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
Abstract
:1. Introduction
1.1. Existing Suicide Prevention Training Programs
1.2. The Current Study
- (a)
- Increased self-reported competence in skills related to managing suicidality in young people;
- (b)
- Increased confidence in assessing and responding therapeutically to young people presenting with suicide risk;
- (c)
- Attitudinal changes to suicide prevention and self-harm in youth.
2. Materials and Methods
2.1. Design
2.2. Participants
2.3. Measures
2.3.1. Self-Efficacy and Confidence
2.3.2. Competence
2.3.3. Training Feedback
2.4. Procedure
2.5. The Program
2.5.1. Workshops
2.5.2. Webinar Consultations
2.6. Data Analysis
3. Results
3.1. Quantitative Analysis
3.2. Qualitative Analysis
3.2.1. Accessibility to Support the Young Person
3.2.2. Communication and Information Sharing
3.2.3. Clinical Management
Risk Factors and Conflict
Social Worker Competence Concerns
3.3. Process Evaluation and Training Feedback
4. Discussion
4.1. Key Findings
4.2. Limitations
5. Conclusions
Author Contributions
Funding
Acknowledgments
Conflicts of Interest
References
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Age, % (n) | |
21–30 years | 24.2% (8) |
31–40 years | 42.5% (14) |
40+ years | 33.3% (11) |
Gender, % (n) | |
Male | 9.1% (3) |
Female | 90.9% (30) |
Experience as social worker | |
Years (M(SD)) | 11.23 (8.29) |
Range (years) | 0.5–30 |
Frequency seeing YP with suicide, % (n) | |
Daily | 18.2% (6) |
Weekly | 24.2% (8) |
Monthly | 54.6% (18) |
Once or twice a year | 3.0% (1) |
Less than once a year/never | 0% (0) |
Descriptive Statistics | Time Effect | Pairwise Comparisons (MD, p) | ||||||
---|---|---|---|---|---|---|---|---|
Variable | N | T1 EMM (SE) | T2 EMM (SE) | T3 EMM (SE) | F, p | T1-T2 | T1-T3 | T2-T3 |
SMS Recog. & Respond. | 16–33 | 14.25 (0.36) | 16.59 (0.38) | 15.66 (0.50) | 13.89, <0.001 | −2.34, <0.001 | −1.40, 0.014 | 0.94, 0.106 |
SMS Preparedness | 16–33 | 6.91 (0.21) | 8.03 (0.21) | 7.68 (0.26) | 19.54, <0.001 | −1.12, <0.001 | −0.78, 0.001 | 0.35, 0.157 |
SMS Confidence | 16–33 | 14.33 (0.33) | 16.38 (0.34) | 15.83 (0.44) | 17.21, <0.001 | −2.05, <0.001 | −1.49, 0.002 | 0.52, 0.240 |
SMS Total Confidence | 16–33 | 35.50 (0.76) | 41.02 (0.78) | 39.17 (0.97) | 28.70, <0.001 | −5.52, <0.001 | −3.67, <0.001 | 1.85, 0.062 |
SCAF | 16–33 | 29.45 (0.73) | 34.95 (0.76) | 31.28 (0.97) | 22.62, <0.001 | −5.50, <0.001 | −1.83, 0.076 | 3.67, 0.001 |
Theme | Exemplar Quote |
---|---|
Accessibility to support the young person |
|
Communication and information sharing |
|
Clinical Management | |
Risk factors and conflict |
|
Social worker competence concern |
|
Workshop Feedback | ||
n = 30 | M (SD) | Median |
Presentation Components a | 4.65 (0.36) | 4.67 |
Things have been explained well in the session | 4.63 (0.49) | 5 |
The reasons why topics are taught are clear | 4.67 (0.48) | 5 |
New ideas were introduced at an understandable rate | 4.67 (0.48) | 5 |
Activity components a | 4.37 (0.51) | 4.5 |
The activity components were an effective way to learn | 4.13 (0.63) | 4 |
The activities are well-related to the session topics | 4.60 (0.56) | 5 |
Trainer a | 4.61 (0.40) | 4.67 |
Made good use of examples and illustrations | 4.60 (0.56) | 5 |
Presented material in an interesting way | 4.37 (0.61) | 4 |
Seems to know their subject matter well | 4.87 (0.35) | 5 |
Participants learning b | 4.45 (0.49) | 4.5 |
Gained good understanding of subject matter | 4.67 (0.48) | 5 |
More motivated about the topic | 4.40 (0.62) | 4 |
Developed skills needed in my professional role | 4.43 (0.57) | 4 |
Developed interest in these topics | 4.30 (0.65) | 4 |
Topics c | 4.52 (0.41) | 4.6 |
Suicide risk assessment | 4.77 (0.63) | 5 |
Therapeutic safety planning | 4.77 (0.50) | 5 |
Case formulation | 4.63 (0.61) | 5 |
Brief interventions | 4.23 (0.68) | 4 |
Working with systems | 4.20 (0.76) | 4 |
Consultation feedback | ||
n = 11 | M (SD) | Median |
Consults were useful in supporting my practice a | 3.91 (0.83) | 4 |
Consults assisted in consolidating risk management skills a | 4.27 (0.79) | 4 |
Presentation of case studies format was useful for me a | 3.91 (0.83) | 4 |
Unsure how to implement learning in practice (RC) a | 4.27 (0.47) | 4 |
More motivated about these topics a | 3.91 (1.04) | 4 |
Developed skills needed in my professional role a | 4.18 (0.60) | 4 |
Consults have led to changes in my practice a | 3.82 (0.87) | 4 |
Case presentation format was not useful to me (RC) a | 4.45 (0.69) | 5 |
Intend to implement learning from consults in practice a | 4.27 (0.65) | 4 |
Facilitator led the sessions in a helpful way a | 4.45 (0.69) | 5 |
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Share and Cite
Gwyther, K.; McKechnie, B.; Nicoll, H.; Gersh, E.; Davey, C.G.; Robinson, J.; Mawson, E.; Crlenjak, C.; Rice, S.M. 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. Psychiatry Int. 2020, 1, 9-23. https://0-doi-org.brum.beds.ac.uk/10.3390/psychiatryint1010002
Gwyther K, McKechnie B, Nicoll H, Gersh E, Davey CG, Robinson J, Mawson E, Crlenjak C, Rice SM. 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. Psychiatry International. 2020; 1(1):9-23. https://0-doi-org.brum.beds.ac.uk/10.3390/psychiatryint1010002
Chicago/Turabian StyleGwyther, Kate, Ben McKechnie, Helen Nicoll, Elon Gersh, Christopher G. Davey, Jo Robinson, Emily Mawson, Caroline Crlenjak, and Simon M. Rice. 2020. "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" Psychiatry International 1, no. 1: 9-23. https://0-doi-org.brum.beds.ac.uk/10.3390/psychiatryint1010002