Health Promotion and Education Program, University of Cincinnati, OH 45221-0068, USA.
J Sch Health. 2011 Sep;81(9):581-90. doi: 10.1111/j.1746-1561.2011.00630.x.
Suicide ranks as the third leading cause of death among youth aged 15-24 years. Schools provide ideal opportunities for suicide prevention efforts. However, research is needed to identify programs that effectively impact youth suicidal ideation and behavior. This study examined the immediate and 3-month effect of Surviving the Teens® Suicide Prevention and Depression Awareness Program on students' suicidality and perceived self-efficacy in performing help-seeking behaviors.
High school students in Greater Cincinnati schools were administered a 3-page survey at pretest, immediate posttest, and 3-month follow-up. A total of 1030 students participated in the program, with 919 completing matched pretests and posttests (89.2%) and 416 completing matched pretests and 3-month follow-ups (40.4%).
Students were significantly less likely at 3-month follow-up than at pretest to be currently considering suicide, to have made a suicidal plan or attempted suicide during the past 3 months, and to have stopped performing usual activities due to feeling sad and hopeless. Students' self-efficacy and behavioral intentions toward help-seeking behaviors increased from pretest to posttest and were maintained at 3-month follow-up. Students were also more likely at 3-month follow-up than at pretest to know an adult in school with whom they felt comfortable discussing their problems. Nine in 10 (87.3%) felt the program should be offered to all high school students.
The findings of this study lend support for suicide prevention education in schools. The results may be useful to school professionals interested in implementing effective suicide prevention programming to their students.
自杀是 15-24 岁青少年人群的第三大死因。学校为预防自杀工作提供了理想的机会。然而,需要研究识别出哪些项目可以有效影响青少年自杀意念和行为。本研究考察了 Surviving the Teens®预防自杀和抑郁意识项目对学生自杀意念和实施求助行为的自我效能感的即时和 3 个月效果。
辛辛那提地区高中的学生在预测试、即时后测试和 3 个月随访时接受了 3 页的调查。共有 1030 名学生参加了该项目,其中 919 名学生完成了匹配的预测试和后测试(89.2%),416 名学生完成了匹配的预测试和 3 个月随访(40.4%)。
与预测试相比,学生在 3 个月随访时自杀意念的可能性显著降低,在过去 3 个月内制定自杀计划或尝试自杀的可能性降低,因感到悲伤和绝望而停止进行日常活动的可能性降低。学生的自我效能感和寻求帮助行为的意向从预测试到后测试增加,并在 3 个月随访时保持。与预测试相比,学生在 3 个月随访时更有可能知道学校里有一位他们感到可以与他们讨论问题的成年人。十分之九(87.3%)的学生认为该项目应该提供给所有高中生。
本研究的结果为学校的自杀预防教育提供了支持。这些结果可能对有兴趣向学生实施有效的自杀预防项目的学校专业人员有用。