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School-Based Health Centers, Depression, and Suicide Risk Among Adolescents
This study examined whether increasing availability of mental health services at school-based health centers in Oregon public schools would be associated with a decrease in the likelihood of depressive episodes and suicide risk among adolescents. The study included 168 Oregon public schools that par...
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| Published in: | American journal of preventive medicine 2018-01, Vol.54 (1), p.44-50 |
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| Main Authors: | , |
| Format: | Article |
| Language: | English |
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| cites | cdi_FETCH-LOGICAL-c491t-45bb98d2a9a824353807dfa3152244fac397bc3a9fea1de38ade75a8d9298fd13 |
| container_end_page | 50 |
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| container_title | American journal of preventive medicine |
| container_volume | 54 |
| creator | Paschall, Mallie J. Bersamin, Melina |
| description | This study examined whether increasing availability of mental health services at school-based health centers in Oregon public schools would be associated with a decrease in the likelihood of depressive episodes and suicide risk among adolescents.
The study included 168 Oregon public schools that participated in the Oregon Healthy Teens Survey in 2013 and 2015. Twenty-five schools had a school-based health center, and 14 of those schools increased the availability of mental health services from 2013 to 2015. The Oregon Healthy Teens Survey included questions about having a depressive episode, suicidal ideation, and attempting suicide in the past year. Multilevel logistic regression analyses were conducted in 2017 to examine associations between increasing mental health services and the likelihood of past year depressive episodes, suicidal ideation, and suicide attempts. Analyses also compared student subgroups defined by demographic characteristics (e.g., gender).
Students at school-based health center schools that increased availability of mental health services were less likely to report depressive episodes (OR=0.88, p |
| doi_str_mv | 10.1016/j.amepre.2017.08.022 |
| format | article |
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The study included 168 Oregon public schools that participated in the Oregon Healthy Teens Survey in 2013 and 2015. Twenty-five schools had a school-based health center, and 14 of those schools increased the availability of mental health services from 2013 to 2015. The Oregon Healthy Teens Survey included questions about having a depressive episode, suicidal ideation, and attempting suicide in the past year. Multilevel logistic regression analyses were conducted in 2017 to examine associations between increasing mental health services and the likelihood of past year depressive episodes, suicidal ideation, and suicide attempts. Analyses also compared student subgroups defined by demographic characteristics (e.g., gender).
Students at school-based health center schools that increased availability of mental health services were less likely to report depressive episodes (OR=0.88, p<0.01), suicidal ideation (OR=0.84, p<0.01), and suicide attempts (OR=0.82, p<0.01) from 2013 to 2015 compared with all other schools. Significant risk reductions in past year depressive episodes and suicidal ideation were also observed in school-based health center schools that increased availability of mental health services relative to other schools with school-based health centers. No significant differences were observed for student demographic subgroups.
This study suggests that increasing availability of school-based mental health services can help to reduce depressive episodes and suicide risk among adolescents.</description><identifier>ISSN: 0749-3797</identifier><identifier>EISSN: 1873-2607</identifier><identifier>DOI: 10.1016/j.amepre.2017.08.022</identifier><identifier>PMID: 29132951</identifier><language>eng</language><publisher>Netherlands: Elsevier Inc</publisher><subject>Adolescent ; Adolescents ; Availability ; Demography ; Depression - psychology ; Female ; Health facilities ; Health Surveys ; Humans ; Male ; Mental depression ; Mental health care ; Mental health services ; Mental Health Services - statistics & numerical data ; Polls & surveys ; Public health ; Public schools ; Risk ; Risk Factors ; Risk reduction ; School Health Services - statistics & numerical data ; Student health services ; Suicidal ideation ; Suicide ; Suicide - psychology ; Suicide - statistics & numerical data ; Suicide Prevention ; Suicides & suicide attempts ; Teenagers</subject><ispartof>American journal of preventive medicine, 2018-01, Vol.54 (1), p.44-50</ispartof><rights>2017 American Journal of Preventive Medicine</rights><rights>Copyright © 2017 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.</rights><rights>Copyright Elsevier Science Ltd. Jan 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c491t-45bb98d2a9a824353807dfa3152244fac397bc3a9fea1de38ade75a8d9298fd13</citedby><cites>FETCH-LOGICAL-c491t-45bb98d2a9a824353807dfa3152244fac397bc3a9fea1de38ade75a8d9298fd13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925,30999,33774</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29132951$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Paschall, Mallie J.</creatorcontrib><creatorcontrib>Bersamin, Melina</creatorcontrib><title>School-Based Health Centers, Depression, and Suicide Risk Among Adolescents</title><title>American journal of preventive medicine</title><addtitle>Am J Prev Med</addtitle><description>This study examined whether increasing availability of mental health services at school-based health centers in Oregon public schools would be associated with a decrease in the likelihood of depressive episodes and suicide risk among adolescents.
