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Feasibility of a School-Based Suicide Prevention Gatekeeper Intervention and an Implementation Intervention (Project
Lena Rossen Østergaard1,2,3,4, Lotus Sofie Bast5, Rory C O'Connor4
1Centre for Suicide Research, Odense, Denmark.
Early Intervention in Psychiatry
|May 1, 2025
Summary
This study assesses the feasibility of implementing the Question, Persuade, Refer (QPR) suicide prevention program in Danish specialized schools. Findings will inform school-based interventions for at-risk youth.
Area of Science:
- Adolescent mental health
- Public health interventions
- Educational psychology
Background:
- Youth suicide presents a significant public health challenge, with a notable gap in school-based interventions for high-risk individuals.
- Project ROS aims to address this by training teaching staff in specialized schools (FGU) in Denmark on the Question, Persuade, Refer (QPR) suicide prevention gatekeeper intervention.
- The project integrates QPR with an implementation intervention designed to support its effective delivery.
Purpose of the Study:
- To evaluate the feasibility of implementing a school-based QPR gatekeeper training program.
- To assess the effectiveness of an accompanying implementation intervention based on established strategies.
- To determine the potential for wider adoption of QPR in educational settings for youth suicide prevention.
Main Methods:
- A two-phase case study employing a feasibility hybrid evaluation design.
- Utilizing a multimethod approach including pre-, post-, and follow-up surveys.
- Incorporating field observations and semi-structured interviews (single and focus groups) for comprehensive data collection.
Main Results:
- The study is designed to gather data on the feasibility and potential effectiveness of the intervention.
- Methodological triangulation, using multiple data sources, will be employed to enhance the validity of findings.
- Analysis will focus on the practical aspects of delivering QPR and its implementation support in the school context.
Conclusions:
- A multimethod research design enhances the robustness and validity of the study's findings.
- Methodological triangulation is crucial for mitigating bias and addressing limitations inherent in single-method approaches.
- The study aims to provide valuable insights into the practical implementation of school-based suicide prevention gatekeeper training.

