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Effectiveness of a Web-Based Virtual Simulation to Train Nursing Students in Suicide Risk Assessment: Randomized

Paul Roux^1,2, Yujiro Okuya³, Cristina Morel⁴

¹DisAP - MOODS Team, INSERM UMR1018, CESP, Université de Versailles Saint-Quentin-En-Yvelines - Université Paris-Saclay, Le Chesnay, France.

JMIR Serious Games

|August 1, 2025

Summary

Virtual simulation (VS) training significantly boosted nursing students' confidence and skills in suicide risk assessment. This innovative approach enhances preparedness for managing patients with suicidal thoughts, improving suicide prevention efforts.

Keywords:

education confidence depression emotion facial expression nurse prosody simulation suicide virtual patient

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Published on: April 23, 2014

Area of Science:

Nursing Education
Mental Health Technology
Simulation-Based Learning

Background:

Suicide is a major preventable global health issue.
Nurses are crucial for suicide prevention but face training challenges.
Virtual simulation (VS) offers a safe, effective method to enhance nursing students' skills in suicide risk assessment and management.

Purpose of the Study:

To evaluate the pedagogical effectiveness of a novel virtual simulation (VS) tool for teaching suicide risk assessment to nursing students.
To assess the impact of VS, including an automated, emotionally reactive virtual patient and online debriefing, on learning outcomes.

Main Methods:

A randomized controlled trial involving 68 first-year nursing students.
Intervention group received VS training alongside usual teaching; control group received usual teaching only.
Outcomes measured using Kirkpatrick's model: knowledge, skills, confidence, empathy, and satisfaction via self-assessment questionnaires.

Main Results:

The VS group showed significantly higher confidence and marginally improved skills in responding to suicidal thoughts compared to the control group.
No significant differences were found in knowledge acquisition or general empathy levels.
Students reported high satisfaction with VS, especially the virtual patient's authenticity, enhanced by emotional prosody.

Conclusions:

Virtual simulation (VS) is a promising tool for enhancing nursing students' confidence and skills in suicide risk assessment and crisis intervention.
Incorporating VS into nursing curricula could improve suicide prevention training.
Further research is recommended to investigate long-term benefits and patient outcome impacts.