Suicide Prevention Center of New York, 150 Broadway, Suite 301, Menands, NY 12204, USA.
Dana E. Boccio, Derner School of Psychology, Adelphi University, 1 South Avenue, Garden City, NY 11530, USA.
Int J Environ Res Public Health. 2019 Jun 19;16(12):2165. doi: 10.3390/ijerph16122165.
Schools have an important role to play in combatting suicide, a significant public health problem that disproportionately affects adolescents and young adults. Schools can work to reduce youth suicidality by adopting policies that align with best practice recommendations pertaining to suicide prevention, intervention, and postvention. This study examined the impact of a one-day training, the Creating Suicide Safety in Schools (CSSS) workshop, on the readiness of school personnel to improve their schools' suicide-related policies and procedures. Participants ( = 562) consisted predominantly of school-based mental health professionals working in communities of low or mixed socioeconomic status in New York State. Survey data were collected according to a one-group pre-test-post-test design with a 3-month follow-up. Workshop participants demonstrated improvements from pre-test to post-test in their attitudes about the importance of school-based suicide prevention, knowledge of best practices, perceptions of administrative support, and feelings of empowerment to work collaboratively to enhance their schools' suicide safety. At follow-up, participants reported barriers to implementing changes, most commonly in the form of insufficient time and stigma surrounding the topic of suicide. The results of this study provide preliminary evidence for the effectiveness of the CSSS workshop as a promising method for improving schools' suicide safety, yet additional research using randomized controlled trials needs to be conducted.
学校在预防自杀方面扮演着重要的角色,自杀是一个严重的公共卫生问题,尤其影响青少年和年轻人。学校可以通过采用符合最佳实践建议的政策来减少青少年的自杀倾向,这些政策涉及自杀预防、干预和后预防。本研究调查了为期一天的培训——学校自杀安全创建(CSSS)研讨会对学校人员提高与自杀相关的政策和程序的准备程度的影响。参与者(n=562)主要由在纽约州经济社会地位较低或混合社区工作的学校心理健康专业人员组成。根据单组前测-后测设计,收集了调查数据,并进行了 3 个月的随访。研讨会参与者在对学校预防自杀的重要性的态度、最佳实践知识、对行政支持的看法以及共同努力增强学校自杀安全性的授权感方面,从前测到后测都有所改善。在随访中,参与者报告了实施变革的障碍,最常见的形式是时间不足和对自杀问题的污名化。本研究的结果为 CSSS 研讨会作为一种提高学校自杀安全性的有前途的方法提供了初步证据,但需要进行更多使用随机对照试验的研究。