Rosen Melanie R, Michael Kurt D, Jameson J P
Department of Counseling and Clinical Psychology, Teachers College, Columbia University, New York, New York, USA.
Department of Psychology, Appalachian State University, Boone, North Carolina, USA.
J Am Coll Health. 2022 Feb-Mar;70(2):501-508. doi: 10.1080/07448481.2020.1756825. Epub 2020 May 14.
Most suicide prevention programs focus on increasing knowledge regarding the problem of suicide, yet many fail to include information on the science and application of means reduction approaches. In an attempt to address this gap in practice, the Counseling on Access to Lethal Means (CALM) program was developed to educate clinicians on the importance of means reduction interventions.
In the current study, a gatekeeper CALM training was delivered to 167 resident assistants. Confidence levels regarding suicide prevention and means reduction skills were assessed at baseline, post-training, and after a 6-week follow-up.
Results were suggestive of medium to large training effects. Though there was a small decay of training effects at follow-up, the effects were durable when compared to baseline levels.
Given these findings, future gatekeeper trainings should be provided more consistently to help sustain the effects and data on the implementation of CALM principles should be measured during follow-up assessments.
大多数自杀预防项目侧重于增加对自杀问题的了解，但许多项目未纳入有关减少自杀手段方法的科学及应用的信息。为弥补这一实践中的差距，开发了“获取致命手段咨询”（CALM）项目，以教育临床医生认识减少自杀手段干预措施的重要性。
在当前研究中，对167名住宿助理进行了守门人CALM培训。在基线、培训后以及6周随访后评估了他们在自杀预防和减少自杀手段技能方面的信心水平。
结果表明培训效果为中等至较大。尽管随访时培训效果略有下降，但与基线水平相比，效果仍然持久。
鉴于这些发现，未来应更持续地提供守门人培训，以帮助维持效果，并且在随访评估期间应衡量CALM原则实施情况的数据。
