Trial reportAmerican journal of public health2010
An outcome evaluation of the Sources of Strength suicide prevention program delivered by adolescent peer leaders in high schools.
Trial report in American journal of public health, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 165 papers, 20 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Effectiveness Trial of Suicide Prevention Delivered by Teen Peer Leaders
Mobile Phone Intervention to Reduce Youth Suicide in Rural Communities
Career Enhancement Training Study (USAF)
Who cites it
165 citing papers in PubMed, 20 syntheses or guidelines pooled it, 530 citations in OpenAlex.
- Gender in suicide prevention in adolescents and young adults: a systematic review.BMC public health · 2026Pooled it
- Risk Factors Addressed in Programs for the Prevention of Child and Adolescent Suicide in the School Setting: A Systematic Review.Actas espanolas de psiquiatria · 2025Pooled it
- Effectiveness of Suicide Prevention Programmes Among Adolescents and Sociocultural Adaptation of Programmes: A Systematic Review.International journal of mental health nursing · 2025Pooled it
- Gatekeeper training for suicide prevention: a systematic review and meta-analysis of randomized controlled trials.BMC public health · 2025Pooled it
- Prevention of self-harm and suicide in young people up to the age of 25 in education settings.The Cochrane database of systematic reviews · 2024Pooled it
- The impact of universal, school based, interventions on help seeking in children and young people: a systematic literature review.European child & adolescent psychiatry · 2024Pooled it
- Pooled it
- A Systematic Review of School-Based Suicide Prevention Interventions for Adolescents, and Intervention and Contextual Factors in Prevention.Prevention science : the official journal of the Society for Prevention Research · 2023Pooled it
- Investigating the Role of Friendship Interventions on the Mental Health Outcomes of Adolescents: A Scoping Review of Range and a Systematic Review of Effectiveness.International journal of environmental research and public health · 2023Pooled it
- A systematic review and meta-analysis of the benefits of school-based, peer-led interventions for leaders.Scientific reports · 2022Pooled it
- School-based peer education interventions to improve health: a global systematic review of effectiveness.BMC public health · 2022Pooled it
- Research Review: The effect of school-based suicide prevention on suicidal ideation and suicide attempts and the role of intervention and contextual factors among adolescents: a meta-analysis and meta-regression.Journal of child psychology and psychiatry, and allied disciplines · 2022Pooled it
- Saving Lives: A Systematic Review on the Efficacy of Theory-Informed Suicide Prevention Programs.Community mental health journal · 2022Pooled it
- Systematic review and narrative synthesis of suicide prevention in high-schools and universities: a research agenda for evidence-based practice.BMC public health · 2021Pooled it
- Youth Initiated Mentoring: A Meta-analytic Study of a Hybrid Approach to Youth Mentoring.Journal of youth and adolescence · 2021Pooled it
- Pooled it
- The Role of Technology and the Continuum of Care for Youth Suicidality: Systematic Review.Journal of medical Internet research · 2020Pooled it
- What are the barriers, facilitators and interventions targeting help-seeking behaviours for common mental health problems in adolescents? A systematic review.BMC psychiatry · 2020Pooled it
- The research output on child and adolescent suicide in Brazil: a systematic review of the literature.Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999) · 2020Pooled it
- A Youth Suicide Prevention Plan for Canada: A Systematic Review of Reviews.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2015Pooled it
105 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 1 institution in 1 country.
Funding
Abstract
objectivesWe examined the effectiveness of the Sources of Strength suicide prevention program in enhancing protective factors among peer leaders trained to conduct schoolwide messaging and among the full population of high school students.
methodsEighteen high schools--6 metropolitan and 12 rural--were randomly assigned to immediate intervention or the wait-list control. Surveys were administered at baseline and 4 months after program implementation to 453 peer leaders in all schools and to 2675 students selected as representative of the 12 rural schools.
resultsTraining improved the peer leaders' adaptive norms regarding suicide, their connectedness to adults, and their school engagement, with the largest gains for those entering with the least adaptive norms. Trained peer leaders in larger schools were 4 times as likely as were untrained peer leaders to refer a suicidal friend to an adult. Among students, the intervention increased perceptions of adult support for suicidal youths and the acceptability of seeking help. Perception of adult support increased most in students with a history of suicidal ideation.
conclusionsSources of Strength is the first suicide prevention program involving peer leaders to enhance protective factors associated with reducing suicide at the school population level.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.