The study included 168 Oregon public schools that participated in the Oregon Healthy Teens Survey in 2013 and 2015. Twenty-five schools had a school-based health center, and 14 of those schools increased the availability of mental health services from 2013 to 2015. The Oregon Healthy Teens Survey included questions about having a depressive episode, suicidal ideation, and attempting suicide in the past year. Multilevel logistic regression analyses were conducted in 2017 to examine associations between increasing mental health services and the likelihood of past year depressive episodes, suicidal ideation, and suicide attempts. Analyses also compared student subgroups defined by demographic characteristics (e.g., gender).
Students at school-based health center schools that increased availability of mental health services were less likely to report depressive episodes (OR=0.88, p<0.01), suicidal ideation (OR=0.84, p<0.01), and suicide attempts (OR=0.82, p<0.01) from 2013 to 2015 compared with all other schools. Significant risk reductions in past year depressive episodes and suicidal ideation were also observed in school-based health center schools that increased availability of mental health services relative to other schools with school-based health centers. No significant differences were observed for student demographic subgroups.
This study suggests that increasing availability of school-based mental health services can help to reduce depressive episodes and suicide risk among adolescents.</description><subject>Adolescent</subject><subject>Adolescents</subject><subject>Availability</subject><subject>Demography</subject><subject>Depression - psychology</subject><subject>Female</subject><subject>Health facilities</subject><subject>Health Surveys</subject><subject>Humans</subject><subject>Male</subject><subject>Mental depression</subject><subject>Mental health care</subject><subject>Mental health services</subject><subject>Mental Health Services - statistics & numerical data</subject><subject>Polls & surveys</subject><subject>Public health</subject><subject>Public schools</subject><subject>Risk</subject><subject>Risk Factors</subject><subject>Risk reduction</subject><subject>School Health Services - statistics & numerical data</subject><subject>Student health services</subject><subject>Suicidal ideation</subject><subject>Suicide</subject><subject>Suicide - psychology</subject><subject>Suicide - statistics & numerical data</subject><subject>Suicide Prevention</subject><subject>Suicides & suicide attempts</subject><subject>Teenagers</subject><issn>0749-3797</issn><issn>1873-2607</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><sourceid>BHHNA</sourceid><recordid>eNp9UUtv1DAQthCILoV_gFAkLhya4Fdi-4K0LI8iKiFROFuz9qTrJYm3dlKJf0_ClvI4cJrDfI_55iPkKaMVo6x5ua-gx0PCilOmKqoryvk9smJaiZI3VN0nK6qkKYUy6oQ8ynlPKVWamYfkhBsmuKnZiny8dLsYu_I1ZPTFOUI37ooNDiOmfFa8WQxyDnE4K2DwxeUUXPBYfA75W7Hu43BVrH3sMLuZkR-TBy10GZ_czlPy9d3bL5vz8uLT-w-b9UXppGFjKevt1mjPwYDmUtRCU-VbEKzmXMoWnDBq6wSYFoF5FBo8qhq0N9zo1jNxSl4ddQ_Ttke_eCfo7CGFHtJ3GyHYvzdD2NmreGNrJRrJm1ngxa1AitcT5tH2YY7QdTBgnLJlZoEZQeUMff4PdB-nNMzx7PJ3KhphFpQ8olyKOSds745h1C5t2b09tvWTZam2c1sz7dmfQe5Iv-r5nRTnd94ETDa7gINDHxK60foY_u_wA9A9p7Y</recordid><startdate>20180101</startdate><enddate>20180101</enddate><creator>Paschall, Mallie J.</creator><creator>Bersamin, Melina</creator><general>Elsevier Inc</general><general>Elsevier Science Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7U3</scope><scope>BHHNA</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20180101</creationdate><title>School-Based Health Centers, Depression, and Suicide Risk Among Adolescents</title><author>Paschall, Mallie J. ; Bersamin, Melina</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c491t-45bb98d2a9a824353807dfa3152244fac397bc3a9fea1de38ade75a8d9298fd13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adolescent</topic><topic>Adolescents</topic><topic>Availability</topic><topic>Demography</topic><topic>Depression - psychology</topic><topic>Female</topic><topic>Health facilities</topic><topic>Health Surveys</topic><topic>Humans</topic><topic>Male</topic><topic>Mental depression</topic><topic>Mental health care</topic><topic>Mental health services</topic><topic>Mental Health Services - statistics & numerical data</topic><topic>Polls & surveys</topic><topic>Public health</topic><topic>Public schools</topic><topic>Risk</topic><topic>Risk Factors</topic><topic>Risk reduction</topic><topic>School Health Services - statistics & numerical data</topic><topic>Student health services</topic><topic>Suicidal ideation</topic><topic>Suicide</topic><topic>Suicide - psychology</topic><topic>Suicide - statistics & numerical data</topic><topic>Suicide Prevention</topic><topic>Suicides & suicide attempts</topic><topic>Teenagers</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Paschall, Mallie J.