Profiles of passive and active suicidal ideation and attempts among secondary school students in Australia: A cross-sectional analysis

Introduction: Suicide is a leading cause of death among young people (aged 15-24 years), and as such, identifying targets for early intervention is essential to reducing this risk. Using baseline data from a school-based universal suicide prevention trial, we investigate factors associated with different types of suicidal ideation in secondary school students with implications for youth […]

Adverse childhood experiences during the COVID-19 pandemic and associations with poor mental health and suicidal behaviors among high school students: Adolescent behaviors and experiences survey, United States, January-June 2021

What is already known about this topic? Adverse childhood experiences (ACEs) are associated with poor mental health and suicidal behaviors. What is added by this report? The prevalences of poor current mental health and past-year suicide attempts among adolescents reporting four or more ACEs during the COVID-19 pandemic were four and 25 times as high […]

Mental health burden of high school students, and suggestions for psychosocial support, 1.5 years into the COVID‑19 pandemic in Austria

The COVID-19 pandemic and containment efforts seem to be particularly challenging for adolescents. This study assessed mental health in high school students 1.5 years after the pandemic began in Austria. A cross-sectional survey was carried out from September to November 2021. Well-being (WHO-5), depressive symptoms, anxiety symptoms and sleep quality were assessed. A total of 1505 […]

Mental health, suicidality, and connectedness among high school students during the COVID-19 pandemic: Adolescent behaviors and experiences survey, United States, January–June 2021

Disruptions and consequences related to the COVID-19 pandemic, including school closures, social isolation, family economic hardship, family loss or illness, and reduced access to health care, raise concerns about their effects on the mental health and well-being of youths. This report uses data from the 2021 Adolescent Behaviors and Experiences Survey, an online survey of […]

Study protocol for the Multimodal Approach to Preventing Suicide in Schools (MAPSS) project: A regionally-based trial of an integrated response to suicide risk among secondary school students

Background Suicide is the leading cause of death among young Australians, accounting for one-third of all deaths in those under 25. Schools are a logical setting for youth suicide prevention activities, with universal, selective and indicated approaches all demonstrating efficacy. Given that international best practice recommends suicide prevention programs combine these approaches, and that to date […]

Systematic review and narrative synthesis of suicide prevention in high-schools and universities: A research agenda for evidence-based practice

Background Youth suicide prevention in high-schools and universities is a public health priority. Our aim was to propose a research agenda to advance evidence-based suicide prevention in high-schools and universities by synthesizing and critically reviewing the research focus and methodologies used in existing intervention studies. Methods Fourteen databases were systematically searched to identify studies which […]

Suicidal ideation and behaviors among high school students: Youth Risk Behavior Survey, United States, 2019

Suicide is the second leading cause of death among high school-aged youths 14–18 years after unintentional injuries. This report summarizes data regarding suicidal ideation (i.e., seriously considered suicide) and behaviors (i.e., made a suicide plan, attempted suicide, and made a suicide attempt requiring medical treatment) from CDC’s 2019 Youth Risk Behavior Survey. Results are reported […]

Current prescription opioid misuse and suicide risk behaviors among high school students

BACKGROUND AND OBJECTIVES: In previous studies, researchers have reported that youth with a lifetime history of prescription opioid misuse (POM) are at an increased risk for suicidal ideation, planning, and attempts. In this study, we investigate whether the association between youth POM and suicide outcomes differs by recency of POM (ie, none, past, or current misuse). […]

The Signs of Suicide (SOS) prevention program pilot study: High school implementation recommendations

Suicide is the second leading cause of death for high school aged youth. There are many suicide prevention programs available, but few are evidence-based. The Signs of Suicide (SOS) Prevention Program is one of the few youth suicide prevention programs that have shown improvement in students’ knowledge and adaptive attitudes about suicide risk and depression, […]

Trends in violence victimization and suicide risk by sexual identity among high school students: Youth Risk Behavior Survey, United States, 2015-2019

Lesbian, gay, and bisexual (LGB) youths continue to experience more violence victimization and suicide risk than heterosexual youths; however, few studies have examined whether the proportion of LGB youths affected by these outcomes has varied over time, and no studies have assessed such trends in a nationally representative sample. This report analyzes national trends in […]

Role of school health officers in mental health care for secondary school students in Can Tho City, Vietnam

The objectives of the study were to explore the experiences of school health officers in identifying and managing mental health problems of secondary school students and to gather recommendations from the school officers for improving the effectiveness of mental health care in secondary schools in Can Tho City, Vietnam. We conducted a qualitative study based […]

