Associations of Suicide Prevention Trainings with Practices and Confidence among Clinicians at Community Mental Health Centers
Abstract
OBJECTIVE: This study examined whether (1) behavioral health providers were more likely to implement best practices when they were more confident in their abilities, (2) number of suicide prevention trainings was positively associated with perceived confidence in abilities and implementation of evidence-based practices, and (3) specific trainings were more impactful than others on increasing providers' level of confidence and/or practices. METHOD: Providers (N = 137) at three rural community behavioral health centers who had opportunities to attend multiple suicide prevention trainings completed the Zero Suicide Workforce Survey, a measure to evaluate staff knowledge, practices, and confidence in caring for patients at risk of suicide. RESULTS: There was a moderate association between provider's practice and confidence. The number of attended trainings had a significant correlation with both practice and confidence. Particular trainings demonstrated differential effects on provider's practice and confidence. CONCLUSION: These results suggest that behavioral health providers who are confident in their skills in assessing and treating suicide risk are more likely incorporate best practices into their clinical work. Also, it appears there is a small but significant benefit to multiple trainings for increasing both practice and confidence among providers.
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LoParo, Florez, Valentine, and Lamis studied 137 mental health providers trained in CAMS, DBT, AMSR, and QPR and found that CAMS training was significantly more impactful on the outcome variable of clinical confidence to work with suicidal risk compared to other trainings.
“The results of this investigation showed that the CAMS training—in comparison to other trainings—was significantly more impactful in terms of the outcome variable of “clinical confidence” to work with suicidal risk”
From The use of CAMS and DBT to effectively treat patients who are suicidal (2024) · cites this paper as [42]
Cites
Linehan, M. M., Comtois, K. A., Murray, A. M., Brown, M. Z., Gallop, R. J., Heard, H. L., Korslund, K. E., Tutek, D. A., Reynolds, S. K., & Lindenboim, N. (2006) · Archives of General Psychiatry · doi:10.1001/archpsyc.63.7.757 · Cited by 2,025 · see citing works
Beidas, R. S., & Kendall, P. C. (2010) · Clinical Psychology: Science and Practice · doi:10.1111/j.1468-2850.2009.01187.x · Cited by 1,085 · see citing works
Linehan, M. M., Korslund, K. E., Harned, M. S., Gallop, R. J., Lungu, A., Neacsiu, A. D., McDavid, J., Comtois, K. A., & Murray-Gregory, A. M. (2015) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2014.3039 · Cited by 714 · see citing works
Jobes, D. A. (2012) · Suicide and Life-Threatening Behavior · doi:10.1111/j.1943-278x.2012.00119.x · Cited by 264 · see citing works
Schmitz, W. M., Allen, M. H., Feldman, B. N., Gutin, N. J., Jahn, D. R., Kleespies, P. M., Quinnett, P., & Simpson, S. (2012) · Suicide and Life-Threatening Behavior · doi:10.1111/j.1943-278x.2012.00090.x · Cited by 255 · see citing works
Impact of Applied Suicide Intervention Skills Training on the National Suicide Prevention Lifeline
Gould, M. S., Cross, W. F., Pisani, A. R., Munfakh, J. L. H., & Kleinman, M. (2013) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.12049 · Cited by 202 · see citing works
Proximate Outcomes of Gatekeeper Training for Suicide Prevention in the Workplace
Cross, W. F., Matthieu, M. M., Cerel, J., & Knox, K. L. (2007) · Suicide and Life-Threatening Behavior · doi:10.1521/suli.2007.37.6.659 · Cited by 145 · see citing works
Does a Brief Suicide Prevention Gatekeeper Training Program Enhance Observed Skills?
Cross, W. F., Matthieu, M. M., Lezine, D. A., & Knox, K. L. (2010) · Crisis · doi:10.1027/0227-5910/a000014 · Cited by 139 · see citing works
The Garrett Lee Smith Memorial Suicide Prevention Program
Goldston, D. B., Walrath, C., McKeon, R., Puddy, R. W., Lubell, K. M., Potter, L. B., & Rodi, M. S. (2010) · Suicide and Life-Threatening Behavior · doi:10.1521/suli.2010.40.3.245 · Cited by 132 · see citing works
Bernert, R. A., Hom, M. A., & Roberts, L. W. (2014) · Academic Psychiatry · doi:10.1007/s40596-014-0180-1 · Cited by 129 · see citing works
Evidence-Based Psychotherapies for Suicide Prevention
Brown, G. K., & Jager-Hyman, S. (2014) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2014.06.008 · Cited by 120 · see citing works
The assessment and management of suicide risk: state of workshop education
Pisani, A. R., Cross, W. F., & Gould, M. S. (2011) · Suicide and Life-Threatening Behavior · doi:10.1111/j.1943-278x.2011.00026.x · Cited by 102 · see citing works
Sale, E. W., Hendricks, M. A., Weil, V., Miller, C., Perkins, S., & McCudden, S. (2017) · Community Mental Health Journal · doi:10.1007/s10597-017-0190-z · Cited by 90 · see citing works
Litteken, C., & Sale, E. W. (2017) · Community Mental Health Journal · doi:10.1007/s10597-017-0158-z · Cited by 84 · see citing works
Effect of the Garrett Lee Smith Memorial Suicide Prevention Program on Suicide Attempts Among Youths
