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Table 1 Summary of adaptations to training materials

From: Engaging stakeholders to develop a suicide prevention learning module for Louisiana firearm training courses

Component of LMS training

Original Materials

Maintained from Original

Revised from Original

Speaker characteristics and tone

Video

Single speaker

Older, White male

Credible messenger (i.e., firearm owner and instructor)

Traditional advocate (i.e., chair of Utah Sports Shooting Council—formal authority within firearm community)

Instructional/lecture format

Speaker is standing

Credible messengers (i.e., firearm owners)

Two speakers

Diverse and inclusive in terms of gender and race/ethnicity

Nontraditional advocate (i.e., veteran firearm owners—informal experts within firearm community)

Conversational

Speakers are sitting, moving, or relating to each other

Environment and visuals

Video

PowerPoint

Classroom setting only

Firearms and storage cases displayed, some firearms with cable locks installed, in entirely static manner

Two graphics that reinforce statistics, shown as cutaway from the speaker

Two pictures

Limited color

Firearms, cable locks, and storage cases are displayed

Graphics that reinforce statistics are shown

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Multiple, non-classroom settings, including shooting range

Dynamic demonstration of recommended actions (i.e., disassembling firearms, installation of cable locks, locking firearms in storage case separate from ammunition, handing over firearms to someone else to hold)

Graphics displayed concurrent with speaker, additional visual display of information including “warning signs” and “risk factors”

Inclusion of images in different settings (i.e., individuals at home, families) to illustrate concepts

23 pictures

Five different colors across slides

Content

Video and PowerPoint

General information about firearm deaths including homicide and suicide

State-specific statistics

Lock, Limit, Remove (i.e., strategies to increase time and distance)

Encourage treatment seeking

Evidence/rationale for time and distance

 Suicidal crises are often brief

 90% who survive suicide attempt do not go on to kill themselves

Description of warning signs

Analogy to holding keys to prevent drunk driving

Emphasis on avoiding government mandates, firearm owners working together

General information about firearm deaths including homicide and suicide

State-specific statistics

Lock, Limit, Remove

Encourage treatment seeking

Evidence/rationale for time and distance

Description of warning signs

Analogy to holding keys to prevent drunk driving

Emphasis on avoiding government mandates, firearm owners working together

Included specific statistics about veterans

Included statistics around suicide methods

Included national and state suicide prevention resources for veterans and civilians (e.g., locations of free cable locks)

Personal experiences with suicide were added

 Video: both speakers shared personal encounters with suicide and/or experiences with friends and family in need of help

 PowerPoint: Incorporated a real story about a suicidal crisis and temporary means restriction

Length

Video PowerPoint

5 min, 25 s

14 slides

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6 min, 6 s

23 slides