Multi-modal approach to preventing suicide in schools: a regionally-based UK pilot study

Area of Science:

• Public Health
• Child and Adolescent Psychiatry
• Educational Psychology

Background:

• School-based suicide prevention programs show global effectiveness but lack UK implementation and testing.
• Cultural adaptation of interventions is crucial for successful transferability.
• The Multi-Modal Approach to Preventing Suicide in Schools (MAPSS) is an Australian program requiring pilot evaluation in the UK.

Purpose of the Study:

• To pilot the MAPSS program in UK secondary schools.
• To assess the feasibility and acceptability of MAPSS for UK delivery.
• To evaluate the potential for a future large-scale trial of MAPSS.

Main Methods:

• A mixed-method explanatory pilot study design was employed.
• Quantitative pre/post-test surveys were administered to Year 10 students (N=417) in Northwest England.
• Qualitative process evaluation involved 24 students and school professionals.

Main Results:

• MAPSS was deemed acceptable and feasible, with minor issues in student engagement and school logistics.
• Significant improvements were observed in depression, hopelessness, and suicide literacy post-universal component.
• At-risk students showed significant improvements in suicide ideation and quality of life post-targeted intervention.
• Qualitative data highlighted a strong need for school-based suicide prevention and MAPSS's potential to identify at-risk students.

Conclusions:

• The MAPSS program is potentially suitable for UK schools and may benefit students.
• Further research and adaptation are necessary to refine MAPSS for UK school contexts.
• A larger trial is feasible and recommended to confirm the utility and effectiveness of MAPSS.