Table 1. Results from At-Risk for High School Educators: a simulation to build mental health awareness, reduce stigma, and increase educators’ skill and motivation to recognize when students are exhibiting signs of psychological distress and know how to approach and discuss a referral to support services.

Simulation goals	Sample size & demographics	Study design	Results
Recognize when students exhibit signs of psychological distress, including anxiety, depression, and thoughts of suicide	N=31,144	Quasi-experimental design	Statistically significant changes in preparedness, likelihood/behavioral intent, and self-efficacy in ability to identify, talk to, and refer students in psychological distress
Approach students to discuss their concern	Years of teaching experience (mean, 11.1 years)	Longitudinal group analysis to examine changes in behavior	Behavior changes: 3-month follow-up found statistically significant increases in the number of students who teachers referred to support services
Make a referral to school support personnel	Age (mean, 42.3 years)	Multivariate analysis, Hotelling’s T2	At 3-month follow up point, 57% reported an increase in the number of conversations they had with other adults in their school about students they were concerned about
	Gender: 65.3% female	Independent samples t-tests	Statistically significant increase in the number of educators that felt that part of their role is to help students in psychological distress
		Paired samples t-tests	Satisfaction data: 95% said they would recommend to colleague, 80% said it was based on scenarios relevant to their work with students, 79.% stated the simulation will aid them in getting timely help to their students, 80% rated the simulation as “excellent” to “very good”

Data used in this table was accepted for review by the National Registry of Evidenced-Based Programs and Practices.