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Men seem to be less likely to seek professional or informal help and less likely to communicate directly to their closest contacts about suicidal intentions; however, they still show signs of change (eg, further self-isolation, sudden anger, or hopelessness) before the suicide, which makes gatekeeper interventions all the more important [13,14].
Training gatekeepers on how to approach men at risk, and react appropriately in case of disclosure, is of paramount importance.
JMIR Form Res 2025;9:e59829
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GKT builds the self-efficacy of those acting as a gatekeeper, such as speaking to people at risk of suicide. A recent meta-analysis in the United States reported the effectiveness of GKT in universities on suicide prevention knowledge, skills, and self-efficacy [12]. Thus, increasing a student’s self-efficacy as a gatekeeper leads to more gatekeeper actions and, as a result, suicide prevention.
Students, however, may encounter obstacles in attending a GKT program.
JMIR Res Protoc 2022;11(4):e34832
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