Related Experiment Video
Updated: Dec 28, 2025

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
Published on: November 9, 2016
Counseling on Access to Lethal Means in the Emergency Department: A Script for Improved Comfort
Kristen L Mueller1,2, Danielle Chirumbole3, Sonya Naganathan3
1Washington University in St. Louis School of Medicine, St. Louis, MO, USA. Kristen.mueller@wustl.edu.
Abstract:
Individuals with suicidal ideation (SI) frequently present to the emergency department (ED). We hypothesized that CALM: Counseling on Access to Lethal Means training improves non-physician provider comfort with delivering an ED-based counseling intervention on lethal means restriction. Ten non-physician intervention counselors who currently provide CALM to ED patients presenting with SI were surveyed for demographics, prior experience caring for patients with SI, prior CALM experience, comfort providing CALM, and which method of training most improved comfort with CALM. Survey response rate was 100%. Following CALM training, 80% of respondents expressed confidence in their ability to counsel patients on safe storage of lethal means, although 50% felt that a script most improved comfort. Most survey respondents reported feeling comfortable counseling suicidal patients on safe storage of lethal means, but that the addition of a script for the counseling session improved comfort more than the online CALM training.
More Related Videos
Related Concept Videos
Ethical Dilemmas II
Prevention of Further Absorption of Poison
Ethical Issues
Ethical Concerns in Healthcare:
Acute Coronary Syndrome V: Nursing Management
Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
Nursing Ethical Principles II
Consider the following scenario, which illustrates how these principles are applied in the care of Mr. John, a fifty-year-old teacher diagnosed with metastatic liver cancer.
Initially, Mr. John's...

