Evaluation of Gatekeeper Training for Suicide Prevention in Veterans

Monica M. Matthieu · Wendi F. Cross · Alfonso R. Batres · Charles M. Flora · Kerry L. Knox

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Suicide and Self-Harm Studies Mental Health Treatment and Access Opioid Use Disorder Treatment

Abstract

Clinical providers and "front line" nonclinical staff who work with veterans, families, and communities are natural gatekeepers to identify and to refer veterans at risk for suicide. A national cohort (n = 602) of community based counseling center staff from the U.S. Department of Veterans Affairs (VA) participated in an evaluation of a brief standardized gatekeeper training program and a scripted behavioral rehearsal practice session. A significant difference in knowledge and self efficacy was observed from pre to post (p < .0001) with the nonclinicians showing larger effect sizes for knowledge (0.96 vs. 0.42) and self efficacy (0.89 vs. 0.41). Gatekeeper training for suicide prevention shows promise for increasing the capacity of VA staff to work with at risk veterans.

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2005Suicide Prevention Strategies 2002Reducing Suicide--A National Imperative 2008Randomized trial of a gatekeeper program for suicide prevention: 1-year impact on secondary school staff.2006When effect sizes disagree: The case of r and d.2003National Strategy for Suicide Prevention: Goals and Objectives for Action 2003Risk of suicide and related adverse outcomes after exposure to a suicide prevention programme in the US Air Force: cohort study 2004If Suicide Is a Public Health Problem, What Are We Doing to Prevent It?2007Proximate Outcomes of Gatekeeper Training for Suicide Prevention in the Workplace

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