A brief peer gatekeeper suicide prevention training: Results of an open pilot trial

Rallis, Bethany A.; Esposito‐Smythers, Christianne; Disabato, David J.; Mehlenbeck, Robyn; Kaplan, Seth A.; Geer, L de; Adams, Richard H.; Meehan, Barbara T.

doi:10.1002/jclp.22590

Cited by 45 publications

(37 citation statements)

References 34 publications

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“…As noted in the introduction, most studies of other brief gatekeeper trainings have not found an effect for training on self‐reported prevention behaviors, with the exception of trainings that include behavioral modeling and rehearsal of skills (Cross et al., ; Kuhlman et al., ; Rallis et al., ). The interactive experience of the Kognito simulation may function like the role play enhanced didactic gatekeeper trainings, engaging the trainee in a behavioral learning experience.…”

Section: Discussionmentioning

confidence: 99%

“…Kuhlman, Walch, Bauer, and Glenn (), in a quasi‐experimental study, found trainees were more likely to refer at‐risk youth (Kuhlman et al., ). In the second study, there was a small‐medium increase (Cohen's d = .24) in number of peers referred in a one group pre‐ and post‐test design of 178 undergraduates (Rallis et al., ). Promising results were also observed through the innovation in QPR of adding role plays of interaction with an at‐risk person, demonstrating increased gatekeeper skills over those trained in traditional QPR (Cross et al., ).…”

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confidence: 99%

“…Specific to gatekeeper training for college students, Rallis et al. () found female trainees made greater gains in knowledge and attitudes and almost three times as many female (15.7%) as male (5.6%) trainees went from zero peer referrals at pre‐test to at least one at post‐test, but there were no gender difference in the mean change in number of peers referred.…”

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confidence: 99%

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Kognito's Avatar‐Based Suicide Prevention Training for College Students: Results of a Randomized Controlled Trial and a Naturalistic Evaluation

Coleman

Black

et al. 2019

Suicide & Life Threat Behav

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Objective To evaluate the efficacy and effectiveness of Kognito At Risk for College Students, an online, interactive suicide prevention gatekeeper training. Methods In Study 1, a randomized controlled trial was conducted to test the efficacy of Kognito. Retention of participants at follow‐up was strong. In Study 2, administrative records were used to follow the help‐seeking behavior of Kognito trainees for one academic year, contrasted with untrained students. Results In Study 1, between‐group changes in gatekeeper attitudes were large at time‐two, but attenuated modestly by 2‐month follow‐up. Kognito trainees referred more peers at 2‐month follow‐up (Cohen's d = .56, p < .05) ‐ training 4 students in Kognito produces 1 more peer referred. In Study 2, the help‐seeking rate of Kognito trainees (14.4%) was two‐times the rate (6.8%) of untrained students (p < .001). Training 14 students in Kognito leads to 1 more self‐referral to the Counseling Center. Conclusions This first randomized controlled trial of the college student version of Kognito validates the findings of less rigorous studies. Few brief suicide prevention trainings have shown changes in trainee behaviors such as referrals of at‐risk peers and trainees actual help‐seeking behavior. These results are promising that Kognito may outperform other similar suicide prevention trainings.

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

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Kognito's Avatar‐Based Suicide Prevention Training for College Students: Results of a Randomized Controlled Trial and a Naturalistic Evaluation

Coleman

Black

et al. 2019

Suicide & Life Threat Behav

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“…This finding suggests that even brief training may have a positive impact and is supported by previous research that demonstrated the effectiveness of brief (1-2 h) suicide prevention programs among community members, college students and medical staff in Japan. [32][33][34] This is good news for organizations with limited resources and time for workforce development.…”

