Abstract:
OBJECTIVES:We examined the effectiveness of the Sources of Strength suicide prevention program in enhancing protective factors among peer leaders trained to conduct schoolwide messaging and among the full population of high school students. METHODS:Eighteen high schools--6 metropolitan and 12 rural--were randomly assigned to immediate intervention or the wait-list control. Surveys were administered at baseline and 4 months after program implementation to 453 peer leaders in all schools and to 2675 students selected as representative of the 12 rural schools. RESULTS:Training improved the peer leaders' adaptive norms regarding suicide, their connectedness to adults, and their school engagement, with the largest gains for those entering with the least adaptive norms. Trained peer leaders in larger schools were 4 times as likely as were untrained peer leaders to refer a suicidal friend to an adult. Among students, the intervention increased perceptions of adult support for suicidal youths and the acceptability of seeking help. Perception of adult support increased most in students with a history of suicidal ideation. CONCLUSIONS:Sources of Strength is the first suicide prevention program involving peer leaders to enhance protective factors associated with reducing suicide at the school population level.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Wyman PA,Brown CH,LoMurray M,Schmeelk-Cone K,Petrova M,Yu Q,Walsh E,Tu X,Wang Wdoi
10.2105/AJPH.2009.190025subject
Has Abstractpub_date
2010-09-01 00:00:00pages
1653-61issue
9eissn
0090-0036issn
1541-0048pii
AJPH.2009.190025journal_volume
100pub_type
杂志文章,多中心研究,随机对照试验abstract::We identified factors associated with death at home for 28,828 hospice and non-hospice cancer patients in 13 counties of western Washington State. Hospice participation was found to be the variable most strongly associated with death at home. Admission to hospice appears to override the tendency for certain subgroups ...
journal_title:American journal of public health
pub_type: 杂志文章
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abstract:OBJECTIVES:This study assessed the prevalence and correlates of tobacco use among high school students in Buenos Aires, Argentina. METHODS:Anonymous, self-administered questionnaires were given to 3909 8th and 11th graders in a stratified random sample of 49 public and private schools. The instrument included items fr...
journal_title:American journal of public health
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journal_title:American journal of public health
pub_type: 杂志文章
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journal_title:American journal of public health
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journal_title:American journal of public health
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doi:10.2105/AJPH.2014.302159
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journal_title:American journal of public health
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journal_title:American journal of public health
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pub_type: 临床试验,杂志文章,随机对照试验
doi:10.2105/AJPH.2004.052993
更新日期:2005-10-01 00:00:00
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journal_title:American journal of public health
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更新日期:1980-07-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
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journal_title:American journal of public health
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pub_type: 临床试验,杂志文章,随机对照试验
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pub_type: 杂志文章,随机对照试验
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journal_title:American journal of public health
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更新日期:2011-12-01 00:00:00
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journal_title:American journal of public health
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更新日期:2011-10-01 00:00:00
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journal_title:American journal of public health
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更新日期:2019-11-01 00:00:00
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journal_title:American journal of public health
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更新日期:2013-10-01 00:00:00
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journal_title:American journal of public health
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更新日期:2013-01-01 00:00:00
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journal_title:American journal of public health
pub_type: 杂志文章
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更新日期:2000-11-01 00:00:00