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

项目摘要/摘要：有证据表明，90%有自杀意向的青少年会向他人明确表达其自杀意向。考虑到青少年花大量时间与同伴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，有自杀倾向的青少年曾找过他们，但只有九分之一的教师有信心识别出有自杀倾向的学生。认识到预防自杀努力的重要性，美国75%的高中都要求进行预防自杀教育。预防的关键是使那些与青少年相处的人，如学校工作人员、家长和同龄人，能够识别警告信号，与苦恼的青少年建立有益的联系，并提供适当的转诊。目前以学校为基础的青少年自杀预防看门人项目缺乏有效的技能培养内容，也没有提供实践和维护知识和技能的机制。本项目的中心目标是通过开发和评估在线青少年自杀预防项目来弥补现有培训项目的不足，以补充和改进现有项目。拟议的项目将为学校员工、家长和学生提供方便的培训资源，以满足他们的需求，包括交互式多媒体、流媒体视频情景小品、交互式网络练习、自我评估，以及一个由专家主持的在线社区空间，讨论关键主题。这一具有良好教学意义的活动体系将培养学生对三个关键干预实践（即识别、联系和参考）的熟练程度。在第一阶段，我们将为学校员工开发和评估一个在线培训模块。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2个小组，包括40名学校员工的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第二阶段的产品改进和改进。在第二阶段，将使用一项大型随机对照试验来比较标准看门人培训与拟议的在线技能培训计划补充的看门人培训。项目说明：青少年自杀是一场公共卫生危机，在青少年死亡的总原因中排名第三。自1960年以来，青少年自杀率增加了300%。该项目反映了专家的共识，即我们必须立即采取行动，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.