College students are at an increased risk for suicide. The federal government has gone to great lengths to try to implement suicide prevention programs, but few studies have been done to design, implement and assess the effectiveness of the programs. Latinas are at an especially high risk for suicide, and research suggests that interpersonal conflict is a potential risk factor for Latinas' suicidal behavior. Thwarted belongingness, as stated in Joiner’s Interpersonal Theory of Suicide, may be a possible explanation for the higher rates due to the importance placed on interpersonal relationships based on Latino cultural values. Bicultural identity has been linked to better psychological adjustment and possibly well-being, so it will be assessed as well. The proposed study will have Latina college students (N=783) participate in group sessions that allow for the processing of interpersonal problems and learning communication skills to resolve conflicts. They will be asked to fill out measures of belonging, bicultural identity and general well-being. Measures of general well-being will be used as a proxy for suicidal behavior. It is predicted that participant scores of belonging and their well-being will increase following participation. Scores of belonging and well-being are expected to have an inverse linear relationship. Participants’ scores of bicultural identity and belonging will be strong significant predictors of participants’ score of bicultural identity and belonging will predict increases in participants' well-being. Limitations and future research are also discussed.

In 2005, suicide was the third leading cause of death among youth 10-24 years of age in the U.S. —accounting for 4,482 deaths. Youth suicide is an important public health problem in the U.S. and research focusing specifically on gender differences is needed and warranted since recent research shows that rates of suicide attempts have increased specifically among young girls. Analyses of the recently released 2007 YRBS data (n=14,041; girls=7,036; boys=6,992) of high school students in 9-12th grades, show that 6.9% of adolescents attempted suicide (9.3% of girls versus 4.6% of boys) and 14.5% seriously considered a suicide attempt (18.7% of girls versus 10.3% of boys). Girls are 2.89 (95% CI: 2.31-3.61) times more likely than boys to report attempting suicide in the past 12 months. Moreover, girls who reported attempting suicide were significantly more likely to also report other risk factors such as depression (OR= 5.74), weapon carrying (OR= 1.48), experiencing intimate partner violence (OR=1.60), being forced to have sexual intercourse (1.72), huffing glue (OR=2.04), and being a minority (OR 1.65). However, boys who reported attempting suicide were significantly more likely to also report weapon carrying (OR=1.66), being forced to have sexual intercourse (OR=2.60), huffing glue (OR=1.63), participating in sports (OR=1.52), depression (OR=10.96), hard drug use (OR=2.18), and being a minority (OR=1.93). Furthermore, analyses of 1991 – 2007 YRBS data revealed that these gender specific risks have remained fairly constant over time. These findings will help guide prevention and intervention strategies to prevent suicide and suicidal behaviors among both girls and boys.

Suicide is the second leading cause of death among college students, making it a prime target for prevention initiatives on college campuses. Efforts to manage the problem of suicidality on campus frequently involve shepherding students at elevated risk into treatment services through the college counseling center. Several scholars have called for suicide prevention efforts to take a public health approach, seeking to intervene more broadly by improving the mental health of the general population that is currently at little to no risk of developing an imminent suicidal crisis. One manner of expanding these prevention efforts is to investigate those factors that preserve the emotional and mental resilience of college students facing similar life stressors and distress levels. As such, scholars of suicidality have called for closer examination of those protective factors that prevent some students--experiencing comparable levels of stress as compared to their suicidal peers--from ever entering into or progressing along the suicidality continuum. Mindfulness is a construct that has shown promise in the intervention literature for its ameliorative affect on a range of disorders and problematic coping behaviors. The possible protective benefit of dispositional levels of mindfulness at varying points along the suicidal continuum is not well understood, and the present study seeks to remedy this gap in the literature in a large sample of college students. Using archival data from a national survey of college student coping collected in 2011 by The National Research Consortium of Counseling Centers in Higher Education, this study explored the effect of trait mindfulness levels on entry into and progression along the continuum of suicidality. Multilevel modeling was used to explore associations between historical and demographic predictors of suicidality, dispositional mindfulness levels, self-reported distress levels during a recent stressful period, strength of intent during a recent suicidal crisis, and suicidal thoughts and behaviors along a continuum of suicidality. Results indicated that mindfulness conveys protection at the threshold of developing suicidal thoughts during a recent stressor, but is not associated with the shift from suicidal thoughts to the development of suicidal behaviors. Implications are discussed with respect to the role mindfulness can play in the development of comprehensive, population-based suicide prevention programming and mental health promotion initiatives on college campuses. / text

