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21: Gatekeeper Training

Other Management Modalities » Population & Community-based Interventions
21: Gatekeeper Training

There is insufficient evidence to recommend for or against gatekeeper training alone to reduce population-level suicide rates.

Strength:

Neither for nor against

Category:

ReviewedNew-added

Grades and Definitions

Strong for
or "We recommend offering this option …"
Weak for
or "We suggest offering this option …"
No recommendation
or "There is insufficient evidence …"
Weak against
or "We suggest not offering this option …"
Strong against
or "We recommend against offering this option …"

Categories and Definitions

Evidence Reviewed* Recommendation Category* Definition*
Reviewed New-added New recommendation following review of the evidence
New-replaced Recommendation from previous CPG that has been carried over to the updated CPG that has been changed following review of the evidence
Not changed Recommendation from previous CPG that has been carried forward to the updated CPG where the evidence has been reviewed but the recommendation is not changed
Amended Recommendation from the previous CPG that has been carried forward to the updated CPG where the evidence has been reviewed and a minor amendment has been made
Deleted Recommendation from the previous CPG that has been removed based on review of the evidence
Not reviewed Not changed Recommendation from previous CPG that has been carried forward to the updated CPG, but for which the evidence has not been reviewed
Amended Recommendation from the previous CPG that has been carried forward to the updated CPG where the evidence has not been reviewed and a minor amendment has been made
Deleted Recommendation from the previous CPG that has been removed because it was deemed out of scope for the updated CPG
*Adapted from the NICE guideline manual (2012): The guidelines manual. London: National Institute for Health and Care Excellence;2012. and Martinez Garcia L, McFarlane E, Barnes S, Sanabria AJ, Alonso-Coello P, Alderson P. Updated recommendations: An assessment of NICE clinical guidelines. Implement Sci. 2014;9:72.

Recommendation Resources

Gatekeeper training is one of the most widely used suicide prevention strategies designed to increase public engagement into preventative services for suicide, which includes programs such as Question, Persuade, and Refer (QPR) and Applied Skills in Suicide Training (ASIST). The literature review conducted for the CPG did not yield evidence for or against gatekeeper training alone reducing population-level suicide rates.

Training Resources

This section includes links to training resources about gatekeeper training.

S.A.V.E. Training
Thumbnail of cover image: VA S.A.V.E Training. Supporting Our Veterans VA S.A.V.E Training
Psych Armor's S.A.V.E. Training
Suicide Prevention Resource Center's (SPRC)
Choosing a Suicide Prevention Gatekeeper Training Program—A Comparison Table
Gatekeeper Training and Minimum Standards of Competency:
Essentials for the Suicide Prevention Workforce
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Manuals

This section includes links to implementation considerations about gatekeeper training.

Suicide Prevention Resource Center's (SPRC)
Guidance for Culturally Adapting Gatekeeper Trainings
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Webinars

This section includes links to recommended webinars about gatekeeper training.

CPG Webinar Gatekeeper Training as a Force Multiplier for Community Suicide Prevention Presented by Cicely Burrows-McElwain, LCSW-C and Kendra "Kenner" Barnes, LCSW
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Videos

This section includes links to implementation videos about gatekeeper training.

Training: VA SAVE—Suicide Prevention for Veterans
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Books

This section includes links to recommended books about gatekeeper training.

Burnette, C., Ramchand, R., & Ayer, L. (2015). Gatekeeper Training for Suicide Prevention: A Theoretical Model and Review of the Empirical Literature. Rand health quarterly. 5(1), 16.
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Articles

This section includes links to recommended articles about gatekeeper training.

Isaac, M., Elias, B., Katz, L. Y., Belik, S. L., Deane, F. P., Enns, M. W., Sareen, J., & Swampy Cree Suicide Prevention Team (2009). Gatekeeper training as a preventative intervention for suicide: a systematic review. Canadian journal of psychiatry. Revue canadienne de psychiatrie, 54(4), 260-268. https://doi.org/10.1177/070674370905400407
Matthieu, M. M., Cross, W., Batres, A. R., Flora, C. M., & Knox, K. L. (2008). Evaluation of gatekeeper training for suicide prevention in veterans. Archives of suicide research : official journal of the International Academy for Suicide Research, 12(2, 148–154. https://doi.org/10.1080/13811110701857491
Rallis, B. A., Esposito-Smythers, C., Disabato, D. J., Mehlenbeck, R. S., Kaplan, S., Geer, L., Adams, R., & Meehan, B. (2018). A brief peer gatekeeper suicide prevention training: Results of an open pilot trial. Journal of clinical psychology, 74(7), 1106-1116. https://doi.org/10.1002/jclp.22590
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