Critically evaluating school mental health pilot report by TeenMentalHealth

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!"#$%&'(&)*+,-&./"0".*%012*1.2& Author/study

Aseltine 2003

Aseltine & DeMartino 2004

Aseltine et al. 2007

Freedenthal 2010

Sample Country Population

68 US School staff

2100 US High school students

4133 US High school students

Design Intervention

Survey SOS program combines curricula to raise awareness of suicide and its related issues with a brief screening for depression and other risk factors associated with suicidal behavior.

RCT* SOS program combines curricula to raise awareness of suicide and its related issues with a brief screening for depression and other risk factors associated with suicidal behavior.

Duration

5.3 days on average

Not described

2 days

Comparison Follow-up Outcome

No Post intervention Overview of Implementation; Ratings of and Reactions to the Program; help-seeking behaviors; Costs and benefits of the program

Yes 3 month post intervention Knowledge; Attitudes; Help-seeking behaviors: Suicide attempts; Suicide ideation

Yes 3 months post intervention Knowledge; Attitudes; Help-seeking behaviors: Suicide attempts; Suicide ideation

70 (teachers); 210 (students) US High school students and teachers Quasi-experimental Yellow Ribbon Program includes school wide assemblies, peer leadership training for students, staff training for adult gatekeepers such as high school teachers, community presentations, and local chapters that provide outreach and education. 60 minutes (student training); 1.5 hours (staff training); 50 minutes (school assembly) Yes Post intervention Help-seeking behaviors

34!5(&3"6,7819%,&476*07$$%,&!01"$

!"#$%&:(&)+88"0-&7;&2*+,-&0%2+$*2& Author/study Knowledge

Aseltine 2003 Not assessed

Aseltine & DeMartino 2004 M*=6.49 (C); M=7.18* (T) M=3.80 (C); M=4.05** (T) Asked help for friends; for oneself: 13%; 18.7% (C) 11.9%; 15.9% (T)

Aseltine et al. 2007 M=4.36 (C); M=5.00** (T) M=3.83 (C); M=3.99** (T) 12.4% (C); 12.8% (T)

Attitudes

Not assessed

Help-seeking

60% (increase of help-seeking compared to the previous year)

Suicide attempts

Not assessed

5.4% (C); 3.6%** (T)

4.5% (C); 3.0%** (T)

Suicide ideation

Not assessed

12.2% (C); 10.1% (T)

Not assessed

Freedenthal 2010 Not assessed Not assessed Staff data: +2.3% (within-school); +2.6% (between-school) Student data: M=12.0 (pre-intervention) M=10.0** (post-intervention) Student disclosed suicide attempts (Staff data): 7.7% (within-school); -15.6%*** (between-school) Student reported peer suicide attempts (Staff data): 7.8% (with-school); -21.1% (between-school) Student disclosed suicidal thoughts (staff data): +4.5% (within-school); -4.9%** (between-school) Student reported peer suicidal thoughts (staff data): -0.9% (within-school); -2.5% (between-school)

Other

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