Mémoire numérisé par la Division de la gestion de documents et des archives de l'Université de Montréal.

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Suicide, a public health problem on a global scale, has become the focus in many domains across the United States. With the recent push to provide solutions to the adolescent suicide rate in the U.S., the school setting has become an important venue for prevention and intervention efforts. While there are many risk and protective factors, the majority of suicide completions are concurrent with psychiatric disorders among adolescents; as such, this is an area that warrants further investigation. Additionally, school resources are often overwhelmed by the magnitude of need among the student population; therefore, effective interventions must be identified that can feasibly be implemented in the schools. Research has suggested that parent-adolescent relationships are key in the prevention of suicide, yet minimal research has been conducted towards promoting healthy parent-adolescent relationships for at-risk adolescents. Additionally, some research suggests that school and community interventions are only more effective than parental support when negative parent-adolescent relationships are present. This implies that fostering parental support should be a top priority in school-based suicide prevention efforts. This literature review identifies and summarizes pertinent scholarly research and resources for schools to better support parents of adolescents who struggle with suicidal thoughts and previous attempted suicides. As part of an intervention plan which increases home/school collaboration in adolescent suicide prevention, handouts were developed for parents (found in the appendix), which include information on warning signs of suicide, risk factors for suicide, and methods of responding to suicidality. After adapting these handouts to best meet their students' needs, school-based mental health professionals may consider including these handouts in their school's crisis plan and suicide prevention efforts.

Suicide is the second leading cause of death for college students; annually approximately 1,100 students in institutions of higher education die by suicide. However, most research related to college student suicide was conducted using the sample of 4-year institutions. Community colleges have seldom been included in the sample of suicide research studies. This qualitative case study research explored the student suicide prevention strategies in the 13 community colleges in the Tennessee Board of Regents higher education system. Data were collected from surveys, institutional web sites, and interviews with institutional personnel. Approximately half of the institutions offer suicide prevention information to students. Technology is used sparsely to educate, screen, or provide suicide referral information. Whereas only six institutions have policies that specifically address suicide, personnel at most institutions identified area agencies that serve as resources for students. Three common themes relate to the institutional response to a suicidal student: the presence of a response team, the involvement of a counselor, and referrals to community mental health resources. Institutions that employ counselors generally have more educational strategies, more suicide prevention strategies overall, and more policies that specifically address suicide than those that do not employ counselors. Internal and external factors prompted the development of suicide prevention strategies at the institutions. Internal resources such as counselor and faculty support and external resources such as area mental health agencies and community suicide prevention agencies aid in the creation and implementation of suicide prevention efforts. Lack of resources, competing priorities, and the discomfort surrounding the topic of suicide emerged as themes inhibiting the creation and implementation of suicide prevention efforts in rural institutions. While educational and institutional suicide prevention strategies are employed, most institutional efforts are directed toward preventing students from harming others.

Approximately 44,965 people committed suicide in 2016 in the United States, and the rate has been rising for a decade and a half. Suicide has far-reaching consequences which affect not only the victim, but those close to the person as well. For every suicide, an estimated six people are futher traumatized, bringing the current loss survivor estimate to over 5 million. Additionally, suicide costs tax payers about 70 billion dollars annually. Despite outranking homicide as a leading cause of death, the long-standing stigma associated with suicide creates a barrier for open and effective communication about the issue. This paper investigates the changing attitudes about suicide across time, the impact of the interacting factors of gender, age, sexuality, and depression, current suicide myths, the trend of suicide by cop, and discusses future needs for research and effective intervention and prevention.

Department of Psychology, University of Newcastle. Bibliography: leaves 69-78.

The popularity of social capital and its potential benefit to understanding the complex arena of mental health research, has increased exponentially, despite the lack of consensus over a conceptual and empirical definition. Due to the escalation in adolescent suicide rates globally, the following research study sort to understand the association between Bonding Family Social Capital and Bonding Peer Social Capital and adolescent suicide risk. The sample was made up of 259 adolescent learners, from grades nine to eleven, from a school in the Durban Metropolitan area. The results of the study confirmed the hypothesis that adolescents categorized as being ‘at risk’ (i.e. had suicide ideation and/or attempt suicide) had lower mean Bonding Family Social Capital and Bonding Peer Social Capital then those adolescents categorized as ‘not at risk’ (i.e. did not have suicide ideation and/or attempted suicide). These findings are essentially supportive of contemporary multidisciplinary evidence indicating that supportive family and peer networks can serve as a protective buffer against adolescent suicide risk. / Thesis (M.A.)-University of KwaZulu-Natal, Durban, 2009.

