Universal Suicide Prevention in Young People: An Evaluation of the safeTALK Program in Australian High Schools

Bailey, Eleanor; Spittal, Matthew J.; Pirkis, Jane; Gould, Madelyn; Robinson, Jo

doi:10.1027/0227-5910/a000465

Cited by 70Suicide and Self-Harm StudiesSchool Health and Nursing EducationGrief, Bereavement, and Mental Health

The DOI matches its Crossref record; 20 of the 20 references it cites were found in a registry or an index.

Universal Suicide Prevention in Young People: An Evaluation of the safeTALK Program in Australian High Schools

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Bailey, Eleanor, Spittal, Matthew J., Pirkis, Jane, Gould, Madelyn, Robinson, Jo·2017·Crisis

DOI 10.1027/0227-5910/a000465

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Abstract

BACKGROUND: Universal education and awareness programs in schools are a promising suicide prevention intervention but to date no research has evaluated the iatrogenic effects of such programs. AIMS: To evaluate the efficacy and acceptability of the safeTALK program for secondary school students and determine whether it is associated with any iatrogenic effects. METHOD: Participants were 129 students from the three main high schools in Alice Springs who attended the safeTALK training and consented to participate in the evaluation. Participants were assessed immediately before and immediately after the training using a purpose-designed survey. Follow-up questionnaires were administered online 4 weeks after completion of the training. RESULTS: Participants demonstrated increases in knowledge about suicide, confidence in talking about issues related to suicide, willingness to talk about suicide, and likelihood of seeking help for suicidal thoughts. There was no evidence that the training induced suicidal thoughts or caused distress; in fact both appeared to decrease following the training. Most participants did not find the training upsetting; they reported the training to be worthwhile and most said that they would recommend it to a friend. LIMITATIONS: The lack of control group, use of non-validated measures, and relatively short follow-up period are limitations of this study. CONCLUSION: Universal suicide prevention workshops in schools can be beneficial and do not appear to be associated with iatrogenic effects.

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Increasing evidence suggests that it is safe to deliver suicide prevention efforts to pupils.
“However, increasing evidence suggests that it is safe to do [8, 9].”
From Study protocol for the Multimodal Approach to Preventing Suicide in Schools (MAPSS) project: A regionally based feasibility trial of an integrated response to suicide risk among UK secondary school pupils (2024) · cites this paper as [9]
Suicide prevention lessons, such as those included in MAPSS, have been evaluated in youth populations.
“Suicide prevention lessons, such as those included in MAPSS, have been evaluated in youth populations [8, 9]”
From Study protocol for the Multimodal Approach to Preventing Suicide in Schools (MAPSS) project: A regionally based feasibility trial of an integrated response to suicide risk among UK secondary school pupils (2024) · cites this paper as [9]

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Additional file 1 of Systematic review and narrative synthesis of suicide prevention in high-schools and universities: a research agenda for evidence-based practice
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Universal suicide prevention in schools
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Authors: Bailey, E., Spittal, M. J., Pirkis, J., Gould, M., & Robinson, J.
Affiliations: Orygen (AU)
The University of Melbourne (AU)
Columbia University (US)
ORCID: Bailey, Eleanor
Spittal, Matthew J.
Pirkis, Jane
Gould, Madelyn
Robinson, Jo
Venue: Crisis
Publisher: Hogrefe Publishing Group
Published: 2017-09
Volume: 38
Issue: 5
Pages: 300-308
ISSN: 0227-5910 (ISSN-L)
2151-2396
DOI: 10.1027/0227-5910/a000465
OpenAlex: W2741324035
Cited by: 70
References: 20
Citations by year: 2026: 8 · 2025: 7 · 2024: 15 · 2023: 5 · 2022: 14 · 2021: 6 · 2020: 5 · 2019: 5 · 2018: 3 · 2017: 2
FWCI: 5.09
Type: journal article
Language: en
Open access: green
hdl.handle.net
Locations: Crisis (publishedVersion)
PubMed (publishedVersion)
Minerva Access (University of Melbourne) (submittedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › School Health and Nursing Education
Social Sciences › Psychology › Clinical Psychology › Grief, Bereavement, and Mental Health
Keywords: suicide prevention, universal prevention, school-based intervention, high school students, iatrogenic disease, suicide knowledge, help-seeking, treatment acceptability, Alice Springs
MeSH terms: Suicide Prevention, Adolescent, Australia, Female, Health Education, Humans, Health Knowledge, Attitudes, Practice, Male, Surveys and Questionnaires, Risk Factors, School Health Services, Stress, Psychological, Suicide, Program Evaluation, Suicidal Ideation

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Universal Suicide Prevention in Young People: An Evaluation of the safeTALK Program in Australian High Schools

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