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Rural Community Pharmacy Approaches to Lethal Means Management for Suicide Prevention.

Jill Lavigne1,2, Jennifer West1,3, Delesha Carpenter4

  • 1Department of Veterans Affairs, Center of Excellence for Suicide Prevention, Canandaigua, New York, USA.

Clinical Gerontologist
|August 8, 2023
PubMed
Summary

Community pharmacists in rural areas find lethal means management (LMM) interventions feasible for suicide prevention. Many already offer services that can be adapted for LMM, showing potential for community pharmacy-based suicide prevention efforts.

Keywords:
Blister packagingfeasibilitygatekeepingimplementationlethal meanslethal means managementpharmacistpharmacypreventionsuicide

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Area of Science:

  • Public Health
  • Pharmacy Practice
  • Suicide Prevention

Background:

  • Medications are frequently used in suicide attempts.
  • Rural areas face challenges in suicide prevention due to limited provider access and specific demographic factors (older adults, veterans).
  • Community pharmacies present a potential avenue for implementing suicide prevention strategies.

Purpose of the Study:

  • To assess the implementation potential of community pharmacy interventions for lethal means management (LMM).
  • To evaluate the feasibility, acceptability, and appropriateness of various LMM interventions among rural pharmacists.

Main Methods:

  • An online survey was administered to pharmacists across seven southeastern states.
  • The survey assessed the feasibility, acceptability, and appropriateness of eight specific LMM interventions.
  • Descriptive statistics were used to analyze the collected data from 61 pharmacists across 42 zip codes.

Main Results:

  • A majority of pharmacists (62.5%) found five LMM interventions to be very/extremely feasible, appropriate, and acceptable.
  • Medication therapy management (MTM) was rated highest (82%), followed by limiting prescription drug days' supplies (75.4%) and blister packaging (68.9%).
  • While few pharmacies currently distribute gun locks, many already engage in practices like MTM (26.7%) and limiting prescription supply (31.7%) that can be adapted for LMM.

Conclusions:

  • Rural community pharmacists perceive several LMM interventions as highly feasible, acceptable, and appropriate for suicide prevention.
  • Pharmacists are already implementing some of the assessed interventions, though not explicitly for LMM, indicating a readiness for adaptation.
  • Community pharmacies are well-positioned to play a significant role in suicide prevention through lethal means management strategies.