This research utilized data concerning adolescents at imminent risk for harm confined to the Edmonton and Lethbridge secure treatment centres in Alberta. Once screened for inclusion criteria in a single stage, non-random convenience sampling protocol, 210 files were included in the study. From these files, the adolescents' psychopathological diagnoses, Suicide Probability Scale (SPS) scores as well as other demographic data (including age, gender, ethnicity and previous suicide attempts) were recorded. This research was designed to delineate the characteristics of adolescents admitted to secure treatment, examine the overall suicide risk in this sample, investigate the relationship between study variables via crosstabulation and chi-square analysis, and to determine which independent variable/s best predicted suicide risk via ANOVA and multiple lineear regression analysis. Analysis results indicated that the sample was predominantly comprised of female adolescents, Caucasian ethnicity and was aged between 13 and 15 years. The majority of adolescents with suicide history information available in their file had previously attempted suicide. Youth demonstrated an average of 2.7 psychopathological diagnoses, the most frequent of which were conduct disorder, substance abuse, depression, adjustment disorder and parent child relational disorder. The majority of youth were in the moderate suicide risk category from SPS scores. Multiple linear regression analysis determined that the diagnoses of adjustment disorder and depression were found to be predictive of increased suicide risk scores, as was gender (females had higher risk scores), age (younger adolescents had higher risk scores) and previous suicide attempts. Those in the "other" ethnicity category demonstrated lower suicide risk scores. / xi, 193 leaves ; 29 cm.

Mémoire numérisé par la Division de la gestion de documents et des archives de l'Université de Montréal

The aim of this research was to test a series of theoretical models based on Beck (1967) cognitive diathesis-stress and Kwon and Oei (1994) linear mediational models as well as earlier research findings to determine the best-fitting model to explain the aetiological processes of suicide attempts in Taiwanese people. The participants were patients diagnosed with Major Depressive Disorders (MDD) recruited from three hospitals in Taiwan. They were used for data analyses in both cross-sectional (main) study and longitudinal (follow-up) study. In addition, a sample of students recruited from three universities in Taiwan was used for data analyses in the generalized study to examine the generalization of the results from clinical depressed patients to nonclinical university students. In the main study, by the application of structural equation modeling (SEM) techniques, four initial models were compared using the MDD patients (N = 162). The SEM analyses showed that two interactional models failed to provide an adequate fit to the given data, suggesting that the hypothesis of interaction between dysfunctional attitudes and negative life events in predicting the psychopathology of Taiwanese MDD patients was not supported. The SEM analyses supported two mediational models in terms of goodness-of-fit. Because the two mediational models were very similar, they were combined to form a combined mediational model. The SEM analyses indicated that the combined model provided an adequate fit to the given data. After modifying the model to improve its goodness-of-fit, the final modified combined mediational model was selected as the most appropriate in representing the data of Taiwanese MDD patients. The final model revealed that dysfunctional attitudes mediated the relationship between negative life events and depressive hopelessness, which in turn increased depression, which then precipitated suicidal ideation, which finally resulted in suicide attempts. In addition, it was found that negative life events exerted direct influences on depressive hopelessness and suicide attempts; sex and age exerted direct influences on negative life events. However, social support buffered the impact of negative life stress on dysfunctional attitudes and compliance with medications prevented the development of depression. In the follow-up study, the final modified combined mediational model was validated and reexamined with two-wave panel data gathered from the same population of Taiwanese MDD patients who participated in assessments twice, separated by a six-month interval (N = 142). The SEM analyses showed that the model provided an adequate fit to the two-wave panel data, suggesting that the model can be applied for predicting suicide attempts over six months in Taiwanese MDD patients. In the generalized study, the findings obtained from the MDD patients were replicated in a sample of Taiwanese university students (N = 324). Results revealed that the final modified combined mediational model failed to fit the given data. The result suggests that the most appropriate model for Taiwanese MDD patients can not be generalized to Taiwanese students. Some cautions and limitations should be noted. First, the models obtained from clinical and nonclinical people in Taiwan should not be directly generalized to people outside Taiwan. Further research using clinical and nonclinical samples from other countries to cross-validate the models was suggested. In addition, the researcher’s interventions during the follow-up period may disturb the relationship between predictor variables and subsequent suicide attempts. However, the problems appear to be unavoidable because of the research ethics of protecting participants from suicidal risk. / http://proxy.library.adelaide.edu.au/login?url= http://library.adelaide.edu.au/cgi-bin/Pwebrecon.cgi?BBID=1339675 / Thesis (Ph.D.) - University of Adelaide, School of Psychology, 2008