A feasibility study of an AI-based virtual human training design in suicide gatekeeper education.

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Title: A feasibility study of an AI-based virtual human training design in suicide gatekeeper education.
Authors: Lee, Pei-I1,2 (AUTHOR), Wu, Chia-Yi1,3 (AUTHOR) jennycyw@ntu.edu.tw
Source: Medical Teacher. Mar2026, Vol. 48 Issue 3, p467-475. 9p.
Subject Terms: *Communicative competence, *Qualitative research, *Artificial intelligence, *Undergraduates, *Educational technology, *Experience, *Students, *Communication, *Research methodology, *Psychology of college students, Cross-sectional method, Mobile apps, Research funding, Cronbach's alpha, Self-efficacy, Evaluation of human services programs, Pilot projects, Statistical sampling, Interviewing, Quantitative research, Suicide prevention, Thematic analysis, Data analysis software, Augmented reality
Geographic Terms: Taiwan
Abstract: 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. [ABSTRACT FROM AUTHOR]
Copyright of Medical Teacher is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: A feasibility study of an AI-based virtual human training design in suicide gatekeeper education.
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  Data: <searchLink fieldCode="AR" term="%22Lee%2C+Pei-I%22">Lee, Pei-I</searchLink><relatesTo>1,2</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Wu%2C+Chia-Yi%22">Wu, Chia-Yi</searchLink><relatesTo>1,3</relatesTo> (AUTHOR)<i> jennycyw@ntu.edu.tw</i>
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  Data: <searchLink fieldCode="JN" term="%22Medical+Teacher%22">Medical Teacher</searchLink>. Mar2026, Vol. 48 Issue 3, p467-475. 9p.
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  Data: <searchLink fieldCode="DE" term="%22Taiwan%22">Taiwan</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: 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. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Medical Teacher is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.1080/0142159X.2025.2561204
    Languages:
      – Code: eng
        Text: English
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      Pagination:
        PageCount: 9
        StartPage: 467
    Subjects:
      – SubjectFull: Communicative competence
        Type: general
      – SubjectFull: Qualitative research
        Type: general
      – SubjectFull: Artificial intelligence
        Type: general
      – SubjectFull: Undergraduates
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      – SubjectFull: Educational technology
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      – SubjectFull: Experience
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      – SubjectFull: Students
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      – SubjectFull: Communication
        Type: general
      – SubjectFull: Research methodology
        Type: general
      – SubjectFull: Psychology of college students
        Type: general
      – SubjectFull: Cross-sectional method
        Type: general
      – SubjectFull: Mobile apps
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Cronbach's alpha
        Type: general
      – SubjectFull: Self-efficacy
        Type: general
      – SubjectFull: Evaluation of human services programs
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      – SubjectFull: Pilot projects
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      – SubjectFull: Statistical sampling
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      – SubjectFull: Interviewing
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      – SubjectFull: Quantitative research
        Type: general
      – SubjectFull: Suicide prevention
        Type: general
      – SubjectFull: Thematic analysis
        Type: general
      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Augmented reality
        Type: general
      – SubjectFull: Taiwan
        Type: general
    Titles:
      – TitleFull: A feasibility study of an AI-based virtual human training design in suicide gatekeeper education.
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            NameFull: Lee, Pei-I
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              M: 03
              Text: Mar2026
              Type: published
              Y: 2026
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