Assessing suicide management skills of emergency medical services providers before and after suicide intervention/prevention training with Lithuanian version of suicide intervention response inventory

Figures & data

Table 1 Sociodemographic characteristics of study participants, n=268

Characteristics	n	%	P-value
Gender			χ^2=241.54; P=0.00
Male	7	2.6
Female	261	97.4
Age (years), range	22–84		χ^2=130.16; P=0.00
Mean (SD)	47.28 (9.52)
Age groups (years)
<45	113	42
45–54	102	38
≥55	53	20
Employment period (years)	24.89 (10.22)		χ^2=156.42; P=0.00
Mean (SD)
Employment groups (years)
<15	42	15.7
15–29	125	46.6
≥30	101	37.7
Professional position			χ^2=46.80; P=0.00
Doctor	78	29
Nurse	190	71

Table 2 SIRI scores and factor pattern loadings (Varimax rotation)

SIRI items	Factors
	Factor I: Elaboration of the complaint and active response	Factor II: Reflection of negative feelings	Factor III	Factor IV
23	0.699
15	0.629
19	0.606
25	0.594
17	0.577
18	0.565
2	0.520
14	0.475
8	0.440
20	0.372			0.355
1	0.322
16		0.640
13		0.608
6		0.590
4		0.569
9		0.545		0.352
22		0.478
24		0.470
3		0.407
12		0.260
5			0.640
21			0.596
7			0.553
11			0.163	−0.634
10			0.295	0.508
Cronbach’s alpha (total 40.8% of variance)	0.764	0.735	0.443	0.329

Abbreviation: SIRI, Suicide Intervention Response Inventory.

Table 3 The SIRI-LT total scores before and after suicide prevention/intervention training among doctors and nurses

	Before training		After training		P-value Pre vs post
	Mean	SD	Mean	SD
Doctors	13.01	5.24	11.02	4.76	0.031*
Nurses	11.36	5.14	11.38	4.40	0.933
Total	11.85	5.21	11.24	4.48	0.250

Note: Significant difference:

* <0.05.

Abbreviation: SIRI-LT, Lithuanian version of Suicide Intervention Response Inventory.

Table 4 Comparison between suicide intervention skills (SIRI-LT) and sociodemographic characteristics

Sociodemographic characteristics	n	SIRI mean ± SD	Mean rank	Mann–Whitney U	Z	P-value
Age (years)				4,721.00	−6.43	<0.001*
≤47	137	13.90±4.41	161.54
≥48	127	9.63±5.18	101.17
Employment period				4,132.50	−6.09	<0.001*
Up to 25 years	123	14.07±4.55	150.40
From 26 years	120	9.86±4.94	95.37
Workload				5,889.00	−3.13	<0.01**
≤30 hours per week	184	11.19±5.21	124.51
≥40 hours per week	84	13.32±4.93	156.39

Note: Significant difference:

* <0.001;

** <0.01.

Abbreviation: SIRI-LT, Lithuanian version of Suicide Intervention Response Inventory.

Table 5 The significant changes of Suicide Intervention Response Inventory (SIRI-LT) item scores before and after suicide prevention/intervention training among doctors (n=78)

Item numbers	Before training		After training		P-value Pre vs post
	Mean	SD	Mean	SD
3. But my thoughts were so terrible … I could never tell anyone about them.	0.37	0.49	0.20**	0.40	0.009
4. Nobody can understand the pain which I’ve experienced. Sometimes I just feel that I need to mutilate myself, and that’s why I cut my wrists.	0.62	0.49	0.31***	0.47	,0.000
5. In any case, who are you? Are you a doctor? How can you possibly know what I have been through? You’ve probably had it much easier.	0.58	0.50	0.41**	0.50	0.047
10. How would you be able to help me? Have you ever wanted to commit suicide?	0.64	0.48	0.45**	0.50	0.039
15. Is it true that many people feel the same way? I thought that I was the only one who had such terrifying, sinful thoughts.	0.86	0.35	0.66**	0.48	0.027
22. Once, some time ago, I tried going to a therapist, but it didn’t help … Whatever I do now, nothing is going to change.	0.59	0.49	0.42**	0.50	0.021
23. My psychiatrist tells me that I’m experiencing anxiety neurosis. Do you think that that is exactly what’s wrong with me?	0.88	0.33	0.69**	0.47	0.015
Total score	13.01	5.24	11.02**	4.76	0.031

Note: Significant difference:

** <0.01;

*** <0.001.

Abbreviation: SIRI-LT, Lithuanian version of Suicide Intervention Response Inventory.

Table 6 The significant changes of SIRI-LT item scores before and after suicide prevention/intervention training among nurses (n=190)

Item numbers	Before training		After training		P-value Pre vs post
	Mean	SD	Mean	SD
3. But my thoughts were so terrible … I could never tell anyone about them.	0.34	0.47	0.21*	0.41	0.010
13. I don’t know why I’m calling you. My family is affluent, and my husband spends enough time with me despite his successful career in law. Even my children are doing well. They get good grades at school and they have plenty of leisure activities with their friends. But it seems that nothing interests me anymore. Life is just a drag.	0.09	0.29	0.18*	0.39	0.019
16. I am so lonely, so tired. [sobbing] There’s just nothing left to turn to.	0.33	0.47	0.44*	0.50	0.030
19. Regardless, why should you care about me?	0.70	0.46	0.59*	0.49	0.022
23. My psychiatrist tells me that I’m experiencing anxiety neurosis. Do you think that that is exactly what’s wrong with me?	0.86	0.35	0.74*	0.44	0.023
Total score	11.36	5.14	11.38	4.40	0.933

Note: Significant difference:

* <0.01.

Abbreviation: SIRI-LT, Lithuanian version of Suicide Intervention Response Inventory.