School and electronic bullying among adolescents: Direct and indirect relationships with sadness, sleep, and suicide ideation

Introduction: Bullying is an increasing concern for education, health, and policy. Adolescence is a particularly vulnerable period for the development of depressive symptoms and suicidality following exposure to bullying. However, limited research investigating the potential impact of depressive symptoms on the bullying-suicide relationship exists. Methods: Using national data (N = 13,677) from the most recent 2019 Youth […]

In-person schooling and youth suicide: Evidence from school calendars and pandemic school closures

This study explores the effect of in-person schooling on youth suicide. We document three key findings. First, using data from the National Vital Statistics System from 1990-2019, we document the historical association between teen suicides and the school calendar. We show that suicides among 12-to-18-year-olds are highest during months of the school year and lowest […]

Reducing suicide-related stigma through peer-to-peer school-based suicide prevention programming

Youth suicide rates have consistently risen over the past decade, and stigma related to mental health may create a barrier to young people seeking help. Schools are a common intercept point for mental health and suicide prevention programming. Hope Squad, a school-based, peer-to-peer, suicide prevention program, uses trained and mentored students nominated by their peers […]

A systematic review of school-based suicide prevention interventions for adolescents, and intervention and contextual factors in prevention

Suicide is the fourth leading cause of death among adolescents, globally. Though post-primary, school-based suicide prevention (PSSP) has the potential to be a key strategy for preventing adolescent suicidal thoughts and behaviours (STBs), there are persisting challenges to translating PSSP research to practice. Intervention and contextual factors relevant to PSSP are likely key to both […]

Strength in numbers: The promise of community-based participatory research in rural education

Montana is a state that is ravaged by a suicide epidemic and mental health crisis, particularly among its youth. In an area in which harsh climates, geographic challenges, and distance to rural healthcare providers are significant barriers to mental healthcare accessibility, educators are faced with the acute social and emotional challenges of their students on […]

Effective suicide prevention and intervention in schools (IN: Youth Suicide Prevention and Intervention, edited by J.P. Ackerman & L.M. Horowitz)

Schools are increasingly relied upon to foster students’ social-emotional development and address mental health concerns. Schools can also play an important role in their communities by identifying and responding to youth at risk for suicide. In this chapter, we summarize existing research on suicide prevention in schools, highlight promising programs and practices, and provide recommendations […]

Implementation and dissemination strategies for school-based suicide prevention programs (IN: Youth Suicide Prevention and Intervention, edited by J.P. Ackerman & L.M. Horowitz)

There is a growing need for upstream suicide prevention in schools as well as guidance for program implementation that can maximize effectiveness and sustainability. This chapter highlights the benefits of using an implementation science framework to guide partnerships between schools, community partners, and healthcare organizations to enhance youth suicide prevention efforts. Examples illustrating this approach […]

Understanding suicide bereavement, contagion, and the importance of thoughtful postvention in schools (IN: Youth Suicide Prevention and Intervention, edited by J.P. Ackerman & L.M. Horowitz)

The rising rates of youth suicide in the USA demand thoughtful evidence-based strategies to help schools and communities recover after a suicide loss has occurred. With this chapter, we review research on the experience of suicide bereavement in adolescence, outline what is known about the potential for suicide to spread through social networks and for […]

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

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 programmes combine these approaches, and that to […]

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

Background 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. Methods In a national cross-sectional survey, […]

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 […]

Broward County Public Schools suicide prevention manual 2020-2021

According to the Centers for Disease Control and Prevention5, suicide is the second leading cause of death among young people aged 10-24. In 2017, 296 deaths by suicide for 10-24-year-olds occurred in Florida, ranking our state 21st in the nation for the number of deaths by suicide. Deaths from youth suicide are only part of […]

Old-for-grade status and suicide risk in U.S. high school students

Health-risk behaviors associated with increased risk of suicide are more prevalent in old-for-grade students compared to age-appropriate-for-grade peers; however, the association between old-for-grade status and suicidal behavior is largely unknown. This study investigated sex-specific differences in suicidal ideation, planning, attempts, and other risk behaviors by old-for-grade status. Secondary analyses utilizing bivariate and logistic regression methods […]

Depression, suicide and the gifted student; A primer for the school psychologist

Growing up gifted often means growing up “different.” As schools struggle to provide appropriately designed interventions for student mental health issues, the role of the school psychologist is becoming increasingly important. In the present article, the role of the school psychologist is discussed, particularly as related to helping gifted students who may be manifesting symptoms […]

Pathways to hope: Best practices in suicide prevention for Alberta schools

While this resource provides information and strategies for building a comprehensive suicide strategy in schools, it is also recognized that each school authority, school and community is unique. As a result, it is anticipated that the way in which the information in this resource is implemented will vary and will reflect local needs, as well […]

Understanding the linkages between parental monitoring, school academic engagement, substance use, and suicide among adolescents in U.S.

Background Suicide is the second leading cause of death among youth and young adults. Improving the understanding of social-ecological factors associated with youth suicide behaviors may highlight important ideas for prevention. Objective From a social-ecological theoretical framework of suicide, this study aims to test whether parental monitoring and school academic engagement predict suicidal behavior and […]