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School connectedness and suicidal thoughts and behaviors: A systematic meta-analysis.
Open accessAbstract
Among the protective factors associated with reduced risk for suicide, scientific inquiries into school connectedness are especially important considering that schools are ideally situated to provide interventions reaching the vast majority of youth. Although there is a wealth of research that supports the association between school connectedness and reduced self-report of adolescents having a suicidal thought or making a suicide attempt, inconsistencies in the way studies have measured and operationalized school connectedness limit synthesis across findings. This meta-analytic study investigates the literature exploring associations between school connectedness and suicidal thoughts and behaviors across general and subpopulations (high risk and sexual minority youth) using a random effects model. Eligible studies examined a measure of school connectedness explicitly referred to as "school connectedness" or "connections at school" in relation to suicidal ideation or suicide attempts among youth enrolled in school (Grades 6-12). Multiple metaregression analyses were conducted to explore the influence of school connectedness measurement variation, as well as participant characteristics. Results, including 16 samples, support that higher school connectedness is associated with reduced reports of suicidal thoughts and behaviors across general (odds ratio [OR] = 0.536), high-risk (OR = 0.603), and sexual minority (OR = 0.608) adolescents. Findings are consistent when analyzed separately for suicidal ideation (OR = 0.529) and suicide attempts (OR = 0.589) and remain stable when accounting for measurement variability. Although limited by its cross-sectional nature, findings support recent calls to increase school connectedness and proffer important implications for screening and intervention efforts conducted in schools. (PsycINFO Database Record
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“The review, which included ten studies with 57,637 participants, found that school connectedness is associated with reduced reports of suicide attempts in general youth (OR: 0.59).”
From Risk and Protective Factors of Self-harm and Suicidality in Adolescents: An Umbrella Review with Meta-Analysis (2024) · cites this paper as Marraccini and Brier (2017)
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“Their review found a pooled OR of 0.53, indicating that adolescents who experience school connectedness are less likely to experience suicidal ideation.”
From Risk and Protective Factors of Self-harm and Suicidality in Adolescents: An Umbrella Review with Meta-Analysis (2024) · cites this paper as Marraccini and Brier (2017)
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“Findings were consistent when exploring five studies regarding suicidality in high-risk youth (OR: 0.60) and four studies examining sexual minority youth (OR: 0.61).”
From Risk and Protective Factors of Self-harm and Suicidality in Adolescents: An Umbrella Review with Meta-Analysis (2024) · cites this paper as Marraccini and Brier (2017)
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“Findings were consistent when exploring five studies regarding suicidality in high-risk youth (OR: 0.60) and four studies examining sexual minority youth (OR: 0.61).”
From Risk and Protective Factors of Self-harm and Suicidality in Adolescents: An Umbrella Review with Meta-Analysis (2024) · cites this paper as Marraccini and Brier (2017)
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Cited by
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Holt‐Lunstad, J. (2024) · World Psychiatry · doi:10.1002/wps.21224 · Cited by 541
Suicide ideation as a symptom of adolescent depression. a network analysis
Gijzen, M., Rasing, S. P. A., Creemers, D. H. M., Smit, F., Engels, R. C. M. E., & Beurs, D. P. D. (2020) · Journal of Affective Disorders · doi:10.1016/j.jad.2020.09.029 · Cited by 240
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Adolescent connectedness and adult health outcomes
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Raniti, M. B., Rakesh, D., Patton, G. C., & Sawyer, S. M. (2022) · BMC Public Health · doi:10.1186/s12889-022-14364-6 · Cited by 229
Metadata
- Authors
- Marraccini, M. E., & Brier, Z. M. F.
- Affiliations
- Rhode Island Hospital (US)
- Venue
- School Psychology Quarterly
- Published
- 2017-03
- Volume
- 32
- Issue
- 1
- Pages
- 5-21
- ISSN
- 1045-3830 (ISSN-L)
- 1939-1560
- PMC
- PMC5359058
- OpenAlex
- W2579047149
- Cited by
- 295
- References
- 54
- Citations by year
- 2026: 37 · 2025: 44 · 2024: 39 · 2023: 30 · 2022: 39 · 2021: 25 · 2020: 23 · 2019: 20 · 2018: 35 · 2017: 3
- FWCI
- 27.47
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- School Psychology Quarterly (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (R01MH105379)
- 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 › Health › Gun Ownership and Violence Research
- Keywords
- school connectedness, suicidal ideation, suicide attempts, adolescents, sexual minority youth, at-risk youth, protective factors, suicide prevention, school-based intervention, suicide risk screening
- MeSH terms
- Adolescent, Adolescent Behavior, Female, Humans, Interpersonal Relations, Male, Suicide, Attempted, Suicidal Ideation
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