RCT of Gatekeeper Training for Suicide Prevention

预防自杀看门人培训的随机对照试验

• 批准号: 6852712
• 负责人: Peter A Wyman
• 金额: $ 19.08万
• 依托单位: UNIVERSITY OF ROCHESTER
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-03-01 至 2007-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6852712
• 关键词: administrative personnel; adolescence (12-20); adult human (21+); behavioral /social science research tag; clinical research; clinical trial phase III; depression; disease /disorder prevention /control; disease /disorder proneness /risk; early diagnosis; education evaluation /planning; focus groups; health care referral /consultation; homicide; human mortality; human subject; interview; longitudinal human study; mental health services; patient oriented research; population survey; secondary schools; student health services; suicide; teacher; training

DESCRIPTION (provided by applicant): A school-based randomized controlled trial (RCT) of a gatekeeper-training program is proposed in response to the need for scientifically rigorous evaluations of interventions intended to prevent suicide. Suicide is the third leading cause of death among 15-24 years olds in the US, and rates of suicide among adolescents have increased markedly relative to the aggregate US population. R34 funding is sought for a Phase-III school level RCT of the QPR gatekeeper-training program that is embedded with the strategic prevention plan for a large district, Cobb County, Georgia. Cobb County Schools selected QPR Gatekeeper Training to implement in Fall 2003. QPR is a commonly used gatekeeper training intervention designed to enhance early detection of suicidal students and their referrals to mental health services. For this 3-year study, one-half of Cobb County middle and high schools will be randomly selected to receive QPR training of all school staff during 2003-2004. The remaining schools will be trained during 2004-2005. The accuracy and effectiveness of QPR in improving early detection of suicidal students (Aim 1) will be tested by comparing intervention and control school rates of: (a) referrals of students for suicidal behavior or ideation and follow-up assessments by mental health professionals; (b) all 15,000 8th and 10th grade students' self-reported suicidal ideation and behavior; and (c) all juvenile deaths due to suicide. To examine the impact over time of QPR on school staff members' knowledge of suicide and self-efficacy involving referral (Aim 2) we will use (a) pretest and posttest data on 8,720 staff, (b) more detailed longitudinal data from 640 staff, and (c) interviews of 60 school staff using case-cohort design. In Aims 3 and 4 we will combine these and other data to examine variation in QPR impact and individual and system level factors that lead to successful or unsuccessful integration of QPR into the schools and mental health system. This study would lead to the very first randomized trial of a gatekeeper training program, thus addressing an urgent need to identify effective programs. The designs and analytic methods would serve as a model for the rigorous evaluation of other suicide prevention programs and other low base-rate conditions.

描述（由申请人提供）：一项以学校为基础的随机对照试验（RCT）的守门人培训计划，提出了对旨在预防自杀的干预措施进行科学严格评估的需求。 自杀是美国15-24奥尔兹的第三大死亡原因，青少年自杀率相对于美国总人口显著增加。 正在为QPR守门人培训计划的第三阶段学校级随机对照试验寻求R34资金，该计划嵌入了格鲁吉亚州科布县一个大区的战略预防计划。 科布县学校选择QPR守门员培训在2003年秋季实施。 QPR是一种常用的看门人培训干预措施，旨在加强早期发现自杀学生并将他们转介到精神健康服务。 在这项为期三年的研究中，科布县一半的初中和高中将被随机挑选，在2003-2004年期间接受所有学校工作人员的QPR培训。 其余学校将在2004-2005年期间接受培训。 QPR在提高自杀学生早期发现率（目标1）方面的准确性和有效性将通过比较干预和对照学校的比率进行测试：（a）由心理健康专业人员转诊自杀行为或意念的学生和后续评估;（B）所有15，000名8年级和10年级学生自我报告的自杀意念和行为;及（c）所有因自杀而死亡的青少年。 为了研究随着时间的推移，QPR对学校员工的自杀知识和自我效能的影响，包括转介（目标2），我们将使用（a）8，720名员工的前测和后测数据，（B）640名员工的更详细的纵向数据，以及（c）采用病例队列设计对60名学校员工进行访谈。 在目标3和目标4中，我们将联合收割机结合这些数据和其他数据，以检查QPR影响的变化以及导致QPR成功或不成功融入学校和心理健康系统的个人和系统层面因素。 这项研究将导致第一个看门人培训计划的随机试验，从而解决了确定有效计划的迫切需要。 这些设计和分析方法将作为严格评估其他自杀预防计划和其他低基准率条件的模型。