Efficacy of Adolescent Suicide Prevention E-Learning Modules for Gatekeepers: A Randomized Controlled Trial

Area of Science:

• Mental Health
• Public Health
• Education Technology

Background:

• Face-to-face gatekeeper training enhances adolescent suicide prevention knowledge and self-efficacy.
• Access barriers like time and resources limit participation in traditional training.
• Web-based training offers a potential solution to overcome these barriers.

Purpose of the Study:

• To investigate the efficacy of a Web-based adolescent suicide prevention program (Mental Health Online).
• To assess improvements in gatekeeper knowledge and self-confidence in working with suicidal adolescents (ages 12-20).

Main Methods:

• A randomized controlled trial (RCT) involving 190 gatekeepers.
• Participants were randomized into an experimental or waitlist control group.
• Web-based assessments measured knowledge and self-confidence at pretest, posttest, and 3-month follow-up.

Main Results:

• The experimental group showed significant improvements in actual knowledge, perceived knowledge, and self-confidence compared to the control group.
• These improvements were sustained at the 3-month follow-up.
• Overall effect sizes ranged from 0.76 to 1.20, indicating substantial impact.

Conclusions:

• Web-based suicide prevention e-learning modules are effective for enhancing gatekeeper knowledge and confidence.
• The accessibility, simplicity, and flexibility of online training benefit gatekeepers with limited time and resources.
• This approach supports effective early recognition, guidance, and referral of suicidal adolescents.