While gatekeeper trainings have demonstrated their effectiveness in appraisals of preparedness, efficacy, and intention to intervene, evidence has been lacking regarding gatekeeper behaviors in real life. The I CARE training aims to increase intervention in real-world situations involving suicidality through informational and experiential…

There has been a heightened awareness of an increased risk of suicidality among individuals with autism spectrum disorder (ASD) due to high rates of suicidal ideation (SI) in this population (11-66%). The current study investigated the rate of parent-endorsed SI and associated clinical features in 48 youths with ASD (Age; M: 12.97 years, SD:…

College students face high levels of stress due to academic demands, financial pressures, and the challenges of adjusting to college life. College students are at an increased risk for mental health problems, with rates of depression, anxiety, and other mental health concerns higher among this population compared to their non-college-attending…

Older adults are at risk for mental health concerns, such as social isolation and suicide. Risk factors to suicide among older adults, such as loneliness and social isolation, may be impacted by the COVID-19 pandemic. Gatekeepers in the community are a significant source of identification and referral of older adults at risk of mental and physical…

There is probably no more difficult aspect of school-based mental health practice than navigating assessment, prevention, and postvention related to youth suicide. Although many schools follow best practices and respond appropriately, there are important lessons to be learned from cases that resulted in litigation. This article reviews key cases…

Despite the growing epidemic of suicide ideation and attempt in adolescents, there is a lack of theory-based, empirical research to shed light on these issues in this population and inform school counselors' preventive and responsive practices. We utilized Joiner's Interpersonal Theory of Suicide (IPTS) to examine the extent to which the…

After her son died by suicide, Theodora Schiro vowed to raise awareness and teach others about depression and suicide. In this article, Schiro (a former teacher and principal) explains how educators can detect warning signs, devise preventative programs, and fight the stigma associated with suicide.

Depression is a risk factor for suicide in adolescents making it essential for school nurses to identify and refer at-risk adolescents for resources. At the project site, there is no current practice to routinely assess for adolescent depression. The purpose of this quantitative, quasi-experimental quality improvement project was to determine if…

LGBTQ+ youth are at elevated risk for suicidality, substance use, and other mental health concerns. Evidence-based psychotherapeutic interventions are often the first line treatment for mental health concerns. However, there is limited research examining the effectiveness of such interventions among LGBTQ+ adolescents. This systematic review…

Objective: Implementation of a universal primary care (PC) suicide-screening program in a college student health center to heighten awareness, provide support and enhance education of staff and students served. Program feasibility, data collection, electronic medical record (EMR) adaptations and staff learning outcomes were examined. Participants:…

Objective: Suicide prevention programs help college staff and students identify students at-risk for suicide. "Kognito" is an online, simulation-based suicide prevention program. The purpose of the current study was to evaluate "Kognito's" effectiveness in changing suicide prevention attitudes and behavior. Participants: 170…

Background: Dialectical behaviour therapy for adolescents (DBT-A) has recently been adapted and tested as an intervention for suicidal youth in randomized trials. Although studies have demonstrated the efficacy of this intervention for suicidal behaviours, research examining which youth get offered DBT-A in clinical practice is lacking. Objective:…

This opinion piece considers the current predominance of assessment tools and strategies in working with people at risk of suicide, and questions their efficacy and how they are privileged in day to day mental health practice. While such tools and an evidence-based "scientific" approach to assessment clearly has its place, the author…

Recently, a mnemonic device, SHORES, was created for counselors to utilize with clients with suicidal ideation. The acronym of SHORES stands for Skills and strategies for coping (S); Hope (H); Objections (O); Reasons to live and Restricted means (R); Engaged care (E); and Support (S). In this manuscript, SHORES is introduced as a way for school…

For much of the past decade, suicide has been the second leading cause of death for adolescents in the United States, and suicide rates among adolescents have been rising for the last 15 years. Suicidal thoughts and behaviors among adolescents were common before COVID-19 and have become an increasing public health priority in the pandemic's wake.…