Johns Hopkins University, School of Medicine, Department of Psychiatry and Behavioral Sciences, 600 N. Wolfe St., Meyer 3-181c, 21287, Baltimore, MD, USA.
Child and Adolescent Psychiatry, New York-Presbyterian Hospital Columbia and Cornell, New York City, NY, USA.
Curr Psychiatry Rep. 2023 Aug;25(8):345-356. doi: 10.1007/s11920-023-01431-x. Epub 2023 Jul 20.
We review the published literature on a school's response after a student dies by suicide ("postvention"). We examine published recommendations based on expert guidance and empirical studies that have evaluated postvention measures.
Experts recommend careful communication with family, staff, and students that adheres to published suicide reporting guidelines. Experts also emphasize the importance of identifying and supporting high-risk students. Few robust, controlled studies have identified effective postvention measures. Effective measures tended to occur in group settings (e.g., group therapy), focus on improving grief symptoms, and involve mental health professionals. Postvention has not been robustly studied in the school context. Expert recommendations and a few evidence-backed studies provide the frame for a coherent, school-based postvention response. Further research is needed to strengthen and expand our collective understanding of effective postvention measures in the school context as youth suicide attempts continue to rise.
我们回顾了有关学生自杀后学校应对措施(“后预防”)的文献。我们根据专家指导和评估后预防措施的实证研究,考察了已发表的建议。
专家建议与家属、教职员工和学生进行仔细沟通,遵循已发布的自杀报告准则。专家还强调了识别和支持高风险学生的重要性。很少有严格控制的研究确定了有效的后预防措施。有效的措施往往发生在群体环境中(例如,团体治疗),侧重于改善悲伤症状,并涉及心理健康专业人员。后预防在学校环境中尚未得到严格研究。专家建议和一些有证据支持的研究为连贯的、基于学校的后预防应对提供了框架。需要进一步的研究来加强和扩大我们对学校环境中有效后预防措施的集体理解,因为青少年自杀企图持续上升。