title: Outcomes of a Suicide Prevention Gatekeeper Training Program Among School Personnel.
abstract: BACKGROUND
  Gatekeeper suicide prevention programs train staff to increase the identification and referral of suicidal individuals to the appropriate resources.
  
  
  OBJECTIVE
  We evaluated Act on FACTS: Making Educators Partners in Youth Suicide Prevention (MEP), which is an online training program designed to enhance the knowledge of suicide risk factors and warning signs as well as improve participants' attitudes and self-efficacy/confidence.
  
  
  METHODS
  School personnel (N = 700) completed a survey administered before and immediately after the training to assess gains in training outcomes and to evaluate participants' satisfaction with the training.
  
  
  RESULTS
  Results indicated that MEP participants demonstrated significant increases in suicide knowledge, attitudes, and self-efficacy. Moreover, exploratory analyses revealed moderating effects of professional role on pre-/posttest changes in self-efficacy, but not suicide knowledge or attitudes. Specifically, guidance counselors demonstrated significantly smaller increases in self-efficacy/confidence compared with teachers and classroom aids, whereas teachers demonstrated significantly larger increases in self-efficacy/confidence compared with administrators. The majority of school personnel who completed the MEP program were satisfied with the training content and experience.
  
  
  CONCLUSIONS
  Although the current findings are promising, more rigorous evaluations employing randomized controlled research designs are warranted to adequately determine the effectiveness of the MEP program.
authors: 1 Department of Psychiatry and Behavioral Sciences, Emory School of Medicine, Atlanta, GA, USA.
authors: Dorian A
authors: DA
authors: Lamis
authors: 2 Society for the Prevention of Teen Suicide, Freehold, NJ, USA.
authors: Maureen
authors: M
authors: Underwood
authors: 2 Society for the Prevention of Teen Suicide, Freehold, NJ, USA.
authors: Nicole
authors: N
authors: D'Amore
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D004521:Educational Measurement; D005260:Female; D006801:Humans; D008297:Male; D008605:Mental Health Services; D008875:Middle Aged; D015397:Program Evaluation; D012017:Referral and Consultation; D018570:Risk Assessment; D000070777:School Teachers; D013192:Staff Development / Q000379:methods; D011795:Surveys and Questionnaires; D000070260:Teacher Training / Q000379:methods*; D055815:Young Adult; D000092864:Suicide Prevention
keywords: gatekeeper training; school personnel; suicide prevention; youth