The Role of Youth Trainee–Trainer Alliance and Involvement in School-Based Prevention: A Moderated-Mediation Model of Student Gatekeeper Suicide Prevention Training
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This study examined the roles that youth involvement and youth trainee–trainer alliance play in school mental health prevention within the context of youth suicide gatekeeper training. Measures included youth involvement in programming, trainee–trainer alliance, and intentions to refer at-risk youth at pre- and post-training. A moderated-mediation design was used to examine associations among these factors. Results show alliance mediating pre- and post-training referral intentions, and involvement moderating the relationship between alliance and post-training intentions. On average, trainee intentions improved from pre- to post-training, but trainees reporting high alliance endorsed higher post-training referral intentions regardless of involvement level. Low alliance resulted in lower than average post-training referral intentions, even with active involvement in programming, and those with both low alliance and involvement showed the lowest post-training referral intentions. Given these findings, fostering the youth trainee–trainer relationship may be an avenue to optimize prevention program effectiveness.
KeywordsTrainer alliance Youth trainee involvement Community prevention Suicide prevention School-based mental health
Special thanks to Sarah Gunderson, Renee Brown Hangartner, Jason I. Chen, Sarah J. Tarquini, and Krista Kutash for their invaluable assistance.
This research was supported by Substance Abuse and Mental Health Administration Grants (#SM57442-01, 02–3) to Drs. Karver, Kutash, and Totura. Dr. Labouliere was supported as a post-doctoral fellow by Award #2T32 MH16434-34 from the National Institute of Mental Health (NIMH) at the National Institutes of Health (NIH). The contents of the manuscript are solely the responsibility of the authors and do not necessarily represent the official views of NIMH or SAMHSA.
Compliance with Ethical Standards
Conflict of interest
The authors declare that they have no conflicts of interest.
All procedures performed in this study involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed consent was obtained from all participants included in the study via university Institutional Review Board approved waiver of parental signed informed consent.
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