Abstract
Suicide is the second leading cause of death among youth aged 10–25 years, and approximately one in six adolescents reported serious suicidal ideation in the past year (Centers for Disease Control and Prevention [CDC] in Web-based Injury Statistics Query and Reporting System (WISQARS). http://webappa.cdc.gov/cgi-bin/broker.exe, 2017). Schools are a unique environment in which to identify and respond to youth suicide risk, yet the research base for school-based suicide prevention programs is limited due to challenges with implementation and evaluation. The purpose of this article is to review best practice approaches and existing empirical support for school-based suicide prevention and to present a framework for how these efforts can be embedded within multi-tiered systems of support (MTSS). In line with the Substance Abuse and Mental Health Services Administration [SAMHSA] (Preventing suicide: a toolkit for high schools. https://store.samhsa.gov/shin/content//SMA12-4669/SMA12-4669.pdf, 2012) framework for suicide prevention in schools, the article overviews existing programs for student education, staff training, and screening, noting where these programs may be situated across tiers of intervention. This is followed by a review of school-related outcomes of existing suicide prevention programs, which highlights the limitations of existing research. Because there are only two school-based prevention programs with evidence for reducing suicide risk in students, the authors encourage school staff to implement best practice recommendations in collaboration with school mental health professionals who can provide ongoing evaluation of program effectiveness, as well as with researchers who are able to design and conduct outcome studies addressing the limitations of current research. Findings also underscore the need for greater integration of suicide prevention programming with existing school initiatives such as MTSS, which aligns with a growing focus in the field of suicide prevention on “upstream approaches.”
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Source: Centers for Disease Control and Prevention (2017). Web-based Injury Statistics Query and Reporting System (WISQARS) (Fatal Injury Reports, 1999–2015, for National, Regional, and States [RESTRICTED]). National Center for Injury Prevention and Control. Retrieved from http://webappa.cdc.gov/cgi-bin/broker.exe
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References
Abrutyn, S., & Mueller, A. S. (2014). Are suicidal behaviors contagious in adolescence? Using longitudinal data to examine suicide suggestion. American Sociological Review. https://doi.org/10.1177/0003122413519445.
Albright, G., Adam, C., Serri, D., Bleeker, S., & Goldman, R. (2016). Harnessing the power of conversations with virtual humans to change health behaviors. mHealth. https://doi.org/10.21037/mhealth.2016.11.02.
Amitai, M., & Apter, A. (2012). Social aspects of suicidal behavior and prevention in early life: A review. International Journal of Environmental Research and Public Health, 9(3), 985–994. https://doi.org/10.3390/ijerph9030985.
Aseltine, R. H., & DeMartino, R. (2004). An outcome evaluation of the SOS suicide prevention program. American Journal of Public Health, 94(3), 446–451.
Aseltine, R. H., Jr., James, A., Schilling, E. A., & Glanovsky, J. (2007). Evaluating the SOS suicide prevention program: A replication and extension. BMC Public Health, 7, 161. https://doi.org/10.1186/1471-2458-7-161.
Bennett, K., Rhodes, A. E., Duda, S., Cheung, A. H., Manassis, K., Links, P., et al. (2015). A youth suicide prevention plan for Canada: A systematic review of reviews. Canadian Journal of Psychiatry, 60(6), 245–257.
Berman, A. L. (2009). School-based suicide prevention: Research advances and practice implications. School Psychology Review, 38, 233–238.
Bolnik, L., & Brock, S. E. (2005). The self-reported effects of crisis intervention work on school psychologists. The California School Psychologist, 10(1), 117–124. https://doi.org/10.1007/BF03340926.
Borowsky, I. W., Ireland, M., & Resnick, M. D. (2001). Adolescent suicide attempts: Risks and protectors. Pediatrics, 107(3), 485–493.
