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Training
Skills Assessment- Post Training
(TSA-P)
As
part of the Evaluation of GLS suicide prevention programs across the
country, we are inviting participants of GLS funded training
activities to complete the following brief survey. This survey will
assess your knowledge, attitudes and behaviors related to youth
suicide prevention. The survey will take approximately 20 minutes to
complete.
A
sample of participants who complete today’s survey will be
eligible to participate in two follow-up surveys and a phone
simulation (a simulated conversation with an ‘at-risk youth’).
If you are selected to participate in these additional data
collection activities, you will receive $20 per survey and $50 for
the phone simulation. There will be more information at the end of
the survey about both of these data collection efforts.
Rights Regarding
Participation: Your input is important; however, your
participation in this survey is completely voluntary. There are no
penalties or consequences for not participating. You can choose to
stop the survey at any time, or not answer a question for whatever
reason.
Privacy: Your
name will never appear in any report that summarizes the findings of
the National Outcomes Evaluation. All findings will be reported in
aggregate; that is, they will be combined with responses from other
individuals. If you are selected to participate in follow-up surveys
your responses across administration will be linked with a unique
identifier—your name and responses will not be linked. Your
individual responses will not be shared with the trainer or other
grantee-funded staff.
Risks:
Completing this survey poses few, if any, risks to you. Some
questions may make you feel uncomfortable. You can choose not to
answer any question for any reason. You may choose to stop the survey
at any time, or not answer a question for whatever reason. You will
not be penalized for stopping. You can contact the principal
investigator of the project at any time.
Benefits:
Your participation will not result in any direct benefits to you.
However, your input will contribute to a national effort to prevent
suicide.
Contact
Information: If you have any concerns about completing this
survey or have any questions about the study, please contact
Christine Walrath, principal investigator, at (646) 695-8154 or
[email protected]
Do you agree to
participate in this survey?
Can you confirm
that you are over 18 years of age?
Please verify that you attended the following
training
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Yes, this is the training I
attended.
No, this is not the training I attended
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Overall did
the training help to advance:
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Not at all
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Somewhat
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A great deal
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Your knowledge about suicide prevention?
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Your confidence in identifying individuals
with suicidal thoughts and behaviors?
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Your confidence in managing individuals with
suicidal thoughts and behaviors?
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Do you expect
to use your training to do any of the following? Select
all that apply.
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Screen youth for suicidal
behaviors (i.e., using a screening tool)
Formally publicize information
about suicide prevention or mental health resources
Have informal conversations
about suicide and suicide prevention with youth and others
Identify youth who might be at
risk for suicide
Provide direct services to
youth at risk for suicide and/or their families
Train other staff members to
intervene with youth at risk for suicide
Make referrals to mental health
services for at-risk youth
Work with adult at-risk
populations
Other, please specify:
None of the above
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Did the
training meet the needs of your community?
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Yes [Continue to 6a]
No [Go to 7]
Don’t know [Go to 7]
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a. If yes, how did the training meet the needs of your
community? Select all that apply.
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Training was practical
Training provided new skills to
intervene with youth at risk for suicide
Training was tailored to my
community's culture with relatable language, photos, or images
The training used examples that
applied to my community
The presenter was engaging
Other, please specify:
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b. If no, why not?
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In the last 12 months, how many trainings
about suicide or suicide prevention have you attended? Please
do not include in-person or online conference or meeting
presentations.
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None [Go to 8]
1 [Continue to 7a]
2-5 [Continue to 7a]
6-10 [Continue to 7a]
10+ [Continue to 7a]
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a. If one or more trainings, which training(s) about suicide or
suicide prevention have you received?
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Gatekeeper
Screening or suicide risk
assessment
AMSR (Assessing and Managing
Suicide Risk)
CASE Approach (Chronological
Assessment of Suicide Events)
Commitment to Living
Columbia Suicide Severity
Rating Scale (C-SSRS)
QPRT Suicide Risk Assessment
and Management Training (not basic QPR training)
RRSR (Recognizing and
Responding to Suicide Risk)
suicide to Hope
An in-service or webinar
training at my organization
An in-service or webinar
training at a former organization
A different training on
screening or suicide risk assessment, please specify:
Suicide-specific evidence-based
treatment approaches
CAMS (Collaborative Assessment
and Management of Suicide)
CBT-SP (Cognitive Behavior
Therapy for Suicide Prevention)
DBT (Dialectical Behavior
Therapy)
Another training, please specify:
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Why did you
participate in today’s training? Select all that
apply
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How would you
rate your knowledge of the following items:
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Very High
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High
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Low
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Very Low
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Don’t Know
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Procedures that define each employee’s
role in preventing suicide
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Warning signs of suicide
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How to ask someone about suicide
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Persuading someone to get help
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Local referral sources
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How confident
do you feel in your ability to:
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Very Confident
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Confident
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Somewhat confident
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Not at all confident
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Recognize suicidality (including warning
signs)
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Conduct a suicide risk assessment
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Engage and connect with the suicidal person
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Identify appropriate response to the person
in crisis
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Make appropriate referrals and connections
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Counsel on access to lethal means
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Help someone to create a collaborative
safety plan
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In the last 6 months, have you
identified youth you thought might be at risk for suicide?
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If yes, about how many youths have you
identified in the last 12 months?
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Thinking about the one youth you
identified most recently, did you…
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Yes
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No
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Don’t Know
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ask the youth whether she/he was considering
suicide?
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refer the youth to get further
assistance or support?
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notify that referral resource about
the referral?
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take the youth to the service or
resources you were recommending?
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receive a formal confirmation that
the youth received the service?
