In a preference clinical trial (PCT), two or more health-care interventions are compared among several groups of patients, at least some of whom have purposefully chosen the intervention to be administered to them. This stands in contrast to the randomized, controlled clinical trial (RCT), where patients are randomly assigned to receive one of the available test interventions. This article argues that when comparing two interventions, A and B, when blinding (or masking) the interventions is difficult or impossible and at least some of the potential participants prefer one or the other of the interventions, then the use of a PCT merits consideration. PCTs can be designed in several different ways, and the selection should be driven by the clinical question posed. PCTs also fall towards the pragmatic endpoint of the explanatory/pragmatic clinical trial continuum, suggesting that they may more favorably influence clinical decision-making in real-world contexts. Researchers often want to know not what is the best treatment irrespective of choice and compliance, but whether an intervention can work for the patients who choose it. If we want to answer the latter question, we must let patients choose.

Clinical military psychologists (CMPs) hold one of the most difficult positions within professional psychology. Given their exposure to a variety of environmental, physical, psychosocial, and emotional stressors, professional burnout (PB) can be a serious issue for CMPs. In order to (a) protect job satisfaction, (b) increase professional confidence, (c) facilitate a long and rewarding military career, and (d) ensure competent care is provided to our clients, a two-pronged approach of CMPs taking care of themselves on the one hand, and the military providing effective assessment, prevention, and intervention, on the other hand, is needed. Such an approach to protecting the military's limited mental health resources could ultimately ensure that service members receive proper care. In this article, the authors discuss the challenges experienced by CMPs as potential contributors to PB during all three phases of the deployment cycle. Several recommendations are offered for addressing such challenges.

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A disproportionate share of firearm suicides and homicides are committed by individuals who have a psychiatric diagnosis, many with a history of substance abuse. This study assessed whether selected variables that potentially indicate increased access to mental health care or known demographic risk factors for firearm trauma best predicted state variations in firearm homicide and suicide. Partial correlation coefficients indicated that the proportion of the population within a given state that was African American or Hispanic was significantly associated with increased state firearm homicides. The percent of the population within a given state that had earned a Baccalaureate degree was associated with decreased state firearm homicides. Additionally, increased state firearm ownership rates were significantly associated with firearm suicides, while state educational expenditures were associated with a significant reduction in firearm suicides. The findings suggest that mental health resources within a state have minimal association with firearm homicide and suicide rates. However, state levels of educational achievement and educational expenditures reduce firearm mortality.

A greater awareness of the importance of a highly visible campus firearm policy and its potential for reducing firearm trauma on college campuses is needed.