Online Suicide Risk Assessment and Management Training
Pilot Evidence for Acceptability and Training Effects
Abstract
Abstract.Background: Many mental health professionals (MHPs) encounter youth at risk for suicide but lack knowledge and confidence to assist these individuals. Unfortunately, training for MHPs on suicide risk assessment and management is often not adequately accessible. Aims: The aim of this study was to evaluate whether MHPs' knowledge, attitudes, perceived social norms, and perceived behavioral control in working with at-risk suicidal youth improve following an online training (QPRT: Question, Persuade, Refer, Treat). Method: QPRT was provided to 225 MHPs from three large urban areas in the United States. Suicide prevention literacy, attitudes, perceived social norms, and perceived behavioral control in assessing and managing suicide risk were assessed before and after training. Data were also collected on training engagement and completion. Results: Suicide prevention literacy in most competency domains and perceived behavioral control increased significantly after participation in QPRT. Suicide prevention attitudes and some knowledge domains did not significantly improve. MHPs reported high satisfaction with the training. Conclusion: The current study provides initial support for offering MHPs online suicide risk assessment and management training. Online training programs may be an engaging and feasible means for providing advanced suicide prevention skills to MHPs who may have numerous barriers to accessing face-to-face training.
References
1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50, 179–211.
(2001). Efficacy of the theory of planned behaviour: A meta-analytic review. The British Journal of Social Psychology, 40(4), 471–499.
(2007). Does a brief training on suicide prevention among general hospital personnel impact their baseline attitudes towards suicidal behavior? Journal of Affective Disorders, 100, 233–239. 10.1016/j.jad.2006.09.035
(1979). The generalizability of the psychoanalytic concept of the working alliance. Psychotherapy, 16, 252–260.
(2007). Maintained attitudinal changes in nursing personnel after a brief training on suicide prevention. Suicide and Life-Threatening Behavior, 37(2), 145–153. 10.1521/suli.2007.37.2.145
(2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. 10.1191/1478088706qp063oa
(2014). WISQARS: Leading causes of death. Retrieved from http://www.cdc.gov/injury/wisqars/leading_causes_death.html
. (1988). Statistical power analysis for the behavioral sciences. Mahwah, NJ: Lawrence Erlbaum Associates.
(2007). Web-based learning: Pros, cons and controversies. Clinical Medicine, 7(1), 37–42.
(2013). Contacts with health professionals before suicide: Missed opportunities for prevention? Comprehensive Psychiatry, 54(7), 1117–1123. 10.1016/j.comppsych.2013.05.007
(2004). Making training relevant. The Clinical Supervisor, 23, 15–32.
(2009). Which training method works best? A randomized controlled trial comparing three methods of training clinicians in dialectical behavior therapy skills. Behaviour Research and Therapy, 47, 921–930.
(2007). Encountering patient suicide: A resident's experience. Academic Psychiatry, 31, 340–344.
(2010). Predicting and changing behavior: The reasoned action approach. New York, NY: Taylor & Francis.
(2007). Trauma professionals' attritudes toward and utilization of evidence-based practices. Behavior Modification, 31(6), 732–748. 10.1177/0145445507302877
(2009). Attitudinal and motivational antecedents of participation in voluntary employee development activities. Journal of Applied Psychology, 94(3), 635–653. 10.1037/a0014580
(2012). Evaluation of the recognizing and responding to suicide risk training. Suicide and Life-Threatening Behavior, 42(5), 471–485. 10.1111/j.1943-278X.2012.00105.x
(2008). Ethical and competent care of suicidal patients: Contemporary challenges, new developments, and considerations for clinical practice. Professional Psychology: Research and Practice, 39(4), 405–413. 10.1037/a0012896
(2014). Youth risk behavior surveillance – United States, 2013. Morbidity and Mortality Weekly Report Surveillance Summary, 63(4), 1–168.
