Looking for ways that dance could be used as a tool for health promotion, I sought to explore dance choreography and performance as an alternative medium for educating and increasing awareness about college student suicide. Suicide is the second leading cause of death amongst college students and while research suggests that suicide is decreasing, in terms of attempted suicides, the problem may be increasing. While attempts to understand, predict and prevent the loss of lives have resulted in extensive literature, there has been very little systematic research completed. Compounded by limited proposed models for addressing college student suicide, and lack of evidence there remains a growing need to find effective health communication practices and best health promotion practices. This research study is an autobiographical case study that explores my embodied experience of choreographing and performing a dance about college student suicide. As a health promotion professional and a trained dance artist, I assumed the role of researcher and dance choreographer and I and my experience became the subject of this research study. I launched and conducted a six-week project on my university campus called "Dance For Life" and worked with a small group of three female undergraduate dancers to make the new dance piece. This dance project was the case under investigation out of which I presented an autobiographical narrative in the findings and discussion section of this paper. Reviewed health information, research findings, and data, as well as knowledge extracted from the dance group became in part material used to make the dance. As the choreographer, my role in the choreographic process spanned from expert to collaborator and rested on my vision for the story told that would be told through the dance. I collected m data in the form of:- video recordings; audio recordings; pictures; journal entries; field/ observational notes; video diaries; drawings; interviews with community-based artists; and memory recall. I then worked to sort, label, group, and analyze the data, piecing together my findings to write an autobiography that answered my research questions. My exploration highlighted the importance of community involvement in community-based health programming.Through participation in this project the dancers\' knowledge and awareness of college student suicide increased and positively affected their empathetic response toward members of the community. Using non professional dancers with varied dance skill levels did not inhibit creativity or diminish the quality of work produced. Instead it brought together real life people with diverse perspectives, creative solutions, and a passion for dance to produce a piece of art effective in its ability to \'touch\' the audience and draw them in to a place of greater awareness. Stigmas, and the lack of  education and visibility about this particular health challenge, have resulted in a low community response to affecting change. The post performance discussion, brought the greatest gains, in terms of educating the audience. They interacted with the project, asked questions, gave feedback and provided comments about what they experienced, learned, and understood. The overall success of the project, points toward the possibility of dance as an art form playing a more significant role in educating communities about sensitive, and difficult to talk about, health challenges. Being able to affect the knowledge, attitudes, and empathetic response of communities is a beginning step  towards overcoming the health challenge of college student suicide. Future research needs to focus on best choreographing techniques as it relates to audience interpretation. / Ph. D.

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.