Garraza, L. G., Walrath, C., Goldston, D. B., Reid, H., & McKeon, R. (2015) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2015.1933 · Cited by 78 · see citing works
Mental Health Professionals' Suicide Risk Assessment and Management Practices
Roush, J. F., Brown, S. L., Jahn, D. R., Mitchell, S. M., Taylor, N. J., Quinnett, P., & Ries, R. K. (2017) · Crisis · doi:10.1027/0227-5910/a000478 · Cited by 67 · see citing works
Ellis, T. E., Rufino, K. A., Allen, J. G., Fowler, J. C., & Jobes, D. A. (2015) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.12151 · Cited by 66 · see citing works
Outcomes of a Suicide Prevention Gatekeeper Training Program Among School Personnel
Lamis, D. A., Underwood, M., & D’Amore, N. (2016) · Crisis · doi:10.1027/0227-5910/a000414 · Cited by 64 · see citing works
Self-citationSuicide-Related Knowledge and Confidence Among Behavioral Health Care Staff in Seven States
Silva, C., Smith, A. R., Dodd, D. R., Covington, D. W., & Joiner, T. E. (2016) · Psychiatric Services · doi:10.1176/appi.ps.201500271 · Cited by 61 · see citing works
Ellis, T. E., Rufino, K. A., & Allen, J. G. (2017) · Psychiatry Research · doi:10.1016/j.psychres.2017.01.032 · Cited by 59 · see citing works
Primary Care Providers’ Views Regarding Assessing and Treating Suicidal Patients
Graham, R. D., Rudd, M. D., & Bryan, C. J. (2011) · Suicide and Life-Threatening Behavior · doi:10.1111/j.1943-278x.2011.00058.x · Cited by 54 · see citing works
National pathways for suicide prevention and health services research
Ahmedani, B. K., & Vannoy, S. (2014) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2014.05.038 · Cited by 47 · see citing works
Tørmoen, A. J., Grøholt, B., Haga, E., Brager-Larsen, A. T., Miller, A. L., Walby, F. A., Stanley, B., & Mehlum, L. I. (2014) · Archives of Suicide Research · doi:10.1080/13811118.2013.826156 · Cited by 31 · see citing works
Osteen, P. J., Frey, J. J., Woods, M. N., Ko, J., & Shipe, S. L. (2016) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.12288 · Cited by 30 · see citing works
Jobes, D. A., Lento, R. M., & Brazaitis, K. (2012) · Military Psychology · doi:10.1080/08995605.2012.736327 · Cited by 29 · see citing works
Implementation of Online Suicide-Specific Training for VA Providers
Marshall, E. A., York, J., Magruder, K. M., Yeager, D. E., Knapp, R. G., Santis, M. L. D., Burriss, L., Mauldin, M., Sulkowski, S., Pope, C. A., et al. (2014) · Academic Psychiatry · doi:10.1007/s40596-014-0039-5 · Cited by 28 · see citing works
Online Suicide Risk Assessment and Management Training
Gryglewicz, K., Chen, J. I., Romero, G. D., Karver, M. S., & Witmeier, M. (2016) · Crisis · doi:10.1027/0227-5910/a000421 · Cited by 25 · see citing works
Landes, S. J., Matthieu, M. M., Smith, B. N., Trent, L. R., Rodriguez, A. L., Kemp, J. E., & Thompson, C. (2016) · Military Medicine · doi:10.7205/milmed-d-15-00267 · Cited by 21 · see citing works
(2023) · United Nations eBooks · doi:10.18356/9789213588727c014 · Cited by 17 · see citing works
Lee, S. J., Osteen, P. J., & Frey, J. J. (2016) · Journal of the Society for Social Work and Research · doi:10.1086/685037 · Cited by 16 · see citing works
Ryberg, W., Fosse, R., Zahl, P. H., Brorson, I., Møller, P., Landrø, N. I., & Jobes, D. A. (2016) · Trials · doi:10.1186/s13063-016-1602-z · Cited by 12 · see citing works
Training medical providers in evidence-based approaches to suicide prevention
DeHay, T. L., Ross, S. G., & McFaul, M. (2015) · The International Journal of Psychiatry in Medicine · doi:10.1177/0091217415592362 · Cited by 11 · see citing works
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Brown, S., Iqbal, Z., Burbidge, F., Sajjad, A., Reeve, M., Ayres, V., Melling, R., & Jobes, D. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17144920 · Cited by 19 · see citing works
The use of CAMS and DBT to effectively treat patients who are suicidal
Jobes, D. A., & Rizvi, S. L. (2024) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2024.1354430 · Cited by 8 · see citing works
- Authors
- LoParo, D., Florez, I. A., Valentine, N., & Lamis, D. A.
- Affiliations
- Emory University (US)
- Department of Psychiatry and Behavioral Sciences Emory University School of Medicine Atlanta GA USA
- Georgia Department of Behavioral Health and Developmental Disabilities (US)
- Corresponding author
- Lamis, Dorian A.
- Venue
- Suicide and Life-Threatening Behavior
- Publisher
- Wiley
- Published
- 2018-08-02
- Volume
- 49
- Issue
- 4
- Pages
- 1148-1156
- ISSN
- 0363-0234 (ISSN-L)
- 1943-278X
- OpenAlex
- W2886956906
- Cited by
- 37
- References
- 32
- Citations by year
- 2026: 6 · 2025: 4 · 2024: 5 · 2023: 5 · 2022: 6 · 2021: 5 · 2020: 4 · 2019: 1 · 2012: 1
- FWCI
- 2.93
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Suicide and Life-Threatening Behavior (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Substance Abuse and Mental Health Services Administration (1H9SM062896‐01)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Keywords
- suicide prevention training, clinician confidence, suicide risk assessment, evidence-based practice implementation, community mental health centers, training effects
- MeSH terms
- Suicide Prevention, Adult, Community Mental Health Centers, Humans, Male, Psychiatry, Surveys and Questionnaires
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