Taking Youth Suicide Prevention to the Schools: Pilot Evaluation of School-Based Clinician Outcomes and Perspectives of a Multi-Modal Program Including Post-Training Online Consultations for Management of Ongoing Suicide Risk

IF 1.2 Q4 PSYCHIATRY
K. Gwyther, B. McKechnie, Helen Nicoll, Elon Gersh, C. Davey, J. Robinson, E. Mawson, Caroline Crlenjak, S. Rice
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Abstract

School-based youth-specific suicide prevention and early intervention initiatives are presently underdeveloped. The current study conducted a pilot evaluation of a multi-modal suicide prevention training program for school-based social workers, ‘Management of Youth Suicidality Training for Schools’ (MYSTS). The program comprised a two-day workshop and six fortnightly post-workshop webinar online consultations. Participants were 36 social workers (years’ experience M = 11.23, SD = 8.29) employed by the Department of Education in Tasmania, Australia. Outcomes were self-rated confidence, competence, and knowledge of self-harm in young people, and attitudes toward suicide prevention and suicide-related behaviors. Exploratory quantitative results indicated significant improvements with large effect sizes for participants’ self-reported competence (d = 1.33), and confidence (d = 1.29) to identify and respond therapeutically to youth suicidality following the workshop. Confidence remained significantly higher than baseline following the online consultations (d = 0.90). Qualitative analysis of online supervision consultations indicated key themes of accessibility, communication and information sharing, and clinical management. Participants endorsed the MYSTS package as well-presented, with relevant topics, and effective learning activities. This study highlights the need for continued supervisory or implementation support to practitioners following suicide prevention training initiatives and suggests web-based teleconference technology as a feasible strategy for this. Further evaluation of the MYSTS package, including a suitable comparison or control condition, is indicated.
将青少年自杀预防带到学校:学校临床医生结果的试点评估和多模式计划的前景,包括培训后在线咨询,以管理持续的自杀风险
以学校为基础的针对青年的自杀预防和早期干预举措目前还不完善。目前的研究对学校社会工作者的多模式自杀预防培训计划“学校青少年自杀培训管理”(MYSTS)进行了试点评估。该项目包括为期两天的研讨会和每两周一次的研讨会后网络研讨会在线咨询。参与者是受雇于澳大利亚塔斯马尼亚州教育部的36名社会工作者(年经验M=12.23,SD=8.29)。结果是对年轻人自我评价的信心、能力和自残知识,以及对自杀预防和自杀相关行为的态度。探索性的定量结果表明,参与者在研讨会后自我报告的能力(d=1.33)和识别青年自杀并对其做出治疗反应的信心(d=1.29)方面有了显著的改善,效果显著。在线咨询后,置信度仍显著高于基线(d=0.90)。对在线监督咨询的定性分析表明,可访问性、沟通和信息共享以及临床管理是关键主题。与会者赞同MYSTS一揽子计划,并介绍了相关主题和有效的学习活动。这项研究强调了在自杀预防培训举措之后,对从业者继续提供监督或实施支持的必要性,并建议将基于网络的电话会议技术作为一种可行的策略。指示对MYSTS包进行进一步评估,包括适当的比较或控制条件。
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来源期刊
CiteScore
1.90
自引率
0.00%
发文量
0
审稿时长
11 weeks
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