Assessment of a Suicide Prevention Gatekeeper Training Program for Nursing Home Staff.

Autor:	Demesmaeker A; Regional Federation of Research in Psychiatry and Mental Health Hauts-de-France (Fédération régionale de recherche en psychiatrie et santé mentale) Hauts-de-France, Saint-André-lez-Lille, France.; University of Lille, Inserm, CHU Lille, U1172 - LilNCog - Lille Neuroscience & Cognition, F-59000 Lille, France.; Department of Psychiatry, University Hospital of Lille, Lille, France., Baelde N; Department of Psychiatry, University Hospital of Lille, Lille, France., Amad A; Regional Federation of Research in Psychiatry and Mental Health Hauts-de-France (Fédération régionale de recherche en psychiatrie et santé mentale) Hauts-de-France, Saint-André-lez-Lille, France.; University of Lille, Inserm, CHU Lille, U1172 - LilNCog - Lille Neuroscience & Cognition, F-59000 Lille, France.; Department of Psychiatry, University Hospital of Lille, Lille, France., Roche J; Department of Psychiatry, University Hospital of Lille, Lille, France., Playe M; Department of Psychiatry, University Hospital of Lille, Lille, France., Vaiva G; Regional Federation of Research in Psychiatry and Mental Health Hauts-de-France (Fédération régionale de recherche en psychiatrie et santé mentale) Hauts-de-France, Saint-André-lez-Lille, France.; University of Lille, Inserm, CHU Lille, U1172 - LilNCog - Lille Neuroscience & Cognition, F-59000 Lille, France.; Department of Psychiatry, University Hospital of Lille, Lille, France., Amariei A; Regional Federation of Research in Psychiatry and Mental Health Hauts-de-France (Fédération régionale de recherche en psychiatrie et santé mentale) Hauts-de-France, Saint-André-lez-Lille, France., Blervaque W; Regional Federation of Research in Psychiatry and Mental Health Hauts-de-France (Fédération régionale de recherche en psychiatrie et santé mentale) Hauts-de-France, Saint-André-lez-Lille, France., Defebvre MM; Regional Health Agency Hauts-de-France, Lille, France., Caron B; Regional Health Agency Hauts-de-France, Lille, France., Puisieux F; Department of Geriatary, University Hospital of Lille, Lille, France., Plancke L; Regional Federation of Research in Psychiatry and Mental Health Hauts-de-France (Fédération régionale de recherche en psychiatrie et santé mentale) Hauts-de-France, Saint-André-lez-Lille, France.; Lille Centre of Sociology and Economy Studies and Research (Centre lillois d'études et de recherche en sociologie et en économie), Lille, France.
Jazyk:	angličtina
Zdroj:	Journal of geriatric psychiatry and neurology [J Geriatr Psychiatry Neurol] 2023 Jul; Vol. 36 (4), pp. 309-315. Date of Electronic Publication: 2023 Jan 03.
DOI:	10.1177/08919887221149142
Abstrakt:	Introduction: Older adults have one of the highest age-specific suicide rates in France, and the risk of suicide is higher for those living in nursing homes. The aim of our study was to assess the effectiveness of gatekeeper training for nursing home staff on the knowledge and stigmas towards suicidal crisis and the impact on suicidal behaviour rates. Method: A total of 427 nursing or administrative staff from 110 nursing homes received gatekeeper training in the Hauts-de-France French region between September 2016 and June 2018. First, knowledge and stigmas on suicidal crisis were assessed through a pretest and posttest survey. Second, a retrospective survey was conducted to determine suicide behaviour rates before and after training in nursing homes. Then, changes between pre- and posttraining scores and suicide rates were evaluated with a paired samples T test and rate difference calculation ( P value of <0.05 was considered statistically significant). Results: A total of 315 trainees completed the questionnaires on knowledge and stigmas related to suicidal crisis, and we found a significant difference in the total scores ( P < 0.01). Moreover, we found a significant decrease in the incidence of suicide attempts (SAs) after training ( P = 0.002), but the incidence of deaths by suicide was not significantly different prior to and after the training course ( P = 0.46). Conclusion: We highlighted an improvement in knowledge and stigmas after training and a reduction in the rates of SAs with our gatekeeper suicide prevention program. Future research is needed to improve suicide prevention for nursing home residents.
Databáze:	MEDLINE
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