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Robert H. Aseltine, Jr, PhD and Robert DeMartino, MD

Robert H. Aseltine Jr is with the Department of Behavioral Sciences and Community Health, University of Connecticut Health Center, Farmington, Conn. Robert DeMartino is with the Center for Mental Health Services, Substance Use and Mental Health Services Administration, Rockville, Md.

Correspondence: Requests for reprints should be sent to Robert H. Aseltine Jr, PhD, Dept of Behavioral Sciences and Community Health, MC 3910, University of Connecticut Health Center 263 Farmington Ave, Farmington, CT 06030-3910 (e-mail: aseltine{at}uchc.edu).

Objectives. We examined the effectiveness of the Signs of Suicide (SOS) prevention program in reducing suicidal behavior.

Methods. Twenty-one hundred students in 5 high schools in Columbus, Ga, and Hartford, Conn, were randomly assigned to intervention and control groups. Self-administered questionnaires were completed by students in both groups approximately 3 months after program implementation.

Results. Significantly lower rates of suicide attempts and greater knowledge and more adaptive attitudes about depression and suicide were observed among students in the intervention group. The modest changes in knowledge and attitudes partially explained the beneficial effects of the program.

Conclusions. SOS is the first school-based suicide prevention program to demonstrate significant reductions in self-reported suicide attempts.

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