Hashimoto Naoki, Takeda Hiroko, Fujii Yutaka, Suzuki Yuriko, Kato Takahiro A, Fujisawa Daisuke, Aoyama-Uehara Kumi, Otsuka Kotaro, Mitsui Nobuyuki, Asakura Satoshi, Kusumi Ichiro
Department of Psychiatry, Graduate School of Medicine, Hokkaido University, Sapporo, Japan.
Health Care Center, Hokkaido University, Sapporo, Japan.
Asian J Psychiatr. 2021 Jun;60:102661. doi: 10.1016/j.ajp.2021.102661. Epub 2021 Apr 27.
Suicide is a leading cause of death among Japanese college and university students. Our previous study showed that the gatekeeper training (GKT) program significantly improved competence and confidence in the management of suicidal students in university administrative staff. However, we could not determine which component of the program was effective, nor if this program was effective for university teachers as well. In the current study, 81 university teachers were recruited; 63 of them received a general mental health lecture (MHL) and 18 of them received a 2.5 -h GKT program based on the Mental Health First Aid program. Competence and confidence in managing suicide intervention and behavioral intention as a gatekeeper were assessed by a self-report questionnaire before and immediately after the intervention. As a result, we found a significant improvement in competence in the management of suicidal students in the GKT group compared to the MHL group. We also found significant improvements in confidence in the management of suicidal students and behavioral intention as gatekeepers in the GKT group, although the questionnaires for these outcomes were not validated. The program satisfaction score was significantly higher in the GKT group than in the MHL group. To our knowledge, this is the first study to evaluate a GKT program for university teachers in Japan. By comparing the two groups, we explicitly confirmed that active involvement of the participants is crucial for effective suicide prevention training.
自杀是日本大学生死亡的主要原因之一。我们之前的研究表明，守门人培训（GKT）计划显著提高了大学行政人员处理有自杀倾向学生的能力和信心。然而，我们无法确定该计划的哪个组成部分是有效的，也不确定该计划对大学教师是否有效。在当前的研究中，招募了81名大学教师；其中63人参加了心理健康讲座（MHL），18人参加了基于心理健康急救计划的2.5小时GKT计划。在干预前和干预后立即通过自我报告问卷评估作为守门人在自杀干预管理方面的能力和信心以及行为意图。结果，我们发现与MHL组相比，GKT组在处理有自杀倾向学生的能力方面有显著提高。我们还发现，GKT组在处理有自杀倾向学生的信心和作为守门人的行为意图方面也有显著提高，尽管针对这些结果的问卷尚未经过验证。GKT组的项目满意度得分显著高于MHL组。据我们所知，这是日本第一项评估针对大学教师的GKT计划的研究。通过比较两组，我们明确证实参与者的积极参与对于有效的自杀预防培训至关重要。
