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    "relevance": "Suicide must be a central focus or distinctly analyzed component, not an incidental mention.",
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      "year": 1989,
      "title": "Swallowing your anger': A study of attempted suicide in female adolescence",
      "abstract": null,
      "authors": "Fiona Gardner",
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      "journal_or_venue": "Journal of Social Work Practice",
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        "empirical_method": "Not applicable"
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      "title": "ATTEMPTED-SUICIDE AMONG ADOLESCENTS",
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      "authors": "GILLILAND, D",
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      "journal_or_venue": "British Journal of Social Work",
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      "record_type": "Note",
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      "record_key": "SWRD:74347",
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      "record_id": 74347,
      "year": 1990,
      "title": "Research note: Attempted suicide among adolescents",
      "abstract": null,
      "authors": "Gilliland D.",
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      "journal_or_venue": "British Journal of Social Work",
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      "record_key": "SWRD:77429",
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      "record_id": 77429,
      "year": 1991,
      "title": "Assessing an adult mental health clinic for age-related issues",
      "abstract": "A community mental health clinic in an urban setting is the subject of an exploratory assessment to determine whether its 55+ patients are being treated according to the special diagnostic and treatment issues that tend to affect older people. Depression is found to be high on the list of diagnoses in this age group. As many as 40% of the group are considered to be at risk for suicide. The interrelationship of medical and psychological factors is emphasized. Sixty-two percent of those studied are determined to be socially isolated. Treatment techniques recommended in the literature for older patients are summarized, and it is determined that, while therapists at the clinic have not been trained in geriatric psychology, many are instinctively utilizing these techniques. Recommendations are made for increased use of groupwork with older patients, inservice education for staff, attention to medical complications, improved outreach, and involvement of family. © 1991 Taylor & Francis Group, LLC.",
      "authors": "Chinlund P.",
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      "journal_or_venue": "Journal of Gerontological Social Work",
      "doi": "10.1300/j083v16n03_16",
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      "record_key": "SWRD:79591",
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      "record_id": 79591,
      "year": 1991,
      "title": "Counselling bereaved middle aged children: Parental suicide survivors",
      "abstract": "Suicide has spawned many books and journal articles, but the literature is sparse in discussing the grief process of middle aged sons and daughters resolving reactions to parental suicide. A developmental framework is organized into three distinct phases with interventive strategies. Each phase specifies some of the unique predicaments middle aged children may encounter in adapting to parental loss. © 1991 Human Sciences Press.",
      "authors": "Dane B.",
      "author_ids": "",
      "journal_or_venue": "Clinical Social Work Journal",
      "doi": "10.1007/bf00759115",
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        "empirical_method": "Not applicable"
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      "record_id": 2002,
      "year": 1991,
      "title": "RISK-FACTORS FOR YOUTH SUICIDE - DAVIDSON,L, LINNOLLA,M",
      "abstract": null,
      "authors": "LITTLE, M",
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      "journal_or_venue": "British Journal of Social Work",
      "doi": null,
      "record_type": "Book Review",
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        "empirical_method": "Not applicable"
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      "record_key": "SWRD:121949",
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      "record_id": 121949,
      "year": 1991,
      "title": "Suicidal tendency and multiple sclerosis.",
      "abstract": "Examined the relationships among the sense of hopelessness, the presence of significant others, and suicidal ideation among 147 people with multiple sclerosis (MS). Of those social support systems examined, family support was the most useful in predicting suicidal tendency in people with MS. Those Ss at highest risk for contemplating suicide appeared to be those who perceived themselves as being less religious, who were experiencing hopelessness, and who lacked family support. Therefore, helping professionals need to encourage and promote support and healthy coping mechanisms for the entire family as it adjusts to changing roles and expectations. (PsycINFO Database Record (c) 2012 APA, all rights reserved)",
      "authors": "",
      "author_ids": "",
      "journal_or_venue": "Health & Social Work",
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      "record_key": "SWRD:2003",
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      "record_id": 2003,
      "year": 1991,
      "title": "SUICIDE-PREVENTION IN SCHOOLS - LEENAARS,A",
      "abstract": null,
      "authors": "LITTLE, M",
      "author_ids": "",
      "journal_or_venue": "British Journal of Social Work",
      "doi": null,
      "record_type": "Book Review",
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        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
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      "model": "qwen3.6:27b",
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      "record_key": "SWRD:54003",
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      "record_id": 54003,
      "year": 1991,
      "title": "YOUTH SUICIDE - ISSUES, ASSESSMENT, AND INTERVENTION - CIMBOLIC,P, JOBES,DA",
      "abstract": null,
      "authors": "PROCHASKA, JM",
      "author_ids": "",
      "journal_or_venue": "Families in Society",
      "doi": "10.1177/104438949107200713",
      "record_type": "Book Review",
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        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
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      "record_key": "SWRD:126737",
      "source_database": "SWRD",
      "record_id": 126737,
      "year": 1992,
      "title": "Parents of Children Who Commit Suicide as Victims of Stigma",
      "abstract": "To investigate the feelings experienced by parents of suicide victims, interview data were obtained from 11 South African couples who had suffered such a loss. Analysis reveals that their trauma is due not only to the suicide per se, but also to subtle or open victimization by society leading to stigmatization. Parents may become victims of self-blame, guilt, & self-imposed isolation. Because of the taboos about suicide, there are no formal structures to help families through the grieving process. Many families felt that they were the target of gossip by neighbors, friends, & colleagues. Publication of details of the suicide in the local newspapers made the families feel ashamed; many siblings refused to attend school. Suggestions are offered to overturn this situation. 7 References. M. Meeks",
      "authors": "",
      "author_ids": "",
      "journal_or_venue": "Social Work-Maatskaplike Werk",
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      "record_key": "SWRD:97616",
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      "record_id": 97616,
      "year": 1992,
      "title": "Suicide attempts among indian women in Singapore",
      "abstract": "Statistical studies in Singapore have indicated that the rate of attempted suicide for Indian females is strikingly higher than that of Chinese and Malay families. This study covered Indian women aged 15-39 years who had been admitted to a government hospital after a suicide attempt. Analysis of interviews undertaken revealed that a complex synergy of sociopsychological cum cultural factors explained the problem at hand. © 1992 Taylor & Francis Group, LLC.",
      "authors": "Mehta K.",
      "author_ids": "",
      "journal_or_venue": "British Journal of Social Work",
      "doi": "10.1080/21650993.1992.9755594",
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      "record_key": "SWRD:34445",
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      "record_id": 34445,
      "year": 1993,
      "title": "DIFFERENCES AMONG ADOLESCENT, YOUNG-ADULT, AND ADULT CALLERS OF SUICIDE HELP LINES",
      "abstract": "The authors examined data on 165 adolescents (ages 12 to 19), 65 young adults (ages 20 to 26), and 175 adults (ages 27 and older) who called two suicide help lines in Los Angeles County during a two-week period. One crisis line is operated by a major suicide prevention center, the second is a crisis help line for adolescents that offers peer counselors. Adults and young adults reported depression as the primary reason for contemplating suicide; adolescents reported interpersonal problems. Despite the chronic nature of the presenting problems, referrals were provided to fewer than one-half of the adults and young adults and fewer than one-third of the adolescent callers. Although the callers reported suicide ideation, a very small percentage fell into the high-risk categories with regard to degree of suicide planfulness and lethality of chosen method.",
      "authors": "DEANDA, D; Smith, MA",
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      "journal_or_venue": "Social Work",
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      "record_key": "SWRD:53805",
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      "record_id": 53805,
      "year": 1993,
      "title": "SHORT-TERM TREATMENT OF A SEVERELY SUICIDAL JAPANESE-AMERICAN CLIENT WITH SCHIZOAFFECTIVE DISORDER",
      "abstract": null,
      "authors": "NEWHILL, CE",
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      "journal_or_venue": "Families in Society",
      "doi": "10.1177/104438949307400810",
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      "record_key": "SWRD:1076",
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      "year": 1993,
      "title": "SUICIDE-PREVENTION - A CLASSROOM PRESENTATION TO ADOLESCENTS",
      "abstract": "The increase in attention given to adolescent suicide has led to a proliferation of suicide prevention programs in schools throughout the United States. Concern is mounting over the benefits of these programs. The author, with the same concern about his own suicide prevention program, subjects his program to a statistical analysis of effectiveness. Results show that a disturbingly high proportion of adolescents had undesirable attitudes about suicide in the baseline period. The program appears to have caused a significant shift from undesirable to desirable attitudinal responses in six of eight targeted areas. In addition, the results seem to dispel a commonly held belief that associating mental illness with suicide will diminish self-disclosure.",
      "authors": "CIFFONE, J",
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      "record_key": "SWRD:25891",
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      "year": 1994,
      "title": "CHILDHOOD SUICIDE AND MYTHS SURROUNDING IT",
      "abstract": null,
      "authors": "GREENE, DB",
      "author_ids": "",
      "journal_or_venue": "Social Work",
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      "screened_at": "2026-08-02T17:25:35.940785+00:00"
    },
    {
      "input_index": 24,
      "record_key": "SWRD:34152",
      "source_database": "SWRD",
      "record_id": 34152,
      "year": 1994,
      "title": "OF AGEISM, SUICIDE, AND LIMITING LIFE",
      "abstract": "Increased longevity, life-extending medical technology, and growing health-care costs have given rise to much discussion of the meaning of life in old age and to suggestions that limits be set on the length of life: by suicide or by limiting medical treatment. It is argued that, while recommendations that treatment be limited or suicide be viewed as rational solely because of a person's age are based on ageism and a misunderstanding of the life course, voluntary suicide in cases of hopeless illness is defensible and need not lead down a slippery slope in which lives of ''useless'' people are devalued. Implications for social work practice are discussed.",
      "authors": "SCHNEEWIND, EH",
      "author_ids": "",
      "journal_or_venue": "Journal of Gerontological Social Work",
      "doi": null,
      "record_type": "Article",
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        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
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      "screened_at": "2026-08-02T17:25:39.678101+00:00",
      "screening_source": "Primary screen; blind audit agreement",
      "accuracy_audit": {
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        "random_seed": 20260802,
        "blind_screening": {
          "is_relevant": true,
          "relevance_rationale": "The article centrally analyzes the ethical arguments surrounding suicide in the context of aging and ageism, specifically discussing when voluntary suicide is defensible versus when it constitutes ageist devaluation.",
          "evidence_class": "Non-empirical",
          "empirical_method": "Not applicable",
          "classification_rationale": "The abstract describes a theoretical argument and discussion of implications for practice without presenting any primary data, systematic search methods, or empirical analysis.",
          "confidence": "High"
        },
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      }
    },
    {
      "input_index": 26,
      "record_key": "SWRD:25600",
      "source_database": "SWRD",
      "record_id": 25600,
      "year": 1994,
      "title": "RISK-FACTORS FOR SUICIDE AMONG GAY, LESBIAN, AND BISEXUAL YOUTHS",
      "abstract": "The study described in this article explores risk factors for suicide among gay, lesbian, and bisexual youths.  A convenience sample of 221 self-identified gay, lesbian, and bisexual youths who attended youth groups across the United States and Canada were given the Adolescent Health Questionnaire, which assessed family issues, the social environment, and self-perceptions.  The youths' scores were significantly associated with suicidal ideation and attempts.  Implications for social services are discussed.",
      "authors": "PROCTOR, CD; GROZE, VK",
      "author_ids": "",
      "journal_or_venue": "Social Work",
      "doi": "10.1093/sw/39.5.504",
      "record_type": "Article; Proceedings Paper",
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        "evidence_class": "Empirical",
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      "screened_at": "2026-08-02T17:25:43.493291+00:00"
    },
    {
      "input_index": 28,
      "record_key": "SWRD:80684",
      "source_database": "SWRD",
      "record_id": 80684,
      "year": 1994,
      "title": "Suicide ideation among a stratified sample of rural and urban adolescents",
      "abstract": "This study examined factors associated with sucidal ideation among a stratified sample of rural and urban adolescents. Data was collected on 1,728 eighth and tenth grade southern Nevada students from 23 schools. No overall differences were found between rural and urban adolescents, although results did indicate that grade, gender, and school achievement variations exist between rural and urban student populations. Implications for social workers and other youth service providers are discussed. © 1994 Human Sciences Press, Inc.",
      "authors": "Albers E.; Evans W.",
      "author_ids": "",
      "journal_or_venue": "Child & Adolescent Social Work Journal",
      "doi": "10.1007/bf01876588",
      "record_type": "Journal Article",
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      "model": "qwen3.6:27b",
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      "screened_at": "2026-08-02T17:25:47.571177+00:00"
    },
    {
      "input_index": 33,
      "record_key": "SWRD:25539",
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      "record_id": 25539,
      "year": 1995,
      "title": "MURDER, SUICIDE AND VIOLENCE - IMPACTS ON THE SOCIAL-WORKER",
      "abstract": "This paper describes the impacts that working with clients who have been a danger to themselves and/or others have had on the 'practitioner' author. The paper arose in its final form after sustained discussion between the two authors. A detailed analysis of four case studies incorporates attempts to understand behaviours presented by the clients and considers literary writings and theoretical concepts that play a useful part in this process. The paper goes on to review a number of coping strategies and makes a plea for a recognition of fundamentally stressful and unsettling issues within social work: practice. The paper concludes with an acknowledgement that the process of reflecting upon distressing experiences can be beneficially repeated over a number of years as the participant's powers a reflection deepen.",
      "authors": "SMITH, MS; NURSTEN, JP",
      "author_ids": "",
      "journal_or_venue": "Journal of Social Work Practice",
      "doi": "10.1080/02650539508413985",
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        "empirical_method": "Not applicable"
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      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T17:25:57.903505+00:00"
    },
    {
      "input_index": 34,
      "record_key": "SWRD:77326",
      "source_database": "SWRD",
      "record_id": 77326,
      "year": 1995,
      "title": "Of Ageism, Suicide, and Limiting Life",
      "abstract": "Increased longevity, life-extending medical technology, and growing health-care costs have given rise to much discussion of the meaning of life in old age and to suggestions that limits be set on the length of life: By suicide or by limiting medical treatment. It is argued that, while recommendations that treatment be limited or suicide be viewed as rational solely because of a person?s age are based on ageism and a misunderstanding of the life course, voluntary suicide in cases of hopeless illness is defensible and need not lead down a slippery slope in which lives of ?useless? people are devalued. Implications for social work practice are discussed. © 1995 Taylor & Francis Group, LLC.",
      "authors": "Schneewind E.",
      "author_ids": "",
      "journal_or_venue": "Journal of Gerontological Social Work",
      "doi": "10.1300/j083v23n01_08",
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      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T17:25:59.899603+00:00"
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    {
      "input_index": 35,
      "record_key": "SWRD:53622",
      "source_database": "SWRD",
      "record_id": 53622,
      "year": 1995,
      "title": "PREADOLESCENT SUICIDE - HOW TO ASK AND HOW TO RESPOND",
      "abstract": "Studies of preadolescents strongly suggest that the prevalence of depression and suicidal activity among them has been seriously underestimated. The authors review current thinking about preadolescent suicide; discuss its implications for clinicians, supervisors, and agency administrators; and recommend a research agenda to guide and support effective practice with preadolescents at risk for suicide.",
      "authors": "JACKSON, H; HESS, PM; VANDALEN, A",
      "author_ids": "",
      "journal_or_venue": "Families in Society",
      "doi": "10.1177/104438949507600501",
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      "screened_at": "2026-08-02T17:26:01.712398+00:00",
      "screening_source": "Primary screen; blind audit agreement",
      "accuracy_audit": {
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          "relevance_rationale": "The record focuses centrally on preadolescent suicide, discussing prevalence, clinical implications, and assessment strategies.",
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          "classification_rationale": "The abstract explicitly states that the authors 'review current thinking' and discuss implications, indicating a narrative literature review rather than an empirical study with analyzed data.",
          "confidence": "High"
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        "full_label_agreement": true
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    },
    {
      "input_index": 36,
      "record_key": "SWRD:74158",
      "source_database": "SWRD",
      "record_id": 74158,
      "year": 1995,
      "title": "Research note: An attempt to classify adolescent parasuicide attempters",
      "abstract": "Summary: This paper examines some of the literature available on the subject of adolescent suicide attempts. It discusses the extent to which it is possible to identify sub-groupings within groupings of young people who took overdoses. It suggests on the basis of the study undertaken (and in reference to other studies) that it may be possible to identify sub-groupings. The paper also discusses in detail a study carried out examining characteristics of two groups of young people-one who had been admitted to hospital following a single overdose attempt, and a second group who had several admissions to hospital following repeated overdose attempts. The implications of these findings are discussed in terms of the possibilities of identifying young people who are at an increased risk of repeating an overdose attempt, and the issues for practitioners and service managers are identified. © 1995 The British Association of Social Workers.",
      "authors": "Gilliland D.",
      "author_ids": "",
      "journal_or_venue": "British Journal of Social Work",
      "doi": null,
      "record_type": "Journal Article",
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        "evidence_class": "Empirical",
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T17:26:03.736992+00:00"
    },
    {
      "input_index": 37,
      "record_key": "SWRD:106321",
      "source_database": "SWRD",
      "record_id": 106321,
      "year": 1995,
      "title": "SCHIZOPHRENIA, SUICIDE AND SPIRITUALITY: HELPING FAMILIES COPE",
      "abstract": null,
      "authors": "Greenlee, Richard W",
      "author_ids": "",
      "journal_or_venue": "Journal of Technology in Human Services",
      "doi": null,
      "record_type": null,
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      "screening_basis": "title_only",
      "screening": {
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        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T17:26:05.523409+00:00"
    },
    {
      "input_index": 38,
      "record_key": "SWRD:33405",
      "source_database": "SWRD",
      "record_id": 33405,
      "year": 1995,
      "title": "Storying the suicide of one's child",
      "abstract": "Using selected concepts from Judith Herman's trauma model, psychoanalytic theory, and narrative theory, the clinical work with a grief-stricken couple attempting to understand the suicide of their 26-year-old son, is presented. Within a short-term therapy, the goals were the deconstruction of a guilt-saturated narrative about the trauma, and the construction of an alternative narrative.",
      "authors": "MCQUAIDE, S",
      "author_ids": "",
      "journal_or_venue": "Clinical Social Work Journal",
      "doi": "10.1007/bf02191630",
      "record_type": "Article",
      "database_method": null,
      "database_is_scientific": true,
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      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:26:07.345990+00:00"
    },
    {
      "input_index": 40,
      "record_key": "SWRD:33483",
      "source_database": "SWRD",
      "record_id": 33483,
      "year": 1995,
      "title": "SUICIDE RISK AMONG PEOPLE LIVING WITH AIDS",
      "abstract": "Using data from Louisiana vital statistics records, the authors found an increased suicide risk for people with AIDS. Between 1987 and 1991 the suicide rate for people with AIDS (175 per 10,000) was 134.6 times that of the general population (1.3 per 10,000). The suicide rate of people with AIDS in the metropolitan New Orleans area (126 per 10,000) was half that of the state's nonmetropolitan areas (249 per 10,000). This article explores the implications of this astounding suicide rate for social work practice.",
