Office of Suicide Prevention, Prevention Services Division, Colorado Department of Public Health and Environment, 4300 Cherry Creek Drive South, Denver, CO 80246, USA.
Crisis. 2011;32(5):264-71. doi: 10.1027/0227-5910/a000090.
Although the effectiveness of suicide-prevention gatekeeper-training programs in improving knowledge, attitudes, and referral practices has been documented, their effects do not seem to be lasting.
This study investigated situational obstacles at work that prevent suicide-prevention gatekeepers from engaging in suicide-prevention behavior and the role of social support in modifying the relationship between situational obstacles and suicide-prevention behaviors.
193 gatekeepers completed an online survey to rate the obstacles they had experienced at work since completing a gatekeeper-training program and the support received from coworkers, supervisors, and the organization. Participants also reported the frequency of suicide-prevention behaviors performed.
The results indicated that both situational obstacles and social support predicted the number of suicide-prevention behaviors performed, as expected. There was also a trend that support from supervisors and the organization may alleviate the adverse effect of situational obstacles on suicide-prevention behavior.
The cross-sectional nature of the study does not allow for directional, causal conclusions to be drawn.
By understanding the roles of situational obstacles faced by trained gatekeepers at their work and the support they receive from supervisors and organizations, appropriate strategies can be identified and applied to facilitate gatekeeper performance.
尽管预防自杀守门员培训计划在提高知识、态度和转介实践方面的有效性已经得到证实，但这些效果似乎并不持久。
本研究调查了工作中妨碍预防自杀守门员实施预防自杀行为的情境障碍，以及社会支持在改变情境障碍与预防自杀行为之间关系中的作用。
193 名守门员完成了一项在线调查，评估他们自完成守门员培训计划以来在工作中所经历的障碍，以及从同事、主管和组织中获得的支持。参与者还报告了实施预防自杀行为的频率。
结果表明，情境障碍和社会支持都如预期的那样预测了实施预防自杀行为的数量。此外，主管和组织的支持可能会减轻情境障碍对预防自杀行为的不利影响，这一趋势也很明显。
研究的横断面性质不允许得出有向的、因果结论。
通过了解经过培训的守门员在工作中面临的情境障碍以及他们从主管和组织中获得的支持，我们可以确定并应用适当的策略来促进守门员的表现。
