Development and Implementation of Web-Based Safety Planning Intervention Training for Firefighter Peer Support Specialists
Abstract
Abstract:Background: Recent findings indicate that firefighters may be at increased risk for death by suicide; however, there has been only limited suicide prevention work in fire service to date. Aim: The objective of this program evaluation project was to develop and evaluate a web-based Safety Planning Intervention (SPI) training course for firefighter peer support specialists. Method: Peer support specialists who completed the web-based SPI training were administered evaluation questionnaires before the training and then again at a 3-month follow-up assessment. Results: A total of 213 peer support specialists completed the SPI training. Most participants took 2–3 h to complete the training. Participants generally reported high levels of satisfaction with the course, with the vast majority (94.4%) indicating they would recommend it to their peers. Course completers also demonstrated significant gains in SPI knowledge and self-efficacy from baseline to 3-month follow-up (all p’s < .001). Moreover, the percentage of participants who reported completing a safety plan with someone they suspected at being of risk for suicide increased approximately 7-fold from baseline (3.5%) to 3-month follow-up (25.2%; p < .001). Participants further reported that 97.6% of the safety plans that they completed resulted in a positive outcome. Limitations: This was a program evaluation project that did not include a control group. Thus, causality cannot be inferred. Conclusions: The present findings suggest that web-based SPI training is a feasible and scalable approach for training peer support specialists to deliver the SPI to at-risk individuals.
References
2022). Educational Self-Efficacy Scale. https://www.imperial.ac.uk/education-research/evaluation/what-can-i-evaluate/self-efficacy/tools-for-assessing-self-efficacy/educational-self-efficacy-scale/
. (2021). US Fire Department Profile 2019. National Firefighter Protection Association. https://www.nfpa.org/-/media/files/News-and-Research/Fire-statistics-and-reports/Emergency-responders/osfdprofile.pdf
(2011). Suicide surveillance, prevention, and intervention measures for the US Fire Service: Findings and recommendations for the suicide and depression summit. National Fallen Firefighters Foundation.
(2016). Project Reach Out: A training program to increase behavioral health utilization among professional firefighters. International Journal of Stress Management, 23(1), 65–83. 10.1037/a0039731
(2019). Behavioral health programs in fire service: Surveying access and preferences. Psychological Services, 16(2), 340–345. 10.1037/ser0000222
(2018). Survey of firefighter mental and behavioral health.
. (2008). Suicide and suicidal behavior. Epidemiologic Review, 30(1), 133–154. 10.1093/epirev/mxn002
(2012). Safety planning intervention: A brief intervention to mitigate suicide risk. Cognitive and Behavioral Practice, 19(2), 256–264. 10.1016/j.cbpra.2011.01.001
(2018). Comparison of the Safety Planning Intervention with follow-up vs. usual care of suicidal patients treated in the emergency department. JAMA Psychiatry, 75(9), 894–900. 10.1001/jamapsychiatry.2018.1776
(2015). Career prevalence and correlates of suicidal thoughts and behaviors among firefighters. Journal of Affective Disorders, 187, 163–171. 10.1016/j.jad.2015.08.007
(2021). Suicide among the emergency medical systems occupation in the United States. The Western Journal of Emergency Medicine, 22(2), 326–332. 10.5811/westjem.2020.10.48742
(2017). Rapid and rigorous qualitative data analysis: The “RADaR” technique for applied research. International Journal of Qualitative Methods, 16(1), 1–9. 10.1177/1609406917712131
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