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Barriers and facilitators to mental health help-seeking for young elite athletes: A qualitative study

This study involved fifteen elite athletes aged 16–23 years who participated in one of three focus group discussions. Participants’ written and verbal data suggested that stigma was the most important perceived barrier to seeking help for young elite athletes. Other notable barriers were a lack of mental health literacy, and negative past experiences of help-seeking. Facilitators to help-seeking were encouragement from others, having an established relationship with a provider, pleasant previous interactions with providers, the positive attitudes of others, especially their coach, and access to the internet. 
 

Creator 
Gulliver A, Griffiths KM, Christensen H.
Publisher 
BioMed Central Ltd.
Date published 
2012
Full Text Online 
Yes

Real Teenagers Talking about Depression: A Video-Based Study Guide

Setting 
Middle & High Schools
Type of Program 
Education & Training
2001 NSSP Goals Addressed 
2.4 (2012)
Description 

Real Teenagers Talking about Depression: A Video-Based Study Guide is a 1-hour universal intervention for middle-school and high-school classrooms that focuses on depression education. The purpose of the video and study guide is to increase student knowledge about depression, reduce stigma surrounding depression and increase the likelihood that students with depression will receive help. Real Teenagers Talking about Depression: A Video-Based Study Guide is available from Erika's Lighthouse at no charge.

Program Description 

Developed by Erika’s Lighthouse, Real Teenagers Talking about Depression: A Video-Based Study Guide is a 1-hour universal intervention for middle-school and high-school classrooms that focuses on depression education. The purpose of the video and study guide is to increase student knowledge about depression, reduce stigma surrounding depression and increase the likelihood that students with depression will receive help. In addition to the video and study guide, a number of optional exercises, which include understanding depression, the science of the brain and depression, exploring stigma, how to help a friend, coping with stress and resiliency, and Bullying and depression (but were not reviewed for inclusion in the BPR). The study guide was developed by the board and staff of Erika’s Lighthouse that includes mental health professionals and was reviewed by the Erika’s Lighthouse board, mental health professionals and educators.

Program content is based on research that shows that: depression is common among adolescents; it is a major risk factor for youth suicide; it is a diagnosable mental disorder with specific symptoms; it is treatable and friends are often the first to know about a friend’s depression. 

Objectives 

Students who view the video and receive the accompanying lesson will have increased understanding of:
1. Depression and its symptoms.
2. Warning signs of suicide.
3. Stigma and how it affects help-seeking behavior.
4. Effective treatments for depression.
5. How to get help for themselves or their friends.

Implementation Essentials 
  • Schools that use Real Teenagers Talking about Adolescent Depression should have established protocols for addressing students who may be at risk for suicide. School administrators, faculty, and staff should be aware of the protocols.
  • Real Teenagers Talking about Adolescent Depression is most effective when used as part of school’s larger strategic plan to promote student wellbeing and safety.
Contact Information 
Erika’s Lighthouse
P.O. Box 616
Winnetka, IL 60093
Voice: 847-386-6481
Organization 
Erika's Lighthouse
Costs 

Real Teenagers Talking about Depression: A Video-Based Study is available at no charge at the Erika’s Lighthouse website: www.erikaslighthouse.org.

First Posted 
Mar 28 2013

Trevor Lifeguard Workshop

Setting 
Middle Schools, High Schools, Colleges & Universities
Type of Program 
Education & Training
2001 NSSP Goals Addressed 
2.4
Description 

Trevor Lifeguard Workshop is a 1-hour interactive workshop for high school and college-age youth that describes the mental health, suicide, and self-care resources provided by The Trevor Project. There are two versions of the workshop: one for lesbian, gay, bisexual, transgender, and questioning (LGBTQ) youth and one for general youth audiences. Workshops are given by volunteer facilitators who have completed the 2-day Trevor Lifeguard Workshop training for trainers. The workshop guides youth and young adults in a conversation about how to recognize the warning signs of suicide and how to respond in a way that will keep their peers safe. Workshop training and materials are provided without charge by The Trevor Project.

