Does a brief suicide prevention gatekeeper training program enhance observed skills?

BACKGROUND Suicide is a significant public health problem worldwide that requires evidence-based prevention efforts. One approach to prevention is gatekeeper training. Gatekeeper training programs for community members have demonstrated positive changes in knowledge and attitudes about suicide. Changes in gatekeeper skills have not been well established. AIMS To assess and to predict the impact of a brief, gatekeeper training on community members' observed skills. METHODS Participants in a community gatekeeper training were employees at US universities. 50 participants were randomly selected for skills assessment and videotaped interacting with a standardized actor prior to and following training. Tapes were reliably rated for general and suicide-specific skills. RESULTS Gatekeeper skills increased from pre- to posttest: 10% of participants met criteria for acceptable gatekeeper skills before training, while 54% met criteria after training. Pretraining variables did not predict increased skills. LIMITATIONS Results do not provide conclusions about the relationship between observed gatekeeper skills and actual use of those skills in the future. CONCLUSIONS Gatekeeper training enhances suicide-specific skills for the majority of participants. Other strategies, such as behavioral rehearsal, may be necessary to enhance skills in the remaining participants.

[1]  E. Hundert,et al.  Defining and assessing professional competence. , 2002, JAMA.

[2]  Jason C Deviva.  The effects of full-day and half-day workshops for health care providers in techniques for increasing resistant clients' motivation. , 2006 .

[3]  K. Cameron,et al.  Openness to Experience and Development of Adult Identity , 1987 .

[4]  S. Payne,et al.  The impact of error training and individual differences on training outcomes: an attribute-treatment interaction perspective. , 2002, The Journal of applied psychology.

[5]  L. Appleby,et al.  Evaluating STORM skills training for managing people at risk of suicide. , 2006, Journal of advanced nursing.

[6]  J. Lonnqvist,et al.  Suicide prevention strategies: a systematic review. , 2005, JAMA.

[7]  Ronald M Epstein,et al.  Physician self-disclosure in primary care visits: enough about you, what about me? , 2007, Archives of internal medicine.

[8]  B. Rounsaville,et al.  We don't train in vain: a dissemination trial of three strategies of training clinicians in cognitive-behavioral therapy. , 2005, Journal of consulting and clinical psychology.

[9]  P. O'Carroll,et al.  Youth suicide prevention programs: a resource guide. , 1992, Public health reports.

[10]  Andrej Marusic,et al.  Seven steps to integrating suicidology. , 2008, Crisis.

[11]  J. Zakrzewska,et al.  Description and evaluation of an education and communication skills training course in HIV and AIDS for dental consultants. , 2000, European journal of dental education : official journal of the Association for Dental Education in Europe.

[12]  Jing Guo,et al.  Randomized trial of a gatekeeper program for suicide prevention: 1-year impact on secondary school staff. , 2008, Journal of consulting and clinical psychology.

[13]  P. Costa,et al.  Revised NEO Personality Inventory (NEO-PI-R) and NEO-Five-Factor Inventory (NEO-FFI) , 1992 .

[14]  R. Kramer,et al.  Youth suicide prevention. , 2001, Suicide & life-threatening behavior.

[15]  R. Neimeyer,et al.  Evaluation of suicide intervention effectiveness. , 1994, Death studies.

[16]  R. Puddy,et al.  Tennessee Lives Count: Statewide Gatekeeper Training for Youth Suicide Prevention , 2009 .

[17]  R. Hamilton,et al.  Nurses' knowledge and skill retention following cardiopulmonary resuscitation training: a review of the literature. , 2005, Journal of advanced nursing.

[18]  R. Neimeyer,et al.  Suicide Intervention Skills in Health Professionals: A Multidisciplinary Comparison , 2008, Archives of Suicide Research.

[19]  M. Matthieu,et al.  Evaluation of Gatekeeper Training for Suicide Prevention in Veterans , 2008, Archives of suicide research : official journal of the International Academy for Suicide Research.

[20]  M. Matthieu,et al.  Proximate outcomes of gatekeeper training for suicide prevention in the workplace. , 2007, Suicide & life-threatening behavior.

[21]  K. Deneve,et al.  Role play simulations: The assessment of an active learning technique and comparisons with traditional lectures , 1997 .

[22]  D. DeGarmo,et al.  Evaluating fidelity: predictive validity for a measure of competent adherence to the Oregon model of parent management training. , 2005, Behavior therapy.

[23]  Philip C. Kendall,et al.  Handbook of research methods in clinical psychology , 1982 .

[24]  Arthur Kleinman,et al.  Reducing Suicide: A National Imperative , 2002 .

[25]  Louise Young,et al.  Teaching medical students using role play: Twelve tips for successful role plays , 2006, Medical teacher.

[26]  Murray R. Barrick,et al.  THE BIG FIVE PERSONALITY DIMENSIONS AND JOB PERFORMANCE: A META-ANALYSIS , 1991 .

[27]  Patricia K. Kerig,et al.  Family Observational Coding Systems : Resources for Systemic Research , 2001 .

[28]  M. Stoolmiller,et al.  The Role of Behavior Observation in Measurement Systems for Randomized Prevention Trials , 2006, Prevention Science.

[29]  S. Canetto,et al.  Review of suicidology , 1997 .

[30]  R. Tierney.  Suicide intervention training evaluation: a preliminary report. , 1994, Crisis.

[31]  J. Cornuz,et al.  A new curriculum using active learning methods and standardized patients to train residents in smoking cessation , 2003, Journal of general internal medicine.

[32]  Krysia M. Yardley-Matwiejczuk,et al.  Role Play: Theory and Practice , 1997 .

[33]  A. Mounsey,et al.  Do students develop better motivational interviewing skills through role‐play with standardised patients or with student colleagues? , 2006, Medical education.

[34]  Carol Stuart,et al.  MANY HELPING HEARTS: AN EVALUATION OF PEER GATEKEEPER TRAINING IN SUICIDE RISK ASSESSMENT , 2003, Death studies.