(2008). Effects of training on suicide risk assessment. Psychiatric Services, 59(12), 1462–1465. 10.1176/appi.ps.59.12.1462
(2004). Physician toolkit and curriculum. Retrieved from http://minorityhealth.hhs.gov/assets/pdf/checked/1/toolkit.pdf
. (2009). Training mental health professionals to assess and manage suicidal behavior: Can provider confidence and practice behaviors be altered? Suicide and Life-Threatening Behavior, 39(1), 21–32. 10.1521/suli.2009.39.1.21
(2009). Psychologists' knowledge of their states' laws pertaining to Tarasoff-type situations. Professional Psychology, Research and Practice, 40, 8–14.
(2006). Psychiatric symptoms and substance use disorders in a nationally representative sample of American adolescents involved with foster care. Journal of Adolescent Health, 38(4), 351–358. 10.1016/j.jadohealth.2005.06.014
(2011). The assessment and management of suicide risk: State of workshop education. Suicide and Life–Threatening Behavior, 41(3), 255–276. 10.1111/j.1943-278X.2011.00026.x
(2012). Evaluation of the Commitment to Living (CTL) curriculum: A 3-hour training for mental health professionals to address suicide risk. Crisis, 33(1), 30–38. 10.1027/0227-5910/a000099
(1996). Question Persuade Refer Treat: Suicide Risk Management Inventory user's manual. Spokane, WA: Spokane Mental Health.
(2008). Avoiding malpractice lawsuits by following risk assessment and suicide prevention guidelines. Brief Treatment and Crisis Intervention, 8, 121–141.
(2014).
(Core competencies, warning signs, and a framework for suicide risk assessment . In M. K. NockEd., Clinical practice. The Oxford handbook of suicide and self-injury (pp. 323–336). New York, NY: Oxford University Press.2006). The impact of E-learning in medical education. Academic Medicine, 81(3), 207–212.
(2004). Impact of patient suicide on psychiatrists and psychiatric trainees. Academic Psychiatry, 28, 104–110.
(2012). Attitudes and knowledge of clinical staff regarding people who self-harm: A systematic review. Journal of Affective Disorders, 139(3), 205–216. 10.1016/j.jad.2011.08.024
(2012). Preventing suicide through improved training in suicide risk assessment and care: An American Association of Suicidology task force report addressing serious gaps in U.S. mental health training. Suicide and Life-Threatening Behavior, 42(3), 292–304. 10.1111/j.1943-278X.2012.00090.x
(2006). A multi-center study of the effectiveness of an 8-hour suicide risk assessment and risk management course (QPRT) in increasing knowledge about suicide. Spokane, WA: The QPR Institute.
(2014). An assessment of suicide-related knowledge and skills among health professionals. Health Psychology, 33(2), 110–119. 10.1037/a0031062
(2012). Theoretical and practical barriers to practitioners' willingness to seek training in empirically supported treatments. Journal of Clinical Psychology, 68(1), 8–23. 10.1002/jclp.20832
(2005). Public health training online: The National Center for Suicide Prevention Training. American Journal of Preventive Medicine, 29(5 Suppl. 2), 247–251. 10.1016/j.amepre.2005.08.019
(2013). Making the case for primary care and mandated suicide prevention education. Suicide and Life-Threatening Behavior, 43(2), 117–124. 10.1111/sltb.12010
(2010). QPRT suicide risk assessment and management training. Retrieved from http://www.sprc.org/bpr/section-III/qprt-suicide-risk-assessment-and-management-training
. (2001). Effects of trainer expressiveness, organization, and trainee goal orientation on training outcomes. Journal of Applied Psychology, 86, 664–673.
(2007). The National CLAS Standards. Retrieved from http://minorityhealth.hhs.gov/omh/browse.aspx?lvl=2&lvlid=53
. (2006). Technology-based training in cognitive behavioral therapy for substance abuse counselors. Substance Abuse, 27(3), 19–25. 10.1300/J465v27n03_04
(2014). Suicide fact sheet. Retrieved from http://www.who.int/mediacentre/factsheets/fs398/en/
. (