Brent, D. A., McMakin, D. L., Kennard, B. D., Goldstein, T. R., Mayes, T. L., & Douaihy, A. B. (2013). Protecting adolescents from self-harm: A critical review of intervention studies. Journal of the American Academy of Child and Adolescent Psychiatry, 52(12), 1260–1271. https://doi.org/10.1016/j.jaac.2013.09.009.
Bridge, J. A., Asti, L., Horowitz, L. M., Greenhouse, J. B., Fontanella, C. A., Sheftall, A. H., et al. (2015). Suicide trends among elementary school-aged children in the United States from 1993 to 2012. JAMA Pediatrics, 169(7), 673–677. https://doi.org/10.1001/jamapediatrics.2015.0465.
Bridge, J. A., Goldstein, T. R., & Brent, D. A. (2006). Adolescent suicide and suicidal behavior. Journal of Child Psychology and Psychiatry and Allied Disciplines, 47(3–4), 372–394. https://doi.org/10.1111/j.1469-7610.2006.01615.x.
Brock, S. E., Nickerson, A. B., Reeves, M. A., Conolly, C. N., Jimerson, S. R., Pesce, R. C., & Lazzaro, B. R. (2016). School crisis prevention and intervention: The PREPaRE model (Second edition). National Association of School Psychologists.
Brown-Chidsey, R., & Steege, M. W. (2005). Response to intervention: Principles and strategies for effective practice. New York: Guilford Press.
Calear, A. L., Christensen, H., Freeman, A., Fenton, K., Busby Grant, J., van Spijker, B., et al. (2016). A systematic review of psychosocial suicide prevention interventions for youth. European Child and Adolescent Psychiatry, 25(5), 467–482. https://doi.org/10.1007/s00787-015-0783-4.
Centers for Disease Control and Prevention. (2017). Web-based injury statistics query and reporting system (WISQARS) (Fatal Injury Reports, 1999–2015, for National, Regional, and States [RESTRICTED]). National Center for Injury Prevention and Control. Retrieved from http://webappa.cdc.gov/cgi-bin/broker.exe.
Cerel, J., Maple, M., van de Venne, J., Moore, M., Flaherty, C., & Brown, M. (2016). Exposure to suicide in the community: Prevalence and correlates in one U.S. state. Public Health Reports, 131(1), 100–107. https://doi.org/10.1177/003335491613100116.
Chung-Do, J. J., Goebert, D. A., Bifulco, K., Tydingco, T., Alvarez, A., Rehuher, D., et al. (2015). Hawai“i”s Caring Communities Initiative: Mobilizing rural and ethnic minority communities for youth suicide prevention. Journal of Health Disparities Research and Practice, 8(4), 108–123.
Condron, D. S., Garraza, L. G., Walrath, C. M., McKeon, R., Goldston, D. B., & Heilbron, N. S. (2015). Identifying and referring youths at risk for suicide following participation in school-based gatekeeper training. Suicide and Life-Threatening Behavior, 45(4), 461–476. https://doi.org/10.1111/sltb.12142.
Corcoran, J., Dattalo, P., Crowley, M., Brown, E., & Grindle, L. (2011). A systematic review of psychosocial interventions for suicidal adolescents. Children and Youth Services Review, 33(11), 2112–2118. https://doi.org/10.1016/j.childyouth.2011.06.017.
Cross, W. F., Seaburn, D., Gibbs, D., Schmeelk-Cone, K., White, A. M., & Caine, E. D. (2011). Does practice make perfect? A randomized control trial of behavioral rehearsal on suicide prevention gatekeeper skills. The Journal of Primary Prevention, 32(3–4), 195–211. https://doi.org/10.1007/s10935-011-0250-z.
Daniel, S. S., & Goldston, D. B. (2009). Interventions for suicidal youth: A review of the literature and developmental considerations. Suicide & Life-Threatening Behavior, 39(3), 252–268. https://doi.org/10.1521/suli.2009.39.3.252.
