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Evaluation of a School-Based Training Program for Suicide Prevention

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00118443
Recruitment Status : Completed
First Posted : July 11, 2005
Last Update Posted : June 28, 2013
National Institute of Mental Health (NIMH)
Information provided by:
University of Rochester

Brief Summary:
This study will determine whether a training program designed to help school staff members identify adolescents at risk for suicide will increase the number of students who are referred to mental health services.

Condition or disease Intervention/treatment Phase
Suicide Behavioral: Question, Persuade, Refer (QPR) training Phase 2 Phase 3

Detailed Description:

The rate of suicide among adolescents has significantly increased in recent years. Psychiatric disorders are often associated with increased suicide risk; therefore, the ability to identify adolescents with signs of depression and other psychiatric conditions is clear. This study will determine the effectiveness of a suicide prevention training program called Question, Persuade, Refer (QPR) in increasing the number of potentially suicidal adolescents who are referred to mental health services. The training is designed to help school staff recognize signs that a student may be suicidal, provide tips on how to question students about any suicidal thoughts they may have, and provide techniques to persuade students to seek suicide prevention help.

School staff will be randomly assigned to either receive QPR training for 2 years starting immediately or be placed on a waiting list for later training. The rates of referral to the school district's prevention/intervention centers will be used to assess the effectiveness of QPR training. In addition, the impact of QPR training on school staff members' knowledge and attitudes about intervening with at-risk students will be assessed through surveys at four time points over the 2-year study duration with a randomly selected portion of staff in the 32 participating schools. Surveys completed by randomly selected 8th and 10th grade students will also be used to determine whether the intervention is effective in reducing suicidal thoughts or attempts.

Study hypothesis: More students in schools that have Question, Persuade, Refer (QPR)-trained staff will be referred for a mental health evaluation than in schools without QPR-trained staff.

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 50000 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Prevention
Official Title: RCT of Gatekeeper Training for Suicide Prevention
Study Start Date : March 2004
Actual Primary Completion Date : December 2006
Actual Study Completion Date : December 2006

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Suicide

Primary Outcome Measures :
  1. Rates of referrals for students identified as suicidal risks
  2. school staff knowledge and attitudes
  3. outcomes of mental health evaluations for accurate detection of suicidal risk

Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.

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Ages Eligible for Study:   Child, Adult, Older Adult
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes

Inclusion Criteria for School Staff Members:

  • Currently working as a staff member in Cobb County school district

Inclusion Criteria for Students:

  • Parent or guardian willing to provide informed consent

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00118443

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United States, Georgia
Cobb County School District
Marietta, Georgia, United States, 30061
Sponsors and Collaborators
University of Rochester
National Institute of Mental Health (NIMH)
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Principal Investigator: Peter Wyman, PhD University of Rochester
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Responsible Party: Peter Wyman, PhD, University of Rochester Medical Center Identifier: NCT00118443    
Other Study ID Numbers: R34MH071189 ( U.S. NIH Grant/Contract )
R34MH071189 ( U.S. NIH Grant/Contract )
First Posted: July 11, 2005    Key Record Dates
Last Update Posted: June 28, 2013
Last Verified: June 2013
Keywords provided by University of Rochester:
Suicide Prevention
School Teachers
Additional relevant MeSH terms:
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Self-Injurious Behavior
Behavioral Symptoms