College student suicide is a significant concern on university campuses and suicide prevention has become a focus for outreach intervention. While college counseling centers appear effective in helping students who present for treatment, suicidal students also seem to underutilize professional help. Gatekeeper training programs have emerged to help colleges and universities tap into existing student social networks to encourage early intervention. Gatekeeper training is a type of suicide prevention intervention used to encourage members of the university community to identify, engage, and refer suicidal students to professional help. Resident Assistants are often a focus of such training as they exist in the living environment of students and may be more able to identify student distress than other staff. However, the potential for adverse mental health impact on those RAs we call upon to help is not well understood and no studies to date have examined the impact of suicide prevention training on their mental health. Using data from surveys administered in connection with the participation of Resident Assistants in Suicide Prevention Training at The University of Texas at Austin, this study explores the mental health impact on RAs associated with their serving as gatekeepers. Multiple regression analyses were used to study the impact of intervention load, perceived role responsibility, the acquisition of suicide prevention content knowledge and perceived competency to perform the duties of a gatekeeper, and support-seeking behavior on the stress and distress of RAs over the course of a semester. Results suggest that RAs appear resilient to situational stress experienced with resident mental health interventions. RAs also appear to have considerable prior, personal experience with suicidal thinking and others who are suicidal. Additionally, they generally report not seeking support as often as they could, yet also increasingly turn to their co-workers in residence life for support. A repeated measures ANOVA analysis found that over the course of the semester RAs reported an increased threshold for engaging in interventions with residents and for seeking support for themselves. Implications for gatekeeper training and future research are discussed. / text

In 2005, suicide was the third leading cause of death among youth 10-24 years of age in the U.S. —accounting for 4,482 deaths. Youth suicide is an important public health problem in the U.S. and research focusing specifically on gender differences is needed and warranted since recent research shows that rates of suicide attempts have increased specifically among young girls. Analyses of the recently released 2007 YRBS data (n=14,041; girls=7,036; boys=6,992) of high school students in 9-12th grades, show that 6.9% of adolescents attempted suicide (9.3% of girls versus 4.6% of boys) and 14.5% seriously considered a suicide attempt (18.7% of girls versus 10.3% of boys). Girls are 2.89 (95% CI: 2.31-3.61) times more likely than boys to report attempting suicide in the past 12 months. Moreover, girls who reported attempting suicide were significantly more likely to also report other risk factors such as depression (OR= 5.74), weapon carrying (OR= 1.48), experiencing intimate partner violence (OR=1.60), being forced to have sexual intercourse (1.72), huffing glue (OR=2.04), and being a minority (OR 1.65). However, boys who reported attempting suicide were significantly more likely to also report weapon carrying (OR=1.66), being forced to have sexual intercourse (OR=2.60), huffing glue (OR=1.63), participating in sports (OR=1.52), depression (OR=10.96), hard drug use (OR=2.18), and being a minority (OR=1.93). Furthermore, analyses of 1991 – 2007 YRBS data revealed that these gender specific risks have remained fairly constant over time. These findings will help guide prevention and intervention strategies to prevent suicide and suicidal behaviors among both girls and boys.

"Traditional Navajo Culture is a Protective Factor" is intended for those who have a stake in Indigenous spiritual, mental, physical, and emotional health. Native Americans, Alaska Natives, and Native Hawaiians are Indigenous minorities in the USA that tend to consistently top the charts in deficient measures like depression, diabetes, heart disease, obesity, domestic violence, substance use/abuse, and suicide. The West does not offer any explanation as to the cause but is trying to fight these diseases and disorders by allocating federal funds for tribes, urban Indians, and Native groups to devise ways to minimize negative health effects by employing prevention practices that respect and are informed by the local Native cultures. This thesis examines these public health issues from a modern Indigenous perspective that use Navajo specific examples that combine both Western and Indigenous philosophies and paradigms to propose a solution that is strength-based, culturally-informed, and locally-driven.

Considering the escalating rate of suicidal behaviour in adolescents, not much is known about the risk and protective factors that mediate non-fatal suicidal behaviour among this group. This study has focused on exploring the subjective worlds of Indian adolescents who have engaged in non-fatal suicidal behaviour in order to identify such factors, which are crucial in the designing of effective intervention programmes. The sample consisted of 10 adolescent patients who were admitted to R.K. Khan Hospital in Chatsworth, Durban after non-fatal suicide attempts. The emergent risk and protective factors were conceptualised according to Bronfenbrenner’s (1979) Social Ecology Theory, which facilitated an understanding of the multiple levels of risk and protective factors that mediate NFSB in adolescents. The results of this study highlight the collective influences of individual, familial, cultural and societal factors on adolescents’ decisions to engage in non-fatal suicidal behaviour. A number of clear priorities for prevention programmes emerged from the results of this study. As such, recommendations were made to facilitate prevention and intervention programmes at a site, familial, peer and community level. / Thesis (M.A.)-University of KwaZulu-Natal, Durban, 2008.

