Women Veterans' perspectives, experiences, and preferences for firearm lethal means counseling discussions
Firearms have become an increasingly common method of suicide among women Veterans, yet this population has rarely been a focus in firearm suicide prevention research. Limited knowledge is available regarding the preferences, experiences, or needs of women Veterans with respect to firearm lethal mea...
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| Veröffentlicht in: | PloS one 2023-12, Vol.18 (12), p.e0295042-e0295042 |
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| creator | Polzer, Evan R Holliday, Ryan Rohs, Carly M Thomas, Suzanne M Miller, Christin N Simonetti, Joseph A Brenner, Lisa A Monteith, Lindsey L |
| description | Firearms have become an increasingly common method of suicide among women Veterans, yet this population has rarely been a focus in firearm suicide prevention research. Limited knowledge is available regarding the preferences, experiences, or needs of women Veterans with respect to firearm lethal means counseling (LMC), an evidence-based suicide prevention strategy. Understanding is necessary to optimize delivery for this population.
Our sample included forty women Veterans with lifetime suicidal ideation or suicide attempt(s) and firearm access following military separation, all enrolled in the Veterans Health Administration. Participants were interviewed regarding their perspectives, experiences, and preferences for firearm LMC. Data were analyzed using a mixed inductive-deductive thematic analysis.
Women Veterans' firearm and firearm LMC perspectives were shaped by their military service histories and identity, military sexual trauma, spouses/partners, children, rurality, and experiences with suicidal ideation and attempts. Half reported they had not engaged in firearm LMC previously. For those who had, positive aspects included a trusting, caring relationship, direct communication of rationale for questions, and discussion of exceptions to confidentiality. Negative aspects included conversations that felt impersonal, not sufficiently comprehensive, and Veterans' fears regarding implications of disclosure, which impeded conversations. Women Veterans' preferences for future firearm LMC encompassed providers communicating why such conversations are important, how they should be framed (e.g., around safety and genuine concern), what they should entail (e.g., discussing concerns regarding disclosure), whom should initiate (e.g., trusted caring provider) and where they should occur (e.g., safe spaces, women-specific groups comprised of peers).
This study is the first to examine women Veterans' experiences with, and preferences for, firearm LMC. Detailed inquiry of the nuances of how, where, why, and by whom firearms are stored and used may help to facilitate firearm LMC with women Veterans. |
| doi_str_mv | 10.1371/journal.pone.0295042 |
| format | Article |
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Our sample included forty women Veterans with lifetime suicidal ideation or suicide attempt(s) and firearm access following military separation, all enrolled in the Veterans Health Administration. Participants were interviewed regarding their perspectives, experiences, and preferences for firearm LMC. Data were analyzed using a mixed inductive-deductive thematic analysis.
Women Veterans' firearm and firearm LMC perspectives were shaped by their military service histories and identity, military sexual trauma, spouses/partners, children, rurality, and experiences with suicidal ideation and attempts. Half reported they had not engaged in firearm LMC previously. For those who had, positive aspects included a trusting, caring relationship, direct communication of rationale for questions, and discussion of exceptions to confidentiality. Negative aspects included conversations that felt impersonal, not sufficiently comprehensive, and Veterans' fears regarding implications of disclosure, which impeded conversations. Women Veterans' preferences for future firearm LMC encompassed providers communicating why such conversations are important, how they should be framed (e.g., around safety and genuine concern), what they should entail (e.g., discussing concerns regarding disclosure), whom should initiate (e.g., trusted caring provider) and where they should occur (e.g., safe spaces, women-specific groups comprised of peers).
