Comparing the Effectiveness of Brief Versus In-Depth Gatekeeper Training on Behavioral Outcomes for Trainees

Condron, Susanne; Garraza, Lucas Godoy; Kuiper, Nora; Sukumar, Bhuvana; Walrath, Christine; McKeon, Richard

doi:10.1027/0227-5910/a000539

Cited by 10 publications

(4 citation statements)

References 25 publications

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“…The substantial and enduring effects for knowledge, self-efficacy and attitudes may be explained by the interactive nature, flexible and multi-method approach, and length of the gatekeeper training, which perhaps allowed learning and attitude change in more depth. In line with this assumption, Condron et al (17) found that a 2 days gatekeeper training with experience-based learning possibilities lead to more changes, compared to a gatekeeper training of only a few hours, at least for certain participants and outcomes. SUPRA gatekeeper training were not manualized in a strict sense but mandatory elements had to be included.…”

Section: Discussionmentioning

confidence: 92%

Effects of gatekeeper trainings from the Austrian national suicide prevention program

Plöderl

Fartacek

Kapitany³

et al. 2023

Front. Psychiatry

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BackgroundThe development and implementation of gatekeeper trainings were first goals in the national suicide prevention strategy “Suicide Prevention Austria” (SUPRA). The current study aims to assess the short- and longer-term effects of the SUPRA gatekeeper trainings in comparison with established gatekeeper trainings.MethodsWe evaluated 28 gatekeeper trainings including 427 participants by assessing improvement of knowledge (facts about suicide and suicide prevention), gatekeeper self-efficacy and attitudes, and gatekeeper behavior (e.g., asking depressed people about suicide). Assessments were immediately before and after the gatekeeper trainings, with an additional follow-up 6 months later. Effects were compared with benchmark effects of established gatekeeper trainings.ResultsThere were substantial improvements in knowledge, self-efficacy and attitudes immediately after the training, comparable or larger than known from evaluations of established gatekeeper trainings. Most of these changes were upheld in the follow-up assessment, with effects comparable to other gatekeeper trainings. There was only a small increase of self-reported gatekeeper behavior, in line with results from other gatekeeper trainings.ConclusionThe SUPRA gatekeeper training had some beneficial effects in the short- and longterm, with effect sizes comparable to established gatekeeper trainings.

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Section: Discussionmentioning

confidence: 92%

Effects of gatekeeper trainings from the Austrian national suicide prevention program

Plöderl

Fartacek

Kapitany³

et al. 2023

Front. Psychiatry

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“…Prior evaluations of GK training reported that some individual and sociodemographic characteristics may influence the acquisition of skills (Condron et al., 2019; Rallis et al., 2018), but few have reported an association between sociodemographic variables and helping behaviors. Our regression models showed no significant predictors of helping behaviors before training, but level of education was negatively associated with the likelihood of having engaged in helping behaviors in the first 6 months after receiving the training, with no other association between sociodemographic factors and helping behaviors.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the outcomes of the Quebec provincial suicide prevention gatekeeper training on knowledge, recognition of attitudes, perceived self‐efficacy, intention to help, and helping behaviors

Montiel,

Mishara

2023

Suicide & Life Threat Behav

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IntroductionGatekeeper (GK) training is a suicide prevention strategy in which community members learn to identify individuals at risk of suicide and refer them for appropriate help. Despite its widespread use, few studies have investigated its effects, including changes in helping behaviors.AimsTo assess the impact of GK training on participants' knowledge, recognition of the influence of attitudes, perceived self‐efficacy, intention to help and helping behaviors, and to identify variables associated with GK behaviors.MethodsMixed linear effects and forward stepwise logistic regressions were used to analyze data from 159 participants receiving the Quebec Provincial GK Training program offered by five different suicide prevention centers using pretest, posttest and 6‐month follow‐up questionnaires.ResultsParticipants' knowledge of the GK role and suicide prevention, intention to help, self‐efficacy, knowledge of services, and recognition of the influence of attitudes significantly increased following training. Most changes decreased at follow‐up but remained higher than at pretest. Lower levels of education and higher intention to help were significant predictors of engaging in helping behaviors in the first 6 months after receiving training.ConclusionsThe Quebec GK training appears to be effective in preparing participants for their role but does not appear to significantly increase helping behaviors.

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“…For example, in a study of Veteran’s Administration clinical and non-clinical staff both improved pre- and post-training, but the non-clinical staff had larger gains (Matthieu et al, 2008 ). However, another study found that higher-level professional roles in school settings, including social workers and health professionals, responded best to in-depth trainings (Condron et al, 2019 ). Another study from the Netherlands found trainees in professional roles had similar training outcomes, but healthcare professionals scored highest overall (Terpstra et al, 2018 ).…”

Section: Discussionmentioning

confidence: 99%

“…While gatekeeper trainings are accepted as appropriate for the general public, they are often conducted with homogenous groups, such as teachers, college students, or nurses. Research that considers individual characteristics suggests that professional role can impact the efficacy of trainings, though the effect may depend on the depth of training (Burnette et al, 2015 ; Condron et al, 2019 ; Cross et al, 2011 ; Lamis et al 2016 ). Beyond professional role, scant research has been done to consider the role of other individual factors including educational attainment on the uptake and retention of suicide prevention knowledge.…”

Section: Introductionmentioning

confidence: 99%

Evaluating the Effectiveness of Suicide Prevention Gatekeeper Trainings as Part of an American Indian/Alaska Native Youth Suicide Prevention Program

Mueller-Williams,

Hopson,

Momper

2023

Community Ment Health J

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According to the Centers for Disease Control suicide rates in 2022 for American Indian/Alaska Native youth are 2.5 times higher than the national average. An Urban Indian Health Organization’s response to this crisis was to provide community and State-wide Gatekeeper trainings between 2012 and 2019 to teach trainees (N = 810) to respond appropriately to youth at-risk of suicide. We report data on pre-, post-, and six-month follow-up surveys with trainees. Data were analyzed using generalized linear models repeated measures to test within-subject, and between-subject mean score changes on suicide prevention-related measures “knowledge,” “ask directly,” “respond,” “comfort,” and “preparedness.” Results indicated improved capacity to be prepared to address suicide in the short term and that having a graduate degree enhanced baseline suicide prevention knowledge. Over time those with less education benefited the most and better retained content. Future Trainings should engage young people and those with less education to realize the largest benefit.

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Comparing the Effectiveness of Brief Versus In-Depth Gatekeeper Training on Behavioral Outcomes for Trainees

Abstract: Findings suggest certain individuals may benefit from in-depth training more than others, which favors targeting this intervention to particular gatekeepers.

Cited by 10 publications

References 25 publications

Effects of gatekeeper trainings from the Austrian national suicide prevention program

Effects of gatekeeper trainings from the Austrian national suicide prevention program

Evaluation of the outcomes of the Quebec provincial suicide prevention gatekeeper training on knowledge, recognition of attitudes, perceived self‐efficacy, intention to help, and helping behaviors

Evaluating the Effectiveness of Suicide Prevention Gatekeeper Trainings as Part of an American Indian/Alaska Native Youth Suicide Prevention Program

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