Reshmy Mohan, Jissa V Thulaseedharan
Breast screening practices of 35-65 years old women - A cross-sectional survey in Alappuzha, Kerala, India
Journal of education and health promotion
suicide second leading cause death adolescents firearms common method especially rural communities identifying target lethal means safety interventions could better leverage limited resources understand associations rurality schoollevel prevalence easy handgun access suicidality measures colorado youth explore spatial distribution schoollevel measures identify communities high prevalence easy handgun access suicidality crosssectional study used data 2019 healthy kids colorado survey anonymous crosssectional schoolbased survey conducted 256 participating colorado high schools participants included students schools recruited statewide populationbased estimates additional schools opting data analyzed november 9 2020 march 13 2021 urbancentric locale according 7level continuum geocoded location schools used spatial analysis main outcomes weighted prevalence easy handgun access 4 measures mental health suicidality previous year ie feeling sad 2 weeks considering suicide planning suicide attempt attempting suicide past year total 59 556 students 497 95 ci 493501 male 503 95 ci 499507 female 539 95 ci 535543 9th 10th grade 364 95 ci 360368 hispanic 508 95 ci 504512 nonhispanic white 256 schools participated schools rural small towns 568 95 ci 507629 students participated urban suburban schools 578 95 ci 576580 prevalence perceived easy access handguns increased increasing rurality 362 95 ci 352371 students rural remote schools reporting easy access compared 182 95 ci 173191 city large schools spatial distribution easy handgun access suicidality measures minimal overlap correlation schoollevel easy handgun access considering suicide 0203 95 ci 007480331 planning suicide 0300 95 ci 01730427 attempting suicide 0218 95 ci 008690350 previous year highest quartile prevalence perceived easy access handguns planning suicide previous year included 21 schools 810 95 ci 640979 rural remote rural distant findings suggest ruralremote communities colorado may benefit interventions focused limiting youth access handguns youth crisis communities especially high risk spatially referenced data may improve targeting interventions needed