Designing Messaging to Engage Patients in an Online Suicide Prevention Intervention: Survey Results From Patients With Current Suicidal Ideation

Abstract. Background: Nurturing gatekeepers is an effective suicide prevention strategy. Internet-based methods to screen those at high risk of suicide have been developed in recent years but have not been used for online gatekeeping. Aims: A preliminary study was conducted to examine the feasibility and effects of online gatekeeping. Method: Advertisements to promote e-mail psychological consultation service use among Internet users were placed on web pages identified by searches using suicide-related keywords. We replied to all emails received between July and December 2013 and analyzed their contents. Results: A total of 139 consultation service users were analyzed. The mean age was 23.8 years (SD = 9.7), and female users accounted for 80% of the sample. Suicidal ideation was present in 74.1%, and 12.2% had a history of suicide attempts. After consultation, positive changes in mood were observed in 10.8%, 16.5% showed intentions to seek help from new supporters, and 10.1% of all 139 users actually took help-seeking actions. Conclusion: Online gatekeeping to prevent suicide by placing advertisements on web search pages to promote consultation service use among Internet users with suicidal ideation may be feasible.

Download Full-text

It Gets Better Videos for Suicide Prevention in LGBTIQ+ Adolescents

Crisis ◽

10.1027/0227-5910/a000691 ◽

2020 ◽

pp. 1-8 ◽

Cited By ~ 1

Author(s):

Stefanie Kirchner ◽

Benedikt Till ◽

Martin Plöderl ◽

Thomas Niederkrotenthaler

Keyword(s):

Social Support ◽

Suicidal Ideation ◽

Gay Men ◽

Suicide Prevention ◽

Coming Out ◽

German Language ◽

Professional Help ◽

Characteristics Method ◽

Sexual Orientations ◽

It Gets Better Project

Abstract. Background: The It Gets Better project aims to help prevent suicide among lesbian, gay, bisexual, transgender, intersex, and queer (LGBTIQ+) adolescents. It features personal video narratives portraying how life gets better when struggling with adversities. Research on the contents of messages is scarce. Aims: We aimed to explore the content of videos in the Austrian It Gets Better project regarding the representation of various LGBTIQ+ groups and selected content characteristics. Method: A content analysis of all German-language videos was conducted ( N = 192). Messages related to coming out, stressors experienced, suicidal ideation/behavior, and on how things get better were coded. Results: Representation was strong for gay men ( n = 45; 41.7%). Coming out to others was mainly positively framed ( n = 31; 46.3%) and seen as a tool to make things better ( n = 27; 37.5%). Social support ( n = 42; 62.7%) and self-acceptance ( n = 37; 55.2%) were prevalent topics. Common stressors included a conservative setting ( n = 18, 26.9%), and fear of outing ( n = 17; 25.4%). Suicidality ( n = 9; 4.7%) and options to get professional help ( n = 7; 8.2%) were rarely addressed. Limitations: Only aspects explicitly brought up in the videos were codeable. Conclusion: Videos do not fully represent gender identities and sexual orientations. Messaging on suicidality and professional help require strengthening to tailor them better for suicide prevention.

Download Full-text

Review of Suicide: Prevention, Intervention, and Postvention (2nd ed.).

Contemporary Psychology ◽

10.1037/028118 ◽

1989 ◽

Vol 34 (5) ◽

pp. 519-519

Author(s):

No authorship indicated

Keyword(s):

Suicide Prevention ◽

Prevention Intervention

Download Full-text

Veteran Preferences for the Caring Contacts Suicide Prevention Intervention

Suicide and Life-Threatening Behavior ◽

10.1111/sltb.12528 ◽

2018 ◽

Vol 49 (5) ◽

pp. 1439-1451 ◽

Cited By ~ 2

Author(s):

Mark A. Reger ◽

Heather M. Gebhardt ◽

Jacob M. Lee ◽

Brooke A. Ammerman ◽

Raymond P. Tucker ◽

...

Keyword(s):

Suicide Prevention ◽

Prevention Intervention

Download Full-text

Suicide Protective Factors: Utilizing SHORES in School Counseling

The Professional Counselor ◽

10.15241/dms.11.1.16 ◽

2021 ◽

Vol 11 (1) ◽

pp. 16-30

Author(s):

Diane M. Stutey ◽

Jenny L. Cureton ◽

Kim Severn ◽

Matthew Fink

Keyword(s):

Suicidal Ideation ◽

Protective Factors ◽

Small Group ◽

School Counseling ◽

School Counselors ◽

Suicide Prevention ◽

Comprehensive School ◽

Mnemonic Device ◽

Classroom Guidance

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 counselors to address protective factors against suicide. In addition, the authors review the literature on comprehensive school suicide prevention and suicide protective factors; describe the relevance of a suicide protective factors mnemonic that school counselors can use; and illustrate the mnemonic’s application in classroom guidance, small-group, and individual settings.