      "authors": "MANCOSKE, RJ; WADSWORTH, CM; DUGAS, DS; HASNEY, JA",
      "author_ids": "",
      "journal_or_venue": "Social Work",
      "doi": null,
      "record_type": "Article",
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      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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        "eval_count": 24
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      "screened_at": "2026-08-02T17:26:11.402905+00:00"
    },
    {
      "input_index": 41,
      "record_key": "SWRD:25550",
      "source_database": "SWRD",
      "record_id": 25550,
      "year": 1995,
      "title": "THE IMPACT OF PARENTAL SUICIDE ON CHILDREN AND STAFF IN RESIDENTIAL CARE - A CASE-STUDY IN THE FUNCTION OF CONTAINMENT",
      "abstract": "A case study is presented of how a residential child care team handled the impact on a group of staff and children of the suicide of the mother of one of the children. A six-year-old boy with severe emotional disturbance was admitted to residential care after living with his schizophrenic mother in an overpowering symbiotic relationship for his first five years. After the child had been in care for two years, and after his mother had made earlier self-destructive attempts, she finally committed suicide. The boy's reaction and subsequent progress are recorded, and the impact of these events on the other children in the home and on the staff working with the children is described The context of the case study is described in terms of the aims and working methods of therapeutic residential child care, and specifically in terms of the task of containment.",
      "authors": "Ward, A",
      "author_ids": "",
      "journal_or_venue": "Journal of Social Work Practice",
      "doi": "10.1080/02650539508413986",
      "record_type": "Article; Proceedings Paper",
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      "database_is_scientific": true,
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        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T17:26:13.562643+00:00"
    },
    {
      "input_index": 42,
      "record_key": "SWRD:33419",
      "source_database": "SWRD",
      "record_id": 33419,
      "year": 1995,
      "title": "Unemployment, age, gender and regional suicide in England and Wales 1974-90: A harbinger of increased suicide for the 1990s?",
      "abstract": "The Department of Health's Health of the Nation aims at a substantial reduction in suicide; this is a 'vote of confidence' in the effectiveness of the community psychiatric and health services. However, it will be shown that a number of socioeconomic changes have occurred which may lead to increased suicide; for example British male suicide rose in the 1980s, significantly associated with unemployment. Though female suicide fell substantially over the period, across the regions suicide rates for both men and women were worse amongst the 'work age' bands, 16-44 years, than the older groups. In respect to the relatively poorer rates amongst younger women, this may be linked to unemployment and their unfulfilled job expectations. If the suicide targets are not met, it is feared that the 'failure' will laid at the door of the community and health services.",
      "authors": "PRITCHARD, C",
      "author_ids": "",
      "journal_or_venue": "British Journal of Social Work",
      "doi": null,
      "record_type": "Article",
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      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T17:26:15.626560+00:00"
    },
    {
      "input_index": 43,
      "record_key": "SWRD:127656",
      "source_database": "SWRD",
      "record_id": 127656,
      "year": 1996,
      "title": "A Clash of Knowledges: Toward an Analysis of the Social Organization of AIDS \"Suicide\"",
      "abstract": "Narratives & personal accounts are recommended as tools for researching the social organization of acquired immune deficiency syndrome (AIDS)-related suicides. Images of the stigmatization of the homosexual AIDS victim are presented, & the internalization of such images by the AIDS victim is described. It is suggested that definitions & indicators of suicide are reproduced by the institutional & professional practices of health workers & corners through the meaning attributed to AIDS suicides. A proactive response by health care workers to the problems of anxiety, depression, & suicidal thoughts of AIDS patients is advocated. 26 References. B. Persky",
      "authors": "",
      "author_ids": "",
      "journal_or_venue": "Canadian Social Work Review",
      "doi": null,
      "record_type": "Article",
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      "database_is_scientific": true,
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      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T17:26:17.640794+00:00"
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    {
      "input_index": 44,
      "record_key": "SWRD:32852",
      "source_database": "SWRD",
      "record_id": 32852,
      "year": 1996,
      "title": "A specific therapeutic approach to suicide risk in borderline clients",
      "abstract": "One of the most difficult clinical challenges facing social workers today is suicidal behavior in clients with borderline personality disorder. This article reviews the various types of suicidal behavior exhibited by these clients, including self-destructive behavior and overt suicide attempts. Management of these behaviors is essential if treatment is to be successful. Frameworks are offered for understanding and managing both kinds of behavior.",
      "authors": "Callahan, J",
      "author_ids": "",
      "journal_or_venue": "Clinical Social Work Journal",
      "doi": "10.1007/bf02190749",
      "record_type": "Article",
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      "database_is_scientific": true,
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      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:26:19.468957+00:00"
    },
    {
      "input_index": 45,
      "record_key": "SWRD:110544",
      "source_database": "SWRD",
      "record_id": 110544,
      "year": 1996,
      "title": "Adolescent Suicidal Ideation, Social Support and Effective Means of Help",
      "abstract": "Examines the relationship among adolescent suicidal ideation, social support, & effective help for adolescent suicidal ideation in Hong Kong, drawing on scale data from 225 subjects, ages 12-21, with suicidal ideation or who had been approached by someone who had suicidal ideation in the past 2 years. Results showed that family & opposite-sex relationship problems, parental neglect & abuse, & academic problems are the main causes of suicidal ideation. Adolescents with suicidal ideation had weaker social support, particularly familial. Implications are discussed. 29 References. Adapted from the source document.",
      "authors": "Ho, Wui-shing; Ho, Wui-shing; Recollet, Debra; Turcotte, Daniel; Ho, Kit-wan; Cote-Meek, Sheila; Dumont, Serge; Ho, Kit-wan; Li, Man-chiu; Li, Man-chiu; Coholic, Diana; Provencher, Ysabel",
      "author_ids": "",
      "journal_or_venue": "Hong Kong Journal of Social Work",
      "doi": null,
      "record_type": "Journal Article",
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      "database_is_empirical": true,
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      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:26:21.580121+00:00"
    },
    {
      "input_index": 46,
      "record_key": "SWRD:106312",
      "source_database": "SWRD",
      "record_id": 106312,
      "year": 1996,
      "title": "ASSISTED SUICIDE: A CONFLICT OF SOCIAL WORK VALUES",
      "abstract": null,
      "authors": "Mitchell, Christopher; Mitchell, Christopher",
      "author_ids": "",
      "journal_or_venue": "Journal of Technology in Human Services",
      "doi": null,
      "record_type": null,
      "database_method": null,
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      "screening_basis": "title_only",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:26:23.370998+00:00"
    },
    {
      "input_index": 51,
      "record_key": "SWRD:124671",
      "source_database": "SWRD",
      "record_id": 124671,
      "year": 1996,
      "title": "History of sexual abuse and parental alcohol misuse: Risk, outcomes and protective factors in adolescents.",
      "abstract": "Examined the factors of school performance, suicidal involvement, disordered eating behaviors, pregnancy risk, and chemical use among 1,959 teenagers with a history of sexual abuse or parental alcohol misuse. It was found that Ss had higher rates of adverse outcomes than among a comparison group of teenagers without such background risk factors. Adolescents with dual-risk background reported higher levels of suicide risk, disordered eating, sexual behaviors, and chemical abuse than did Ss with only one background risk factor. Among index group members, protective factors against adverse outcomes included a high degree of religiosity and the ability to discuss problems with family or friends. Risk factors that increased the likelihood of adverse outcomes included depression, perceived substance use in school, and worries about family financial security. (PsycINFO Database Record (c) 2012 APA, all rights reserved)",
      "authors": "Chandy, Joseph M.; Blum, Robert W.",
      "author_ids": "",
      "journal_or_venue": "Child & Adolescent Social Work Journal",
      "doi": null,
      "record_type": "Article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:26:33.555598+00:00"
    },
    {
      "input_index": 52,
      "record_key": "SWRD:24841",
      "source_database": "SWRD",
      "record_id": 24841,
      "year": 1996,
      "title": "HIV/AIDS and suicide: Be open",
      "abstract": null,
      "authors": "Holtby, ME",
      "author_ids": "",
      "journal_or_venue": "Social Work",
      "doi": null,
      "record_type": "Editorial Material",
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      "screening_basis": "title_only",
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        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:26:35.384749+00:00",
      "independent_manual_spot_check": {
        "random_seed": 20260803,
        "agreement": true,
        "manual_screening": {
          "is_relevant": true,
          "evidence_class": "Non-empirical",
          "empirical_method": "Not applicable"
        },
        "rationale": "The title is centrally about HIV/AIDS and suicide; no abstract establishes an empirical design, so the conservative title-only rule applies."
      }
    },
    {
      "input_index": 53,
      "record_key": "SWRD:24847",
      "source_database": "SWRD",
      "record_id": 24847,
      "year": 1996,
      "title": "HIV/AIDS and suicide: Further precautions",
      "abstract": null,
      "authors": "MANCOSKE, RJ",
      "author_ids": "",
      "journal_or_venue": "Social Work",
      "doi": null,
      "record_type": "Editorial Material",
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      "screening_basis": "title_only",
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        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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    },
    {
      "input_index": 54,
      "record_key": "SWRD:24724",
      "source_database": "SWRD",
      "record_id": 24724,
      "year": 1996,
      "title": "Social support and suicide attempts",
      "abstract": "The social support patterns of 73 suicide attempters were compared with the patterns of depressives and normals on the basis of a semi-structured interview data, It was a longitudinal study of stressful life events, social support network and suicide attempts. Specific features of the quantity and quality of social relationships leading to help and support are examined. The crucial differences between suicide attempters, depressives and the normals lay in the number of friends with whom the subjects had regular contact with and the number of friends and relatives who fulfilled other support functions. The implications of the study in planning strategies of suicide prevention are discussed.",
      "authors": "Latha, KS; DSouza, P; Bhat, SM",
      "author_ids": "",
      "journal_or_venue": "Indian Journal of Social Work",
      "doi": null,
      "record_type": "Article",
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T17:26:39.325469+00:00"
    },
    {
      "input_index": 55,
      "record_key": "SWRD:32918",
      "source_database": "SWRD",
      "record_id": 32918,
      "year": 1996,
      "title": "Social work with suicidal clients: Challenges of implementing practice guidelines and standards of care",
      "abstract": "Practice guidelines and standards of care are detailed models of intervention processes that describe goals, objectives, processes, procedures, and interactions. Disciplines other than social work have developed practice guidelines, and it is appropriate for social work to also define standards or guidelines. This article describes an attempt by hospital social work staff to enact social work standards of care for suicidal clients. The difficulties and challenges of developing standards and guidelines are discussed, and reasons for the lack of success of the attempt are highlighted.",
      "authors": "Callahan, J",
      "author_ids": "",
      "journal_or_venue": "Health & Social Work",
      "doi": "10.1093/hsw/21.4.277",
      "record_type": "Article",
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      "database_is_scientific": true,
      "database_is_empirical": false,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "eval_count": 24
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      "screened_at": "2026-08-02T17:26:41.237920+00:00"
    },
    {
      "input_index": 56,
      "record_key": "SWRD:32952",
      "source_database": "SWRD",
      "record_id": 32952,
      "year": 1996,
      "title": "Suicide - The ultimate rejection? A psycho-social study - Pritchard,C",
      "abstract": null,
      "authors": "SMITH, M",
      "author_ids": "",
      "journal_or_venue": "Journal of Social Work Practice",
      "doi": null,
      "record_type": "Book Review",
      "database_method": null,
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      "screening_basis": "title_only",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:26:43.093226+00:00"
    },
    {
      "input_index": 57,
      "record_key": "SWRD:124695",
      "source_database": "SWRD",
      "record_id": 124695,
      "year": 1996,
      "title": "Suicide ideation, attempts and abuse among incarcerated gang and nongang delinquents.",
      "abstract": "Examined suicide ideation and reported levels of physical and sexual abuse among incarcerated youth who were vs were not involved with gangs. Self-report survey data were collected from 334 males and 61 females (aged 12–18 yrs) incarcerated in youth correctional facilities. 58.3% of the males and 45.2% of the females reported being gang members. High rates (more than 70%) of physical and sexual abuse were found among females. Compared with males, females reported significantly more suicide attempts and were more likely to have been physically and sexually abused. Compared with gang-involved males, non-gang males reported significantly more suicide attempts and were more likely to report sexual abuse. Among gang-involved Ss, females reported significantly more suicide attempts than did males. Gang members who reported sexual abuse were more likely to have higher levels of suicide ideation and to have attempted suicide. (PsycINFO Database Record (c) 2012 APA, all rights reserved)",
      "authors": "Evans, William; Albers, Eric",
      "author_ids": "",
      "journal_or_venue": "Child & Adolescent Social Work Journal",
      "doi": null,
      "record_type": "Article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T17:26:45.207551+00:00"
    },
    {
      "input_index": 58,
      "record_key": "SWRD:33325",
      "source_database": "SWRD",
      "record_id": 33325,
      "year": 1996,
      "title": "Suicide risk among people living with AIDS (vol 40, pg 783, 1995)",
      "abstract": null,
      "authors": "Sikes, DS",
      "author_ids": "",
      "journal_or_venue": "Social Work",
      "doi": null,
      "record_type": "Correction, Addition",
      "database_method": null,
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      "screening_basis": "title_only",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:26:47.052996+00:00"
    },
    {
      "input_index": 59,
      "record_key": "SWRD:124634",
      "source_database": "SWRD",
      "record_id": 124634,
      "year": 1997,
      "title": "'Who would find you?' A question for working with suicidal children and adolescents.",
      "abstract": "This paper discusses the rationale, employment, and benefits of a particular question, \"Who would find you?\", within the assessment of suicidal youngsters. The question helps identify salient interpersonal conflicts and supports in the young person's life, and indicates the direction for reparative and preventive interventions. For the young person, the question has the potential to release emotions, increase cognitive awareness of the reality of suicide, and generate a sense of hope. For the practitioner, it can increase skill and build confidence in the carrying out of a daunting clinical task. (PsycINFO Database Record (c) 2012 APA, all rights reserved) (journal abstract)",
      "authors": "Holman, Warren Dana",
      "author_ids": "",
      "journal_or_venue": "Child & Adolescent Social Work Journal",
      "doi": null,
      "record_type": "Article",
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      "database_is_scientific": true,
      "database_is_empirical": false,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:26:49.174869+00:00"
    },
    {
      "input_index": 60,
      "record_key": "SWRD:32570",
      "source_database": "SWRD",
      "record_id": 32570,
      "year": 1997,
      "title": "A test of a model with reciprocal effects between religiosity and various forms of delinquency using 2-stage least squares regression",
      "abstract": "This was a study of 1,093 adolescents from six different public high schools, where the same integrated theoretical model of control and social learning theories fit the data on alcohol use, heavy alcohol consumption, use of marijuana, criminal behavior, sexual exploration, and suicidal thoughts. It was observed that the model explained significantly more variance in some of these forms of delinquency than in others, indicating only equivocal support for the deviance syndrome argument in the literature. This study also found that religiosity was a significant influence only on criminal behavior, whereas the feedback effect of delinquency on religiosity was significant for all forms of delinquent behavior studied. The importance of this particular finding was discussed in relation to previous studies, since almost all prior research has used statistics that do not consider reciprocal effects. In the present study, the reciprocal effects between religiosity and various forms of delinquency were analyzed with two-stage least squares regression.",
      "authors": "Benda, BB; Corwyn, RF",
      "author_ids": "",
      "journal_or_venue": "Journal of Social Service Research",
      "doi": "10.1300/j079v22n03_02",
      "record_type": "Review",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:26:51.280736+00:00"
    },
    {
      "input_index": 64,
      "record_key": "SWRD:24197",
      "source_database": "SWRD",
      "record_id": 24197,
      "year": 1997,
      "title": "Global trends in suicide prevention: Towards the development of national strategies for suicide prevention - Ramsay,RF, Tanney,BL",
      "abstract": null,
      "authors": "PATEL, V",
      "author_ids": "",
      "journal_or_venue": "Indian Journal of Social Work",
      "doi": null,
      "record_type": "Book Review",
      "database_method": null,
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_only",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 1904099292,
        "prompt_eval_count": 942,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:26:59.162030+00:00",
      "screening_source": "Primary screen; blind audit agreement",
      "accuracy_audit": {
        "sample_group": "Relevant Non-empirical",
        "random_seed": 20260802,
        "blind_screening": {
          "is_relevant": true,
          "relevance_rationale": "The title explicitly focuses on global trends in suicide prevention and the development of national strategies, making suicide prevention a central substantive focus.",
          "evidence_class": "Non-empirical",
          "empirical_method": "Not applicable",
          "classification_rationale": "As a title-only record with no abstract, there is no defensible indication of an empirical design (such as data analysis or systematic search methods), so the conservative fallback to Non-empirical is applied.",
          "confidence": "High"
        },
        "full_label_agreement": true
      }
    },
    {
      "input_index": 66,
      "record_key": "SWRD:106632",
      "source_database": "SWRD",
      "record_id": 106632,
      "year": 1997,
      "title": "I Will Survive: Lesbian, Gay, and Bisexual Youths' Experience of High School.",
      "abstract": "Examines the high school experiences of lesbian and gay students through questionnaires completed by 34 students. Most (73.5%) reported receiving support regarding sexual orientation issues from someone at school, and 41.2% reported that information about gay, lesbian, and bisexual issues was available from school staff. However, 35.3% reported a previous suicide attempt. (SLD)",
      "authors": "Jordan, Karen M.; Vaughan, Jill S.; Woodworth, Katharine J.",
      "author_ids": "",
      "journal_or_venue": "Sexual and Gender Diversity in Social Services",
      "doi": null,
      "record_type": null,
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:27:03.247545+00:00"
    },
    {
      "input_index": 68,
      "record_key": "SWRD:103657",
      "source_database": "SWRD",
      "record_id": 103657,
      "year": 1997,
      "title": "The Ultimate Termination: A Dialogue",
      "abstract": "Whenever therapyends with the death of a client by suicide, the story continues until everyoneinvolved with the client has achieved some level of understanding andacceptance. Never before or since have I had a client who decided to end hislife (and therapy) in such a violent way, with such finality. Two weeks passedbefore I was able to get beyond my own denial, to begin to deal with thisevent. I had to find some way to ask the question for which there is no answer.What better way than to have the client come in for a follow-up session, toconduct a dialogue? My conversation with Henry clearly delineated the fine linebetween denial and acceptance. Understanding is something with which I stillstruggle.Copyright of Reflections: Narratives of Professional Helping is the property of ClevelandState University and its content may not be copied or emailed to multiple sites or posted to alistserv without the copyright holder's express written permission. However, users may print,download, or email articles for individual use.",
      "authors": "Gagnon; Katia",
      "author_ids": "",
      "journal_or_venue": "Reflections: Narratives of Professional Helping",
      "doi": null,
      "record_type": "Article",
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      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:27:07.573526+00:00"
    },
    {
      "input_index": 70,
      "record_key": "SWRD:79531",
      "source_database": "SWRD",
      "record_id": 79531,
      "year": 1998,
      "title": "A Postmodern Perspective on Black Suicides in the United States",
      "abstract": "This paper offers an alternative explanation to the rationalist perspective of black suicides in the United States. It assumes a deconstructionist approach, offering the proposition that the social construction of reality in the black community is such that suicide among blacks occurs at a far greater number than their quantitative measures reveal.The postmodern turn is far more interpretive in placing the reality of black suicide in context than the modernist language of Durkheim and others. The postmodern turn suggests that there is more to black suicides in the United States than meets the eye-more, in that the word, suicide, carries “traces” of other words and texts. Social workers, as enablers and facilitators, must grasp the significance of this social reconstruction if they are to have an impact upon the intertextual nature of black suicides. © 1998 by The Haworth Press, Inc. All rights reserved.",
