The Effectiveness of Suicide Prevention Education Programs for Nurses

Ferguson, Monika; Reis, Julie; Rabbetts, Lyn; Ashby, Heather-Jean; Bayes, Miriam; McCracken, Tara; Ross, Christine; Procter, Nicholas

doi:10.1027/0227-5910/a000479

Cited by 19 publications

(14 citation statements)

References 42 publications

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“…Results from similar studies would suggest that these improvements may remain over the short to medium term (Ferguson et al . 2018), but further evidence is needed to confirm this. Further, while it is promising to see qualitative results in an effort to gain a more holistic understanding of students’ experiences, two of the three studies included were rated as very poor quality, limited to a small amount of text and not an in‐depth exploration of participants' experiences.…”

Section: Discussionmentioning

confidence: 99%

“…A growing body of evidence is that educating nurses in suicide prevention is associated with short‐term improvements in competence, attitudes, and knowledge (Ferguson et al . 2018). While promising, the literature has favoured the existing nursing workforce, with less emphasis on the next generation of nurses – that is nursing students.…”

Section: Introductionmentioning

confidence: 99%

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The impact of suicide prevention education programmes for nursing students: A systematic review

Ferguson

Reis

Rabbetts

et al. 2020

Int J Mental Health Nurs

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The purpose of this systematic review was to locate and synthesize peer-reviewed evidence regarding the effectiveness of providing suicide prevention education to nursing students. Systematic searches were conducted in seven databases (EMBASE, EmCare, Joanna Briggs, MEDLINE, PsycINFO, Scopus, and Web of Science). Results were screened in duplicate at two stages: title and abstract, and full text. Critical appraisal and data extraction were also completed in duplicate. Initial database searching yielded 303 results. Following the addition of seven records from relevant reference lists, and the removal of duplicates, a total of 118 results were included for screening. Eight articles were deemed eligible for inclusion in this review; most (n = 5) were quantitative. While all were conducted within university settings, half were stand-alone education sessions, while the remaining were integrated with existing programmes/courses. The types of education programmes varied considerably across studies, with only three being established, evidence-based programmes. The studies explore a range of outcomes, which have been narratively categorized as enhanced skills, abilities, and self-confidence; development of positive attitudes and beliefs; acquisition of knowledge; and programme experience and evaluation. While there is a small body of evidence indicating that suicide prevention education programmes contribute to improvements in skills, abilities, self-confidence, and attitudes among nursing students, the variability in educational interventions and outcomes, coupled with short-term evaluation time frames, makes it difficult to fully understand the impact of this important suicide prevention strategy.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The impact of suicide prevention education programmes for nursing students: A systematic review

Ferguson

Reis

Rabbetts

et al. 2020

Int J Mental Health Nurs

Self Cite

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“…Alternatively, the consulting healthcare professional may lack sufficient clinical experience, have insufficient knowledge of mental health conditions, or have underdeveloped communication skills [ 8 , 9 ]. There are studies which suggest that among health care professionals lack of confidence in one’s competence may hinder dealing with psychiatric disorders and suicidal patients [ 8 , 10 , 11 ].…”

Section: Introductionmentioning

confidence: 99%

Suicide prevention training: self-perceived competence among primary healthcare professionals

Solin

Tamminen

Partonen

2021

Scandinavian Journal of Primary Health Care

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Objective: The aim is to report the outcomes of the suicide prevention training in terms of the self-perceived impact on the participants. Design: The three-hour training consisted areas of risk and protective factors, screening and evaluating suicide risk, raising concerns and confronting suicidal patients, and treating suicidal ideation in primary healthcare and the associated referral processes. Subjects: The studied participants consisted of general practitioners, nurses, public health nurses and social work professionals. Main outcome measures: Participants assessed their own competence on online form regarding four training areas prior to and two weeks after the training. Results: The response rate was 25%. The self-perceived competence of the healthcare professionals increased in all training areas and in all occupational groups. The healthcare professionals' competence regarding the risk and protective factors training area saw the greatest increase across all professional groups except nurses. There were, however, differences between the groups. Conclusion: Suicide prevention training for primary healthcare professionals did increase the self-perceived competence of the participants in all areas covered by the training. Regular follow-up training is required in order for these improvements to be further developed and retained. KEY POINTSAfter the suicide prevention training all participants self-perceived increase in their competence in all training areas. The GPs self-perceived most increase in risk and protective factors and nurses in raising concerns and confronting suicidal patients. The GPs' lowest increase was in the area of treating suicidal ideation in primary health care and the referral processes.

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“…There are several reviews of the effectiveness of suicide‐prevention training programs . Some studies have used psychological measures to assess attitudes, skills, and confidence in suicide‐prevention training programs.…”

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confidence: 99%

Two‐day assertive‐case‐management educational program for medical personnel to prevent suicide attempts: A multicenter pre–post observational study

Kawashima

Yonemoto

Kawanishi

et al. 2020

Psychiatry Clin Neurosci

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Aim Suicide attempters have a high risk of repeated suicide attempts and completed suicide. There is evidence that assertive case management can reduce the incidence of recurrent suicidal behavior among suicide attempters. This study evaluated the effect of an assertive‐case‐management training program. Methods This multicenter, before‐and‐after study was conducted at 10 centers in Japan. Participants were 274 medical personnel. We used Japanese versions of the Attitudes to Suicide Prevention Scale, the Gatekeeper Self‐Efficacy Scale, the Suicide Intervention Response Inventory (SIRI), and the Attitudes Toward Suicide Questionnaire. We evaluated the effects with one‐sample t‐tests, and examined prognosis factors with multivariable analysis. Results There were significant improvements between pre‐training and post‐training in the Attitudes to Suicide Prevention Scale (mean: −3.07, 95% confidence interval [CI]: −3.57 to −2.57, P < 0.001), the Gatekeeper Self‐Efficacy Scale (mean: 10.40, 95%CI: 9.48 to 11.32, P < 0.001), SIRI‐1 (appropriate responses; mean: 1.15, 95%CI: 0.89 to 1.42, P < 0.001), and SIRI‐2 (different to the expert responses; mean: −4.78, 95%CI: −6.18 to −3.38, P < 0.001). Significant improvements were found on all Attitudes Toward Suicide Questionnaire subscale scores, except Unjustified Behavior. The effect of training was influenced by experience of suicide‐prevention training and experience of working with suicidal patients. Conclusion The training program (which was developed to implement and disseminate evidence‐based suicide‐prevention measures) improved attitudes, self‐efficacy, and skills for suicide prevention among medical personnel. Specialized suicide‐prevention training and experience with suicidal patients are valuable for enhancing positive attitudes and self‐efficacy; furthermore, age and clinical experience alone are insufficient for these purposes.

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The Effectiveness of Suicide Prevention Education Programs for Nurses

Abstract: There is a moderate body of evidence to support the effectiveness of suicide prevention education programs for nurses. Future research should examine longer-term changes in clinical practice and strategies for continuing education, with more rigorous study designs.

Cited by 19 publications

References 42 publications

The impact of suicide prevention education programmes for nursing students: A systematic review

The impact of suicide prevention education programmes for nursing students: A systematic review

Suicide prevention training: self-perceived competence among primary healthcare professionals

Two‐day assertive‐case‐management educational program for medical personnel to prevent suicide attempts: A multicenter pre–post observational study

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