Evidence map›Paper›PMID 22562217›Full record

ArticleJournal of youth and adolescence2012

Associations between suicidal high school students' help-seeking and their attitudes and perceptions of social environment.

Anthony R Pisani, Karen Schmeelk-Cone, Douglas Gunzler, Mariya Petrova, David B Goldston, Xin Tu, Peter A Wyman

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Journal of youth and adolescence, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02043093 (Effectiveness Trial of Suicide Prevention Delivered by Teen Peer Leaders), which is not on this map. Cited by 40 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 3 pooled it
6.7field-weighted citation impact, top 4% of its field
1 · What the graph read from 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.

2 · The registry

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.

NCT02043093 nacompletednot on this map

Effectiveness Trial of Suicide Prevention Delivered by Teen Peer Leaders

TypeinterventionalSponsorUniversity of RochesterRan2010 to 2016Enrolled17,603ConditionsSuicide PreventionArmsSources of Strength
3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 3 syntheses or guidelines pooled it, 139 citations in OpenAlex.

  1. Pooled it
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  7. Article
  8. Article
  9. Youth Experiences and Needs of a School-Based Mental Health Training: Implications for School Mental Health Services.The Journal of school nursing : the official publication of the National Association of School Nurses · 2026
    Article
  10. Article
  11. Article
  12. Article
  13. Potential Harms of Responding to Youth Suicide Risk in Schools.Research on child and adolescent psychopathology · 2025
    Review
  14. Article
  15. Developmental Assets and Their Relationship to Suicidal Behavior in Mexican Young Adults.International journal of environmental research and public health · 2024
    Article
  16. Article
  17. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Anthony R PisaniDepartment of Psychiatry, University of Rochester, Rochester, NY 14623, USA. anthony_pisani@urmc.rochester.edu
Karen Schmeelk-Cone
Douglas Gunzler
Mariya Petrova
David B Goldston
Xin Tu
Peter A Wyman
University of Rochester · USDuke University · USMetroHealth Medical Center · US

Funding

Postdoctoral Training in Suicide Prevention Research (supplement 2)T32MH020061 · NIMH · UNIVERSITY OF ROCHESTER · PI VAN ORDEN, KIMBERLY ALLISON · 2001 to 2025
$5.9M
The University of Rochester's Clinical and Translational Science InstituteKL2RR024136 · NCRR · UNIVERSITY OF ROCHESTER · PI PEARSON, THOMAS ARTHUR · 2006 to 2011
$4.3M
The University of Rochester Clinical and Translational Science InstituteKL2TR000095 · NCATS · UNIVERSITY OF ROCHESTER · PI BENNETT, NANCY M, KIEBURTZ, KARL D. · 2012 to 2015
$1.7M
MidCareer Investigator Award: Suicidal BehaviorsK24MH066252 · NIMH · DUKE UNIVERSITY · PI GOLDSTON, DAVID B. · 2003 to 2012
$1.3M
NCRR NIH HHS KL2 RR024136NIMH NIH HHS K24 MH066252NIMH NIH HHS T32 MH020061NIMH NIH HHS T32MH20061
6 · The paper itself

Abstract

Suicide is a leading cause of death among adolescents, many of whom fail to disclose suicide concerns to adults who might help. This study examined patterns and predictors of help-seeking behavior among adolescents who seriously considered suicide in the past year. 2,737 students (50.9 % female, 46.9 % male; racial distribution 79.5 % Caucasian, 11.9 % Hispanic/Latino, and 3.6 % Black/African-American) from 12 high schools in rural/underserviced communities were surveyed to assess serious suicide ideation (SI) in the past year, disclosure of SI to adults and peers, attempts to get help, attitudes about help-seeking, perceptions of school engagement, and coping support. Help-seeking was defined as both disclosing SI to an adult and perceiving oneself as seeking help. The relationship between adolescents' help-seeking disclosure and (1) help-seeking attitudes and (2) perceptions of social resources was examined among suicidal help-seeking youth, suicidal non-help-seeking youth, and non-suicidal youth. Of the 381 (14 %) students reporting SI, only 23 % told an adult, 29 % sought adult help, and 15 % did both. Suicidal help-seekers were similar to non-suicidal peers on all measures of help-seeking attitudes and social environment perceptions. Positive attitudes about help-seeking from adults at school, perceptions that adults would respond to suicide concerns, willingness to overcome peer secrecy requests, and greater coping support and engagement with the school were associated with students' increased disclosure of SI and help-seeking. This study supports prevention strategies that change student norms, attitudes and social environments to promote help-seeking among adolescents with SI. Promising intervention targets include increasing students' perceptions of the availability and capability of adults to help them, and strengthening students' understanding of how existing resources can help them cope.

Indexed as

Self EfficacySeverity of Illness IndexAdaptation, PsychologicalAdolescentAdolescent BehaviorAdultFemaleHumansMalePatient Acceptance of Health CarePeer GroupSocial SupportStudentsSuicidal IdeationSuicide, AttemptedSurveys and Questionnaires

Identifiers

PMID22562217
PMCPMC3534737
OpenAlexW2023452652

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.