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Impact of the Garrett Lee Smith youth suicide prevention program on suicide mortality

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  • Walrath, C.
  • Garraza, L.G.
  • Reid, H.
  • Goldston, D.B.
  • McKeon, R.

Abstract

Objectives: 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.

Suggested Citation

  • Walrath, C. & Garraza, L.G. & Reid, H. & Goldston, D.B. & McKeon, R., 2015. "Impact of the Garrett Lee Smith youth suicide prevention program on suicide mortality," American Journal of Public Health, American Public Health Association, vol. 105(5), pages 986-993.
  • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2014.302496_4
    DOI: 10.2105/AJPH.2014.302496
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    Cited by:

    1. Jaesang Sung & Qihua Qiu & Will Davis & Rusty Tchernis, 2022. "Design and Application of an Area-Level Suicide Risk Index with Spatial Correlation," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 161(1), pages 77-104, May.
    2. Choi, Namkee G. & DiNitto, Diana M. & Marti, C. Nathan, 2017. "Youth firearm suicide: Precipitating/risk factors and gun access," Children and Youth Services Review, Elsevier, vol. 83(C), pages 9-16.
    3. Laura Grattidge & Ha Hoang & Jonathan Mond & David Lees & Denis Visentin & Stuart Auckland, 2023. "Exploring Community-Based Suicide Prevention in the Context of Rural Australia: A Qualitative Study," IJERPH, MDPI, vol. 20(3), pages 1-18, February.

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