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Report of the Secretary's Task Force on Youth Suicide. Volume 3: Prevention and Interventions in Youth Suicide

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Report of the Secretary's Task Force on Youth Suicide. Volume 3: Prevention and Interventions in Youth Suicide DOCUMENT RESUME ED 334 503 CO 023 518 AUTHOR Feinleib, Marcia R., Ed. TITLE Report of the Secretary's Task Force on Youth Suicide. Volume 3: Prevention and Interventions in Youth Suicide. INSTITUTION Alcohol, Drug Abuse, and Mental Health Administration (DHHS/PHS), Rockville, MD. REPORT NO DHHS(ADM)-89-1623 PUB DATE Jan 89 NOTE 319p.; For other volumes in this series, see CG 023 516-519. PUB TYPE Collected Works - General (020) -- Reports - General (140) EDRS PRICE MF01/PC13 Plus Postage. DESCRIPTORS Adolescents; *Intervention; *Prevention; *Suicide; Young Adults; *Youth Problems ABSTRACT Commissioned papers by a work group on prevention and interventions in youth suicide are presented in this document. Included are: (1) "Primary Prevention: A Consideration of General Principles and Findings for the Prevention of Youth Suicide" (Robert Felner); (2) "A Critical Review of Preventive Intervention Efforts in Suicide, with Particular Reference to Youth Suicide" (David Shaffer and K. Bacon); (3) "Overview of Prevention Efforts ia Adolesctat Suicide" (Betsy S. Comstock, Jane T. Simmons, and Jack L. Franklin); (4) "Community Response to Adolescent Suicide Clusters" (Betsy S. Comstock, Jane T. Simmons, and Jack L. Franklin); (5) "Prevention/Intervention Programs for Suicidal Adolescents" (Jane T. Simmons, Betsy S. Comstock, and Jack L. Franklin); (6) "Characteristics of Suirlide Prevention/Intervention Programs: Analysis of a Survey" (Jack L. Franklin, Betsy S. Comstock; Jane T. Simmons, and Mark Mason); (7) "Psychological Autopsies of Youth Suicide" (Robert E. Litman); (8) "Gay Male and Lesbian Youth Suicide" (Paul Gibson); (9) "Issues for Survivors" (Curtis Mitchell); (10) "Prevention of Adolescent Suicide Among American Indian and Alaska Native Peoples" (James W. Thompson); (11) "Suicide Prevention and Intervention among Asian Youth" (Elena S. Yu, Ching-Fu Chang, William T. Liu. and Marilyn Fernandez); (12) "Black Youth Suicide: Literature Review with a Focus on Prevention" (F.M. Baker); (13) "Hispanic Suicide in the Southwest, 1980-82" (Jack C. Smith, James A. Mercy, Mark L. Rosenberg); (14) "The Role of Volunteer Workers in Suicide Prevention Centers" (Barbara P. Wyatt); (15) "Preventing Suicide by Improving the Competency of Caregivers" (Bryan Tanney); (16) "The Samaritans aLd the Prevention of Youth suicide" (Richard G.Katzoff); (11) "Evaluation and Management of Suicidal Risk in Chemically Dependent Adolescents" (John E. Meeks); (18) "Overview of Early Detection and Treatment Strategies for Suicidal Behavior in Young People" (Susan J. Blumenthal and David J. Kupfer); (19) "Specific Treatment Modalities for Adolescent Suicide Attempters" (Paul D. Trautman); (20) "Perspectives of Youth on Preventive Intervention Strategies" (Iris M. Bolton); (21) "Mass Media and Youth Suicide Prevention" (Alan L. Berman); (22) "Intervention Strategies: Environmental Risk Reduction for Youth Suicide" (Pamela C. Cantor); and (23) "School-Based Prevention Programs" (Barry D.Garfinkel). (BHK) Volume 3: Prevention and Interventions in Reportof the Youth Suicide Secretary'sTask Forceon "flat.'", BEST COPY MAIABLE U S. DEPARTMENT OF EDUCATION Othce ot Educational Research and nylon:women( EDUCATIONAL RESOURCES INFORMATION CENTER (ERIC) ilk This PeCumehl has been reproduced as 'receiviel from the person or organization onginaung it r Minor changes have been mad* to improve reproductron quality Points of view of opinions staled in this doc u mnt dio 1)01 regmsenl Official OE RI position or POhcv U.S. DEPARTMENT OF HEALTH & HUMANSERVICES Public Health Service 2 Alcohol, DrugAbuse, and Mental Health Administration Volume 3: Prevention and Interventions in Report of the Youth Suicide Secretary's Task Forceon 111 .L.gr S is Edited by: Marcia R. Feinleib January 1989 U.S. DEPARTMENT OF HEALTH & HUMAN SERVICES Public Health Service Alcohol, Drug Abuse, and Mental Health Administration 3 The members of the Secretary's Task Force on Youth Suicide wish to acknowledge the extraordinary effort of the Executive Secretary, Ms. Eugenia P. Broumas. Suggested citation: Alcohol, Drug Abuse, and Ment..d Health Administration. Report of the Secretary's Task Force on Youth Suicide. Volume 3: Prevention and Interventions in Youth Suicide. DHHS Pub. No. (ADM)89-1623. Washington, D.C.: Supt. of Docs., U.S. Govt. Prini Off., 1989. 