This study is the first to examine women Veterans' experiences with, and preferences for, firearm LMC. Detailed inquiry of the nuances of how, where, why, and by whom firearms are stored and used may help to facilitate firearm LMC with women Veterans.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0295042</identifier><identifier>PMID: 38055694</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Analysis ; Armed forces ; Child ; Communication ; Counseling ; Demographic aspects ; Disclosure ; Domestic violence ; Female ; Firearms ; Gender identity ; Health aspects ; Households ; Humans ; Informed consent ; Interviews ; Military ; Military personnel ; Military Personnel - psychology ; Military psychology ; Military service ; Prevention ; Psychological aspects ; Qualitative research ; R&D ; Research & development ; Rurality ; Sex crimes ; Sexuality ; Small arms ; Social aspects ; Statistics ; Suicidal behavior ; Suicidal Ideation ; Suicide ; Suicide prevention ; Suicide, Attempted - psychology ; Suicides & suicide attempts ; Trauma ; Veterans ; Veterans - psychology ; Women ; Women and the military ; Women military personnel ; Women veterans</subject><ispartof>PloS one, 2023-12, Vol.18 (12), p.e0295042-e0295042</ispartof><rights>Copyright: This is an open access article, free of all copyright, and may be freely reproduced, distributed, transmitted, modified, built upon, or otherwise used by anyone for any lawful purpose. The work is made available under the Creative Commons CC0 public domain dedication.</rights><rights>COPYRIGHT 2023 Public Library of Science</rights><rights>This is an open access article, free of all copyright, and may be freely reproduced, distributed, transmitted, modified, built upon, or otherwise used by anyone for any lawful purpose. The work is made available under the Creative Commons CC0 public domain dedication: https://creativecommons.org/publicdomain/zero/1.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>This is an open access article, free of all copyright, and may be freely reproduced, distributed, transmitted, modified, built upon, or otherwise used by anyone for any lawful purpose. The work is made available under the Creative Commons CC0 public domain dedication: https://creativecommons.org/publicdomain/zero/1.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c637t-5e0ecde1f47e057442c562aa153e4f7f53e2f78dbe9a97bd805ef02c933cd42a3</citedby><cites>FETCH-LOGICAL-c637t-5e0ecde1f47e057442c562aa153e4f7f53e2f78dbe9a97bd805ef02c933cd42a3</cites><orcidid>0000-0002-8104-5280 ; 0000-0002-6161-2903 ; 0000-0003-2902-1836</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0295042&type=printable$$EPDF$$P50$$Gplos$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://journals.plos.org/plosone/article?id=10.1371/journal.pone.0295042$$EHTML$$P50$$Gplos$$Hfree_for_read</linktohtml><link.rule.ids>314,777,781,861,2096,2915,23847,27325,27905,27906,33755,79349,79350</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38055694$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>West, James Curtis</contributor><creatorcontrib>Polzer, Evan R</creatorcontrib><creatorcontrib>Holliday, Ryan</creatorcontrib><creatorcontrib>Rohs, Carly M</creatorcontrib><creatorcontrib>Thomas, Suzanne M</creatorcontrib><creatorcontrib>Miller, Christin N</creatorcontrib><creatorcontrib>Simonetti, Joseph A</creatorcontrib><creatorcontrib>Brenner, Lisa A</creatorcontrib><creatorcontrib>Monteith, Lindsey L</creatorcontrib><title>Women Veterans' perspectives, experiences, and preferences for firearm lethal means counseling discussions</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Firearms have become an increasingly common method of suicide among women Veterans, yet this population has rarely been a focus in firearm suicide prevention research. Limited knowledge is available regarding the preferences, experiences, or needs of women Veterans with respect to firearm lethal means counseling (LMC), an evidence-based suicide prevention strategy. Understanding is necessary to optimize delivery for this population.
Our sample included forty women Veterans with lifetime suicidal ideation or suicide attempt(s) and firearm access following military separation, all enrolled in the Veterans Health Administration. Participants were interviewed regarding their perspectives, experiences, and preferences for firearm LMC. Data were analyzed using a mixed inductive-deductive thematic analysis.
Women Veterans' firearm and firearm LMC perspectives were shaped by their military service histories and identity, military sexual trauma, spouses/partners, children, rurality, and experiences with suicidal ideation and attempts. Half reported they had not engaged in firearm LMC previously. For those who had, positive aspects included a trusting, caring relationship, direct communication of rationale for questions, and discussion of exceptions to confidentiality. Negative aspects included conversations that felt impersonal, not sufficiently comprehensive, and Veterans' fears regarding implications of disclosure, which impeded conversations. Women Veterans' preferences for future firearm LMC encompassed providers communicating why such conversations are important, how they should be framed (e.g., around safety and genuine concern), what they should entail (e.g., discussing concerns regarding disclosure), whom should initiate (e.g., trusted caring provider) and where they should occur (e.g., safe spaces, women-specific groups comprised of peers).
