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Research Trends

The Effectiveness of Suicide Prevention Education Programs for Nurses

A Systematic Review

Published Online:October 06, 2017https://doi.org/10.1027/0227-5910/a000479

Abstract

Abstract.Background: Education to improve health professionals' responses to suicide is considered an important suicide prevention strategy. However, the effectiveness of this approach for nurses is unclear. Aim: To systematically review the peer-reviewed literature regarding the effectiveness of suicide prevention education programs for nurses. Method: Nine academic databases (CINAHL, Cochrane Reviews & Trials, Embase, Informit Health Collection, Joanna Briggs Institute, Medline, PsycINFO, Scopus, and Web of Science) were searched in November 2016, utilizing search terms related to suicide, education, and nurses, with no limits placed on publication date or study design. Results: The search yielded 5,456 identified articles, 11 of which met the inclusion criteria. Studies were primarily quantitative (RCTs n = 3; quasi-experimental n = 6; qualitative n = 2), and involved nurses (range = 16–561) working in a diversity of settings, particularly hospitals (n = 9). Studies revealed positive changes in nurses' competence, knowledge, and attitudes associated with training over the short term. Limitations: The heterogeneity of education programs and methodological weaknesses of included studies limit the conclusions drawn. Conclusion: There is a moderate body of evidence to support the effectiveness of suicide prevention education programs for nurses. Future research should examine longer-term changes in clinical practice and strategies for continuing education, with more rigorous study designs.

References

  • Appleby, L., Morriss, R., Gask, L., Roland, M., Lewis, B., Perry, A., … Faragher, B. (2000). An educational intervention for front-line health professionals in the assessment and management of suicidal patients (The STORM Project). Psychological Medicine, 30, 805–812. First citation in articleCrossref Medline, Google Scholar

  • Berman, A., Snyder, S., Levett-Jones, T., Dwyer, T., Hales, M., Harvey, N., … Stanley, D. (Eds.). (2015). Kozier and Erb's fundamentals of nursing, Vols. 1–3, Australian edition (3rd ed.). Melbourne, Australia: Pearson Australia. First citation in articleGoogle Scholar

  • Botega, N. J., Silva, S. V., Reginato, D. G., Rapeli, C. B., Cais, C. F., Mauro, M. L., … Cecconi, J. P. (2007). Maintained attitudinal changes in nursing personnel after a brief training on suicide prevention. Suicide and Life-Threatening Behavior, 37, 145–153. 10.1521/suli.2007.37.2.145 First citation in articleCrossref Medline, Google Scholar

  • Brunero, S., Smith, J., Bates, E., & Fairbrother, G. (2008). Health professionals' attitudes towards suicide prevention initiatives. Journal of Psychiatric and Mental Health Nursing, 15, 588–594. 10.1111/j.1365-2850.2008.01278.x First citation in articleCrossref Medline, Google Scholar

  • Bullock, L. F., Libbus, M. K., Lewis, S., & Gayer, D. (2002). Continuing education: Improving perceived competence in school nurses. Journal of School Nursing, 18, 360–363. First citation in articleCrossref Medline, Google Scholar

  • Chan, M. K., Bhatti, H., Meader, N., Stockton, S., Evans, J., O'Connor, R., … Kendall, T. (2016). Predicting suicide following self-harm: A systematic review of risk factors and risk scales. British Journal of Psychiatry. 10.1192/bjp.bp.115.170050 First citation in articleCrossref, Google Scholar

  • Chan, S. W., Chien, W. T., & Tso, S. (2008). The qualitative evaluation of a suicide prevention and management programme by general nurses. Journal of Clinical Nursing, 17, 2884–2894. 10.1111/j.1365-2702.2008.02424.x First citation in articleCrossref Medline, Google Scholar

  • Chan, S. W., Chien, W. T., & Tso, S. (2009a). Evaluating nurses' knowledge, attitude and competency after an education programme on suicide prevention. Nurse Education Today, 29(7), 763–769. 10.1016/j.nedt.2009.03.013 First citation in articleCrossref Medline, Google Scholar

