@article{ref1,
title="Intention to enact and enactment of gatekeeper behaviors for suicide prevention: an application of the theory of planned behavior",
journal="Prevention science",
year="2017",
author="Kuhlman, Shane T. W. and Walch, Susan E. and Bauer, Kristina N. and Glenn, April D.",
volume="18",
number="6",
pages="704-715",
abstract="Gatekeeper training for suicide prevention was evaluated on a college campus to examine the impact of training on gatekeeper enactment of behaviors in support of suicide prevention and identify predictors of enactment of gatekeeper behaviors. Trained gatekeepers (N = 216) displayed greater perceived knowledge and self-efficacy for suicide prevention and reported higher rates of self-reported actual gatekeeper behaviors, including inquiring about suicidal ideation and referring for mental health treatment when they encountered someone in distress, compared to their untrained counterparts (N = 169). Consistent with the Theory of Planned Behavior, SEM results indicated that attitudes, self-efficacy, and perceived knowledge explained intentions to engage in gatekeeper behaviors, accounting for 59% of the variance in intentions to inquire about suicidal ideation and supporting the role of attitudes and perceived behavioral control in intentions to act. These intentions explained self-reported actual gatekeeper behaviors among participants who encountered someone in distress, with each one-point increase in intention associated with nearly twice the likelihood of both inquiring about suicidal ideation and referring someone for mental health care. On the other hand, self-reported situational barriers were associated with a decreased likelihood of referral behavior, indicating the role of actual behavioral control over volitional actions. <br><br>FINDINGS support the value of gatekeeper training for promoting factors that influence the likelihood of action on behalf of suicide prevention.<p /> <p>Language: en</p>",
language="en",
issn="1389-4986",
doi="10.1007/s11121-017-0786-0",
url="http://dx.doi.org/10.1007/s11121-017-0786-0"
}