Program Description 

Trevor Lifeguard Workshop is a 1-hour interactive workshop for high school and college-age youth that describes the mental health, suicide, and self-care resources provided by The Trevor Project. There are two versions of the workshop: one for lesbian, gay, bisexual, transgender, and questioning (LGBTQ) youth and one for general youth audiences. Workshops are given by volunteer facilitators who have completed the 2-day Trevor Lifeguard Workshop training for trainers. The workshop guides youth and young adults in a conversation about how to recognize the warning signs of suicide and how to respond in a way that will keep their peers safe. In addition, the workshop guides participants in a conversation about self-care strategies and helps participants identify their own personal strategies for self-care. The workshop concludes by helping the participants identify sources of support in their own environment and includes a discussion of each of the resources available through The Trevor Project, including The Trevor Lifeline, TrevorSpace, TrevorChat, and Ask Trevor.

The Lifeguard Workshop was developed by reviewing the current literature regarding suicide prevention awareness and education programs for youth and young adults, as well as current research regarding LGBTQ youth mental health issues. Through an examination of existing curricula it became evident that there was a need for an educational resource that was specifically designed to address the mental health needs of the LGBTQ community and make resources for LGBTQ youth both visible and available. 

Objectives 

After completing Trevor Lifeguard Workshop, youth will be able to:
1. Examine the impact of their language and actions on the experiences and mental health of their LGBTQ peers (for general youth audiences only).
2. Identify the warning signs of depression and suicide.
3. Describe three personal self-care strategies.
4. Explain the ways to respond to the warning signs of suicide to keep their peers safe.
5. Identify one supportive adult in their environment to turn to for help.
6. Describe the services offered by The Trevor Project and how to access them.

Implementation Essentials 
  • Schools that host the Lifeguard Workshop should have established protocols for addressing students who may be at risk for suicide. Teachers and staff should be aware of the protocols.
  • The Lifeguard Workshop should only be administered by trained Lifeguard Workshop Facilitators.
Contact Information 
Nathan Belyeu
Senior Education Manager
The Trevor Project
80 Maiden Lane, Suite 1504
New York, NY 10038
Voice: 212-509-0072, ext. 330
Organization 
The Trevor Project
Costs 

Trevor Lifeguard Workshop training and materials are provided by The Trevor Project at no charge.

First Posted 
Mar 13 2013

Just Talk About It: Suicide Prevention Toolkit

Setting 
Middle & High Schools
Type of Program 
Education & Training
2001 NSSP Goals Addressed 
2.3, 3.2, 3.3, 3.4
Description 

Developed by the Teen CONTACT Program at CONTACT Crisis Line, Just Talk About It: Suicide Prevention Toolkit is a program designed to train both adults and adolescents on how to assist youth who exhibit signs of suicidal risk. The toolkit is available from the CONTACT Crisis Line without charge. Train-the-trainer, staff training, and parent training is offered without charge in the Dallas area.

Program Description 

Developed by the Teen CONTACT Program at CONTACT Crisis Line, Just Talk About It: Suicide Prevention Toolkit is a program designed to train both adults and adolescents on how to assist youth who exhibit signs of suicidal risk. At the completion of the training, participants are able to better identify a suicidal crisis, how stress can increase suicide risk, symptoms of depression, warning signs associated with suicide and ultimately, how to help a student and/or friend who may be at risk for suicide. After identifying an adolescent who is at risk for suicide, the trainee is able to approach and ask the individual about their condition and refer them to help. Following the adolescent's acceptance of help, the trained individual is able to take the appropriate measures to refer the person for treatment and/or to the appropriate trained adult, counselor or teacher.

The Teen CONTACT Program at CONTACT Crisis Line has offered community-based suicide prevention training since 2000. Just Talk About It was developed and refined based on evaluations of those trainings. The toolkit is available as a “stand-alone” toolkit, or it can be used in conjunction with Train-the-trainer, direct staff and administrator training, or parent training offered by the CONTACT Crisis LIne in the Dallas area. 

Objectives 

Those who participate in the training will have:
1. Greater knowledge of warning signs of suicide.
2. Enhanced ability to intervene with those who may be at risk for suicide.
3. Increased knowledge of help-seeking resources.

