Abstract

Suicide rates continue to rise, and clinicians and mental health staff play a critical role in keeping suicidal clients safe. Safety planning, including means safety, may help to decrease suicide risk. Unfortunately, availability and evaluation of safety planning training for these providers are scarce. The goal of the present study was to evaluate a safety planning training, LINC to LIFE Safety Planning (L2L SP). L2L SP is a 150-minute, face-to-face training program that teaches providers to engage clients in collaborative safety planning and means safety efforts, facilitate diverse client coping strategies, problem-solve, and involve close others, among other skills. These objectives are achieved through interactive content delivery, role-play, and corrective feedback. L2L SP was administered to 95 participants. Key determinants of behavioral change (e.g., knowledge, attitudes, perceived behavioral control [PBC]) were measured at pre, post, and six-month follow-up. Additionally, participants’ behaviors and emotions in working with suicidal clients were measured at pretest and six-month follow-up. Paired sample t-tests, repeated measures MANOVA, and univariate ANOVAs with post-hoc testing using Bonferroni correction were conducted. Results supported significant improvements in knowledge, PBC, and intentions at post-test, and attitudes, PBC, and effective emotional responses at follow-up. Exploratory analyses suggested significant improvements in behaviors among clinicians and mental health staff who saw clients reporting suicidal ideation. The present study provides promising results regarding brief safety planning training. Declines in knowledge and PBC following the training highlight the potential need for booster sessions or more intensive initial training in these areas.

• Highlights

• The present study evaluated a comprehensive, interactive safety planning training.

• Knowledge, PBC, and intentions were significantly improved at post-test.

• Attitudes, PBC, and emotions were significantly improved at follow-up.

摘要

自杀率继续上升，临床医生和心理健康人员在确保自杀客户安全方面发挥着关键作用。安全计划，包括手段安全，可能有助于降低自杀风险。不幸的是，这些提供者的安全计划培训的可用性和评估很少。本研究的目的是评估安全规划培训，LINC to LIFE Safety Planning (L2L SP)。L2L SP是一个 150 分钟的面对面培训计划，它教导供应商让客户参与协作安全规划并意味着安全努力、促进不同的客户应对策略、解决问题以及让亲密的其他人参与进来，以及其他技能。这些目标是通过交互式内容交付、角色扮演和纠正反馈来实现的。L2L SP对 95 名参与者进行了管理。行为改变的关键决定因素（例如，知识、态度、感知行为控制 [PBC]）在前、后和六个月的随访中进行了测量。此外，参与者在与自杀客户合作时的行为和情绪在预测试和六个月的随访中进行了测量。配对样本t- 测试、重复测量 MANOVA 和单变量 ANOVA 以及使用 Bonferroni 校正的事后测试。结果支持在知识、PBC 和测试后的意图以及态度、PBC 和后续的有效情绪反应方面有显着改善。探索性分析表明，看到客户报告有自杀意念的临床医生和心理健康人员的行为有显着改善。本研究提供了有关简短安全计划培训的有希望的结果。培训后知识和 PBC 的下降凸显了在这些领域进行强化课程或更密集的初始培训的潜在需求。

• 强调

• 本研究评估了一项全面的交互式安全计划培训。

• 知识、PBC 和意图在后测中显着提高。

• 随访时态度、PBC和情绪均有明显改善。