Gatekeeper training for caregivers and professionals: A variation on suicide prevention

Swanke, Jayme; Buila, Sarah

doi:10.5172/jamh.9.1.98

Cited by 7 publications

(23 citation statements)

References 1 publication

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“…Problems arise when evaluating suicide prevention studies, as the most objective measure of effectiveness is a reduction in the number of completed suicides (Swanke & Buila, 2010). Low incidence rates and resulting low statistical power preclude the assessment of suicide as a primary outcome.…”

Section: Introductionmentioning

confidence: 99%

“…Gatekeeper training 'teaches specific groups of people to identify people at high risk for suicide and then to refer those people for treatment' (Isaac et al, 2009, p. 261). While there is no consistent evidence to suggest that gatekeeper training alone decreases existing rates of suicide, such programmes are seen as one of the most important components of broader suicide prevention strategies Isaac et al, 2009;Swanke & Buila, 2010). Gatekeeper training is often integrated into multifaceted strategies aimed at educating community facilitators on identifying signs of depression and suicidal behaviour and referring to appropriate services (Cross, Matthieu, Lezine, & Knox, 2010;Knox, Litts, Talcott, Feig, & Caine, 2003).…”

Section: Introductionmentioning

confidence: 99%

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Effectiveness of Depression–Suicidal Behaviour Gatekeeper Training among police officers in three European regions: Outcomes of the Optimising Suicide Prevention Programmes and Their Implementation in Europe (OSPI-Europe) study

Arensman

Coffey

Griffin

et al. 2016

Int J Soc Psychiatry

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Background: Gatekeeper training for community facilitators, to identify and respond to those at risk of suicide, forms an important part of multi-level community-based suicide prevention programmes. Aims: This study examined the effects of gatekeeper training on attitudes, knowledge and confidence of police officers in dealing with persons at risk of suicide. Methods: A total of 828 police officers across three European regions participated in a 4-hour training programme which addressed the epidemiology of depression and suicidal behaviour, symptoms of depression, warning signs and risk factors associated with suicidal behaviour, motivating help-seeking behaviour, dealing with acute suicidal crisis and informing bereaved relatives. Participants completed internationally validated questionnaires assessing stigmatising attitudes, knowledge about depression and confidence in dealing with suicidal persons pre-and posttraining. Results: There were significant differences among countries in terms of previous exposure to suicidal persons and extent of previous training. Post-training evaluation demonstrated significant improvements in stigmatising attitudes, knowledge and confidence in all three countries. Conclusion: The consistently positive effects of gatekeeper training of police officers across different regions support inclusion of this type of training as a fundamental part of multi-level community-based suicide prevention programmes and roll-out, nationally and internationally.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Effectiveness of Depression–Suicidal Behaviour Gatekeeper Training among police officers in three European regions: Outcomes of the Optimising Suicide Prevention Programmes and Their Implementation in Europe (OSPI-Europe) study

Arensman

Coffey

Griffin

et al. 2016

Int J Soc Psychiatry

View full text Add to dashboard Cite

show abstract

“…Further, the majority of the reviewed studies (16) implemented programs that were administered by mental health professionals or certified trainers. Only one program, the conference‐based intervention, included FFSI in the program's deliverance (Swanke & Dobie Buila, 2010). While this review highlighted an apparent gap in the literature surrounding GKT programs developed specifically for FFSI, it was also found that many programs are conducted without the unique insight offered by these individuals.…”

Section: Discussionmentioning

confidence: 99%

Gatekeeper training for friends and family of individuals at risk of suicide: A systematic review

Morton

Wang

Tse

et al. 2021

Journal Community Psychology

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Aims: Gatekeeper training (GKT) is an important suicide prevention strategy. Studies have evaluated the effectiveness of GKT in different populations, often neglecting family and friends who play a vital role in caring for people with suicide risk. This review evaluated GKT programs targeting family and friends to determine their effectiveness in this specific population.Methods: Academic databases were searched for studies on GKT programs. Programs involving family and friends caring for people with suicide risk were assessed for any impact on knowledge, self-efficacy, attitudes, and suicide prevention skills.Results: Seventeen studies were reviewed. GKT showed significant gains on outcomes of interest. Three studies targeted family and friends, with one involving them in program creation and conduction and another adjusting the program after their input. Conclusions: GKT programs have potentially positive effects on family and friends caring for people with suicide risk. Few programs address the specific needs of this group, and programs adapted specifically for them are scarce. Future program development recommendations are discussed.

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“…This perception may not be specific to family given that people experiencing suicidal thoughts may not believe that others can help (Burton Denmark, Hess, & Becker, 2012; Eskin, 2003). There is no way to know whether attempt survivors are getting information elsewhere, but building confidence in family members as resource hubs (e.g., attempt-survivor support groups and websites) certainly complements recommendations for kin- and caregiver-focused gatekeeper training (e.g., Swanke & Buila, 2010). Our post hoc results, which showed that greater social support was correlated with less perceived stigma and concealment, reinforce the benefits of developing family support networks for attempt survivors.…”

Section: Discussionmentioning

confidence: 99%

“…Family members represent key social actors who comprise the core of social networks among certain high-risk groups, such as people with serious mental illness (e.g., schizophrenia, affective disorders; Goldberg, Rollins, & Lehman, 2003; Pernice-Duca, 2008), and are optimally positioned to affect suicidal behavior (Frey, Hans, & Sanford, 2016). Family members are essentially “on the front lines” in that they are more likely to witness warning signs and have the opportunity to respond to them (e.g., Swanke & Buila, 2010). As a result, family members can help to reduce suicide risk by linking loved ones in crisis to mental health care (Frey et al, 2017; Fulginiti et al, 2016).…”

Section: Literature Reviewmentioning

confidence: 99%

Suicide Attempt Survivorship and Designation as a Concealable Stigmatized Identity

Fulginiti

Frey

2018

Families in Society: The Journal of Contemporary Social Service

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Despite literature on unique challenges faced by people living with concealable stigmatized identities (CSIs), no research has explored this concept among suicide attempt survivors. Social network interviews with 26 attempt survivors about their family relationships were used to assess whether attempt-survivor status is consistent with CSI criteria. Participants concealed their attempt from 51% of family members and perceived that 46% of them held stigmatizing attitudes toward attempt survivors. Additionally, 42% agreed that being a survivor is central to who they are, and 46% indicated they commonly thought about being an attempt survivor. Applying the CSI concept to attempt survivors establishes conceptual linkages to resources and interventions developed for other CSIs, which could increase the field’s ability to respond to attempt-survivor needs.

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Gatekeeper training for caregivers and professionals: A variation on suicide prevention

Cited by 7 publications

References 1 publication

Effectiveness of Depression–Suicidal Behaviour Gatekeeper Training among police officers in three European regions: Outcomes of the Optimising Suicide Prevention Programmes and Their Implementation in Europe (OSPI-Europe) study

Effectiveness of Depression–Suicidal Behaviour Gatekeeper Training among police officers in three European regions: Outcomes of the Optimising Suicide Prevention Programmes and Their Implementation in Europe (OSPI-Europe) study

Gatekeeper training for friends and family of individuals at risk of suicide: A systematic review

Suicide Attempt Survivorship and Designation as a Concealable Stigmatized Identity

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