Opening doors to life: A suicidal behavior prevention program involving Gatekeeper teachers
DOI:
https://doi.org/10.22267/rus.242602.325Keywords:
Suicide, Program, Teachers, Students, Mental health, Referral and consultationAbstract
Introduction: Suicide is the third cause of death in young people aged between 15 to 19 years. Thus, school environments can promote mental health of adolescents through early identification of risk factors and prevention of suicidal behaviors. One prevention strategy is the training of “gatekeepers”. Objective: To determine the impact of the “Opening Doors to Life” program on the knowledge, attitudes, and practices regarding prevention of suicidal behavior in a set of high school teachers from an educational institution in San Juan de Pasto, Colombia. Materials and methods: A pre-experimental study with an intervention group and pre- and post-follow-up measurements. Nine volunteer teachers participated during two training sessions. Results: Positive changes regarding knowledge, attitudes, and practices of the participants during pretest and posttest were observed for the majority of evaluated sub-dimensions. However, after three years, the positive measures prevailed only for knowledge about suicidal behavior and attitudes toward prevention. Conclusion: The “Opening Doors to Life” program showed effectiveness and relevance. However, maintaining its impact requires follow-up actions and support of trained teachers.
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Organización Mundial de la Salud (OMS). Suicidio [Internet]. 2019 [citado 2022 Dic 4]. Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/suicide
Instituto Nacional de Medicina Legal y Ciencias Forenses, Grupo Centro de Referencia Nacional sobre Violencia. Forensis: Datos para la vida. Bogotá D.C. (COL); 2021 [citado 2023 Oct 15]. Disponible en: https://www.medicinalegal.gov.co/documents/20143/878249/Forensis_2021.pdf
Villalobos-Galvis FH, Ojeda-Rosero DE, y Luna-Tascón EG. Caracterización de las conductas suicidas en adolescentes de la zona de influencia del volcán Galeras, Nariño, Colombia. Informes Psicol [Internet]. 2019 [citado 2022 Oct 4]; 19(2):163-180. Disponible en: https://dialnet.unirioja.es/servlet/articulo?codigo=7044259
Dávila-Cervantes CA, Luna-Contreras M. Intento de suicidio en adolescentes: Factores asociados. Rev Chil Pediatr [Internet]. 2019 [citado 2022 Oct 4]; 90(6):606-616. Disponible en: https://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0370-41062019000600606
Moreno-Carmona ND, Andrade-Palos P, Betancourt-Ocampo D. Fortalezas en adolescentes de Colombia y México que nunca han intentado suicidarse. Rev Latinoam Cienc Soc Niñez Juv [Internet]. 2018 [citado 2021 Oct 4]; 16(2):797-807. DOI: 10.11600/1692715x.16210
Benavides-Mora VK, Villota-Melo NG, Villalobos-Galvis FH. Conducta suicida en Colombia: Una revisión sistemática. RPPC [Internet]. 2019 [citado 2021 Oct 4]; 24(3):181-195. DOI: 10.5944/rppc.24251
Holmes G, Clacy A, Hermens DF, Lagopoulus J. The long term efficacy of suicide prevention gatekeeper training: a sistematic review. Arch Suicide Res [Internet]. 2019 [citado 2021 Oct 4]; 25(2):117-207. DOI: 10.1080/13811118.2019.1690608
Institute of Medicine, Board on Neuroscience and Behavioral Health, Committee on Pathophysiology and Prevention of Adolescent and Adult Suicide, Goldsmith SK, Pellmar TC, Kleinman AM, Bunney WE. Reducing suicide: A national imperative. Washington D.C (USA): The National Academies Press; 2002 [citado 2023 Mar 16]. DOI: 10.17226/10398
Chehil S, Kutcher SP. Suicide Risk Management: A Manual for Health Professionals. 2nd ed. Hoboken (USA): Wiley-Blackwell; 2012 [citado 2021 May 13]. Disponible en: https://www.wiley.com/en-ca/Suicide+Risk+Management%3A+A+Manual+for+Health+Professionals%2C+2nd+Edition-p-9780470978566
