1. Reducing Access to Lethal Means
Access presence and access to lethal means
Firearms
Medications
Household poisons
Impulse control
Gender Patterns in Suicide Method
Modification of the environment

2. Objects, substances, and actions commonly used in suicide attempts
Risk of imminent harm through self-injurious behaviors or lethal means:
Objects, substances, and actions commonly used in suicide attempts
Other Methods

3. Impulsivity and Lethality of Means
Risk of imminent harm through self-injurious behaviors or lethal means:
Impulsivity and Lethality of Means
Impulsivity is a risk factor correlated with higher rates and greater lethality of suicide attempts
Mixed studies suggest that there is a relationship between intent and perceived lethality of choice in suicide method
Lethality factors
Inherent deadliness
Ease of use
Accessibility
Ability to abort mid-attempt
Acceptability to attempter
Majority of attempters do not attempt again

4. Effect of Gender on Means of Suicide

5. Effect of Age on Means of Suicide

6. Fatality Rates of Suicide Means

7. Conceptual Model of How Restriction to Means Prevents Suicide

8. Environment Modification
Helps with controlling access to lethal means; important to safeguard environment
Consider hospitalization or outpatient treatment for those with high risks
Communicate with inpatient care
Hospitalization of chronically suicidal patients may not be effective

9. Communication Strategies
Risk of imminent harm through self-injurious behaviors or lethal means:
Communication Strategies
Discuss storage of firearms with the patient and third parties
Limit access to medication with risk of suicide
Educate on securing household poisons and chemicals
Evaluate attitude of third party towards restriction of means
Routine check-ups on access to means

10. Screening and Restricting Access to Lethal Means
Risk of imminent harm through self-injurious behaviors or lethal means:
Screening and Restricting Access to Lethal Means
Prescribed medicine that could be lethal
Discuss firearms
Securing potential lethal means
Include in safety plan
Assess patient’s compliance
Change of environment