An RCT of Sources of Strength High School Primary Prevention Program on Sexual Violence Perpetration and Victimization and Dismissiveness of Sexual Harassment

Espelage, Dorothy L.; Kuehl, Tomei; Wyman, Peter A.; Nickodem, Kyle; Mintz, Sasha; Valido, Alberto; Robinson, Luz E.; Merrin, Gabriel J.; Hoagland, Kirstin; Schmeelk-Cone, Karen; LoMurray, Scott; Woolweaver, Ashley B.; Ingram, Katherine M.; Rulison, Kelly L.

doi:10.1080/2372966x.2022.2164460

Cited by 3 publications

(3 citation statements)

References 45 publications

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“…In the first trial, 11 intervention schools implemented Sources of Strength for one school semester and control schools began implementing in the second semester (see table 1 ). In the second 12 and third trials, 13 intervention schools implemented the programme for two school years, with control schools starting in year three.…”

Section: Methodsmentioning

confidence: 99%

“… 11 A second hybrid effectiveness-implementation trial showed Sources of Strength increased student help-seeking behaviours over one school year that were subsequently lost when implementation fidelity declined, and no overall beneficial effects on student suicide attempts. 12 A third trial that tested for cross-over effects on sexual violence 13 showed significant reductions in suicide attempt rates (student self-report) over a 2 year school period. 14…”

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Impact of Sources of Strength on adolescent suicide deaths across three randomized trials

et al. 2023

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Universal interventions are key to reducing youth suicide rates, yet no universal intervention has demonstrated reduction in suicide mortality through an RCT. This study pooled three cluster-RCTs ofSources of Strength(n=78 high schools), a universal social network-informed intervention. In each trial, matched pairs of schools were assigned to immediate intervention or wait-list. Six schools were assigned without a pair due to logistical constraints. During the study period, no suicides occurred in intervention schools vs four in control schools, that is, suicide rates of 0 vs. 20.86/100,000, respectively. Results varied across statistical tests of impact. A state-level exact test pooling all available schools showed fewer suicides in intervention vs. control schools (p=0.047); whereas a stricter test involving only schools with a randomised pair found no difference (p=0.150). Results suggest that identifying mortality-reducing interventions will require commitment to new public-health designs optimised for population-level interventions, including adaptive roll-out trials.

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Section: Methodsmentioning

confidence: 99%

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Impact of Sources of Strength on adolescent suicide deaths across three randomized trials

et al. 2023

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“…For instance, Colorado braided multiple funding sources to implement Sources of Strength, a ‘universal suicide prevention programme designed to build socioecological protective influences around youth and to reduce the likelihood that vulnerable youth/young adults will become suicidal.’7 While Sources of Strength focuses on suicide prevention, it is designed as a strengths-based programme for youth that addresses multiple risk and protective factors shared across injury and violence outcomes. Due to the SRPF emphasis of the intervention, the state implemented evaluated it for sexual violence perpetration and associated gender-based attitude and behavioural outcomes 8…”

Section: Opportunities In the Fieldmentioning

confidence: 99%

The time is now: advancing shared risk and protective factor approaches to injury and violence prevention

Gilmartin

Mayberry

2023

Inj Prev

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Using a shared risk and protective factor (SRPF) approach to prevention acknowledges a shift in the ways we work. The fundamental question at the root of our efforts should no longer be how we address a single, specific public health issue. Instead, we should be asking how we can develop a system that supports well-being holistically. We should be striving to increase the resources to which people have access in a way that proactively prevents multiple public health issues, improves the context in which people live out their lives, and develops a broad spectrum of resilience.The fields of injury and violence prevention (IVP) and public health are at a critical juncture to address the true causes of injuries and violence. It is imminently vital for all stakeholders across IVP to work upstream and align funding, interventions, and evaluations in ways that embrace SRPF approaches. The value of this approach is multifold: it tackles multiple population health outcomes through multisector interventions, it positively impacts social determinants of health; it is sustainable and it maximises financial resources. While theoretical buy-in for the SRPF approach is high, there remain challenges in the field to operationalise such an approach. The time is now for the field to collectively embrace an SRPF approach and rally together to strengthen the evidence base. Researchers, practitioners, funders and national organisations must align their goals in prioritising upstream, primary prevention through addressing SRPF to enhance public health infrastructure and reduce societal inequities.

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Lessons Learned from Implementing Sources of Strength: A Qualitative Examination of a Peer-Led Suicide Prevention Program

Aguilar,

Espelage,

Valido

et al. 2023

School Mental Health

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An RCT of Sources of Strength High School Primary Prevention Program on Sexual Violence Perpetration and Victimization and Dismissiveness of Sexual Harassment

Cited by 3 publications

References 45 publications

Impact of Sources of Strength on adolescent suicide deaths across three randomized trials

Impact of Sources of Strength on adolescent suicide deaths across three randomized trials

The time is now: advancing shared risk and protective factor approaches to injury and violence prevention

Lessons Learned from Implementing Sources of Strength: A Qualitative Examination of a Peer-Led Suicide Prevention Program

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