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Firearm Safety Counseling

Dr. Craig Bryan demonstrates the firearm safety counseling approach used in brief cognitive behavioral therapy for suicide prevention (BCBT) with an at-risk patient. This approach is influenced by the core principles of motivational interviewing, and involves four general phases: (1) Engaging: establishing a collaborative relationship with the gun owner; (2) Focusing: guiding the discussion towards the topic of safety; (3) Evoking: eliciting change talk by asking the gun owner to describe his or her personal reasons for increasing safety; and (4) Planning: summarizing change talk and identifying options for increasing firearm safety.