Teaching front-line health and voluntary workers to assess and manage suicidal patients.

Abstract:

BACKGROUND:To devise and evaluate the retention of a new brief training package for non-psychiatrically trained multidisciplinary staff to assess suicide risk and manage suicidal patients, including referral of patients at significant risk to psychiatric staff. METHOD:8 h of interview skills training, using role play with modelling and video feedback, was taught to 33 health and voluntary workers. Evaluation used a controlled before and after training design. Performance of the interview skills was assessed blindly by raters using predetermined criteria from videotaped role played interviews with actors. Self-rated questionnaires (SIRI-2 and visual analogue scales) were used to assess the clinical skills and confidence respectively of the front-line workers. RESULTS:Suicide risk assessment and management skills such as problem solving, future coping and provision of immediate support were significantly improved at 1 month after training. Training did not significantly improve general interview skills, combating hopelessness nor the removal of lethal weapons. Performance on the SIRI-2 and confidence significantly improved after training. The assessment procedure itself did not improve clinical skills nor confidence. LIMITATIONS:Performance among individual health disciplines was not assessed. Design was not a randomised controlled trial with short follow up and no patient outcome data. CONCLUSIONS:A brief training package is available which is effective in teaching suicide risk assessment and clinical management skills.

journal_name

J Affect Disord

authors

Morriss R,Gask L,Battersby L,Francheschini A,Robson M

doi

10.1016/s0165-0327(98)00080-9

subject

Has Abstract

pub_date

1999-01-01 00:00:00

pages

77-83

issue

1-3

eissn

0165-0327

issn

1573-2517

pii

S0165-0327(98)00080-9

journal_volume

52

pub_type

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