“…The other three studies evaluated “Gatekeeper” interventions (i.e., training aimed at providing professionals who work with at-risk youth with the skills and knowledge to identify suicidal thoughts and behaviors and to intervene and prevent suicide, including providing referrals to specialist supports and services). These three studies (Kahsay et al, 2020; Keller et al, 2009; Osteen et al, 2018) all used pre/posttest design evaluations with 6-month follow up to investigate the efficacy of their respective programs to increase the knowledge, skills, and attitudes of staff that support suicide prevention.…”
Section: Resultsmentioning
confidence: 99%
“…Osteen et al (2018) evaluated the “Youth and Depression” training program, in a single U.S.-based organization where staff were working with youth interacting with the child welfare system. The intervention was an adapted version of the “Youth Depression and Suicide: Let’s Talk” (YDS) gatekeeper training.…”
Section: Resultsmentioning
confidence: 99%
“…The intervention was an adapted version of the “Youth Depression and Suicide: Let’s Talk” (YDS) gatekeeper training. The YDS training was developed by the Massachusetts Society for the Prevention of Cruelty to Children (Massachusetts Society for the Preventionof Cruelty to Children, 2010) in collaboration with the Massachusetts Department of Children and Families (Osteen et al, 2018).…”
Section: Resultsmentioning
confidence: 99%
“…The Gatekeeper training studies (Kahsay et al, 2020; Keller et al, 2009; Osteen et al, 2018) all measured knowledge, self-efficacy, skills, and attitudes of staff (predominantly residential OOHC workers). Across the studies, the outcome variable referred to as “attitudes” varied considerably in how it was conceptualized and measured.…”
Children and young people in out-of-home care are at a higher risk of suicide than young people not involved with child protection systems. Despite this, there is a lack of evidence of effective suicide prevention interventions for this vulnerable population. We reviewed the types of suicide prevention interventions that have been used and evaluated with children and young people and staff and carers in out-of-home care/child protection systems. We conducted a systematic review of existing literature using PRISMA guidelines. Only five studies met the inclusion criteria. Two evaluated youth-focused interventions: emotional intelligence therapy; and multidimensional treatment foster care, while three evaluated adult-focused “gatekeeper training.” Youth-focused interventions led to reductions in suicidal thoughts (suicidal ideation), and adult-focused interventions led to increased knowledge, skills, and behaviors such as referring youth to supports. Only one study, one of the youth-focused ones, evaluated the impact of the intervention in terms of suicide attempts but found no reduction. Large numbers of children enter into care with a high risk of suicide. With the considerable overlap between the trauma characteristics and mental health needs of young people in out-of-home care and suicide risk factors in the general population of young people, we recommend developing (and evaluating) new or adapted existing suicide prevention interventions designed specifically for the out-of-home care context.
“…The other three studies evaluated “Gatekeeper” interventions (i.e., training aimed at providing professionals who work with at-risk youth with the skills and knowledge to identify suicidal thoughts and behaviors and to intervene and prevent suicide, including providing referrals to specialist supports and services). These three studies (Kahsay et al, 2020; Keller et al, 2009; Osteen et al, 2018) all used pre/posttest design evaluations with 6-month follow up to investigate the efficacy of their respective programs to increase the knowledge, skills, and attitudes of staff that support suicide prevention.…”
Section: Resultsmentioning
confidence: 99%
“…Osteen et al (2018) evaluated the “Youth and Depression” training program, in a single U.S.-based organization where staff were working with youth interacting with the child welfare system. The intervention was an adapted version of the “Youth Depression and Suicide: Let’s Talk” (YDS) gatekeeper training.…”
Section: Resultsmentioning
confidence: 99%
“…The intervention was an adapted version of the “Youth Depression and Suicide: Let’s Talk” (YDS) gatekeeper training. The YDS training was developed by the Massachusetts Society for the Prevention of Cruelty to Children (Massachusetts Society for the Preventionof Cruelty to Children, 2010) in collaboration with the Massachusetts Department of Children and Families (Osteen et al, 2018).…”
Section: Resultsmentioning
confidence: 99%
“…The Gatekeeper training studies (Kahsay et al, 2020; Keller et al, 2009; Osteen et al, 2018) all measured knowledge, self-efficacy, skills, and attitudes of staff (predominantly residential OOHC workers). Across the studies, the outcome variable referred to as “attitudes” varied considerably in how it was conceptualized and measured.…”
Children and young people in out-of-home care are at a higher risk of suicide than young people not involved with child protection systems. Despite this, there is a lack of evidence of effective suicide prevention interventions for this vulnerable population. We reviewed the types of suicide prevention interventions that have been used and evaluated with children and young people and staff and carers in out-of-home care/child protection systems. We conducted a systematic review of existing literature using PRISMA guidelines. Only five studies met the inclusion criteria. Two evaluated youth-focused interventions: emotional intelligence therapy; and multidimensional treatment foster care, while three evaluated adult-focused “gatekeeper training.” Youth-focused interventions led to reductions in suicidal thoughts (suicidal ideation), and adult-focused interventions led to increased knowledge, skills, and behaviors such as referring youth to supports. Only one study, one of the youth-focused ones, evaluated the impact of the intervention in terms of suicide attempts but found no reduction. Large numbers of children enter into care with a high risk of suicide. With the considerable overlap between the trauma characteristics and mental health needs of young people in out-of-home care and suicide risk factors in the general population of young people, we recommend developing (and evaluating) new or adapted existing suicide prevention interventions designed specifically for the out-of-home care context.
“…Self‐efficacy, defined here as an individual's belief in his/her capacity to effectively engage in suicide intervention behaviors, plays a vital role in a LEO mastery and use of intervention skills (Schlosser et al, 2015). Intervention behaviors for community gatekeepers focus on identifying of at‐risk individuals, assessing level risk level, and linking individuals to mental health services (see also Osteen et al, 2018). Collectively, mastering these four factors may support LEO’s ability to recognize individuals at risk for suicide, assess level of risk, identify appropriate resources, and link individuals to those resources.…”
Law Enforcement Officers’ (LEO) interactions with people facing mental health crises have risen exponentially since the era of deinstitutionalization. On average, about 10% of the individuals law enforcement interacts with daily have mental health challenges. Several factors influence the outcome of these interactions, not least of which is an officer's role as a gatekeeper as well as their training related to people with mental health challenges. We hypothesized that participating in the online QPR Training for Law Enforcement Officers would be associated with improved knowledge about suicide, attitudes to suicide and suicide intervention, and self‐efficacy. Additionally, we hypothesized that these outcomes would be associated with greater use of intervention skills when encountering individuals at risk for suicide in the community. Results of our longitudinal analysis find that most of the participating officers reported some prior training and yet demonstrated statistically significant improvements in knowledge and attitudes after controlling for previous training. No significant changes were observed in LEO’s use of intervention skills following training. We conclude by suggesting that there is substantial need for increased training; and offering possible conceptual and empirical explanations for the observed results.
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