Schools have the unique opportunity to identify and refer youth at risk for suicide. School-based gatekeeper training programs aim to improve staff’s ability to talk to students about mental health concerns and refer them for an assessment. Unfortunately, progress in evaluating the available programs has been limited. In fact, the popular and widely used More Than Sad program has received no rigorous evaluation to date. This study sets out to evaluate the effectiveness of the More Than Sad program in a quasi-experimental, wait-list control design with a large number of school personnel, across geographically diverse communities. Fourteen school districts with over 1475 school personal received the training. A standardized assessment tool was used before and after the training and two months later. Half of the schools served as a wait list control before receiving the treatment. Results. Compared to wait-listed staff, school personal who received the training reported a significant increase in knowledge, preparedness, self-efficacy, and likelihood to refer. Self-reported and actual referral behavior also increased both for those that had made referrals in the past and those that had not. Gains were maintained at 2-month follow-up. More Than Sad can effectively improve suicide literacy and willingness to refer youth at risk for suicide to school mental health resources. With 90% of the training pre-recorded on DVDs, future research should explore implementation feasibility and effectiveness.

学校有独特的机会来识别和介绍有自杀风险的青年。以学校为基础的看门人培训计划旨在提高员工与学生谈论心理健康问题并推荐他们进行评估的能力。不幸的是，评估可用程序的进展有限。实际上，迄今为止，流行且广泛使用的“多于悲伤”程序尚未得到严格的评估。这项研究着手评估“超越悲伤”项目在准实验，等待名单控制设计中的有效性，该设计具有来自不同地理位置社区的大量学校人员。有14475名学校个人的14个学区接受了培训。在培训之前和之后以及两个月后使用了标准化的评估工具。一半的学校在接受治疗之前用作等待名单控制。结果。与等待上岗的工作人员相比，接受培训的学校人员报告说，他们的知识，准备，自我效能和转介的可能性大大增加。自我报告的和实际的推荐行为对于过去进行过推荐的人和没有进行推荐的人都增加了。在2个月的随访中保持了获益。比悲伤更重要的是，它可以有效地提高自杀的素养，并愿意将处于自杀危险中的青年转介到学校的心理健康资源。由于90％的培训已预先录制在DVD上，因此未来的研究应探讨实施的可行性和有效性。接受培训的学校人员报告说，他们的知识，准备，自我效能和转介的可能性大大增加。自我报告的和实际的推荐行为对于过去进行过推荐的人和没有进行推荐的人都增加了。在2个月的随访中保持了获益。比悲伤更重要的是，它可以有效地提高自杀的素养，并愿意将处于自杀危险中的青年转介到学校的心理健康资源。由于90％的培训已预先录制在DVD上，因此未来的研究应探讨实施的可行性和有效性。接受培训的学校人员报告说，他们的知识，准备，自我效能和转介的可能性大大增加。自我报告的和实际的推荐行为对于过去进行过推荐的人和没有进行推荐的人都增加了。在2个月的随访中保持了获益。比悲伤更重要的是，它可以有效地提高自杀的素养，并愿意将处于自杀危险中的青年转介到学校的心理健康资源。由于90％的培训已预先录制在DVD上，因此未来的研究应探讨实施的可行性和有效性。比悲伤更重要的是，它可以有效地提高自杀的素养，并愿意将处于自杀危险中的青年转介到学校的心理健康资源。由于90％的培训已预先录制在DVD上，因此未来的研究应探讨实施的可行性和有效性。比悲伤更重要的是，它可以有效地提高自杀的素养，并愿意将处于自杀危险中的青年转介到学校的心理健康资源。由于90％的培训已预先录制在DVD上，因此未来的研究应探讨实施的可行性和有效性。