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Feasibility of screening adolescents for suicide risk in "real-world" high school settings

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  • Hallfors, D.
  • Brodish, P.H.
  • Khatapoush, S.
  • Sanchez, V.
  • Cho, H.
  • Steckler, A.

Abstract

Objectives. We evaluated the feasibility of a population-based approach to preventing adolescent suicide. Methods. A total of 1323 students in 10 high schools completed the Suicide Risk Screen. Screening results, student follow-up, staff feedback, and school responses were assessed. Results. Overall, 29% of the participants were rated as at risk of suicide. As a result of this overwhelming percentage, school staffs chose to discontinue the screening after 2 semesters. In further analyses, about half of the students identified were deemed at high risk on the basis of high levels of depression, suicidal ideation, or suicidal behavior. Priority rankings evidenced good construct validity on correlates such as drug use, hopelessness, and perceived family support. Conclusions. A simpler, more specific screening instrument than the Suicide Risk Screen would identify approximately 11% of urban high school youths for assessment, offering high school officials an important opportunity to identify young people at the greatest levels of need and to target scarce health resources. Our experiences from this study show that lack of feasibility testing greatly contributes to the gap between science and practice.

Suggested Citation

  • Hallfors, D. & Brodish, P.H. & Khatapoush, S. & Sanchez, V. & Cho, H. & Steckler, A., 2006. "Feasibility of screening adolescents for suicide risk in "real-world" high school settings," American Journal of Public Health, American Public Health Association, vol. 96(2), pages 282-287.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2004.057281_1
    DOI: 10.2105/AJPH.2004.057281
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    Cited by:

    1. Whitney, Stephen D. & Renner, Lynette M. & Pate, Christina M. & Jacobs, Katie A., 2011. "Principals' perceptions of benefits and barriers to school-based suicide prevention programs," Children and Youth Services Review, Elsevier, vol. 33(6), pages 869-877, June.
    2. Madelyn S. Gould & Alison M. Lake & Marjorie Kleinman & Hanga Galfalvy & Saba Chowdhury & Alison Madnick, 2018. "Exposure to Suicide in High Schools: Impact on Serious Suicidal Ideation/Behavior, Depression, Maladaptive Coping Strategies, and Attitudes toward Help-Seeking," IJERPH, MDPI, vol. 15(3), pages 1-17, March.
    3. Sylvia Lai Kwok & Daniel Shek, 2010. "Personal and Family Correlates of Suicidal Ideation Among Chinese Adolescents in Hong Kong," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 95(3), pages 407-419, February.

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