OBJECTIVES: We evaluated the feasibility of a population-based approach to preventing adolescent suicide. METHODS: A total of 1323 students in 10 high schools completed the Suicide Risk Screen. Screening results, student follow-up, staff feedback, and school responses were assessed. RESULTS: Overall, 29% of the participants were rated as at risk of suicide. As a result of this overwhelming percentage, school staffs chose to discontinue the screening after 2 semesters. In further analyses, about half of the students identified were deemed at high risk on the basis of high levels of depression, suicidal ideation, or suicidal behavior. Priority rankings evidenced good construct validity on correlates such as drug use, hopelessness, and perceived family support. CONCLUSIONS: A simpler, more specific screening instrument than the Suicide Risk Screen would identify approximately 11% of urban high school youths for assessment, offering high school officials an important opportunity to identify young people at the greatest levels of need and to target scarce health resources. Our experiences from this study show that lack of feasibility testing greatly contributes to the gap between science and practice.
RCT Entities:
OBJECTIVES: We evaluated the feasibility of a population-based approach to preventing adolescent suicide. METHODS: A total of 1323 students in 10 high schools completed the Suicide Risk Screen. Screening results, student follow-up, staff feedback, and school responses were assessed. RESULTS: Overall, 29% of the participants were rated as at risk of suicide. As a result of this overwhelming percentage, school staffs chose to discontinue the screening after 2 semesters. In further analyses, about half of the students identified were deemed at high risk on the basis of high levels of depression, suicidal ideation, or suicidal behavior. Priority rankings evidenced good construct validity on correlates such as drug use, hopelessness, and perceived family support. CONCLUSIONS: A simpler, more specific screening instrument than the Suicide Risk Screen would identify approximately 11% of urban high school youths for assessment, offering high school officials an important opportunity to identify young people at the greatest levels of need and to target scarce health resources. Our experiences from this study show that lack of feasibility testing greatly contributes to the gap between science and practice.
Authors: R A King; M Schwab-Stone; A J Flisher; S Greenwald; R A Kramer; S H Goodman; B B Lahey; D Shaffer; M S Gould Journal: J Am Acad Child Adolesc Psychiatry Date: 2001-07 Impact factor: 8.829
Authors: Juan B Pena; Monica M Matthieu; Luis H Zayas; Katherine E Masyn; Eric D Caine Journal: Soc Psychiatry Psychiatr Epidemiol Date: 2010-12-09 Impact factor: 4.328
Authors: Michael Kaess; Romuald Brunner; Peter Parzer; Vladimir Carli; Alan Apter; Judit A Balazs; Julio Bobes; Horia G Coman; Doina Cosman; Padraig Cotter; Tony Durkee; Luca Farkas; Dana Feldman; Christian Haring; Miriam Iosue; Jean-Pierre Kahn; Helen Keeley; Tina Podlogar; Vita Postuvan; Franz Resch; Pilar A Sáiz; Merike Sisask; Alexandra Tubiana; Peeter Värnik; Marco Sarchiapone; Christina W Hoven; Danuta Wasserman Journal: Eur Child Adolesc Psychiatry Date: 2013-11-19 Impact factor: 4.785
Authors: Bradley D Stein; Sheryl H Kataoka; Alison B Hamilton; Dana Schultz; Gery Ryan; Pamela Vona; Marleen Wong Journal: J Behav Health Serv Res Date: 2009-03-17 Impact factor: 1.505