Secondary principals’ perceptions and practices for implementing student suicide prevention programs

We explored secondary school principals’ knowledge of suicide prevention programs, their perceptions of the logistical and cultural barriers associated with suicide prevention program adoption, and their justification for  adopting (or not adopting) suicide prevention programs in their schools. Principals, as positional leaders of schools, can lead the adoption and support of school-based suicide prevention programs […]

Exploring the readiness of youth education institutions with high‐risk students to implement a suicide prevention gatekeeper intervention: A nationwide observational survey study in Denmark

Danish schools offering “preparatory basic education and training” (FGU schools) have students that are characterized by having different academic, social, or personal problems. In addition, many FGU students are at high risk of suicidal behavior. Many young people with suicide behavior do not seek help and early identification is important for suicide prevention. Teachers are […]

Risk factors associated with adolescent suicidality before and during the COVID-19 pandemic

Objective To evaluate the impact of the coronavirus disease 2019 pandemic on youth suicidal behaviors. Method This study examined two national surveys of high school students, the 2019 Youth Risk Behavior Survey (YRBS) and the 2021 Adolescent Behaviors and Experiences Survey (ABES). Results The YRBS 2019 had 13,677 entries: 18.6% (17.5–19.8) (weighted percentage and 95% […]

Teachers facing the suicidal behavior among adolescent students: Perceptions and interventions

This research sought to analyze the interventions of integrated high school teachers when they perceived suicidal behavior in students. Therefore, a field research was developed, with a qualitative approach and applied nature, with 12 permanent professors from a federal educational institution. Data were  collected using an electronic form (Google Forms) and analyzed through content analysis. […]

Suicide ideation and behavior and ATOD use among bisexual high school students

Background Research has indicated that sexual minorities have higher prevalence rates for ATOD use and suicide ideation and behavior compared to heterosexual youth. Yet, most studies to date have combined gay, lesbian, and bisexuals into one category. This study sought to assess the uniqueness of bisexuality to assess the risk of ATOD use and suicide […]

Responding to suicide in school communities: An examination of postvention guidance from expert recommendations and empirical studies

Purpose of Review We review the published literature on a school’s response after a student dies by suicide (“postvention”). We examine published recommendations based on expert guidance and empirical studies that have evaluated postvention measures. Recent Findings Experts recommend careful communication with family, staff, and students that adheres to published suicide reporting guidelines. Experts also […]

Predicting suicidal ideation among Native American high schoolers in California

Suicide is the leading cause of non-accidental death for Native American young people ages 15-24 years old. Concerningly, suicide rates have continued to rise over the past decade despite a myriad of prevention efforts. This shortcoming has urged some scholars to (re)examine key theoretical constructs to better direct suicide prevention efforts in tribal communities. Using […]

Suicidal mortality and motives among middle-school, high-school, and university students

Importance: The suicide mortality rate per 100 000 population (SMRP) consistently decreased before the COVID-19 pandemic outbreak in Japan and then unexpectedly increased during the pandemic. However, the underlying mechanisms remain poorly understood. Objective: To identify trends in and factors associated with suicidal mortality and motives among students in Japan from 2007 to 2022. Design, Setting, […]

Suicidal ideation and attempts among high school students of war-affected area at Woldia town, Northeast, Ethiopia, 2022

Background: Suicidal ideation and attempts usually occur during adolescence time, and living in war- affected area make the problem more predominate and severe. To the best of our knowledge, there were no studies done among high school students who live in war affected areas in Ethiopia. Objective: We assessed the prevalence and factors associated with suicide ideation […]

Positive-themed suicide prevention messages delivered by adolescent peer leaders: Proximal impact on classmates’ coping attitudes and perceptions of adult support

Developing science-based communication guidance and positive-themed messages for suicide prevention are important priorities. Drawing on social learning and elaboration likelihood models, we designed and tested two positive-focused presentations by high school peer leaders delivered in the context of a suicide prevention program (Sources of Strength). Thirty-six classrooms in four schools (N = 706 students) were […]

Adult characteristics, skills, and approaches that facilitate supportive relationships with youth: A qualitative investigation of Sources of Strength

Introduction Sources of Strength is a universal prevention program for youth that provides tools and educational opportunities to promote wellness and reduce risk. A major aim of Sources is to build youth-adult relationships to support youth in times of distress. However, no study to date has investigated how adults effectively build relationships with youth despite this being critical to successful […]

Suicidal thoughts and behaviors among high school students: Youth Risk Behavior Survey, United States, 2021

Suicide is the third leading cause of death among high school-aged youths aged 14–18 years. The 2021 suicide rate for this age group was 9.0 per 100,000 population. Updating a previous analysis of the Youth Risk Behavior Survey during 2009–2019, this report uses 2019 and 2021 data to examine high school students’ reports of suicidal […]

Witnessing community violence, gun carrying, and associations with substance use and suicide risk among high school students: Youth Risk Behavior Survey, United States, 2021

Community violence, including homicides involving firearms, is a significant public health concern. From 2019 to 2020, firearm-related homicides increased by 39% for youths and young adults aged 10–24 years, and rates of suicide by firearm increased by approximately 15% among the same age group. Findings from the nationally representative 2021 Youth Risk Behavior Survey were […]

Preventing suicide: A toolkit for high schools

Preventing suicide: A toolkit for high schools’ was funded … to help high schools, school districts, and their partners design and implement strategies to prevent suicide and promote behavioral health among their students. This information and tools in this toolkit will help schools and their partners: Assess their ability to prevent suicide among students and […]

Unraveling the complex web of associations between easy access to firearms and premature mortalities

Objective We investigated whether high school students reporting easy access to guns were more likely to die prematurely from either suicide, homicide, or an accidental death. Method Based upon the National Longitudinal Study of Adolescent to Adult Health, we contrasted those reporting easy access to guns, n = 5,185, 25%, with the remaining 75% (n = 15,589) on various sociodemographic […]

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). […]