Preventing Youth Suicide: Potential "Crossover Effects" of Existing School-Based Programs.
Preventing Youth Suicide: Potential "Crossover Effects" of Existing School-Based Programs.
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DOI：
10.1007/s11121-022-01473-2
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发表时间：
2023-03
影响因子：
3.5
通讯作者：
Pearson, Jane
中科院分区：
文献类型：
--
作者：
Ayer, Lynsay;Stevens, Clare;Reider, Eve;Sims, Belinda;Colpe, Lisa;Pearson, Jane
青年精神健康问题的显著增加，加上本已捉襟见肘的精神卫生工作人员的压力，引发了人们的担忧，即青年自杀想法、行为甚至死亡的数量将随之增加。学校被认为是青少年心理健康支持和预防自杀活动的重要场所，但学校也面临工作人员短缺和对学生福祉的责任日益增加的问题。越来越多的证据表明，最初旨在改善青少年解决问题技能和社会情绪功能的预防计划已经显示出对青少年自杀行为的下游“交叉效应”，即意想不到的好处。尽管共同管理的项目很有可能对以后的自杀风险产生影响，但在学校环境中进行的关于跨界影响的研究相对较少。我们回顾了关键的自杀风险因素及其提出的作用机制；我们还讨论了可能预防自杀风险的因素。然后，我们确定了针对相同因素和机制的上游预防计划；这些计划可能会对青少年自杀风险产生下游、交叉影响。本文旨在提供一个框架，以帮助研究人员、实践者和政策制定者考虑如何利用现有的学校资源预防青少年自杀。迫切需要对上游预防计划进行严格的调查，以确定学校和社区可以部署的理想方法，以防止青少年自杀。
Notable increases in youth mental health problems combined with strains on the already stretched mental health workforce raise concerns that there will be an ensuing increase in youth suicide thoughts, behaviors, and even deaths. Schools are recognized as crucial settings for youth mental health support and suicide prevention activities, yet schools also face staff shortages and ever-increasing responsibilities for student well-being. Evidence is emerging that prevention programs originally designed to improve problem-solving skills and social-emotional functioning in youth have demonstrated downstream, “crossover effects,” that is, unanticipated benefits, on youth suicidal behavior. Relatively little research on crossover effects has been conducted within school settings, despite the strong potential for commonly administered programs to have an impact on later suicide risk. We review key suicide risk factors and their proposed mechanisms of action; we also discuss factors that may protect against suicide risk. We then identify upstream prevention programs targeting the same factors and mechanisms; these programs may hold promise for downstream, crossover effects on youth suicide risk. This paper is intended to provide a framework to help researchers, practitioners, and policymakers as they consider how to prevent youth suicide using existing school-based resources. Rigorous investigation of upstream prevention programs is urgently needed to determine ideal approaches schools and communities can deploy to prevent youth suicide.