Evidence map›Paper›PMID 42281529›Full record

Trial reportJournal of child psychology and psychiatry, and allied disciplines2026

Randomised controlled trial of a web-based mental health, self-harm and suicide gatekeeper resource for parents and caregivers.

Alison L Calear, Sonia M McCallum, Dominique Kazan, Michelle Torok, Aliza Werner-Seidler, Bridianne O'Dea, Alyssa Morse, Louise M Farrer, Fiona Shand, Philip J Batterham

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of child psychology and psychiatry, and allied disciplines, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Alison L CalearCentre for Mental Health Research, The Australian National University, Canberra, ACT, Australia.ORCID https://orcid.org/0000-0002-7028-725X
Sonia M McCallumCentre for Mental Health Research, The Australian National University, Canberra, ACT, Australia.
Dominique KazanCentre for Mental Health Research, The Australian National University, Canberra, ACT, Australia.
Michelle TorokBlack Dog Institute, University of New South Wales, Sydney, NSW, Australia.ORCID https://orcid.org/0000-0003-3741-8075
Aliza Werner-SeidlerBlack Dog Institute, University of New South Wales, Sydney, NSW, Australia.
Bridianne O'DeaFlinders University Institute for Mental Health and Wellbeing, Flinders University, Adelaide, SA, Australia.
Alyssa MorseCentre for Mental Health Research, The Australian National University, Canberra, ACT, Australia.
Louise M FarrerCentre for Mental Health Research, The Australian National University, Canberra, ACT, Australia.
Fiona ShandBlack Dog Institute, University of New South Wales, Sydney, NSW, Australia.
Philip J BatterhamCentre for Mental Health Research, The Australian National University, Canberra, ACT, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundParents and caregivers play key roles in recognising early signs of mental distress and facilitating access to support, yet often lack the confidence and knowledge to respond effectively. Gatekeeper training programs can improve skills, but few are specifically designed for parents. The aim of the current study was to assess the effectiveness of the Recognise, Respond and Support - A Parent's Guide to Youth Mental Health resource in improving parental capacity to support their child's mental health.

methodsA two-arm randomised controlled trial was conducted with Australian parents and caregivers of children aged 5-17 years. Outcomes were assessed at baseline, post-intervention and 12-week follow-up. The primary endpoint was parental self-efficacy to recognise, respond to, and access support for mental health problems and suicide risk in their child/ren at post-intervention. Secondary outcomes included perceived gatekeeper knowledge, mental health and suicide literacy, stigma, and help-seeking attitudes, intentions and barriers. The trial was prospectively registered with the Australian and New Zealand Clinical Trials Registry (ACTRN12623000933651).

resultsA total of 509 participants were recruited (97% female; mean age 43 years). At post-intervention, mixed-model repeated-measures ANOVA indicated significant intervention effects for self-efficacy for mental health (p = .04) and suicide (p = .01), perceived knowledge (p < .001), barriers to help-seeking (p = .02) and suicide stigma (p = .02) and literacy (p = .01), with some effects maintained at 12-week follow-up. No significant changes were observed for mental health literacy and stigma, or help-seeking attitudes or intentions.

conclusionsGatekeeper training targeted to parents and caregivers can be effective in improving participant confidence and knowledge to support their child's mental health. Future research would benefit from identifying strategies to improve participant engagement with web-based interventions.

Indexed as

CaregiversHealth Knowledge, Attitudes, PracticeInternet-Based InterventionParentsSelf EfficacySelf-Injurious BehaviorAdolescentAdultAustraliaChildChild, PreschoolFemaleHumansMaleMiddle Agedgatekeeper traininghelp‐seekingparents and caregiverssuicide preventionYouth mental health

Identifiers

PMID42281529
PMCPMC13647100

What OpenQuestion holds

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Registered trials

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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.