Department of Psychology, Auburn University, 226 Thach Hall, Auburn, AL, 36849, USA.
Division of Behavioral Health Services and Policy Research, New York State Psychiatric Institute, Columbia University, 1051 Riverside Drive, New York, NY, 10032, USA.
Adm Policy Ment Health. 2019 Mar;46(2):209-219. doi: 10.1007/s10488-018-0907-5.
This study examined the roles that youth involvement and youth trainee-trainer alliance play in school mental health prevention within the context of youth suicide gatekeeper training. Measures included youth involvement in programming, trainee-trainer alliance, and intentions to refer at-risk youth at pre- and post-training. A moderated-mediation design was used to examine associations among these factors. Results show alliance mediating pre- and post-training referral intentions, and involvement moderating the relationship between alliance and post-training intentions. On average, trainee intentions improved from pre- to post-training, but trainees reporting high alliance endorsed higher post-training referral intentions regardless of involvement level. Low alliance resulted in lower than average post-training referral intentions, even with active involvement in programming, and those with both low alliance and involvement showed the lowest post-training referral intentions. Given these findings, fostering the youth trainee-trainer relationship may be an avenue to optimize prevention program effectiveness.
本研究考察了在青少年自杀守门人培训的背景下，青少年参与度和青年培训师-培训师联盟在学校心理健康预防中的作用。研究措施包括青少年在项目中的参与度、培训师-培训师联盟以及在培训前后转介高危青少年的意向。采用有调节的中介设计来检验这些因素之间的关联。研究结果表明，联盟中介了培训前后的转介意向，而参与度调节了联盟与培训后意向之间的关系。平均而言，培训生的意向从培训前到培训后有所提高，但报告联盟程度高的培训生无论参与度水平如何，都表现出更高的培训后转介意向。低联盟导致培训后转介意向低于平均水平，即使在积极参与项目的情况下也是如此，而那些联盟和参与度都低的人表现出最低的培训后转介意向。鉴于这些发现，培养青年培训师-培训师关系可能是优化预防计划效果的途径。
