Does a Brief Suicide Prevention Gatekeeper Training Program Enhance Observed Skills?
Does a Brief Suicide Prevention Gatekeeper Training Program Enhance Observed Skills?
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DOI：
10.1027/0227-5910/a000014
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发表时间：
2010-01-01
影响因子：
3
通讯作者：
Knox, Kerry L.
中科院分区：
文献类型：
--
作者：
Cross, Wendi;Matthieu, Monica M.;Knox, Kerry L.
背景：自杀是世界范围内一个重大的公共卫生问题，需要采取循证预防措施。预防方法之一是看门人培训。针对社区成员的把关人培训计划表明，人们对自杀的认识和态度发生了积极的变化。看门人技能的变化尚未明确。目标：评估并预测简短的看门人培训对社区成员观察到的技能的影响。方法：社区看门人培训的参与者是美国大学的员工。随机选择 50 名参与者进行技能评估，并在培训前后录制与标准化演员互动的视频。磁带对一般技能和自杀特定技能进行了可靠的评级。结果：从测试前到测试后，看门人技能有所提高：10% 的参与者在培训前达到了可接受的看门人技能标准，而 54% 的参与者在培训后达到了可接受的看门人技能标准。预训练变量并不能预测技能的提高。局限性：结果并未提供有关观察到的看门人技能与未来这些技能的实际使用之间关系的结论。结论：守门人培训提高了大多数参与者的自杀技能。可能需要采取其他策略，例如行为排练，以提高其余参与者的技能。
Background: Suicide is a significant public health problem worldwide that requires evidence-based prevention efforts. One approach to prevention is gatekeeper training. Gatekeeper training programs for community members have demonstrated positive changes in knowledge and attitudes about suicide. Changes in gatekeeper skills have not been well established. Aims: To assess and to predict the impact of a brief, gatekeeper training on community members' observed skills. Methods: Participants in a community gatekeeper training were employees at US universities. 50 participants were randomly selected for skills assessment and videotaped interacting with a standardized actor prior to and following training. Tapes were reliably rated for general and suicide-specific skills. Results: Gatekeeper skills increased from pre- to posttest: 10% of participants met criteria for acceptable gatekeeper skills before training, while 54% met criteria after training. Pretraining variables did not predict increased skills. Limitations: Results do not provide conclusions about the relationship between observed gatekeeper skills and actual use of those skills in the future. Conclusions: Gatekeeper training enhances suicide-specific skills for the majority of participants. Other strategies, such as behavioral rehearsal, may be necessary to enhance skills in the remaining participants.