Responding to suicidal calls: does trait anxiety hinder or help?
ABSTRACT To see if trait anxiety and suicidality interfered with the ability to respond to suicidal crisis calls, 279 undergraduates completed measures of trait anxiety and suicidality in the past week, and the revised Suicide Intervention Response Inventory (SIRI-2). Unexpectedly, trait anxiety (but not suicidality) correlated with better SIRI-2 scores. In addition, students scored significantly more like the experts on the SIRI-2 if they were European-American, were relatively older, had completed a crisis intervention course, had undergone psychotherapy, or had ever been suicidal in their lives. Trait anxiety does not hinder, and may even help, in responding to a suicidal phone call.
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ABSTRACT: Health and community professionals have considerable exposure to suicidal people and need to be well skilled to deal with them. We assessed suicide intervention skills with a Dutch version of the SIRI in 980 health and community professionals and psychology students. Suicide intervention skills clearly differed among professional groups and were strongly related to experience, especially suicide-specific experience. Some community professionals scored below acceptable levels on their ability to respond appropriately to suicidal people they encounter, and tended to overestimate their skills level. Training is therefore indicated for these groups, and may be useful to more highly experienced groups too.Suicide and Life-Threatening Behavior 04/2010; 40(2):115-24. DOI:10.1521/suli.2010.40.2.115 · 1.40 Impact Factor
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ABSTRACT: OBJECTIVES Patient suicide is a tragic occurrence, and it can be a demoralizing experience for medical residents. Few studies, however, have assessed suicide management skills among these front-line healthcare professionals. This study evaluated the self-assessed competence and confidence of medical residents with regard to the management of potentially suicidal patients and assessed the correlation with the residents' background characteristics. METHOD The authors conducted a multicenter, cross-sectional survey of 114 medical residents in Japan, using a modified version of the Suicide Intervention Response Inventory (SIRI-2), the Medical Outcomes Study 8-Item Short-Form Health Survey (SF-8), and a 5-point Likert scale to assess confidence in suicide management. RESULTS A majority (89.5%) of the residents rated their confidence in managing suicidal patients as Not At All Confident or Rather Not Confident, although most were close to completing their psychiatric rotation. Results on the SIRI-2 suggested intermediate competence in managing suicidal behavior, as compared with that of other healthcare professionals. Competence as indicated by the SIRI-2 score was weakly and negatively correlated with the score for self-perceived Vitality on the SF-8 scale. CONCLUSION Insufficient skills and lack of confidence in the management of suicidal patients was observed in this sample of Japanese medical residents, thus highlighting the need for improved suicide-management programs for junior medical residents in Japanese hospitals.Academic Psychiatry 05/2013; 37(6). DOI:10.1176/appi.ap.10110154 · 0.81 Impact Factor
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ABSTRACT: Preparing psychology trainees to assess and to manage clients who are suicidal is a critical responsibility of graduate training programs. In this study, doctoral trainees in clinical psychology (N = 59) were surveyed on their exposure to training and supervision on suicide assessment, their exposure to bereavement by suicide, and their confidence in providing care to suicidal clients. The Suicide Intervention Response Inventory–Revised (SIRI-2) was utilized to assess participants’ suicide intervention skills. Results indicated that over 75% of trainees had received education on suicide during graduate school; however, few students reported receiving clinical supervision on this topic. Trainees with and without formal training scored similarly on the SIRI-2, though there was a trend toward more skillful responding among trainees with more clinical experience. Exposure to suicidal clients during clinical training was common, as was personal bereavement by suicide. Trainees who reported working with clients who endorsed suicidal ideation and/or a history of suicide attempts performed better on the SIRI-2 than students with no such experience. Although a higher proportion of graduate trainees endorsed education on suicide assessment and management than in past studies, these findings call into question the efficacy of current training curricula. Implications for training and supervision are discussed. (PsycINFO Database Record (c) 2014 APA, all rights reserved)Training and Education in Professional Psychology 05/2014; 8(2):136. DOI:10.1037/tep0000050 · 1.58 Impact Factor