Evaluation of a School-Based Training Program for Suicide Prevention

This study has been completed.
National Institute of Mental Health (NIMH)
Information provided by:
University of Rochester
ClinicalTrials.gov Identifier:
First received: July 6, 2005
Last updated: June 27, 2013
Last verified: June 2013

July 6, 2005
June 27, 2013
March 2004
December 2006   (final data collection date for primary outcome measure)
  • Rates of referrals for students identified as suicidal risks
  • school staff knowledge and attitudes
  • outcomes of mental health evaluations for accurate detection of suicidal risk
Same as current
Complete list of historical versions of study NCT00118443 on ClinicalTrials.gov Archive Site
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Evaluation of a School-Based Training Program for Suicide Prevention
RCT of Gatekeeper Training for Suicide Prevention
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.

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.

Phase 2
Phase 3
Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Prevention
Behavioral: Question, Persuade, Refer (QPR) training
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*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
December 2006
December 2006   (final data collection date for primary outcome measure)

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
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Contact information is only displayed when the study is recruiting subjects
United States
R34 MH071189, R34MH071189, DSIR 82-SEDR
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Peter Wyman, PhD, University of Rochester Medical Center
University of Rochester
National Institute of Mental Health (NIMH)
Principal Investigator: Peter Wyman, PhD University of Rochester
University of Rochester
June 2013

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP