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Date of Award


Degree Type

Restricted Evidence-Based Project Report

Degree Name

Doctor of Nursing Practice (DNP)



First Advisor

Julie M. Brandy


Youth suicide is a public health crisis. The Centers for Disease Control and Prevention (CDC) reported that in 2007 suicide was the third leading cause of death in persons between 15 and 24 years of age. Suicide accounts for 12.2% of all deaths in this age group annually. This evidence-based practice (EBP) project focused on assessing the significance of gatekeeper training on knowledge and self-efficacy of suicide prevention in school district employees. This question was answered by analyzing the data collected from the knowledge assessments of four Question, Persuade, Refer (QPR) trainings given to a convenience sample of individuals employed in a large school district located in Northwest Indiana. QPR is an uncomplicated educational program that teaches individuals to recognize mental health and suicidal emergencies. Dorothea Orem’s (2001) Self-Care Deficit Nursing Theory provided a framework to guide the nursing care and Rogers’ (1995) Diffusion of Innovations provides the framework to guide the implementation of the evidence-based practice. There is significant evidence in the literature that QPR Gatekeeper training is beneficial in increasing perceived and declarative knowledge of suicide related facts and self-efficacy for intervening with suicidal individuals. Repeated measure ANOVA tests were conducted to analyze and compare the data collected during the three testing phases. As anticipated, based on an extensive review of current literature, participants’ perceived knowledge, perceived self- efficacy of suicide prevention, and factual knowledge about suicide and suicide prevention improved from pre to post training assessments.


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