title: Referral patterns for youths identified at risk for suicide by trained gatekeepers.
abstract: BACKGROUND
  In order to better understand the posttraining suicide prevention behavior of gatekeeper trainees, the present article examines the referral and service receipt patterns among gatekeeper-identified youths.
  
  
  METHODS
  Data for this study were drawn from 26 Garrett Lee Smith grantees funded between October 2005 and October 2009 who submitted data about the number, characteristics, and service access of identified youths.
  
  
  RESULTS
  The demographic characteristics of identified youths are not related to referral type or receipt. Furthermore, referral setting does not seem to be predictive of the type of referral. Demographic as well as other (nonrisk) characteristics of the youths are not key variables in determining identification or service receipt.
  
  
  CONCLUSIONS
  These data are not necessarily representative of all youths identified by gatekeepers represented in the dataset. The prevalence of risk among all members of the communities from which these data are drawn is unknown. Furthermore, these data likely disproportionately represent gatekeepers associated with systems that effectively track gatekeepers and youths.
  
  
  CONCLUSIONS
  Gatekeepers appear to be identifying youth across settings, and those youths are being referred for services without regard for race and gender or the settings in which they are identified. Furthermore, youths that may be at highest risk may be more likely to receive those services.
authors.affiliation: Health Education and Social Programs, ICF Macro, Atlanta, GA 30329, USA. mrodi@icfi.com
authors.forename: Michael S
authors.initials: MS
authors.lastname: Rodi
authors.forename: Lucas Godoy
authors.initials: LG
authors.lastname: Garraza
authors.forename: Christine
authors.initials: C
authors.lastname: Walrath
authors.forename: Robert L
authors.initials: RL
authors.lastname: Stephens
authors.forename: D Susanne
authors.initials: DS
authors.lastname: Condron
authors.forename: Brandee Brewer
authors.initials: BB
authors.lastname: Hicks
authors.forename: Richard
authors.initials: R
authors.lastname: McKeon
mesh_terms: D000293:Adolescent; D002648:Child; D002662:Child Health Services / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D008297:Male; D008605:Mental Health Services / Q000706:statistics & numerical data; D012017:Referral and Consultation / Q000706:statistics & numerical data*; D012307:Risk Factors; D013405:Suicide / Q000523:psychology; D014481:United States; D000092864:Suicide Prevention