Evaluation of a Peer-Led Implementation of a Suicide Prevention Gatekeeper Training Program for College Students
Abstract
Abstract.Background: Research on models of implementation that enable widespread dissemination of suicide prevention to young adults is needed to address the critical public health issue of suicide among young adults. A peer-to-peer implementation approach may increase widespread dissemination of suicide prevention on college campuses. Aims: The current study involved the evaluation of a peer-led implementation of the evidence-based program Question, Persuade, and Refer Gatekeeper Training for Suicide Prevention (QPR). Method: A total of 161 college students attended one of eight QPR implementations conducted by student peer educators certified as QPR trainers. Questionnaires were administered at pretest and posttest to assess knowledge of suicide, likelihood of intervening with someone suicidal, and self-efficacy to intervene with someone suicidal. Results: Results from a series of paired-samples t tests showed significant increases from pretest to posttest on the three outcomes of interest – knowledge of suicide, self-efficacy to intervene with someone suicidal, and likelihood to intervene with someone suicidal. Limitations: The short time frame of the current study is a limitation. Conclusion: Support for a peer-led model of implementation for college students has critical implications in terms of increasing the capacity for widespread dissemination of suicide prevention efforts on college campuses.
References
2018). National College Health Assessment II: Undergraduate student reference group data report Spring 2018. Silver Spring, MD: Author.
. (2006). Peer facilitated eating disorder prevention: A randomized effectiveness trial of cognitive dissonance and media advocacy. Journal of Counseling Psychology, 53, 550–555. 10.1037/0022-0167.53.4.550
(2011). Does practice make perfect? A randomized trial of behavioral rehearsal on suicide prevention gatekeeper skills. Journal of Primary Prevention, 32, 195–211. 10.1007/s10935-011-0250-z
(2009). New data on the nature of suicidal crises in college students: Shifting the paradigm. Professional Psychology: Research and Practice, 40, 213–222. 10.1037/a0014465
(2012). Campus suicide prevention: Bridging paradigms and forging partnership. Harvard Review of Psychiatry, 20, 209–221. 10.3109/10673229.2012.712841
(2013). Alcohol use, depressive symptoms, and impulsivity as risk factors for suicide proneness among college students. Journal of Affective Disorders, 149, 326–334.
(2011). Mental health service utilization among college students in the United States. The Journal of Nervous and Mental Disease, 199, 301–308. 10.1097/NMD.0b013e3182175123
(2014). Interventions for primary prevention of suicide in university and other post-secondary educational settings. Cochrane Database of Systematic Reviews, 10,
(Art. No.: CD009439 . 10.1002/146518582016). Deaths: Leading causes for 2013. Hyattsville, MD: National Center for Health Statistics.
(2011). Outcomes of a suicide prevention gatekeeper training on a university campus. Journal of College Student Development, 52, 350–361. 10.1353/csd.2011.0036
(2008). Evaluation of a gatekeeper training for suicide prevention in veterans. Archives of Suicide Research, 12, 148–154. 10.1080/13811110701857491
(1995). QPR: Ask a question, save a life. Spokane, WA: QPR Institute and Suicide Awareness/Voices of Education.
(2009). The short-term effectiveness of a suicide prevention gatekeeper training program in a college setting with residence life advisers. Journal of Primary Prevention, 30, 131–149. 10.1007/s10935-009-0171-2
(2018). Suicide prevention program on a diverse college campus: Examining the effectiveness of a peer-to-peer model. Journal of College Student Psychotherapy, 33, 131–144. 10.1080/87568225.2018.1434716
(2009). Longitudinal evaluation of peer health education on a college campus: Impact on health behaviors. Journal of American College Health, 57, 497–505. 10.3200/JACH.57.5.497-506
(2008). Randomized trial of a gatekeeper program for suicide prevention: 1-year impact on secondary school staff. Journal of Consulting and Clinical Psychology, 76, 104–115. 10.1037/0022-006X.76.1.104
(2010). An outcome evaluation of the Sources of Strength suicide prevention program delivered by adolescent peer leaders in high schools. American Journal of Public Health, 100, 1653–1661. 10.2105/AJPH.2009.190025
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