      "authors": "Washington R.O.; McCarley L.",
      "author_ids": "",
      "journal_or_venue": "Journal of Human Behavior in the Social Environment",
      "doi": "10.1080/10911359.1998.10530794",
      "record_type": "Journal Article",
      "database_method": null,
      "database_is_scientific": true,
      "database_is_empirical": false,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:27:12.319701+00:00"
    },
    {
      "input_index": 71,
      "record_key": "SWRD:32123",
      "source_database": "SWRD",
      "record_id": 32123,
      "year": 1998,
      "title": "Adolescent deviant behavior: Multiple contingency table analyses of overlap between behaviors",
      "abstract": "This was a study of 1,093 adolescents from six public high schools designed to test a deviance syndrome perspective by examining how much overlap there is between certain deviant behaviors, and by investigating whether the same theoretical elements account for variance in those behaviors. A log-linear analysis of suicide attempts, alcohol use, use of marijuana, and number of sexual partners indicated a significant interaction (or overlap) between the latter three forms of deviant behavior. However, an examination of the configuration of data according to deviant behaviors indicated that the actual numerical overlap was less impressive than the statistical significance or syndrome argument would imply. The present study also provided logistic and OLS regression analyses of many elements of social control theory. Those analyses revealed that few of the theoretical factors were consistent predictors of the various forms of problem behavior. Social work implications of the findings were discussed.",
      "authors": "Benda, BB; Corwyn, RF",
      "author_ids": "",
      "journal_or_venue": "Journal of Social Service Research",
      "doi": "10.1300/j079v24n01_02",
      "record_type": "Article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T17:27:14.485846+00:00"
    },
    {
      "input_index": 74,
      "record_key": "SWRD:32249",
      "source_database": "SWRD",
      "record_id": 32249,
      "year": 1998,
      "title": "Evaluating an intervention for the elderly at increased risk of suicide",
      "abstract": "This article presents an evaluation of Link-Plus, a social work service provided over the telephone under the auspices of a suicide prevention hot line agency. The program targets the elderly at increased risk of suicide by virtue of depression, social isolation, and unmet needs, A two-group pretest-posttest design with randomization was used to rest its effectiveness. After receiving standard crisis intervention, 31 participants provided a wait-list control group, whereas; 30 participants received immediate treatment At 4 months, 4 months, months, the amount of social contact was improved, and there war a trend toward the reduction of depressive symptomatology. At an 8-month observation, the difference between the clients' pretest scores and posttest scores on unmet needs was marginally significant, with clients having fewer unmet needs after receiving services. This outreach strategy and telephone intervention is moderately effective in treating older adults with depressive symptomatology, social isolation, and unmet needs.",
      "authors": "Morrow-Howell, N; Becker-Kemppainen, S; Judy, L",
      "author_ids": "",
      "journal_or_venue": "Research on Social Work Practice",
      "doi": "10.1177/104973159800800104",
      "record_type": "Article; Proceedings Paper",
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      "database_is_scientific": true,
      "database_is_empirical": true,
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:27:21.082380+00:00"
    },
    {
      "input_index": 75,
      "record_key": "SWRD:98780",
      "source_database": "SWRD",
      "record_id": 98780,
      "year": 1998,
      "title": "I will survive: Lesbian, gay, and bisexual youths’ experience of high school",
      "abstract": "Much has been written about gay, lesbian, and bisexual students’ negative experience, such as harassment and hate crimes, in high school. This study was undertaken to further explore these issues, as well as to elucidate the positive coping skills, traits, and experiences of the students. Thirty-four current high school students completed a questionnaire containing both original items and previously-developed scales. The majority of the students (73.5%) reported receiving support regarding sexual orientation issues from someone at school, and 41.2% reported that information regarding gay, lesbian, and bisexual issues was available from school staff. However, 35.3% reported a previous suicide attempt, a figure consistent with previous literature. Additional positive and negative high school experiences, as well as their interrelationships, are discussed. © 1998 by The Haworth Press, Inc. All rights reserved.",
      "authors": "Jordan K.; Dora Tam; Vaughan J.; Tangela C. Sawyerr; Woodworth K.; Emma Miller",
      "author_ids": "",
      "journal_or_venue": "Journal of Gerontological Social Work",
      "doi": "10.1300/j041v07n04_02",
      "record_type": "Journal Article",
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      },
      "screened_at": "2026-08-02T17:27:23.255717+00:00"
    },
    {
      "input_index": 76,
      "record_key": "SWRD:23913",
      "source_database": "SWRD",
      "record_id": 23913,
      "year": 1998,
      "title": "It's like death - but not permanent",
      "abstract": "In this article, I will describe an assessment for psychotherapeutic help, which I undertook at the Tavistock Clinic Adolescent Department, of a young man to whom I will refer as 'Mr X'. I will outline the purpose and context of the intervention, along with my formulation of the situation and the ways in which these ideas were informed by the contributions of theory, the support opportunities available to me within the setting, and an understanding of developmental issues. This account illustrates the difficulties of assessing a disturbed and suicidal adolescent, and of reaching a balanced and considered decision about the appropriateness and safety of psychotherapy in the community whilst holding in mind considerations of risk. I will, throughout, use quotations from my written account of the sessions, denoted by italics.",
      "authors": "Deacon, J",
      "author_ids": "",
      "journal_or_venue": "Journal of Social Work Practice",
      "doi": "10.1080/02650539808415134",
      "record_type": "Article; Proceedings Paper",
      "database_method": "Qualitative",
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        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T17:27:25.580093+00:00"
    },
    {
      "input_index": 77,
      "record_key": "SWRD:126201",
      "source_database": "SWRD",
      "record_id": 126201,
      "year": 1998,
      "title": "Long-term evaluation of group counselling of women with a history of child sexual abuse: focus on depression, self-esteem, suicidal behaviors and social support.",
      "abstract": "A follow-up study six years after enrollment in social work group therapy focusing on childhood sexual abuse issues shows that the 28 individuals involved retained their gains in self-esteem and reduction of depression and suicidality. Very depressed women, with sexual abuse historiesreferred because of ethical restraints to psychiatrists, made fewer gains. Women with multiple abuse histories (combinations of physical, emotional and/or sexual abuse in childhood simultaneously or sequentially) and women who are blamed and rejected by their mothers for the childhood abuse, tendedto make fewer gains on the relevant measures, either in groups or in psychiatric treatment. (Journal abstract.)",
      "authors": "Bagley, C.",
      "author_ids": "",
      "journal_or_venue": "Social Work with Groups",
      "doi": null,
      "record_type": "Article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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      "screened_at": "2026-08-02T17:27:27.776061+00:00"
    },
    {
      "input_index": 80,
      "record_key": "SWRD:98793",
      "source_database": "SWRD",
      "record_id": 98793,
      "year": 1998,
      "title": "Prevalence of suicide attempts and suicidal ideation among lesbian and gay youth",
      "abstract": "Researchers argue that a disproportionate number of lesbian and gay adolescents attempt suicide. The problem demands careful attention from social work. Most, perhaps all, social workers serve lesbian and gay clients. Some are aware of it. Yet all too often social workers assume that the sexual orientation of the adolescents with whom they work does not vary. When that assumption is made, social workers may be missing a key opportunity to understand and intervene with and on behalf of gay and lesbian teens. This paper begins by defining several pertinent terms. Next, it examines findings concerning prevalence and risk factors for suicidality in lesbian and gay youth, and provides information on recognizing lesbian and gay adolescents. The paper ends with an overview of areas in which social workers need to intervene. © 1998 by The Haworth Press, Inc. All rights reserved.",
      "authors": "Saulnier C.",
      "author_ids": "",
      "journal_or_venue": "Journal of Gerontological Social Work",
      "doi": "10.1300/j041v08n03_05",
      "record_type": "Journal Article",
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      "screening": {
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        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T17:27:34.469317+00:00"
    },
    {
      "input_index": 81,
      "record_key": "SWRD:32242",
      "source_database": "SWRD",
      "record_id": 32242,
      "year": 1998,
      "title": "Social work assessment at end of life: Practice guidelines for suicide and the terminally ill",
      "abstract": "As social workers, we are educated about the values of client self-determination as well as the affirmation of uniqueness in how the client experiences life and death. In terms of choices at the end of life, assisted suicide has begun to come out of the closet, so to speak, and as a result, the National Association of Social Worker's adopted a policy in 1993 which addresses this end of life option. Oregon passed Ballot Measure 16 in November of 1994 which allows for a terminally ill person to request drugs to end life. As the legalities of assisted suicide are decided by judges and courts, some terminally ill people will think about and decide to take their own lives rather than wait for the disease process to come to its own ending. There are very few practice guidelines available to social workers who work with the suicidal terminally ill. A traditional mental health model for evaluation of lethality cannot be imposed onto this population. A three-part model for assessment and evaluation of a suicidal request from a terminally ill person is proposed in this article.",
      "authors": "Miller, PJ; Hedlund, SC; Murphy, KA",
      "author_ids": "",
      "journal_or_venue": "Social Work in Health Care",
      "doi": "10.1300/j010v26n04_02",
      "record_type": "Article",
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      "database_is_scientific": true,
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      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:27:36.747272+00:00"
    },
    {
      "input_index": 82,
      "record_key": "SWRD:23865",
      "source_database": "SWRD",
      "record_id": 23865,
      "year": 1998,
      "title": "The effects of suicide on the private practitioner: A professional and personal perspective",
      "abstract": "A patient's suicide has a profound effect on the therapist and psychotherapy with a chronically suicidal patient is particularly troubling. Guilt over one's failure to recognize the warning signs, fear of one's incompetence or irresponsibility, shame that one has failed, and fear of being blamed by the patient's loved ones and by colleagues are feelings that frequently surface and that can result in isolating a practitioner from the very sources of peer support that are necessary in order to resolve the trauma. This article explores the effects of suicide on the private practitioner. It discusses how burnout and vicarious traumatization impact upon the therapist who treats the chronically suicidal patient. Two clinical examples illustrate the impact of working with imminent suicide and the aftermath of a patient's death from a personal perspective. Recommendations are made to help private practitioners maintain equilibrium when working with these overwhelming case situations.",
      "authors": "FOX, R; COOPER, M",
      "author_ids": "",
      "journal_or_venue": "Clinical Social Work Journal",
      "doi": "10.1023/a:1022866917611",
      "record_type": "Article",
      "database_method": null,
      "database_is_scientific": true,
      "database_is_empirical": false,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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      "screened_at": "2026-08-02T17:27:38.998758+00:00"
    },
    {
      "input_index": 84,
      "record_key": "SWRD:85233",
      "source_database": "SWRD",
      "record_id": 85233,
      "year": 1998,
      "title": "Youth unemployment, economic deprivation and suicide",
      "abstract": "The objective of this article is to shed light on the relationship between unemployment and financial hardship/recession on the one hand and suicide of young persons on the other, based partly on a review of the literature and partly on a tentative analysis of empirical data from Sweden. Aggregated data have been used to produce a descriptive analysis of the changes in suicide rate with time, changes in the unemployment rate and the proportions of those in receipt of social allowance. Individual level data have been used to perform a cohort study. The results based on aggregated data show that no signs of positive links between suicide rates and unemployment/social allowance recipients figures can be found among Swedish young persons during the last decade. The results from the cohort analysis show a clear link between economic deprivation on the one hand and suicide on the other during the second part of the 1980s.",
      "authors": "Hagquist C.",
      "author_ids": "",
      "journal_or_venue": "International Journal of Social Welfare",
      "doi": "10.1111/j.1468-2397.1998.tb00253.x",
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T17:27:43.591974+00:00"
    },
    {
      "input_index": 85,
      "record_key": "SWRD:23068",
      "source_database": "SWRD",
      "record_id": 23068,
      "year": 1999,
      "title": "Desire to die in terminally ill people:: A framework for assessment and intervention",
      "abstract": "\"Desire-to-die\" statements mane by people with terminal illness may be expressions of depression, suicidal intent, or coping. Careful evaluation can help the social worker understand the meaning of a particular patient's statement. The framework presented in this article suggests that all patients expressing a wish for death be assessed for both depression and suicide risk. This assessment carl identify, those patients who are depressed or suicidal, as well as those using these statements as a way of coping or as an indication of a rational choice for suicide. Differentiating among patients' meanings in this way leads to appropriate interventions.",
      "authors": "Van Loon, RA",
      "author_ids": "",
      "journal_or_venue": "Health & Social Work",
      "doi": "10.1093/hsw/24.4.260",
      "record_type": "Article",
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      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:27:45.816347+00:00"
    },
    {
      "input_index": 86,
      "record_key": "SWRD:31817",
      "source_database": "SWRD",
      "record_id": 31817,
      "year": 1999,
      "title": "Disease, pain and suicidal behavior.",
      "abstract": null,
      "authors": "Meister, ND",
      "author_ids": "",
      "journal_or_venue": "Journal of Psychosocial Oncology",
      "doi": "10.1300/j077v17n01_06",
      "record_type": "Book Review",
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      "database_is_scientific": null,
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      "screening_basis": "title_only",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:27:47.821174+00:00"
    },
    {
      "input_index": 89,
      "record_key": "SWRD:81741",
      "source_database": "SWRD",
      "record_id": 81741,
      "year": 1999,
      "title": "Long-term evaluation of group counselling for women with a history of child sexual abuse: Focus on depression, self-esteem, suicidal behaviors and social support",
      "abstract": "A follow-up study six years after enrollment in social work group therapy focussing on childhood sexual abuse issues shows that the 28 individuals involved retained their gains in self-esteem and reduction of depression and suicidality. Very depressed women, with sexual abuse histories referred because of ethical restraints to psychiatrists, made fewer gains. Women with multiple abuse histories (combinations of physical, emotional and/or sexual abuse in childhood simultaneously or sequentially) and women who were blamed and rejected by their mothers for the childhood abuse, tended to make fewer gains on the relevant measures, either in groups or in psychiatric treatment. © 1998 by The Haworth Press, lnc. All rights reserved.",
      "authors": "Bagley C.",
      "author_ids": "",
      "journal_or_venue": "Social Work with Groups",
      "doi": "10.1300/j009v21n03_06",
      "record_type": "Journal Article",
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      "database_is_scientific": true,
      "database_is_empirical": true,
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T17:27:54.609084+00:00"
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    {
      "input_index": 90,
      "record_key": "SWRD:122667",
      "source_database": "SWRD",
      "record_id": 122667,
      "year": 1999,
      "title": "On the Receiving End of Social Work Services.",
      "abstract": "This narrative chronicles a family tragedy which served to transform my understanding of social work. My years of experience as a social work practitioner and educator failed to prepare me to be a recipient of service. I never knew what it felt like to be a client until my father committed suicide. Reprinted by permission of the publisher.",
      "authors": "Cohen, Marcia B.",
      "author_ids": "",
      "journal_or_venue": "Reflections: Narratives of Professional Helping",
      "doi": null,
      "record_type": "Article",
      "database_method": null,
      "database_is_scientific": false,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:27:56.683126+00:00"
    },
    {
      "input_index": 91,
      "record_key": "SWRD:79502",
      "source_database": "SWRD",
      "record_id": 79502,
      "year": 1999,
      "title": "Risk factors for suicidal behavior among alcoholics: Factors associated with a history of ideation vs. a history of parasuicide",
      "abstract": "Four risk factors for parasuicide and suicide ideation in 197 male and female alcoholism inpatients were investigated: addiction severity, family addiction history, psychiatric symptomatology, and inadequate social support. Risk factors for suicide ideation were psychiatric symptom severity and social dysfunction; those for parasuicide were younger alcohol problem onset, more alcoholism symptoms, greater social dysfunction, and greater psychiatric symptom severity. Logistic regression was utilized to assess the independent effects of risk factors on both suicide ideation and parasuicide. The most efficient model for parasuicide prediction consisted of psychiatric severity, controlling for gender; the most efficient model for ideation was psychiatric severity. © 1999 by The Haworth Press, Inc. All rights reserved.",
      "authors": "Smyth N.J.",
      "author_ids": "",
      "journal_or_venue": "Journal of Human Behavior in the Social Environment",
      "doi": "10.1300/j137v02n03_05",
      "record_type": "Journal Article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T17:27:58.979922+00:00"
    },
    {
      "input_index": 97,
      "record_key": "SWRD:22936",
      "source_database": "SWRD",
      "record_id": 22936,
      "year": 2000,
      "title": "Night falls fast: Understanding suicide.",
      "abstract": null,
      "authors": "Heller, NR",
      "author_ids": "",
      "journal_or_venue": "Clinical Social Work Journal",
      "doi": "10.1023/a:1005190629668",
      "record_type": "Book Review",
      "database_method": null,
      "database_is_scientific": null,
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      "screening_basis": "title_only",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2048299583,
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      },
      "screened_at": "2026-08-02T17:28:12.283078+00:00",
      "screening_source": "Primary screen; blind audit agreement",
      "accuracy_audit": {
        "sample_group": "Relevant Non-empirical",
        "random_seed": 20260802,
        "blind_screening": {
          "is_relevant": true,
          "relevance_rationale": "The title explicitly focuses on understanding suicide, indicating that suicide is the central substantive topic of the record.",
          "evidence_class": "Non-empirical",
          "empirical_method": "Not applicable",
          "classification_rationale": "As a title-only record with no abstract or methodological details provided, there is no defensible evidence of an empirical design, so the conservative fallback to Non-empirical is applied.",
          "confidence": "High"
        },
        "full_label_agreement": true
      }
    },
    {
      "input_index": 98,
      "record_key": "SWRD:22867",
      "source_database": "SWRD",
      "record_id": 22867,
      "year": 2000,
      "title": "Suicide and mental health problems among Swedish youth in the wake of the 1990s recession",
      "abstract": "The purpose of this explorative study is to bring together a variety of Swedish data sources with indicators of youth mental health and living conditions in order to illuminate trends during the last decades, elucidate possible determinants of mental ill health and develop hypotheses to explain the observed trend patterns. The analyses in the study reveal some surprising inconsistencies with respect to the mental health trends among young people during the 1990s, Most striking is the pattern of increasing youth unemployment coinciding with almost inverse trends in the rates of suicide. The secular trends in fatal suicides during this period do not show any increase but some actual decrease in subpopulations despite high sustained levels of unemployment. In contrast, survey data indicate that the general mental health of youth during this period appears to have deteriorated.",
      "authors": "Hagquist, C; Silburn, SR; Zubrick, SR; Lindberg, G; Weitoft, GR",
      "author_ids": "",
      "journal_or_venue": "International Journal of Social Welfare",
      "doi": "10.1111/1468-2397.00130",
      "record_type": "Article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "eval_count": 24
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      "screened_at": "2026-08-02T17:28:14.625029+00:00"
    },
    {
      "input_index": 100,
      "record_key": "SWRD:100900",
      "source_database": "SWRD",
      "record_id": 100900,
      "year": 2000,
      "title": "Three communities' knowledge, attitudes and behaviour regarding suicide",
      "abstract": "Amidst social and political change in South Africa, a situation has arisen where people often do not know how to cope with a crisis. One possible way to deal with a crisis is to attempt suicide. Suicide rates for Africans have increased. This presents a problem as they cannot easily access existing crisis services. Therefore the aim of this study was to determine African and coloured people's knowledge, attitudes and behaviour regarding suicide. A total of 250 respondents, 50 coloured and 200 African, were randomly selected from Heidedal and Mangaung, two residential areas in greater Bloemfontein. Trained fieldworkers conducted interviews with the respondents. The respondents appeared to have negative attitudes towards suicide. They did, however, indicate that the community has sympathy for people who try to kill themselves and that there should be a service in the community to support people in an emotional crisis. Financial and relationship problems were likely to cause a person to contemplate suicide.",
