The Effects of the Gatekeeper Suicide-Awareness Program for Nursing Personnel

Tsai, Wen-Pei; Lin, Long-Yau; Chang, Hui‐Chin; Yu, L J; Chou, Ming‐Chih

doi:10.1111/j.1744-6163.2010.00278.x

Cited by 43 publications

(29 citation statements)

References 21 publications

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“…Healthcare providers are susceptible to the same biases toward persons with mental illness that are still common in general society, as well as additional issues related to frustration or discomfort with, or dislike or misunderstanding of, suicidal patients . It is important to acknowledge these biases and knowledge gaps when designing provider education programs or care protocols, and focused training programs have been shown to have positive short‐term effects on provider attitudes …”

Section: Discussionmentioning

confidence: 99%

“…[11,19,[24][25][26] It is important to acknowledge these biases and knowledge gaps when designing provider education programs or care protocols, and focused training programs have been shown to have positive short-term effects on provider attitudes. [11,27,28] A minority of providers in this multisite sample reported screening most or all patients for SI; of note, none of the included sites had universal screening protocols in place at the time of the study. Far more nurses than physicians reported screening patients, which may reflect traditional models of care with triage nurse assessments followed by more focused physician and primary nurse evaluation.…”

Section: Discussionmentioning

confidence: 99%

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Knowledge, Attitudes, and Practices of Emergency Department Providers in the Care of Suicidal Patients

et al. 2013

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Background We sought to examine the knowledge, attitudes and practices of emergency department (ED) providers concerning suicidal patient care and to identify characteristics associated with screening for suicidal ideation (SI). Methods 631 providers at eight EDs completed a voluntary, anonymous survey (79% response rate). Results The median participant age was 35 (interquartile range: 30-44) years and 57% were female. Half (48%) were nurses and half were attending (22%) or resident (30%) physicians. More expressed confidence in SI screening skills (81-91%) than in skills to assess risk severity (64-70%), counsel patients (46-56%) or create safety plans (23-40%), with some differences between providers. Few thought mental health provider staffing was almost always sufficient (6-20%) or that suicidal patient treatment was almost always a top ED priority (15-21%). More nurses (37%, 95%Confidence Interval [CI] 31-42%) than physicians (7%, 95%CI 4-10%) reported screening most or all patients for SI; this difference persisted after multivariable adjustment. In multivariable analysis, other factors associated with screening most or all patients for SI were self-confidence in skills, (OR 1.60, 95%CI 1.17-2.18), feeling that suicidal patient care was a top ED priority (OR 1.73, 95%CI 1.11-2.69) and 5+ post-graduate years of clinical experience (OR 2.06, 95%CI 1.03-4.13). Conclusions ED providers reported confidence in suicide screening skills but gaps in further assessment, counseling or referral skills. Efforts to promote better identification of suicidal patients should be accompanied by a commensurate effort to improve risk assessment and management skills, along with improved access to mental health specialists.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Knowledge, Attitudes, and Practices of Emergency Department Providers in the Care of Suicidal Patients

et al. 2013

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“…Importantly, after a discussion about the "correct" answers-which established which person was most likely to die by suicide-participants in the study demonstrated improved ability to recognize risk factors on a subsequent assessment. Several additional studies also indicate the potential effect of educational intervention on understanding signs of risk (Lamis, Underwood, & D'Amore, 2016;Pisano, Cross, Watts, & Conner, 2011;Tsai, Lin, Chang, Yu, & Chou, 2011). Although the public seems to benefit from learning about common warning signs in order to identify them more readily (e.g., Lamis et al, 2016;Madson & Vas, 2003;Pisani et al, 2011;Tsai et al, 2011), research suggests that the "IS PATH WARM?"…”

mentioning

confidence: 99%

Factors related to suicide’s unpredictability: a qualitative study of adults with lived experience of suicide attempts