  • Chan, S. W., Chien, W. T., & Tso, S. (2009b). Provision and evaluation of a suicide prevention and management programme by frontline nurses in Hong Kong. Hong Kong Medical Journal, 29, S4–S8. First citation in articleGoogle Scholar

  • Chauliac, N., Brochard, N., Payet, C., The Egee Study Group, Margue, Y., Bordin, P., & Terra, J.-L. (2016). How does gatekeeper training improve suicide prevention for elderly people in nursing homes? A controlled study in 24 centres. European Psychiatry, 37, 56–62. 10.1016/j.eurpsy.2016.05.011 First citation in articleCrossref Medline, Google Scholar

  • Clifford, A. C., Doran, C. M., & Tsey, K. (2013). A systematic review of suicide prevention interventions targeting indigenous peoples in Australia, United States, Canada and New Zealand. BMC Public Health, 13, 1. 10.1186/1471-2458-13-463 First citation in articleCrossref Medline, Google Scholar

  • Cole-King, A., Green, G., Gask, L., Hines, K., & Platt, S. (2013). Suicide mitigation: A compassionate approach to suicide prevention. Advances in Psychiatric Treatment, 19, 276–283. 10.1192/apt.bp.110.008763 First citation in articleCrossref, Google Scholar

  • Crisp, J., Taylor, C., Douglas, C., & Rebeiro, G. (Eds.) (2012). Potter and Perry's fundamentals of nursing: Australian and New Zealand edition (4th ed). Chatswood, Australia: Elsevier. First citation in articleGoogle Scholar

  • Curtis, K., & Ramsden, C. (Eds.). (2016). Emergency and trauma care for nurses and paramedics (2nd ed.). New York, NY: Elsevier Press. First citation in articleGoogle Scholar

  • Cutcliffe, J.R., McKenna, H., Keeney, S., Stevenson, C., & Jordan, J. (2013). ’Straight from the horse's mouth': Rethinking and reconfiguring services in Northern Ireland in response to suicidal young men. Journal of Psychiatric and Mental Health Nursing, 20, 466–472. 10.1111/jpm.12012 First citation in articleCrossref Medline, Google Scholar

  • Cutcliffe, J. R., & Stevenson, C. (2008). Feeling our way in the dark: The psychiatric nursing care of suicidal people – a literature review. International Journal of Nursing Studies, 45, 942–953. 10.1016/j.ijnurstu.2007.02.002 First citation in articleCrossref Medline, Google Scholar

  • Cutcliffe, J. R., Stevenson, C., Jackson, S., & Smith, P. (2006). A modified grounded theory study of how psychiatric nurses work with suicidal people. International Journal of Nursing Studies, 43, 791–802. 10.1016/j.ijnurstu.2005.09.001 First citation in articleCrossref Medline, Google Scholar

  • De Beurs, D. P., Groot, M. H., Keijser, J., Mokkenstorm, J., Duijn, E., Winter, R. F. P., & Kerkhof, A. J. (2015). The effect of an e-learning supported Train-the-Trainer programme on implementation of suicide guidelines in mental health care. Journal of Affective Disorders, 175, 446–453. 10.1016/j.jad.2015.01.046 First citation in articleCrossref Medline, Google Scholar

  • Fitzgerald, C. E., & Townsend, R. P. (2012). Assessing the continuing education needs and preferences of rural nurses. Journal of Continuing Education in Nursing, 43, 420–427. 10.3928/00220124-20120615-76 First citation in articleCrossref Medline, Google Scholar

  • Gask, L., Dixon, C., Morriss, R., Appleby, L., & Green, G. (2006). Evaluating STORM skills training for managing people at risk of suicide. Journal of Advanced Nursing, 54, 739–750. 10.1111/j.1365-2648.2006.03875.x First citation in articleCrossref Medline, Google Scholar

  • Giordano, R., & Stichler, J. F. (2009). Improving suicide risk assessment in the emergency department. Journal of Emergency Nursing, 35, 22–26. 10.1016/j.jen.2007.11.003 First citation in articleCrossref Medline, Google Scholar

  • Isaac, M., Elias, B., Katz, L. Y., Belik, S. L., Deane, F. P., & Enns, M. W., & The Swampy Cree Suicide Prevention Team (12 members). (2009). Gatekeeper training as a preventative intervention for suicide: A systematic review. The Canadian Journal of Psychiatry, 54, 260–268. 10.1177/070674370905400407 First citation in articleCrossref Medline, Google Scholar

