"Signs of Suicide" shows promise as a middle school suicide prevention program
Abstract
Although the Signs of Suicide (SOS) suicide prevention program has been implemented at both the middle and high school levels, its efficacy has been demonstrated previously only among high school students. The current study evaluated SOS implemented in high military impact middle schools. Compared to controls, SOS participants demonstrated improved knowledge about suicide and suicide prevention, and participants with pretest ideation reported fewer suicidal behaviors at posttest than controls with pretest ideation. These results provide preliminary evidence for SOS's efficacy as a suicide prevention program for middle school students.
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There were no significant effects of the SOS program on changes in help-seeking behaviours (from a parent, brother or sister or friend).
“Authors reported no significant effects of the SOS program on changes in help-seeking behaviours (from a parent, brother or sister or friend)”
From Prevention of self-harm and suicide in young people up to the age of 25 in education settings (2024) · cites this paper as Schilling 2014
Cites
The Ecology of Human Development: Experiments by Nature and Design
Bronfenbrenner, U. (1979) · Harvard University Press eBooks · doi:10.4159/9780674028845 · Cited by 26,084 · see citing works
The Ecology of Human Development
Bronfenbrenner, U. (1981) · Harvard University Press eBooks · doi:10.2307/j.ctv26071r6 · Cited by 8,064 · see citing works
Reliability and Validity Assessment
Carmines, E., & Zeller, R. (1979) · doi:10.4135/9781412985642 · Cited by 5,884 · see citing works
Reliability and Validity Assessment
Kurian, G. T. (2011) · CQ Press eBooks · doi:10.4135/9781608712434.n1341 · Cited by 5,045 · see citing works
Adolescent suicide and suicidal behavior
Bridge, J. A., Goldstein, T. R., & Brent, D. A. (2006) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.2006.01615.x · Cited by 1,361 · see citing works
Nock, M. K., Holmberg, E. B., Photos, V. I., & Michel, B. D. (2007) · Psychological Assessment · doi:10.1037/1040-3590.19.3.309 · Cited by 1,352 · see citing works
Standards of Evidence: Criteria for Efficacy, Effectiveness and Dissemination
Flay, B. R., Biglan, A., Boruch, R. F., Castro, F. G., Gottfredson, D., Kellam, S., Mościcki, E. K., Schinke, S., Valentine, J. C., & Ji, P. (2005) · Prevention Science · doi:10.1007/s11121-005-5553-y · Cited by 1,338 · see citing works
Life of the mind: The interface of psychopharmaceuticals, domestic economies, and social abandonment
Biehl, J. G. (2004) · American Ethnologist · doi:10.1525/ae.2004.31.4.475 · Cited by 903 · see citing works
Linear Panel Analysis: Models of Quantitative Change
Narasimhan, V., Phillips, F. Y., Kessler, R. C., & Greenberg, D. F. (1982) · Journal of Marketing Research · doi:10.2307/3151743 · Cited by 642 · see citing works
Children on the Homefront: The Experience of Children From Military Families
Chandra, A., Lara-Cinisomo, S., Jaycox, L. H., Tanielian, T., Burns, R. M., Ruder, T., & Han, B. (2009) · PEDIATRICS · doi:10.1542/peds.2009-1180 · Cited by 471 · see citing works
An Outcome Evaluation of the SOS Suicide Prevention Program
Aseltine, R. H., & DeMartino, R. (2004) · American Journal of Public Health · doi:10.2105/ajph.94.3.446 · Cited by 463 · see citing works
Self-citationJoiner, T. E., Conwell, Y., Fitzpatrick, K. K., Witte, T. K., Schmidt, N. B., Berlim, M. T., Fleck, M. P., & Rudd, M. D. (2005) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.114.2.291 · Cited by 354 · see citing works
Evaluating the SOSsuicide prevention program: a replication and extension
Aseltine, R. H., James, A., Schilling, E. A., & Glanovsky, J. (2007) · BMC Public Health · doi:10.1186/1471-2458-7-161 · Cited by 348 · see citing works
Self-citationHelp-Seeking for Suicidal Thoughts and Self-Harm in Young People: A Systematic Review
