Department of Psychology, Louisiana State University, Baton Rouge, LA, USA.
Department of Psychology, The University of Texas at San Antonio, TX, USA.
Crisis. 2024 Jan;45(1):57-64. doi: 10.1027/0227-5910/a000917. Epub 2023 Jul 24.
Suicide prevention gatekeeper training programs offer a unique opportunity to increase knowledge about suicide prevention, enhance risk identification, and reduce suicide-related stigma. This study evaluated the efficacy of an online suicide prevention gatekeeper training program in a randomized trial. Participants were US college students ( = 388). Participants (69.3% women) had a mean age of 19.01 years and identified primarily as Hispanic/Latinx (52.1%) and non-Hispanic White (22.4%). Participants completed pre- and posttest surveys and were randomly assigned to either the ASK About Suicide to Save a Life (AS + K?) suicide prevention gatekeeper training program or an information-only comparison intervention. Participants in the AS + K? condition reported significantly greater gatekeeper preparedness and self-efficacy, and lower stigmatized attitudes at posttraining, as compared with those in the comparison condition. There were no significant differences in likelihood of using gatekeeper skills or suicide-related knowledge across groups. This short-term study was not able to assess behavioral change resulting in use of gatekeeper skills over time. Completion of gatekeeper training resulted in increases in preparedness and self-efficacy for engaging in gatekeeper behaviors, as well as a reduction in suicide-related stigma. Despite small intervention effects, the online AS + K? training appears to be a promising program.
自杀预防守门人培训计划为增加对自杀预防的了解、提高风险识别能力和减少与自杀相关的耻辱感提供了独特的机会。本研究在一项随机试验中评估了在线自杀预防守门人培训计划的效果。参与者为美国大学生（n=388）。参与者（69.3%为女性）的平均年龄为 19.01 岁，主要身份为西班牙裔/拉丁裔（52.1%）和非西班牙裔白人（22.4%）。参与者完成了前后测调查，并被随机分配到 ASK About Suicide to Save a Life（AS+K?）自杀预防守门人培训计划或仅提供信息的比较干预组。与比较组相比，AS+K?条件下的参与者在培训后报告了更高的守门人准备度和自我效能感，以及更低的污名化态度。在使用守门人技能或与自杀相关的知识方面，各组之间没有显著差异。这项短期研究无法评估随着时间的推移，使用守门人技能导致的行为变化。完成守门人培训后，参与守门人行为的准备度和自我效能感有所提高，与自杀相关的耻辱感也有所降低。尽管干预效果较小，但在线 AS+K?培训似乎是一个有前途的计划。