      "authors": "Engelbrecht; McPhail; MC; Beverly; Van Vuuren",
      "author_ids": "",
      "journal_or_venue": "Social Work-Maatskaplike Werk",
      "doi": "10.15270/36-1-1552",
      "record_type": "Article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "prompt_eval_count": 1112,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:28:19.288500+00:00"
    },
    {
      "input_index": 101,
      "record_key": "SWRD:81712",
      "source_database": "SWRD",
      "record_id": 81712,
      "year": 2000,
      "title": "Time-limited cognitive-behavioral group interventions with suicidal adolescents",
      "abstract": "Suicide is the third leading cause of death in adolescents in the United States-following accidents and homicide. This paper reports on group based activities using a cognitive-behavioral therapy (CBT) framework targeted at variables most highly correlated with suicidal ideation and behaviors, including problems associated with self-esteem, cognitive rigidity, social skills deficits, and substance use. Instead of focusing exclusively on treatment of depressive symptoms, this paper presents a series of structured group activities applicable to time-limited groups and designed to increase self-esteem, reduce negative thinking, enhance coping abilities, delimit substance use, and reintroduce the ability to seek and enjoy pleasurable activities with peers. The activities are derived from experiences with adolescents in treatment and are devised to foster rapid group stage development for use in time-limited groups. © 2000, Taylor & Francis Group, LLC. All rights reserved.",
      "authors": "Rittner B.; Smyth N.J.",
      "author_ids": "",
      "journal_or_venue": "Social Work with Groups",
      "doi": "10.1300/j009v22n02_05",
      "record_type": "Journal Article",
      "database_method": null,
      "database_is_scientific": true,
      "database_is_empirical": false,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2348258375,
        "prompt_eval_count": 1099,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:28:21.638301+00:00"
    },
    {
      "input_index": 102,
      "record_key": "SWRD:31461",
      "source_database": "SWRD",
      "record_id": 31461,
      "year": 2000,
      "title": "Understanding suicide attempts by adolescent Hispanic females",
      "abstract": "This article presents integrative model to aid clinicians in understanding suicide attempts by adolescent Hispanic females. On the basis of knowledge accumulated through clinical and research experience, the model describes a convergence of sociocultural, familial, developmental, and psychological factors that include considerations of family and parental functioning; adolescent female development; and the relationships of fathers, mothers, and daughters.",
      "authors": "ZAYAS, LH; Kaplan, C; Turner, S; Romano, K; Gonzalez-Ramos, G",
      "author_ids": "",
      "journal_or_venue": "Social Work",
      "doi": "10.1093/sw/45.1.53",
      "record_type": "Article",
      "database_method": null,
      "database_is_scientific": true,
      "database_is_empirical": false,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2097402417,
        "prompt_eval_count": 986,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:28:23.737193+00:00",
      "screening_source": "Primary screen; blind audit agreement",
      "accuracy_audit": {
        "sample_group": "Relevant Non-empirical",
        "random_seed": 20260802,
        "blind_screening": {
          "is_relevant": true,
          "relevance_rationale": "The article focuses centrally on understanding suicide attempts by a specific population (adolescent Hispanic females), making suicidality the primary subject matter.",
          "evidence_class": "Non-empirical",
          "empirical_method": "Not applicable",
          "classification_rationale": "The abstract describes the presentation of an integrative conceptual model based on accumulated clinical and research experience, rather than reporting new data analysis or a systematic review process.",
          "confidence": "High"
        },
        "full_label_agreement": true
      }
    },
    {
      "input_index": 104,
      "record_key": "SWRD:31010",
      "source_database": "SWRD",
      "record_id": 31010,
      "year": 2001,
      "title": "Bullying as a social malady in contemporary Japan",
      "abstract": "In the past 20 years bullying has become a serious problem in contemporary Japanese society. Bully-related suicides are on the rise and policymakers have been forced to aggressively pursue the issue. This article suggests that bullying in Japan has been affected by many factors, including the stresses involved in the educational system, Japan's indigenous religion, Shinto, and a national trend of passivity towards power. Japan affords us the opportunity to see bullying as an international concern and to learn from the efforts of the Japanese to combat it.",
      "authors": "Treml, JN",
      "author_ids": "",
      "journal_or_venue": "International Social Work",
      "doi": "10.1177/002087280104400109",
      "record_type": "Article",
      "database_method": null,
      "database_is_scientific": true,
      "database_is_empirical": false,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2333802625,
        "prompt_eval_count": 1023,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:28:28.423060+00:00"
    },
    {
      "input_index": 107,
      "record_key": "SWRD:22554",
      "source_database": "SWRD",
      "record_id": 22554,
      "year": 2001,
      "title": "Mortality after care among young adult foster children in Sweden",
      "abstract": "This exploratory study looks at mortality after care among 13,100 former Swedish foster children, placed before their teens. Sources used are two national databases, on child welfare interventions and causes of death. Risk ratios of death for foster children are compared with those of their peers in the general population and with a comparison group, consisting of 10,668 young adults from adverse home backgrounds, who never entered foster family care before their teens. Both ex-foster children and the comparison group were young adults (19-26 years old) at time of follow-up. Results show a moderately elevated risk ratio for both groups compared with peers in the general population, mainly due to more frequent unnatural deaths, especially suicides. Time at first placement was not related to mortality among men, but there was a weak tendency of a higher risk ratio for girls placed at age 7-12. Information on time spent in care is used with caution, due to possible problems with reliability. Almost all comparisons between the foster care and the comparison group fell short of statistical significance. For foster children who had spent more than five years in care, the risk ratio tended to be higher than for foster children with shorter care experience, and similar to that of the comparison group. Foster children who had been in care for less then six years thus tended to have a lower risk ratio than the comparison group.",
      "authors": "Vinnerljung, B; Ribe, M",
      "author_ids": "",
      "journal_or_venue": "International Journal of Social Welfare",
      "doi": "10.1111/1468-2397.00169",
      "record_type": "Article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2633381000,
        "prompt_eval_count": 1200,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:28:35.757842+00:00"
    },
    {
      "input_index": 108,
      "record_key": "SWRD:30902",
      "source_database": "SWRD",
      "record_id": 30902,
      "year": 2001,
      "title": "Night falls fast: Understanding suicide.",
      "abstract": null,
      "authors": "Howard, MO; Vaughn, MG",
      "author_ids": "",
      "journal_or_venue": "Journal of Social Service Research",
      "doi": null,
      "record_type": "Book Review",
      "database_method": null,
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_only",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2069898083,
        "prompt_eval_count": 924,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:28:37.828904+00:00",
      "screening_source": "Primary screen; blind audit agreement",
      "accuracy_audit": {
        "sample_group": "Relevant Non-empirical",
        "random_seed": 20260802,
        "blind_screening": {
          "is_relevant": true,
          "relevance_rationale": "The title explicitly focuses on understanding suicide, indicating that suicide is the central substantive topic of the record.",
          "evidence_class": "Non-empirical",
          "empirical_method": "Not applicable",
          "classification_rationale": "As a title-only record with no abstract or methodological details provided, there is no defensible evidence of an empirical design, so the conservative fallback to Non-empirical is applied.",
          "confidence": "High"
        },
        "full_label_agreement": true
      }
    },
    {
      "input_index": 110,
      "record_key": "SWRD:124371",
      "source_database": "SWRD",
      "record_id": 124371,
      "year": 2001,
      "title": "Risk for preadolescent suicidal behavior: An ecological model.",
      "abstract": "The relationship between preadolescent suicidality (ideation, threats; attempts) and subsequent adolescent suicidal behavior is well documented. This study tested a six domain, ecological suicide risk model in a sample of 69 preadolescent outpatients (aged 5-12 yrs). Items from each domain were correlated with \"suicidality\" as measured by the Pfeffer Spectrum of Suicide Potential Scale. Three domains (child risk factors, childhood traumas, family stressors) had a total of 19 items that were significantly correlated with suicidality. It is shown that children who demonstrate anxiety/depression, aggressive and antisocial behavior in a climate of parental hostility are at risk for suicidal behavior. (PsycINFO Database Record (c) 2012 APA, all rights reserved)",
      "authors": "",
      "author_ids": "",
      "journal_or_venue": "Child & Adolescent Social Work Journal",
      "doi": null,
      "record_type": "Article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2372026583,
        "prompt_eval_count": 1085,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:28:42.596421+00:00"
    },
    {
      "input_index": 111,
      "record_key": "SWRD:100866",
      "source_database": "SWRD",
      "record_id": 100866,
      "year": 2001,
      "title": "Selfmoordneigings en selfdestruktiewe gedrag tydens adolessensie: 'n gestaltterapeutiese riglyn",
      "abstract": "This research study is concerned with exploring suicide orientated behaviour that manifest during adolescence. The goal of this study was to determine the impact of a gestalt therapeutic guideline by using projective techniques, in order to create alternative behaviour for the self-destructive ways in which these suicide orientated adolescents are trying to communicate their messages and express themselves emotionally. In order to achieve this goal, projective techniques within the gestalt approach such as drawings, clay, music, role-play and the diary were used to help these adolescents communicate their feelings in a more constructive way, get control of their lives and achieve gestalt homeostasis.\r\nApplied research was used, in order to make the research results applicable on the practice problem namely suicide orientated behaviour during adolescence, and to provide solutions and alternatives for this behaviour. Two respondents were selected with a goal directed sample, with which six individual gestalt therapeutic sessions each was held. A research hypothesis was made namely that, if a gestalt therapeutic guideline can be done with the potential adolescent who will commit suicide where he can be empowered to be self supportive, express self-destructive feelings and identify alternative behaviour for it, then he will be able to feel less hopeless, helpless and depressed and would be less inclined to end his life. A pre and post test was done with the aid of the ISO-30 measurement scale, in order to determine the impact and success of the guideline, with reference to the suicide orientated adolescent's behaviour and thoughts.\r\nThe research results from the therapeutic intervention as well as the ISO-30 scale, confirmed the hypothesis as true. The adole·scents were very suicide orientated and blocked in regard to alternatives for their self-destructive behaviour, with the start of the sessions. After the gestalt guideline was done, a fundamental decrease in feelings of helplessness and suicide orientation was observed. The cardinal influence and value of a preventional gestalt guideline is evident, in terms of addressing suicidal behaviour during adolescence.",
      "authors": "Swanepoel; Kamerman; Joubert; Sheila B.; JMC",
      "author_ids": "",
      "journal_or_venue": "Social Work-Maatskaplike Werk",
      "doi": "10.15270/37-3-1507",
      "record_type": "Article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2884522708,
        "prompt_eval_count": 1330,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:28:45.482159+00:00"
    },
    {
      "input_index": 112,
      "record_key": "SWRD:127015",
      "source_database": "SWRD",
      "record_id": 127015,
      "year": 2001,
      "title": "Suicide and Self-Destructive Behavior in Adolescence: A Gestalt Therapeutic Guideline",
      "abstract": "This research study is concerned with exploring suicide-oriented behaviors that manifest during adolescence. The goal of this study was to determine the impact of a gestalt therapeutic guideline by using projective techniques to create alternative behavior for the self-destructive ways in which these adolescents are trying to communicate their messages & express themselves emotionally. In order to achieve this goal, projective techniques within the gestalt approach such as drawings, clay, music, role-play, & the diary were used. Applied research was used to make the results applicable in practice & to provide solutions & alternatives for this behavior. Two South African respondents were selected with a goal-directed sample, with which six individual gestalt therapeutic sessions each was held. A research hypothesis was made namely that, if a gestalt therapeutic guideline can be done with the potential adolescent who will commit suicide where he or she can be empowered to be self supportive, express self-destructive feelings, & identify alternative behavior for it, then he or she will be able to feel less hopeless, helpless, & depressed & be less inclined to end his or her life. Pre- & posttests were done with the aid of the ISO-30 measurement scale to determine the impact & success of the guideline, with reference to the suicide-oriented adolescent's behavior & thoughts. The research results from the therapeutic intervention as well as the ISO-30 scale confirmed the hypothesis as true. The adolescents were very suicide-oriented & blocked in regard to alternatives for their self-destructive behavior at the start of the sessions. After the gestalt guideline was done, a fundamental decrease in feelings of helplessness & suicide orientation was observed. The cardinal influence & value of a preventional gestalt guideline is evident in terms of addressing suicidal behavior during adolescence. 1 Figure, 14 References. Adapted from the source document.",
      "authors": "",
      "author_ids": "",
      "journal_or_venue": "Social Work-Maatskaplike Werk",
      "doi": null,
      "record_type": "Article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2876770500,
        "prompt_eval_count": 1284,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:28:48.360413+00:00"
    },
    {
      "input_index": 113,
      "record_key": "SWRD:77182",
      "source_database": "SWRD",
      "record_id": 77182,
      "year": 2001,
      "title": "Suicide and the Elderly: Issues for Clinical Practice",
      "abstract": "Suicide is the eighth leading cause of death in the United States, representing a significant public health problem. The elderly are substantially overrepresented in prevalence rates, accounting for 20 percent of the nation's population. This essay will: (1) present an overview of the major demographic, social and psychological factors involved in suicide among the elderly, (2) briefly discuss the theoretical underpinnings of the study of suicide, (3) address the ethical dilemmas of clinical practice with suicidal elderly, and (4) offer implications for social work practice and suggestions for future research. This paper has important practice implications as it will promote a thorough understanding of suicide among the elderly and discuss strategies for effectively addressing this significant health issue within the context of social work. © 2001 by The Haworth Press, Inc. All rights reserved.",
      "authors": "Roff S.",
      "author_ids": "",
      "journal_or_venue": "Journal of Gerontological Social Work",
      "doi": "10.1300/j083v35n02_03",
      "record_type": "Journal Article",
      "database_method": null,
      "database_is_scientific": true,
      "database_is_empirical": false,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2382623834,
        "prompt_eval_count": 1089,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:28:50.744030+00:00"
    },
    {
      "input_index": 114,
      "record_key": "SWRD:22254",
      "source_database": "SWRD",
      "record_id": 22254,
      "year": 2001,
      "title": "The relationship between the comorbidity of depression with problems in psychosocial functioning and the severity of suicidal ideation",
      "abstract": "This study investigates die relationship between comorbidity of depression with other problems in personal or interpersonal functioning and severity of suicidal ideation. A number of variables are used as covariates, and a number of mechanism variables are included as a means to control for possible biases introduced by missing data. Results suggest that the interactive comorbidity of depression and problems with self-esteem is a significant predictor of severity of suicidal ideation, that this relationship differs across men and women, and that the interactive comorbidity of depression with aggression and with alcohol abuse are significant predictors of severity of suicidal ideation.",
      "authors": "NUGENT, WR; WILLIAMS, M",
      "author_ids": "",
      "journal_or_venue": "Social Service Review",
      "doi": "10.1086/323164",
      "record_type": "Article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2363382625,
        "prompt_eval_count": 1049,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:28:53.108470+00:00"
    },
    {
      "input_index": 115,
      "record_key": "SWRD:124367",
      "source_database": "SWRD",
      "record_id": 124367,
      "year": 2001,
      "title": "The self--Yesterday, today, and tomorrow: Another look at adolescent suicide.",
      "abstract": "The premise that significant differences exist in self concept content, structure, and process, between 3 groups of adolescents (aged 13-17 yrs) was examined in this study, using measures and methods from the field of social cognition. A pilot (and subsequent control) group (n = 23) consisted of non-depressed, non-behaviorally disordered adolescents. The clinical group consisted of 2 subgroups, depressed adolescents (n = 30) and adolescents who had made a previous suicide attempt (n = 12). Ss were recruited and interviewed during 1996-1999. Significant differences were found in positive/negative valence of self schemas, across a number of dimensions, among the groups. Additionally, differences in stability of self in the present were discovered among the 3 groups. Among other implications, these findings suggest that the use of specific, fine grained assessments can contribute to understanding of explicit dimensions within the self that may be related to emotional and/or behavioral issues in adolescence. (PsycINFO Database Record (c) 2012 APA, all rights reserved)",
      "authors": "Carlson, Karen Townsend",
      "author_ids": "",
      "journal_or_venue": "Child & Adolescent Social Work Journal",
      "doi": null,
      "record_type": "Article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2659438750,
        "prompt_eval_count": 1166,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:28:55.769271+00:00"
    },
    {
      "input_index": 117,
      "record_key": "SWRD:98632",
      "source_database": "SWRD",
      "record_id": 98632,
      "year": 2002,
      "title": "Being lesbian, gay, bisexual, and 60 or older in north america",
      "abstract": "This study examined mental and physical health, perceived social support, and experiences with HIV/AIDS of 416 lesbian, gay, and bisexual adults aged 60 to 91. Most participants reported fairly high levels of self-esteem; however, many experienced loneliness. Most also reported low levels of internalized homophobia, but men reported significantly higher levels than women did. Ten percent of respondents sometimes or often considered suicide, with men reporting significantly more suicidal thoughts related to their sexual orientation. Men also had significantly higher drinking scores than women, and more men could be classified as problem drinkers. Only 11% of the respondents said that their health status interfered with the things they wanted to do. Although 93% of the participants knew people diagnosed with HIV/AIDS, 90% said that they were unlikely to be HIV-infected. Participants averaged six people in their support networks, most of whom were close friends. Most support network members knew about the participants’ sexual orientation, and the respondents were more satisfied with support from those who knew. Those living with domestic partners were less lonely and rated their physical and mental health more positively than those living alone. © 2002 by The Haworth Press, Inc. All rights reserved.",
      "authors": "Grossman A.H.; D’augelli A.R.; O’connell T.S.",
      "author_ids": "",
      "journal_or_venue": "Journal of Gerontological Social Work",
      "doi": "10.1300/j041v13n04_05",
      "record_type": "Journal Article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:29:01.473510+00:00"
    },
    {
      "input_index": 118,
      "record_key": "SWRD:79407",
      "source_database": "SWRD",
      "record_id": 79407,
      "year": 2002,
      "title": "Elderly suicidality: Human behavior and social environment perspective",
      "abstract": "This paper is about the serious phenomenon of suicide among the elderly. The accurate incidence of elder suicide is difficult to determine because of the risk of accidental overdose from adverse reaction to prescription drugs. Literature, nevertheless, suggests that suicide has increased dramatically among the elderly, and is predicted to continue to be a serious problem because more people are living longer than ever. This article discusses trends and prevalence of elder suicide from the human behavior in the social environment perspective. A discussion of the interrelatedness of the biological, psychological, and sociocultural dimensions of aging and suicide are discussed and integrated with biopsychosociocultural perspectives as the conceptual framework for understanding suicide among the older population. Intervention initiatives and assessment strategies for working with suicidal older persons are presented. © 2002 by The Haworth Press, Inc. All rights reserved.",
      "authors": "Chima F.",
      "author_ids": "",
      "journal_or_venue": "Journal of Human Behavior in the Social Environment",
      "doi": "10.1300/j137v06n04_02",
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        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:29:03.862089+00:00"
    },
    {
      "input_index": 122,
      "record_key": "SWRD:30347",
      "source_database": "SWRD",
      "record_id": 30347,
      "year": 2002,
      "title": "Half in love with easeful death? Social work with adolescents who harm themselves",
      "abstract": "This paper begins by defining what is meant by adolescence and reviewing the literature which indicates concern for the high rates of suicidal behaviour in adolescence. Possible explanations as to why adolescents harm themselves are considered, as is the contagious aspect of some suicidal behaviours. Extracts from three interviews conducted with young women in residential care who have engaged in self-harming behaviours are then considered. Links are made between what they say and relevant theory. The paper goes on to discuss the impact of suicidal behaviour in residential care settings. It concludes that it is essential to create time and space to think carefully about this complex and multi-faceted difficulty both for the adolescents themselves and those in the caring professions charged with the responsibility of trying to help them.",