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Rate
your agreement with the following statements
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Strongly agree
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Agree
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Neutral
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Disagree
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Strongly disagree
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My organization provides me access to
ongoing support and resources to further my understanding of
suicide prevention.
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I believe suicide prevention is an important
part of my professional role.
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The leadership at this organization has
explicitly indicated that suicide prevention is a priority.
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Please
indicate the primary setting in which you interact with youth.
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Child
welfare
Education
(K-12)
Emergency
response
Higher
education (college/university)
Juvenile
justice/Probation
Law
enforcement
Mental
Health
Primary
health care (other than mental health)
Substance
abuse treatment
Tribal
services/Tribal government
Other
community settings,
specify:
Don’t
know
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Please select the ONE ROLE that you feel best describes you.
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If education (K–12)
Teacher
School administrator
Mental health
clinician/Counselor/Psychologist
Social worker/Case worker/Care
coordinator
Emergency/Crisis care worker
Program evaluator
Administrative
assistant/Clerical support personnel
Academic advisor
Tutor
Other, please specify:
Don’t Know
If substance abuse
Program/System administrator
Mental health
clinician/Counselor/ Psychologist
Social worker/Case worker/Care
coordinator
Emergency/Crisis care worker
Program evaluator
Administrative
assistant/Clerical support personnel
Other, please specify
Don’t Know
If juvenile
justice/probation
Program/System administrator
Probation officer
Social worker/Case worker/Care
coordinator
Detention facility guard
Program evaluator
Administrative
assistant/Clerical support personnel
Other, please specify
Don’t Know
If law enforcement
Police officer
School resource officer
Judge
Other, please specify
Don’t Know
If emergency response
Police officer or other law
enforcement staff
Program/Systems administrator
Emergency medical technician
Fire fighter
Program evaluator
Administrative
assistant/Clerical support personnel
Other, please specify
Don’t Know
If higher education
(college/university)
Faculty/Professor/Researcher
Administrator (e.g., dean’s
office, vice president, provost)
Residential life staff
Mental health
clinician/Counselor/ Psychologist
Social worker/Case worker/Care
coordinator
Emergency/Crisis care worker
Program evaluator
Administrative
assistant/Clerical support personnel
Student
Other, please specify
Don’t Know
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If tribal services/tribal government
Traditional tribal healer
Tribal elder
Elected tribal official
Program/System administrator
Mental health
clinician/Counselor/ Psychologist
Social worker/Case worker/Care
coordinator
Community outreach worker
Emergency/Crisis care worker
Program evaluator
Administrative
assistant/Clerical support personnel
Other, please specify
Don’t Know
If child welfare
Program/System administrator
Mental health
clinician/
Counselor/ Psychologist
Social worker/Case worker/Care
coordinator
Emergency/Crisis care worker
Program evaluator
Administrative
assistant/Clerical support personnel
Other, please specify
Don’t Know
If mental health
Program/System administrator
Mental health
clinician/Counselor/ Psychologist
Social worker/Case worker/Care
coordinator
Emergency/Crisis care worker
Program evaluator
Administrative
assistant/Clerical support personnel
Other, please specify
Don’t Know
If primary health care (other
than mental health)
Program/System administrator
Physician
Nurse
Nursing assistant/Health
technician
Program evaluator
Administrative
assistant/Clerical support personnel
Other, please specify
Don’t Know
If other community settings
Parent or foster/Resource
parent
Other caregiver
Relative
Youth mentor
Volunteer (i.e., Big Brother
Big Sister, CASA)
Youth advocate
Clergy/Religious educator
Other, please specify
Don’t know
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Thinking about the
primary setting in which you interact with youth, about how
many other peers/colleagues in that setting have received
training in suicide prevention?
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All
Most
Some
None
Don’t know
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What
is your gender?
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What is your age?
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How
many years of experience do you have:
Working
with youth
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Working
in suicide prevention
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In
your current field or role
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Are you a veteran
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Yes
No
Don’t Know
Refused
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Are you Hispanic or Latino
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Yes [Go to 16a]
No [Go to 17]
Don’t Know [Go
to 17]
Refused [Go to 17]
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If
yes, which group represents you?
Select
all that apply
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What is your
race? Select all that apply
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What is your service area? (Where you work)
County 1
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County 2 (if needed)
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County 3 (if needed)
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If your service area/area of the youth you
serve can be defined at a zip code level, please include the zip
code where you are employed/office location.
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Telehealth
services/ no defined service area
Please include your home zip code
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POST SURVEY CONSENT
TO CONTACT
A
sample of participants who complete today’s survey will be
eligible to participate in up to three additional data collection
efforts.
A
sample of participants will be recontacted in 6 and 12 months to
complete a web-based follow-up survey. These surveys will assess
long term behavior change. These surveys will take approximately 20
minutes to complete.
A
sample of participants will be contacted in approximately 3 months
to participate in a phone simulation with an at-risk youth. During
this phone simulation, we will assess relevant suicide prevention
skills. The phone simulation will take approximately 30 minutes and
may be scheduled at your convenience.
If
you are selected to participate in these additional data collection
activities, you will receive $20 per survey and $50 for the phone
simulation.
Please
note, indicating your willingness to participate does not mean that
you will be contacted for additional survey opportunities. You may
not be asked to participate in these activities.
Do
you agree to participate in a follow-up survey at 6 and 12 months?
Do
you agree to be contacted for a phone simulation?
Name
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Work email
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Personal email
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Work phone number
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Cell phone number
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File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Sommerfeldt, Hope |
File Modified | 0000-00-00 |
File Created | 2023-12-12 |