  • Jobes, D. A. (2012). The Collaborative Assessment and Management of Suicidality (CAMS): An evolving evidence based clinical approach to suicidal risk. Suicide and Life-Threatening Behavior, 42, 640–653. 10.1111/j.1943-278X.2012.00119.x First citation in articleCrossref Medline, Google Scholar

  • Kishi, Y., Otsuka, K., Akiyama, K., Yamada, T., Sakamoto, Y., Yanagisawa, Y., … Thurber, S. (2014). Effects of a training workshop on suicide prevention among emergency room nurses. Crisis, 35, 357–361. 10.1027/0227-5910/a000268 First citation in articleLink, Google Scholar

  • Lewis, P., & Foley, D. (2014). Health assessment in nursing, Australian and New Zealand adaptation (2nd ed.). Philadelphia, PA: Wolters Kluwer Health. First citation in articleGoogle Scholar

  • Lockwood, C., Munn, Z., & Porritt, K. (2015). Qualitative research synthesis: Methodological guidance for systematic reviewers utilizing meta-aggregation. International Journal of Evidence-Based Healthcare, 13, 179–187. 10.1097/XEB.0000000000000062 First citation in articleCrossref Medline, Google Scholar

  • McAuliffe, N., & Perry, L. (2007). Making it safer: A health centre's strategy for suicide prevention. Psychiatric Quarterly, 78, 295–307. First citation in articleCrossref Medline, Google Scholar

  • McCoy, C. (2009). Professional development in rural nursing: Challenges and opportunities. The Journal of Continuing Education in Nursing, 40, 128–131. 10.3928/00220124-20090301-08 First citation in articleCrossref Medline, Google Scholar

  • Mills, J., Birks, M., & Hegney, D. (2010). The status of rural nursing in Australia: 12 years on. Collegian, 17, 30–37. First citation in articleCrossref Medline, Google Scholar

  • Moher, D., Liberati, A., Tetzlaff, J., & Altman, D. G. (2009). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. Annals of Internal Medicine, 151, 264–269. First citation in articleCrossref Medline, Google Scholar

  • Morriss, R., Gask, L., Webb, R., Dixon, C., & Appleby, L. (2005). The effects on suicide rates of an educational intervention for front-line health professionals with suicidal patients (the STORM Project). Psychological Medicine, 35, 957–960. First citation in articleCrossref Medline, Google Scholar

  • Oordt, M. S., Jobes, D. A., Fonseca, V. P., & Schmidt, S. M. (2009). Training mental health professionals to assess and manage suicidal behavior: Can provider confidence and practice behaviors be altered? Suicide and Life-Threatening Behavior, 39, 21–32. 10.1521/suli.2009.39.1.21 First citation in articleCrossref Medline, Google Scholar

  • Palmieri, G., Forghieri, M., Ferrari, S., Pingani, L., Coppola, P., Colombini, N., … Neimeyer, R. A. (2008). Suicide intervention skills in health professionals: A multidisciplinary comparison. Archives of Suicide Research, 12, 232–237. 10.1080/13811110802101047 First citation in articleCrossref Medline, Google Scholar

  • Pompili, M., Girardi, P., Ruberto, A., Kotzalidis, G. D., & Tatarelli, R. (2005). Emergency staff reactions to suicidal and self-harming patients. European Journal of Emergency Medicine, 12, 169–178. First citation in articleCrossref Medline, Google Scholar

  • Procter, N.P., Hamer, H.P., McGarry, D., Wilson, R.L., & Froggatt, T. (Eds.). (in press). Mental health: A person centred approach (2nd ed.). Melbourne, Australia: Cambridge University Press. First citation in articleGoogle Scholar

  • Ramberg, I. L., & Wasserman, D. (2003). The roles of knowledge and supervision in work with suicidal patients. Nordic Journal of Psychiatry, 57, 365–371. 10.1080/08039480310002705 First citation in articleCrossref Medline, Google Scholar