This study is the first to examine women Veterans' experiences with, and preferences for, firearm LMC. 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Academic</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Polzer, Evan R</au><au>Holliday, Ryan</au><au>Rohs, Carly M</au><au>Thomas, Suzanne M</au><au>Miller, Christin N</au><au>Simonetti, Joseph A</au><au>Brenner, Lisa A</au><au>Monteith, Lindsey L</au><au>West, James Curtis</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Women Veterans' perspectives, experiences, and preferences for firearm lethal means counseling discussions</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2023-12-06</date><risdate>2023</risdate><volume>18</volume><issue>12</issue><spage>e0295042</spage><epage>e0295042</epage><pages>e0295042-e0295042</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Firearms have become an increasingly common method of suicide among women Veterans, yet this population has rarely been a focus in firearm suicide prevention research. Limited knowledge is available regarding the preferences, experiences, or needs of women Veterans with respect to firearm lethal means counseling (LMC), an evidence-based suicide prevention strategy. Understanding is necessary to optimize delivery for this population.
Our sample included forty women Veterans with lifetime suicidal ideation or suicide attempt(s) and firearm access following military separation, all enrolled in the Veterans Health Administration. Participants were interviewed regarding their perspectives, experiences, and preferences for firearm LMC. Data were analyzed using a mixed inductive-deductive thematic analysis.
Women Veterans' firearm and firearm LMC perspectives were shaped by their military service histories and identity, military sexual trauma, spouses/partners, children, rurality, and experiences with suicidal ideation and attempts. Half reported they had not engaged in firearm LMC previously. For those who had, positive aspects included a trusting, caring relationship, direct communication of rationale for questions, and discussion of exceptions to confidentiality. Negative aspects included conversations that felt impersonal, not sufficiently comprehensive, and Veterans' fears regarding implications of disclosure, which impeded conversations. Women Veterans' preferences for future firearm LMC encompassed providers communicating why such conversations are important, how they should be framed (e.g., around safety and genuine concern), what they should entail (e.g., discussing concerns regarding disclosure), whom should initiate (e.g., trusted caring provider) and where they should occur (e.g., safe spaces, women-specific groups comprised of peers).
This study is the first to examine women Veterans' experiences with, and preferences for, firearm LMC. Detailed inquiry of the nuances of how, where, why, and by whom firearms are stored and used may help to facilitate firearm LMC with women Veterans.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>38055694</pmid><doi>10.1371/journal.pone.0295042</doi><tpages>e0295042</tpages><orcidid>https://orcid.org/0000-0002-8104-5280</orcidid><orcidid>https://orcid.org/0000-0002-6161-2903</orcidid><orcidid>https://orcid.org/0000-0003-2902-1836</orcidid><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2023-12, Vol.18 (12), p.e0295042-e0295042 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_3072929266 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Sociological Abstracts; Public Library of Science (PLoS); PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Analysis Armed forces Child Communication Counseling Demographic aspects Disclosure Domestic violence Female Firearms Gender identity Health aspects Households Humans Informed consent Interviews Military Military personnel Military Personnel - psychology Military psychology Military service Prevention Psychological aspects Qualitative research R&D Research & development Rurality Sex crimes Sexuality Small arms Social aspects Statistics Suicidal behavior Suicidal Ideation Suicide Suicide prevention Suicide, Attempted - psychology Suicides & suicide attempts Trauma Veterans Veterans - psychology Women Women and the military Women military personnel Women veterans |
| title | Women Veterans' perspectives, experiences, and preferences for firearm lethal means counseling discussions |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-18T11%3A56%3A44IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Women%20Veterans'%20perspectives,%20experiences,%20and%20preferences%20for%20firearm%20lethal%20means%20counseling%20discussions&rft.jtitle=PloS%20one&rft.au=Polzer,%20Evan%20R&rft.date=2023-12-06&rft.volume=18&rft.issue=12&rft.spage=e0295042&rft.epage=e0295042&rft.pages=e0295042-e0295042&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0295042&rft_dat=%3Cgale_plos_%3EA775592007%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=3072929266&rft_id=info:pmid/38055694&rft_galeid=A775592007&rft_doaj_id=oai_doaj_org_article_a866cd0cac4740419b5191e8f1830db7&rfr_iscdi=true |