Trial reportSuicide & life-threatening behavior2015
Positive-Themed Suicide Prevention Messages Delivered by Adolescent Peer Leaders: Proximal Impact on Classmates' Coping Attitudes and Perceptions of Adult Support.
Trial report in Suicide & life-threatening behavior, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04067401 (Career Enhancement Training Study), which is not on this map. Cited by 15 papers, 4 of them syntheses that pooled it.
What it found
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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.
Career Enhancement Training Study (USAF)
Who cites it
15 citing papers in PubMed, 4 syntheses or guidelines pooled it, 49 citations in OpenAlex.
- Community-based mental health interventions for reducing youth suicidal thoughts and behaviours: a systematic review and meta-analysis.BMC psychiatry · 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
- 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
- Youth Initiated Mentoring: A Meta-analytic Study of a Hybrid Approach to Youth Mentoring.Journal of youth and adolescence · 2021Pooled it
- Reducing suicidal ideation in African American adolescents: A randomized controlled clinical trial.Journal of consulting and clinical psychology · 2024Trial
- Qualitative Process Evaluation of Rural Schools: Uptake of Change Processes and Contextual Factors Influencing Implementation Within a Primary Prevention Program for Youth.Prevention science : the official journal of the Society for Prevention Research · 2020Trial
- The influence of social support on the relationship between HIV-related stigma, mental health and suicidality among young women living with HIV in South Africa: A moderated mediation analysis.Global mental health (Cambridge, England) · 2026Article
- Impact of the Sources of Strength Peer Leader Program on Suicide Attempt Rates in 40 High Schools: A Cluster Randomized Controlled Trial.School mental health · 2026Article
- Perceptions of key stakeholders on peer led strength building program for suicide prevention among young adolescents: A qualitative study from Karnataka, India.Journal of family medicine and primary care · 2024Article
- A RE-AIM analysis of the sources of strength program in a United States high school.Preventive medicine reports · 2023Article
- Participation in the Cardiovascular Health Awareness Program (CHAP) by older adults residing in social housing in Quebec: Social network analysis.BMC health services research · 2021Article
- Diffusion of a Peer-Led Suicide Preventive Intervention Through School-Based Student Peer and Adult Networks.Frontiers in psychiatry · 2018Article
- Efficacy of Web-Based Collection of Strength-Based Testimonials for Text Message Extension of Youth Suicide Prevention Program: Randomized Controlled Experiment.JMIR public health and surveillance · 2016Article
- Translating Genetic Research into Preventive Intervention: The Baseline Target Moderated Mediator Design.Frontiers in psychology · 2015Article
- Protective Factors for Multiple Forms of Interpersonal Violence experienced by Adolescent Latinas.Journal of latinx psychologyArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
Developing science-based communication guidance and positive-themed messages for suicide prevention are important priorities. Drawing on social learning and elaboration likelihood models, we designed and tested two positive-focused presentations by high school peer leaders delivered in the context of a suicide prevention program (Sources of Strength). Thirty-six classrooms in four schools (N = 706 students) were randomized to (1) peer leader modeling of healthy coping, (2) peer leader modeling plus audience involvement to identify trusted adults, or (3) control condition. Students' attitudes and norms were assessed by immediate post-only assessments. Exposure to either presentation enhanced positive coping attitudes and perceptions of adult support. Students who reported suicide ideation in the past 12 months benefited more than nonsuicidal students. Beyond modeling alone, audience involvement modestly enhanced expectations of adult support, congruent with the elaboration likelihood model. Positive peer modeling is a promising alternative to communications focused on negative consequences and directives and may enhance social-interpersonal factors linked to reduced suicidal behaviors.
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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.