Date of Submission

Fall 12-23-2024

Document Type

Manuscript

Degree Name

Doctor of Nursing Practice (DNP)

Department

Nursing

First Advisor

Dr. Alicia Kletter

Second Advisor

Dr. Kimberleigh Cox

Abstract

Introduction: Suicide among adolescents and youth is such a serious issue that immediate, appropriate interventions are needed to reduce rates of suicide ideation and suicide mortality. The increasing rate of suicide among this population profoundly affects families, friends, and the community. Identifying and implementing appropriate interventions in schools could identify individuals who are suffering from mental illness and support suicide prevention.

Aim: The purpose of this integrative literature review was to examine the literature on suicide prevention interventions for young adolescents and teenagers aged 12-17 years old and identify the best, evidence-based practices for the school setting. The aim is to enhance school nurses knowledge and confidence to assist in reducing suicidal ideation (SI) and attempts.

Method: A search of the APA PsycInfo®, CINAHL, PubMed, and Scopus databases was conducted for primary studies, conducted in the United States, published in English, on suicide prevention tools for children and adolescents

Results: Results suggest that educating school staff and school nurses on suicide prevention could lead to earlier recognition of suicidal ideation and suicide attempts among school-aged children.

Discussion: This literature review examined screening adolescents for risk of suicide, suicide associated with bullying and cyberbullying, suicide prevention in schools, and gatekeeper training. The literature supports educating school nurses on suicide prevention to address the rising rate of suicide morbidity and mortality among youth.

Implications for Practice: School-based suicide prevention education for school nurses is imperative when one understands that suicide is the second highest cause of death among youth aged 10-14 years old. School nurses are well-positioned to recognize suicidal behavior because they are primary care providers in the school setting and have frequent contact with students. Suicide prevention education and screening align with their scope of nursing practice, allowing them to advocate for youth, identify early prevention interventions, and create a supportive safe environment.

Keywords: Suicide, children and adolescents, school nurses, primary providers, mental health, youth

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