Family Firearm Secure Storage Training for Suicide Prevention

(FFAST RCT Trial)

Not yet recruiting at 1 trial location
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Overseen ByAlexis Blessing, PhD
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: VA Office of Research and Development
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to help Veterans and their loved ones learn secure firearm storage to prevent suicide. It tests the effectiveness of the Family Firearms Secure Storage Training (FFAST), which creates a safety plan for mental health crises. Researchers will compare participants to those receiving general health and stress counseling or those on a waitlist. Veterans who own firearms and currently store them unsafely at home, along with a willing family member or friend, may be suitable for this study. As an unphased trial, this study offers participants the chance to contribute to important research that could enhance safety and save lives.

What prior data suggests that the Family Firearms Secure Storage Training (FFAST) intervention is safe for Veterans and their significant others?

Research has shown that the Family Firearms Secure Storage Training (FFAST) is well-liked by participants. One study found that nearly everyone, about 97.7%, completed the training, indicating it was easy to follow and not too demanding. Additionally, 40% of participants reported making positive changes in firearm storage, such as purchasing gun locks, safes, or lockboxes for security.

These changes suggest that the training is practical and encourages safer habits without negative effects. Overall, FFAST appears to be a safe and effective method for promoting secure firearm storage, aiding in suicide prevention efforts.12345

Why are researchers excited about this trial?

Researchers are excited about the Family Firearms Secure Storage Training (FFAST) because it directly involves veterans and their loved ones in creating a personalized plan for safely storing firearms during mental health crises. Unlike traditional approaches that might focus more on counseling or medication, FFAST emphasizes collaboration and proactive planning to prevent potential harm. This method could enhance safety by fostering open communication and practical preparation, offering a fresh strategy in suicide prevention efforts.

What evidence suggests that the Family Firearms Secure Storage Training (FFAST) intervention is effective for suicide prevention?

Research has shown that promoting safe firearm storage can significantly reduce the risk of suicide. This trial will evaluate the Family Firearms Secure Storage Training (FFAST) Intervention, where Veterans work with a family member or friend to develop a secure storage plan for firearms during a mental health crisis. Studies have found that storing both guns and ammunition safely lowers the risk of self-inflicted gun injuries by 78%. Early evidence suggests that involving family or friends in creating a storage plan enhances the effectiveness of these safety measures. Safe storage methods are crucial for preventing suicide because they delay access to guns, reducing the likelihood of impulsive actions. Overall, secure storage is an effective way to prevent gun-related injuries and deaths.16789

Who Is on the Research Team?

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Bryann R DeBeer, PhD

Principal Investigator

Rocky Mountain Regional VA Medical Center, Aurora, CO

Are You a Good Fit for This Trial?

This trial is for Veterans and their close family members or significant others who want to learn about safe firearm storage to help prevent suicide. Participants should be willing to discuss mental health crisis planning and firearm safety.

Inclusion Criteria

Veteran: Firearm owner with at least 1 firearm currently located in the home and stored in an unsecure manner (e.g., unlocked and/or loaded)
Veteran: An identifiable CSO enrolled in the VA CSP who agrees to participate
CSO: Technology available to complete the appointment remotely (e.g., computer, tablet, phone)
See 10 more

Exclusion Criteria

Veteran: At imminent risk of suicide or homicide warranting crisis intervention (Veterans can participate once stabilized)
CSO: At imminent risk of suicide or homicide warranting crisis intervention (CSOs can participate once stabilized)

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Intervention

Participants engage in a single-session intervention to create a secure storage plan for firearms with a CSO

1 session
1 visit (in-person or virtual)

Follow-up

Participants are monitored for secure firearm storage practices and preparedness for a mental health crisis

6 months
Follow-up assessments at 1, 3, and 6 months

What Are the Treatments Tested in This Trial?

Interventions

  • Family Firearms Secure Storage Training (FFAST) Intervention

Trial Overview

The study compares a single-session Family Firearms Secure Storage Training (FFAST) intervention, which teaches secure gun storage and crisis planning, against standard health and stress counseling. The goal is to see which better promotes safe practices.

How Is the Trial Designed?

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Treatment groups

Experimental Treatment

Active Control

Group I: The Family Firearms Secure storage Training (FFAST) InterventionExperimental Treatment1 Intervention
Group II: Health and Stress Counseling (HSC)Active Control1 Intervention
Group III: WaitlistActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

VA Office of Research and Development

Lead Sponsor

Trials
1,691
Recruited
3,759,000+

VA Eastern Colorado Health Care System

Collaborator

Trials
55
Recruited
26,200+

US Department of Veterans Affairs

Collaborator

Trials
881
Recruited
502,000+

Citations

Testing Family Firearm Secure Storage Training (FFAST) to ...

Specific Aims: Objective 1) Examine the relative effectiveness of FFAST against both active (i.e., Health and Stress Counseling) and waitlist ...

Engaging suicide prevention and firearm stakeholders in ...

This paper describes the development of a workshop to empower loved ones of individuals at risk for suicide to discuss secure firearm storage in New York State.

Family Resources | Institute for Firearm Injury Prevention

When both firearms and ammunition are stored safely, children have a 78% lower risk of self-inflicted firearm injuries and an 85% lower risk of unintentional ...

Involving Concerned Significant Others in Firearm Suicide ...

The results demonstrate the effectiveness of the YOLO-NAS L/M/S approach, highlighting its potential for integration into advanced surveillance ...

Development of an intervention to incentivize secure firearm ...

Importantly, we do not yet have data demonstrating that incentives improve secure firearm storage or decrease suicidal behavior.

Involving Concerned Significant Others in Firearm Suicide ...

Observations: The Family FireArms Secure Storage Training (FFAST) intervention was developed for veterans who do not securely store firearms.

Store Safely: A firearm injury prevention strategy for rural ...

97.7% completed the intervention … 40% of participants reported improving their storage, offering examples such as purchasing gun locks, safes, or lockboxes; ...

Lethal Means Safety Counseling | Center for Gun Violence ...

A study found that patients who received a physician's verbal or written safe firearm storage recommendation were 3x more likely to make safe changes in firearm ...

An Overview of the Research of Firearm Storage in Military ...

most veterans in the study (81.9%) indicated a willingness to limit firearm access if a household member was deemed to be suicidal.