Section: Brief Suicide Prevention Training May Improve Skills and Confidencementioning

confidence: 99%

Suicide prevention skills, confidence and training: Results from the Zero Suicide Workforce Survey of behavioral health care professionals

et al. 2020

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Introduction: In behavioral health care settings, a workforce well trained in suicide prevention is critically important for behavioral health care professionals across different disciplines and service sectors who are likely to have considerable exposure to patients at risk for suicidal behavior. This study examined the types of training behavioral health care professionals received, their self-reported skills, comfort level and confidence related to suicide prevention, the association of types and length of training with skills, comfort level and confidence, and areas in which participants would like more training. Methods: The Zero Suicide Workforce Survey was administered electronically to behavioral health care professionals at six behavioral health treatment centers with both inpatient and ambulatory programs in Connecticut, USA. Item numbers and percentages were calculated for 847 respondents with behavioral health care roles. The chi-square tests were performed to determine the statistical significance of group differences. Non-parametric sign tests were performed to determine the statistical significance of the collective differences in direction among items between groups. Results: Suicide prevention training is associated with increased levels of behavioral health care professionals’ skills and confidence, but one-third of behavioral health care professionals in the sample received no formal training in suicide prevention/intervention. Even brief training appears to have a positive impact on behavioral health care professionals’ assessment of their skills and confidence. Prominent topics for additional training include suicide-specific treatment approaches, suicide prevention and awareness, and identification of risk factors and warning signs. Conclusion: Although behavioral health care professionals may often encounter patients at risk for suicide, many have not obtained any relevant training. The findings highlight the need to strengthen suicide identification, assessment and treatment within behavioral health care treatment settings as part of an effort to prevent suicide.

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“…by facilitating referral (Isaac et al 2009 ). For example, a study of gatekeeper training for 231 college students by Rallis et al ( 2018 ) suggests that this particular population may hold implications for suicide prevention.…”

Section: Introductionmentioning

confidence: 99%

The Predictive Role of Positive Mental Health for Attitudes Towards Suicide and Suicide Prevention: Is the Well-Being of Students of the Helping Professions a Worthwhile Goal for Suicide Prevention?

et al. 2019

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This study evaluates the potential value of eudaimonic well-being in assessing pro-preventive orientation towards suicide and recognizing suicide as a solution. The aim was to integrate positive and negative conceptualizations of mental health for predicting attitudes towards suicide, and towards suicide prevention, among students of the helping professions. The study participants (166 women and 73 men, mean age 22.84 ± 5.15) answered a set of questionnaires, including a Questionnaire on Attitudes Towards Suicide, Goldberg Health Questionnaire (GHQ-28), Psychological Well-Being Scale (PWB-42) and Centrality of Religiosity Scale. Multiple regression analysis showed that environmental mastery, purpose in life and positive relationships, controlled for religiousness and psychological problems related to general mental health, predicted the variability of attitudes towards suicide and pro-preventive orientation. Sociodemographic variables were not related to attitudes towards suicide. Our findings suggest that positive mental health, represented jointly by low mental health problems and eudaimonic components of happiness, plays a role in predicting pro-preventive attitudes. Therefore, improving positive mental health among students in the helping professions, these being the future gatekeepers, could be considered an auxiliary strategy for suicide prevention.

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A brief peer gatekeeper suicide prevention training: Results of an open pilot trial

Abstract: Offering peer suicide gatekeeper training to students from the general college population may hold promise in suicide prevention efforts.

Cited by 45 publications

References 34 publications

Kognito's Avatar‐Based Suicide Prevention Training for College Students: Results of a Randomized Controlled Trial and a Naturalistic Evaluation

Kognito's Avatar‐Based Suicide Prevention Training for College Students: Results of a Randomized Controlled Trial and a Naturalistic Evaluation

Suicide prevention skills, confidence and training: Results from the Zero Suicide Workforce Survey of behavioral health care professionals

The Predictive Role of Positive Mental Health for Attitudes Towards Suicide and Suicide Prevention: Is the Well-Being of Students of the Helping Professions a Worthwhile Goal for Suicide Prevention?

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