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Adolescent suicide attempters. Response to suicide-prevention programs.
D Shaffer1, V Vieland, A Garland
1Department of Child Psychiatry, Columbia University College of Physicians & Surgeons, New York, NY 10032.
JAMA
|December 26, 1990
Summary
This study evaluated suicide-prevention curricula for adolescents. While attempters showed distress, the programs had limited success in changing their views on suicide or help-seeking behaviors.
Area of Science:
- Psychology
- Public Health
- Adolescent Health
Background:
- Suicide attempts among adolescents are a significant public health concern.
- Effective suicide-prevention strategies are crucial for this demographic.
- Understanding adolescent attitudes towards suicide and help-seeking is vital for intervention development.
Purpose of the Study:
- To evaluate the effectiveness of three suicide-prevention curricula in high school students.
- To compare the attitudes towards suicide and help-seeking between adolescent attempters and nonattempters.
- To assess adolescent reactions to suicide-prevention programs.
Main Methods:
- A controlled evaluation involving 1438 ninth and 10th-grade students.
- Comparison of attitudes between 63 adolescent attempters and 910 nonattempters.
- Assessment of program reactions by comparing attempters and nonattempters exposed to the curricula.
- Impact assessment by comparing exposed attempters with a control group of attempters.
Main Results:
- Self-identified attempters were less likely to align with the curricula's views at baseline.
- Limited evidence suggests the programs successfully influenced attempters' views.
- Adolescent attempters exposed to the programs reported greater distress compared to nonattempters.
- Self-reported suicide attempt prevalence was higher than in studies using interview methods.
Conclusions:
- The evaluated suicide-prevention curricula showed limited efficacy in altering attitudes among adolescent attempters.
- Adolescent attempters may experience heightened emotional responses to suicide-prevention content.
- Self-report measures may capture a higher prevalence of suicide attempts in adolescents compared to interview-based studies.