Evaluation of a school-based suicide prevention program: Were emotionally troubled youth positively impacted?

Monday, 18 November 2013: 1:45 PM

Catherine M. Strunk, MSN, BSN, RN
Division of Psychiatry, Cincinnati Children's Hospital Medical Center, Cincinnati OH, Cincinnati, OH
Julianne Ossege, PhD, CFNP-BC, BSN
Dept. of Advanced Nursing Studies, Northern Kentucky University College of Health Professions, Highland Heights, KY

Learning Objective 1: Identify at least one element of a school-based suicide prevention program designed to increase emotionally troubled youths’ help-seeking behaviors.

Learning Objective 2: Determine the relationship between help-seeking behaviors and suicide ideation.

The increasing rate of youth suicide in the United States has prompted the implementation of a number of suicide prevention programs in schools across the nation.  Unfortunately, most school-based suicide prevention program evaluations do not show a positive impact on help-seeking behaviors among the particularly vulnerable group of emotional troubled youth despite their being at high risk for completed suicide.  This study is a secondary analysis of the Surviving the Teens® program evaluation to determine its effect on help-seeking behaviors among troubled youth.  Results showed significant increases in mean scores of the Behavioral Intent to Communicate with Important Others Regarding Emotional Health Issues subscale (n = 47) from pre-test to 3-month follow-up.  A significant increase in mean scores of the Behavioral Intent Regarding Help-Seeking Behaviors when Suicidal subscale occurred from pre-test to post-test (n = 63), but not at 3-month follow-up.  A significant increase in mean scores in the item “I would tell an adult if I was suicidal” occurred from pre-test to 3-month follow-up.  These findings suggest that the Surviving the Teens® program has a positive effect on help-seeking behaviors in troubled youth.  It is imperative that nurses, especially school nurses, become informed about school-based suicide prevention programs so they can guide schools in the development, implementation, and/or selection of evidence-based suicide prevention programs.