title: Impact of the Garrett Lee Smith youth suicide prevention program on suicide mortality.
abstract: OBJECTIVE
  We examined whether a reduction in youth suicide mortality occurred between 2007 and 2010 that could reasonably be attributed to Garrett Lee Smith (GLS) program efforts.
  
  
  METHODS
  We compared youth mortality rates across time between counties that implemented GLS-funded gatekeeper training sessions (the most frequently implemented suicide prevention strategy among grantees) and a set of matched counties in which no GLS-funded training occurred. A rich set of background characteristics, including preintervention mortality rates, was accounted for with a combination of propensity score-based techniques. We also analyzed closely related outcomes that we did not expect to be affected by GLS as control outcomes.
  
  
  RESULTS
  Counties implementing GLS training had significantly lower suicide rates among the population aged 10 to 24 years the year after GLS training than similar counties that did not implement GLS training (1.33 fewer deaths per 100 000; P = .02). Simultaneously, we found no significant difference in terms of adult suicide mortality rates or nonsuicide youth mortality the year after the implementation.
  
  
  CONCLUSIONS
  These results support the existence of an important reduction in youth suicide rates resulting from the implementation of GLS suicide prevention programming.
authors: Christine Walrath, Lucas Godoy Garraza, and Hailey Reid are with the Public Health Division, ICF International, New York, NY. David B. Goldston is with the Duke University School of Medicine, Durham, NC. Richard McKeon is with the Substance Abuse and Mental Health Services Administration, Rockville, MD.
authors: Christine
authors: C
authors: Walrath
authors: Lucas Godoy
authors: LG
authors: Garraza
authors: Hailey
authors: H
authors: Reid
authors: David B
authors: DB
authors: Goldston
authors: Richard
authors: R
authors: McKeon
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior; D000328:Adult; D002648:Child; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion / Q000706:statistics & numerical data*; D006801:Humans; D012959:Socioeconomic Factors; D014481:United States; D055815:Young Adult; D000092864:Suicide Prevention