University of North Carolina at Charlotte, Charlotte, North Carolina, USA.
Old Dominion University, Norfolk, Virginia, USA.
J Am Coll Health. 2022 Jan;70(1):1-8. doi: 10.1080/07448481.2020.1739053. Epub 2020 Mar 24.
Suicide-related behavior (SRB) is a growing mental health concern on college campuses. We argue that causes of this rising trend go beyond student stress, to include outdated campus policies, overburdened counseling center staffing, and untapped targets for prevention efforts. We outline the social-ecological model applied to suicide and related public health problems. Such a viewpoint provides an example road map to redress suicide and related risk factors (e.g., violence, substance abuse) through multiple levels of prevention-focused programing. Using our SAMHSA-funded campus suicide prevention programmatic approach as a case illustration, we proffer lessons and guidelines for the implementation of a social-ecological suicide prevention program (SESPP). Emphasis is placed on review of evidence-informed prevention programs, utilization of interdisciplinary prevention teams, need for rigorous program evaluation, and consideration of the unique demography of each campus.
自杀相关行为（SRB）是大学校园心理健康日益关注的问题。我们认为，导致这一趋势上升的原因不仅仅是学生的压力，还包括过时的校园政策、咨询中心人员配备负担过重，以及预防工作的未开发目标。我们概述了应用于自杀和相关公共卫生问题的社会生态模式。这种观点为通过多层次的预防为重点的项目来解决自杀和相关风险因素（例如暴力、药物滥用）提供了一个范例路线图。我们使用 SAMHSA 资助的校园自杀预防项目方法作为案例说明，提供实施社会生态自杀预防计划（SESPP）的经验和指导方针。重点是审查循证预防计划、利用跨学科预防团队、严格的项目评估的必要性，以及考虑每个校园的独特人口统计。