Aim of the study: To investigate the possibilities of planning, succession and development of aid for adolescents in Kaunas city who have tried to commit suicide. Objectives: 1. to define the main stages in providing help for adolescents who have tried to commit suicide; 2. to clarify interdepartmental obstacles providing help for adolescents in crisis; 3. to formulate recommendations for the development of aid for adolescents in Kaunas who have tried to commit suicide. Methods: Qualitative, descriptive analysis. Information was gathered using semi-structured interview method. There were questioned 21 respondents from institutions involving four Lithuanian systems that provide aid for adolescents who have tried to commit suicide: Social Security, Health Service, Educational and Interior. Questions were related to suicide prevention, intervention and postvention. Results: Main stages in providing aid for adolescents who have tried to commit suicide were defined: detecting a child who has tried or is at risk of committing suicide, providing urgent aid, and providing continued aid. Vacancies were detected in all stages of providing aid. Representatives from all the institutions that provide aid to adolescents who have tried to commit suicide agree that there is a need of interdepartmental cooperation in Lithuania, though the results of the analysis show that such cooperation has still been weakly developed. Three main obstacles in interdepartmental cooperation have been... [to full text]

The incidence of suicide attempts and completions during academically gifted students' attendance at state-supported, residential high schools was the subject of this study. School personnel's perceptions of this environment, roles in identifying students at-risk for attempting suicide, and knowledge about suicide were also studied. Five schools participated in this study. Initial interviews were conducted with each school's director, measuring the incidence of suicide utilizing an adaptation of a survey developed by M. Hayes and R. Sloat (1990). Questionnaires distributed to personnel included questions about knowledge about the school's history concerning suicide, perceptions of the environment, and knowledge about suicide. The adaptation of Hayes and Stoat's survey was included in questionnaire materials, along with the School-Level Environment Questionnaire (Rentoul & Fraser, 1983) and 11 true/false statements measuring knowledge of suicide. A total of 83 questionnaires were completed. Telephone interviews were conducted with a random sample of 21 personnel who completed the questionnaire. These interviews consisted of open-ended questions measuring the environment of these schools and perceived roles of personnel in identifying students at-risk for suicide. Descriptive and qualitative analyses were conducted. Ten attempts and two completions occurred among 4899 students. Suicide attempts and completions were measured to be .20% and .04% respectively. These findings indicate that these schools need to be prepared in order to prevent suicide among this population. The environment of these schools was one of affiliation, autonomy, and innovativeness. However, affiliation predominately existed within specific departments and/or divisions. Personnel characterized their roles in suicide prevention as unofficial because of lack of time, academic priorities, and other individuals who were better equipped to respond to students. Even though personnel considered their roles unofficial, they attempted to meet students' emotional needs through support, observation, and involvement. Knowledge of suicide was observed in the areas of incidence of suicide among adolescents, importance of warning signs, factors increasing risk, and need for intervention. Respondents were less knowledgeable about the rate of suicide among adolescents, factors not increasing risk, and myths about suicide. / Department of Educational Psychology

Railway suicide constitutes a limited but significant fraction of all suicides, and a majority of all railway-related deaths, in Sweden as well as in many other countries. The aim of this thesis is to develop the scientific basis for the prevention of railway suicide, with special regard to knowledge and strategies within the reach of the railway system owners themselves. An initial descriptive epidemiologic study showed that railway suicide episodes cluster in densely populated areas, and that victims often seem to await approaching trains for some time on or close to tracks before being hit. This means that preventive efforts can be prioritized to geographically limited areas and that there exists a time margin for early detection, forewarning, braking, rescuing, and the like. Secondly, a theoretical study was conducted in order to derive an overview of theoretically possible barriers aimed at preventing railway suicide. The approach is based on the comparison and synthesis of theories and models from suicidology and safety sciences applied to the railway suicide phenomenon. This led to a list of possible barriers, also intended as a checklist. This was followed by a multiple case study, where a number of authentic cases were analysed in-depth on the basis of investigation reports by the police and railway officials, plus complementary researcher observations from the actual sites of the suicide occurrences. The study revealed some deficiency in current investigation and reporting routines from a preventative viewpoint and indicated the potential for a broader and more systematic collection of prevention-relevant information in immediate connection with the events. Finally, a focus group study, involving safety practitioners from both the railway and other sectors, confirmed a general understanding and acceptance among practitioners of the theoretically derived principles, and a readiness to broaden the scope of railway safety to include approaches to prevent suicide. In conclusion, it should be possible to influence the occurrence of railway suicides by means available within the railway transport system itself. A spectrum of possible alternative barriers is identified, as well as an, as yet, underutilized potential in the form of more systematic data collection and learning routines from actual events. Last but not least, there is a readiness among practitioners to incorporate these principles in regular railway safety work.