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Cited by 527

The DOI matches its Crossref record; 34 of the 34 references it cites were found in a registry or an index.

Randomized trial of a gatekeeper program for suicide prevention: 1-year impact on secondary school staff.

Open access
Wyman, Peter A., Brown, C. Hendricks, Inman, Jeff, Cross, Wendi, Schmeelk-Cone, Karen, Guo, Jing, Pena, Juan B.·2008·Journal of Consulting and Clinical Psychology

Abstract

Gatekeeper-training programs, designed to increase identification and referral of suicidal individuals, are widespread but largely untested. A group-based randomized trial with 32 schools examined impact of Question, Persuade, Refer (QPR) training on a stratified random sample of 249 staff with 1-year average follow-up. To test QPR impact, the authors introduced and contrasted 2 models of gatekeeper-training effects in a population: gatekeeper surveillance and gatekeeper communication. Intent-to-treat analyses showed that training increased self-reported knowledge (effect size [ES] = 0.41), appraisals of efficacy (ES = 1.22), and service access (ES = 1.07). Training effects varied dramatically. Appraisals increased most for staff with lowest baseline appraisals, and suicide identification behaviors increased most for staff already communicating with students about suicide and distress. Consistent with the communication model, increased knowledge and appraisals were not sufficient to increase suicide identification behaviors. Also consistent with the communication model were results from 2,059 8th and 10th graders surveyed showing that fewer students with prior suicide attempts endorsed talking to adults about distress. Skill training for staff serving as "natural gatekeepers" plus interventions that modify students' help-seeking behaviors are recommended to supplement universal gatekeeper training.

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Metadata

Authors
Wyman, P. A., Brown, C. H., Inman, J., Cross, W., Schmeelk-Cone, K., Guo, J., & Pena, J. B.
Venue
Journal of Consulting and Clinical Psychology
Published
2008
Volume
76
Issue
1
Pages
104-115
ISSN
  • 0022-006X (ISSN-L)
  • 1939-2117
OpenAlex
W2037015921
Cited by
527
References
34
FWCI
19.75
Type
journal article
Language
en
Open access
green
Funders
  • National Institute of Mental Health (R34MH071189; P20MH071897; R01MH40859)
  • Substance Abuse and Mental Health Services Administration (5 UD1 SM57405)

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CoChat. (2026). Citation check: Randomized trial of a gatekeeper program for suicide prevention: 1-year impact on secondary school staff. https://app.cochat.ai/papers/10.1037/0022-006x.76.1.104
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Wyman, P. A., Brown, C. H., Inman, J., Cross, W., Schmeelk-Cone, K., Guo, J., & Pena, J. B. (2008). Randomized trial of a gatekeeper program for suicide prevention: 1-year impact on secondary school staff. Journal of Consulting and Clinical Psychology. https://doi.org/10.1037/0022-006x.76.1.104

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.