Implementation Essentials 
  • Schools that use the Just Talk About It program should have established protocols for addressing students who may be at risk for suicide. Teachers and staff should be aware of the protocols.
  • Just Talk About It is most effective when used as part of a high school’s larger strategic plan to identify and help at-risk students.
Contact Information 
Missy Wall, LMSW
Director
Teen CONTACT Program
PO Box 800742
Dallas, TX 75380
Voice: 972-233-0866
Fax: 972-233-2427
Organization 
CONTACT
Costs 

The toolkit is available from the CONTACT Crisis Line without charge. Train-the-trainer, staff training, and parent training is offered without charge in the Dallas area.

First Posted 
Jan 25 2013

LEADS: For Youth (Linking Education and Awareness of Depression and Suicide)

Type 
Education & Training
Organization 
Suicide Awareness Voices of Education (SAVE)
Description 

LEADS: For Youth (Linking Education and Awareness of Depression and Suicide) is a curriculum for high school students in grades 9-12 that is designed to increase knowledge of depression and suicide, modify perceptions of depression and suicide, increase knowledge of suicide prevention resources, and improve intentions to engage in help-seeking behaviors. The curriculum addresses such topics as depression and its symptoms, the link between depression and suicide, the risk and protective factors associated with suicide, the warning signs of suicide, seeking help and overcoming barriers to seeking help, and school and community suicide prevention resources. By educating students about seeking help and the resources available to them, the intervention aims to empower students to get help for themselves or others. LEADS is available from Suicide Awareness Voices of Education (SAVE) for a fee.

Break Free From Depression: A 4-Session Curriculum Addressing Adolescent Depression

Setting 
High Schools, Middle Schools
Type of Program 
Education & Training
2001 NSSP Goals Addressed 
3.1, 3.2
Description 

Break Free From Depression is a 4-lesson (approximately 4-hour total) classroom curriculum that increases student knowledge of depression and suicide and promotes help-seeking for students in grades 8-12. It was developed by the Swensrud Depression Prevention Initiative (SDPI) of the Children’s Neighborhood Partnerships Program at Boston Children's Hospital. Break Free From Depression is available from SDPI for a fee.

Program Description 

Program at Boston Children's Hospital, Break Free From Depression is a 4-lesson (approximately 4-hour total) classroom curriculum that increases student knowledge of depression and suicide and promotes help-seeking for students in grades 8-12. The curriculum is divided into four sessions: (1) What is depression? (2) What Does It Look Like? (3) What Can We Learn? and (4) What Can We Do? Included with the curriculum is a 35-minute documentary that provides stories of young people who have faced and learned how to cope with depression; suggestions and materials for staff professional development and parent education; and supplemental lessons that allow teachers the opportunity to continue this important conversation on a regular basis in a variety of settings using a variety of instructional approaches. The curriculum can be taught by regular classroom teachers, guidance counselors, adjustment counselors, and/or school nurses. However, it is strongly recommended that anyone planning to teach the curriculum attend a train the trainer workshop offered throughout the school year by the SDPI team. (Dates for upcoming train the trainer workshop dates can be found on the program’s website: www.breakfreefromdepression.com.)

The Break Free From Depression curriculum builds on previous research and the pilot programs of the SDPI undertaken at Boston Children's Hospital to raise awareness of depression among adolescents. The Break Free From Depression curriculum is based on best practices and informed by experiences gathered over the six years of existence of the SDPI, including feedback from students, teachers, and school staff.

Objectives 

After program implementation, participating students will have:

  1. Increased knowledge about depression and suicide.
  2. Greater confidence to identify signs of depression and suicide in themselves and their peers.
  3. Improved ability to find help for themselves and their peers.
Implementation Essentials 
  • All school faculty, administrators, and staff should receive basic suicide prevention training, including school protocols and policies regarding students at risk for suicide, prior to students receiving the Break Free From Depression curriculum.
Contact Information 

Vanessa Prosper, Ph.D.
Staff Psychologist
Children’s Neighborhood Partnerships Program
Department of Psychiatry
Boston Children’s Hospital
300 Longwood Ave.—LM6360.5
Boston, MA 02115
Voice: 617-919-3210
Email: Vanessa.prosper@childrens.harvard.edu
Web: www.breakfreefromdepression.com

Organization 
Swensrud Depression Prevention Initiative
Costs 

The Break Free From Depression curriculum packet, including the documentary DVD, is available for $150. The curriculum can be ordered from the Swensrud Depression Prevention Initiative website at www.breakfreefromdepression.com.