      "authors": "SMITH, M",
      "author_ids": "",
      "journal_or_venue": "Journal of Social Work Practice",
      "doi": "10.1080/02650530220134764",
      "record_type": "Article",
      "database_method": "Qualitative",
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        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
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      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T17:29:13.211176+00:00"
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    {
      "input_index": 123,
      "record_key": "SWRD:98656",
      "source_database": "SWRD",
      "record_id": 98656,
      "year": 2002,
      "title": "Homosexuality and risk for psychiatric disorders",
      "abstract": "Social science researchers have traditionally found it difficult to obtain representative samples of gay men and lesbians. Still, this has not prevented some from making broad conclusions about the lives and mental status of homosexuals as a group. In recent months, two separate national studies have examined sexual attitudes and behaviors of adults and adolescents. Collectively, the sample size of males and females surveyed in these studies is in the thousands. Because the subjects in both studies were randomly selected, the findings were based on persons with a wide spectrum of sexual attitudes and behaviors. In many respects, these studies confirm some of the data from smaller studies. That is, homosexual orientation can be a risk factor for psychiatric disturbance for some men and women. In addition, adolescents struggling with issues related to sexual orientation are two times more likely than their peers to consider or attempt suicide. © 2002 by The Haworth Press, Inc. All rights reserved.",
      "authors": "Alexander C.",
      "author_ids": "",
      "journal_or_venue": "Journal of Gerontological Social Work",
      "doi": "10.1300/j041v14n03_06",
      "record_type": "Journal Article",
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      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:29:15.601498+00:00"
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    {
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      "record_key": "SWRD:30070",
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      "record_id": 30070,
      "year": 2002,
      "title": "Rebellion and revenge: the meaning of suicide of women in rural China",
      "abstract": "The current literature on suicide in China shows that the female suicide rate is extraordinarily higher than the rate for males. Many studies have been conducted on the prevalence and perpetrating factors for suicidal incidents. Few have attempted to understand women's suicide acts. In this article, the ethnographic data are used to explore the special meaning of the suicide act in a Chinese family and its impact on the other family members. Research has shown that suicide may have a different meaning in the Chinese context, especially for women with an inferior status within the family. Suicide is taken as an act of revenge in a moral and spiritual sense. The act of suicide is very powerful; it grants the woman so much power that she may achieve what she could not during her lifetime. The suicide event remains in the collective memory of the relatives and other people who knew the person. Its powerful meaning is related to the memory of the transgressive event of taking one's own life as well as to the collective and personal guilt connected with the event.",
      "authors": "Meng, L",
      "author_ids": "",
      "journal_or_venue": "International Journal of Social Welfare",
      "doi": "10.1111/1468-2397.00239",
      "record_type": "Article",
      "database_method": "Qualitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:29:20.680955+00:00"
    },
    {
      "input_index": 126,
      "record_key": "SWRD:79419",
      "source_database": "SWRD",
      "record_id": 79419,
      "year": 2002,
      "title": "Social alienation in gay youth",
      "abstract": "The focus of this article is twofold; first, to review known risk factors for gay youth including: substance abuse, depression, suicide, and HIV risks, secondly, to determine the impact of social support factors; specifically parental, peer and religious support factors for this population. Evidence suggests that gay and lesbian youth are at high risk for isolation and subsequent psychological damage that results from social alienation. Insight into the problems faced by gay youth, along with some helpful intervention strategies for professionals working with a gay adolescent population is discussed. © 2002 by The Haworth Press, Inc. All rights reserved.",
      "authors": "Michael Sullivan; John S. Wodarski",
      "author_ids": "",
      "journal_or_venue": "Journal of Human Behavior in the Social Environment",
      "doi": "10.1300/j137v05n01_01",
      "record_type": "Journal Article",
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      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:29:23.069254+00:00"
    },
    {
      "input_index": 127,
      "record_key": "SWRD:30135",
      "source_database": "SWRD",
      "record_id": 30135,
      "year": 2002,
      "title": "Social work with clients contemplating suicide: Complexity and ambiguity in the clinical, ethical, and legal considerations",
      "abstract": "Social workers in agency and private practice settings often work with clients grappling with suicide, either as an acute or chronic situation. Probably more than any other clinical condition, suicide forces the practitioner to confront complex ethical, legal, and psychological questions while managing an urgent circumstance. This article attempts to illuminate the ethical and legal considerations that may arise when a client contemplates suicide. Rather than advancing one answer, we stress that in training and the workplace social workers must fully consider the complexities and ambiguities of a client's experiences as well as their own clinical, ethical, and legal obligations.",
      "authors": "Mishna, F; Antle, BJ; Regehr, C",
      "author_ids": "",
      "journal_or_venue": "Clinical Social Work Journal",
      "doi": "10.1023/a:1016045431637",
      "record_type": "Article",
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      "screening": {
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        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:29:25.431724+00:00"
    },
    {
      "input_index": 128,
      "record_key": "SWRD:114988",
      "source_database": "SWRD",
      "record_id": 114988,
      "year": 2002,
      "title": "Substance Abuse and Suicidal Behavior inWomen Ages 30 to 39 Years",
      "abstract": "A growing number of young women abuse substances and engage in suicidal behavior. Combinations of these problems are under-researched. Research that exists includes women of all ages in the samples. This study adds information to the current state of knowledge on these problem behaviors by limiting the sample to women ages 30 to 39 years. A group of 113 women, part of a larger study of 364 women who had received inpatient psychiatric treatment,was included in this study. Findings revealed that most of the women had made at least one suicide attempt and nearly one-quarter were in the hospital for a current attempt. Almost 60% had engaged in substance abuse at some point in their lives. The combination of continued substance abuse and suicidal behavior could result in an early death for some women. Implications for treatment and future research are discussed.",
      "authors": "Nancy J. Osgood; Nancy J. Osgood; Nancy J. Osgood; Ameda A. Manetta; Ameda A. Manetta; Ameda A. Manetta",
      "author_ids": "",
      "journal_or_venue": "Advances in Social Work",
      "doi": "dc/136ca55e62",
      "record_type": "fetch_failed",
      "database_method": "Quantitative",
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      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:29:27.874891+00:00"
    },
    {
      "input_index": 129,
      "record_key": "SWRD:125189",
      "source_database": "SWRD",
      "record_id": 125189,
      "year": 2002,
      "title": "Suicide Attempts by Adolescent Latinas: An Exploratory Study of Individual and Family Correlates.",
      "abstract": "Epidemiological data show high rates of suicide attempts among adolescent Latinas.  Few studies have addressed the psychosocial, cultural and family correlates of suicide attempts among this age group of a rapidly growing population.  The authors studied 31 adolescent Hispanic females who were receiving mental health services; 14 girls had attempted suicide in the previous five years and 17 had never attempted suicide.  The two groups of girls did not differ significantly with respect to demographic profiles, levels of depression, family type, acculturation, or self-esteem.  However, as hypothesized, the mutuality between girls and their mothers was lower among suicide attempters.  Maladaptive coping skills of withdrawal and wishful thinking were more commonly used by attempters, and non-attempters used emotional regulation and problem-solving more frequently.  Findings are discussed within the context of the empirical and theoretical literature and implications for practice are considered.  Reprinted by permission of the publisher.",
      "authors": "",
      "author_ids": "",
      "journal_or_venue": "Child & Adolescent Social Work Journal",
      "doi": null,
      "record_type": "Article",
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      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:29:30.317589+00:00"
    },
    {
      "input_index": 132,
      "record_key": "SWRD:118980",
      "source_database": "SWRD",
      "record_id": 118980,
      "year": 2002,
      "title": "Using Reasons for Living to Connect to American Indian Healing Traditions",
      "abstract": "Responding to high rates of suicide for American Indian youth, helping professionals often struggle to connect healing traditions from American Indian cultures to tools from European psychology. The differences between American Indian healing and European therapy can be vast. Finding connections or building bridges between these two perspectives may be more difficult than it appears (Duran & Duran, 1995). One method to bring together these worldviews is to use the Reasons for Living Questionnaire (RFL, Linehan, Goldstein, Nielsen, & Chiles, 1983); the Reasons for Living Inventory for Adolescents (RFL-A, Osman, Downs, Kopper, Barios, Besett, Linehan, Baker, & Osman, 1998), or other psychological assessments developed using the RFL as a foundation.Reasons for Living (RFL) assessments have emerged as powerful strength based tools for assessing suicide risk (Range & Knott, 1997). RFL and RFL-A factors link to a relational worldview common to most American Indian people. A relational worldview considers a balance between forces often identified as spirit, context, mind, and body (Cross, 1998).Using RFL or RFL-A in suicide assessments allows practitioners to assess where youth may be out of balance in one or more of the four traditional areas: spirit, context, mind, and body. This may assist specific referrals to culturally appropriate healing. RFL and RFL-A assessments could be augmented to improve their correspondence to the relational worldview.",
      "authors": "Crofoot Graham, Thomas L.; Crofoot Graham, Thomas L.",
      "author_ids": "",
      "journal_or_venue": "The Journal of Sociology & Social Welfare",
      "doi": "oai:scholarworks.wmich.edu:jssw-2787",
      "record_type": "fetch_failed",
      "database_method": null,
      "database_is_scientific": true,
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      "screening_basis": "title_and_abstract",
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        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:29:38.050663+00:00"
    },
    {
      "input_index": 133,
      "record_key": "SWRD:22005",
      "source_database": "SWRD",
      "record_id": 22005,
      "year": 2002,
      "title": "Working with the risk of suicide in young people",
      "abstract": "This paper provides a psychoanalytic framework for working with adolescents at risk of suicide, which, it is argued, is essential for understanding the wide range of presentations of suicidality in adolescence, and for making sense of the powerful emotional impact of this work on the worker. The paper locates the discussion in the context of current knowledge of patterns of suicidality, and focuses on discussing internal dynamics and the adolescents' relationships with the body. It concludes that a containing reflective space is the most effective way of reducing suicide risk in each individual case.",
      "authors": "Briggs, S",
      "author_ids": "",
      "journal_or_venue": "Journal of Social Work Practice",
      "doi": "10.1080/0265053022000033702",
      "record_type": "Article",
      "database_method": null,
      "database_is_scientific": true,
      "database_is_empirical": false,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2564164916,
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        "eval_count": 27
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      "screened_at": "2026-08-02T17:29:40.615979+00:00"
    },
    {
      "input_index": 134,
      "record_key": "SWRD:86835",
      "source_database": "SWRD",
      "record_id": 86835,
      "year": 2003,
      "title": "Attempting suicide and help-seeking behaviours: Using stories from young people to inform social work practice",
      "abstract": "In recent decades Australia has recorded one of the highest youth suicide rates worldwide. Attempted suicide is considered to be up to 50 times more common than completed suicides. This small, qualitative study, undertaken in North Queensland, aimed to offer a window into young people's lives concerning their suicide attempt(s) and their help-seeking behaviours. In-depth interviews were undertaken with nine young people. Findings reveal help was sought from a range of individuals prior to the attempt, including family, friends and professional workers. Regarding their attempts, there was evidence in some stories of a series of events leading up to the attempt, but also evidence in others of more impulsive acts. The intent of the attempt for this sample appeared to be unique to individual attempts. Getting information about depression, and workers listening to young people's unique story was important and workers, who could fill a ‘mate’ role, was viewed by some participants as helpful. © 2003, Taylor & Francis Group, LLC.",
      "authors": "Gair S.; Camilleri P.",
      "author_ids": "",
      "journal_or_venue": "Australian Social Work",
      "doi": "10.1046/j.0312-407x.2003.00064.x",
      "record_type": "Journal Article",
      "database_method": "Qualitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2464578334,
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        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:29:43.081933+00:00"
    },
    {
      "input_index": 135,
      "record_key": "SWRD:77113",
      "source_database": "SWRD",
      "record_id": 77113,
      "year": 2003,
      "title": "Depression and suicide among community elderly",
      "abstract": "The phenomena of hopelessness, depression and, suicidality among the elderly have been long recognized as a social problem. It is commonly agreed that the rates of depression, sense of hopelessness and, suicidality in that age group are higher among older people. Due to its sensitive nature, the gerontological literature has been paid more theoretical and empirical attention to the understanding of such phenomena at the last two decades. The present study concerned hopelessness, depression and, suicidality among an elderly community population. It aimed at providing a demographic profile of factors contributing to depression and suicidality among old people. At five senior citizen centers at the north of Israel, 316 old people living in the community were randomly selected. Subjects were administered the Beck Depression Inventory (BDI), the Beck Hopelessness Scale (HS), and the Scale for Suicidal Ideation (SSI). The data suggest that four main demographic variables contributed to the explanation of suicidality, depression, and hopelessness among the elderly. Practical implications are discussed. © 2002 by The Haworth Press, Inc. All rights reserved.",
      "authors": "Ron P.",
      "author_ids": "",
      "journal_or_venue": "Journal of Gerontological Social Work",
      "doi": "10.1300/j083v38n03_04",
      "record_type": "Journal Article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2498055250,
        "prompt_eval_count": 1143,
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      "screened_at": "2026-08-02T17:29:45.581374+00:00"
    },
    {
      "input_index": 137,
      "record_key": "SWRD:29927",
      "source_database": "SWRD",
      "record_id": 29927,
      "year": 2003,
      "title": "Does the fact that a client has failed to provide requested information predict severity of suicidal thinking?: A criterion validity study of missing client information",
      "abstract": "Objective: A study was conducted to investigate the validity of missing information on a client background questionnaire as an indicator of suicidal thinking. Method: Four hundred six responses on a client background questionnaire and on the Multi-Problem Screening Inventory, were obtained and analyses conducted to test the relationship between missing client information on the background questionnaire and the severity of suicidal ideation. Results: Results suggested that missing information on education, income, and/or number of persons living with the respondent were valid indicators of the severity of suicidal thinking and that the relationship between depression and severity of suicidal ideation, and between aggression and severity of suicidal ideation, may be stronger for clients who fail to report their income than for those who do. Conclusion: Missing information on intake forms may be useful as both an early screening tool for suicidal thinking and as important information when conducting in-depth suicide risk assessments.",
      "authors": "NUGENT, WR; Williams-Hayes, M",
      "author_ids": "",
      "journal_or_venue": "Research on Social Work Practice",
      "doi": "10.1177/1049731503013004005",
      "record_type": "Article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2479504375,
        "prompt_eval_count": 1105,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:29:50.470718+00:00"
    },
    {
      "input_index": 139,
      "record_key": "SWRD:21890",
      "source_database": "SWRD",
      "record_id": 21890,
      "year": 2003,
      "title": "National and regional differences among runaway youth using federally-funded crisis services",
      "abstract": "This study examined national and regional differences between runaway shelter users and national census norms oil demographic and high-risk characteristics. Data collected from federally-funded youth shelters nationwide (n = 16,652) were compared with U.S. adolescent Populations (n = 26,735,028). Runaway youth. were more likely to be female, minority and older than respective national figures; ethnicity varied greatly from one region of the U.S. to another. Proportions of youth with high-risk characteristics, Such as illicit drug use and selling, Suicidal behaviors, and physical and sexual abuse were strikingly different across regions. Development of policies and services that target particular issues of youth in specific regions is needed. (C) 2003 by The Haworth Press, Inc. All rights reserved.",
      "authors": "Thompson, SJ; Maguin, E; Pollio, DE",
      "author_ids": "",
      "journal_or_venue": "Journal of Social Service Research",
      "doi": "10.1300/j079v30n01_01",
      "record_type": "Article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:29:55.323119+00:00"
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    {
      "input_index": 140,
      "record_key": "SWRD:84947",
      "source_database": "SWRD",
      "record_id": 84947,
      "year": 2003,
      "title": "On-Line, Computer-Based, Interactive Simulations: Bridging Classroom and Field",
      "abstract": "This paper briefly describes two educational tutorial programs, and the efforts of this author to evaluate the effectiveness of these computer mediated programs. One interactive program is designed to teach students how to apply crisis concepts to a practice simulation, and the second program is designed to teach students how to assess lethality with a suicidal client. Formal evaluations by students of these two programs and student performance on a follow-up quiz have produced positive results. A comparison study of classes who completed these programs and a class that did not have the training has also produced significant, favorable results. © 2003 by The Haworth Press, Inc. All rights reserved.",
      "authors": "Seabury B.",
      "author_ids": "",
      "journal_or_venue": "Journal of Technology in Human Services",
      "doi": "10.1300/j017v22n01_04",
      "record_type": "Review",
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        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T17:29:57.734716+00:00"
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    {
      "input_index": 141,
      "record_key": "SWRD:77111",
      "source_database": "SWRD",
      "record_id": 77111,
      "year": 2003,
      "title": "Preventing unnecessary deaths among older adults: A call to action for social workers",
      "abstract": "The United States Surgeon General has identified suicide as a national public health problem and recognized that mind and body are inseparable (U.S. Department of Health and Human Services, 1999). Poor mental health and medical conditions can lead to expressions of a desire to die, depression, suicide, and requests for physician-assisted suicide. This paper examines depression and the risks for suicide, suicide prevention, physician-assisted suicide (including the experience of Oregon's Death with Dignity Act, 1994) among older adults. The appropriate role for social workers in preventing unnecessary deaths is discussed. © 2002 by The Haworth Press, Inc. All rights reserved.",
      "authors": "Csikai E.; Manetta A.",
      "author_ids": "",
      "journal_or_venue": "Journal of Gerontological Social Work",
      "doi": "10.1300/j083v38n03_06",
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        "empirical_method": "Not applicable"
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      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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    {
      "input_index": 143,
      "record_key": "SWRD:115912",
      "source_database": "SWRD",
      "record_id": 115912,
      "year": 2003,
      "title": "REFLECTIONS ON THE EXPERIENCES AND NEEDS OF ADOLESCENTS WHO HAVE ATTEMPTED SUICIDE: A QUALITATIVE STUDY",
      "abstract": "Suicide and attempted suicide as a response to crisis are growing alarmingly among the young. Thomerson (2002:30) states that “Youth suicide is a growing epidemic… It is currently the third leading cause of death of 15- to 24-year-olds, and the fourth leading cause of death among 10- to 14-year-olds. Nearly 4600 kids killed themselves in the United States, and approximately 46 000 others tried”. Schlebusch (1995:3) has confirmed the high incidence of attempted suicides by postulating that for every completed suicide there are at least eight to ten attempted suicides. In a study by Terblanche, Bates, Bokwana, Brits, Corder, Cuendet, Davis, Donson, Mbengu, Ngesi, Olivier, Roger, Stokwe, Totana and Viljoen (1999:148) on risk behaviours of high school learners in Port Elizabeth, South Africa, it was found that 25% of a sample of 2198 learners that had responded to the specific item in the questionnaire on having thoughts the past year, had such thoughts in the year preceding the study. Fro",
      "authors": "Nicky Aspaslan",
      "author_ids": "",
      "journal_or_venue": "Social Work-Maatskaplike Werk",
      "doi": "dc/d2d5c5d62b",
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    {
      "input_index": 144,
      "record_key": "SWRD:30021",
      "source_database": "SWRD",
