GATEKEEPER TRAINING FOR SUICIDE PREVENTION IN FIRST NATIONS COMMUNITY MEMBERS: A RANDOMIZED CONTROLLED TRIAL

@article{Sareen2013GATEKEEPERTF,
  title={GATEKEEPER TRAINING FOR SUICIDE PREVENTION IN FIRST NATIONS COMMUNITY MEMBERS: A RANDOMIZED CONTROLLED TRIAL},
  author={Jitender Sareen and Corinne A Isaak and Shay-Lee Bolton and Murray W. Enns and Brenda M. Elias and Frank P. Deane and Garry Munro and Murray B. Stein and Dan Chateau and Madelyn S Gould and Laurence Y. Katz},
  journal={Depression and Anxiety},
  year={2013},
  volume={30}
}
Gatekeeper training aims to train people to recognize and identify those who are at risk for suicide and assist them in getting care. Applied Suicide Intervention Skills Training (ASIST), a form of gatekeeper training, has been implemented around the world without a controlled evaluation. We hypothesized that participants in 2 days of ASIST gatekeeper training would have increased knowledge and preparedness to help people with suicidal ideation in comparison to participants who received a 2‐day… 
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A brief, multi-modal gatekeeper training is efficacious in promoting positive gatekeeper behaviors and self-efficacy for suicide prevention in an at-risk ethnic minority population of Japanese Americans.
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Recommendations are to increase research on prevention programs with diverse trainees, create decision models that consider program costs relative to impacts, and develop more suicide prevention programs that target at-risk adults.
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TLDR
Findings suggest the Alliance Project produces changes in gatekeeper’s intent to intervene through three months’ time, which is more than double that of a control training from pretest through six months.
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TLDR
While results support the promise of gatekeeper training, they identify a clear need for adaptation; specific implementation and research recommendations are discussed.
The Influence of Suicide Prevention Gatekeeper Training on Resident Assistants’ Mental Health
This study explored the mental health influence on resident assistants associated with their training in suicide prevention and their subsequent role as campus mental health gatekeepers. Despite
School- and Community-Based Youth Suicide Prevention Interventions: Hot Idea, Hot Air, or Sham?
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A systematically reviewed the global literature on one of the most common community suicide prevention interventions in Canada and summarized data on 2 commonly applied school-based suicide prevention programmes, none of these has demonstrated effectiveness in preventing youth suicide or safety in application.
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A quality improvement model to improve trainer skill, demonstrate evidence of knowledge uptake, and document the quality of training workshop implementation of ASIST is proposed.
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References

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TLDR
Gatekeeper training is successful at imparting knowledge, building skills, and molding the attitudes of trainees; however, more work needs to be done on longevity of these traits and referral patterns of gatekeepers.
Impact of Applied Suicide Intervention Skills Training on the National Suicide Prevention Lifeline.
TLDR
Improvements in callers' outcomes were linked to ASIST-related counselor interventions, including exploring reasons for living and informal support contacts, and ASIST training did not yield more comprehensive suicide risk assessments.
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TLDR
Skill training for staff serving as "natural gatekeepers" plus interventions that modify students' help-seeking behaviors are recommended to supplement universal gatekeeper training.
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A significant relationship was found between intentions to help prior to the workshop and whether participants had actually helped someone at risk of suicide, however, it is unclear whether workshop attendance contributed to this effect.
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TLDR
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TLDR
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