Michelmore, L., & Hindley, P. (2012) · Suicide and Life-Threatening Behavior · doi:10.1111/j.1943-278x.2012.00108.x · Cited by 346 · see citing works
Parental Deployment and Youth in Military Families: Exploring Uncertainty and Ambiguous Loss*
Huebner, A. J., Mancini, J. A., Wilcox, R. M., et al. (2007) · Family Relations · doi:10.1111/j.1741-3729.2007.00445.x · Cited by 302 · see citing works
Robinson, J., Cox, G., Malone, A., Williamson, M. K., Baldwin, G., Fletcher, K., & O’Brien, M. (2012) · Crisis · doi:10.1027/0227-5910/a000168 · Cited by 286 · see citing works
Carlton, P., & Deane, F. P. (2000) · Journal of Adolescence · doi:10.1006/jado.1999.0299 · Cited by 247 · see citing works
The interpersonal‐psychological theory of suicidal behavior: current status and future directions
Ribeiro, J. D., & Joiner, T. E. (2009) · Journal of Clinical Psychology · doi:10.1002/jclp.20621 · Cited by 238 · see citing works
A critical review of the empirical literature on the relation between anxiety and puberty
Reardon, L. E., Leen-Feldner, E. W., & Hayward, C. (2009) · Clinical Psychology Review · doi:10.1016/j.cpr.2008.09.005 · Cited by 197 · see citing works
Chandra, A., Martin, L. T., Hawkins, S. A., & Richardson, A. (2009) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2009.10.009 · Cited by 186 · see citing works
The Impact of Curriculum-based Suicide Prevention Programs for Teenagers
Shaffer, D., GARLAND, A., VIELAND, V., Underwood, M., & BUSNER, C. (1991) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199107000-00010 · Cited by 161 · see citing works
Cusimano, M. D., & Sameem, M. (2010) · Injury Prevention · doi:10.1136/ip.2009.025502 · Cited by 158 · see citing works
Joiner, T. E., Hollar, D., & Orden, K. V. (2006) · Journal of Social and Clinical Psychology · doi:10.1521/jscp.2006.25.2.179 · Cited by 131 · see citing works
Esposito-Smythers, C., Wolff, J., Lemmon, K. M., Bodzy, M., Swenson, R. R., & Spirito, A. (2011) · Journal of Family Psychology · doi:10.1037/a0024534 · Cited by 118 · see citing works
Evaluation of a Suicide Awareness Curriculum for High School Students
Spirito, A., Overholser, J. C., ASHWORTH, S., Morgan, J. P., & BENEDICT-DREW, C. (1988) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-198811000-00007 · Cited by 103 · see citing works
The psychological needs of U.S. military service members and their families: A preliminary report
APA Presidential Task Force on Military Deployment Services for Youth, F. A. S. M. (2007) · PsycEXTRA Dataset · doi:10.1037/e504162016-001 · Cited by 83 · see citing works
What Prevents Adolescents from Seeking Help After a Suicide Education Program?
Cigularov, K. P., Chen, P. Y., Thurber, B. W., & Stallones, L. F. (2008) · Suicide and Life-Threatening Behavior · doi:10.1521/suli.2008.38.1.74 · Cited by 73 · see citing works
Suicidal and Nonsuicidal Adolescents: Different Factors Contribute to Self‐Esteem
Grøholt, B., Ekeberg, Ø., Wichstrøm, L., & Haldorsen, T. (2005) · Suicide and Life-Threatening Behavior · doi:10.1521/suli.2005.35.5.525 · Cited by 57 · see citing works
Hennessy, K. D., & Green‐Hennessy, S. (2011) · Psychiatric Services · doi:10.1176/ps.62.3.pss6203_0303 · Cited by 46 · see citing works
Effects of Soldiers' Deployment on Children's Academic Performance and Behavioral Health
Richardson, A., Chandra, A., Martin, L. T., et al. (2011) · PsycEXTRA Dataset · doi:10.1037/e526242012-001 · Cited by 40 · see citing works
Perez, V. W. (2005) · Suicide and Life-Threatening Behavior · doi:10.1521/suli.35.1.35.59267 · Cited by 33 · see citing works
An Evaluation of a School Based Suicide Prevention Program
Aseltine, R. H. (2003) · Cited by 31 · see citing works
Self-citationWells, K. C., & Heilbron, N. (2011) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2011.06.004 · Cited by 19 · see citing works
Campbell, C., Brown, E. J., & Okwara, L. (2010) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2010.03.001 · Cited by 15 · see citing works
Suicide in the Middle School: Who Said Kids Will Not?.
