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Multivariate logistic regression analysis with backward elimination strategy identified the number of suicides experienced on the job (p < 0.0001), counselling/debriefing (p = 0.0126) and the fact that officers had observed a suicide by themselves (p = 0.0459) as variables with significant impact on police officers having prevented suicide (Table 3).

Exploratory analysis of between-subject differences revealed that mean ROI signal per subject was related to the mean debriefing estimates of threat probability (p < 0.005; see the Supplemental Experimental Procedures), i.e., subjects with a higher estimate of threat level had higher BOLD signal in this area.

Compared with no intervention, the primary analysis found that neither real-time audiovisual feedback (aOR, 0.62; 95% CI, 0.31 1.22; p = 0.17) nor real-time audiovisual feedback supplemented by postevent debriefing (aOR, 0.65; 95% CI, 0.35 1.21; p = 0.17) had a statistically significant effect on return of spontaneous circulation or any patient-related outcome (Table 2 ).

In the initial analysis, there was no evidence of an association between return of spontaneous circulation and the implementation of either real-time audiovisual feedback (aOR, 0.62; 95% CI, 0.31 1.22; p = 0.17) or real-time audiovisual feedback supplemented by postevent debriefing (aOR, 0.65; 95% CI, 0.35 1.21; p = 0.17).

In the OLD-FRAME group, both debriefing measures showed a significant correlation with inferential performance (awareness score r = 0.64 P < 0.01, hierarchy recall accuracy r = 0.58, P < 0.05).

Debriefing helps.

Alternative debriefing methods specifically aimed at debriefing virtual simulation must be explored and implemented in order to "enhance learning and heighten participant self-awareness and self-efficacy" (INACSL Standards Committee, 2016, p. S21).

The sessions concluded with debriefing.

Crowe debriefing Wilder was like George Smiley debriefing a mole.

Debriefing is the hardest part.

Debriefing should take 45-75 minutes.

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