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Stuart Leskea,b ? Kylie Kingc kylie.king@monash.edu

The Article by Amy J Morgan and colleagues1 in The Lancet Healthy Longevity is a key advance in universal suicide prevention interventions for older men aged 65 and over in Australia, with implications for several other countries also. The authors assert that the study is, to their knowledge, the first randomized controlled trial of a gatekeeper training course with older men, worldwide. The study randomized Australian Men’s Sheds to receive Mental Health First Aid's Conversations about Suicide course (ten clusters, n=92) or to a waitlist control group (nine clusters after withdrawals, n=169). The course teaches community members to recognize when someone is experiencing suicidal thoughts and how to provide them appropriate support. The primary outcome, intended actions to help someone at risk of suicide, showed a larger improvement in the intervention than the control group on recommended actions at 7-month follow-up (mean difference 3·31, 95% CI 2·06–4·57, p https://standingabovethecrowd.com/james-donaldson-on-mental-health-advances-in-our-understanding-of-how-to-prevent-suicide-in-older-men/