Arch Suicide Res. 2022 Jul-Sep;26(3):1378-1394. doi: 10.1080/13811118.2021.1911893. Epub 2021 Apr 19.
Suicide rates continue to rise, and clinicians and mental health staff play a critical role in keeping suicidal clients safe. Safety planning, including means safety, may help to decrease suicide risk. Unfortunately, availability and evaluation of safety planning training for these providers are scarce. The goal of the present study was to evaluate a safety planning training, is a 150-minute, face-to-face training program that teaches providers to engage clients in collaborative safety planning and means safety efforts, facilitate diverse client coping strategies, problem-solve, and involve close others, among other skills. These objectives are achieved through interactive content delivery, role-play, and corrective feedback. was administered to 95 participants. Key determinants of behavioral change (e.g., knowledge, attitudes, perceived behavioral control [PBC]) were measured at pre, post, and six-month follow-up. Additionally, participants' behaviors and emotions in working with suicidal clients were measured at pretest and six-month follow-up. Paired sample -tests, repeated measures MANOVA, and univariate ANOVAs with post-hoc testing using Bonferroni correction were conducted. Results supported significant improvements in knowledge, PBC, and intentions at post-test, and attitudes, PBC, and effective emotional responses at follow-up. Exploratory analyses suggested significant improvements in behaviors among clinicians and mental health staff who saw clients reporting suicidal ideation. The present study provides promising results regarding brief safety planning training. Declines in knowledge and PBC following the training highlight the potential need for booster sessions or more intensive initial training in these areas.HighlightsThe present study evaluated a comprehensive, interactive safety planning training.Knowledge, PBC, and intentions were significantly improved at post-test.Attitudes, PBC, and emotions were significantly improved at follow-up.
自杀率持续上升,临床医生和心理健康工作者在确保自杀患者安全方面发挥着至关重要的作用。安全计划,包括方法安全,可能有助于降低自杀风险。不幸的是,这些提供者的安全计划培训的可用性和评估是稀缺的。本研究的目的是评估一种安全计划培训,是一个 150 分钟的面对面培训计划,教导提供者与客户合作进行安全计划和方法安全工作,促进客户多样化的应对策略,解决问题,并让亲近的人参与进来,以及其他技能。这些目标是通过互动内容交付、角色扮演和纠正反馈来实现的。 已对 95 名参与者进行了管理。行为改变的关键决定因素(例如,知识、态度、感知行为控制[PBC])在预测试、后测试和六个月随访时进行测量。此外,还在预测试和六个月随访时测量了参与者在与自杀患者合作时的行为和情绪。采用配对样本 t 检验、重复测量 MANOVA 以及使用 Bonferroni 校正的单变量 ANOVA 进行事后检验。结果支持后测试时知识、PBC 和意图显著提高,随访时态度、PBC 和有效情绪反应显著提高。探索性分析表明,在看到有自杀意念的患者的临床医生和心理健康工作者中,行为有显著改善。本研究为简短的安全计划培训提供了有希望的结果。培训后知识和 PBC 的下降突出表明,在这些领域可能需要进行强化课程或更密集的初始培训。