Herring, R. D. (1990) · Elementary school guidance and counseling · Cited by 10 · see citing works
Views from the Homefront: How Military Youth and Spouses Are Coping with Deployment
Chandra, A., Lara-Cinisomo, S., Jaycox, L. H., Tanielian, T., Han, B., Burns, R. M., & Ruder, T. (2011) · RAND Corporation eBooks · doi:10.7249/rb9568 · Cited by 2 · see citing works
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Suicide, Suicide Attempts, and Suicidal Ideation
Klonsky, E. D., May, A. M., & Saffer, B. Y. (2016) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-021815-093204 · Cited by 1,675 · see citing works
Suicide in elementary school-aged children and early adolescents
Sheftall, A. H., Asti, L., Horowitz, L. M., Felts, A., Fontanella, C. A., Campo, J. V., & Bridge, J. A. (2016) · Pediatrics · doi:10.1542/peds.2016-0436 · Cited by 271 · see citing works
What Works in Youth Suicide Prevention? A Systematic Review and Meta-Analysis
Robinson, J., Bailey, E., Witt, K., Stefanac, N., Milner, A., Currier, D., Pirkis, J., Condron, P., & Hetrick, S. (2018) · EClinicalMedicine · doi:10.1016/j.eclinm.2018.10.004 · Cited by 242 · see citing works
The SOS Suicide Prevention Program: Further Evidence of Efficacy and Effectiveness
Schilling, E. A., Aseltine, R. H., & James, A. (2016) · Prevention Science · doi:10.1007/s11121-015-0594-3 · Cited by 212 · see citing works
Self-citationGijzen, M. W. M., Rasing, S. P. A., Creemers, D. H. M., Engels, R. C. M. E., & Smit, F. (2022) · Journal of Affective Disorders · doi:10.1016/j.jad.2021.10.062 · Cited by 61 · see citing works
Ten Recommendations for Effective School-Based, Adolescent, Suicide Prevention Programs
Surgenor, P. W. G., Quinn, P., & Hughes, C. (2016) · School Mental Health · doi:10.1007/s12310-016-9189-9 · Cited by 57 · see citing works
Walsh, E. H., Herring, M. P., & McMahon, J. (2023) · Prevention Science · doi:10.1007/s11121-022-01449-2 · Cited by 50 · see citing works
Wolff, J. C., Frazier, E. A., Weatherall, S. L., Thompson, A. D., Liu, R. T., & Hunt, J. I. (2018) · Journal of Child and Adolescent Psychopharmacology · doi:10.1089/cap.2017.0135 · Cited by 46 · see citing works
School- and Community-Based Youth Suicide Prevention Interventions: Hot Idea, Hot Air, or Sham?
Kutcher, S., Wei, Y., & Behzadi, P. (2017) · The Canadian Journal of Psychiatry · doi:10.1177/0706743716659245 · Cited by 39 · see citing works
Prevention of self-harm and suicide in young people up to the age of 25 in education settings
Sharma, V., Marshall, D., Fortune, S., Prescott, A. E., Boggiss, A., Macleod, E., Mitchell, C., Clarke, A., Robinson, J., Witt, K. G., et al. (2024) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd013844.pub2 · Cited by 11 · see citing works
- Authors
- Schilling, E. A., Lawless, M., Buchanan, L., & Aseltine, R. H.
- Affiliations
- UConn Health (US)
- Corresponding author
- Schilling, Elizabeth A.
- Venue
- Suicide and Life-Threatening Behavior
- Publisher
- Wiley
- Published
- 2014-05-02
- Volume
- 44
- Issue
- 6
- Pages
- 653-667
- ISSN
- 0363-0234 (ISSN-L)
- 1943-278X
- OpenAlex
- W2116386524
- Cited by
- 131
- References
- 36
- Citations by year
- 2026: 3 · 2025: 9 · 2024: 5 · 2023: 9 · 2022: 13 · 2021: 16 · 2020: 45 · 2019: 4 · 2018: 9 · 2017: 4 · 2016: 11 · 2015: 3
- FWCI
- 7.08
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Suicide and Life-Threatening Behavior (publishedVersion)
- PubMed (publishedVersion)
- Funders
- U.S. Department of Defense
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Health › Gun Ownership and Violence Research
- Health Sciences › Health Professions › Speech and Hearing › School Health and Nursing Education
- Keywords
- suicide prevention, junior high school students, military families, suicidal ideation, suicide knowledge, suicidal behavior
- MeSH terms
- Suicide Prevention, Adolescent, Adolescent Behavior, Child, Female, Humans, Health Knowledge, Attitudes, Practice, Male, School Health Services, Schools, Students, Program Evaluation
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