Download Full-text

Using data from the HBSC study for evidence-based suicide prevention in Luxembourg

European Journal of Public Health ◽

10.1093/eurpub/ckz185.515 ◽

2019 ◽

Vol 29 (Supplement_4) ◽

Author(s):

C van Duin ◽

C Catunda ◽

A Heinz ◽

H Willems

Keyword(s):

Risk Factors ◽

Life Satisfaction ◽

Suicidal Ideation ◽

Suicide Prevention ◽

Screening Tool ◽

International Health ◽

Health Complaints ◽

Suicide Behaviour ◽

Hbsc Study ◽

Risk Factors For Suicide

Abstract Issue As suicide is the second leading cause of death for young people, WHO aims to reduce the suicide rate with 10% by 2020 worldwide. In Luxembourg, organization D’Ligue coordinates suicide prevention. Since suicide research has been carried out in the country for a few years only, data on adolescent suicidal ideation is lacking. Therefore, D’Ligue has contacted the Luxembourg team of the international Health Behaviour in School-aged Children (HBSC) study, to identify risk factors for suicide behaviour and derive recommendations from them. Description of the problem First, our practice partner wanted us to provide them with basic data on the suicidal ideation of adolescents: How many adolescents are suicidal and what are risk factors? Second, recommendations for practice should be derived from the results. To this end, the HBSC data (2014) of 5262 pupils aged 12-18 were analysed. Results 15.1% of adolescents thought about suicide last year and 7% attempted suicide. Of the 24 risk factors examined, 12 were found to be significant, with three being particularly important: multiple health complaints (OR: 1.3 for each health complaint, p < 0.001, CI: 1.18 - 1.33), lower life satisfaction (OR: 1.3 for the loss of each life satisfaction point, p < 0.001, CI: 1.17 - 1.33) and frequent physical fighting (OR: 2.4, p < 0.001, CI: 1.57 - 3.74). Lessons Risk factors for suicide behaviour known from research have been confirmed for Luxembourg. What is new is that the number of health complaints is the most important risk factor for Luxembourgish adolescents. Therefore, a list of 8 health complaints was validated as a screening tool for suicidal thoughts. In a further step, this tool could be used, for example, by school nurses. The HBSC data can be used to update the national suicide prevention plan. Main messages HBSC data are used to: update the Luxembourgish national plan for suicide prevention.investigate a screening tool for adolescents at risk for suicide.

Download Full-text

Towards an Explanatory Model of Suicidal Ideation: The Effects of Cognitive Emotional Regulation Strategies, Affectivity and Hopelessness

The Spanish Journal of Psychology ◽

10.1017/sjp.2019.45 ◽

2019 ◽

Vol 22 ◽

Cited By ~ 6

Author(s):

Pablo Ezequiel Flores-Kanter ◽

Zoilo Emilio García-Batista ◽

Luciana Sofía Moretti ◽

Leonardo Adrián Medrano

Keyword(s):

Public Health ◽

Suicidal Ideation ◽

Suicide Prevention ◽

Emotional Regulation ◽

American Psychological Association ◽

Psychological Impact ◽

Public Health Problem ◽

Explanatory Model ◽

Cognitive Emotion Regulation ◽

Regulation Strategies

Abstract Suicide constitutes a public health problem that has a significant economic, social and psychological impact on a global scale. Recently, the American Psychological Association has indicated that suicide prevention should be a public health priority. Suicidal ideation appears as a key variable in suicide prevention. The objective of this research was to verify the adjustment of an explanatory model for suicidal ideation, which considers the effects of cognitive emotion regulation strategies, affectivity and hopelessness. An open mode on-line sample of 2,166 Argentine participants was used and a path analysis was carried out. The results make it possible to conclude that the model presents an optimal fit (χ2 = .10, p = .75, CFI = .99, RMSEA = .01) and predicts 42% of suicidal thoughts. The model proves to be invariant based on age and gender. In conclusion, there is an importance of reducing the use of automatic strategies, such as repetitive negative thoughts of ruminative type, and increasing the use of more controlled strategies, such as reinterpretation or planning.

Download Full-text

Depressão e ideação suicida na adolescência: implementação e avaliação de um programa de intervenção

Enfermería Global ◽

10.6018/eglobal.402951 ◽

2020 ◽

Vol 19 (3) ◽

pp. 1-35

Author(s):

Ana Paula Amaral ◽

Josiane Uchoa Sampaio ◽

Fátima Regina Ney Matos ◽

Margarida Tenente Santos Pocinho ◽

Rafael Fernandes de Mesquita ◽

...

Keyword(s):