</creatorcontrib><creatorcontrib>Bersamin, Melina</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Social Services Abstracts</collection><collection>Sociological Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>American journal of preventive medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Paschall, Mallie J.</au><au>Bersamin, Melina</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>School-Based Health Centers, Depression, and Suicide Risk Among Adolescents</atitle><jtitle>American journal of preventive medicine</jtitle><addtitle>Am J Prev Med</addtitle><date>2018-01-01</date><risdate>2018</risdate><volume>54</volume><issue>1</issue><spage>44</spage><epage>50</epage><pages>44-50</pages><issn>0749-3797</issn><eissn>1873-2607</eissn><abstract>This study examined whether increasing availability of mental health services at school-based health centers in Oregon public schools would be associated with a decrease in the likelihood of depressive episodes and suicide risk among adolescents.
The study included 168 Oregon public schools that participated in the Oregon Healthy Teens Survey in 2013 and 2015. Twenty-five schools had a school-based health center, and 14 of those schools increased the availability of mental health services from 2013 to 2015. The Oregon Healthy Teens Survey included questions about having a depressive episode, suicidal ideation, and attempting suicide in the past year. Multilevel logistic regression analyses were conducted in 2017 to examine associations between increasing mental health services and the likelihood of past year depressive episodes, suicidal ideation, and suicide attempts. Analyses also compared student subgroups defined by demographic characteristics (e.g., gender).
Students at school-based health center schools that increased availability of mental health services were less likely to report depressive episodes (OR=0.88, p<0.01), suicidal ideation (OR=0.84, p<0.01), and suicide attempts (OR=0.82, p<0.01) from 2013 to 2015 compared with all other schools. Significant risk reductions in past year depressive episodes and suicidal ideation were also observed in school-based health center schools that increased availability of mental health services relative to other schools with school-based health centers. No significant differences were observed for student demographic subgroups.
This study suggests that increasing availability of school-based mental health services can help to reduce depressive episodes and suicide risk among adolescents.</abstract><cop>Netherlands</cop><pub>Elsevier Inc</pub><pmid>29132951</pmid><doi>10.1016/j.amepre.2017.08.022</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 0749-3797 |
| ispartof | American journal of preventive medicine, 2018-01, Vol.54 (1), p.44-50 |
| issn | 0749-3797 1873-2607 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5736426 |
| source | Applied Social Sciences Index & Abstracts (ASSIA); Elsevier; Sociological Abstracts |
| subjects | Adolescent Adolescents Availability Demography Depression - psychology Female Health facilities Health Surveys Humans Male Mental depression Mental health care Mental health services Mental Health Services - statistics & numerical data Polls & surveys Public health Public schools Risk Risk Factors Risk reduction School Health Services - statistics & numerical data Student health services Suicidal ideation Suicide Suicide - psychology Suicide - statistics & numerical data Suicide Prevention Suicides & suicide attempts Teenagers |
| title | School-Based Health Centers, Depression, and Suicide Risk Among Adolescents |
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