Gatekeeper: Suicide Prevention Training

2013 ◽  
Crisis ◽  
2015 ◽  
Vol 36 (2) ◽  
pp. 102-109 ◽  
Author(s):  
Annette Shtivelband ◽  
Patricia A. Aloise-Young ◽  
Peter Y. Chen

Background: Gatekeeper training is a promising suicide prevention strategy that is growing in popularity. Although gatekeeper training programs have been found to improve trainee knowledge, self-efficacy, and perceived skills, researchers have found that the benefit of gatekeeper training may not last over time. Aims: The purpose of this study was to identify strategies for strengthening the long-term effects of suicide prevention gatekeeper training. Method: In-depth interviews and focus groups were conducted with gatekeepers (N = 44) and data were analyzed using a qualitative research approach. Results: The results of this study suggest that posttraining interventions may be more effective if they include the following seven themes: (a) social network – connecting with other gatekeepers; (b) continued learning – further education; (c) community outreach – building awareness; (d) accessibility – convenience; (e) reminders – ongoing communication; (f) program improvement –- enhancing previous training; and (g) certification – accreditation. Conclusion: Posttraining interventions that incorporate the themes from this study offer a promising direction in which to sustain the effects of gatekeeper suicide prevention training.


2007 ◽  
Vol 55 (3) ◽  
pp. 237-253 ◽  
Author(s):  
Karolina E. Krysinska ◽  
Diego De Leo

Development of information technology has created new opportunities and challenges in suicide prevention, research, and clinical practice. This article presents an overview of the wide range of telecommunication-based suicide prevention approaches. Interventions using the Internet, telephone, and videoconferencing are discussed, including crisis intervention, referral, and support, suicide risk assessment, psychotherapy for individuals at risk, and online-based suicide prevention training and education. Research regarding effectiveness of telecommunication-based suicide prevention in various demographic and clinical populations is reviewed, as well as concerns regarding this type of intervention. Future areas of research and development in the use of telecommunication media in prevention of suicide are discussed.


2017 ◽  
Vol 79 (4) ◽  
pp. 347-363 ◽  
Author(s):  
Karen Mason ◽  
Monica Geist ◽  
Mollie Clark

Clergy have a key role in suicide prevention but report being undertrained, perhaps because a model that captures the competencies needed to engage suicide in faith communities and how these skills develop has not previously been available. Using grounded theory, this study addressed this gap by generating a developmental rubric based on interviews with 19 Protestant clergy, which were analyzed using a constant comparative method and were checked by interviewees operating at the highest level of development. The final 10 dimensions described over four developmental stages are (a) knowing role as clergy, (b) listening, (c) confidence, (d) risk assessment, (e) referral, (f) self-care, (g) community building, (h) postvention: ministering to survivors, (i) conducting memorial services or memorial ceremonies, and (j) clergy guilt. Results are based on clergy’s intuitive categories and provide a usable rubric for developing suicide prevention training for clergy.


10.2196/22076 ◽  
2020 ◽  
Vol 22 (10) ◽  
pp. e22076
Author(s):  
Alan R Teo ◽  
Wynn Strange ◽  
Ricky Bui ◽  
Steven K Dobscha ◽  
Sarah S Ono

Background A “concerning post” is a display of a user’s emotional crisis on a social media platform. A better understanding of concerning posts is relevant to suicide prevention, but little is known about social media users’ attitudes and responses to concerning posts. Military veterans in the United States are disproportionately affected by suicide, often use social media, and may have exposure to individuals with elevated suicide risk via concerning posts. Objective The objective of the study was (1) to obtain insight into whether and how US military veterans respond to members of their social network on social media (ie, “friends”) who are experiencing substantial emotional distress, and (2) to identify potential interventions that could assist in users’ response to concerning posts. Methods We recruited veterans through Facebook and conducted semistructured interviews with 30 participants between June and December 2017. We used a summary template for rapid analysis of each interview, followed by double-coding using a codebook based on topic domains from the interview guide. Members of the research team met regularly to discuss emerging patterns in the data, generate themes, and select representative quotes for inclusion in the manuscript. Results Veterans were reluctant to disclose emotional and health issues on Facebook, but they were open to reaching out to others’ concerning posts. There was a complex calculus underlying whether and how veterans responded to a concerning post, which involved considering (1) physical proximity to the person posting, (2) relationship closeness, (3) existing responses to the post, and (4) ability to maintain contact with the person. Veterans desired additional training, backed by community-based veteran organizations, in how to respond to concerning posts from peers. Conclusions There is a need to incorporate features that will help veterans effectively respond to concerning posts from peers into suicide prevention training and to expand access for veterans to such training.


2020 ◽  
Vol 63 ◽  
pp. 71-76
Author(s):  
B Thomas ◽  
S Chaturvedula

Introduction: Mental health promotion and suicide prevention are important initiatives of Indian Air Force (IAF) for its personnel. Institute of Aerospace Medicine (IAM), Bengaluru, has been conducting suicide prevention training programs for the IAF personnel since 1997. More than a 100 programs have been completed. In-time identification of the vulnerable, empowerment of instructors, provision of information about suicide prevention and improvement of approach toward the ab initio who are at risk are the focus of the suicide prevention program (SPP). This paper aims at assessing the efficacy of the mentoring skills imparted during the suicide prevention training in successfully identifying and providing support to the vulnerable ab initio cadets in the training establishments of IAF. Material and Methods: Mentors (n = 34) who are instructors in the training establishments in IAF and who have completed SPP conducted by IAM participated in the study. A feedback tool which was to assess the usefulness of the SPP in terms of the extended use of mentoring skills in their work, problems faced in the identification of the vulnerable persons, challenges faced in their mentoring activities were administered. Qualitative analysis was carried out and compiled. Results: Qualitative analysis brought out certain important issues regarding the challenges faced by the mentors and their competency in effectively dealing with the challenges. The results provide support in improving the existing SPPs and the role of mentors in mental health promotion in IAF. Conclusion: Suicide prevention program being conducted at IAM (IAF) was found to be beneficial to the mentors. It also addressed some of the professional and personal challenges faced by them. The findings of the study has brought out important take home messages for refining the program in the future.


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