Trial reportThe journal of primary prevention2011
Does practice make perfect? A randomized control trial of behavioral rehearsal on suicide prevention gatekeeper skills.
Trial report in The journal of primary prevention, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 65 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
65 citing papers in PubMed, 4 syntheses or guidelines pooled it, 227 citations in OpenAlex.
- Gatekeeper training for suicide prevention: a systematic review and meta-analysis of randomized controlled trials.BMC public health · 2025Pooled it
- Prevention of self-harm and suicide in young people up to the age of 25 in education settings.The Cochrane database of systematic reviews · 2024Pooled it
- Simulation training in suicide risk assessment and intervention: a systematic review and meta-analysis.Medical education online · 2023Pooled it
- Saving Lives: A Systematic Review on the Efficacy of Theory-Informed Suicide Prevention Programs.Community mental health journal · 2022Pooled it
- Consultation Content and Techniques for measurement-Based Care Implementation in Youth Community Mental Health Settings.Administration and policy in mental health · 2025Trial
- Experiences of Peer Mentoring Sexual and Gender Minority Emerging Adults Who Are at Risk for Suicide: Mixed Methods Study.JMIR formative research · 2025Trial
- An Evaluation of Strategies Used to Maximize Intervention Fidelity in a Randomized Controlled Trial of a Sexual Assault Resistance Program for University Women.Prevention science : the official journal of the Society for Prevention Research · 2021Trial
- Trial
- Training and consultation to promote implementation of an empirically supported treatment: a randomized trial.Psychiatric services (Washington, D.C.) · 2012Trial
- University Students' Perceptions and Experiences of a Suicide Prevention Gatekeeper Program (GUIAS_Program): Improvements and Implications for Education.Health expectations : an international journal of public participation in health care and health policy · 2026Review
- Psychometric Validation of the Korean Preparedness to Help Scale for Assessing Adolescents' Readiness to Support Peers at Risk of Suicide.Psychology research and behavior management · 2026Article
- How can school staff respond to student incidents of self-injurious thoughts and behaviours? A systematic scoping review.International journal of qualitative studies on health and well-being · 2025Article
- What is known about suicide prevention gatekeeper training and directions for future research.Suicide & life-threatening behavior · 2025Review
- Applications of Large Language Models in the Field of Suicide Prevention: Scoping Review.Journal of medical Internet research · 2025Article
- Co-design and content validation of psychosis care assessment material for medical, pharmacy, nursing, and occupational therapy curricula.BMC medical education · 2025Article
- Gatekeeper competencies for suicide prevention among Korean social work students: a path model of the relationship between education and gatekeeper intention.Frontiers in public health · 2025Article
- Validating GenAI feedback in suicide prevention training: a mixed-methods study of QPR skill assessment.Frontiers in medicine · 2025Article
- Suicide prevention training for allied health professionals within healthcare environments: A scoping review.PloS one · 2025Article
- Crisis Intervention Team Mental Health Training for Law Enforcement Officers: Protocol for a Multi-Site, Randomized, Controlled Trial.Psychiatric research and clinical practice · 2025Article
- Suicide prevention for international students: A single-arm mixed methods evaluation of the LivingWorks safeTALK program in Australia.Global mental health (Cambridge, England) · 2025Article
5 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
Suicide is the third leading cause of death among 10-24-year-olds and the target of school-based prevention efforts. Gatekeeper training, a broadly disseminated prevention strategy, has been found to enhance participant knowledge and attitudes about intervening with distressed youth. Although the goal of training is the development of gatekeeper skills to intervene with at-risk youth, the impact on skills and use of training is less known. Brief gatekeeper training programs are largely educational and do not employ active learning strategies such as behavioral rehearsal through role play practice to assist skill development. In this study, we compare gatekeeper training as usual with training plus brief behavioral rehearsal (i.e., role play practice) on a variety of learning outcomes after training and at follow-up for 91 school staff and 56 parents in a school community. We found few differences between school staff and parent participants. Both training conditions resulted in enhanced knowledge and attitudes, and almost all participants spread gatekeeper training information to others in their network. Rigorous standardized patient and observational methods showed behavioral rehearsal with role play practice resulted in higher total gatekeeper skill scores immediately after training and at follow-up. Both conditions, however, showed decrements at follow-up. Strategies to strengthen and maintain gatekeeper skills over time are discussed.
Indexed as
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.