4 3-li CONTENTS: Volume 3 Members of the Secretary's Task Force on Youthsuicide 1 Members of the Work Group on Prevention and interventions 3 Summary of the National Conference on Prevention and Interventions in Youth Suicide 5 Commissioned Papers: 1. Robert Feiner: Primary Prevention: A Consideration of General Principles and Findings for the Prevention of Youth Suicide 23 2. David Shaffer, K. Bacon: A Critical Review of Preventive intervention Efforts in Suicide, with Particular Reference to Youth Suicide 31 3. Betsy S. Comstock, Jane T. Simmons, Jack L. Franklin: Overview of Prevention Efforts in Adolescent Suicide 62 4. Betsy S. Comstock, Jane T. Simmons, Jack L. Franklin: Community Response to Adolescent Suicide Clusters 72 5. Jane T. Simmons, Betsy S. Comstock, Jack L. Franklin: Prevention/intervention Programs for Suicidal Adolescents 80 6. Jack L. Franklin, Betsy S. Comstock, Jane T. Simmons, Mark Mason: Characteristics of Suicide Prevention/intervention Progre.ns: Analysis of a Survey 93 7. Robert E. Litman: Psychological Autopsies of Youth Suicide 103 8. Paul Gibson: Gay Male and Lesbian Youth Suicide 110 9.Curtis Mitchell: Issues for Survivors 143 10. James W. Thompson: Prevention of AtIolescent Suicide Among American Indian and Alaska Native Peoples 15k 11. Elena S. Yu, Ching-Fu Chang, William T. Liu, Marilyn Fernandez: Suicide Prevention and intervention Among Asian Youth 157 12. F.M. Baker: Black Youth Suicide: Literature Review with a Focus on Prevention 177 13. Jack C. Smith, James A. Mercy, Mark L. Rosenberg: Hispanic Suicide in the Southwest, 1980-82 196 14. Barbara P. Wyatt: The Role of Volunteer Workers in Suicide Prevention Centers 2C6 15. Bryan Tanney: Preventing Suicide by improving the Competency of Caregivers 213 16. Richard G. Katzoff: The Samaritans and the Prevention of Youth Suicide 224 '..1 17. John E. Meeks: Evaluation and Management of Suicidal Risk in Chemically Dependent Adolescents 232 18. Susan J. Blumenthal, David J. Kupfer Overview of Early Detection and Treatment Strategies for Suicidal Behavior in Young People 239 19. Paul D. Trautman: Specific Treatment Modalities for Adolescent Suicide Attempters 253 20. Iris M. Bolton: Perspectives of Youth on Preventive Intervention Strategies 264 21. Alan I.. Berman: Mau Media and Youth Suicide Prevention 276 22. Pamela C. Cantor: intervention Strategies: Environmental Risk Reduction for Youth St ticide 285 23. Barry D. Garfinkel: School-Based Prevention Programs 294 3-iv 6 Wf, MEMBERS OF THE SECRETARY'S TASK FORCE ON YOUTH SUICIDE Shervert Frazier, M.D. Chairman Formerly, Director National Institute of Mental Health Carolyn Doppelt Gray Dodie T. Livingston Acting Deputy Assistant Secretary Commissioner, Administration for Children, Office of Human Development Services Youth, and Families Office of Human Development Services M. Gene Haidelsman (served until June 1986) Robert G. Niven, M.D. Formerly, Deputy Assistant Secretary (served until January 1986) Office of Human Development StMces Formerly, Director, National Institute on Alcohol Abuse and Alcoholism Robert B. Helms, Ph.D. Acting Assistant Secretary for Planning Everett R. Rhoades, M.D. and Evaluation Director, Indian Health Servirx Office of the Secretary Health Resources and Services Administration Jerome H. Jaffe, M.D. (served until June 1986) Mark L. Rosenberg, M.D., M.P.P. Director, Addiction Research Center Assistant Director for Science National Institute on Drug Abuse Division of Injury Epidemiology and Control Center for Environmental Health and Stephanie Lee-Miller Injury Cmtrol Assistant Secretary for Public Affairs Centers for Disease Control Office of the Secretary Charles R. Schuster, Ph.D. Markku Linnoila, M.D. Director Clinical Directu, Division of Intramurai National Institute on Drug Abuse Clinical and Biological Research National I. Astitute on Alcohol Abuse Robert L. Trachtenberg and Alcoholism Deputy Administrator Alcohol, Drug Abuse, and Mental Health Administration 3-1 7 44d STAFF Eugenia P. Broumas, Coordinator, Task Force Activities Special Assistant to the Deputy Director National Institute of Mental Health Heather A. Pack, Policy Coordinator Executive Secretariat Office of the Secretary ALTERNATES Dorynne Czechowicz, M.D. Assistant Director for Medical and Professional Affairs Office of Science National Institute on Drug Abuse Jack Durell, M.D. (served until July 1986) Formerly, Associate Director for Science National Institute on Drug Abuse Paget Wilson Hinch Associate Commission& Family and Youth Services Bureau Administration for Children, Youth, and Families Office of Human Development Services Chuck Kline Deputy Assistant Secretary for Public Affairs- News Office of the Secretary Arnold R. Tompkins Deputy Assistant Secretary for Social Services Policy Office of the Assistant Secretary for Planning and Evaluation Office of the Secretary 3-2 8 WORK GROUP ON PREVEN11ON AND INTERVEN11ONS IN YOUTH SUICIDE Jack Durell, M.D., Cochairperson Formerly, Associate Director for Science National Institute on Drug Abuse Dodie T. Livingston, Cochairperson Commissioner, Administration for Children, Youth, and Families Office of Human Development Services Alan L. Berman, Ph.D. Professor of Psychology,
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