Outcome
| Type |
Measure |
Description |
Time frame |
Safety issue |
| Primary |
Change in proportion of participants who ask about suicide. |
An online survey will include a written case that asks participants what they would say to a patient who has expressed verbal suicide warning sign(s). Blinded coders will review the open-ended response to determine whether the participant asks about suicide. The responses will be coded as no=0 and yes=1. |
Baseline and immediately post-intervention |
|
| Secondary |
Change in proportion of participants who report they would call the National Suicide Prevention Lifeline. |
An online survey will include a written case with an open-ended question that asks if, and where, participants would refer a patient who has expressed verbal suicide warning sign(s). Blinded coders will review the open-ended response to determine whether the participant reported they would call the National Suicide Prevention Lifeline. The responses will be coded as no=0 and yes=1. |
Baseline and immediately post-intervention |
|
| Secondary |
Change in suicide prevention knowledge score from baseline to immediate post-intervention. |
An online survey including 5 multiple choice and 5 true-false questions will assess participants suicide prevention knowledge based on the content of Pharm-SAVES.A summary score that assesses the total number of correct answers (range: 0-10) will be created, with higher scores reflecting higher knowledge. |
Baseline and immediately post-intervention |
|
| Secondary |
Change in mean suicide prevention self-efficacy score from baseline to immediate post-intervention. |
A 6-item scale will be used to assess gatekeeper efficacy, or how confident trainees are that they can perform various suicide prevention tasks, including identifying signs of suicide and making a referral. Response options range from 1=not at all confident to 5=extremely confident. Item responses for each individual will be averaged to create a mean score, with higher scores indicating higher gatekeeper efficacy. Scores will range from 1 to 5. |
Baseline and immediately post-intervention |
|
| Secondary |
Change in mean suicide prevention self-efficacy score from baseline to 1-month follow-up |
A 6-item scale to will be used assess gatekeeper efficacy, or how confident trainees are that they can perform various suicide prevention tasks, including identifying signs of suicide and making a referral. Response options range from 1=not at all confident to 5=extremely confident. Item responses for each individual will be averaged to create a mean score, with higher scores indicating higher gatekeeper efficacy. Scores will range from 1 to 5. |
Baseline and 1-month follow-up |
|
| Secondary |
Change in mean suicide prevention preparedness score from baseline to immediate post-intervention. |
Six items from a validated scale will be used to assess gatekeeper preparedness, or how well-prepared trainees feel they are to perform gatekeeper activities, including to "ask appropriate questions about suicide." Response options range from 1=not prepared to 7=quite well-prepared. Item responses for each individual will be averaged, and higher scores will indicate higher levels of gatekeeper preparedness. Scores will range from 1 to 7. |
Baseline and immediately post-intervention |
|
| Secondary |
Change in mean suicide prevention preparedness score from baseline to 1-month follow-up. |
Six items from a validated scale will be used to assess gatekeeper preparedness, or how well-prepared trainees feel they are to perform gatekeeper activities, including to "ask appropriate questions about suicide." Response options range from 1=not prepared to 7=quite well-prepared. Item responses for each individual will be averaged, and higher scores will indicate higher levels of gatekeeper preparedness. Scores will range from 1 to 7. |
Baseline and 1-month follow-up |
|
| Secondary |
Proportion of participants who ask about suicide (optional) |
At 1-month follow-up, participants can choose to complete a video-recorded standardized patient assessment via Zoom. One live standardized patient will enact a scenario in which they express verbal suicide warnings signs. After completion of the live standardized patient (SP) assessment, the participant will watch a pre-recorded video of a second standardized patient who also expressed suicide warning signs. The live SP will then ask the participant how they would respond to the person depicted in the pre-recorded video. Using an observation guide, two masked coders will independently view the videos from each SP scenario and document whether the participant asked a direct question about suicide (yes/no). Examples of direct questions are provided in the observation guide. Scores for asking will range from 0 to 2. |
1-month follow-up |
|
