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 […]

Suicidal adolescents’ experiences with bullying perpetration and victimization during high school as risk factors for later depression and suicidality.

This is the first study to examine the extent to which frequent involvement in high-school bullying (as a bullying perpetrator, victim of bullying, or bully-victim) increases the risk for later depression and suicidality beyond other well-established risk factors of suicide. The study included 96 students who reported being a bully, a victim, or a bully-victim, […]

Co-occurring physical fighting and suicide attempts among U.S. high school students: Examining patterns of early alcohol use initiation and current binge drinking.

A growing body of empirical research documents a significant co-occurrence of suicide attempts and interpersonal violence among youth. However, the potential role of early alcohol use initiation and current heavy alcohol use as correlates of this comorbidity has not been examined in a nationally representative sample of high school students.

Suicidal thoughts and attempts among U.S. high school students: Trends and associated health-risk behaviors, 1991-2011.

School-based suicide prevention programs should consider confidential screening for health-risk behaviors that are strongly associated with suicide attempts to help identify students at increased risk for suicide and provide referrals to suicide and other prevention services (e.g., substance abuse and violence prevention) as appropriate.

Associations among bullying, cyberbullying, and suicide in high school students.

This study examined associations among depression, suicidal behaviors, and bullying and victimization experiences in 1491 high school students using data from the 2009 Youth Risk Behavior Survey. Results demonstrated that depression mediated the association between bullying/victimization and suicide attempts, but differently for males and females. Specifically, depression mediated the link between traditional victimization and suicide […]

A high school counselor’s leadership in providing school-wide screenings for depression and enhancing suicide awareness.

The prevalence of mental health issues and suicidal thoughts and actions among school-aged children and adolescents is a serious issue. This article examines the scope of the problem nationwide and provides a brief overview of the literature regarding the effectiveness of school-wide screening programs for depression and suicide risk. Contact us for a copy of […]

High school suicide: knowledge and opinions of teachers.

Because high school faculty have infrequently been asked their views about high school suicide, 167 high school teachers from five high schools in four school districts were administered a questionnaire that asked about a variety of issues related to suicide and high school students, including the nature of the problem, risk factors, and solutions. Results […]

Screening cluster A and cluster B personality disorders in Chinese high school students.

Background: Personality disorders (PDs) during adolescence may, in addition to increasing risk for violent behaviors and suicide, also increase risk for elevated PD traits in adulthood. The aim of this study was to explore the prevalence of Cluster A and Cluster B PD traits and their relationships to demographic variables in Chinese high school students. […]

Emotion regulation difficulties, youth-adult relationships, and suicide attempts among high school students in underserved communities.

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