“Signs of Suicide” Shows Promise as a Middle School Suicide Prevention Program

Schilling, Elizabeth A.; Lawless, Martha; Buchanan, Laurel; Aseltine, Robert H.

doi:10.1111/sltb.12097

Cited by 108 publications

(66 citation statements)

References 32 publications

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“…Internal validity scores were poor to fair and ranged from 2 to 8 of a maximum of 13 points. The majority of studies 31,32,40,41,44 had moderate scores, but lacked randomization and a control or comparison group. Only one quantitative study 41 reported power or mentioned a priori effect sizes to inform primary hypotheses, and scores ranged from 0 to 2 (M = 0.2, SD = 0.63).…”

Section: Resultsmentioning

confidence: 99%

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Evaluating Behavioral Health Interventions for Military-Connected Youth: A Systematic Review

et al. 2017

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Introduction Military-connected youth are at increased risk for experiencing distinct psychosocial and behavioral health vulnerabilities. Although behavioral health interventions have been developed to treat vulnerabilities in military-connected youth, little is known about the methodological quality of studies evaluating these interventions. In this study, a systematic review of behavioral health interventions for military-connected youth was conducted to examine methodological quality and treatment outcomes. Materials and Methods Electronic databases were systematically searched for studies evaluating behavioral health interventions for military-connected youth which yielded 3,324 citations. Methodological quality was evaluated by 2 researchers with 3 measures that assessed scientific rigor, transparency, external and internal validity, and power for quantitative, qualitative, and mixed-method trials. Interrater reliability was strong (κ = 0.81). Sample characteristics and treatment outcomes were also assessed. Results Fourteen studies meeting full inclusion criteria evaluated 10 behavioral health interventions. Methodological quality scores for all studies were poor to fair, with limitations in reporting, external and internal validity, and power. Research designs were predominantly nonexperimental. Treatment effects for both psychosocial and behavioral health outcomes were consistently positive for all studies. In studies reporting effect sizes, treatment effects were small to moderate (d = 0.01–0.42, odds ratio = 0.04–0.47, b = −0.02–0.56). Demographic and military characteristics of samples were inconsistently reported. Conclusion Behavioral health interventions for military-connected youth have noteworthy methodological limitations, indicating a need to employ more rigorous research strategies. Positive treatment outcomes, however, suggest promising interventions for improving psychosocial and behavioral health problems in military-connected youth. Future research directions and implications for clinical-community practice are also discussed.

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Section: Resultsmentioning

confidence: 99%

“…19,42,44 Fidelity monitoring was inconsistently reported or monitoring protocols lacked sufficient detail to determine monitoring strategies and remedial training implemented. Future research may benefit from continuous monitoring of program implementation to assess treatment fidelity and improve MQ.…”

Section: Discussionmentioning

confidence: 99%

Evaluating Behavioral Health Interventions for Military-Connected Youth: A Systematic Review

et al. 2017

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“…Overall, the suicide mortality has decreased between 1990 and 2010 in USA and Western European countries. Many suicide prevention programs were developed during this period 11 12 13 14 15 16 17 18 19 . Suicide mortality also strongly decreased between 1990 and 2010 in most of the Eastern European countries.…”

Section: Discussionmentioning

confidence: 99%

Disparities in suicide mortality trends between United States of America and 25 European countries: retrospective analysis of WHO mortality database

Fond

Llorca

Zendjidjian

et al. 2016

Sci Rep

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The objective was to examine changes in temporal trends in suicide mortality in 26 Western countries by retrospective trend analysis of the WHO mortality database on causes of deaths. From 1990 to 2010, there was a median reduction in suicide mortality of 22.7%, ranging from a 46% reduction in Estonia to a 26.2% increase in Romania. Suicide mortality decreased by ≥20% in 15 countries, and the reduction tended to be greater in countries with higher mortality in 1990. In most of the central European countries mortality strongly declined. The median changes in the age groups were −25.3% (range −62.9% to 72.6%) in people aged 15–24 years, −36.9% (−60.5% to 32.4%) in 25–34 years, −3.6% (−57.1% to 92%) in 35–54 years, −12.2% (−37% to 65,7%) in 55–74 years and −16.1% (−54.5% to 166.7%) in ≥75 years. Suicide prevention programs in youths and in the elderly seem to be effective (at least in females for the elderly) and efforts should be pursued in this way. However, suicide mortality of the people aged 35–54 years has increased in half of the studied countries between 1990 and 2010. Public policies should further orientate their efforts toward this population.

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“…The selected studies included a variety of preventive interventions ( Table 2 ); the SOS (Signs of Suicide) model was included in 2 studies: the original model for high schools [ 34 ] and the adapted model for middle schools [ 41 ]. The modalities of technology most often used were phones and web or web-based platforms.…”

Section: Resultsmentioning

confidence: 99%

The Role of Technology and the Continuum of Care for Youth Suicidality: Systematic Review

Szlyk¹,

Tan²

2020

J Med Internet Res

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Background Youth suicide is a global public health issue, and using technology is one strategy to increase participation in preventive interventions. However, there is minimal knowledge on how technology-enhanced interventions for youth correspond to the stages of care, from illness or risk recognition to treatment follow-up. Objective This systematic review aims to examine the efficacy of technology-enhanced youth suicide prevention and interventions across the continuum of care. Methods Four electronic databases were searched up to spring 2019 for youth suicide preventive interventions that used technology. The review was not restricted by study design and eligible studies could report outcomes on suicidality or related behaviors, such as formal treatment initiation. An adapted version of the Methodological Quality Ratings Scale was used to assess study quality. Results A total of 26 studies were identified. The findings support the emerging efficacy of technology-enhanced interventions, including a decline in suicidality and an increase in proactive behaviors. However, evidence suggests that there are gaps in the continuum of care and recent study samples do not represent the diverse identities of vulnerable youth. Conclusions The majority of identified studies were conducted in school settings and were universal interventions that aligned with the illness and risk recognition and help-seeking stages of the continuum of care. This field could be strengthened by having future studies target the stages of assessment and treatment initiation, include diverse youth demographics, and examine the varying roles of providers and technological components in emerging interventions.

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“Signs of Suicide” Shows Promise as a Middle School Suicide Prevention Program

Cited by 108 publications

References 32 publications

Evaluating Behavioral Health Interventions for Military-Connected Youth: A Systematic Review

Evaluating Behavioral Health Interventions for Military-Connected Youth: A Systematic Review

Disparities in suicide mortality trends between United States of America and 25 European countries: retrospective analysis of WHO mortality database

The Role of Technology and the Continuum of Care for Youth Suicidality: Systematic Review

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