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1.
As the second leading cause of death for adolescents, suicide is a major concern for school personnel. School psychologists' training in mental health makes them well-positioned to lead in suicide prevention efforts; however, studies have shown a lack of preparedness in crisis intervention and, more specifically, suicide risk assessment. This study surveyed practicing school psychologists (N = 92) to explore their perception of both their role and competency in suicide risk assessment. Suicide risk assessment was defined as a broad term pertaining to any measures taken in suicide prevention, intervention, or postvention. The majority of school psychologists reported having a primary role at the tertiary level (i.e., intervening with a student identified as needing help). Participants indicated lacking adequate graduate preparation; however, most participants were confident in their knowledge of suicide and suicide risk assessment and were comfortable identifying and intervening with a student who is suicidal. Implications for practice and directions for future research are discussed.  相似文献   

2.
Directors and coordinators (n = 75) of graduate programs in school psychology approved by the National Association of School Psychologists (NASP) were surveyed regarding their training practices in suicide risk assessment. Respondents viewed the assessment of suicide risk as an important part of graduate instruction, and most believed that students completing training at their institutions would be adequately prepared to perform this task. Almost all directors indicated that a portion of class lectures was dedicated to addressing child/adolescent suicide risk assessment, and students were reportedly exposed to this topic in multiple courses, particularly those associated with practicum and internship. Students in doctoral and nondoctoral programs received comparable training and were judged to be equally prepared to perform suicide‐related professional activities in the schools. Gaps in training were revealed involving instruction in the use of quantitative measures of risk, large‐scale suicide prevention efforts, interventions with suicidal youth, and postvention activities.  相似文献   

3.
Suicidal behavior in children and youth continues to be a major public health problem in the United States. School personnel have a legal and ethical obligation to recognize and respond to the mental health needs of their students and to take steps to ensure their safety. In this exploratory study, suicide risk assessment practices of three large school districts were examined. More than 3,400 suicide risk assessments were conducted in these districts during the 3 years considered. The results indicate that all three districts have implemented suicide prevention programs that include risk‐assessment practices in an effort to reduce suicidality. Suicides risk assessments were conducted with at least one child in each grade from kindergarten through 12th in each district, occurring most frequently at the middle school level. Differences by gender were noted in terms of level of risk and hospitalizations, but no significant differences were observed based on race/ethnicity. These risk assessment efforts of these three districts appear to be promising in preventing suicides: none of the students who were assessed went on to commit suicide. Implications for school‐based practices and training are discussed.  相似文献   

4.
The correlates and predictors of suicidal ideation were examined in 303 male and 691 female undergraduates. Results indicated that hopelessness predicted suicidal ideation in both samples; however, depression was found to be a significant suicide risk factor only in women. In contrast, alcohol-related problems and social support from family predicted suicidal ideation in men, but not in women. In addition, for both men and women perceived burdensomeness was a suicide risk factor and reasons for living a protective factor. When assessing risk for suicide, our results suggest that practitioners may need to focus more on depressive symptoms in women and more on alcohol-related problems in men, while considering hopelessness, perceived burdensomeness, and reasons for living regardless of gender. Prevention programs which target these identified risk and protective factors for suicidality should be developed specifically for college men and women.  相似文献   

5.
ABSTRACT

The purpose of this article is to report on the implementation and initial evaluation of a 1-day training intervention targeting direct care providers in the Ohio aging services network. A primary objective is to describe the training intervention that consisted of two parts: (a) a gatekeeper training for assessing suicide risk among older adults, and (b) CALM (Counseling on Access to Lethal Means)—a brief training that teaches effective strategies to talk with clients about reducing access to lethal means. A second objective of this study is to report on changes in providers’ knowledge, attitudes, and practices immediately posttraining related to suicide and firearm assessment and safety counseling with community dwelling older adults. Sixty-six employees in one regional office participated in the study. Results indicated that training increased participants’ perceived knowledge, preparedness, and efficacy regarding suicide assessment. Training also positively impacted knowledge and attitudes of firearm assessment and safety counseling among participants. At posttest, however, gatekeeper reluctance did not demonstrate a significant decrease. This study is unique in its contribution to literature on suicide prevention training with its focus on geriatric care providers and attention to measuring firearm assessment and safety counseling.  相似文献   