David-Ferdon, C., Crosby, A. E., Caine, E. D., Hindman, J., Reed, J., & Iskander, J. (2016). CDC grand rounds: Preventing suicide through a comprehensive public health approach. MMWR. Morbidity and Mortality Weekly Report, 65(34), 894–897. https://doi.org/10.15585/mmwr.mm6534a2.
De Luca, S. M., Wyman, P., & Warren, K. (2012). Latina adolescent suicide ideations and attempts: Associations with connectedness to parents, peers, and teachers. Suicide & Life-Threatening Behavior, 42(6), 672–683. https://doi.org/10.1111/j.1943-278X.2012.00121.x.
Debski, J., Spadafore, C. D., Jacob, S., Poole, D. A., & Hixson, M. D. (2007). Suicide intervention: Training, roles, and knowledge of school psychologists. Psychology in the Schools, 44(2), 157–170. https://doi.org/10.1002/pits.20213.
Diamond, G. S., Wintersteen, M. B., Brown, G. K., Diamond, G. M., Gallop, R., Shelef, K., et al. (2010). Attachment-based family therapy for adolescents with suicidal ideation: A randomized controlled trial. Journal of the American Academy of Child and Adolescent Psychiatry, 49(2), 122–131.
Domitrovich, C. E., Bradshaw, C. P., Greenberg, M. T., Embry, D., Poduska, J. M., & Ialongo, N. S. (2010). Integrated models of school-based prevention: Logic and theory. Psychology in the Schools, 47(1), 71–88. https://doi.org/10.1002/pits.20452.
Durlak, J. A., Weissberg, R. P., Dymnicki, A. B., Taylor, R. D., & Schellinger, K. B. (2011). The impact of enhancing students’ social and emotional learning: A meta-analysis of school-based universal interventions. Child Development, 82(1), 405–432.
Eggert, L. L., & Herting, J. R. (1991). Preventing teenage drug abuse: Exploratory effects of network social support. Youth and Society, 22(4), 482–524.
Eggert, L. L., Thompson, E. A., Herting, J. R., & Nicholas, L. J. (1995). Reducing suicide potential among high-risk youth: Tests of a school-based prevention program. Suicide & Life-Threatening Behavior, 25(2), 276–296.
Erbacher, T. A., & Singer, J. B. (2017). Suicide risk monitoring: The missing piece in suicide risk assessment. Contemporary School Psychology. https://doi.org/10.1007/s40688-017-0164-8.
Erbacher, T. A., Singer, J. B., & Poland, S. (2015). Suicide in schools: A practitioner’s guide to multi-level prevention, assessment, intervention, and postvention. New York: Routledge.
Essex, M. J., Kraemer, H. C., Slattery, M. J., Burk, L. R., Boyce, W. T., Woodward, H. R., et al. (2009). Screening for childhood mental health problems: Outcomes and early identification. Journal of Child Psychology and Psychiatry and Allied Disciplines, 50(5), 562–570. https://doi.org/10.1111/j.1469-7610.2008.02015.x.
Evans, R., & Hurrell, C. (2016). The role of schools in children and young people’s self-harm and suicide: Systematic review and meta-ethnography of qualitative research. BMC Public Health, 16(1), 401. https://doi.org/10.1186/s12889-016-3065-2.
Ewell Foster, C. J., Burnside, A. N., Smith, P. K., Kramer, A. C., Wills, A. A., & King, C. (2017). Identification, response, and referral of suicidal youth following applied suicide intervention skills training. Suicide and Life-Threatening Behavior, 47(3), 297–308. https://doi.org/10.1111/sltb.12272.
Freedenthal, S. (2010). Adolescent help-seeking and the Yellow Ribbon suicide prevention program: An evaluation. Suicide and Life-Threatening Behavior, 40(6), 628–639. https://doi.org/10.1521/suli.2010.40.6.628.
