title: Long-term outcomes for the promoting CARE suicide prevention program.
abstract: OBJECTIVE
  To provide a long-term look at suicide risk from adolescence to young adulthood for former participants in Promoting CARE, an indicated suicide prevention program.
  
  
  METHODS
  Five hundred ninety-three suicide-vulnerable high school youth were involved in a long-term follow-up study. Latent class growth models identify patterns of change in suicide risk over this period.
  
  
  RESULTS
  Three distinct trajectories are determined, all showing a maintenance of decreased suicide risk from postintervention in adolescence into young adulthood for direct suicide-risk behaviors, depression and anger. Intervention conditions as well as key risk/protective factors are identified that predict to the long-term trajectories.
  
  
  CONCLUSIONS
  Early intervention is successful in promoting and maintaining lower-risk status from adolescence to young adulthood, with the caveat that some high-risk behaviors may indicate a need for additional intervention to establish earlier effects.
authors.affiliation: Reconnecting Youth Prevention Research Programs, Department of Psychosocial and Community Health, University of Washington, Seattle WA 98195-4926, USA. chooven@u.washington.edu
authors.forename: Carole
authors.initials: C
authors.lastname: Hooven
authors.forename: Jerald R
authors.initials: JR
authors.lastname: Herting
authors.forename: Karen A
authors.initials: KA
authors.lastname: Snedker
mesh_terms: D000293:Adolescent; D000786:Anger; D003863:Depression / Q000517:prevention & control; D005260:Female; D005500:Follow-Up Studies; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D008297:Male; D008605:Mental Health Services; D015233:Models, Statistical; D017063:Outcome Assessment, Health Care / Q000706:statistics & numerical data*; D012307:Risk Factors; D000092864:Suicide Prevention