6.
Little attention has been given to educating and training social work students and professionals about working with suicidal clients. This article summarizes the literature on client suicide and the professional social worker, as well as presents results from a mixed methods study, which utilized both qualitative and quantitative data collected from a national study on client suicide among social workers. The results indicate that 55% of social workers will experience at least one client suicide attempt and 31% will experience a client suicide completion during the course of their career. Additionally, less than 50% of the social workers surveyed received previous training or education about client suicide in their MSW programs. Suggestions from social workers for the content of training classes on client suicide are included. Implications for practice and research are also discussed.  相似文献   

7.
General practitioners (GPs) play a pivotal role in dementia recognition, yet research suggests that dementia often remains undetected in primary care. Lack of knowledge might be a major contributing factor to low recognition rates. Our objective was to address a gap in the scientific literature by exploring GPs’ knowledge on dementia and mild cognitive impairment (MCI) for the first time in Hungary by conducting a cross-sectional, questionnaire study among practicing GPs. Recruitment of the participants (n = 402) took place at mandatory postgraduate training courses and at national GP-conferences; the applied questionnaire was self-administered and contained both open-ended and fixed-response questions.

Results showed that GPs highlighted vascular and metabolic factors (38.3% of the answer items) and unhealthy lifestyle (29.1% of the answer items) as dementia risk factors. They perceived vascular dementia as the most common dementia form, followed by Alzheimer’s disease. Almost half of the respondents (44.9%) were not familiar with MCI. Most GPs identified memory problems (98.4%) and personality change (83.2%) as the leading symptoms of dementia.

In summary, GPs demonstrated adequate knowledge on areas more relevant to their practices and scope of duties (risk and preventive factors, main types and symptoms of dementia); however, uncertainties were uncovered regarding epidemiology, MCI, and pharmacological therapy. As only one-fifth (19.4%) of the GPs could participate recently in dementia-focused trainings, continued education might be beneficial to improve dementia detection rates in primary care.  相似文献   

8.
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9.
Most health care and social service providers are routinely required to work with elderly clients and clients’ aging family members. Research suggests that students entering these professions have knowledge deficits and lack positive attitudes toward older people. Few prefer to work with aging clients. Professional curricula are not providing students with adequate training to serve the current needs of this population, much less to meet projected increases in demand for services. To examine this issue, 67 master's students in nursing and social work completed questionnaires assessing (1) knowledge about aging, (2) attitudes toward old people, and (3) perceived barriers to gerontological education. Results confirmed the existence of knowledge deficits among respondents. Attitudes tended to be neutral rather than strongly positive or negative. Knowledge scores were related to attitudes, to respondents’ ages, and to their having lived in households with older relatives. Nursing students identified the greatest barriers in gerontological education as insufficient curriculum time and lack of academic role models. Social work students perceived lower status of work with the elderly and limited experience with healthy older people as the greatest barriers. The two groups agreed that fragmentation of services contributes to inadequate gerontological preparation. Findings suggest a need for didactic and experiential learning opportunities, reinforced by appropriate academic role models, for students in service professions.  相似文献   

10.
ABSTRACT

Institutions of higher education and their counseling centers are under intense pressure to prevent student suicide. This article proposes that routinely using threat assessment and management teams in working with suicidal students would add value to existing suicide prevention efforts. The unique features of threat assessment and management provide several advantages over traditional clinical intervention. First and foremost, the majority of students who die of suicide do not seek services from campus counseling centers. These students may, nonetheless, come to the attention of campus constituents in a number of ways and may readily be referred to a threat assessment and management team. For students who are clients of the counseling center, a campus should still activate a threat assessment and management process. In this way, threat assessment and management may be useful for students who refuse to seek help as well as in providing assistance when students are engaged in treatment. Nonetheless, higher education in general and counseling centers in particular have not engaged in a standard practice of involving threat assessment and management teams with students who present at risk for suicide. Limitations to clinical approaches for suicide prevention are reviewed in contrast with the complementary advantages of threat assessment and management as applied to suicidal students. Regularly including threat assessment and management in working with suicidal students in higher education may provide synergy in improving the likelihood of desirable outcomes in preventing suicides.  相似文献   