Freeman, K. R., James, S., Klein, K. P., Mayo, D., & Montgomery, S. (2016). Outpatient dialectical behavior therapy for adolescents engaged in deliberate self-harm: Conceptual and methodological considerations. Child & Adolescent Social Work Journal: C & A, 33(2), 123–135. https://doi.org/10.1007/s10560-015-0412-6.
Ford-Paz, R. E., Reinhard, C., Kuebbeler, A., Contreras, R., & Sánchez, B. (2015). Culturally tailored depression/suicide prevention in Latino youth: Community perspectives. The Journal of Behavioral Health Services & Research, 42, 519–533. https://doi.org/10.1007/s11414-013-9368-5.
Fulginiti, A., Rice, E., Hsu, H. T., Rhoades, H., & Winetrobe, H. (2016). Risky integration: A social network analysis of network position, exposure, and suicidal ideation among homeless youth. Journal of Crisis Intervention and Suicide Prevention, 37(3), 184–193.
Garraza, L., Walrath, C., Goldston, D. B., Reid, H., & McKeon, R. (2015). Effect of the Garrett Lee Smith Memorial Suicide Prevention Program on suicide attempts among youths. JAMA Psychiatry, 72(11), 1143–1149. https://doi.org/10.1001/jamapsychiatry.2015.1933.
Gould, M. S., Marrocco, F. A., Kleinman, M., Thomas, J. G., Mostkoff, K., Cote, J., et al. (2005). Evaluating iatrogenic risk of youth suicide screening programs: A randomized controlled trial. JAMA: The Journal of the American Medical Association, 293(13), 1635–1643. https://doi.org/10.1001/jama.293.13.1635.
Harlow, A. F., Bohanna, I., & Clough, A. (2014). A systematic review of evaluated suicide prevention programs targeting indigenous youth. Journal of Crisis Intervention and Suicide Prevention, 35(5), 310–321.
Hart, S. R. (2012). Student suicide: Suicide postvention. In S. E. Brock & S. R. Jimerson (Eds.), Best practices in school crisis prevention and intervention (2nd ed.). Bethesda, MD: National Association of School Psychologists.
Kann, L., McManus, T., Harris, W. A., Shanklin, S. L., Flint, K. H., Hawkins, J., et al. (2016). Youth risk behavior surveillance—United States, 2015. Morbidity and Mortality Weekly Report. Surveillance Summaries, 65(6), 1–174. https://doi.org/10.15585/mmwr.ss6506a1.
Katz, C., Bolton, S. L., Katz, L. Y., Isaak, C., Tilston-Jones, T., Sareen, J., et al. (2013). A systematic review of school-based suicide prevention programs. Depression and Anxiety, 30(10), 1030–1045. https://doi.org/10.1002/da.22114.
King, C. A., Klaus, N., Kramer, A., Venkataraman, S., Quinlan, P., & Gillespie, B. (2009). The Youth-Nominated Support Team-Version II for suicidal adolescents: A randomized controlled intervention trial. Journal of Consulting and Clinical Psychology, 77(5), 880–893. https://doi.org/10.1037/a0016552.
King, C. A., Kramer, A., Preuss, L., Kerr, D. C. R., Weisse, L., & Venkataraman, S. (2006). Youth-Nominated Support Team for suicidal adolescents (Version 1): A randomized controlled trial. Journal of Consulting and Clinical Psychology, 74(1), 199–206. https://doi.org/10.1037/0022-006X.74.1.199.
King, K. A., Strunk, C. M., & Sorter, M. T. (2011). Preliminary effectiveness of Surviving the Teens(®) suicide prevention and depression awareness program on adolescents’ suicidality and self-efficacy in performing help-seeking behaviors. The Journal of School Health, 81(9), 581–590. https://doi.org/10.1111/j.1746-1561.2011.00630.x.
