title: Suicide Prevention Gatekeeper Training: Can They Advance Prevention in Indian Country?
abstract: American Indian youth have the highest suicide rates in the United States; however, many do not use services and access barriers exist. This study was a cross-sectional evaluation of 6 gatekeeper trainings conducted on 1 reservation with N = 84 individuals. Analyses examined participant characteristics, impact on training objectives, and satisfaction. The majority of participants were American Indian and female (89.3%). Significant increases in knowledge (p < 0.001) and self-efficacy (p < 0.001) were observed post-test, as well as high satisfaction (3.53/5) and intent to use skills daily (36.4%) or monthly (66.3%). Lowest rated was how the training addressed cultural differences (2.93). While results support the promise of gatekeeper training, they identify a clear need for adaptation; specific implementation and research recommendations are discussed.
authors.forename: Mary F
authors.initials: MF
authors.lastname: Cwik
authors.forename: Lauren
authors.initials: L
authors.lastname: Tingey
authors.forename: Rebecca
authors.initials: R
authors.lastname: Wilkinson
authors.forename: Novalene
authors.initials: N
authors.lastname: Goklish
authors.forename: Francene
authors.initials: F
authors.lastname: Larzelere-Hinton
authors.forename: Allison
authors.initials: A
authors.lastname: Barlow
mesh_terms: D000293:Adolescent; D000328:Adult; D000072957:Alaska Natives / Q000523:psychology*; D004493:Education / Q000379:methods; D004522:Educational Status; D005260:Female; D007722:Health Knowledge, Attitudes, Practice / Q000208:ethnology*; D006303:Health Services, Indigenous / Q000458:organization & administration / Q000592:standards; D006801:Humans; D008297:Male; D011314:Preventive Health Services / Q000379:methods; D015397:Program Evaluation; D058996:Quality Improvement; D013192:Staff Development / Q000379:methods*; D013405:Suicide / Q000208:ethnology / Q000523:psychology / Q000706:statistics & numerical data; D014481:United States / Q000453:epidemiology; D000092864:Suicide Prevention
keywords: ASIST; American Indian; gatekeeper training