This competitive continuation application seeks funding for two additional waves of data collection to follow-up 600 subjects aged 18--23 years who participated in an NINR-funded prevention project as adolescents. The parent grant funded a control group comparison of two suicide risk interventions. The first involved a brief one to one suicide risk assessment and intervention by a counselor plus a 12-week program skills-training group, Coping and Support Training (CAST). The second involved the counselor assessment and intervention only (C-CARE). The original sample included 460 adolescents at risk for school dropout who were identified as suicide vulnerable (SVY) and a control group of adolescents at risk for dropout but identified as not suicide risks. The purpose of the proposed continuation is to evaluate long-term efficacy of the prevention programs.
The specific aims are: 1) to test for rank order efficacy among the three original study groups for reducing emotional distress, drug involvement, and suicide risk behaviors; 2) to test for rank order efficacy of the three study groups for increasing personal resources and social support resources; and, 3) to estimate and compare models specifying the impact of preventive intervention and mediating protective factors and proximal outcomes on suicide-risk behaviors across time.

Agency
National Institute of Health (NIH)
Institute
National Institute of Nursing Research (NINR)
Type
Research Project (R01)
Project #
5R01NR003548-06
Application #
6392990
Study Section
Special Emphasis Panel (ZRG1-RPHB-1 (01))
Program Officer
Bryan, Yvonne E
Project Start
1995-01-01
Project End
2003-02-28
Budget Start
2001-09-01
Budget End
2002-08-31
Support Year
6
Fiscal Year
2001
Total Cost
$256,784
Indirect Cost
Name
University of Washington
Department
Other Health Professions
Type
Schools of Nursing
DUNS #
135646524
City
Seattle
State
WA
Country
United States
Zip Code
98195
Sharaf, Amira Y; Thompson, Elaine A; Walsh, Elaine (2009) Protective effects of self-esteem and family support on suicide risk behaviors among at-risk adolescents. J Child Adolesc Psychiatr Nurs 22:160-8
Walsh, Elaine; Eggert, Leona L (2008) Preventing youth suicide: issues for law enforcement personnel. Int J Law Psychiatry 31:347-58
Walsh, Elaine; Eggert, Leona L (2007) Suicide risk and protective factors among youth experiencing school difficulties. Int J Ment Health Nurs 16:349-59
Thompson, Elaine Adams; Mazza, James J; Herting, Jerald R et al. (2005) The mediating roles of anxiety depression, and hopelessness on adolescent suicidal behaviors. Suicide Life Threat Behav 35:14-34
Randell, B P; Eggert, L L; Pike, K C (2001) Immediate post intervention effects of two brief youth suicide prevention interventions. Suicide Life Threat Behav 31:41-61
Thompson, E A; Eggert, L L; Randell, B P et al. (2001) Evaluation of indicated suicide risk prevention approaches for potential high school dropouts. Am J Public Health 91:742-52
Mazza, J J; Eggert, L L (2001) Activity involvement among suicidal and nonsuicidal high-risk and typical adolescents. Suicide Life Threat Behav 31:265-81