Alonzo D, Popescu M, Zubaroglu-Ioannides P. Training non-mental healt professionals to assess and manage suicide risk: community level intervention for suicide prevention in Guatemala. Int J Soc Psychiatry [Internet]. 2021 [citado 2021 Oct 4]; 67(6):705-712. DOI: 10.1177/0020764020970237
Barrueto C, Gaete J, Bustamante F, Pizarro M. Autopercepción de conocimientos y competencias de profesores en la prevención de conductas suicidas adolescentes pre y posintervención. Rev Chil Neuro-Psiquiatr [Internet]. 2017 [citado 2021 Oct 4]; 55(3):170-178. DOI: 10.4067/s0717-92272017000300170
Gask L, Coupe N, McElvenny D, Green G. Pilot study evaluation of suicide prevention gatekeeper training utilising STORM in a British university setting. Br J Guid Couns [Internet]. 2017 [citado 2021 Oct 4]; 45(5):593–605. Disponible en: https://www.tandfonline.com/doi/abs/10.1080/03069885.2017.1335391
Katz C, Bolton SL, Katz LY, Issak C, Tilson-Jones T, Sarren J. A systematic review of school-based suicide prevention programs. Depress Anxiety [Internet]. 2013 [citado 2021 Oct 4]; 30(10):1030-1045. DOI: 10.1002/da.22114
Wolitzky-Taylor K, LeBeau RT, Perez M, Gong-Guy E, Fong T. Suicide prevention on college campuses: What works and what are the existing gaps? A systematic review and meta-analysis. J Am Coll Health [Internet]. 2019 [citado 2021 Oct 4]; 68(4):419-429. DOI: 10.1080/07448481.2019.1577861
Bailey E, Spittal MJ, Pirkis J, Gould M, Robinson J. Universal suicide prevention in young people. Crisis [Internet]. 2017 [citado 2021 Oct 4]; 38(5):300-308. DOI: 10.1027/0227-5910/a000465
Litteken C, Sale E. Long-Term Effectiveness of the Question, Persuade, Refer (QPR) suicide prevention gatekeeper training program: Lessons from Missouri. Community Ment Health J [Internet]. 2018 [citado 2021 Oct 4]; 54(3):282–292. DOI: 10.1007/s10597-017-0158-z
Reiff M, Kumar M, Bvunzawabaya B, Madabhushi S, Spiegel A, Bolnick B. I CARE: Development and Evaluation of a Campus Gatekeeper Training Program for Mental Health Promotion and Suicide Prevention. J Coll Stud Psychother [Internet]. 2019 [citado 2021 Oct 4]; 33(2):107–130. DOI: 10.1080/87568225.2018.1433570
Breux P, Boccio DE. Improving Schools' Readiness for Involvement in Suicide Prevention: An Evaluation of the Creating Suicide Safety in Schools (CSSS) Workshop. Int J Environ Res Public Health [Internet]. 2019 [citado 2021 Oct 4]; 16(12):2165. DOI: 10.3390/ijerph16122165
Villalobos-Galvis FH, Ceballos-Mora AK, Luna-Tascón EG, Araujo-Rosero L, Muñoz-Muñoz DF, Solarte-Tobar MC. Prevención de la conducta suicida en contextos escolares. Una revisión de los tipos de intervención. Rev Asoc Esp Neuropsiq [Internet]. 2023 [citado 2023 Oct 14]; 43(143):217-236. Disponible en: https://scielo.isciii.es/pdf/neuropsiq/v43n143/2340-2733-raen-43-143-0217.pdf
Torok M, Calear AL, Smart A, Nicolopoulos A, Wong Q. Preventing adolescent suicide: A systematic review of the effectiveness and change mechanisms of suicide prevention gatekeeping training programs for teachers and parents. J Adolesc [Internet]. 2019 [citado 2023 Oct 14]; 73(1):100-112. DOI: 10.1016/j.adolescence.2019.04.005
Hernández-Sampieri R, Fernández-Collado C, Baptista-Lucio MP. Metodología de la investigación. 6ta ed. México D.F (MEX): McGraw Hill; 2014 [citado 2021 Oct 4]. Disponible en: https://dialnet.unirioja.es/servlet/libro?codigo=775008
Des-Jarlais DC, Lyles C, Crepaz N, the TREND Group. Improving the reporting quality of nonrandomized evaluations of behavioral and public health interventions: The TREND statement. Am J Public Health [Internet]. 2004 [citado 2021 Oct 4]; 94:361-366. DOI: 10.2105/AJPH.94.3.361
Goss-Sampson MA. Análisis estadístico en JASP: Una guía para estudiantes. Barcelona (ESP): FUOC; 2019 [citado 2023 jun 20]. Disponible en: https://static.jasp-stats.org/JASPGuideEspanol.pdf
