Universal School-Based Screenings for Depression and Suicide: Identifying Students at Risk of Suicide

IF 1.2 Q3 SOCIAL WORK
Rebecca G Mirick, Larry Berkowitz, James McCauley, Joanna Bridger
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Abstract

Abstract Schools have an important role to play in adolescent suicide prevention. This article describes universal screenings for depression and suicidality as one component of the Signs of Suicide (SOS) program in middle and high schools following the suicide death of a student in the past few years. Of the students screened (N = 7,429), 11.0 percent of youth were identified as at risk by the screening tool; 17.3 percent received a same-day secondary screen with a mental health professional. (Students without an at-risk screen could request a meeting with a mental health professional, so more students received secondary screenings than screened at risk.) Characteristics associated with an at-risk screen on the screening tool were identified. Girls were twice as likely to be identified as at risk than boys, and students exposed to a suicide death in the past year were 1.3 times more likely to have an at-risk screen. There was no difference in at-risk screens for middle versus high school students, but middle schoolers were more likely to receive a secondary screening due to help seeking from school staff. The article concludes with a discussion of the implications for school administrators at middle and high schools, including recommendations to screen with both a screening tool and an option to speak to an adult, strategies for planning for secondary screenings, and advantages to universal screening following the suicide death of a student.
以学校为基础的抑郁和自杀的普遍筛查:识别有自杀风险的学生
学校在青少年自杀预防中扮演着重要的角色。这篇文章描述了在过去的几年里,在一名学生自杀死亡后,作为自杀迹象(SOS)项目的一个组成部分,在初中和高中对抑郁和自杀进行普遍筛查。在接受筛查的学生(N = 7,429)中,11.0%的青少年被筛查工具确定为有风险;17.3%的人当天接受了心理健康专家的二次筛查。(没有接受风险筛查的学生可以要求与心理健康专家会面,因此接受二次筛查的学生多于接受风险筛查的学生。)确定了与筛查工具上的高危筛查相关的特征。女孩被认为有自杀风险的可能性是男孩的两倍,而在过去一年中经历过自杀死亡的学生接受自杀风险筛查的可能性是男孩的1.3倍。初中生和高中生的风险筛查没有差异,但由于向学校工作人员寻求帮助,中学生更有可能接受第二次筛查。文章最后讨论了对初中和高中学校管理人员的影响,包括使用筛查工具和与成人交谈的选择进行筛查的建议,计划二次筛查的策略,以及在学生自杀死亡后进行普遍筛查的优势。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Children & Schools
Children & Schools SOCIAL WORK-
CiteScore
3.50
自引率
10.00%
发文量
18
期刊介绍: Children & Schools publishes professional materials relevant to social work services for children. The journal publishes articles on innovations in practice, interdisciplinary efforts, research, program evaluation, policy, and planning. Topics include student-authority relationships, multiculturalism, early intervention, needs assessment, violence, and ADHD. Children & Schools is a practitioner-to-practitioner resource.
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