A Mixed Method study to Identify Suicidal Risk of Adolescents and Evaluate the Efficacy of QPR Gatekeeper Training on Knowledge and Self Efficacy in Preventing of Adolescents Suicide by Selected Gatekeepers in Pudukottai

Abstract

Aim and Objectives: The present study is aimed to evaluate the effect of QPR Gatekeeper training on knowledge and self-efficacy in preventing of adolescent suicide by selected gatekeepers in Pudukkottai. The objectives of this study were to: 1. To identify the suicidal risk groups among adolescents at selected villages in Pudukkottai. 2. To recognize the suicidal influence among adolescent from the case study composition among the various category of suicide victims. 3. To compare the pre and post-test mean score of gatekeeper s knowledge in preventing adolescent suicide among selected gatekeepers. 4. To compare the pre and post-test mean score of gatekeeper s self-efficacy in preventing adolescent suicide among selected gatekeepers. The adapted conceptual framework in this study was on refined Quality Health Outcome Model (QHOM) reframed by Radwin in the year 2010. Methods: In order to achieve the objectives of this study, mixed method approach were adopted, so that both quantitative and qualitative research stages got combined by using sequential explanatory design. Results: In quantitative approach, comparison of pre and post-test gatekeeper s knowledge on handling suicidal risk adolescents scores by paired t test was calculated to analyze the effectiveness of Question, Question, Persuade, and Refer (QPR) Gatekeeper training. The overall t value 8.765 was high as compared to statistical table value and P value was 0.000, which interpreted that statistically true significant difference. Conclusion: The study concluded that the major root cause for adolescent suicide is Maladjustments towards stress, Variety of pain which always suppress individual s potentials, Un-familiarity with one s own decision, Stagnation due to lack of hope, Delusional overload, Coping skills corrupted with suicidal thoughts. The study also accomplished that improving the knowledge and self-efficacy of gatekeepers regarding QPR Gatekeeper training can be a best source to control adolescent suicides.