      "record_id": 30021,
      "year": 2003,
      "title": "Responses of health and social care staff to South Asian women who attempt suicide and/or self-harm",
      "abstract": "This paper draws on a ten month British study completed in April 2001 investigating service responses to women of South Asian background who had attempted suicide or who se (harmed. The scope of the study is briefly outlined and an analysis of perspectives documented in the study is presented, drawing on research interviews with 18 staff from a variety of health and social care disciplines and with seven survivors of attempted suicide/self-harm. The implications of this analysis for improving practice are considered. Attitudes surrounding attempted suicide and self-harm are discussed. The issue of 'race anxiety' is also discussed. The factors seen by workers as contributing to South Asian women's attempted suicide are considered, with a particular focus on the difficulties caused in the delivery of services by common-sense accounts of cultural issues. Current approaches to the delivery of services to South Asian women are identified and analysed, showing how their current organisation can lead to circularity in referral systems and consequent non-intentional neglect of the needs of this client group. It is urged that proper consideration be given to the support and professional supervision of staff in this complex area of work.",
      "authors": "Batsleer, J; Chantler, K; Burman, E",
      "author_ids": "",
      "journal_or_venue": "Journal of Social Work Practice",
      "doi": "10.1080/0265053032000071484",
      "record_type": "Article",
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      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
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        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T17:30:08.180321+00:00"
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    {
      "input_index": 145,
      "record_key": "SWRD:125171",
      "source_database": "SWRD",
      "record_id": 125171,
      "year": 2003,
      "title": "South Asian women: exploring systemic service inequalities around attempted suicide and self-harm.",
      "abstract": "A study was conducted in the Manchester area of England, to explore service responses to women of South Asian background who have attempted suicide or self-harm.  The specific experiences of these women were highlighted in order to increase understanding of the issues that they face and the appropriate measures that should be taken to develop services that are both gender sensitive and antiracist.  Despite the specific scope of the research, the findings, which indicate that South Asian women are situated in systematically unequal ways in terms of their access to services in relation to non-minoritized women, have implications for European-wide service policy and provision.",
      "authors": "Chantler, Khatidja; Burman, Erica; Batsleer, Janet",
      "author_ids": "",
      "journal_or_venue": "European Journal of Social Work",
      "doi": null,
      "record_type": "Article",
      "database_method": "Qualitative",
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      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
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        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:30:10.635307+00:00"
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    {
      "input_index": 146,
      "record_key": "SWRD:84938",
      "source_database": "SWRD",
      "record_id": 84938,
      "year": 2003,
      "title": "Team up to save lives: What your school should know about preventing youth suicide",
      "abstract": "Product Summary: Team Up to Save Lives is a computer based training and reference tool to assist in the prevention of adolescent suicide. It is also an interactive tutorial, which can help educate school staff about adolescent suicide prevention. Evaluation Summary: Team Up to Save Lives is an interactive software created by the University of Illinois at Chicago and funded by Ronald McDonald House Charities. It is intended for use by school personnel interested in setting up a crisis team to prevent adolescent suicide. The software provides detailed and comprehensive information about the etiology, epidemiology, and assessment of factors associated with adolescent suicide. It also provides information on how to set up both a school based and community based crisis intervention team that would deal with all aspects related to adolescent suicide. © 2003 by The Haworth Press, Inc. All rights reserved.",
      "authors": "Pahwa B.",
      "author_ids": "",
      "journal_or_venue": "Journal of Technology in Human Services",
      "doi": "10.1300/j017v21n03_09",
      "record_type": "Journal Article",
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        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T17:30:13.117093+00:00"
    },
    {
      "input_index": 148,
      "record_key": "SWRD:21424",
      "source_database": "SWRD",
      "record_id": 21424,
      "year": 2004,
      "title": "A comparison of Child-Sex-Abuse-Related and Mental-Disorder-Related suicide in a six-year cohort of regional suicides: The importance of the child protection-psychiatric interface",
      "abstract": "The study compares Mental-Disorder-Related (MDR) suicide rates with Child-Sex-Abuse-Related (CSAR) suicide of 'Victims' and 'Perpetrators' of child sex abuse, based upon an examination of all Coroners' inquest files over a six-year period (n = 1,017). Census data, psychiatric case register and police records were used to calculate the potential MDR and CSAR populations. There were five main findings: (i) male and female CSAR victim suicide rates were 2.2. and 2.5 times the General Population Suicide Rate (GPSR), respectively; (ii) every female, and 80 per cent of male CSAR victim suicides, also had a mental disorder but none of the CSAR perpetrator suicides; (iii) male and female MDR suicide rates were 5 and 6 times the CSAR Victim rates; (iv) the sex abuser perpetrators' suicide rate was more than 3 times the male MDR rate; (v) the intra- and extra-familial perpetrator suicide rates, were 25 and 78 times the GPSR, respectively. Possible explanations for these surprising results are briefly discussed. They confirm the over-representation of people with mental disorder amongst suicides, and identify an over-representation of CSAR suicides, particularly perpetrators. The results have implications for suicide prevention programmes, whilst highlighting the importance of the child protection-psychiatric interface, and indicates the futility of simple explanations in an area of practical and moral complexity.",
      "authors": "PRITCHARD, C; King, E",
      "author_ids": "",
      "journal_or_venue": "British Journal of Social Work",
      "doi": "10.1093/bjsw/bch021",
      "record_type": "Article",
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T17:30:18.508948+00:00"
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    {
      "input_index": 150,
      "record_key": "SWRD:21435",
      "source_database": "SWRD",
      "record_id": 21435,
      "year": 2004,
      "title": "Depression in North Carolina social workers: Implications for practice and research",
      "abstract": "This article explores depression in social workers, examines the potential negative professional consequences-that is, impairment-and investigates the personal and occupational variables associated with depression. One thousand active NASW members were anonymously surveyed as a part of the study \"Work and Well-Being: A Study of North Carolina Social Workers,\" which explored a variety of health, work, and personal variables. The study found that 19% of the sample scored above the threshold on the Center for Epidemiologic Studies-Depression Scale measuring depressive symptoms, 16% had seriously considered suicide of some time in their lives, 20% were currently taking medication for depression, and 60% self-evaluated as depressed either currently or at some time in the past. Both occupational and personal variables were related to depressive symptoms.",
      "authors": "Siebert, DC",
      "author_ids": "",
      "journal_or_venue": "Social Work Research",
      "doi": "10.1093/swr/28.1.30",
      "record_type": "Article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:30:23.908160+00:00"
    },
    {
      "input_index": 151,
      "record_key": "SWRD:76992",
      "source_database": "SWRD",
      "record_id": 76992,
      "year": 2004,
      "title": "Depression, hopelessness, and suicidal ideation among the elderly: A comparison between men and women living in nursing homes and in the community",
      "abstract": "This study attempts to compare levels of depression, hopelessness, and suicidal ideation among elderly males and females, in reference to their living arrangement, i.e., community vs. nursing homes. For many elderly people, old age is characterized by various losses: physiological, functional, social, cognitive, financial, etc. The outcomes of such losses often include, more often than not, environmental isolation, a subjective feeling of loneliness, anxiety, depression, and frequently, loss of motivation to continue living. In light of the rise in life expectancy and the multitude of losses which can be associated with the aging process, it is probable that one out of five elderly persons will spend part of his/her life in a long term care institute. Such living arrangements may have negative effects on the mental health of its residents, because placement is often accompanied by feelings of lack of control over one's own life, and inability to make decisions regarding daily issues. Elderly persons living in the community (227: 78 men, 149 women) and 91 living in nursing homes (33 men, 58 women), in both independent and frail functional status (ADL), participated in the study. Findings show significantly more hopelessness, helplessness, and depression among residents of nursing homes compared to those living in the community, differences between men and women living in both environments, and a correlation between other demographic variables and the three dependent variables of the study. The conclusions of the study indicate a need to pay interdisciplinary attention to the mental health of elderly residents of nursing homes, particularly in the preliminary stages of placement and adjustment. © 2004 by The Haworth Press, Inc. All rights reserved.",
      "authors": "Ron P.",
      "author_ids": "",
      "journal_or_venue": "Journal of Gerontological Social Work",
      "doi": "10.1300/j083v43n02_07",
      "record_type": "Journal Article",
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        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T17:30:26.840701+00:00"
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    {
      "input_index": 152,
      "record_key": "SWRD:107364",
      "source_database": "SWRD",
      "record_id": 107364,
      "year": 2004,
      "title": "Grieving a suicide: a loved one's search for comfort, answers & hope",
      "abstract": null,
      "authors": "Gideon, Myra",
      "author_ids": "",
      "journal_or_venue": "Journal of Technology in Human Services",
      "doi": null,
      "record_type": null,
      "database_method": null,
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      "screening_basis": "title_only",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:30:29.018412+00:00"
    },
    {
      "input_index": 154,
      "record_key": "SWRD:21273",
      "source_database": "SWRD",
      "record_id": 21273,
      "year": 2004,
      "title": "Psychosocial treatment of youth suicide: A systematic review of the research",
      "abstract": "This article systematically reviews evidence for treatment of adolescent suicidality. In all, 10 empirical studies intended to reduce suicidal behaviors (e.g., suicide attempts) or suicidal ideation were reviewed. Each study's intervention was described and evaluated using two sets of independent criteria to assess the degree to which it was successful in reducing suicidality and the level of its empirical support (well established or probably efficacious). Most of the interventions were successful in reducing suicidality. However no treatment met the criteria of well established and only two were probably efficacious. Most studies had important methodological limitations. Features of the promising interventions were summarized and methodological limitations highlighted. The number of interventions has increased in the past 10 years, but the research evidence remains weak. Recommendations are offered to strengthen the research, and the role of social workers in using these findings and advancing the research is discussed.",
      "authors": "Macgowan, MJ",
      "author_ids": "",
      "journal_or_venue": "Research on Social Work Practice",
      "doi": "10.1177/1049731503257889",
      "record_type": "Article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Review"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T17:30:33.848065+00:00"
    },
    {
      "input_index": 157,
      "record_key": "SWRD:98473",
      "source_database": "SWRD",
      "record_id": 98473,
      "year": 2004,
      "title": "Self-Esteem, locus of control, and suicide risk: A comparison between clinically depressed white and African American females on an inpatient psychiatric unit",
      "abstract": "Past research suggests that African American clients in need of mental health services are less likely to be properly diagnosed and receive appropriate treatment compared to White Americans. It has been further suggested that this may be even a greater problem for those who are both African American and female. In the current study, 2 groups of hospitalized clinically depressed females (92 African American females; 99 White females) were administered the Self-Esteem Rating Scale, Internal Control Index, and Suicide Risk Scale. Results indicated more similarities than differences between the two groups. For instance, there were no differences in locus of control or suicide risk between groups. In addition, although there were differences in self-esteem between groups, self-esteem was the best predictor of suicide risk within groups (White, R<sup>2</sup> =42%; African American, R<sup>2</sup> = 19%). African American females possessed higher self-esteem than White females (p =.05). For African American females age and self-esteem were positively correlated (r =.27, p =.01). Clinically depressed females could benefit from treatment focusing on improving self-esteem within a context of multicultural sensitivity. © 2003 by The Haworth Press, Inc. All rights reserved.",
      "authors": "Palmer C.; Rysiew M.J.; Koob J.J.",
      "author_ids": "",
      "journal_or_venue": "Social Work with Groups",
      "doi": "10.1300/j051v12n04_03",
      "record_type": "Journal Article",
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      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:30:41.480346+00:00"
    },
    {
      "input_index": 159,
      "record_key": "SWRD:29554",
      "source_database": "SWRD",
      "record_id": 29554,
      "year": 2004,
      "title": "The criterion validity of omitted client information as an indicator of suicide risk: A partial replication",
      "abstract": "The purpose of the research reported in this article was to replicate findings reported by Nugent and Williams-Hayes that suggested that there is a relationship between missing information on demographic items found on client intake forms and severity of suicidal ideation. Replication of these results would have important implications for social work practitioners. A secondary analysis of 153 sets of responses to measures from a previous study was conducted to test 3 hypotheses concerning the relationship between suicidal potential and failure to report income on a demographic questionnaire. The results partially replicated those of Nugent and Williams-Hayes and provided further evidence of a relationship between missing information on an intake-like form and suicidal thinking. These findings support the use of omitted information on client intake forms as predictors of suicidal ideation by social work practitioners and other professionals in a variety of practice settings.",
      "authors": "NUGENT, WR; Hicks, D; SMITH, M",
      "author_ids": "",
      "journal_or_venue": "Research on Social Work Practice",
      "doi": "10.1177/1049731503262132",
      "record_type": "Article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2423914875,
        "prompt_eval_count": 1090,
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      "screened_at": "2026-08-02T17:30:46.319240+00:00"
    },
    {
      "input_index": 161,
      "record_key": "SWRD:29552",
      "source_database": "SWRD",
      "record_id": 29552,
      "year": 2004,
      "title": "Women, trauma histories, and co-occurring disorders: Assessing the scope of the problem",
      "abstract": "Findings are presented from one site in a federal study of services for women who have co-occurring mental health and substance use problems and histories of physical or sexual abuse. Among sampled women with two or more publicly funded substance abuse or mental health treatment episodes in 1998, one-third reported co-occurring mental health and substance use problems. Compared to other sample members, these women reported greater numbers of abuse experiences and other adverse life circumstances and had more complex diagnostic and treatment histories. They also show a greater tendency to suicidal ideation and are more likely to use prescription medications.",
      "authors": "NEWMANN, JP; Sallmann, J",
      "author_ids": "",
      "journal_or_venue": "Social Service Review",
      "doi": "10.1086/421922",
      "record_type": "Article; Proceedings Paper",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2452284708,
        "prompt_eval_count": 1046,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:30:51.692319+00:00"
    },
    {
      "input_index": 163,
      "record_key": "SSWR:2005-U-0375",
      "source_database": "SSWR",
      "record_id": "2005-U-0375",
      "year": 2005,
      "title": "A Sudden Decision: Variability in suicidality in multiple, single and non- suicide attempters",
      "abstract": "Purpose:  There has been no study of the daily variability of suicidality, in spite of findings suicidality predicts suicide attempts (Joiner, 2002) and that suicide itself often comes as a surprise to workers (Saarinen, Hintikka & Lehtonen, 1998).  This study tests two hypotheses, first, that mean daily variability in suicidality is statistically significantly different from zero regardless of history of suicide attempts, and second, that individuals with a history of multiple suicide attempts will show increased variability in suicidality.  This second hypothesis would be expected to hold if Beck�s (1996) theory that multiple suicide attempts can make suicide-related cognitions more available were correct.Methodology:  Sixty-eight university undergraduates kept daily suicidality ratings on the Suicide Probability Scale (SPS) a 36-item, self-report measure of attitudes and behaviors related to suicide risk for periods of five or six weeks.  Logarithms of the Mean Squared Successive Differences (MSSD) of the daily scores were used as a measure of the variability of each participant�s suicidality.  MSSD is a standard measure of time series variability in which the sum of squared first lag differences is divided by the number of points in the time series minus one (Woyshville, Lackamp, Eisengart & Gilliland, 1999).  Participants also kept daily ratings of their hopelessness on the Beck Hopelessness Scale (BHS), depression on the Beck Depression Inventory (BDI) and reported previous attempt status in a questionnaire administered at the beginning of the study.  The difference of logged SPS MSSD scores from zero was analyzed using a 95% confidence level, while the ability of previous attempt status to predict logged mean SPS MSSD was analyzed using multiple regression.Results: The mean logarithm of SPS MSSD was statistically significantly greater than zero regardless of a previous history of zero, one or multiple suicide attempts (CI = 2.57 � .48, 2.96 � .66 and 4.34 � .71, respectively).  Regression analysis indicated that previous attempt status was a statistically significant predictor of the logarithm of SPS MSSD (t = 3.107, p < .01) while controlling for the number of days spent in the study, mean BHS during the study and mean BDI during the study.Implications: This study highlights both the presence of daily variability in suicidality and its positive association with multiple suicide attempts.  This suggests that it may be of value for social workers to assess this variability in addition to assessing the current level of suicidality in clients.References Beck, A.T. (1996).  Beyond belief: A theory of modes, personality, and psychopathology.   \tFrontiers of Cognitive Therapy.  In P.M. Salkovkis (Ed.), Frontiers of Cognitive  \tTherapy (pp. 1-25).  New York: Guilford. Joiner, T.E.  (2002).  The trajectory of suicidal behavior over time.  Suicide and Life- \tThreatening Behavior, 32, 33-41. Saarinen, P., Hintikka, J. & Lehtonen, J. (1998).  Somatic symptoms and risk of suicide.   \tNordic Journal of Psychiatry, 52(4), 311-317. Woyshville, M.J., Lackamp, J.M., Eisengart, J.A., Gilliland, J.A.M.  (1999). On the  \tMeaning and Measurement of Affective Instability: Clues from Chaos Theory.   \tSociety of Biological Psychiatry, 45, 261-269.",
      "authors": "Tracy Kathleen Witte; Kathleen Kara Fitzpatrick; Keith Warren; Norman Bradley Schmidt",
      "author_ids": "108732; 108733; 108552; 108734",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Unknown",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3791181167,
        "prompt_eval_count": 1747,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:30:57.891165+00:00"
    },
    {
      "input_index": 166,
      "record_key": "SSWR:2005-U-0268",
      "source_database": "SSWR",
      "record_id": "2005-U-0268",
      "year": 2005,
      "title": "Demographic, Psychosocial and Clinical Characteristics of Incarcerated Adolescent Females",
      "abstract": "Purpose:Few studies have systematically examined the characteristics of female adolescents incarcerated for serious/chronic antisocial behavior.  This project was funded by two National Institute on Drug Abuse grants to examine the demographic, psychosocial mental health, and cognitive characteristics of youth incarcerated in the Missouri State Division of Youth Services (DYS) residential treatment system.  Descriptive findings are presented for the sample of girls we have interviewed to date who are serving sentences in DYS institutions.Methods:The Missouri DYS residential treatment system is comprised of 32 facilities; approximately 716 youth are in residence at any one time.  At present, we have completed 410 interviews in 19 facilities with a 98.7 % resident participation rate.  Youth complete a 60-to-90 minute interview including standardized measures of trauma exposure, substance use, mental health symptoms, suicidality, criminal activity, and psychological and cognitive characteristics.  The study was approved by the Washington University IRB and federal Office of Human Research Protection.  The sampling frame consists of all youth in residence at each facility at the time interviewing of that facility commences.Results:Of the 410 DYS residents we have interviewed, 57 (13.9 %) were girls.  Girls averaged 15.5 (SD=1.1, range =13 � 17) years of age; 38 (66.7 %) were Caucasian, 14 (24.6 %) were African American, and 3 (5.3 %) and 2 (3.5 %), respectively, were biracial and Latina.  A total of 22 girls (38.6 %) reported that their families received TANF payments, Section 8 housing, and/or Food Stamps.  Mental health problems were endemic among this group.  Thirty-three (57.9 %) girls reported that they had been diagnosed with a psychiatric disorder by a mental health professional.  These 33 girls reported 44 total diagnoses, including 16 diagnoses of bipolar disorder, 11 of depression, 3 of anxiety disorder (GAD, OCD, and PTSD), and 3 miscellaneous disorders.  A majority of the 57 girls interviewed reported that they had felt that life was not worth living (70.2 %), had given up hope for their lives (57.9 %), had felt like killing themselves (57.9 %), and had actually attempted to kill themselves (52.6 %).  A majority of girls had also personally witnessed someone being seriously injured or killed (54.4 %), had experienced something �very bad or terrifying� that had happened to them (71.9 %), and had been raped or in danger of getting raped (56.1 %).  Measures of substance use and current psychiatric symptoms revealed high rates of problems.Implications:Although a majority of incarcerated girls have experienced serious trauma and suffer from significant mental health and substance use problems, assessment and treatment services for girls in residing in juvenile justice facilities remain woefully inadequate.",