Klimes-Dougan, B., Klingbeil, D. A., & Meller, S. J. (2013). The impact of universal suicide-prevention programs on the help-seeking attitudes and behaviors of youths. Crisis, 34(2), 82–97. https://doi.org/10.1027/0227-5910/a000178.
Klonsky, E. D., Qiu, T., & Saffer, B. Y. (2017). Recent advances in differentiating suicide attempters from suicide ideators. Current Opinion in Psychiatry, 30(1), 15–20. https://doi.org/10.1097/YCO.0000000000000294.
Kreuze, E., Stecker, T., & Ruggiero, K. J. (2017). State requirements for school personnel suicide prevention training: Where do we go from here? Adolescent Research Review. https://doi.org/10.1007/s40894-017-0057-0.
Kutcher, S., Wei, Y., & Behzadi, P. (2016). School- and community-based youth suicide prevention interventions: Hot idea, hot air, or sham? The Canadian Journal of Psychiatry. https://doi.org/10.1177/0706743716659245.
LaFromboise, T. D., & Howard-Pitney, B. (1994). The Zuni Life Skills Development Curriculum: A collaborative approach to curriculum development. American Indian and Alaska Native Mental Health Research (Monographic Series), 4, 98–121.
Lafromboise, T. D., & Lewis, H. A. (2008). The Zuni Life Skills Development Program: A school/community-based suicide prevention intervention. Suicide & Life-Threatening Behavior, 38(3), 343–353. https://doi.org/10.1521/suli.2008.38.3.343.
Le, T., & Gobert, J. (2013). Translating and implementing a mindfulness-based youth suicide prevention intervention in a Native American community. Journal of Child and Family Studies, 24, 1–12. https://doi.org/10.1007/s10826-013-9809-z.
Le, T. N., & Gobert, J. M. (2015). Translating and implementing a mindfulness-based youth suicide prevention intervention in a Native American community. Journal of Child and Family Studies, 24, 12–23. https://link.springer.com/article/10.1007%2Fs10826-013-9809-z.
Macleod, E., Nada-Raja, S., Beautrais, A., Shave, R., & Jordan, V. (2015). Primary prevention of suicide and suicidal behaviour for adolescents in school settings. In Cochrane database of systematic reviews. John Wiley & Sons, Ltd. https://doi.org/10.1002/14651858.CD007322.pub2.
MacPherson, H. A., Cheavens, J. S., & Fristad, M. A. (2013). Dialectical behavior therapy for adolescents: Theory, treatment adaptations, and empirical outcomes. Clinical Child and Family Psychology Review, 16(1), 59–80. https://doi.org/10.1007/s10567-012-0126-7.
Marraccini, M. E., & Brier, Z. M. F. (2017). School connectedness and suicidal thoughts and behaviors: A systematic meta-analysis. School Psychology Quarterly, 32(1), 5–21. https://doi.org/10.1037/spq0000192.
Mazza, J. J., Dexter-Mazza, E. T., Miller, A. L., Rathus, J. H., & Murphy, H. E. (2016). DBT skills in schools: Skills training for emotional problem solving for adolescents (DBT STEPS-A). New York: The Guilford Press.
Miller, D. N. (2010). Child and adolescent suicidal behavior: School-based prevention, assessment, and intervention. New York: The Guilford Press.
Miller, D. N., Eckert, T. L., & Mazza, J. J. (2009). Suicide prevention programs in the schools: A review and public health perspective. School Psychology Review, 38, 168–188.
Millner, A. J., Lee, M. D., & Nock, M. K. (2017). Describing and measuring the pathway to suicide attempts: A preliminary study. Suicide & Life-Threatening Behavior, 47(3), 353–369. https://doi.org/10.1111/sltb.12284.
Nance, M. L., Carr, B. G., Kallan, M. J., Branas, C. C., & Wiebe, D. J. (2010). Variation in pediatric and adolescent firearm mortality rates in rural and urban US counties. Pediatrics, 125(6), 1112–1118. https://doi.org/10.1542/peds.2009-3219.
