Development of the Life Gatekeeper suicide prevention training programme in China: a Delphi study

Abstract

BackgroundYouth suicide has been a pressing public mental health concern in China, yet there is a lack of gatekeeper intervention programmes developed locally to prevent suicide among Chinese adolescents.AimsThe current Delphi study was the first step in the systematic development of the Life Gatekeeper programme, the first gatekeeper programme to be developed locally in China that aims to equip teachers and parents with the knowledge, skills and ability to identify and intervene with students at high risk of suicide.MethodsThe Delphi method was used to elicit a consensus of experts who were invited to evaluate the importance of training content, the feasibility of the training delivery method, the possibility of achieving the training goals and, finally, the appropriateness of the training materials. Two Delphi rounds were conducted among local experts with diversified professional backgrounds in suicide research and practice. Statements were accepted for inclusion in the adjusted training programme if they were endorsed by at least 80% of the panel.ResultsConsensus was achieved on 201 out of 207 statements for inclusion into the adapted guidelines for the gatekeeper programme, with 151 from the original questionnaire and 50 generated from comments of the panel members. These endorsed statements were synthesised to develop the content of the Life Gatekeeper training programme.ConclusionsThis Delphi study provided an evidence base for developing the first gatekeeper training programme systematically and locally in China. We hope that the current study can pave the way for more evidence-based suicide prevention programmes in China. Further study is warranted to evaluate the effectiveness of the Life Gatekeeper training programme.

Assessing the effectiveness of internet-based interventions for mental health outcomes: an umbrella review

“…Therefore, these interventions could be integrated into mental health programmes in diverse settings, including regions affected by humanitarian crises, where such resources are often lacking. 59 Overall, our analysis confirms that IBIs are effective treatments with high levels of patient satisfaction. Lastly, despite promising results, the review also highlights the need for caution.…”

Mediating effect of resilience on the relationship between rumination and suicide attempts in Chinese adolescents with mood disorders

“…1 In China, the suicide attempt (SA) rate for adolescents with MD is 51.96%, 2 and over 500 000 adolescent SA are reported annually in the USA due to depression. 3 Risk factors for SA include gender, hormone levels, family conflict and, particularly, negative cognitive styles such as rumination. [2][3][4][5][6] Our recent study 2 has demonstrated a significant positive association between rumination and SA in adolescents with MD; rumination fully mediated the relationship between depression and SA.…”

“…3 Risk factors for SA include gender, hormone levels, family conflict and, particularly, negative cognitive styles such as rumination. [2][3][4][5][6] Our recent study 2 has demonstrated a significant positive association between rumination and SA in adolescents with MD; rumination fully mediated the relationship between depression and SA. Additionally, our previous finding has revealed a negative correlation between rumination and resilience and that resilience mediates the relationship between rumination and depression.…”

“… 1 In China, the suicide attempt (SA) rate for adolescents with MD is 51.96%, 2 and over 500 000 adolescent SA are reported annually in the USA due to depression. 3 Risk factors for SA include gender, hormone levels, family conflict and, particularly, negative cognitive styles such as rumination. 2–6 …”

Global, regional and national burdens of bipolar disorders in adolescents and young adults: a trend analysis from 1990 to 2019

“… 12 Adolescent suicide not only negatively impacts parents and families but also profoundly affects teachers and peers at school. 13 According to self-reported health, youth with bipolar disorder had poorer quality of life compared with healthy youth, youth with chronic conditions, youth with behavioural disorders and youth with other non-behavioural/non-emotional disorders. 14 Unfortunately, approximately only 56.1% of youth with bipolar disorder have received mental health services.…”