A public health response to a cluster of suicidal behaviors: clinical psychiatry, prevention, and community health.
OBJECTIVE
To develop and implement a community public health response to a suicidal behavior cluster, including collection of risk factor data in order to prevent further behaviors.


METHODS
A three-phase response, including school-wide educational debriefings, individual screening for referrals, and on-site crisis management, was implemented. Incidence of suicidal behaviors and their association with hypothesized risk factors were measured.


RESULTS
Thirty-three percent of students were screened. Depression and poor social functioning were associated with an increased risk of suicidal ideation. Poor social functioning and school adjustment were associated with an increased risk of suicide attempts.


CONCLUSIONS
Development and implementation of a timely public health response, including elucidation of critical risk factors, might prevent further suicidal behaviors.
Askland
Kathleen Dawn
KD
Epidemic Intelligence Service Program, State Branch, Division of Applied Public Health Training, Centers for Disease Control and Prevention, USA.
Sonnenfeld
Nancy
N
Crosby
Alexander
A