First Posted 
Sep 21 2012

Sources of Strength: Preventing Suicide among High School Students through Peer Leadership and Adult Mentoring

Thursday, July 26, 2012 - 3:00pm - 4:30pm
Eastern Time

Sources of Strength is a program that trains diverse high school students to serve as peer leaders and connects them with adult advisors at school and in the community. With support from the advisors, the peer leaders conduct well-defined messaging activities intended to change peer group norms influencing coping practices and problem behaviors (e.g., self-harm, drug use, unhealthy sexual practices). An evaluation of the program in 18 high schools found that the curriculum led to changes in peer leaders’ coping practices and connectedness with adults and to changes in norms of students in the school population.  The norms most strongly enhanced were the acceptability of seeking help from adults and students’ perceptions that adults in their school could provide help to suicidal students.  

This webinar will highlight the critical aspects of the Sources of Strength program, which could be replicated in other settings.  It will also describe an effective approach to program evaluation.  Specific attention will be given to enhancing protective factors associated with suicide at the school population level.

Objectives:
By the end of the webinar participants will be able to:

  1. Describe the key elements of the Sources of Strength Program and understand how it works to decrease suicide risk.
  2. Understand how data was collected and utilized to improve the program.
  3. Know how one community benefitted from implementing the program.
  4. Identify methods for adopting or adapting the strategies, approaches, and tools of the Sources of Strength Program for use in their own communities.
Presenter(s) 
Mark LoMurray, Founder and Executive Director, Sources of Strength
Diane Rosado, Peer Leader, Sources of Strength
Laura Rundell, Health Teacher and Program Leader, Elmira Free Academy
Peter A. Wyman, Ph.D., Professor, Department of Psychiatry, University of Rochester School of Medicine
Moderator 
Gayle Jaffe, MSW, MPH, Senior Prevention Specialist, SPRC

Connect Youth Leaders: Partnering with Adults in Youth Suicide Prevention

Setting 
Communities/Schools
Type of Program 
Education & Training
2001 NSSP Goals Addressed 
Multiple
Description 

Connect Youth Leaders:  Partnering with Adults in Youth Suicide Prevention is a two-day workshop for youth leaders and adults that prepares youth and adults to conduct Connect Youth Suicide Prevention training for teenage audiences.  Connect Youth Leaders is based on Connect Suicide Prevention Training, a SPRC/AFSP Best Practices Registry program.  This training takes into account developmental considerations of high school-age youth as well as safe messaging guidelines.  Connect Youth Leaders:  Partnering with Adults in Youth Suicide Preveniton is available from NAMI New Hampshire for a fee.

Program Description 

Developed by NAMI NH, Youth Leaders is a two-day training for youth leaders and adult co-facilitators that prepares youth and adults to conduct Connect Youth Suicide Prevention training for teenage audiences.

Friends of youth at risk are typically the ones who see suicidal warnings before adults. Because youth may not know what to do about a friend at risk, or may keep a suicide plan “secret,” it is important for youth to be trained in suicide prevention and intervention. Research consistently shows that peer training is a very effective method for educating youth.

Youth leaders should be selected to represent a cross-section of local youth culture and should be offered continued adult support in their role as co-trainers after the training is completed. The training emphasizes that the role of youth is to seek help from an adult when there is a concern, NOT to take on the role of a counselor.

Youth Leaders is based on Connect Suicide Prevention Training, a designated SPRC/AFSP Best Practices Registry program. This training takes into account developmental considerations of high school-age youth as well as safe messaging guidelines. All materials, activities, and PowerPoint slides were developed to meet the needs of youth and guide their involvement in youth suicide prevention.

Objectives 

After Day One training, participants (adults alone) will have greater:

  1. Understanding of suicide as a public health issue and its impact on communities and individuals.
  2. Insights into suicide data and how age, gender, culture, and other factors impact suicide risk.
  3. Knowledge of communication techniques for parents and others to use in crisis situations.
  4. Knowledge of best practices concerning restricting access to lethal means, safe messaging, and communication about suicide, and how these differ when working with youth.

