Effectiveness of a Web-Based Virtual Simulation to Train Nursing Students in Suicide Risk Assessment: Randomized Controlled Investigation
Abstract BackgroundSuicide is a leading cause of preventable death worldwide. Nurses play a critical role in suicide prevention; yet, they face significant obstacles. Improving the evaluation and management of patients at risk of suicide requires innovative training techniques...
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| Format: | Article |
| Language: | English |
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JMIR Publications
2025-08-01
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| Series: | JMIR Serious Games |
| Online Access: | https://games.jmir.org/2025/1/e69347 |
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| author | Paul Roux Yujiro Okuya Cristina Morel Mariane Soulès Hugo Bottemanne Eric Brunet-Gouet Solène Frileux Christine Passerieux Nadia Younes Jean Claude Martin |
| author_facet | Paul Roux Yujiro Okuya Cristina Morel Mariane Soulès Hugo Bottemanne Eric Brunet-Gouet Solène Frileux Christine Passerieux Nadia Younes Jean Claude Martin |
| author_sort | Paul Roux |
| collection | DOAJ |
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Abstract
BackgroundSuicide is a leading cause of preventable death worldwide. Nurses play a critical role in suicide prevention; yet, they face significant obstacles. Improving the evaluation and management of patients at risk of suicide requires innovative training techniques that safely and effectively enhance nursing students’ skills, knowledge, and confidence. Virtual simulation (VS) based training can be particularly effective because it allows interaction with patients without the risk of causing harm.
ObjectiveThe purpose of this study was to evaluate the pedagogical effectiveness of a novel VS tool featuring a fully automated and emotionally reactive virtual patient by assessing its ability to assist nursing students in learning suicide risk assessment. VS also included an online group debriefing, co-run by a nurse and a medical teacher.
MethodsA randomized controlled investigation was conducted with 68 first-year nursing students recruited from nursing schools offline and . They were divided into a control group receiving teaching as usual (TAU) and an intervention group receiving TAU plus VS. The intervention was purely web-based and unblinded. Outcomes were self-assessed through questionnaires using Kirkpatrick Training Evaluation Model, which focuses on knowledge, skills, confidence, empathy, and satisfaction among students.
ResultsThe VS group exhibited significantly higher confidence (3 points of increase after TAU vs 10.6 points of increase after VS, B=7.2; SE 2.5; t111.5Pt119.5P
ConclusionsThe use of VS demonstrated promising results in enhancing nursing students’ confidence in detecting suicide risk and their skills in counseling individuals experiencing a suicide crisis, suggesting its incorporation into routine teaching methods. Further research is needed to explore its long-term benefits for students and its impact on patient outcomes. |
| format | Article |
| id | doaj-art-986b57c93b5e4161b3d1f6e9b4c8d45a |
| institution | Kabale University |
| issn | 2291-9279 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | JMIR Serious Games |
| spelling | doaj-art-986b57c93b5e4161b3d1f6e9b4c8d45a2025-08-20T03:39:21ZengJMIR PublicationsJMIR Serious Games2291-92792025-08-0113e69347e6934710.2196/69347Effectiveness of a Web-Based Virtual Simulation to Train Nursing Students in Suicide Risk Assessment: Randomized Controlled InvestigationPaul Rouxhttp://orcid.org/0000-0003-0321-4189Yujiro Okuyahttp://orcid.org/0009-0003-4069-0704Cristina Morelhttp://orcid.org/0009-0007-8094-2282Mariane Soulèshttp://orcid.org/0009-0002-8301-6296Hugo Bottemannehttp://orcid.org/0000-0003-2958-0849Eric Brunet-Gouethttp://orcid.org/0000-0002-3784-7817Solène Frileuxhttp://orcid.org/0000-0003-0890-6715Christine Passerieuxhttp://orcid.org/0000-0003-4130-1590Nadia Youneshttp://orcid.org/0000-0002-0877-7944Jean Claude Martinhttp://orcid.org/0000-0002-7157-0727 Abstract BackgroundSuicide is a leading cause of preventable death worldwide. Nurses play a critical role in suicide prevention; yet, they face significant obstacles. Improving the evaluation and management of patients at risk of suicide requires innovative training techniques that safely and effectively enhance nursing students’ skills, knowledge, and confidence. Virtual simulation (VS) based training can be particularly effective because it allows interaction with patients without the risk of causing harm. ObjectiveThe purpose of this study was to evaluate the pedagogical effectiveness of a novel VS tool featuring a fully automated and emotionally reactive virtual patient by assessing its ability to assist nursing students in learning suicide risk assessment. VS also included an online group debriefing, co-run by a nurse and a medical teacher. MethodsA randomized controlled investigation was conducted with 68 first-year nursing students recruited from nursing schools offline and . They were divided into a control group receiving teaching as usual (TAU) and an intervention group receiving TAU plus VS. The intervention was purely web-based and unblinded. Outcomes were self-assessed through questionnaires using Kirkpatrick Training Evaluation Model, which focuses on knowledge, skills, confidence, empathy, and satisfaction among students. ResultsThe VS group exhibited significantly higher confidence (3 points of increase after TAU vs 10.6 points of increase after VS, B=7.2; SE 2.5; t111.5Pt119.5P ConclusionsThe use of VS demonstrated promising results in enhancing nursing students’ confidence in detecting suicide risk and their skills in counseling individuals experiencing a suicide crisis, suggesting its incorporation into routine teaching methods. Further research is needed to explore its long-term benefits for students and its impact on patient outcomes.https://games.jmir.org/2025/1/e69347 |
| spellingShingle | Paul Roux Yujiro Okuya Cristina Morel Mariane Soulès Hugo Bottemanne Eric Brunet-Gouet Solène Frileux Christine Passerieux Nadia Younes Jean Claude Martin Effectiveness of a Web-Based Virtual Simulation to Train Nursing Students in Suicide Risk Assessment: Randomized Controlled Investigation JMIR Serious Games |
| title | Effectiveness of a Web-Based Virtual Simulation to Train Nursing Students in Suicide Risk Assessment: Randomized Controlled Investigation |
| title_full | Effectiveness of a Web-Based Virtual Simulation to Train Nursing Students in Suicide Risk Assessment: Randomized Controlled Investigation |
| title_fullStr | Effectiveness of a Web-Based Virtual Simulation to Train Nursing Students in Suicide Risk Assessment: Randomized Controlled Investigation |
| title_full_unstemmed | Effectiveness of a Web-Based Virtual Simulation to Train Nursing Students in Suicide Risk Assessment: Randomized Controlled Investigation |
| title_short | Effectiveness of a Web-Based Virtual Simulation to Train Nursing Students in Suicide Risk Assessment: Randomized Controlled Investigation |
| title_sort | effectiveness of a web based virtual simulation to train nursing students in suicide risk assessment randomized controlled investigation |
| url | https://games.jmir.org/2025/1/e69347 |
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