Evaluating the Longitudinal Efficacy of Suicide CARE (a Korean Standard Gatekeeper Training Program) in a General Community Sample: A Randomized Controlled Trial
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Objective Suicide poses a significant public health concern with increasing prevalence in the general population, emphasizing the need for effective gatekeeper suicide prevention education. This study assesses the longitudinal effectiveness of the “Suicide CARE” gatekeeper training program within a general community sample. Suicide CARE is representative gatekeeper program in Korea. A total of 5 million individuals completed the training program of Suicide CARE in Korea to date.Methods Participants were recruited through the Korea Suicide Prevention Association website, randomly assigned to the experimental (n=49) or control group (n=53). Pre- and post-training surveys, along with a 3-month follow-up, measured perceived knowledge, gatekeeper efficacy, preparedness, and attitudes toward suicide. Longitudinal effects were analyzed using repeated measures analysis of variance.Results The experimental group showed significant improvement in perceived knowledge, gatekeeper efficacy, perceived preparedness, and some aspects of attitude towards suicide compared to the control group, with effects declining over time but remaining statistically significant at the 3-month follow-up test.Conclusion This study is the first to evaluate the longitudinal effectiveness of Suicide CARE in a community population. Strategic integration of evidence-based gatekeeper training programs like Suicide CARE can contribute to community suicide prevention initiatives.
Abstract
Objective Suicide poses a significant public health concern with increasing prevalence in the general population, emphasizing the need for effective gatekeeper suicide prevention education. This study assesses the longitudinal effectiveness of the “Suicide CARE” gatekeeper training program within a general community sample. Suicide CARE is representative gatekeeper program in Korea. A total of 5 million individuals completed the training program of Suicide CARE in Korea to date.Methods Participants were recruited through the Korea Suicide Prevention Association website, randomly assigned to the experimental (n=49) or control group (n=53). Pre- and post-training surveys, along with a 3-month follow-up, measured perceived knowledge, gatekeeper efficacy, preparedness, and attitudes toward suicide. Longitudinal effects were analyzed using repeated measures analysis of variance.Results The experimental group showed significant improvement in perceived knowledge, gatekeeper efficacy, perceived preparedness, and some aspects of attitude towards suicide compared to the control group, with effects declining over time but remaining statistically significant at the 3-month follow-up test.Conclusion This study is the first to evaluate the longitudinal effectiveness of Suicide CARE in a community population. Strategic integration of evidence-based gatekeeper training programs like Suicide CARE can contribute to community suicide prevention initiatives.
참고문헌 (30)
- Global status report on alcohol and health 2018, "World Health Organization", World Health Organization, ~ (2018)
- 2019 National Survey on Drug Use and Health: Methodological summary and definitions, "Center for Behavioral Health Statistics and Quality", Substance Abuse and Mental Health Services Administration, ~ (2020)
- Gould MS, "Youth suicide risk and preventive interventions : a review of the past 10 years", J Am Acad Child Adolesc Psychiatry, 42, pp.386~405 (2003)
- Yonemoto N, "Implementation of gatekeeper training programs for suicide prevention in Japan : a systematic review", Int J Ment Health Syst, 13, pp.2~ (2019)
- Na KS, "Contents of the standardized suicide prevention program for gatekeeper intervention in Korea, version 2. 0", Psychiatry Investig, 17, pp.1149~1157 (2020)
- Park SC, ""Suicide CARE"(standardized suicide prevention program for gatekeeper intervention in Korea) : an update", Psychiatry Investig, 17, pp.911~924 (2020)
- White paper on suicide prevention, "Ministry of Health and Welfare", Korea Foundation for Suicide Prevention, ~ (2023)
- Gunnell D, "Suicide risk and prevention during the COVID-19 pandemic", Lancet Psychiatry, 7, pp.468~471 (2020)
- Luxton DD, "Can postdischarge follow-up contacts prevent suicide and suicidal behavior? A review of the evidence", Crisis, 34, pp.32~41 (2013)
- Drum DJ, "New data on the nature of suicidal crises in college students : shifting the paradigm", Prof Psychol Res Pract, 40, pp.213~222 (2009)
- Burnette C, "Gatekeeper training for suicide prevention : a theoretical model and review of the empirical literature", Rand Health Q, 5, pp.16~ (2015)
- Isaac M, "Gatekeeper training as a preventative intervention for suicide : a systematic review", Can J Psychiatry, 54, pp.260~268 (2009)
- Morton M, "Gatekeeper training for friends and family of individuals at risk of suicide : a systematic review", J Community Psychol, 49, pp.1838~1871 (2021)
- Mohr DC, "The effect of telephone-administered psychotherapy on symptoms of depression and attrition:a meta-analysis", Clin Psychol (New York), 15, pp.243~253 (2008)
- Wyman PA, "Randomized trial of a gatekeeper program for suicide prevention : 1-year impact on secondary school staff", J Consult Clin Psychol, 76, pp.104~115 (2008)
- Holmes G, "Evaluating the longitudinal efficacy of SafeTALK suicide prevention gatekeeper training in a general community sample", Suicide Life Threat Behav, 51, pp.844~853 (2021)
- Paik JW, "The effect of Korean standardized suicide prevention program on intervention by gatekeepers", J Korean Neuropsychiatr Assoc, 53, pp.358~363 (2014)
- Kim HS, "The effects of suicide related factors among female senior university students on helping behaviors : focus on help-seeking and help-giving", Korean J Soc Welf, 21, pp.96~113 (2013)
- Baber K, "Frameworks : a community-based approach to preventing youth suicide", J Community Psychol, 37, pp.684~696 (2009)
- Kim JE, "Development and evaluation of suicide prevention nursing competency programs for visiting nurses", J Korean Acad Nurs, 50, pp.14~25 (2020)
- Renberg ES, "Development of a questionnaire on attitudes towards suicide(ATTS)and its application in a Swedish population", Suicide Life Threat Behav, 33, pp.52~64 (2003)
- Ko Y, "The effect of suicide prevention education on attitudes toward suicide in police officers", Psychiatry Investig, 18, pp.1076~1081 (2021)
- Ahmedani BK, "Mental health stigma : society, individuals, and the profession", J Soc Work Values Ethics, 8, pp.41~416 (2011)
- Wolitzky-Taylor K, "Suicide prevention on college campuses : what works and what are the existing gaps? A systematic review and meta-analysis", J Am Coll Health, 68, pp.419~429 (2020)
- Holmes G, "The long-term efficacy of suicide prevention gatekeeper training : a systematic review", Arch Suicide Res, 25, pp.177~207 (2021)
- Jacobson JM, "Randomized trial of suicide gatekeeper training for social work students", Res Soc Work Pract, 22, pp.270~281 (2012)
- Osteen PJ, "Suicide intervention gatekeeper training : modeling mediated effects on development and use of gatekeeper behaviors", Res Soc Work Pract, 28, pp.848~856 (2018)
- Jorm AF, "Associations of training to assist a suicidal person with subsequent quality of support : results from a national survey of the Australian public", BMC Psychiatry, 18, pp.132~ (2018)
- Cross W, "Does a brief suicide prevention gatekeeper training program enhance observed skills", Crisis, 31, pp.149~159 (2010)
- Keller DP, "Tennessee lives count : statewide gatekeeper training for youth suicide prevention", Prof Psychol Res Pract, 40, pp.126~133 (2009)