Newcomer, A. R., Roth, K. B., Kellam, S. G., Wang, W., Ialongo, N. S., Hart, S. R., et al. (2016). Higher childhood peer reports of social preference mediates the impact of the Good Behavior Game on suicide attempt. Prevention Science, 17(2), 145–156. https://doi.org/10.1007/s11121-015-0593-4.
Nock, M. K., Green, J. G., Hwang, I., McLaughlin, K. A., Sampson, N. A., Zaslavsky, A. M., et al. (2013). Prevalence, correlates, and treatment of lifetime suicidal behavior among adolescents: Results from the National Comorbidity Survey Replication Adolescent Supplement. JAMA Psychiatry, 70(3), 300–310. https://doi.org/10.1001/2013.jamapsychiatry.55.
Panagioti, M., Gooding, P. A., Triantafyllou, K., & Tarrier, N. (2015). Suicidality and posttraumatic stress disorder (PTSD) in adolescents: A systematic review and meta-analysis. Social Psychiatry and Psychiatric Epidemiology, 50(4), 525–537. https://doi.org/10.1007/s00127-014-0978-x.
Pisani, A. R., Cross, W. F., & Gould, M. S. (2011). The assessment and management of suicide risk: State of workshop education. Suicide & Life-Threatening Behavior, 41(3), 255–276. https://doi.org/10.1111/j.1943-278X.2011.00026.x.
Pisani, A. R., Murrie, D. C., & Silverman, M. M. (2016). Reformulating suicide risk formulation: From prediction to prevention. Academic Psychiatry, 40, 623–629. https://doi.org/10.1007/s40596-015-0434-6.
Posner, K., Brown, G. K., Stanley, B., Brent, D. A., Yershova, K. V., Oquendo, M. A., et al. (2011). The Columbia-Suicide Severity Rating Scale: Initial validity and internal consistency findings from three multisite studies with adolescents and adults. The American Journal of Psychiatry, 168(12), 1266–1277. https://doi.org/10.1176/appi.ajp.2011.10111704.
Randell, B. P., Eggert, L. L., & Pike, K. C. (2001). Immediate post intervention effects of two brief youth suicide prevention interventions. Suicide and Life-Threatening Behavior, 31(1), 41–61.
Robinson, J., Cox, G., Malone, A., Williamson, M., Baldwin, G., Fletcher, K., et al. (2013). A systematic review of school-based interventions aimed at preventing, treating, and responding to suicide- related behavior in young people. Crisis, 34(3), 164–182. https://doi.org/10.1027/0227-5910/a000168.
Robinson, J., Hetrick, S. E., & Martin, C. (2011). Preventing suicide in young people: Systematic review. Australian and New Zealand Journal of Psychiatry, 45(1), 3–26. https://doi.org/10.3109/00048674.2010.511147.
Schilling, E. A., Aseltine, R. H., & James, A. (2016). The SOS Suicide Prevention Program: Further evidence of efficacy and effectiveness. Prevention Science, 17(2), 157–166. https://doi.org/10.1007/s11121-015-0594-3.
Schilling, E. A., Lawless, M., Buchanan, L., & Aseltine, R. H. (2014). “Signs of Suicide” shows promise as a middle school suicide prevention program. Suicide and Life-Threatening Behavior, 44(6), 653–667. https://doi.org/10.1111/sltb.12097.
Schmitz, W. M., Allen, M. H., Feldman, B. N., Gutin, N. J., Jahn, D. R., Kleespies, P. M., et al. (2012). Preventing suicide through improved training in suicide risk assessment and care: An American Association of Suicidology Task Force report addressing serious gaps in U.S. mental health training. Suicide & Life-Threatening Behavior, 42(3), 292–304. https://doi.org/10.1111/j.1943-278X.2012.00090.x.
