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Strengthen the Evidence for Maternal and Child Health Programs

New: MCHbest strategies database for sample ESMs

Evidence Tools
MCHbest. NPM 7: Injury Hospitilization

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Strategy. Multicomponent Selective/Indicated Programs Targeted to Suicidal Adolescents and their Families

Approach. Conduct multicomponent selective/indicated programs that are targeted to suicidal adolescents and their families to prevent suicide.

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Overview. Studies show that multicomponent interventions targeted to high risk adolescents or to adolescents who are already displaying suicidal behaviors are most effective in preventing suicide, especially when the programs include parents. These interventions provided therapy (either individual, group, or family), social support, and connections to resources.1, 2

Evidence. Moderate. Multicomponent selective/indicated programs targeted to suicidal adolescents and their families appear to be effective in preventing suicide. Programs based on this strategy are likely to work. This strategy has been tested more than once and results trend positive overall. Access the peer-reviewed evidence through the MCH Digital Library. (Read more about understanding evidence ratings).

Target Audience. High-risk, suicidal adolescents and their families.

Outcome. Reduction in adolescent suicide behavior; improvement in family functioning; increased motivation to access support. For detailed outcomes related to each study supporting this strategy, click on the peer-reviewed evidence link above and read the "Intervention Results" for each study.

Examples from the Field. Access descriptions of ESMs that use this strategy directly or intervention components that align with this strategy. You can use these ESMs to see how other Title V agencies are addressing the NPM. You may also want to look at evidence that supports educational programs in other NPM topic areas that can be translated to this specific topic area.

Sample ESMs. Using the approach “Conduct multicomponent selective/indicated programs that are targeted to suicidal adolescents and their families to prevent suicide,” here are sample ESMs you can use as a model for your own measures using the Results-Based Accountability framework:

Quadrant 1:
Measuring Quantity of Effort
("What/how much did we do?")

  • Number of adolescents and their families participating in multicomponent selective/indicated programs to prevent suicide.
  • Number of schools and hospitals offering multicomponent selective/indicated programs to prevent suicide.

Quadrant 2:
Measuring Quality of Effort
("How well did we do it?")

  • Percent of students and their families participating in multicomponent selective/indicated programs to prevent suicide.
  • Percent of schools and hospitals offering multicomponent selective/indicated programs to prevent suicide.

Quadrant 3:
Measuring Quantity of Effect
("Is anyone better off?")

  • Number of adolescents and their families participating in multicomponent selective/indicated programs who reported a reduction in adolescent suicide behavior.
  • Number of adolescents and their families participating in multicomponent selective/indicated programs who reported improvement in family functioning.
  • Number of adolescents and their families participating in multicomponent selective/indicated programs who reported increased motivation to access support.

Quadrant 4:
Measuring Quality of Effect
("How are they better off?")

  • Percent of adolescents and their families participating in multicomponent selective/indicated programs who reported a reduction in adolescent suicide behavior.
  • Percent of adolescents and their families participating in multicomponent selective/indicated programs who reported improvement in family functioning.
  • Percent of adolescents and their families participating in multicomponent selective/indicated programs who reported increased motivation to access support.

Note. ESMs become stronger as they move from measuring quantity to measuring quality (moving from Quadrants 1 and 3, respectively, to Quadrants 2 and 4) and from measuring effort to measuring effect (moving from Quadrants 1 and 2, respectively, to Quadrants 3 and 4).

Learn More. Read how to create stronger ESMs and how to measure ESM impact more meaningfully through Results-Based Accountability.


References:

1 Hooven C, Walsh E, Pike KC, Herting JR. Promoting CARE: including parents in youth suicide prevention. Fam Community Health 2012;35: 225-235.

2 Pineda J, Dadds MR. Family intervention for adolescents with suicidal behavior: a randomized controlled trial and mediation analysis. J Am Acad Child Adolesc Psychiatry 2013;52: 851-862.

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number U02MC31613, MCH Advanced Education Policy, $3.5 M. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.