Krychiw

Ward‐Ciesielski

2019

International Journal of Qualitative Studies on Health and Well

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Purpose : In recent decades, suicide prevention initiatives have increased substantially, yet the suicide rate has continued to rise, and suicide deaths are still generally perceived as unexpected. This study sought to identify factors that might account for this discrepancy by focusing on the exhibition of suicide warning signs. Methods : Qualitative interviews were conducted with 15 adults [mean age = 36 (SD = 14), 93% female] who had attempted suicide at least once in their lifetime. Results : A disconnect between participants and their environment emerged as a central theme. Many expressed ambivalence about whether they wanted others to intervene before their attempts, resulting in either expression or inhibition of warning signs. Regardless of whether they wanted their attempt to be predictable, most participants expressed disappointment if they perceived a lack of intervention before their attempt. In some cases, this disappointment exacerbated distress and may have contributed to the attempt itself. Participants also expressed difficulty disclosing their suicidal ideation to others. Thus, even if they wanted help, participants were unsure how to effectively attain it. Conclusions : Findings underscore the complexity of predicting and preventing suicide; however, engaging individuals with lived experience in these efforts facilitates greater understanding toward outreach and intervention approaches.

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“…Our findings have been confirmed by numerous studies of suicide prevention training, namely, that non-continuous training is not sufficient in itself to achieve a steady and long-term reduction in suicide rates. Rather, there is a demonstrable need for consistent, repeated, and standardized training in suicide prevention that covers various aspects of suicidal behaviour [11–14]. We further believe that since there is no consistent, repeated, and standardized training on suicide prevention at present, Lithuania will not achieve a meaningful degree of preventative efficiency.…”

Section: Discussionmentioning

confidence: 99%

“…Most research shows that in order to achieve a steady and long-term reduction in the suicide rate, non-continuous training is not enough, and there is a need for continual, repeated, and standardized suicide prevention training. More effort should be directed towards evaluating the existing methods of training healthcare providers in this field, including making further practical recommendations and improvements, allowing for the rational allocation of resources, and instituting the long-term and systematic training of healthcare professionals [10–14]. …”

Section: Introductionmentioning

confidence: 99%

Factors influencing the suicide intervention skills of emergency medical services providers

Lygnugarytė-Grikšienė

Leskauskas

Jasinskas

et al. 2017

Medical Education Online

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Background: Lithuania currently has the highest suicide rate in Europe and the fifth highest worldwide. Aims: To identify the factors that influence the suicide intervention skills of emergency medical services (EMS) providers (doctors, nurses, paramedics). Method: Two hundred and sixty-eight EMS providers participated in the research. The EMS providers were surveyed both prior to their training in suicide intervention and six months later. The questionnaire used for the survey assessed their socio-demographic characteristics, suicide intervention skills, attitudes towards suicide prevention, general mental health, strategies for coping with stress, and likelihood of burnout. Results: Better suicide intervention skills were more prevalent among EMS providers with a higher level of education, heavier workload, more positive attitudes towards suicide prevention, better methods of coping with stress, and those of a younger age. Six months after the non-continuous training in suicide intervention, the providers’ ability to assess suicide risk factors had improved, although there was no change in their suicide intervention skills. Conclusions: In order to improve the suicide intervention skills of EMS providers, particular attention should be paid to attitudes towards suicide prevention, skills for coping with stress, and continuous training in suicide intervention. Abbreviations: EMS: Emergency medical services; SIRI: Suicide intervention response inventory

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The Effects of the Gatekeeper Suicide-Awareness Program for Nursing Personnel

Abstract: We suggest that nursing personnel's continuing education include a training program for suicide prevention.

Cited by 43 publications

References 21 publications

Knowledge, Attitudes, and Practices of Emergency Department Providers in the Care of Suicidal Patients

Knowledge, Attitudes, and Practices of Emergency Department Providers in the Care of Suicidal Patients

Factors related to suicide’s unpredictability: a qualitative study of adults with lived experience of suicide attempts

Factors influencing the suicide intervention skills of emergency medical services providers

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