Perceptions of a Peer Suicide Prevention Program by Inmates and Professionals Working in Prisons

Crisis ◽  
2013 ◽  
Vol 34 (4) ◽  
pp. 289-292 ◽  
Author(s):  
Laurent Auzoult ◽  
Sid Abdellaoui

Background: Suicide prevention is a major challenge for penal institutions in many countries. The traditional approach relies on the expertise of health professionals and is supplemented by the intervention of other professionals and the inmates themselves. New methods of suicide prevention based on peer support have been developed in recent years. Peer prevention programs rely on the ability of inmates to identify suicide risk. Aims: This study examines perceived suicide risk among inmates and explores possible explanations. Method: 54 inmates and 17 professionals working in prisons responded to a questionnaire. Results: The peer prevention program was found to change inmates’ expectations of support in the event of a suicide crisis. The study also found that the inmates involved in the program tended to underestimate the risk of suicide. The perception of the prevention program and the level of self-consciousness were found to account for the underestimation of suicide risk. Conclusions: Support for inmates involved in suicide prevention programs must take into account their isolation in prison. The training provided to inmates must also consider the biases affecting the assessment of risk.

2018 ◽  
Vol 22 (1) ◽  
pp. 2156759X1880812
Author(s):  
Paul F. Granello ◽  
Brett Zyromski

Suicide is the third most common cause of death for youth aged 14–19. School counselors need a school-wide prevention plan to address the mental and emotional needs of students experiencing suicidal ideation and behaviors. Although researchers have suggested that suicide prevention programming and suicide screening programs lower the rate of adolescent deaths, a paucity of evidence-based, school-wide, comprehensive suicide prevention programs exists. Therefore, to fill a gap in research and training resources, we propose four different types of research-supported suicide prevention programs. We also propose a common standard for the development of an effective, comprehensive school suicide prevention program using a five-step process and frame these approaches within the American School Counselor Association National Model.


Crisis ◽  
2013 ◽  
Vol 34 (2) ◽  
pp. 82-97 ◽  
Author(s):  
Bonnie Klimes-Dougan ◽  
David A. Klingbeil ◽  
Sarah J. Meller

Background: While the ultimate goal of adolescent suicide-prevention efforts is to decrease the incidence of death by suicide, a critical intermediary goal is directing youths toward effective sources of assistance. Aim: To comprehensively review the universal prevention literature and examine the effects of universal prevention programs on student’s attitudes and behaviors related to help-seeking. Method: We systematically reviewed studies that assessed help-seeking outcomes including prevention efforts utilizing (1) psychoeducational curricula, (2) gatekeeper training, and (3) public service messaging directed at youths. Of the studies reviewed, 17 studies evaluated the help-seeking outcomes. These studies were identified through a range of sources (e.g., searching online databases, examining references of published articles on suicide prevention). Results: The results of this review suggest that suicide-prevention programming has a limited impact on help-seeking behavior. Although there was some evidence that suicide-prevention programs had a positive impact on students’ help-seeking attitudes and behaviors, there was also evidence of no effects or iatrogenic effects. Sex and risk status were moderators of program effects on students help-seeking. Conclusions: Caution is warranted when considering which suicidal prevention interventions best optimize the intended goals. The impact on adolescents’ help-seeking behavior is a key concern for educators and mental-health professionals.


2021 ◽  
Author(s):  
Sadhbh Josephine Byrne ◽  
Eleanor Bailey ◽  
Michelle Lamblin ◽  
Jane Pirkis ◽  
Cathrine Mihalopoulos ◽  
...  

Abstract Background Suicide is the leading cause of death among young Australians, accounting for one-third of all deaths in those under 25. Schools are a logical setting for youth suicide prevention activities, with universal, selective and indicated approaches all demonstrating efficacy. Given that international best practice recommends suicide prevention programs combine these approaches, and that to date this has not been done in school settings, this study aims to evaluate a suicide prevention program incorporating universal, selective and indicated components in schools.Methods This study is a trial of a multimodal suicide prevention program for young people. The program involves delivering universal psychoeducation (safeTALK) to all students, screening them for suicide risk, and delivering internet-based Cognitive Behavioural Therapy (Reframe IT) to those students identified as being at high risk for suicide. The program will be trialled in secondary schools in Melbourne, Australia, and target year 10 students (15 and 16 year-olds). safeTALK and screening will be evaluated using a single group pre-test/post-test case series, and Reframe IT will be evaluated in a Randomised Controlled Trial. The primary outcome is change in suicidal ideation; other outcomes include help-seeking behaviour and intentions, and suicide knowledge and stigma. The program’s cost-effectiveness will also be evaluated.Discussion This study is the first to evaluate a suicide prevention program comprising universal, selective and indicated components in Australian schools. If the program is found to be efficacious and cost-effective, it could be more widely disseminated in schools and may ultimately lead to reduced rates of suicide and suicidal behaviour in school students across the region.


1996 ◽  
Vol 30 (5) ◽  
pp. 633-642 ◽  
Author(s):  
Philip Hazell ◽  
Ray King

A paper based on a workshop presented to the Suicide Prevention Australia conference, ‘Suicide. Who Cares?’, on 15 March 1995 in Sydney Objective: To present arguments for and against the provision of curriculum-based suicide prevention programs in schools. Method: The authors developed their arguments independently, based on the available literature on school-based programs, prior to debating the topic at a national conference on suicide prevention. Results: The rationale for school-based programs is that the school has the responsibility: to resolve problems that interfere with education; to teach health education; and to acknowledge a duty of care to parents and to the community as well as to youth. Primary prevention programs in schools are not aimed at so-called ‘at-risk’ students, but potential ‘helpers’, based on the knowledge that peers are a primary support for troubled adolescents. One measure of the efficacy of school-based prevention programs must be the extent to which there is an increase in the tendency for adolescents to turn to adults for help. There is ample evidence that increasing the tendency for adolescents to approach adults for help is achievable. The argument against such programs is that evidence from evaluation research suggests that they are ineffective, inefficient, not universally acceptable, and of questionable safety. Conclusions: Those persuaded by the positive argument will wish to see these programs adopted in all Australian secondary schools. Those persuaded by the negative argument will recommend that suicide prevention resources be allocated to activities other than school-based suicide education programs.


2021 ◽  
pp. 003022282110387
Author(s):  
Tony Salvatore

Suicide research and suicide prevention have given comparatively little attention to the older adult residents of nursing homes. This population is characterized by advanced age, significant infirmity, limited autonomy and social connections, and other factors associated with high suicide risk such as self-neglect. However, little is known of the actual incidence and prevalence of suicide in older adults in such residential care settings, partly because of how such deaths are reported. Suicide risk screenings are nominal, facility staff lack training to identify signs of suicidality, and suicide prevention programs are not common in the nursing home industry. These deficits can be remedied by increasing awareness among family members, facility caregivers, contracted providers, community aging services, accrediting and regulatory agencies, and residents.


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