Scott, M. A., Wilcox, H. C., Schonfeld, I. S., Davies, M., Hicks, R. C., Turner, J. B., et al. (2009). School-based screening to identify at-risk students not already known to school professionals: The Columbia Suicide Screen. American Journal of Public Health, 99(2), 334–339. https://doi.org/10.2105/AJPH.2007.127928.
Shannonhouse, L., Lin, Y. W. D., Shaw, K., & Porter, M. (2017). Suicide intervention training for K-12 schools: A quasi-experimental study on ASIST. Journal of Counseling and Development, 99, 3–13. https://doi.org/10.1002/jcad.12112.
Shea, S. C. (2002). The practical art of suicide assessment: A guide for mental health professionals and substance abuse counselors. Lexington, KY: Mental Health Presses.
Sheftall, A. H., Asti, L., Horowitz, L. M., Felts, A., Fontanella, C. A., Campo, J. V., et al. (2016). Suicide in elementary school-aged children and early adolescents. Pediatrics. https://doi.org/10.1542/peds.2016-0436.
Shneidman, E. S. (1973). On the nature of suicide. San Francisco: Jossey-Bass.
Singer, J. B., O’Brien, K. H. M., & LeCloux, M. (2017). Three psychotherapies for suicidal adolescents: Overview of conceptual frameworks and intervention techniques. Child and Adolescent Social Work Journal, 34(2), 95–106. https://doi.org/10.1007/s10560-016-0453-5.
Singer, J. B., & Slovak, K. (2011). School social workers’ experiences with youth suicidal behavior: An exploratory study. Children & Schools, 33, 215–228. https://doi.org/10.1093/cs/33.4.215.
Smith, A. R., Witte, T. K., Teale, N. E., King, S. L., Bender, T. W., & Joiner, T. E. (2008). Revisiting impulsivity in suicide: Implications for civil liability of third parties. Behavioral Sciences & The Law, 26(6), 779–797. https://doi.org/10.1002/bsl.848.
Song, I. H., Kwon, S. W., & Kim, J. E. (2015). Association between suicidal ideation and exposure to suicide in social relationships among family, friend, and acquaintance survivors in South Korea. Suicide and Life-Threatening Behavior, 45, 376–390.
Spirito, A., Esposito-Smythers, C., Wolff, J., & Uhl, K. (2011). Cognitive-behavioral therapy for adolescent depression and suicidality. Child and Adolescent Psychiatric Clinics of North America, 20(2), 191–204. https://doi.org/10.1016/j.chc.2011.01.012.
Stanley, B., & Brown, G. K. (2012). Safety planning intervention: A brief intervention to mitigate suicide risk. Cognitive and Behavioral Practice, 19(2), 256–264. https://doi.org/10.1016/j.cbpra.2011.01.001.
Stone, D. M., Holland, K. M., Bartholow, B., Crosby, A. E., Davis, S., & Wilkins, N. (2017). Preventing suicide: A technical package of policies, programs, and practices. Retrieved from https://www.cdc.gov/violenceprevention/pdf/suicide-technicalpackage.pdf.
Strunk, C. M., King, K. A., Vidourek, R. A., & Sorter, M. T. (2014). Effectiveness of the Surviving the Teens® Suicide Prevention and Depression Awareness Program: An impact evaluation utilizing a comparison group. Health Education & Behavior, 41(6), 605–613. https://doi.org/10.1177/1090198114531774.
Substance Abuse and Mental Health Services Administration. (2012). Preventing suicide: A toolkit for high schools. Retrieved from https://store.samhsa.gov/shin/content//SMA12-4669/SMA12-4669.pdf.
Taylor, R. D., Oberle, E., Durlak, J. A., & Weissberg, R. P. (2017). Promoting positive youth development through school-based social and emotional learning interventions: A meta-analysis of follow-up effects. Child Development, 88(4), 1156–1171. https://doi.org/10.1111/cdev.12864.
