ASIST Research and Evaluation

Impact of Applied Suicide Intervention Skills Training on the National Suicide Prevention Lifeline, 2013
This Randomized Controlled Study found that callers who talked to a crisis line counselor trained in ASIST were statistically less suicidal, less depressed, less overwhelmed and more hopeful than callers who talked to a crisis line counselor trained in a method other than ASIST. The lead author was Dr. Madelyn Gould of Columbia University. The study was published in Suicide and Life-Threatening Behavior, the official Journal of the American Association of Suicidology. A brief description of the study can be found here.

Analysis of the Benefits and Costs of CalMHSA’s Investment in Applied Suicide Intervention Skills Training (ASIST), 2015
Conducted by researchers from the RAND Corporation, this cost-benefit analysis found that California’s implementation of ASIST will significantly reduce suicide attempts, deaths, and associated costs for years to come. Drawing on a wide cross-section of data, the research illustrates how ASIST training is a cost-effective way to save lives on a large scale.

Applied Suicide Intervention Skills Training: Trainee Experiences, Recommendations, and Post-Training Behavior, 2010
Co-authored by the Substance Abuse and Mental Health Services Administration (SAMHSA) and ICF/MACRO, this qualitative study of ASIST training participants found increased self-efficacy, heightened awareness, improved communication skills, increased information sharing and increased interventions due to ASIST training. 

The Use and Impact of Applied Suicide Intervention Skills Training (ASIST) in Scotland: An Evaluation, 2008
This Scottish study of ASIST found increased knowledge, helping attitudes, skills and interventions in ASIST-trained caregivers in addition to broad reductions stigma and increased suicide prevention awareness within communities and organizations.

Making it Safer: A Health Centre’s Strategy for Suicide Prevention, 2007
Conducted by Nora McAuliffe and Lynda Perry this study demonstrated that ASIST training in a large community hospital contributed to improved clinical outcomes for consumers. Outcomes associated with ASIST training included increased identification of those at risk for suicide and a corresponding reduction in hospital admissions as hospital staff were better able to assess risk and provide appropriate alternatives to hospitalization.

Review of the Applied Suicide Intervention Skills Training Program (ASIST): Rationale, Evaluation Results, and Directions for Future Research, 2010
This review compiles results from 20 evaluations of ASIST from five different countries. The review found that ASIST training consistently increased knowledge, attitudes, skills and intervention behaviors of participants.

Applied Suicide Intervention Skills Training: Evidence in Support of the ASIST 11 Program, 2013
This review provides evidence in support of the rationale, content, teaching and learning processes of ASIST training, particularly as it applies to ASIST 11.

National Registry of Evidence-Based Programs and Practices (NREPP)


ASIST is one of only 2 suicide intervention programmes
to be included in the new, more rigorous, review criteria on the National Registry of Evidence-Based Programs and Practices (NREPP)Substance Abuse and Mental Health Services Administration's (SAMHSA) NREPP promotes the adoption of scientifically established behavioral health interventions.

The NREPP is an evidence-based repository and review system designed to provide the public with reliable information on mental health and substance abuse interventions. All interventions in the registry have met NREPP's have been through a rigorous process for review. The programs' effects on individual outcomes have been independently rated by certified NREPP reviewers.  The purpose of NREPP is to help people learn more about available evidence-based programs and practices and determine which of these may best meet their needs. NREPP is one way SAMHSA is working to improve access to information on evaluated interventions and reduce the lag time between creation of scientific knowledge and its practical application in the field.

ASIST. Intervention summary retrieved on Feb 29, 2015, from the Substance Abuse and Mental Health Services Administration's National Registry of Evidence-based Programs and Practices, http://www.nrepp.samhsa.gov/ProgramProfile.aspx?id=42

Suicide Prevention Best Practice Registry

ASIST is also on the Suicide Prevention Best Practice Registry as an evidence based training: http://www.sprc.org/bpr/section-i-evidence-based-programs