  • Robinson, J., Cox, G., Malone, A., Williamson, M., Baldwin, G., Fletcher, K., & O'Brien, M. (2013). A systematic review of school-based interventions aimed at preventing, treating, and responding to suicide-related behavior in young people. Crisis, 34, 164–182. 10.1027/0227-5910/a000168 First citation in articleLink, Google Scholar

  • Rutz, W., Knorring, L. V., & Wålinder, J. (1992). Long-term effects of an educational program for general practitioners given by the Swedish Committee for the Prevention and Treatment of Depression. Acta Psychiatrica Scandinavica, 85, 83–88. First citation in articleCrossref Medline, Google Scholar

  • Samuelsson, M., & Åsberg, M. (2002). Training program in suicide prevention for psychiatric nursing personnel enhance attitudes to attempted suicide patients. International Journal of Nursing Studies, 39, 115–121. First citation in articleCrossref Medline, Google Scholar

  • Samuelsson, M., Åsberg, M., & Gustavsson, J. P. (1997). Attitudes of psychiatric nursing personnel towards patients who have attempted suicide. Acta Psychiatrica Scandinavica, 95, 222–230. 10.1111/j.1600-0447.1997.tb09623.x First citation in articleCrossref Medline, Google Scholar

  • Santos, J. C., Simões, R. M. P., De Azevedo Erse, M. P. Q., Façanha, J. D. N., & Marques, L. A. F. A. (2014). Impact of "+contigo" training on the knowledge and attitudes of health care professionals about suicide. Revista Latino-Americana de Enfermagem, 22, 679–684. First citation in articleCrossref Medline, Google Scholar

  • Seguin, M., Bordeleau, V., Drouin, M-S., Castelli-Dransart, D.A., & Giasson, F. (2014). Professionals' reactions following a patient's suicide: Review and future investigation. Archives of Suicide Research, 18, 340–362. 10.1080/13811118.2013.833151 First citation in articleCrossref Medline, Google Scholar

  • Sun, F. K., Long, A., & Boore, J. (2007). The attitudes of casualty nurses in Taiwan to patients who have attempted suicide. Journal of Clinical Nursing, 16, 255–263. 10.1111/j.1365-2702.2005.01479.x First citation in articleCrossref Medline, Google Scholar

  • Tallaksen, D. W., Bråten, K., & Tveiten, S. (2013). "…You are not particularly helpful as a helper when you are helpless". Nordic Journal of Nursing Research & Clinical Studies / Vård i Norden, 33, 46–50. First citation in articleCrossref, Google Scholar

  • The Joanna Briggs Institute. (2016). Joanna Briggs Institute Reviewers' Manual: 2016 Edition. Adelaide, Australia: Author. First citation in articleGoogle Scholar

  • Tsai, W.-P., Lin, L. Y., Chang, H. C., Yu, L. S., & Chou, M. C. (2011). The effects of the Gatekeeper Suicide Awareness Program for nursing personnel. Perspectives in Psychiatric Care, 47, 117–125. 10.1111/j.1744-6163.2010.00278.x First citation in articleCrossref Medline, Google Scholar

  • Van der Feltz-Cornelis, C. M., Sarchiapone, M., Postuvan, V., Volker, D., Roskar, S., Grum, A. T., … Hegerl, U. (2011). Best practice elements of multilevel suicide prevention strategies: A review of systematic reviews. Crisis, 32, 319–333. 10.1027/0227-5910/a000109 First citation in articleLink, Google Scholar

  • World Health Organization. (2014). Preventing suicide: A global imperative. Geneva, Switzerland: Author. First citation in articleGoogle Scholar

  • World Health Organization. (2016). Global strategic directions for strengthening nursing and midwifery 2016-2020. Geneva, Switzerland: Author. First citation in articleGoogle Scholar

  • Wu, C. Y., Lin, Y. Y., Yeh, M. C., Huang, L. H., Chen, S. J., Liao, S. C., & Lee, M.B. (2014). Effectiveness of interactive discussion group in suicide risk assessment among general nurses in Taiwan: A randomized controlled trial. Nurse Education Today, 34, 1388–1394. 10.1016/j.nedt.2014.03.015 First citation in articleCrossref Medline, Google Scholar