MCHbest. NPM 7: Injury Hospitilization
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.
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:
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).
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.