title: Identification, Response, and Referral of Suicidal Youth Following Applied Suicide Intervention Skills Training.
abstract: Gatekeeper training is a public health approach to suicide prevention that encourages community members to identify those at risk for suicide, respond appropriately, and refer for clinical services. Despite widespread use, few studies have examined whether training results in behavior change in participants. This study employed a naturalistic pre-post design to follow 434 participants in Applied Suicide Intervention Skills Training, finding small but significant increases in self-reported identification of at-risk youth, some helpful responses to youth, and numbers of youth referred to treatment from pre-test to 6- to 9-month follow-up. Changes in active listening and helping behaviors meant to support treatment referrals (such as convincing a youth to seek treatment) were not observed over time. Additional analyses explored predictors of self-reported skill utilization including identification as a "natural helper" and attitudes about suicide prevention.
authors.affiliation: Department of Psychiatry, The University of Michigan, Ann Arbor, MI, USA.
authors.forename: Cynthia J
authors.initials: CJ
authors.lastname: Ewell Foster
authors.affiliation: Department of Psychiatry, The University of Michigan, Ann Arbor, MI, USA.
authors.forename: Amanda N
authors.initials: AN
authors.lastname: Burnside
authors.affiliation: Injury & Violence Prevention Section, Michigan Department of Health & Human Services, Lansing, MI, USA.
authors.forename: Patricia K
authors.initials: PK
authors.lastname: Smith
authors.affiliation: Department of Psychiatry, The University of Michigan, Ann Arbor, MI, USA.
authors.forename: Anne C
authors.initials: AC
authors.lastname: Kramer
authors.affiliation: Department of Psychiatry, The University of Michigan, Ann Arbor, MI, USA.
authors.forename: Allie
authors.initials: A
authors.lastname: Wills
authors.affiliation: Department of Psychiatry, The University of Michigan, Ann Arbor, MI, USA.|Department of Psychology, The University of Michigan, Ann Arbor, MI, USA.
authors.forename: Cheryl
authors.initials: C
authors.lastname: A King
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012017:Referral and Consultation; D059020:Suicidal Ideation; D055815:Young Adult; D000092864:Suicide Prevention