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The Short-Term Effectiveness of a Suicide Prevention Gatekeeper Training Program in a College Setting with Residence Life Advisers

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Abstract

Although the college years prove to be a vulnerable time for students and a critical period for suicide prevention, few school-based prevention strategies have been empirically evaluated. The current study examined the short-term effects of Question, Persuade, and Refer (QPR), a gatekeeper training program that teaches how to recognize warning signs, question suicidal intent, listen to problems, and refer for help. One hundred twenty-two residence advisers (RAs) who were trained in QPR demonstrated significant post-training gains across a variety of domains relevant to suicide and suicide prevention, with 60 who completed the follow-up assessment showing sustained knowledge and appraisals into the following semester. Although these gains were generally more substantial for RAs trained in QPR, 86 controls who completed both baseline and follow-up assessments also demonstrated changes in appraisals relevant to suicide and suicide prevention, despite having not received QPR training. Editors’ Strategic Implications This study provides some promising evidence on gatekeeper training for RAs in terms of suicide prevention knowledge and attitudes. As the authors note, replication, rigorous evaluation, and studies of systemic efforts and behavioral outcomes are needed.

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Acknowledgments

This research was supported by a student/faculty collaborative research grant from Linfield College. This research was Jody Witt’s honor’s thesis, and a portion of the current study was previously presented at the meeting of the Association for a Psychological Science in May 2007. We gratefully acknowledge Nadia Abraibesh and Jee-Yeon Kim for their assistance with data collection and entry. We also thank Christina Ries and Kristen Michael for providing the QPR training. Finally, we extend our deepest appreciation to the residence life administrators and staff members for their willingness to participate and help us understand the effectiveness of QPR.

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Correspondence to Tanya L. Tompkins.

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Tompkins, T.L., Witt, J. The Short-Term Effectiveness of a Suicide Prevention Gatekeeper Training Program in a College Setting with Residence Life Advisers. J Primary Prevent 30, 131–149 (2009). https://doi.org/10.1007/s10935-009-0171-2

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