Thompson, E. A., Connelly, C. D., Thomas-Jones, D., & Eggert, L. L. (2013). School difficulties and co-occurring health risk factors: Substance use, aggression, depression, and suicidal behaviors. Journal of Child and Adolescent Psychiatric Nursing, 26(1), 74–84. https://doi.org/10.1111/jcap.12026.
Walrath, C., Garraza, L. G., Reid, H., Goldston, D. B., & McKeon, R. (2015). Impact of the Garrett Lee Smith youth suicide prevention program on suicide mortality. American Journal of Public Health, 105(5), 986–993. https://doi.org/10.2105/AJPH.2014.302496.
Wasserman, D., Hoven, C. W., Wasserman, C., Wall, M., Eisenberg, R., Hadlaczky, G., et al. (2015). School-based suicide prevention programmes: The SEYLE cluster-randomised, controlled trial. The Lancet, 385(9977), 1536–1544. https://doi.org/10.1016/S0140-6736(14)61213-7.
Wei, Y., Kutcher, S., & LeBlanc, J. C. (2015). Hot idea or hot air: A systematic review of evidence for two widely marketed youth suicide prevention programs and recommendations for implementation. Journal of the Canadian Academy of Child and Adolescent Psychiatry, 24(1), 5–16.
Wilcox, H. C., Kellam, S. G., Brown, C. H., Poduska, J., Ialongo, N. S., Wang, W., et al. (2008). The impact of two universal randomized first- and second-grade classroom interventions on young adult suicide ideation and attempt. Drug and Alcohol Dependence, 95(Suppl 1), S60–S73. https://doi.org/10.1016/j.drugalcdep.2008.01.005.
Wyman, P. A. (2014). Developmental approach to prevent adolescent suicides: Research pathways to effective upstream prevention interventions. American Journal of Preventive Medicine, 47(3S2), S251–S256. https://doi.org/10.1016/j.amepre.2014.05.039.
Wyman, P. A., Brown, C. H., Inman, J., Cross, W., Schmeelk-Cone, K., Guo, J., et al. (2008). Randomized trial of a gatekeeper program for suicide prevention: 1-year impact on secondary school staff. Journal of Consulting and Clinical Psychology, 76(1), 104–115. https://doi.org/10.1037/0022-006X.76.1.104.
Wyman, P. A., Brown, C. H., LoMurray, M., Schmeelk-Cone, K., Petrova, M., Yu, Q., et al. (2010). An outcome evaluation of the Sources of Strength suicide prevention program delivered by adolescent peer leaders in high schools. American Journal of Public Health, 100(9), 1653–1661. https://doi.org/10.2105/AJPH.2009.190025.
Wyman, P. A. & The Upstream Suicide Prevention Workgroup. (2012). Upstream youth suicide prevention expert panel meeting summary. American Association of Suicidology (AAS) and the Society for the Prevention of Teen Suicide (SPTS). Retrieved from http://www.sprc.org/sites/sprc.org/files/library/Upstream_Youth_Suicide_Prevention_Expert_Panel_Meeting%20Summary.pdf.
Zisook, S., Chentsova-Dutton, Y., & Shuchter, S. R. (1998). PTSD following bereavement. Annals of Clinical Psychiatry, 10(4), 157–163.
Zalsman, G., Hawton, K., Wasserman, D., van Heeringen, K., Arensman, E., Sarchiapone, M., et al. (2016). Suicide prevention strategies revisited: 10-year systematic review. The Lancet Psychiatry, 3(7), 646–659. https://doi.org/10.1016/S2215-0366(16)30030-X.
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Singer, J.B., Erbacher, T.A. & Rosen, P. School-Based Suicide Prevention: A Framework for Evidence-Based Practice. School Mental Health 11, 54–71 (2019). https://doi.org/10.1007/s12310-018-9245-8
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DOI: https://doi.org/10.1007/s12310-018-9245-8