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A School-Based Program Reduces Teen Suicide Attempts Student empowerment is the key component.

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ccording to a 2005 study, the suicide rate among ad­ olescents worldwide was 7.4 per 100,000—10.5 and 4.1 per 100,000 among boys and girls, respectively. Suicide is the second leading cause of death in that age group, outpaced only by traffic accidents. A group of researchers in Europe recently tested three school­based suicide prevention interventions and found that one, a program that engages teens in role playing and learning skills to deal with adversity, stress, and suicidal be­ haviors, cut suicide attempts in half.

The study involved a total of 11,110 15­year­olds who at­ tended 168 schools across the Eu­ ropean Union. The successful Youth Aware of Mental Health (YAM) program was compared with Question, Persuade, and Re­ fer (QPR) and Screening by Pro­ fessionals (ProfScreen), as well as a group of control schools. Schools were assigned to one of the inter­ vention groups or to the control group. No students committed suicide during the yearlong study. After one year, 14 YAM­ school students attempted sui­ cide, compared with 34 students in the control schools, 22 in QPR

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schools, and 20 in ProfScreen schools. Statistically speaking, the YAM program prevented one sui­ cide attempt for every 167 stu­ dents trained to use it. The YAM program involves five hours of student participa­ tion over four weeks. It allows students to discuss issues about mental health with their peers. This may be a key component, because people showing suicidal behaviors tend to suppress or have difficulty even identifying their feelings.—Carol Potera Wasserman D, et al. Lancet 2015 Jan 8 [Epub ahead of print]. ▼

A school-based program reduces teen suicide attempts.

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