Clinical Report: Addressing the Shortcomings in ERPOs for Military Personnel

Background

Veteran suicide rates are high, with firearms involved in a significant proportion of these deaths. The unique circumstances surrounding military personnel and veterans necessitate a focused examination of ERPOs, which are designed to temporarily restrict firearm access for individuals deemed at risk of harm. Understanding the effectiveness and challenges of ERPO implementation in this demographic is crucial for improving mental health interventions.

Data Highlights

Key Findings

• Service members and veterans are overrepresented in ERPO petitions compared to their population percentage.
• ERPO respondents are more likely to be male, older, and have documented mental health concerns.
• Challenges exist in serving ERPOs to respondents lacking stable housing.
• Clinicians often lack knowledge about ERPOs and their role in the petitioning process.

Clinical Implications

Clinicians should receive training on ERPOs to enhance their ability to identify at-risk individuals and navigate the petitioning process.

Conclusion

The findings indicate a need for improved clinician awareness and systemic support to enhance the effectiveness of ERPOs for military personnel and veterans.

Related Resources & Content

1. Barnard et al, Source, Year -- Addressing the Shortcomings in ERPOs
2. JAMA Network Open — Access to Medications for Opioid Use Disorder Among Veterans With Homeless Experience in Permanent Supportive
3. Journal of Medical Internet Research (JMIR) — Posttraumatic Symptoms as Predictors of Engagement With a Mobile App for Coping After Military Sexual Trauma: Public Usage Data Analysis Study
4. JAMA Network Open — Group-Based Suicide Safety Planning and Skills Training for Veterans With High Suicide Risk: A Randomized
5. compendium — Addressing the Oral Health Needs of Veterans
6. VA/DoD Clinical Practice Guideline for Assessment and Management of Patients at Risk for Suicide
7. The National ERPO Resource Center
8. DoD Instruction 6400.09, "DoD Policy on Integrated Primary Prevention of Self-Directed Harm and Prohibited Abuse or Harm," September 11, 2020; Incorporating Change 1 on July 30, 2025