11.
The incidence and the impact of crime on college campuses are important issues for students and administrators alike. This study examines experiences with victimization and perceptions of crime on campus with a convenience sample of 997 students attending an urban university in Colorado. Approximately 8% of the student respondents indicated they had been victimized by at least one type of crime since first enrolling at the university. Respondents indicated low‐to‐moderate levels of fear and perceived risk of victimization on campus and viewed the campus as being moderately safe. Male and female respondents did not significantly differ in victimization rates, although gender differences were found in levels of fear, perceived risk of victimization, constrained behavior, and perceptions of overall safety on campus. The results from this study are compared to findings from the work of Jennings, Gover, and Pudrzynska in 2007, which examined campus crime among students at a traditional university, published in the Journal of Criminal Justice Education.  相似文献   

12.
A national telephone survey was conducted to examine potential differences between National Association of School Psychologists (NASP) members and non–NASP member school psychologists. Identified schools were contacted by telephone and the researchers asked to speak with the school psychologist. A sample of 124 practicing school psychologists was obtained. Overall, 57.3% (n = 71) of respondents were NASP members, and 42.7% (n = 53) were not. In most respects, current results were similar to NASP‐member‐only surveys. Current results suggest that previous studies overestimated the proportion of NASP members among school psychologists and may have underestimated the total number of school‐based practitioners. Significant differences between NASP members and nonmembers were found in ethnicity, national certification, professional organization membership, and use of Curriculum Based Measurement. Results are discussed in the context of previous national surveys. © 2008 Wiley Periodicals, Inc.  相似文献   

13.
Student suicides and attempted suicides are on the rise globally, and the numbers continue to climb steeply in most Westernized countries. School personnel remain untrained and uninformed in the area of suicide; few teachers or administrators can accurately identify the characteristics of suicidal behavior and fewer still have any knowledge of appropriate ways to deal with deeply troubled students. This article uses a powerful and tragic story of a student’s suicide as a catalyst for rethinking the structure and goals of mentoring relationships. A new approach, pairing novice teachers whose pre‐service education curriculum included specific training in recognizing and addressing the emotional needs of students with mentors experienced in real‐world classroom dynamics and the effects of school culture on children could improve the school experience for many students and potentially reduce the number of suicides or attempted suicides.  相似文献   

14.
Adolescent suicide is escalating, especially among White male teenagers who use drugs and/or alcohol, are depressed or cognitively rigid, have maladaptive families, have experienced recent loss, misunderstand death, and know a suicide victim. Teachers can foster suicide resistance by developing teens' cognitive deterrents and encouraging adaptive coping strategies. Recommended assessment tools for potentially suicidal children and teens include the Reasons for Living Inventory and the Suicidal Behaviors Questionnaire. For teachers, intervention strategies include listening empathically, asking directly about potential suicide, and breaking confidentiality in cases of an actively suicidal child or teenager. Administratively, helpful strategies are hot lines, suicide prevention training modules, and publicity of popular students' adaptive responses to stress such as drug rehabilitation or therapy. After suicide, administrators should work to diminish survivor guilt, minimize scapegoating, and prevent contagion.  相似文献   

15.
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16.
This paper tells the story of how a group of teacher educators in a university education department used action research to examine their research situation, and what conclusions they reached. Some recent historical background puts the study in context, identifying tensions between university expectations and time‐heavy teaching demands that operated as obstacles to research activity. This context is shared by many academics who provide training for practitioners in UK universities that seek substantial funding through their performance in national research quality assessments. The project was initially organised in Spring 2007 by new research staff who had investigated staff perceptions of and interests in research through semi‐formal interviews, observations and documentation. An invited group turned to action research as a possible way forward. They asked the question ‘What kind of research culture do we want, and how can we get it?’ Over a year, all participants gathered at semi‐formal meetings for collaborative reflection and discussion, engaged in a diversity of micro‐researches that experimented with ways of researching around the barriers, and wrote a collaborative paper about what they had learned. This gave rise to a series of national and international conference presentations that drew several of the group members into the wider research community. The group members grew to realise that the kind of research that they perceived the institution to value was not necessarily a kind that was readily built into their identities as teacher educators. But this realisation itself was empowering, exposing previously opaque assumptions that had left a felt irreconcilability that had been difficult to articulate.  相似文献   

