Training school staff with simulation reduced student suicide attempts and severe suicidal ideation at 12 months, among the few RCTs measuring patient outcomes¶

Claim · All claims
Evidence · 1 study · quant-synthesis r3 · q2 · i2 medium
Currency · newest study 2023 · not yet checked against its sources · not reviewed by a person

Subclaims¶

q2 i2 Wasserman et al. found a significant decrease at 12 months post-training in incidence of suicide attempts (OR = 0.45) and severe suicidal ideation (OR = 0.50) after school staff were trained with role-plays versus posters. → Richard Océane 2023

Evidence¶

Richard Océane 2023¶

Richard Océane, Jollant Fabrice, Billon Grégoire, Attoe Chris, Vodovar Dominique, Piot Marie-Aude. (2023). Simulation training in suicide risk assessment and intervention: a systematic review and meta-analysis. Medical Education Online. https://doi.org/10.1080/10872981.2023.2199469

q2 · i2 · quant-synthesis · r3

Narrative synthesis of 3 RCTs (n = 13,401) assessing patient outcomes; two found significant results. The review reports Wasserman et al.'s school-based trial found "a significant decrease with simulation at 12-months post-training" in suicide attempts (OR = 0.45) and severe suicidal ideation (OR = 0.50), printed odds ratios.

"There was no difference at three-months post-training, but a significant decrease with simulation at 12-months post-training of the incidence of suicide attempts (Odd Ratio (OR) = 0.45, 95% CI 0.24–0.85, p < 0.014) and of severe suicidal ideation (OR 0.50, 95% CI 0.27–0.92, p < 0.025)."

Discussion¶

Related Claims¶

• RCTs report objective behavioral changes after simulation training, including increased peer referral, longer crisis-line calls, and improved management of suicidal crises — related
• Secondary students in PUSD reported declining rates of chronic sadness/hopelessness and suicidal ideation from 2020/21 to 2022/23 — related