Ley 1090 de 2006: Por la cual se reglamenta el ejercicio de la profesión de Psicología, se dicta el Código Deontológico y Bioético y otras disposiciones. Bogotá D.C (COL): Congreso de la República de Colombia; 2006 [citado 2019 Oct 3]. Disponible en: https://www.colpsic.org.co/wp-content/uploads/2021/03/Ley-1090-de-2006-anotaciones-jurisprudencia.pdf
Resolución 8430. Por la cual se establecen las normas científicas, técnicas y administrativas para la investigación en salud [en línea]. Bogotá: Ministerio de Salud; 1993 [citado 2019 Oct 3]. Disponible en: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/DE/DIJ/RESOLUCION-8430-DE-1993.PDF
Diamond G, Ogunkua L, Atte T, Rosen P, Wintersteen M, Gallop R. The Effectiveness of the More Than Sad School-based Gatekeeper Training Program. Sch Ment Health [Internet]. 2021 [citado 2022 Feb 16]; 13:655-666. DOI: 10.1007/s12310-021-09444-8
Arias M, Marcos S, Martín M, Arias J, Deronceré O. Modificación de conocimientos sobre conducta suicida en adolescentes y adultos jóvenes con riesgo. Medisan [Internet]. 2009 [citado 2022 Dic 13]; 13(1). Disponible en: http://scielo.sld.cu/pdf/san/v13n4/san05109.pdf
Westfeld JS, Jenks Kettmann JD, Lovmo C, Hey C. High School Suicide: Knowledge and Opinions of Teachers. J Loss Trauma [Internet]. 2007 [citado 2022 Dic 13]; 12(1):33–44. DOI: 10.1080/15325020600757839
Soto-Salcedo A, Villarroel-Gruner P, Véliz-Burgos A, Moreno-Leiva G, Estay-Sepúlveda JG. Intervenciones para la prevención del suicidio en adolescentes y jóvenes. Revisión sistemática. REE [Internet]. 2021 [citado 2022 Oct 24]; 15(3):145-161. Disponible en: http://eugenioespejo.unach.edu.ec/index.php/EE/article/view/332
King KA, Strunk CM, Sorter MT. Preliminary effectiveness of surviving the Teens® Suicide Prevention and Depression Awareness Program on adolescents' suicidality and self‐efficacy in performing help‐seeking behaviors. J Sch Health [Internet]. 2011 [citado 2022 Ago 17]; 81(9):581-590. DOI: 10.1111/j.1746-1561.2011.00630.x
Haugen J, Sutter CC, Tinstman-Jones JL, Campbell LO. Teachers as Youth Suicide Prevention Gatekeepers: An Examination of Suicide Prevention Training and Exposure to Students at Risk of Suicide. Child Youth Care Forum [Internet]. 2023 [citado 2023 Oct 14]; 52:583-601. DOI: 10.1007/s10566-022-09699-5
Pérez-Reyna E, Hernández-Trujillo A, Pérez-Reyna M, Cardero-Montoya D, Beatón-Lobaina YB. Modificación de conocimientos en profesores de la Escuela de Instructores de Arte "Pepito Tey" sobre la prevención del intento suicida en adolescentes. Medisan [Internet]. 2008 [citado 2022 Dic 12]; 12(4). Disponible en: https://www.redalyc.org/articulo.oa?id=368445249002
Serra-Taylor J, Jiménez-Chafey MI, Irizarry-Robles CY. Diseño y evaluación de un adiestramiento para profesionales de ayuda sobre identificación y manejo de riesgo suicida en estudiantes universitarios. Univ Psychol [Internet]. 2016 [citado 2022 Dic 12]; 15(1):271-280. DOI: 10.11144/Javeriana.upsy15-1.deap
Miltenberg RG. Modificación de la conducta: principios y procedimientos. 6ta ed. ABA, España; 2020 [citado 2022 Dic 14]. DOI: 10.26741/2020.Milt
Sánchez-Arbex C. Guía metodológica para la implementación de una intervención preventiva selectiva e indicada en drogodependencias. Madrid (ESP): ADES; 2013 [citado 2023 Ene 29]. Disponible en: https://www.observatoriodelainfancia.es/oia/esp/documentos_ficha.aspx?id=4855
Organización Mundial de la Salud (OMS). Vivir la Vida. Guía de aplicación para la prevención del suicidio en los países. Resumen ejecutivo [Internet]. 2021 [citado 2022 Dic 12]. Disponible en: https://apps.who.int/iris/bitstream/handle/10665/343054/9789240029668-spa.pdf
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