Display Settings:

Format

Send to:

Choose Destination
See comment in PubMed Commons below
Am J Public Health. 2001 May;91(5):742-52.

Evaluation of indicated suicide risk prevention approaches for potential high school dropouts.

Author information

  • 1Reconnecting Youth Prevention Research Program, Psychosocial and Community Health, Campus Box 357263, University of Washington School of Nursing, Seattle, WA 98195-7263, USA. elainet@u.washington.edu

Abstract

OBJECTIVES:

This study evaluated the efficacy of 2 indicated preventive interventions, postintervention and at 9-month follow-up.

METHODS:

Drawn from a pool of potential high school dropouts, 460 youths were identified as being at risk for suicide and participated in 1 of 3 conditions randomly assigned by school: (1) Counselors CARE (C-CARE) (n = 150), a brief one-to-one assessment and crisis intervention; (2) Coping and Support Training (CAST) (n = 155), a small-group skills-building and social support intervention delivered with C-CARE; and (3) usual-care control (n = 155). Survey instruments were administered pre-intervention, following C-CARE (4 weeks), following CAST (10 weeks), and at a 9-month follow-up.

RESULTS:

Growth curve analyses showed significant rates of decline in attitude toward suicide and suicidal ideation associated with the experimental interventions. C-CARE and CAST, compared with usual care, also were effective in reducing depression and hopelessness. Among females, reductions in anxiety and anger were greater in response to the experimental programs. CAST was most effective in enhancing and sustaining personal control and problem-solving coping for males and females.

CONCLUSIONS:

School-based, indicated prevention approaches are feasible and effective for reducing suicidal behaviors and related emotional distress and for enhancing protective factors.

PMID:
11344882
[PubMed - indexed for MEDLINE]
PMCID:
PMC1446664
Free PMC Article
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Icon for PubMed Central
    Loading ...
    Write to the Help Desk