Suicide prevention gatekeeper training: Can they advance prevention in Indian country?

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6 Scopus citations


American Indian youth have the highest suicide rates in the United States; however, many do not use services and access barriers exist. This study was a cross-sectional evaluation of 6 gatekeeper trainings conducted on 1 reservation with N=84 individuals. Analyses examined participant characteristics, impact on training objectives, and satisfaction. The majority of participants were American Indian and female (89.3%). Significant increases in knowledge (p<0.001) and self-efficacy (p<0.001) were observed post-test, as well as high satisfaction (3.53/5) and intent to use skills daily (36.4%) or monthly (66.3%). Lowest rated was how the training addressed cultural differences (2.93). While results support the promise of gatekeeper training, they identify a clear need for adaptation; specific implementation and research recommendations are discussed.

Original languageEnglish (US)
Pages (from-to)402-411
Number of pages10
JournalArchives of Suicide Research
Issue number3
StatePublished - Jul 2 2016


  • American Indian
  • Gatekeeper training

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health


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