Why this matters
Confusion, misidentification of family members, paranoia, and depression all raise the risk of unintentional injury or suicide when firearms are accessible.
Warning signs
- Paranoia or misidentifying familiar people
- Depression or hopelessness
- Handling or carrying firearms unpredictably
- Family members feeling unsafe
What families can do
- Discuss firearms early, ideally at diagnosis, as part of a general safety plan
- Store firearms and ammunition separately in a locked safe the person cannot access
- Consider temporary transfer to a trusted family member or dealer, following Illinois law
- Involve the physician and, when appropriate, an attorney
- Address the person's role and identity respectfully rather than framing it as removal of rights
When to get help
- Immediate danger: call 911
- Suicidal statements: call or text 988
- Ask the clinician and an Illinois attorney about legal options if the person will not agree
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Medically reviewed. Last reviewed August 2026. This page is educational information, not individualized medical advice.