Implementing trauma informed suicide prevention care in schools: Responding to acute suicide risk

Suicide is the second leading cause of death of school-aged youth, and youth with histories of trauma are at increased risk of suicidal thoughts and actions. Given the impact of trauma on youth development, there has been an increased emphasis on trauma-informed practices in schools. However, while school-based providers encounter, assess, and intervene with youth[…]

Depression symptoms as mediator between adolescents’ sense of loneliness at school and nonsuicidal self-injury behaviors

Background: Previous studies indicated that perception of school experiences (i.e., teachers’ psychological support and perceived peer climate) is associated with nonsuicidal self-injury (NSSI) behaviors among adolescents. Aims: The purpose of the current study was to explore whether depression symptoms mediate the relationship between sense of loneliness in school and NSSI behaviors among adolescents. Method: The sample included high-school students (N =[…]

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

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 programmes combine these approaches, and that[…]

Predictors of self-harm and suicide in LGBT youth: The role of gender, socio-economic status, bullying and school experience

Lesbian, gay and bisexual (LGB) young people’s increased risk of self-harm, suicidal attempts and suicide compared with heterosexual youth is well established. The current study sought to examine whether these findings also apply to the trans (T) population and which factors act as additional risk or protective factors.
In a[…]

Sexual orientation enumeration in state antibullying statutes in the United States: Associations with bullying, suicidal ideation, and suicide attempts among youth

Purpose: The aim was to assess the associations of antibullying U.S. state statutes that enumerate sexual orientation with exposure to bullying and other stressors and with suicidal ideation and suicide attempts in sexual minority and non sexual minority youth. Methods: We analyzed data from the 2015 national school-based Youth Risk Behavior Survey, representative of 9th through 12th[…]

School-based suicide risk assessment using eHealth for youth: Systematic scoping review

Objective: This study aims to conduct a rapid, systematic scoping review to explore promising practices for conducting school-based suicide risk assessment among youth via eHealth (ie, information technologies that allow for remote communication). Methods: This review included peer-reviewed articles and gray literature published in English between 2000 and 2020. Although we did not find studies[…]

School supports for reintegration following a suicide-related crisis: A mixed methods study informing hospital recommendations for schools during discharge

The immediate period following psychiatric hospitalization is marked by increased risk for suicide behavior and rehospitalization. Because adolescents commonly return to school settings following hospital discharge, school-related stressors and supports are important considerations for psychiatric treatment and discharge planning. The current study aimed to inform recommendations provided by hospitals to schools to improve school reintegration[…]

Suicide protective factors: Utilizing SHORES in school counseling

Recently, a mnemonic device, SHORES, was created for counselors to utilize with clients with suicidal ideation. The acronym of SHORES stands for Skills and strategies for coping (S); Hope (H); Objections (O); Reasons to live and Restricted means (R); Engaged care (E); and Support (S). In this manuscript, SHORES is introduced as a way for[…]

Youth suicide in the school context

Across the domains of youth risk behavior, suicidality is a significant concern for parents and professionals alike, requiring ongoing efforts to better understand and prevent rising trends. Recent examinations of suicidal behaviors in the United States over the last decade revealed an increase in emergency and inpatient hospital settings. Of importance, seasonal variations were demonstrated,[…]

Conducting school suicide risk assessment in distance learning environments

The social distancing mandate, implemented in response to the coronavirus disease 2019 (COVID-19) global pandemic, has guided many schools to deliver instruction via distance learning. Among the many challenges generated by this delivery system is the need for school mental health services, including school suicide prevention and intervention, to be conducted remotely. After briefly discussing[…]