Depression Education As Primary Prevention
The Erika’s Lighthouse School-Based Program For High School Students
Major depression is a treatable and common mental health disorder for youth. Untreated depression is a major risk factor for youth who become suicidal and die by suicide. Recent focus in the school-based literature on creating universal mental health promotion programs have recognized the need for effective depression awareness education programs to assist youth in identifying symptoms of depression in themselves and their peers, and to encourage those youth to seek trusted adults for help. A quasi-experimental design (QED) was employed in two suburban Chicago high schools (n=652) to evaluate the intervention, Real Teenagers Talking About Adolescent Depression (RTTAAD), a video-based universal classroom discussion intervention created by clinical social workers, parents, and youth. The analysis showed that RTTAAD led to statistically significant changes in adolescent knowledge about depression and their stated willingness to seek help from trusted adults at 6-week follow-up compared to a control classroom condition. This study supports the notion that school social workers and other school mental health professionals need to allocate more time to primary prevention work to help build mental health awareness in their school communities and to help prevent depression and suicidal behavior.
Avant, D. W., & Lindsey, B. C. (2015). School social workers as response to intervention change champions. Advances in Social Work, 16(2), 276-291.
Balaguru, V., Sharma, J., & Waheed, W. (2013). Understanding the effectiveness of school‐based interventions to prevent suicide: A realist review. Child and Adolescent Mental Health, 18(3), 131-139. doi: https://doi.org/10.1111/j.1475-3588.2012.00668.x
Bevan, J. R., Thapar, A., Stone, Z., Thapar, A., Jones, I., Smith, D., & Simpson, S. (2017). Psychoeducational interventions in adolescent depression: A systematic review. Patient Education and Counseling, 101(5), 804-816.
Boston Children’s Hospital. (2018). Children's Hospital Neighborhood Partnerships | Break free from depression. Retrieved from http://www.childrenshospital.org/Centers-and-Services/Programs/A-_-E/boston-childrens-hospital-neighborhood-partnerships-program/break-free-from-depression-program
Ciffone, J. (2007). Suicide prevention: An analysis and replication of a curriculum-based high school program. Social Work, 52(1), 41-49.
Deutz, M. H., Geeraerts, S. B., van Baar, A. L., Deković, M., & Prinzie, P. (2016). The Dysregulation Profile in middle childhood and adolescence across reporters: Factor structure, measurement invariance, and links with self-harm and suicidal ideation. European Child & Adolescent Psychiatry, 25(4), 431-442.
Erbacher, T. A., Singer, J. B., & Poland, S. (2014). Suicide in schools: A practitioner's guide to multi-level prevention, assessment, intervention, and postvention. London, UK: Routledge.
Goldston, D. B., Daniel, S. S., Erkanli, A., Reboussin, B. A., Mayfield, A., & Frazier, P. H. (2009). Psychiatric diagnoses as contemporaneous risk factors for suicide attempts among youth and young adults: Developmental changes. Journal of Consulting and Clinical Psychology, 77(2), 281-290. doi: https://doi.org/10.1037/a0014732
Illinois Report Card. (2018). About the Illinois Report Card: Find your school. Retrieved from https://www.illinoisreportcard.com/Default.aspx
Joshi, S. V., Hartley, S. N., Kessler, M., & Barstead, M. (2015). School-based suicide prevention: Content, process, and the role of trusted adults and peers. Child and Adolescent Psychiatric Clinics, 24(2), 353-370.
Kelly, M. S. (2008). The domains and demands of school social work practice: A guide to working effectively with students, families and schools. New York: OUP USA.
Kelly, M. S., Frey, A., Thompson, A., Klemp, H., Alvarez, M., & Berzin, S. C. (2016). Assessing the National School Social Work Practice Model: Findings from the Second National School Social Work Survey. Social Work, 61(1), 17-28.
Kelly, M. S., Raines, J. C., Stone, S. & Frey, A. (2010). School social work: An evidence-informed framework for practice. New York: Oxford University Press.
Klimes-Dougan, B., Klingbeil, D. A., & Meller, S. J. (2013). The impact of universal suicide-prevention programs on the help-seeking attitudes and behaviors of adolescents. Crisis, 34(2), 82-97. doi: https://doi.org/10.1027/0227-5910/a000178
Miller, A. B., Eisenlohr-Moul, T., Giletta, M., Hastings, P. D., Rudolph, K. D., Nock, M. K., & Prinstein, M. J. (2017). A within-person approach to risk for suicidal ideation and suicidal behavior: Examining the roles of depression, stress, and abuse exposure. Journal of Consulting and Clinical Psychology, 85(7), 712-722.
