Online Youth Suicide Prevention: Skills for School Staff, Parents and Peers

描述（由申请人提供）：项目摘要/摘要：有证据表明，90%的青少年有自杀意图给别人他们的意图明确的信号。考虑到青少年花大量时间与同龄人和学校工作人员互动，学校是预防的合理场所。事实上，超过25%的受访教师表示，他们曾接触过有自杀风险的青少年，但只有九分之一的教师对识别有自杀风险的学生有信心。认识到自杀预防工作的重要性，美国75%的高中要求进行自杀预防教育。预防的关键是让那些花时间与青少年在一起的人，如学校工作人员，父母和同龄人，能够识别警告信号，与陷入困境的青少年建立有益的联系，并提供适当的转介。目前以学校为基础的青少年自杀预防守门人计划缺乏有效的技能建设组件，并提供实践和知识和技能的维护机制。该项目的核心目标是通过开发和评估在线青少年自杀预防计划来补充和改进现有计划，以解决当前培训计划的不足。拟议的计划将为学校工作人员，家长和学生提供针对他们需求的易于访问的培训资源，包括交互式多媒体，流媒体视频情景短片，交互式网络练习，自我评估以及专家主持的在线社区室，讨论关键主题。这一系统的教学健全的活动将培养熟练掌握3个关键的干预措施（即，识别、连接和引用）。在第一阶段，我们将为学校教职员工开发和评估在线培训模块。为了评估在线培训计划的可接受性，可行性和有效性，我们将采用40名学校工作人员的2面板，培训前和培训后设计。在试验阶段收集的形成性信息将用于II期的产品改进和完善。在第二阶段，将使用一项大型随机对照试验来比较标准的看门人培训与由拟议的在线技能培训计划补充的看门人培训。青少年自杀是一场公共卫生危机，在青少年死亡原因中排名第三。自1960年以来，青少年自杀率上升了300%。该项目旨在解决专家的共识，即我们必须立即采取行动来中断这场危机。

DESCRIPTION (provided by applicant): Project Summary/Abstract: Evidence suggests that 90% of adolescents with suicidal intentions give clear signals of their intent to others. Considering the large amount of time adolescents spend interacting with peers and school staff, school is the logical setting for prevention. In fact, over 25% of teachers surveyed indicate that they have been approached by teens at risk for suicide, yet only 1 teacher in 9 feels confident about identifying an at-risk student. Recognizing the importance of suicide-prevention efforts, 75% of all high schools in the U.S. require suicide prevention education. The key to prevention is to equip those who spend time with adolescents, such as school staff, parents and peers, to identify warning signs, connect helpfully with the distressed teen, and provide appropriate referral. Current school-based youth suicide prevention gatekeeper programs lack effective skill-building components and provide no mechanism for practice and maintenance of knowledge and skills. The central aim of this proposed project is to address deficiencies in current training programs by developing and evaluating an online youth suicide prevention program that complements and improves existing programs. The proposed program will provide school staff, parents and students with an easily accessed training resource targeted to their needs, including interactive multimedia, streaming-video situational vignettes, interactive-web exercises, self-assessments, and an expert-moderated online community room with discussions on key topics. This system of instructionally sound activities will foster proficiency in the 3 key intervention practices (i.e., identify, connect with, and refer). In Phase I, we will develop and evaluate an online training module for school staff. To assess the acceptability, feasibility, and effectiveness of the online training program we will employ a 2-panel, pre-and post-training design with 40 school staff. The formative information gathered during the trial phase will be used for product improvement and refinement in Phase II. During Phase II, a large randomized controlled trial will be used to compare standard gatekeeper training to gatekeeper training complemented by the proposed online skills-training program. Project Narrative: Youth suicide is a public health crisis, ranking third as overall cause of death among teenagers. Since 1960, the incidence of youth suicide has increased by 300%. This project addresses expert consensus that we must take immediate action to interrupt this crisis.