Plöderl Martin, Fartacek Clemens, Kapitany Thomas, Schrittwieser Ulrike, Niederkrotenthaler Thomas
Center for Inpatient Psychotherapy and Crisis Intervention, Department of Psychiatry, Psychotherapy and Psychosomatics, Christian-Doppler University Hospital, Paracelsus Medical University, Salzburg, Austria.
Department of Clinical Psychology, Department of Psychiatry, Psychotherapy and Psychosomatics, Christian-Doppler University Hospital, Paracelsus Medical University, Salzburg, Austria.
Front Psychiatry. 2023 Jul 20;14:1118319. doi: 10.3389/fpsyt.2023.1118319. eCollection 2023.
The development and implementation of gatekeeper trainings were first goals in the national suicide prevention strategy "Suicide Prevention Austria" (SUPRA). The current study aims to assess the short- and longer-term effects of the SUPRA gatekeeper trainings in comparison with established gatekeeper trainings.
We evaluated 28 gatekeeper trainings including 427 participants by assessing improvement of knowledge (facts about suicide and suicide prevention), gatekeeper self-efficacy and attitudes, and gatekeeper behavior (e.g., asking depressed people about suicide). Assessments were immediately before and after the gatekeeper trainings, with an additional follow-up 6 months later. Effects were compared with benchmark effects of established gatekeeper trainings.
There were substantial improvements in knowledge, self-efficacy and attitudes immediately after the training, comparable or larger than known from evaluations of established gatekeeper trainings. Most of these changes were upheld in the follow-up assessment, with effects comparable to other gatekeeper trainings. There was only a small increase of self-reported gatekeeper behavior, in line with results from other gatekeeper trainings.
The SUPRA gatekeeper training had some beneficial effects in the short- and longterm, with effect sizes comparable to established gatekeeper trainings.
守门人培训的开展与实施是国家自杀预防战略“奥地利自杀预防”（SUPRA）的首要目标。本研究旨在评估SUPRA守门人培训与既定守门人培训相比的短期和长期效果。
我们通过评估知识（自杀及自杀预防相关事实）、守门人自我效能感和态度以及守门人行为（如询问抑郁者是否有自杀倾向）的改善情况，对28次守门人培训（包括427名参与者）进行了评估。评估在守门人培训前后立即进行，并在6个月后进行了额外的随访。将效果与既定守门人培训的基准效果进行了比较。
培训后，知识、自我效能感和态度立即有了显著改善，与既定守门人培训评估中的效果相当或更大。这些变化大多在随访评估中得以维持，效果与其他守门人培训相当。自我报告的守门人行为仅有小幅增加，与其他守门人培训的结果一致。
SUPRA守门人培训在短期和长期都有一些有益效果，效应大小与既定守门人培训相当。