      "authors": "Jonathan L. Zelner; Michael K. Dayton; Matthew Owen Howard; Kirk A. Foster",
      "author_ids": "108540; 108541; 108542; 108543",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3484187375,
        "prompt_eval_count": 1563,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:31:08.130585+00:00"
    },
    {
      "input_index": 167,
      "record_key": "SSWR:2005-U-0238",
      "source_database": "SSWR",
      "record_id": "2005-U-0238",
      "year": 2005,
      "title": "Gender Differences in Suicidal Adolescents' Mental Health Service Use:   Analysis of a National Survey",
      "abstract": "Purpose: More than 4,000 U.S. youth die by suicide every year and millions more think about or attempt suicide, yet few suicidal youth receive professional help.  Even though substantial disparities exist in boys' and girls' rates of suicidal behavior and mental health service use in general, research has neglected whether these differences apply specifically to service use by suicidal youth. This study sought to identify specific demographic, financial, and psychosocial factors, including interactions with gender, increasing the likelihood of mental health service use among boys and girls reporting suicidality.Methods: The study used secondary data from 19,430 youth ages 12-17 in the 2000 National Household Survey on Drug Abuse, which collected data on numerous psychosocial characteristics and mental health service use.  Analyses focused only on youth reporting suicidal thoughts or attempts in the previous year.  Using the Andersen behavioral model of healthcare utilization as an organizing framework, the secondary analyses examined factors that potentially predisposed suicidal youth to service utilization (age, race, religiosity), enabled service use (insurance coverage, family income, urban or rural status), and increased the need for help (substance use, mood, anxiety, and conduct disorder symptoms). In preliminary analyses, chi-square and t-tests examined bivariate relationships with service use, and separate logistic regressions included gender, each variable singly, and the interaction term. Logistic regression models stratified by gender included variables significant in bivariate analyses, as well as age, race, income, and insurance as control variables.  Finally, all significant main and interactive effects, gender, and control variables comprised an overall logistic regression model predicting suicidal youth's receipt of mental health services.Results: Only 35% of the 2,386 youth reporting suicidality during the prior year received professional help for mental health problems.  Girls' rates of suicidality almost doubled those of boys (16.1% vs. 8.5%), but service use rates did not significantly differ. For both boys and girls, a substance use disorder, conduct disorder symptoms, and arrest history increased the odds, and Hispanic ethnicity decreased the odds, of suicidal youth's service use.  For boys only, anxiety symptoms and poor health also predicted service use.  For girls only, significant predictors additionally included mood disorder symptoms, attention deficit disorder symptoms, white race, and a single-parent home. Notably, insurance coverage, income, urban residence, and religiosity did not differentiate service users from non-users.  The overall model showed that suicidal girls were more likely than suicidal boys to use mental health services, after controlling for the various predisposing, enabling, and need factors, but that black race and gender interacted to diminish significantly the odds of service use for black girls.Implications for practice or policy: To more effectively increase help-seeking and help prevent suicide, policymakers need to address gender and racial disparities in suicidal adolescents' use of mental health services.  Low rates of service use among both genders deserve attention from researchers and policymakers, and practitioners need to be aware of the different psychosocial problems they may commonly encounter in male and female youth with suicidality.",
      "authors": "Stacey Freedenthal",
      "author_ids": "108070",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Unknown",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3433820292,
        "prompt_eval_count": 1575,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:31:11.566118+00:00"
    },
    {
      "input_index": 169,
      "record_key": "SSWR:2005-U-0053",
      "source_database": "SSWR",
      "record_id": "2005-U-0053",
      "year": 2005,
      "title": "Going It Alone:  Suicidal American Indian Adolescents' Help Needed vs. Help Received",
      "abstract": "Purpose: Research consistently indicates that most suicidal youth receive no professional help.  Studies rarely examine reasons for foregoing help when suicidal, although �help-negation� theory posits that hopelessness and isolation dampen depressed youth�s motivation to seek help. These issues especially touch American Indian youth, whose rates of suicidal behavior exceed youth�s national average.  Therefore, this study sought to determine among American Indian youth 1)  rates of formal and informal help-seeking when suicidal; 2)  role of need for help in predicting such help-seeking; and 3)  reasons for avoiding help when suicidal.Methods:  Data were collected in the third year of the longitudinal American Indian Multisector Help Inquiry (AIM-HI), a NIDA-funded study of American Indian youth in southwestern urban and reservation areas.  In 2003, interviewers administered the Achenbach Youth Self Report (YSR) to 356 youth and asked if they ever thought about committing suicide or made an attempt.  Youth reporting suicidality then indicated whether, when suicidal, they received help from a medical or mental health professional, any friends or family, or �anyone else�including a teacher, minister, or medicine man.�  For each type of help avoided (professional, informal, and other), youth were asked the open-ended question, �What stopped you from going to [type of helper] for help with your suicidal thoughts or behaviors?�  Text responses were coded for univariate analyses. Logistic regression models predicting receipt of help included, in addition to gender and income as control variables, the following indicators of need for help: 1) suicide attempt versus ideation only, 2) YSR score greater than 63, and 3) Diagnostic Interview Schedule diagnosis of depression during the study�s first wave.Results:  Almost 30% of youth reported a history of suicidal ideation, and 12% had attempted suicide.  Only 40% used some type of formal help, but almost two-thirds consulted a friend or relative. One in four youth received no help at all when suicidal.  Neither a suicide attempt nor a high YSR score increased the odds of having received help.  Furthermore, lending support to help-negation theory, a diagnosis of depression made a youth almost four times less likely to have received any help when suicidal (OR = .28, p = .02).  Although level of need did not differentiate help-seekers from help-avoiders, of the 61 youth who bypassed formal help, 23% stated they did not feel they needed help.  Other prominent barriers to care included stigma, self-reliance, fear (especially of commitment), and feelings that no one could help or understand.Implications for policy:  Fewer than half of youth received formal help when suicidal, and these results indicate that youth who most need help are no more likely to receive it than those with fewer psychosocial problems. Almost all the barriers to care are potentially modifiable through education and policies that target attitudes about emotional problems and help-seeking.  Furthermore, youth�s tendency to turn to family and friends underscores the need to educate communities about suicide prevention. Further research needs to examine if these results extend to other American Indian youth and to youth in general.",
      "authors": "Stacey Freedenthal; Arlene Rubin Stiffman",
      "author_ids": "108070; 108066",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Unknown",
      "database_method": "mixed_methods",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3471136750,
        "prompt_eval_count": 1603,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:31:18.290294+00:00"
    },
    {
      "input_index": 170,
      "record_key": "SSWR:2005-U-0033",
      "source_database": "SSWR",
      "record_id": "2005-U-0033",
      "year": 2005,
      "title": "Identifying the Role of Disaffiliation, Human Capital and Psychological Dysfunction in Adolescent Runaway Episodes",
      "abstract": "Introduction:   Despite their growing numbers, one of the most notable gaps in research on adolescent runaways is the scant attention paid to the problem of recidivism - those youth who run away, return, and run again.  Studies of homeless adults (e.g. Sosin, et al., 2000; 1993) have tested a model that conceptualizes homeless career length as a function of sources of estrangement that include institutional disaffiliation, psychological dysfunction, and human capital.  Applying these concepts to runaway/homeless youth broadens understanding of these phenomena to include community-level influences.Purpose:  The present study of runaway/homeless youth using federally funded emergency shelters nationwide aims to evaluate how institutional disaffiliation, psychological dysfunction and human capital are associated with multiple versus single runaway episodes.Method:   Data from the 1997 Runaway/Homeless Management Information System (RHY MIS), developed for federally-funded youth emergency shelters, was utilized.  Following data reduction, a final sample of 16,649 runaway/homeless youth using crisis shelter services was analyzed.Results:   More than half of these youth (50.3%) indicated they had multiple runaway episodes.  Logistic regression analyses (model chi square=938.96, p < .001) demonstrated that older (OR=.95) males (OR=.81) were significantly more likely to run away multiple times.  Disaffiliation variables predicting multiple runaway episodes included:  greater number of living situations (OR=1.12), not living with parents before shelter admission (OR=1.31), greater number of days on the run (OR=1.30), poor grades (OR=1.22), criminal behaviors (OR=1.64), and poor family relationships (OR=1.15).  Human capital variables predicting multiple episodes included:  irregular school attendance (OR=1.52), closer proximity to the shelter (OR=1.21), and limited access to drug treatment services (OR=1.72).  Psychological dysfunction variables included:  greater suicidal contemplation (OR=1.47) and/or attempts (OR=1.03) and abusing substances (OR=1.35).Conclusions/Implications:   Notwithstanding the limitations, the results of this study highlight the importance of including these community estrangement factors in our understanding of runaway/homeless youth behaviors.  To prevent further runaway episodes, services need to address issues across multiple systems of care, including family reunification, housing stability, school success, substance use treatment, and prevention of criminal behavior.  Social workers are often the providers in emergency shelters where these youth seek basic services; thus, social workers are in a prime position to include these conceptualizations in future program development for this high-risk population.",
      "authors": "Sanna Thompson; David E. Pollio",
      "author_ids": "108086; 108087",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3250542667,
        "prompt_eval_count": 1516,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:31:21.542770+00:00"
    },
    {
      "input_index": 173,
      "record_key": "SSWR:2005-U-0256",
      "source_database": "SSWR",
      "record_id": "2005-U-0256",
      "year": 2005,
      "title": "Sexual, Substance Abusing, and Suicidal Behavior of Maltreated Youth: Changes Over 18 Months",
      "abstract": "This paper examines sexual, substance abusing, and suicidal behaviors of adolescents in the child welfare system and predictors in the transition to and from these three types of risky behaviors over 18 months.  Though not all youth who are maltreated engage in risky behaviors, a larger proportion of maltreated than non-maltreated youth engage in risky sexual behavior (Noll, Trickett, & Putman, 2003), are substance abusers (Ireland, Smith, & Thornberry, 2002), and exhibit suicidal behaviors (Brown, Cohen, Johnson, & Smailes, 1999).Data are from the National Survey of Child and Adolescent Well-Being (NSCAW), the first national probability survey of children assessed following a child maltreatment report.  The initial sample frame included all children aged 11 to 15 years at baseline who were reported and investigated as victims of maltreatment (n=1179).  Cases with missing data, either due to subject attrition or missing data on any of the variables analyzed, were excluded from all analyses resulting in a final unweighted sample size of 675.  (Bias due to missing data was examined.  Chi-square and t-test statistics found only one significant difference.  Youth with incomplete data were more likely to have been in out-of-home care at baseline than youth with complete data.)All analyses were conducted with calculated sample weights in SAS using SUDAAN� to adjust standard errors, account for clustering and stratification in the sampling design, and allow for inferences about risky behaviors in the population of youth investigated as victims of child maltreatment in the U.S.  Descriptive analyses and repeated measures regression using generalized estimating equations (GEE) addressed change over time.  Separate models were analyzed for males and females for the three types of risky behavior. To maintain adequate sample size, a multi-stage approach was used by running separate models for child-, peer-, and family-level factors before running final models that included only significant variables from each of these blocks along with control variables.The average age of the final sample was 12.7 years and 58% were female. Racial/ethnic breakdown was 27% African American, 52% White, 15% Hispanic, and 6% Other.  The breakdown for most serious type of maltreatment was 33% physical abuse, 14% sexual abuse, 11% neglect-failure to provide, 32% neglect-failure to supervise, and 10% Other maltreatment type.  At baseline, 84% of youth remained in the home and 16% were living in out-of-home care.Maltreated children reported more risky behaviors than youth in the general population over 18 months. Approximately 20% of youth are reporting high levels of risky sexual behavior, 10% are reporting high levels of substance abuse, and 5% of youth are reported high levels of suicidal behavior.  Risky behaviors over 18 months vary by child welfare services setting and various child-, peer-, and family-level factors.  Indicators of change in risky behavior also vary by gender.  Findings can inform policy and practice decisions related to the sexual, substance abusing, and suicidal behaviors of adolescents in the child welfare system and prevention and intervention efforts with specific subpopulations such as girls and youth living in out-of-home care.",
      "authors": "Ariana E. Wall",
      "author_ids": "108520",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Unknown",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3469329125,
        "prompt_eval_count": 1640,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:31:31.967103+00:00"
    },
    {
      "input_index": 175,
      "record_key": "SSWR:2005-U-0097",
      "source_database": "SSWR",
      "record_id": "2005-U-0097",
      "year": 2005,
      "title": "The Impact of Sexual Abuse in the Lives of Young Women Involved or at Risk of Involvement with the Juvenile Justice System",
      "abstract": "Purpose:  Experiences of sexual abuse are common among young women in the juvenile justice system, with previous research estimating that over half have experienced sexual abuse. However, the relationship between sexual abuse and justice system involvement is not well understood. Using data from a longitudinal study funded by the Office of Juvenile Justice and Delinquency Prevention, we add to understandings of this connection and of the relationships between sexual abuse and negative outcomes with analyses of data collected from survey interviews of 169 young women involved with, or at risk of involvement with, the juvenile justice system.Methods:  Young women surveyed were receiving services at one of five participating agencies with the following three service-delivery approaches: community-based non-residential emphasizing prevention and education; community-based open residential including prevention, treatment, and transitional services; and closed residential with a �traditional� juvenile justice treatment approach. The survey questionnaire included questions on their living situations, school experiences, service use, mental health, delinquent behavior, substance use, traumatic childhood experiences (including abuse), more recent negative life events, sexual and reproductive behavior, and demographic characteristics. Using bivariate and multivariate analyses, we compared risk factors and outcomes of girls who reported experiencing sexual abuse with those who reported no sexual abuse. First, we used chi-square analyses (for dichotomous factors) and independent samples t-tests (for continuous factors) to test for significant differences between the two groups. For multivariate analyses, we used regression to examine the effects of sexual abuse on a number of dependent variables, including school experiences, mental health, substance use, delinquent behavior, and sexual and reproductive behavior, while controlling for age, race, placement type, and family background.Results:  Girls experiencing sexual abuse had more negative outcomes, both overall and in the areas of mental health, school, substance use, risky sexual behaviors, and delinquent behaviors. Specifically, in bivariate analyses we found that girls who had experienced sexual abuse were significantly more likely to be in closed residential placement, have been in foster care, have a mother who has been incarcerated, be experiencing multiple school problems, be depressed, have attempted suicide, feel badly about their lives overall, use substances, have engaged in vandalism and delinquent behaviors overall, report barriers to service use, have used substances during recent sexual encounters, engage in risky sexual behaviors overall, and have negative outcomes overall as measured by a composite scale. In multivariate analyses that controlled for age, race, placement type, and family background, we found that young women who had experienced sexual abuse were significantly more likely to have attempted suicide, feel badly about their lives overall, have been expelled from school, have multiple school problems, have engaged in vandalism, have multiple sexual partners in the previous six months, engage in risky sexual behaviors overall, and have negative outcomes overall.Implications:  These findings highlight a need for interventions to assist young women who have experienced sexual abuse, both within and outside of the juvenile justice system, as well as efforts to prevent abuse and improve our child welfare and other social service systems.",
      "authors": "Sara A. Goodkind; Irene Y.H. Ng; Rosemary C. Sarri",
      "author_ids": "108215; 108216; 108217",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3465674667,
        "prompt_eval_count": 1553,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:31:38.660774+00:00"
    },
    {
      "input_index": 178,
      "record_key": "SWRD:110987",
      "source_database": "SWRD",
      "record_id": 110987,
      "year": 2005,
      "title": "A Comparative Analysis of Substances Used by Suicidal and Non-Suicidal High School Students",
      "abstract": "The majority of studies on suicidal behaviors are based on populations already diagnosed with clinical disorders. These studies have acknowledged that substance use is related to suicidal behaviors, yet the relationship of specific substances has not been identified. In this study a sub-sample of 4,828 suicidal & non-suicidal adolescents who completed the 2001 Youth Risk Behavior Survey was used. A logistic regression model identified that alcohol & inhalants showed the two strongest associations to suicidal behaviors. In our discussion we identify various screening tools available that school social workers could use to implement prevention strategies in schools. 3 Tables, 32 References. Adapted from the source document.",
      "authors": "Manetta, Ameda A; Labra, Oscar; Ormand, Teresa; Pourcelot, Hélène",
      "author_ids": "",
      "journal_or_venue": "School Social Work Journal",
      "doi": null,
      "record_type": "Journal Article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2369888833,
        "prompt_eval_count": 1061,
        "eval_count": 24
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      "screened_at": "2026-08-02T17:31:47.053770+00:00"
    },
    {
      "input_index": 179,
      "record_key": "SWRD:29202",
      "source_database": "SWRD",
      "record_id": 29202,
      "year": 2005,
      "title": "An Evaluation of On-Line, Interactive Tutorials Designed to Teach Practice Concepts",
      "abstract": "This paper presents an evaluation of two on-line-based programs designed to teach practice skills. One program teaches crisis intervention and the other teaches suicide assessment. The evaluation of the use of these programs compares outcomes for two groups of students, one using the interactive program outside a class context and the other using the program within the class. Additionally, the evaluation examines results of learning about crisis of these two groups in comparison to a group of students who did not use the programs. Outcomes suggest advantages in using interactive on-line tutorials in efficiency and objectivity. This paper hopes to encourage other faculty to develop similar programs that simulate various elements of social work practice. (C) 2005 by The Haworth Press, Inc. All rights reserved.",
      "authors": "Seabury, Brett",
      "author_ids": "",
      "journal_or_venue": "Journal of Teaching in Social Work",
      "doi": "10.1300/j067v25n01_07",
      "record_type": "Article",
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      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T17:31:49.472409+00:00"
    },
    {
      "input_index": 180,
      "record_key": "SWRD:29029",
      "source_database": "SWRD",
      "record_id": 29029,
      "year": 2005,
      "title": "Clinical challenges following an adolescent's death by suicide: Bereavement issues faced by family, friends, schools, and clinicians",
      "abstract": "Given the increasing prevalence of adolescent deaths by suicide, social workers are increasingly likely to be called upon to respond to traumatically bereaved families, peers, and possibly professional colleagues following an adolescent's death by suicide. The authors discuss current trends in adolescent suicide. A stress diathesis model is applied to considering risk factors and their clinical implications following an adolescent's death by suicide. Using a case scenario, the authors discuss clinical issues of complex bereavement following suicide, along with some suggestions for effective clinical follow-up with surviving families, peers, and professionals.",
      "authors": "Parrish, M; Tunkle, J",
      "author_ids": "",
      "journal_or_venue": "Clinical Social Work Journal",
      "doi": "10.1007/s10615-005-2621-5",
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      "screened_at": "2026-08-02T17:31:51.858098+00:00"
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    {
      "input_index": 182,
      "record_key": "SWRD:20739",
      "source_database": "SWRD",
      "record_id": 20739,
      "year": 2005,
      "title": "Effect of social work intervention on attempted suicide",
      "abstract": "The article reports the results of a study evaluating the effectiveness of an intervention package on a male young adult who attempted suicide. Data indicate that cognitive therapy was found to be the most effective in the intervention package consisting of crisis intervention, cognitive therapy and developing problem-solving skills.",
