Preliminary effects of brief school-based prevention approaches for reducing youth suicide--risk behaviors, depression, and drug involvement

J Child Adolesc Psychiatr Nurs. Apr-Jun 2002;15(2):48-64. doi: 10.1111/j.1744-6171.2002.tb00326.x.


Problem: Few empirically tested, school-based, suicide-prevention programs exist. The purpose of this study was to evaluate the postintervention efficacy of Counselors-CARE (C-CAST) and Coping and Support Training (CAST) vs. "usual care" controls for reducing suicide risk.

Methods: A randomized prevention trial; 341 potential dropouts, 14 to 19 years old, from seven high schools (52% female, 56% minorities) participated. Trend analyses using data from three time points assessed over time changes.

Findings: Significant decreases occurred for all youth in suicide-risk behaviors, depression, and drug involvement. Intervention-specific effects occurred for decreases in depression.

Conclusions: School-based prevention approaches are feasible and show promise for reducing suicidal behaviors and related depression.

Publication types

  • Clinical Trial
  • Multicenter Study
  • Randomized Controlled Trial
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • Adult
  • Crisis Intervention / methods*
  • Depression / prevention & control
  • Female
  • Humans
  • Male
  • Multivariate Analysis
  • Northwestern United States
  • Regression Analysis
  • School Health Services*
  • Substance-Related Disorders / prevention & control
  • Suicide / prevention & control*