Evidence map›Paper›PMID 41295991›Full record

Trial reportEuropean child & adolescent psychiatry2026

Increased belongingness as a mechanism of change of school-based programs mitigating suicidal ideation among adolescents.

Shira Barzilay, Daniella Ekstein, Itay Cohen, Nofar Stein, Keren Tal Von Strauss, Mira Levis Frenk

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in European child & adolescent psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
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

6 authors.

Shira BarzilayDepartment of Community Mental Health, University of Haifa, Haifa, Israel. shirabarzilay@univ.haifa.ac.il.ORCID http://orcid.org/0000-0002-4026-6204
Daniella EksteinDepartment of Community Mental Health, University of Haifa, Haifa, Israel.ORCID http://orcid.org/0000-0002-3674-0786
Itay CohenRuth and Bruce Rappaport Faculty of Medicine, Technion - Israel Institute of Technology, Haifa, Israel.ORCID http://orcid.org/0009-0007-4827-7075
Nofar SteinDepartment of Psychology, College of Management, Rishon LeZion, Israel.
Keren Tal Von StraussDepartment of Psychological Medicine, Schneider Children's Medical Center, Petach Tikva, Israel.ORCID http://orcid.org/0009-0004-0395-6515
Mira Levis FrenkDepartment of Psychological Medicine, Schneider Children's Medical Center, Petach Tikva, Israel.ORCID http://orcid.org/0000-0003-0066-3149

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Suicide is a leading cause of death among adolescents, highlighting the importance of early intervention in school settings. Universal mental health awareness programs, aimed at improving mental health literacy and help-seeking behaviors, are a key preventive approach. This study examined whether changes in thwarted belongingness and perceived burdensomeness-two constructs from the Interpersonal Theory of Suicide (IPTS)-mediate the effects of school-based mental health interventions on suicidal ideation (SI). A total of 436 adolescents from central Israel (154 boys, 279 girls; M = 14.6, SD = 1.1) were randomly assigned to either a mental health awareness intervention (N = 256) or a minimal-intervention control group with attendance monitoring (N = 180). Belongingness, burdensomeness, and SI were assessed at baseline, 1-month, and 1-year post-intervention. Regression analyses showed that lower belongingness (β = -0.25, p < .001) and higher burdensomeness (β = 0.21, p < .01) predicted higher SI at 1-month, while only belongingness remained significant at 1-year (β = -0.19, p < .01). The mental health awareness intervention increased school-specific belongingness (β = 0.22, p < .001), whereas attendance monitoring intervention increased general belongingness (β = 0.18, p < .01). Mediation analysis indicated that the effects of the intervention type on SI were not significantly mediated by general and school belongingness. These findings suggest that promoting broader social connectedness beyond school environments may support reductions in adolescent suicide risk over time.

Indexed as

Adolescent BehaviorInterpersonal RelationsSchool Health ServicesSchool Mental Health ServicesSuicidal IdeationSuicide PreventionAdolescentFemaleHumansIsraelMaleSchoolsAdolescentsBelongingnessIPTSSchool-based interventionSuicide

Identifiers

PMID41295991
PMCPMC13219065

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Registered trials

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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.