A feasibility study of an AI-based virtual human training design in suicide gatekeeper education
Bibliographic Data
| ID | 21448205 |
|---|---|
| Authors | Pei-I Lee (National Taiwan University), Chia‐Yi Wu (0000-0003-1756-557X, National Taiwan University, corresponding author), Chia-Yi Wu (National Taiwan University) |
| Year | 2026 |
| Volume | 48 |
| Issue | 3 |
| Pages | 467-475 |
| Publication date | 2026-03-04 |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Teacher (JOURNAL) |
| Journal identifiers | ISSN: 0142-159X • E-ISSN: 1466-187X |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/0142159x.2025.2561204 |
| PMID | 40996957 |
| OpenAlex | W4414505311 |
| Language | EN |
| References cited | 32 |
Background Suicide gatekeeper training is a preventive approach that equips nonprofessionals with the knowledge and skills to recognize and minimize suicide risks. AI-based virtual human technology offers an innovative way to deliver the training via immersive and interactive learning experiences.Objective The study evaluated the acceptability and practicality of using Virti® virtual human simulation technique to design a Question-Persuade-Referral communication training and explored university students’ learning experiences and feedback of the design.Design Both qualitative and quantitative findings reflected Virti® learning outcomes. User satisfaction and confidence of Virti and suicide gatekeeper knowledge were measured along with semistructured inquiries collecting the learning experiences. Virti® was implemented in a 3-hour gatekeeper training session, including classroom teaching (1.5h) and Virti® practice (1.5h) via mobile or tablet.Results Fifty-three undergraduates participated in the study (average age 19.2). The post-training score of the item, “I become better understood that gatekeeper care is essential.” was rated the highest (Mean=8.23, SD=1.68), while “confidence in acting as a suicide gatekeeper” rated the lowest (Mean=5.82, SD=2.41). Three themes emerged through student feedback: Enhancing communication skills and confidence; perceived value and educational potential of Virti®; and technical limitations and improvement of Virti®.Conclusion The study validated that AI-based Virti® scenarios were feasible for suicide gatekeeper training and communication skills promotion. Addressing technical issues may further strengthen user confidence
Injury prevention · MEDLINE · Poison control · Suicide prevention · Training (meteorology) · Virtual actor · Human Factors and Ergonomics · Simulation-Based Education in Healthcare · Suicide and Self-Harm Studies · Virtual Reality Applications and Impacts
Suicide Risk Assessment and Prevention
Help-seeking behaviour and adolescent self-harm
Gender differences in suicidal behavior in adolescents and young adults
The association between academic pressure and adolescent mental health problems
The qualitative content analysis process
A checklist for reporting, reading and evaluating Artificial Intelligence Technology Enhanced Learning (Aitel) research in medical education
Artificial intelligence (AI) -integrated educational applications and college students’ creativity and academic emotions
Efficacy of an online gatekeeper program for relatives of men at risk of suicide – a randomized controlled trial
Emerging adulthood
| Highly cited | No |
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