Implementation determinants and outcomes of a technology-enabled service targeting suicide risk in high schools: Mixed methods study

Background: Technology-enabled services (TESs), which integrate human service and digital components, are popular strategies to increase the reach and impact of mental health interventions, but large-scale implementation of TESs has lagged behind their potential. Objective: This study applied a mixed qualitative and quantitative approach to gather input from multiple key user groups (students and educators) and […]

Issues in mental health: Suicide prevention grades 7-12

This unit of instruction is designed to help teachers and pupil services personnel implement a set of lessons that build on the essential knowledge and skills related to suicide prevention. In order to implement this set of lessons you will need to use the middle school or high school DVD included in the “S.O.S: Signs […]

Trends of suicidal behaviors among high school students in the United States: 1991-2017

OBJECTIVES: To determine if racial and ethnic subgroups of adolescents are at high risk for engagement in suicidal behaviors. METHODS: Using the nationally representative school-based Youth Risk Behavior Survey from the years 1991 to 2017, we conducted logistic regression analyses to examine trends by different racial and ethnic groups, with each suicide indicator serving as a dichotomous […]

An outcome evaluation of the Sources of Strength suicide prevention program delivered by adolescent peer leaders in high schools.

OBJECTIVES: We examined the effectiveness of the Sources of Strength suicide prevention program in enhancing protective factors among peer leaders trained to conduct schoolwide messaging and among the full population of high school students. METHODS: Eighteen high schools–6 metropolitan and 12 rural–were randomly assigned to immediate intervention or the wait-list control. Surveys were administered at […]

Outcomes of a suicide prevention gatekeeper training program among school personnel.

Abstract. Background: Gatekeeper suicide prevention programs train staff to increase the identification and referral of suicidal individuals to the appropriate resources. Aims: We evaluated Act on FACTS: Making Educators Partners in Youth Suicide Prevention (MEP), which is an online training program designed to enhance the knowledge of suicide risk factors and warning signs as well […]

Partners for life, an effect mental health literacy program: Analysis and recommendations.

Partners for Life (PFL) is a health literacy program designed to enable Québec’s senior high school students aged 14 to 18 develop their personal and social skills, and to help them and the adults in their lives understand the importance of recognizing the signs of depression, a major risk factor for suicide, and to seek […]

Extreme weight-control behaviors and suicide risk among high school students.

Suicide is the third leading cause of death for people ages 15-19. Research has established an association across numerous risk factors and suicide, including depression, substance abuse, bullying victimization, and feelings of alienation. However, the connection between disordered eating as manifested in extreme weight-control behaviors (EWCB), and suicidal thoughts, ideation, and attempts among adolescents is […]

Child sexual abuse, bullying, cyberbullying, and mental health problems among high schools students: A moderated mediated model.

Child sexual abuse is associated with adverse outcomes, including heightened vulnerability that may translate into risk of revictimization. The aims of the study were: (1) to explore the direct and indirect links between child sexual abuse and cyberbullying, bullying, and mental health problems and (2) to study maternal support as a potential protective factor. Teenagers […]

Suicide prevention among high school students: Evaluation of a nonrandomized trial of a multi-stage suicide screening program.

Background Suicide is a leading cause of death among youth. Suicide screening programs aim to identify mental health issues and prevent death by suicide. Objective The present study evaluated outcomes of a multi-stage screening program implemented over 3 school years in a moderately-sized Midwestern high school. Methods One hundred ninety-three 9th-grade students were screened in […]

“The internet is a mask”: High school students’ suggestions for preventing cyberbullying.

The purpose of the current study was to explore participant suggestions for both students and adults for preventing cyberbullying incidents. Findings from the current study indicate some potential ways to improve adult efforts to prevent cyberbullying. These strategies include parent/teacher training in technology and cyberbullying, interventions focused more on student behavior than technology restriction, and […]

Factors associated with current versus lifetime self-injury among high school and college students.

We sought to identify factors associated with current versus lifetime nonsuicidal self-injury (NSSI) and factors that show consonant and distinct relationships with current NSSI for adolescents and young adults. Data came from a population-based survey of high school students (n = 9,985) and a national survey of college students (n = 7,801). Among both samples, […]

Non-suicidal self-injury in high school students: Associations with identity processes and statuses.

Non-suicidal self-injury (NSSI) refers to the direct, deliberate destruction of one’s body tissue without suicidal intent. Research has highlighted the importance of identity synthesis versus confusion for NSSI. However, the association with identity processes and statuses remains unknown. A total of 568 adolescents reported on NSSI, identity, anxiety, and depression. Although identity processes of identification […]