Advancing Training to Identify, Intervene, and Follow Up with Individuals at Risk for Suicide Through Research

Osteen, Philip; Frey, Jodi Jacobson; Ko, Jungyai

doi:10.1016/j.amepre.2014.05.033

Cited by 43 publications

(51 citation statements)

References 30 publications

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“…Such concealment highlights the need for early detection of suicidality, so that those in need can be directed towards professional help (Seward & Harris, 2016;Wahlin & Deane, 2012;Wilson, Rickwood, & Deane, 2007). Experts have recognised the dilemma of at-risk individuals not seeking help on their own and advocate for more empirical evidence for early detection of suicidality, such as warning signs and risk factors that can be used by clinicians and gatekeepers to identify those at current or potential risk (Hempstead & Phillips, 2014;Osteen, Frey, & Ko, 2014). Warning signs are, however, not always clear or easily recognized and require greater study.…”

Section: Introductionmentioning

confidence: 99%

Suicidal women may risk their lives but not their social relationships

Pasculli

Harris

2018

Clinical Psychologist

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Objective Risk‐taking is an important but understudied suicidal factor, particularly concerning women. This study examined a broad range of risk behaviours and perceptions that might aid the early detection of suicidality by clinicians and gatekeepers. Method A purposive anonymous online survey, preferable for collecting data on stigmatised issues, produced a sample of 273 Australian/New Zealand women (aged 18–67 years) covering a broad spectrum of suicidal factors and risk‐taking behaviours. Participants completed items on risk‐taking perceptions and behavioural willingness, and the Suicidal Affect‐Behavior‐Cognition Scale. Demographic factors were controlled for in partial correlations and hierarchical regression modelling, which tested the validity of risk‐taking variables as predictors of suicidality. Results Suicidality was positively associated with willingness to engage in infidelity, not wearing seatbelts or motorcycle helmets, and negatively associated with interpersonal risk‐taking (unwillingness to endanger social relationships). Hierarchical regression modelling revealed these risk‐taking perceptions and behaviours explained 34% of the variance in women's suicidality, after accounting for age and ethnicity. Conclusions This study demonstrated that some types of commonplace risk‐taking, or avoidance, may serve as important indicators or warning signs for suicidal crises in women. Clinicians should consider possible underlying psychological distress when encountering these symptoms and behaviours.

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Section: Introductionmentioning

confidence: 99%

Suicidal women may risk their lives but not their social relationships

Pasculli

Harris

2018

Clinical Psychologist

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“…Review of the Suicide Prevention Resource Center (SPRC) evidence‐based programs and programs listed as “adhering to standards” in terms of content shows that training varies widely with regard to content, intended audience, target outcomes, assessment tools, time requirements, and modality of delivery. Developing, implementing, and assessing suicide prevention behavior are difficult and complex tasks, in part because of the heterogeneous groups needing training; diverse populations of at risk; diverse settings in which suicide intervention services occur; different tasks that providers perform such as identifying risk, assessing and managing risk, and treatment; lack of standardized measures of training effectiveness; and limited data linking training outcomes to reductions in suicide deaths (Osteen, Frey, & Ko, ; Pisani, Cross, & Gould, ).…”

mentioning

confidence: 99%

Modeling the Longitudinal Direct and Indirect Effects of Attitudes, Self‐Efficacy, and Behavioral Intentions on Practice Behavior Outcomes of Suicide Intervention Training

Osteen

Frey

Woods

et al. 2016

Suicide & Life Threat Behav

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The purpose of this study was to use a longitudinal path analysis to test attitudes toward suicide prevention, self-efficacy, and behavioral intentions as mediators/moderators of clinical skill development over time following suicide intervention training. Results support a direct effect of attitudes on practice behaviors and self-efficacy, but no moderating effect. Self-efficacy performed as a mediator of practice behaviors over time. Behavioral intention had a direct effect on practice behaviors and mediated the relationship between attitudes and practice behaviors. Implications for research and practice are discussed.

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“…Esto podría sugerir que, aunque las percepciones y actitudes son importantes, estas no siempre van a la par con las acciones. Las actitudes representan una de las principales áreas de intervención en los adiestramientos para la prevención del suicidio, además del conocimiento y las destrezas, acciones o conductas (Osteen, Frey, & Jungyai, 2014). No obstante, una revisión de literatura ha sugerido que mejorar actitudes no siempre está asociado a cambios en las acciones o conductas (Chaiklin, 2011 implica que no existen procedimientos de manejo claros para los profesionales, lo que podría generar mayor vulnerabilidad en el manejo de las situaciones donde haya una persona con riesgo suicida.…”

Section: Discussionunclassified

“…Aunque se espera que estos mejoren las actitudes de las personas para explorar ideación suicida, este adiestramiento, al igual que los que aparecen en el Registro de Prácticas Basadas en la Evidencia (Osteen et al, 2014), estuvo más enfocado en el aumento de conocimiento y destrezas que en actitudes. Más importante resulta el hecho de que no se hizo seguimiento para evaluar si los aumentos se mantuvieron a largo plazo y si hubo cambios en las prácticas, según es recomendado (Osteen et al, 2014). Asimismo, la falta de un grupo control y el pequeño tamaño de la muestra limitan la interpretación de los resultados.…”

Section: Limitaciones Y Recomendacionesunclassified

Diseño y evaluación de un adiestramiento para profesionales de ayuda sobre identificación y manejo de riesgo suicida en estudiantes universitarios

2016

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r e s u M e n Este artículo describe el diseño, implementación y evaluación de un adiestramiento para profesionales de ayuda que trabajan en instituciones de educación superior en Puerto Rico. Está dirigido al desarrollo de destrezas y conocimiento en la evaluación y el manejo del riesgo suicida en estudiantes universitarios-as. Se realizó un diseño cuasiexperimental de medidas repetidas con 39 profesionales de las disciplinas de consejería, psicología y trabajo social. Se encontraron diferencias estadísticamente significativas entre la pre y posprueba, t (38) = -9.281, p = 0. Los resultados sugieren que un adiestramiento basado en la evidencia que utilice como guía las competencias e incorpore el uso de ejercicios prácticos aumenta el conocimiento y destrezas de intervención de profesionales de la salud mental en la evaluación y manejo de riesgo suicida.Palabras clave suicidio; adiestramiento; competencias; evaluación y manejo; profesionales de salud mental a b s T r a C T This article describes the design, implementation and evaluation of a suicide risk assessment and management training for professionals working in institutions of higher education in Puerto Rico. We conducted a quasiexperimental design with 39 professionals in counseling, psychology and social work. Statistically significant differences were found between pre and post-tests, t (38) = -9.281, p = 0. Results suggest that an evidencebased training that follows the core competencies and includes practical exercises, increases the knowledge and intervention skills of mental health professionals in the assessment and management of suicide risk.

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Advancing Training to Identify, Intervene, and Follow Up with Individuals at Risk for Suicide Through Research

Cited by 43 publications

References 30 publications

Suicidal women may risk their lives but not their social relationships

Suicidal women may risk their lives but not their social relationships

Modeling the Longitudinal Direct and Indirect Effects of Attitudes, Self‐Efficacy, and Behavioral Intentions on Practice Behavior Outcomes of Suicide Intervention Training

Diseño y evaluación de un adiestramiento para profesionales de ayuda sobre identificación y manejo de riesgo suicida en estudiantes universitarios

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