@article{ref1,
title="Gatekeeper training for suicide prevention in first nations community members: a randomized controlled trial",
journal="Depression and anxiety",
year="2013",
author="Sareen, Jitender and Isaak, Corinne and Bolton, Shay-Lee and Enns, Murray W. and Elias, Brenda and Deane, Frank and Munro, Garry and Stein, Murray B. and Chateau, Dan and Gould, Madelyn and Katz, Laurence Y.",
volume="30",
number="10",
pages="1021-1029",
abstract="BACKGROUND: Gatekeeper training aims to train people to recognize and identify those who are at risk for suicide and assist them in getting care. Applied Suicide Intervention Skills Training (ASIST), a form of gatekeeper training, has been implemented around the world without a controlled evaluation. We hypothesized that participants in 2 days of ASIST gatekeeper training would have increased knowledge and preparedness to help people with suicidal ideation in comparison to participants who received a 2-day Resilience Retreat that did not focus on suicide awareness and intervention skills (control condition). METHODS: First Nations on reserve people in Northwestern Manitoba, aged 16 years and older, were recruited and randomized to two arms of the study. Self-reported measures were collected at three time points-immediately pre-, immediately post-, and 6 months post intervention. The primary outcome was the Suicide Intervention Response Inventory, a validated scale that assesses the capacity for individuals to intervene with suicidal behavior. Secondary outcomes included self-reported preparedness measures and gatekeeper behaviors. RESULTS: In comparison with the Resilience Retreat (n = 24), ASIST training (n = 31) was not associated with a significant impact on all outcomes of the study based on intention-to-treat analysis. There was a trend toward an increase in suicidal ideation among those who participated in the ASIST in comparison to those who were in the Resilience Retreat. CONCLUSIONS: The lack of efficacy of ASIST in a First Nations on-reserve sample is concerning in the context of widespread policies in Canada on the use of gatekeeper training in suicide prevention.<p /> <p>Language: en</p>",
language="en",
issn="1091-4269",
doi="10.1002/da.22141",
url="http://dx.doi.org/10.1002/da.22141"
}