title: A culture gap in the United States: Implications for policy on limiting access to firearms for suicidal persons.
abstract: Suicide is a critical public health problem worldwide. In the United States (US), firearm ownership is common, and firearms account for the majority of deaths by suicide. While suicide prevention strategies may include limiting access to firearms, the contentious nature of gun regulations in the US, particularly among members of rural communities, often gives rise to constitutional concerns and political polarization that could inhibit suicidal persons from seeking the help they need. We examine potential outcomes of public health strategies in the US that encourage limiting access to firearms for populations who both value firearm ownership and are vulnerable to suicide. Based on preliminary results from a firearm safety study, we argue that attempts to limit access to firearms among those at risk of suicide will only succeed when the most affected cultural groups are engaged in collaborative discussions.
authors.affiliation: Oregon State University - Cascades, 650 SW Columbia St., Bend, OR, 97702, USA. elizabeth.marino@osucascades.edu.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Marino
authors.affiliation: Oregon State University - Cascades, 650 SW Columbia St., Bend, OR, 97702, USA.
authors.forename: Christopher
authors.initials: C
authors.lastname: Wolsko
authors.affiliation: Oregon State University - Cascades, 650 SW Columbia St., Bend, OR, 97702, USA.
authors.forename: Susan G
authors.initials: SG
authors.lastname: Keys
authors.affiliation: La Pine Community Health Center, La Pine, OR, USA.
authors.forename: Laura
authors.initials: L
authors.lastname: Pennavaria
mesh_terms: D003466:Cultural Characteristics; D005389:Firearms / Q000331:legislation & jurisprudence*; D006801:Humans; D010067:Ownership; D057766:Policy; D011320:Primary Health Care / Q000458:organization & administration; D011634:Public Health; D012307:Risk Factors; D012449:Safety; D014481:United States; D000092864:Suicide Prevention
keywords: culture; firearms; framing; lethal means; primary care; suicide prevention