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Evaluating the SOS suicide prevention program: a replication and extension
Robert H Aseltine1, Amy James, Elizabeth A Schilling
1Division of Behavioral Sciences and Community Health, University of Connecticut Health Center and Institute for Public Health Research, University of Connecticut, East Hartford, Connecticut 06108, USA. aseltine@uchc.edu
The Signs of Suicide (SOS) program significantly reduced suicide attempts in high school students. This universal prevention strategy also improved knowledge and attitudes regarding depression and suicide across diverse student groups.
Area of Science:
- Public Health
- Psychology
- Education
Background:
- Suicide is a critical public health issue among US youth.
- School-based programs are primary for youth suicide prevention but often lack rigorous evaluation.
- The Signs of Suicide (SOS) program is a widely implemented school-based intervention.
Purpose of the Study:
- To evaluate the effectiveness of the Signs of Suicide (SOS) program in reducing suicidal behavior among high school students.
- To assess the program's impact on students' knowledge and attitudes toward depression and suicide.
Main Methods:
- A randomized controlled trial involving 4133 students across 9 high schools.
- Students were assigned to either an intervention (SOS program) or control group.
- Data collected via self-administered questionnaires approximately 3 months post-intervention.
Main Results:
- The SOS intervention group showed significantly lower rates of suicide attempts.
- Students in the intervention group demonstrated increased knowledge and more adaptive attitudes regarding depression and suicide.
- Intervention effects were consistent across different races/ethnicities, grades, and genders.
Conclusions:
- The SOS program is a validated, universal school-based suicide prevention strategy.
- The study confirms SOS's effectiveness in reducing self-reported suicide attempts using a randomized design.
- SOS is effective for diverse high school populations, underscoring its value as a universal prevention program.
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