Tsa-p

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 christine.walrath@icf.com

1. Do you agree to participate in this survey?

• YES

• NO

2. Can you confirm that you are over 18 years of age?

• YES

• NO

Please verify that you attended the following training

Yes, this is the training I attended. No, this is not the training I attended

Overall did the training help to advance:

	Not at all	Somewhat	A great deal
Your knowledge about suicide prevention?
Your confidence in identifying individuals with suicidal thoughts and behaviors?
Your confidence in managing individuals with suicidal thoughts and behaviors?

Do you expect to use your training to do any of the following?  Select all that apply.		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
Did the training meet the needs of your community?		Yes [Continue to 6a] No [Go to 7] Don’t know [Go to 7]
	a. If yes, how did the training meet the needs of your community? Select all that apply.	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:
	b. If no, why not?
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.		None [Go to 8] 1 [Continue to 7a] 2-5 [Continue to 7a] 6-10 [Continue to 7a] 10+ [Continue to 7a]
	a. If one or more trainings, which training(s) about suicide or suicide prevention have you received?	Gatekeeper American Indian Lifeskills ASIST Kognito Mental Health First Aid QPR safeTALK Signs of Suicide Another training, please specify: 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:
Why did you participate in today’s training? Select all that apply		Job requirement Credential or certification requirement Personal interest Other, please specify:

How would you rate your knowledge of the following items:

	Very High	High	Low	Very Low	Don’t Know
Procedures that define each employee’s role in preventing suicide
Warning signs of suicide
How to ask someone about suicide
Persuading someone to get help
Local referral sources

How confident do you feel in your ability to:

	Very Confident	Confident	Somewhat confident	Not at all confident
Recognize suicidality (including warning signs)
Conduct a suicide risk assessment
Engage and connect with the suicidal person
Identify appropriate response to the person in crisis
Make appropriate referrals and connections
Counsel on access to lethal means
Help someone to create a collaborative safety plan

In the last 6 months, have you identified youth you thought might be at risk for suicide?		Yes [Continue to 21a and 21b] No [Go to 22] Don’t know [Go to 22]
	If yes, about how many youths have you identified in the last 12 months?
	Thinking about the one youth you identified most recently, did you…	Yes	No	Don’t Know
	ask the youth whether she/he was considering suicide?
	refer the youth to get further assistance or support?
	notify that referral resource about the referral?
	take the youth to the service or resources you were recommending?
	receive a formal confirmation that the youth received the service?

Rate your agreement with the following statements

	Strongly agree	Agree	Neutral	Disagree	Strongly disagree
My organization provides me access to ongoing support and resources to further my understanding of suicide prevention.
I believe suicide prevention is an important part of my professional role.
The leadership at this organization has explicitly indicated that suicide prevention is a priority.

Please indicate the primary setting in which you interact with youth.		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
	Please select the ONE ROLE that you feel best describes you.
	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	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
	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?	All Most Some None Don’t know
What is your gender?		Female  Male  Transgender (Male to Female) Transgender (Female to Male) Gender nonconforming  Other Don’t Know
What is your age?

How many years of experience do you have:

Working with youth
Working in suicide prevention
In your current field or role

Are you a veteran		Yes  No  Don’t Know  Refused
Are you Hispanic or Latino		Yes  [Go to 16a] No [Go to 17] Don’t Know [Go to 17] Refused [Go to 17]
	If yes, which group represents you? Select all that apply	Mexican, Mexican American, or Chicano  Puerto Rican  Cuban  Dominican  Central American  South American  Other Hispanic or Latino  Don’t know
What is your race? Select all that apply		American Indian or Alaska Native  Asian  Black or African American  Guamanian or Chamorro Samoan Native Hawaiian Other Pacific Islander  White  Other race  Don’t know

What is your service area? (Where you work)

County 1
County 2 (if needed)
County 3 (if needed)

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.
Telehealth services/ no defined service area Please include your home zip code

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?

• YES

• NO

Do you agree to be contacted for a phone simulation?

• YES

• NO

Name
Work email
Personal email
Work phone number
Cell phone number