Impact of Applied Suicide Intervention Skills Training on the National Suicide Prevention Lifeline

Madelyn Schwartz Gould · Wendi F. Cross · Anthony R. Pisani · Jimmie Lou Harris Munfakh

200 citations0/0 files storedSuicide and Life-Threatening Behavior

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Suicide and Self-Harm Studies Psychiatric care and mental health services Grief, Bereavement, and Mental Health

Abstract

We examined the impact of the implementation of Applied Suicide Intervention Skills Training (ASIST) across the National Suicide Prevention Lifeline's national network of crisis hotlines. Data were derived from 1,507 monitored calls from 1,410 suicidal individuals to 17 Lifeline centers in 2008-2009. Callers were significantly more likely to feel less depressed, less suicidal, less overwhelmed, and more hopeful by the end of calls handled by ASIST-trained counselors. Few significant changes in ASIST-trained counselors' interventions emerged; however, improvements in callers' outcomes were linked to ASIST-related counselor interventions, including exploring reasons for living and informal support contacts. ASIST training did not yield more comprehensive suicide risk assessments.

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References

1977The Measurement of Observer Agreement for Categorical Data 1983Reasons for staying alive when you are thinking of killing yourself: The Reasons for Living Inventory.2005Cognitive Therapy for the Prevention of Suicide Attempts 2009Cognitive-Behavioral Therapy for Suicide Prevention (CBT-SP): Treatment Model, Feasibility, and Acceptability 2009Gatekeeper Training as a Preventative Intervention for Suicide: A Systematic Review 2000Protective Factors Against Suicidal Acts in Major Depression: Reasons for Living 2007An Evaluation of Crisis Hotline Outcomes Part 2: Suicidal Callers

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