After Day Two training, participants (adults and youth leaders) will have greater:

  1. Understanding of the risk and protective factors and warning signs associated with suicide.
  2. Skills and confidence to recognize warning signs of suicide in a friend or family member.
  3. Understanding of the importance of involving adults when concerned about someone at risk.
  4. Knowledge of resources and comfort level for connecting others with help.
  5. Positive attitudes towards helping others.
  6. Awareness of the benefits of treatment for mental health and substance abuse issues.
Contact Information 

Anne Rugg, MA
Marketing Director, NAMI NH
85 N. State Street
Concord NH 03301
Cell: 207-752-7351
Office: 603-225-5359
Email: arugg@naminh.org
Web: www.theconnectprogram.org

Organization 
NAMI New Hampshire
Costs 

Two-day training including materials and curriculum is $6,000 plus travel. Day One is for a maximum of 15 adults who will be the co-facilitators with the youth leaders. Day Two is for the adult facilitators continuing from Day One and 20 youth leaders. Adult and youth participants will have the opportunity to practice co-facilitating the training and to receive feedback and coaching from the Connect trainer.

First Posted 
Aug 29 2012

Preventing suicide: A toolkit for high schools

Developed through a contract with the National Association of State Mental Health Program Directors in collaboration with Education Development Center, Preventing Suicide: A Toolkit for High Schools aims at reducing the risk of suicide among high school students by providing research-based guidelines and resources to assist school personnel and leadership, providers and others to identify teenagers at risk and take appropriate measures to provide help. Drawing on key elements of evidence-based programs, the toolkit offers information on screening tools, warning signs and risk factors of suicide, statistics and parent education materials that are easily adaptable to any high school setting.

Creator 
Substance Abuse and Mental Health Services Administration (SAMHSA)
Publisher 
Substance Abuse and Mental Health Services Administration (SAMHSA)
Contributor 
National Association of State Mental Health Program Directors (NASMHPD) & Education Development Center (EDC)
Date published 
2012
Full Text Online 
Yes

Recommendations for School-based Suicide Prevention Screening

Setting 
Multiple
Type of Program 
Guidelines & Protocols
2001 NSSP Goals Addressed 
6.0

Developed by the Lessons Learned Working Group (LLWG), Recommendations for School-Based Suicide Prevention Screening provides research-based recommendations for those interested in selecting or developing, and then implementing a screening program to prevent suicide. The Recommendations are available online at no charge from the Suicide Prevention Resource Center.

Program Description 

Developed by the Lessons Learned Working Group (LLWG), Recommendations for School-Based Suicide Prevention Screening provides research-based recommendations for those interested in selecting or developing, and then implementing a screening program to prevent suicide. The Recommendations were developed based on (1) a review of the available research literature, (2) data collected from Garrett Lee Smith Memorial Act (GLS) grant sites, and (3) direct input from selected GLS grantees. The group created thirteen recommendations for the selection or development, as well as implementation, of school-based screening programs to identify those at risk for suicide. Draft versions of the Recommendations were then reviewed and modified based on input from program developers and experts in the field of suicide prevention. Because these recommendations were based on research and evaluation and informed by lessons learned from grantees, the LLWG believes they are likely to improve the effectiveness of school-based suicide prevention screening.

Program Objectives 

Those who read the recommendations will have increased:

  1. Understanding of the importance of involving multiple stakeholders during planning.
  2. Understanding the importance of protocols to increase screening effectiveness and safety.
  3. Understanding of the importance of working with qualified behavioral health professionals.
  4. Knowledge of the importance of pre-determined referral mechanisms for students who may be at-risk of suicide.
Contact Information 

Michael (Chad) RodiI
CF Macro 3 Corporate Square NE
Suite 370 Atlanta, GA 30329
Voice: 404-592-2116
Email: mrodi@icfi.com
Website: http://www.icfi.com/

Costs 

The Recommendations can be downloaded from the Suicide Prevention Resource Center website at www.sprc.org/library_resources/items/recommendations-school-based-suicide-prevention-screening

First Posted 
Jun 15 2012
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