Biddle Virginia Sue, Kern John, Brent David A, Thurkettle Mary Ann, Puskar Kathryn R, Sekula L Kathleen
1Department of Psychiatry and Human Behavior, Thomas Jefferson University, Philadelphia, PA, USA.
J Sch Nurs. 2014 Jun;30(3):173-86. doi: 10.1177/1059840514525968. Epub 2014 Mar 18.
Pennsylvania's response to adolescent suicide is its Student Assistance Program (SAP). SAP has been funded for 27 years although no statewide outcome studies using case-level data have been conducted. This study used logistic regression to examine drug-/alcohol-related behaviors and suspensions of suicidal students who participated in SAP. Of the 46 services, 10 best predicted (p<.01) that these undesirable outcomes would cease. Although no study subjects died by suicide, 42 of 374,626 referred students did die by suicide. Suicidal students who did not participate had double the rate of suicide of suicidal participants of SAP. Students referred for other reasons also killed themselves. Further work must be done to assess all referred students for suicide risk, examine educational outcomes, monitor substance-related crimes and overdoses, and examine school-related factors postmortem. Evidence from this study can be used by researchers to plan future studies and by Pennsylvania's school nurses when planning services.
宾夕法尼亚州针对青少年自杀的应对措施是其学生援助计划（SAP）。该计划已获得27年的资金支持，不过尚未开展使用个案层面数据的全州范围成果研究。本研究采用逻辑回归分析，以考察参与学生援助计划的自杀学生的药物/酒精相关行为及停学情况。在46项服务中，有10项最能预测（p<.01）这些不良后果将会停止。尽管没有研究对象自杀身亡，但在374,626名被转介的学生中，有42人自杀。未参与学生援助计划的自杀学生的自杀率是参与该计划的自杀学生的两倍。因其他原因被转介的学生也有自杀情况。必须进一步开展工作，以评估所有被转介学生的自杀风险、考察教育成果、监测与物质相关的犯罪和过量用药情况，并在事后审查与学校相关的因素。本研究的证据可供研究人员规划未来研究使用，也可供宾夕法尼亚州的学校护士在规划服务时参考。
