Suicide Prevention Program Focuses on Teens

By Khadaroo, Stacy Teicher | The Christian Science Monitor, January 3, 2008 | Go to article overview
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Suicide Prevention Program Focuses on Teens


Khadaroo, Stacy Teicher, The Christian Science Monitor


It may still be a taboo subject in society, but for freshmen at Medway High school, there's no avoiding frank talk about suicide.

In early December, each of the roughly 240 students spent one of their double-period classes watching a video about depression and suicide presented by a counselor. After completing a self-screening survey, they could check off a box if they wanted to talk with someone about themselves or a friend. They left class with handouts reminding them to "ACT": "Acknowledge" if a friend has a problem; "Care" by letting him or her know you want to help; and "Tell" a trusted adult.

That's the key message of the Signs of Suicide (SOS) prevention program. Since 2000-01, more than 3,500 schools throughout the United States have used its materials and training kits to teach students how to recognize and respond to depression and suicidal thoughts.

"People are always telling me that the program has saved lives in their schools," says Sharon Pigeon, manager of SOS at Screening for Mental Health Inc., a nonprofit in Wellesley, Mass.

Ms. Pigeon's own niece, 14 years old at the time, confided in her that a friend had attempted suicide and planned to "do it right" the next weekend. Using materials from SOS, Pigeon persuaded her niece that they should call the school counselor. "Later, the girl said to [my niece and other friends], 'I don't know which one of you told on me, but I'm glad you did because you saved my life,' " Pigeon says.

Her anecdotes are backed up by independent research. SOS is the only school-based curriculum shown to reduce self-reported suicide attempts in randomized controlled studies.

While suicide by young people is rare, it's the third leading cause of death among 15- to 24-year-olds, according to the National Center for Injury Prevention and Control. Knowing the ripple effects that even one teen suicide can have in a community, educators are eager to equip students with tools like SOS.

Research reports in 2004 and 2007 found that suicide attempts were 40 percent less for students in the SOS high school program than for the control group. The results were similar across racial and socioeconomic groups. Because of such studies, SOS is listed on the National Registry of Effective Programs maintained by the US government's Substance Abuse and Mental Health Services Administration. Middle schools have started using an age- appropriate version of SOS recently as well.

The Massachusetts Department of Mental Health increased its funding for youth suicide prevention to $75,000 in 2007, up from $20,000 the year before. Most of the money is used to purchase SOS kits for hundreds of schools, and to train school staff. Educators are urged to build ties with community mental health providers to make sure help is at hand once students start identifying peers as depressed or potentially suicidal.

Teachers frequently use the ACT acronym (Acknowledge, Care, Tell) to encourage students "not only to identify young people who may be suicidal, but also for such things as bullying and dating violence," says Alan Holmlund, director of the state's suicide prevention program.

Sadie, a Medway senior who heard the SOS presentation as a sophomore, says that "in high school, especially in a small town like this,... once you break someone's trust you don't know where you're going to end up yourself." But SOS gives students a different perspective, she says. "You really see how dangerous it is not to speak out.... When it comes down to either losing a friend because they're not talking to you anymore or losing a friend because they lost their life, you know, I think this makes people come out and say, 'This person needs help.' "

Medway counselor Meredith Poulten sends a letter to parents each year explaining the SOS program and the basic self-screening survey that students are asked to take.

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