Suicide Prevention Gatekeeper Self-Efficacy Scale (GKSES)
A Psychometric Investigation With a Japanese Sample
Abstract
Abstract.Background: To date there is no standardized scale for the evaluation of self-efficacy of gatekeeper skills. Aim: The aim of this study was to develop the Gatekeeper Self-Efficacy Scale (GKSES), which consists of nine items assessing laypersons' confidence in their own gatekeeper skills, and to confirm its reliability and validity. Method: Altogether 875 participants joined in gatekeeper training between 2010 and 2017 and completed the GKSES both before and after training. After exploratory factor analysis, we analyzed Pearson's correlation between total GKSES scores and Attitude Toward Suicide Scale subscale scores and performed one-way analysis of variance for the score differences by demographics. Results: The GKSES is a univariate scale with good fit. Total GKSES score correlated with the appropriate attitudes for suicide prevention. Self-efficacy ratings after training improved irrespective of attribute. Participants who had had contact with suicidal individuals and those who had received previous suicide prevention training had high self-efficacy ratings, while a greater improvement was seen in the ratings of participants who had not had any previous contact or training. Limitations: It is necessary to assess the GKSES using more participants across other populations. Conclusion: The GKSES is a simple and useful measure with good internal consistency and validity for self-efficacy assessment of gatekeeper skills.
References
2016). Development and validation of the Gatekeeper Behavior Scale: A tool to assess gatekeeper training for suicide prevention. Crisis, 37, 271–280. 10.1027/0227-5910/a000382
(1977). Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review, 84, 191–215. 10.1037/0033-295X.84.2.191
(2007). Maintained attitudinal changes in nursing personnel after a brief training on suicide prevention. Suicide and Life-Threatening Behavior, 37, 145–153. 10.1016/S0924-9338(09)71128-9
(2015). Gatekeeper training for suicide prevention: A theoretical model and review of the empirical literature. Rand Health Quarterly, 5, 16. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5158249/
(Cabinet Office of Japanese Government . (2013). Gatekeeper Yosei kensyu you Tekisuto[Gatekeeper training text] . Tokyo, Japan: Author. Retrieved from https://www.mhlw.go.jp/stf/seisakunitsuite/bunya/0000128774.html2008). Investigation of the effectiveness of a school-based suicide education program using three methodological approaches. Psychological Services, 5, 262–274. 10.1037/1541-1559.5.3.262
(2011). Does practice make perfect? A randomized control trial of behavioral rehearsal on suicide prevention gatekeeper skills. The Journal of Primary Prevention, 32, 195–211. 10.1007/s10935-011-0250-z
(2014). Religious commitment, attitudes toward suicide, and suicidal behaviors among college students of different ethnic and religious groups in Malaysia. Journal of Religion and Health, 53, 731–746. 10.1007/s10943-012-9667-9
(2012). Australian psychologists' attitudes towards suicide and self-harm. Australian Journal of Psychology, 64, 75–82. 10.1111/j.1742-9536.2011.00030.x
(2013). Impact of applied suicide intervention skills training (ASIST) on the national suicide prevention lifeline. Suicide and Life-Threatening Behavior, 43, 676–691. 10.1111/sltb.12049
(2015). Effectiveness of suicide prevention gatekeeper-training for university administrative staff in Japan. Psychiatry and Clinical Neurosciences, 70, 62–70. 10.1111/pcn.12358
(2009). Gatekeeper training as a preventative intervention for suicide: A systematic review. The Canadian Journal of Psychiatry, 54, 260–268. 10.1177/070674370905400407
(2010). Development of the Japanese version of the Suicide Intervention Response Inventory (SIRI). Seishin Igaku (Clinical Psychiatry), 52, 543–551. 10.11477/mf.1405101642
(2000). Project SOAR; a training program to increase school counselors' knowledge and confidence regarding suicide prevention and intervention. Journal of School Health, 70, 402–407. 10.1111/j.1746-1561.2000.tb07227.x
(2013). Exploration of factors associated with social worker attitudes toward suicide. International Journal Social Psychiatry, 59, 452–459. 10.1177/0020764012440674
(Ministry of Health, Labour and Welfare . (2008). Jisatsu-misuisya, jisatsusya-shinzoku tou no kea ni kansuru kentokai houkokusyo[Review meeting about care for attempted suicide people and suicide bereaved family report] . Tokyo, Japan: Author. Retrieved from https://www.mhlw.go.jp/shingi/2008/03/s0328-2.html2015). Development of a suicide prevention Gatekeeper Self-Efficacy Scale (GKSES). Japanese Journal of Clinical Psychiatry, 44, 287–99. Retrieved from https://mol.medicalonline.jp/archive/search?jo=ao1clphd&vo=44&nu=2
(1997). The Suicide Intervention Response Inventory: A revision and validation. Death Studies, 21, 59–81. 10.1080/074811897202137
(2013). Attitudes towards suicidal behavior in outpatient clinics among mental health professionals in Oslo. BMC Psychiatry, 13, 90. 10.1186/1471-244X-13-90
(2014). After the Great East Japan Earthquake: Suicide prevention and a gatekeeper program. Psychiatria et Neurologia Japonica, 116, 196–202. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/24783441
(2012). The impact of experiential exercises on communication and relational skills in a suicide prevention gatekeeper-training program for college resident advisors. Journal of American College Health, 60, 134–40. 10.1080/07448481.2011.623489
(2007). QPR gatekeeper training for suicide prevention: The model, rationale, and theory. Spokane, WA: QPR Institute.
(2008). Building models for the relationship between attitudes toward suicide and suicidal behavior: Based on data from general population surveys in Sweden, Norway, and Russia. Suicide and Life-Threatening Behavior, 38, 661–675. 10.1521/suli.2008.38.6.661
(2003). Development of a questionnaire on Attitudes Towards Suicide (ATTS) and its application in a Swedish population. Suicide and Life-Threatening Behavior, 33, 52–64. 10.1521/suli.33.1.52.22784
(1997). The assessment of optimistic self-beliefs: comparison of the Chinese, Indonesian, Japanese, and Korean versions of the general self-efficacy scale. Psychologia, 40, 1–13.
(2010). Does a gatekeeper suicide prevention program work in a school setting? Evaluating training outcome and moderators of effectiveness. Suicide and Life-Threatening Behavior, 40, 506–515. 10.1521/suli.2010.40.5.506
(World Health Organization . (2012). Public health action for the prevention of suicide: A framework. Retrieved from http://www.who.int/iris/handle/10665/75166World Health Organization . (2014). Preventing suicide: A global imperative. Retrieved from apps.who.int/iris/bitstream/handle/10665/131056/9789241564779_jpn.pdf