17.
Practitioner‐members of the National Association of School Psychologists (N = 208) completed questionnaires regarding their ethics training, preparedness, the types of ethical transgressions and dilemmas encountered in the previous year, and the strategies used to solve problems. Respondents who received multilevel training in ethics (ethics coursework, ethics instruction in multiple classes, ethics addressed in practicum/internship) perceived themselves to be better prepared to tackle difficult challenges and were more likely to use a systematic problem‐solving strategy when faced with an ethical dilemma than respondents who did not receive multilevel training. Assessment‐related ethical transgressions and failure to follow up on interventions were the two most commonly witnessed types of ethics code violations; troublesome dilemmas included whether to suspect child abuse, whether to tell parents about their child's risky behavior, and how to handle administrative pressure to engage in unethical actions. Implications for ethics training are discussed. © 2011 Wiley Periodicals, Inc.  相似文献   

18.
We evaluated influences on the climate change risk perceptions of undergraduate students in an introductory Earth Science course. For this sample, domain‐specific content knowledge about climate change was a significant predictor of students' risk perception of climate change while cultural worldviews (individualism, hierarchy) and political orientation were not. These results contrast with previous studies highlighting worldviews as a dominant influence on risk perception. At the beginning of the semester, students' climate change content knowledge was relatively low, with average scores on a 21‐item test less than 50%. Post instruction results indicated that students learned climate change science during the course, and their perceptions of risks associated with climate change increased. Unlike most prior research evaluating links between climate change knowledge and risk perception, our measure of content knowledge was a validated assessment specific to climate change. Use of this specific climate knowledge test may be one reason that we detected a relationship between climate knowledge and risk perception whereas most of the previous research has not. Another—possibly complementary—explanation may be a generational shift between our study sample and prior samples. Undergraduates today, having grown up with more exposure to climate change in schools and the media than previous generations, may be diverging from average adults in that learning climate science appears to also increase their perceptions of the risks climate change poses. Undergraduate courses with embedded climate‐related activities present an opportunity to both increase climate science knowledge and risk perceptions of future decision makers.  相似文献   

19.
A national sample of 320 school‐based, practicing members of the National Association of School Psychologists provided information on (a) their caseloads receiving medications, (b) types of school psychopharmacology training opportunities available and perceptions of their current training in child psychopharmacology, and (c) information about consultative efforts in monitoring medication effects on school functioning. Results indicated that almost one of every four cases seen by survey participants were being treated with psychotropic medications; nearly all respondents have engaged in consultation related to medication evaluations. Professional workshops and independent reading were the most utilized training opportunities, and participant responses indicated an overwhelming need for basic educational training to improve knowledge and consultation in this area. Implications of these findings on training in evidence‐based interventions and current practice are discussed as school psychologists experience legislative pressure to diminish their collaborative involvement in medication treatment consideration and evaluation. © 2006 Wiley Periodicals, Inc. Psychol Schs 43: 623–633, 2006.  相似文献   

20.
ABSTRACT

Despite elevated rates of suicide and evidence of poor mental health among medical professionals, there is a paucity of research in the UK into the mental health of students destined for these careers. This study estimated and compared the prevalence of mental ill-health in students studying veterinary medicine, medicine, dentistry and pharmacy in the United Kingdom. A group of law students was also included, who, although subject to similar stressors as undergraduates, do not go on to share a heightened risk of suicide as professionals. A total of 1744 respondents completed a questionnaire with validated measures to assess wellbeing, psychological distress, depression and suicidal ideation and attempts. Results indicated that law students experienced the poorest mental health of the student groups studied. Wellbeing was highest among veterinary and medical students. However, the medical students were the most likely to have previously attempted suicide. These findings highlight the importance of directly comparing student groups and of appropriately supporting students as they progress through training and into the professions.  相似文献   

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