Date of Conferral





Health Services


Hussey Leslie


Suicide is the 10th leading cause of death among adults in the United States and one of the top 10 most commonly occurring events that lead to serious injury or death in the hospital. Nurse leaders who are not working in psychiatric facility are instrumental in promoting culture of safety to mitigate adverse outcomes like suicide. The purpose of this single group pre-and post-test study, guided by the theory of planned behavior, was to determine the effect of the American Psychiatric Nurses Association Competency-Based Training for Suicide Prevention (Acute Care Setting Course) on the knowledge, attitude, and behavior (KAB) of 37 nurse leaders toward suicide prevention. KAB of the nurse leaders was measured using the Emergency Department Safety Assessment and Follow-Up Evaluation. Data were matched and analyzed using the Wilcoxon sign ranked test, which showed a statistically significant difference in the nurse leaders’ pre-and post-test knowledge and behavior toward suicide prevention. Results were mixed about the nurse leader’s attitude toward suicide prevention. Two ED-SAFE questions measured the nurse leader’s attitude toward suicide prevention. “Universal screening for suicide will result in increased psychiatric evaluation.” (pre-test =3.0 , posttest =4.0, z = -3.619, p < 0.001, r = 0.60). “Universal screening for suicide will slow down clinical care (pre-test =1.0 , posttest =1.0, z=- 1.020, p< .308, r= 0.17).Future research should focus on evaluating the impact of suicide prevention training on the nurse leaders’ KAB toward suicide prevention using positive patient outcomes to evaluate the education’s effect over time. Nurse leaders’ training in suicide prevention is imperative to empower nurse leaders in promoting suicide prevention in hospitals, which will effect positive social change.