National Institutes for Mental Health [NIMH]. (2017). Major depression. Retrieved from https://www.nimh.nih.gov/health/statistics/major-depression.shtml
NIMH. (2018). Suicide is a leading cause of death in the United States (fact sheet). Retrieved from https://www.nimh.nih.gov/health/statistics/suicide.shtml
Petrova, M., Wyman, P. A., Schmeelk‐Cone, K., & Pisani, A. R. (2015). Positive‐themed suicide prevention messages delivered by adolescent peer leaders: Proximal impact on classmates' coping attitudes and perceptions of adult support. Suicide and Life-Threatening Behavior, 45(6), 651-663. doi: https://doi.org/10.1111/sltb.12156
Pisani, A. R., Schmeelk-Cone, K., Gunzler, D., Petrova, M., Goldston, D. B., Tu, X., & Wyman, P. A. (2012). Associations between suicidal high school students’ help-seeking and their attitudes and perceptions of social environment. Journal of Youth and Adolescence, 41, 1312-1324. doi: https://doi.org/10.1007/s10964-012-9766-7
Real Teenagers Talking About Adolescent Depression [RTTAAD]. (2015). Real teenagers talking about adolescent depression: A video-based study guide. Retrieved from https://www.erikaslighthouse.org/teen-depression-awareness-classroom-programs/
Ruble, A. E., Leon, P. J., Gilley-Hensley, L., Hess, S. G., & Swartz, K. L. (2013). Depression knowledge in high school students: Effectiveness of the Adolescent Depression Awareness Program. Journal of Affective Disorders, 150(3), 1025-1030. doi: https://doi.org/10.1016/j.jad.2013.05.033
Schmeelk‐Cone, K., Pisani, A. R., Petrova, M., & Wyman, P. A. (2012). Three scales assessing high school students’ attitudes and perceived norms about seeking adult help for distress and suicide concerns. Suicide and Life-Threatening Behavior, 42(2), 157-172. doi: https://doi.org/10.1111/j.1943-278X.2011.00079.x
Schmidt, R. C., Iachini, A. L., George, M., Koller, J., & Weist, M. (2015). Integrating a suicide prevention program into a school mental health system: A case example from a rural school district. Children & Schools, 37(1), 18-26.
Signs of Suicide Programs [SOS]. (2018). SOS Signs of Suicide programs. Retrieved from https://www.mentalhealthscreening.org/programs/youth
Singer, J. B., Erbacher, T. A., & Rosen, P. (2018). School-based suicide prevention: A framework for evidence-based practice. School Mental Health, 1-18.
Singer, J. B., & Slovak, K. (2011). School social workers' experiences with youth suicidal behavior: An exploratory study. Children & Schools, 33(4), 215-228.
Surgenor, P. W., Quinn, P., & Hughes, C. (2016). Ten recommendations for effective school-based, adolescent suicide prevention programs. School Mental Health, 8(4), 413-424. doi: https://doi.org/10.1007/s12310-016-9189-9
Swartz, K., Musci, R. J., Beaudry, M. B., Heley, K., Miller, L., Alfes, C....& Wilcox, H. C. (2017). School-based curriculum to improve depression literacy among US secondary school students: A randomized effectiveness trial. American Journal of Public Health, 107(12), 1970-1976. doi: https://doi.org/10.2105/AJPH.2017.304088
Swartz, K. L., Kastelic, E. A., Hess, S. G., Cox, T. S., Gonzales, L. C., Mink, S. P., & Raymond DePaulo Jr, J. (2010). The effectiveness of a school-based adolescent depression education program. Health Education & Behavior, 37(1), 11-22.
Thompson, A., Frey, A., & Kelly, M. S. (2018). Factors influencing school social work practice: A latent profile analysis. School Mental Health, 1-12. https://doi.org/10.1007/s12310-018-9279-y
Whitlock, J., Wyman, P. A., & Moore, S. R. (2014). Connectedness and suicide prevention in youth: Pathways and implications. Suicide and Life-Threatening Behavior, 44(3), 246-272. doi: https://doi.org/10.1111/sltb.12071
Wright-Berryman, J., Hudnall, G., Hopkins, R., & Bledsoe, C. (2018). Hope squads: Peer-to-peer suicide prevention in schools. Children & Schools, 40(2), 125-126.
Wyman, P. A., Brown, C. H., Inman, J., Cross, W., Schmeelk-Cone, K., Guo, J., & Pena, J. B. (2008). Randomized trial of a gatekeeper program for suicide prevention: 1-year impact on secondary school staff. Journal of Consulting and Clinical Psychology, 76(1), 104-115. doi: https://doi.org/10.1037/0022-006X.76.1.104
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