Experimental Study ◽

Depressive Symptoms ◽

Suicidal Ideation ◽

Suicide Prevention ◽

Prevention Program ◽

Intervention Program ◽

Educational Institution ◽

Assessment Instruments ◽

Before And After ◽

Quasi Experimental

Objetivo: Desarrollar, implementar y evaluar un programa de prevención del suicidio dirigido a adolescentes.Materiales y Métodos: Estudio cuasi experimental, del tipo antes y después, con adolescentes de una institución educativa en São Luís, Maranhão, Brasil. El estudio siguió las etapas de desarrollo, implementación y evaluación de un programa de intervención para la prevención del suicidio. Se administraron tres instrumentos de evaluación antes y después de la intervención: la escala de ideación suicida de Beck; el Inventario de Depresión de Beck y la Escala de Desesperanza de Beck.Resultados: Antes de la intervención, participaron 102 adolescentes, 30 (29.4%) tenían ideación suicida y síntomas depresivos. Después de la intervención, los instrumentos se aplicaron a los 30 adolescentes seleccionados, 12 (40.0%) continuaron con la ideación. Antes de la intervención, el Inventario de depresión promedio fue de 23.83 y luego de 7.17 (p <0.0001). En cuanto a la desesperanza, el promedio obtenido antes fue 7.23 y luego 2.17 (p <0.0001); Con respecto a la ideación suicida, el promedio obtenido antes fue de 10.50 y luego de 2.57 (p <0.0001).Conclusión: Hubo una disminución en los síntomas depresivos, la desesperanza y la ideación suicida después de la implementación del elaborado programa de intervención. Objective: To develop, implement and evaluate a suicide prevention program aimed at adolescents.Material and Methods: A quasi-experimental study, before and after, with adolescents from an educational institution in São Luís, Maranhão, Brazil. The study followed the stages of development, implementation and evaluation of a suicide prevention intervention program. Three assessment instruments were administered before and after the intervention: Beck's Suicidal Ideation Scale; Beck's Depression Inventory and Beck's Hopelessness Scale. Results: Before the intervention, 102 adolescents participated, 30 (29.4%) had suicidal ideation and depressive symptoms. After the intervention the instruments were applied to the 30 selected adolescents, 12 (40.0%) continued with ideation. Prior to intervention, the average Depression Inventory was 23.83 and then 7.17 (p <0.0001). As for hopelessness, the average obtained before was 7.23 and then 2.17 (p <0.0001); Regarding suicidal ideation, the average obtained before was 10.50 and then 2.57 (p <0.0001). Conclusion: There was a decrease in depressive symptoms, hopelessness and suicidal ideation after the implementation of the elaborated intervention program.

Download Full-text

FEASIBILITY OF A MANUALIZED FAMILY-BASED SUICIDE PREVENTION STRATEGY TO REDUCE ADOLESCENT SUICIDE RISK AMONG EMERGENCY DEPARTMENT REFERRED YOUTH: A QUALITY IMPROVEMENT PROJECT

Paediatrics & Child Health ◽

10.1093/pch/pxy054.136 ◽

2018 ◽

Vol 23 (suppl_1) ◽

pp. e54-e54

Author(s):

Matthew Tracey ◽

Gillian Rowney ◽

Antonio Pignatiello ◽

Suneeta Monga ◽

Daphne Korczak

Keyword(s):

Emergency Department ◽

Depressive Symptoms ◽

Suicidal Ideation ◽

Suicide Prevention ◽

Controlled Trial ◽

Standard Of Care ◽

Improvement Project ◽

Care Clinic ◽

Ensure Patient Safety ◽

Increased Risk

Abstract BACKGROUND Suicide is the second leading cause of death among Canadian children and adolescents. Youth who present at an Emergency Department (ED) for suicidal ideation and risk behaviours (SRB) are at increased risk for eventual suicide. Despite this risk, current approaches to standard of care are referral to community resources or primary care where waitlists are common, and interventions may not be evidence-based or incorporate crisis management or family participation. OBJECTIVES To determine the feasibility and acceptability of a manualized, family-centered suicide prevention intervention administered in an outpatient clinic for ED-referred youth. DESIGN/METHODS Youth (aged 12 – 18) and parents presenting to the ED for SRB and referred to the Urgent Psychiatry Care clinic were eligible for the QI program, consisting of weekly individual and family sessions delivered over a 6-week period. The therapist addressed common symptoms and concerns of suicidal youth, sources of conflict within the family, and ways to improve communication and ensure patient safety. Patients were excluded if they did not have a parent or caregiver able to participate. Suicidal ideation and behavior were assessed using youth-report measures, the Suicidal Ideation Questionnaire-Junior (SIQ-JR) and the Harkavy-Asnis Suicide Scale (HASS), at baseline and following program completion. The Mood and Feeling Questionnaire (MFQ) was used to measure depressive symptoms. Participant and therapist feedback was collected at follow-up using quantitative and qualitative measures. RESULTS Ten patients were enrolled and completed baseline measures, however four participants withdrew prior to 6 week completion: two withdrew at week 2 and one participant each withdrew at weeks 3 and 6. As such, 7/10 completed 5 weeks of the intervention. Significant improvement in both suicidal ideation (SIQ-JR, x̅ = -16.67; t(5) = 3.125, p = .026) and SRB (HASS, x̅ = -20.17; t(5) = 3.204, p = .024) were observed. Depressive symptoms also decreased (MFQ, x̅ = -15.5, t(5) = 2.724, p = .042). Youth and caregivers rated the program favorably. Improved family communication was most frequently reported by both patients and caregivers as a main benefit of the program. CONCLUSION These preliminary data indicate that SRB may be improved by a brief manualized, family-focused therapy. Early data suggest that the protocol is feasible and acceptable for adolescents presenting to the ED with safety concerns, and warrant further examination in a controlled trial.

Download Full-text