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
Medically reviewed. Last reviewed August 2026. This page is educational information, not individualized medical advice.