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…

Background: Adolescent suicide is a public health issue, and school is an ideal setting for prevention activities. LEARN is a peer-led gatekeeper training for high school personnel, parents, and students. The purpose of this study was to evaluate the effectiveness of LEARN as a gatekeeper training. Methods: Paired t tests were used to compare pre-…

In 2018, 6,807 youth aged ten to twenty-four died by suicide in the United States. Suicide prevention programs vary in their content, distribution, and target audience. Many programs encourage adults to recognize the warning signs and red flags. However, the number of children who die by suicide each year steadily rises despite the various…

Objective: College counseling centers (CCCs) have limited capacity to accommodate high-risk students who need more intensive care than traditional outpatient treatment. We describe an Intensive Outpatient Program (IOP) to meet the specialized needs of suicidal undergraduates. Participants: Suicidal undergraduates aged 18--24. Methods:…

Increasing rates of depression, anxiety, substance use, and suicidal thoughts and behaviors among college students were exacerbated by the COVID-19 pandemic. This report describes how components of the Johns Hopkins Suicide Prevention Awareness, Response and Coordination (JH-SPARC) Project aligned with a multi-faceted strategy for suicide…

Suicidal thoughts and behaviors are highly prevalent among adolescents, and peers are often the first, and sometimes only, people to know about youth suicidality. Since many adolescents do not directly disclose suicidal thoughts, school-based suicide prevention programs aim to train youth to recognize warning signs of suicide in their peers that…

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…

The purpose of my research was to understand LAUSD counselors' perceptions related to professional development around crisis response before and during COVID. The goal of this project was to learn how we can best support prevention efforts for students. I learned about counselors' understanding of the suicide preventative measures the district…

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.

Bullying has been linked to adolescent suicidal behavior. With dramatic increases in social media use among youth, understanding the influence of cyberbullying on adolescent suicidal behavior has become central to prevention efforts. This study examined the potential protective role of school connectedness in the relationship between cyberbullying…

While firearm-related injuries are the leading cause of death among US children between 1-18, and account for nearly half of suicides among young people, public health experts continue to struggle in identifying efficacious mechanisms to reduce and prevent firearm access for children. Currently 4.8 million children live in a home with a loaded and…

Black boys have been dying by suicide at an increasing rate. Although the reasons for this increase are unknown, suicide in Black boys is likely influenced by multiple, intersecting risk factors, including historical and ongoing trauma. Schools can serve as an important mechanism of support for Black boys; however, without intentional antiracist…

Purpose: While military mental health has been a topic of interest in recent years, the relationship between branch of military service and female veteran mental health outcomes has been under-explored. Female veterans are six times more likely to commit suicide than civilian counterparts, and present posttraumatic stress (PTS) rates that sit at…

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…

Autistic individuals experience elevated risk for suicide ideation, attempts, and deaths. Little is known about how clinicians assess risk or intervene with suicidal autistic individuals. We surveyed 121 clinicians about use of suicide prevention practices with autistic and non-autistic clients. Clinicians reported greater self-efficacy in…