Examining Individual and Service Delivery Context Variables and Their Association with the Effectiveness of QPR Suicide Prevention Gatekeeper Training

Gryglewicz, Kim; Garrison, Christine M. W. Totura; Childs, Kristina K.; Labouliere, Christa D.; Karver, Marc S.

doi:10.1007/s10488-023-01308-4

Cited by 1 publication

(3 citation statements)

References 52 publications

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“…Further, trainees reported having a greater understanding of suicide in general and suicide prevention after training completion. These findings support the current literature that promotes evidence-based gatekeeper training like QPR in professional and educational settings [16][17][18][19].…”

Section: Discussionsupporting

confidence: 89%

“…As expected, the perceived appropriateness of trainees' asking someone about suicide exhibited a pre-to-post increase (+0. 19). Similarly, trainees' likelihood of asking someone about suicidal thoughts increased from 2.03 on the pre-training survey to 2.33 on the post-training survey, resulting in a pre-to-post difference of +0.3.…”

Section: Resultsmentioning

confidence: 99%

“…Additionally, organizational approaches to suicide prevention are often linked to changes in suicide prevention attitudes, confidence, and social norms. In one study, after QPR training completion, community support personnel showed improvements in the awareness of social norms and effective techniques related to youth suicide prevention [19]. Similarly, juvenile justice and child welfare workers engaged in more suicide prevention behaviors.…”

Section: Introductionmentioning

confidence: 99%

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Expanding the Question–Persuade–Refer (QPR) Evidence Base: Youth Suicide Prevention among the Mississippi Band of Choctaw Indians

Bartkowski,

Klee,

2024

Healthcare

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Youth suicide risks have been on the rise or persistently elevated for decades, and Native American communities are especially vulnerable. This study provides a promising framework for suicide prevention among underserved populations in the U.S., especially Native American communities in states lacking strong suicide prevention supports. Our investigation reports the evaluation results of the Question–Persuade–Refer (QPR) gatekeeper training program, a key component of the SAMHSA-funded Choctaw Youth Resilience Initiative (CYRI) implemented by the Mississippi Band of Choctaw Indians (MBCI). QPR trains adult gatekeepers to identify youth at risk of suicide and refer them to certified mental health service providers. Standardized QPR pre-test and post-test training surveys were administered at in-person trainings delivered to youth-serving MBCI organization leaders and staff. Statistical analyses of all survey items indicate that QPR gatekeeper trainings significantly enhanced the knowledge of prevention practices and risk identification skills for the MBCI trainees. The robust evidence of positive changes revealed in this study suggests that QPR can be an effective suicide prevention program for underserved minority communities, especially Native American populations in rural states where suicide is a persistent and leading cause of mortality.

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Section: Discussionsupporting

confidence: 89%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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