title: The effects of situational obstacles and social support on suicide- prevention gatekeeper behaviors.
abstract: BACKGROUND
  Although the effectiveness of suicide-prevention gatekeeper-training programs in improving knowledge, attitudes, and referral practices has been documented, their effects do not seem to be lasting.
  
  
  OBJECTIVE
  This study investigated situational obstacles at work that prevent suicide-prevention gatekeepers from engaging in suicide-prevention behavior and the role of social support in modifying the relationship between situational obstacles and suicide-prevention behaviors.
  
  
  METHODS
  193 gatekeepers completed an online survey to rate the obstacles they had experienced at work since completing a gatekeeper-training program and the support received from coworkers, supervisors, and the organization. Participants also reported the frequency of suicide-prevention behaviors performed.
  
  
  RESULTS
  The results indicated that both situational obstacles and social support predicted the number of suicide-prevention behaviors performed, as expected. There was also a trend that support from supervisors and the organization may alleviate the adverse effect of situational obstacles on suicide-prevention behavior.
  
  
  CONCLUSIONS
  The cross-sectional nature of the study does not allow for directional, causal conclusions to be drawn.
  
  
  CONCLUSIONS
  By understanding the roles of situational obstacles faced by trained gatekeepers at their work and the support they receive from supervisors and organizations, appropriate strategies can be identified and applied to facilitate gatekeeper performance.
authors.affiliation: Office of Suicide Prevention, Prevention Services Division, Colorado Department of Public Health and Environment, 4300 Cherry Creek Drive South, Denver, CO 80246, USA. taylor.moore@state.co.us
authors.forename: J Taylor
authors.initials: JT
authors.lastname: Moore
authors.forename: Konstantin P
authors.initials: KP
authors.lastname: Cigularov
authors.forename: Peter Y
authors.initials: PY
authors.lastname: Chen
authors.forename: Jeremy M
authors.initials: JM
authors.lastname: Martinez
authors.forename: Jarrod
authors.initials: J
authors.lastname: Hindman
mesh_terms: D000328:Adult; D005260:Female; D020793:Gatekeeping / Q000706:statistics & numerical data; D006282:Health Personnel / Q000193:education / Q000523:psychology* / Q000706:statistics & numerical data; D006297:Health Services Accessibility / Q000458:organization & administration / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008605:Mental Health Services / Q000458:organization & administration / Q000706:statistics & numerical data; D012944:Social Support; D000078329:Workforce; D000092864:Suicide Prevention