Roslan Amran Fadzrul, Pheh Kai Shuen, Mahadevan Raynuha, Bujang Siti Mariam, Subramaniam Ponnusamy, Yahya Hanieza Fadzlina, Chan Lai Fong
Department of Psychiatry, Faculty of Medicine, National University of Malaysia (UKM), Kuala Lumpur, Malaysia.
Department of Psychology and Counselling, Faculty of Arts and Social Sciences, Tunku Abdul Rahman University, Kampar, Malaysia.
Front Psychiatry. 2023 Jan 19;14:1009754. doi: 10.3389/fpsyt.2023.1009754. eCollection 2023.
Suicide is a major cause of death among adolescents and young adults, especially students. This is particularly true for healthcare students with a higher risk and more access to lethal means. Thus, it is vital for healthcare educators who have regular contact with these healthcare students to be trained as gatekeepers in preventing suicide. Evidence of the effectiveness of such gatekeeper training, mainly using an online module, is lacking predominantly in Malaysia. This study aims to investigate the effectiveness of an online gatekeeper suicide prevention training program that is conducted for healthcare lecturers.
A single-arm interventional pre-and post-pilot study was conducted on a sample of healthcare lecturers and workers who are involved in supervising healthcare students. A purposive sampling technique was used to recruit 50 healthcare educators in Malaysia. The program was conducted by trained facilitators and 31 participants completed a locally validated self-rated questionnaire to measure their self-efficacy and declarative knowledge in preventing suicide; immediately before and after the intervention.
Significant improvement was seen in the overall outcome following the intervention, mostly in the self-efficacy domain. No significant improvement was seen in the domain of declarative knowledge possibly due to ceiling effects; an already high baseline knowledge about suicide among healthcare workers. This is an exception in a single item that assesses a common misperception in assessing suicide risk where significant improvement was seen following the program.
The online Advanced C.A.R.E. Suicide Prevention Gatekeeper Training Program is promising in the short-term overall improvement in suicide prevention, primarily in self-efficacy.
自杀是青少年和年轻人，尤其是学生死亡的主要原因。对于风险更高且更容易获得致命手段的医学生而言更是如此。因此，对于经常与这些医学生接触的医学教育工作者来说，接受预防自杀守门人培训至关重要。在马来西亚，主要使用在线模块进行此类守门人培训有效性的证据主要不足。本研究旨在调查为医学讲师开展的在线守门人自杀预防培训项目的有效性。
对参与监督医学生的医学讲师和工作人员样本进行了一项单臂干预前后试点研究。采用目的抽样技术在马来西亚招募了50名医学教育工作者。该项目由经过培训的主持人实施，31名参与者在干预前后立即完成了一份经过本地验证的自评问卷，以测量他们在预防自杀方面的自我效能感和陈述性知识。
干预后总体结果有显著改善，主要在自我效能感领域。陈述性知识领域未见显著改善，可能是由于天花板效应；医护人员对自杀的基线知识已经很高。在评估自杀风险时评估一种常见误解的单个项目中是个例外，该项目在项目实施后有显著改善。
在线高级关爱自杀预防守门人培训项目在短期内预防自杀的总体改善方面很有前景，主要是在自我效能感方面。
