Development of 2-hour suicide intervention program among medical residents: first pilot trial.
OBJECTIVE
Suicide is associated not only with primary psychiatric disorders but also with physical disorders. Physicians' education on suicide prevention contributes to reducing suicide. Therefore, medical residents, who contact patients daily and who eventually become primary physicians in each specialty, might be the most appropriate candidates for intervention. In this article, we introduce our newly developed suicide intervention program among medical residents.


METHODS
We developed a 2-hour suicide intervention program among medical residents, based on the Mental Health First Aid (MHFA), which had originally been developed for the public. The program contains a 1-hour lecture and a 1-hour role-play session. As the first pilot trial, we conducted the program among 44 first-year medical residents at a university hospital and evaluated its effectiveness. Changes in confidence, attitudes and behavior toward suicidal people were evaluated using self-reported questionnaires before, immediately after, and 6 months after the program.


RESULTS
Participants' confidence and attitudes significantly improved after the program. The total mean score (standard deviation) of the Suicide Intervention Response Inventory improved from 18.4 (2.0) before the intervention to 19.4 (2.0) immediately after the intervention. However, the effectiveness was limited after 6 months. In the course of 6 months, the participants learned to apply the MHFA principles in their daily clinical practice.


CONCLUSIONS
Our newly developed brief suicide intervention program demonstrating its effectiveness among medical residents should be modified in order to be more effective in the long term. The next trial with a control group ought to be conducted to evaluate our developed program.
Kato
Takahiro A
TA
Department of Neuropsychiatry, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan. takahiro@npsych.med.kyushu-u.ac.jp
Suzuki
Yuriko
Y
Sato
Ryoko
R
Fujisawa
Daisuke
D
Uehara
Kumi
K
Hashimoto
Naoki
N
Sawayama
Yasunori
Y
Hayashi
Jun
J
Kanba
Shigenobu
S
Otsuka
Kotaro
K
D000328:Adult; D001291:Attitude of Health Personnel; D003419:Crisis Intervention; D003479:Curriculum; D059026:Diagnostic Self Evaluation; D005260:Female; D006801:Humans; D007396:Internship and Residency; D007564:Japan; D008297:Male; D008603:Mental Health; D010865:Pilot Projects; D016730:Program Development; D011570:Psychiatry / Q000193:education; D012381:Role Playing; D016896:Treatment Outcome; D000092864:Suicide Prevention