications in your home currently stored locked? (Examples include using a locked cabinet or box)"

    Answer options:

    • Yes, all of the medications in my home are locked up
    • Yes, some of the medications in my home are locked up
    • None of the medications in my home are locked up
    • I'm not sure

    Measured: Day of intervention delivery (day 0) and at 4 weeks

  14. Average Importance of Firearm Ownership for Protection

    "On a scale of 0 to 10, to what extent do you keep your firearms to protect yourself or your loved ones from other people? Someone who answers 0 does not consider themselves to keep firearms for protection, while someone who answers 10 considers that their firearms are absolutely required for protection." Answer range: 0-10

    Measured: Day of intervention delivery (day 0) and at 4 weeks

  15. Average Participant Readiness to Store Firearms Outside of the Home With Someone They Trust

    "One of the safest things someone can do while they're going through a difficult time is to store their firearms outside of the home with someone they trust. On a scale from 0 to 10, where 0 is not at all, and 10 is completely, how would you rate your readiness to [make a change] like that?" Answer range: 0-10

    Measured: Day of intervention delivery (day 0)

  16. Number of Participants Who Do Not Have Access to Locked Firearm(s)

    Count of people who said they do not have access to the key/combination for their locked firearm.

    "For the firearms in your home that are locked, who has access to the keys or number combinations that would be needed to access them?"

    Answer options:

    • You
    • Your spouse or partner
    • Children under the age of 18 years
    • Children 18 years of age or older
    • A friend
    • A neighbor
    • Other:__________

    Measured: Day of intervention delivery (day 0) and at 4 weeks

  17. Number of Participants With Ammunition in the Home

    Changes from day of intervention delivery (day 0) to 4 weeks in whether household ammunition is present. The presence of ammunition in the home was only asked to participants who stated there were firearms in the home and that they were the owner of at least 1 of the firearms in the home. Count represents number of participants who reported having ammunition in the home.

    Measured: Day of intervention delivery (day 0) and at 4 weeks

  18. Number of Participants With All Ammunition Locked

    Count of participants who reported having 'all' ammunition in the home securely locked. This measure was only asked to participants who reported that there were firearms in the home, that they were the owner of at least 1 of the firearms in the home, and that there was ammunition in the home.

    "Is ammunition in or around your home currently stored in a locked place, such as a locked cabinet?"

    Answer options:

    • Yes, all of the ammunition is locked
    • Yes, some of the ammunition is locked
    • None of the ammunition is locked
    • I'm not sure
    • No ammunition is in my home

    Measured: Day of intervention delivery (day 0) and at 4 weeks

  19. Number of Participants With Naloxone Prescription in Participant Electronic Health Record

    Count of participants who have a naloxone prescription (yes/no). Verified through each participant's electronic health record.

    Measured: at 8 weeks

  20. Number of Participants With Verified Return of Medication Safety Envelope

    Verification of returned medication safety envelope (yes/no). Count represents number of participants who utilized their medication return envelope.

    Measured: at 8 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted22 Jan 2024
  2. Study start8 Oct 2024
  3. Primary completion18 Jul 2025
  4. Study completion18 Aug 2025

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Not applicable
Intervention model
Single group
Model description
This intervention includes a household safety intervention that is delivered by an interventionist with specific training in facilitating lethal means safety discussions, and the provision of no-cost safety devices for medications and firearms.
Masking
None (open label)
Enrolment
40 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06216327
Sponsor's protocol ID
CDX 24-001
Other IDs
1IK2HX002861-01A2
Acronym
HSI
Status last verified
Aug 2026
First submitted
20 Dec 2023
Last updated
28 Aug 2026
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing household safety intervention in people with Suicide and Firearm Injury, run by VA Office of Research and Development at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 28 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Yes. Results are posted in the registry (first posted 28 Aug 2026). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Feasibility: Number of Participants Recruited Within One Year (time frame: through study completion, an average of one year). The study lists 8 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 Aug 2026.

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