Emergency Department Means Restriction Education
Emergency Department Means Restriction Education is an intervention for the adult caregivers of youth (aged 6 to 19 years) who are seen in an emergency department (ED) and determined through a mental health assessment to be at risk for committing suicide. Studies show that the presence of a gun in the household increases suicide risk, yet parents who take their adolescent to an ED for a suicide attempt are often not warned about restricting their child's access to firearms and other lethal means. ED Means Restriction Education is designed to help parents and adult caregivers of at-risk youth recognize the importance of taking immediate, new action to restrict access to firearms, alcohol, and prescription and over-the-counter drugs in the home. The intervention also gives parents and caregivers specific, practical advice on how to dispose of or lock up firearms and substances that may be used in a suicide attempt. Examples are using firearm locking devices or locked medicine cabinets, turning in firearms to local police, or moving the item to another location outside the home. By encouraging reduced access to these means, the intervention also aims to lessen the risk of violence directed at others, including homicide.
The intervention is designed to be delivered in a brief period consistent with the demands of busy EDs. The intervention consists of three components or messages that can be delivered by a trained health care professional, such as a physician, nurse, social worker, or mental health specialist. The three components are (1) informing parents, when their child is not present, that the child is at increased suicide risk and why (e.g., "Adolescents who have made a suicide attempt are at risk for another attempt"); (2) telling parents they can reduce this risk by limiting their child's access to lethal means; and (3) educating parents and problem solving with them about how to limit access to lethal means.
|Areas of Interest||Mental health promotion|
1: Access to medications that can be used in an overdose suicide attempt
2: Access to firearms
Physical aggression and violence-related behavior
18-25 (Young adult)
Black or African American
Hispanic or Latino
Rural and/or frontier
|Implementation History||ED Means Restriction Education was first implemented in Illinois. The number of sites that have implemented the intervention has not been tracked.|
|NIH Funding/CER Studies||
Partially/fully funded by National Institutes of Health: No
Evaluated in comparative effectiveness research studies: No
|Adaptations||No population- or culture-specific adaptations of the intervention were identified by the developer.|
|Adverse Effects||No adverse effects, concerns, or unintended consequences were identified by the developer.|
|IOM Prevention Categories||
Quality of Research
Readiness for Dissemination
The cost information below was provided by the developer. Although this cost information may have been updated by the developer since the time of review, it may not reflect the current costs or availability of items (including newly developed or discontinued items). The implementation point of contact can provide current information and discuss implementation requirements.