Patel Rutvin, Mehta Ritambhara, Dave Kamlesh, Chaudhary Pradhyuman
Consultant Psychiatrist, Surat, Gujarat, India.
Department of Psychiatry, Government Medical College, Surat, Gujarat, India.
Ind Psychiatry J. 2021 Jul-Dec;30(2):217-223. doi: 10.4103/ipj.ipj_31_21. Epub 2021 Nov 23.
Suicide risk among Indigenous populations is a multifaceted phenomenon, influenced by biological, psychological, and social factors at the individual level, as well as cultural, political, and economic issues at the family and community level. The global prevalence of depression among medical students was recently estimated to be 28.0 % according to a meta-analysis of 77 studies. In the field of suicide prevention, the term gatekeeper refers to "individuals in a community who have face-to-face contact with large numbers of community members as part of their usual routine." They may be trained to "identify persons at risk of suicide and refer them to treatment or supporting services as appropriate". In our study we aimed to improved attitude and knowledge in gatekeeper to improve detection and referral of individuals who are at risk of suicide.
We adapted an evidence-based gatekeeper training into a two-hour, multi-modal and interactive event for medical professional and undergraduate students. Then we evaluated the intervention compared to free-recall knowledge and attitudes questions were examined before and after participation in a student and faculty gatekeeper training program. Focus groups with students enriched interpretation of quantitative results.
Knowledge, attitudes, and skills of both students and teachers were analyzed by Mann-Whitney U-test. Comparison of knowledge, attitudes, and skills between both groups was analyzed by Wilcoxon signed-rank test.
Undergraduate students developed more positive attitude for suicidal behavior where faculties developed more confident in their skill after training sessions.
brief gatekeeper training found effective in improving knowledge about suicide. Also, increasing participants' accuracy to identify warning signs, risk factors and protective factors about suicide.
原住民群体中的自杀风险是一个多方面的现象，受到个体层面的生物、心理和社会因素以及家庭和社区层面的文化、政治和经济问题的影响。根据对77项研究的荟萃分析，最近估计医学生中抑郁症的全球患病率为28.0%。在自杀预防领域，“守门人”一词指的是“社区中作为日常工作一部分与大量社区成员有面对面接触的个人”。他们可能会接受培训，“识别有自杀风险的人，并将他们转介到适当的治疗或支持服务机构”。在我们的研究中，我们旨在改善守门人的态度和知识，以提高对有自杀风险个体的发现和转介。
我们将基于证据的守门人培训改编为一个为期两小时的多模式互动活动，面向医学专业人员和本科生。然后，我们评估了该干预措施，将其与参与学生和教师守门人培训计划前后所考察的自由回忆知识和态度问题进行比较。与学生进行的焦点小组讨论丰富了对定量结果的解释。
通过曼-惠特尼U检验分析学生和教师的知识、态度和技能。通过威尔科克森符号秩检验分析两组之间知识、态度和技能的比较。
本科生对自杀行为形成了更积极的态度，而教师在培训课程后对自己的技能更有信心。
简短的守门人培训被发现对提高自杀知识有效。此外，还提高了参与者识别自杀警示信号、风险因素和保护因素的准确性。
