Year: 2014
Type: article
Abstract: Nearly 100 Americans die by suicide every day, with countless others negatively affected.The range of suicide prevention models has dramatically expanded over the past two decades (Knox et al., 2004) with gatekeeper training becoming a popular approach (e.g., Capuzzi, 2009;Cross et al., 2011;Gould & Kramer, 2001, 2003;Isaac et al., 2009).Although this expansion may be interpreted as a positive step toward reducing suicide, little is known with regard to the evolution of existing suicide prevention training, the common and unique components within models, and how such components contribute to the development of new models.This study conducted a content analysis of 16 existing best practice gatekeeper training models listed on the SPRC registry (SPRC/AFSP, 2010).A coding scheme consisting of 138 preset training items was developed and applied by two raters independently.Percentage of agreement and Cohen's kappa were calculated to examine inter-rater reliability.The results showed adequate consistency between raters.Consensus procedures were used with discrepant rating pairs to reach final ratings.Global and localized prevalence statistics and referral to both formal and informal resources were common findings across models.Additionally, fourteen categories of risk factors/warning signs and seven types of learning strategies and materials were identified as common gatekeeper components.A pattern of unique findings relating to technology was identified.Three unique findings involved the use of social media for trainers, gatekeepers, and participants.Other unique findings pertained to a lack of gatekeeper responsibility for follow-up after referral and use of incentives as participant materials.Discussion of discoveries and recommendations for future inquiry about the taxonomy of gatekeeper training models is presented.iii process would not have been possible.Your patience is remarkable; I am so lucky to have you in my life!To my parents, Stan and Janie Hochstetler, thank you for your prayers, unwavering support, and instilling within me the values and persistence to complete this process.I love you!To my sister, role model, and best friend, Shasta, and my brother-in-law, Jim Mast, who continue to be sources of strength.I look forward your upcoming visits to the city and for ours to your country estate.I appreciate the encouragement and love of Laurel and Betsy Mayer, the Armstrongs, and Connors.Michael will no longer excuse us early from family events because, "Greta has a paper to write".To my Dissertation Committee Chair, Dr. Mei Tang, thank you for your steady guidance.I am grateful for your thoughtful feedback and consistent availability-both day and night!Thank you for demonstrating what it truly means to be a caring
Author: Greta Hochstetler Mayer
Institution: University of Cincinnati
Language: English
Subfield: Clinical Psychology
Field: Psychology
Domain: Social Sciences
Open Access status: green
OpenAlex ID: W2281107359