      "authors": "DAS, DKL; MATHEW, A; Mrudula, K",
      "author_ids": "",
      "journal_or_venue": "Indian Journal of Social Work",
      "doi": null,
      "record_type": "Article",
      "database_method": "Qualitative",
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      "screened_at": "2026-08-02T17:31:56.727774+00:00"
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    {
      "input_index": 183,
      "record_key": "SWRD:93858",
      "source_database": "SWRD",
      "record_id": 93858,
      "year": 2005,
      "title": "Environmental Factors, Locus of Control, and Adolescent Suicide Risk",
      "abstract": "This exploratory study seeks to better understand possible relationships between environmental factors, locus of control, and suicide risk among adolescents. The data derive from in-school surveys of eight-grade students conducted in 1998 and 1999 in Arizona, California, Nevada, and Wyoming. Results revealed higher levels of suicide risk were associated with a more external locus of control orientation. Relationships between suicide risk and several environmental factors and preferences also were found. Potential links between locus of control, environment, and suicide risk are discussed, as are implications for intervention efforts and future research.",
      "authors": "Evans, William P.; Owens, Patsy; Marsh, Shawn C.",
      "author_ids": "",
      "journal_or_venue": "Child & Adolescent Social Work Journal",
      "doi": "10.1007/s10560-005-0013-x",
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      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T17:31:59.094604+00:00"
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    {
      "input_index": 188,
      "record_key": "SWRD:29165",
      "source_database": "SWRD",
      "record_id": 29165,
      "year": 2005,
      "title": "Schoolyard Conversations: Influencing Suicide Talk in an Elementary School Community",
      "abstract": "There is a need for shared leadership following a school crisis. This paper explores the phenomenon of 'contagion' resulting after a suicide attempt in an elementary school. The contagion allows anxieties, fears, worries, and myths to perpetuate and run rampant among the students and adults alike. This affects how they talk with one another. By capturing the authentic conversations and interventions used when school leaders join together, the reader can learn how a sense of safety within a school culture is restored. The article is necessarily written in the narrative style, in order to capture and reflect the conversational framework used: to understand the problem, to develop the intervention, and to analyze its impact. In this way, field practice and training are joined to create a relevant front-line model of social work education.",
      "authors": "Romano-Dwyer, Lisa; Carley, Glenn",
      "author_ids": "",
      "journal_or_venue": "Social Work Education",
      "doi": "10.1080/0261547052000333162",
      "record_type": "Article",
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        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T17:32:11.322086+00:00"
    },
    {
      "input_index": 189,
      "record_key": "SWRD:76507",
      "source_database": "SWRD",
      "record_id": 76507,
      "year": 2005,
      "title": "Substance use in a state population of incarcerated juvenile offenders",
      "abstract": "This study examined the prevalence and patterns of illicit drug use among a state population of 723 incarcerated juvenile offenders. In addition to alcohol and marijuana, results indicated high rates of illicit substance use involving a wide range of substances including amphetamines, opiate drugs, prescription drugs, and solvents. Further, significant gender and ethnic differences were observed with regard to alcohol and drug related problems, suicidal ideation, and age of substance use initiation. © 2005 Taylor & Francis Group, LLC.",
      "authors": "Vaughn M.G.; Howard M.O.; Foster K.A.; Dayton M.K.; Zelner J.L.",
      "author_ids": "",
      "journal_or_venue": "Journal of Evidence-Based Social Work",
      "doi": "10.1300/j394v02n01_09",
      "record_type": "Journal Article",
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T17:32:13.669180+00:00"
    },
    {
      "input_index": 190,
      "record_key": "SWRD:21051",
      "source_database": "SWRD",
      "record_id": 21051,
      "year": 2005,
      "title": "Suicide in Psychoanalysis",
      "abstract": "This article approaches suicide as a personal drama, which is believed to be best understood and relieved by psychoanalysis. In the article, the phenomenon of suicide is examined through the lenses of some major conceptual frameworks within the psychoanalytic tradition, including classic Freudian views and their early revisions as presented in the writings of M. Klein, K. Horney and others, and the more contemporary psychodynamic theories, such as British object relations, self psychology and the Lacanian perspective. The discussion is completed by a case study of an acutely suicidal psychotic adolescent whose story is related by Joanne Greenberg in her autobiographic novel I Never Promised You A Rose Garden and in the movie based on it. [Article copies available for a fee from The Haworth Document Delivery Service: 1-800-HAWORTH. E-mail address: <docdelivery@haworthpress.com> Website: <http://www.HaworthPress.com> (C) 2005 by The Haworth Press, Inc. All rights reserved.]",
      "authors": "Mikhailova, Olga",
      "author_ids": "",
      "journal_or_venue": "Psychoanalytic Social Work",
      "doi": "10.1300/j032v12n02_02",
      "record_type": "Article",
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      "screening_basis": "title_and_abstract",
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        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T17:32:16.105030+00:00"
    },
    {
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      "record_key": "SWRD:28770",
      "source_database": "SWRD",
      "record_id": 28770,
      "year": 2005,
      "title": "The killing fields - Farmers' suicides in Maharashtra",
      "abstract": null,
      "authors": "Dandekar, A",
      "author_ids": "",
      "journal_or_venue": "Indian Journal of Social Work",
      "doi": null,
      "record_type": "Editorial Material",
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      "screening_basis": "title_only",
      "screening": {
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        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T17:32:18.224321+00:00"
    },
    {
      "input_index": 192,
      "record_key": "SWRD:20591",
      "source_database": "SWRD",
      "record_id": 20591,
      "year": 2005,
      "title": "Transgender health: Findings from two needs assessment studies in Philadelphia",
      "abstract": "HIV/AIDS, suicide, violence, and barriers to health care access among transgender people were explored using two needs assessment surveys conducted in Philadelphia in 1997. A total of 182 people responded to a face-to-face interview or self-administered mail survey: 113 male-to-female individuals and 69 female-to-male individuals. About three-fifths of respondents had engaged in unprotected sexual activity during the past 12 months. The risk for HIV infection from unprotected sex was significantly higher among respondents of color than among white respondents. About one-third (30.1 percent) of respondents had attempted suicide. More than half of respondents had been forced to have sex, 56.3 percent had experienced violence in their homes, and 51.3 percent had been physically abused. Twenty-six percent of respondents had been denied medical care because they were transgender. These findings suggest that prevention services that specifically address HIV/AIDS, suicide, and violence among transgender people are urgently needed.",
      "authors": "Kenagy, GP",
      "author_ids": "",
      "journal_or_venue": "Health & Social Work",
      "doi": "10.1093/hsw/30.1.19",
      "record_type": "Article",
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      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:32:20.614630+00:00"
    },
    {
      "input_index": 193,
      "record_key": "SWRD:76492",
      "source_database": "SWRD",
      "record_id": 76492,
      "year": 2005,
      "title": "Trauma and incarcerated youth",
      "abstract": "The association of sexual abuse and witnessing traumatic incidents with mental health, behavioral problems, and suicidality was examined in 74 teenage boys incarcerated in Oregon. Sexual abuse had strong effects on suicidality and internalizing problems. Witnessing traumatic events had more modest effects. Those with both traumas showed markedly higher rates of suicidality. The effects of sexual abuse remained when controlling for neighborhood decline and family conflict, but the effects of witnessing trauma became insignificant. These results are convergent with other studies and suggest trauma is a highly salient issue for many incarcerated youth. Policy, research, and clinical implications are discussed. © 2005 Taylor & Francis Group, LLC.",
      "authors": "Coleman D.",
      "author_ids": "",
      "journal_or_venue": "Journal of Evidence-Based Social Work",
      "doi": "10.1300/j394v02n03_08",
      "record_type": "Journal Article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:32:23.027824+00:00"
    },
    {
      "input_index": 194,
      "record_key": "SWRD:123889",
      "source_database": "SWRD",
      "record_id": 123889,
      "year": 2005,
      "title": "Young People, Gender and Suicide: A Review of Research on the Social Context.",
      "abstract": "Summary: The paper reviews some recent research on the social context of suicide in young people, with particular reference to evidence about the gendered character of suicidal behaviour. Some implications for social work and social policy are discussed. Findings: Key messages from the research reviewed are presented in relation to some specific social domains. These are employment, social cohesion and social comparison, mental illness, family and relationships, sexual orientation and help-seeking. Applications: This review is especially of use to those in the social work field who are not familiar with the large body of research on the social context of youth suicide in the medical and psychological literature. There is some discussion in the article of the implications of this research for suicide prevention, both in terms of policy and in terms of the practices of individual social workers. (PsycINFO Database Record (c) 2012 APA, all rights reserved) (journal abstract)",
      "authors": "Smalley, Nina; Scourfield, Jonathan; Greenland, Katy",
      "author_ids": "",
      "journal_or_venue": "Journal of Social Work",
      "doi": null,
      "record_type": "Article",
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      "database_is_empirical": false,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:32:25.447707+00:00"
    },
    {
      "input_index": 195,
      "record_key": "SSWR:2006-U-0111",
      "source_database": "SSWR",
      "record_id": "2006-U-0111",
      "year": 2006,
      "title": "An Investigation of Predictors of Suicidal Thinking Using a Nonlinear Model",
      "abstract": "Considerable research has focused on the identification of predictors of suicidal ideation.  This research has led to the identification of numerous demographic variables and problems in psychosocial functioning that appear to be related to suicidal thinking.  Typically these variables have been combined in linear models to predict suicidal thinking, and while the resulting models have been statistically significant, the proportions of explained variance in these studies have consistently been relatively low.  These consistent findings have led researchers to suggest that models of suicidal thinking should make use of nonlinear terms.  To date, however, relatively few studies have used nonlinear methods to predict suicidal ideation. \tIn this study a convenience sample of 526 responses to selected subscales of Hudson's MPSI was obtained in two separate studies.  The first sample was obtained from persons seeking services in any of several family service agencies, while the second was obtained from women seeking to terminate a pregnancy in a women's health clinic.  Data were obtained on demographic variables and on a number of measures of problems in psychosocial functioning: depression, problems with self-esteem, aggressive behavior, suicidal thinking, personal stress, and family relationships problems.  These data were then used to investigate the relationship between the demographic variables, the measures of problems in psychosocial functioning, and the severity of suicidal thinking.  Nonlinear regression methods were used to build an intrinsically nonlinear model for predicting severity of suicidal ideation.  \tThe results suggested that a nonlinear model including only three variables - depression, problems with aggressive behavior, and family relationships problems - predicted severity of suicidal thinking, and that this nonlinear model explained about 52% of the total variation in suicidal thinking in the combined samples.  Statistical tests suggested that this nonlinear model was invariant for both samples of respondents.  Results further suggested that some variables previously found to be predictive of suicidal ideation, such as level of personal stress, may not be related to suicidal thinking in nonlinear models.  This raises the possibility that some variables currently considered to be predictive of suicidal thinking may be based upon evidence that is an artifact of analytic approach. \tThese results imply that researchers need to continue investigating nonlinear models for predicting suicidal thinking, and that this particular model warrants further investigation.  The results also have a number of implications for how practitioners think about, and conduct, suicide risk assessments.  First, social workers and other practitioners in health and mental health need to pay close attention not only to the level of depression being experienced by clients but also to relationships problems within their families and the extent to which they engage in aggressive behavior.  Practitioners also need to think about the relationship between problems in psychosocial functioning and severity of suicidal ideation in terms of what might be called �interactive co-morbidity.�  This may be especially so for the manner in which the co-morbidity of depression, family problems, and aggressive behavior combine to elevate a client's level of suicidal thinking.",
      "authors": "William R. Nugent; Gretchen E. Ely",
      "author_ids": "108960; 108961",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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        "prompt_eval_count": 1516,
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      "screened_at": "2026-08-02T17:32:28.627206+00:00"
    },
    {
      "input_index": 196,
      "record_key": "SSWR:2006-U-0300",
      "source_database": "SSWR",
      "record_id": "2006-U-0300",
      "year": 2006,
      "title": "Black Suicide: A Male's Burden",
      "abstract": "Purposes: To present the epidemiological trends and pattern of suicide among African Americans,as well as, to examine the socioeconomic and clinical factors that might be related to gender differences in suicidality among this population.Background: Suicide among young African American is a considerable emergent public health problem as indicated by the recent Institute of Medicine's report, Reducing Suicide.  Suicide is the third leading cause of death among African Americans adolescents and young adults.  Males disproportionately share the burden of suicide among African Americans for reasons yet known.  Without this work little can be done to understand, intervene, or prevent suicide and suicidal behavior in African Americans.Methods: Data from psychiatric emergency visits of all patients' ages 18 years and under from October 1, 2001 to September 30, 2002 were abstract and coded.  All patients demographic, Axis I diagnosis, functional impairment, abuse history, substance use, and pattern of referrals were assessed.  Bivariate and binomial logistic regression analyses were employed to analyze data for a sample of 1799 patients to document the incidence and patterns of parasuicidal behavior and gender differences among Black adolescent users.Results: Males are significantly more likely than females to complete suicide. However, consistent with empirical literature males are at decreased risk for non-fatal suicidal behavior (OR=.617, p=.001).  Gender differences in the risk for non-fatal suicidal behavior were no longer significant after controlling for important clinical and sociodemographic factors.  The impact of mood disorders, age, socioeconomic status, and functional impairment might underlie gender differences in suicidal behavior.Implications: This report presents clinical data on gender differences in the prevalence of and risk factor for suicidal behavior among African American adolescents presenting at an urban pediatric psychiatric emergency service.  This paper provides social workers with the most recent data on African-American youth suicide, background information on the risk and protective factors.  The study underscore the importance of understanding gender differences in suicide risk and discusses the implications social work practice.",
      "authors": "Sean Joe",
      "author_ids": "109205",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Unknown",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2927869042,
        "prompt_eval_count": 1333,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:32:31.556260+00:00"
    },
    {
      "input_index": 199,
      "record_key": "SSWR:2006-U-0257",
      "source_database": "SSWR",
      "record_id": "2006-U-0257",
      "year": 2006,
      "title": "Latina Adolescent Suicide and Residence: \"Does Where Girls Live Predict Suicidality?",
      "abstract": "Purpose: The rate of Latina adolescent suicide (LAS) has seen a continual increase in recent years. According to the Centers for Disease Control's 2001 Youth Risk Behavior Surveillance System (YRBSS), Latina adolescents have elevated levels of suicide compared to Latinos throughout the continuum (hopelessness to suicide attempts) (CDC, 2001). This is of concern to mental health professionals, particularly school social workers.There has been no study linking LAS and residence (regional location and metropolitan status). It is hypothesized that Latinas living in the Southwest and in urban areas will have higher levels of suicidality at each point on the continuum when compared to Latinas/os in other regions of the country.Methodology: Data from the 2001 YRBSS was used. This is an epidemiological surveillance system monitoring the prevalence of children's health risk factors. The questionnaire is given to a nationally representative sample of students around the country using a three-stage cluster design. The response rate for each grade (9-12th) varies between 13,000 and 16,000 (CDC, 2001). Since the data included both dichotomous and continuous dependent variables, analysis was conducted with STATA 7.0 and SPSS 11.0 software using logistic and OLS regression. Simulations were also performed through STATA to provide the best estimate of probability concerning significant models. Since the sample size is large, these simulations are imperative due to the high likelihood of misrepresenting the statistical significance of those variables chosen. All tests were analyzed utilizing a 95% confidence level.Results: In all of the models performed, regional location was not found to be significant. Although Latinas reported feeling sad or hopeless within the past 12 months (p<.001), region was not statistically significant. Latinas living in urban areas were found to report increased suicidal ideations than those in suburban and rural areas (p<.001). The younger the Latina, the more likely she ideated within the past 12 months (p=.003) with 83.25% cases correctly classified. In terms of reporting a suicide attempt in the past 12 months, Latinas living in urban areas appeared to be significantly more likely to have attempted than other Latinas (p=.041). All other classifications on the suicidal continuum regarding residence and Latinas were not found to be statistically significant (sadness, plans, injury during an attempt). The simulation models lend a more thorough explanation of the data specific to Latinas. The most convincing models dealt with urban status and attempts.  Fifty-one percent of the Latinas questioned with a history of anorexia living in urban areas reported they attempted suicide in the past year (p=.02). Those who identified as obese (19%) were more likely to report an attempt (p=.02). Age also appeared to be a factor in attempts with 25% (p=.02) of urban Latinas ages 12 years and younger reported an attempt. Finally, 50% of Latinas with a history of rape in urban areas (p=.02) reported an attempt.Implications: Finding relationships between Latina suicide and residence will aid social workers to focus programming in those areas of greatest need.References:Centers for Disease Control.  (2001).  YRBSS 2001 Report.   [On-line]: Available:http://www.cdc.gov/nccdphp/dash/yrbs/2001/         youth01online.htm",
      "authors": "Susan M. De Luca; Keith Warren",
      "author_ids": "109129; 108552",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Unknown",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3715813792,
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        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:32:41.715554+00:00"
    },
    {
      "input_index": 200,
      "record_key": "SSWR:2006-U-0086",
      "source_database": "SSWR",
      "record_id": "2006-U-0086",
      "year": 2006,
      "title": "Psychosocial Correlates of Incarceration in a Sample of American Indian Youth",
      "abstract": "Purpose:  Delinquency and substance abuse are frequently correlated.  Rates of substance abuse in the American Indian population are higher than the national average, particularly for adolescents.  This analysis investigates psychological and environmental factors associated with substance use, delinquency and subsequent incarceration in urban and reservation American Indian youth.Methods:  Data were collected in 2001 for the American Indian Multisector Help Inquiry (AIM-HI), a study of 196 urban and 205 reservation American Indian adolescents in a southwestern U.S. state.  Interviewers asked youth questions about associations with deviant peers and family history of involvement with the law.  The Youth Self Report was used to measure social problems and delinquent behaviors.   The Diagnostic Interview Schedule measured psychiatric and substance use disorders.  Chi square and t-test statistics were used for analysis.Results:  Youth who were jailed were more likely to be substance-dependent (33.3% vs. 8.6%), alcohol dependent (36% vs. 5%) and more likely to use or abuse drugs and alcohol.  Jailed youth also had a significantly greater average number of substance abuse and dependence symptoms (35.3 vs. 15.3).  They also lived in neighborhoods with more negative qualities (drug dealing, prostitution), had experienced a greater number of traumas, and had significantly more associations with peers who used drugs. A greater percentage of jailed youth had attempted suicide, and had a diagnosis of conduct disorder.   Although family history of substance use disorders and delinquency were higher in youth who were jailed, this difference was not significant.Implications:  The underlying risk factors, addictions, and mental health problems of these American Indian youth in the criminal justice system are similar to those found in other research with different ethnic groups.   Yet, we know that their environment is often much more stressed than that of most other groups.  Therefore, intervention must address their environments as well as providing direct services and referrals to social service and psychiatric care.",
      "authors": "Victoria A. Osborne; Arlene Rubin Stiffman",
      "author_ids": "108282; 108066",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2957633166,
        "prompt_eval_count": 1338,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:32:44.674793+00:00"
    },
    {
      "input_index": 201,
      "record_key": "SSWR:2006-U-0133",
      "source_database": "SSWR",
      "record_id": "2006-U-0133",
      "year": 2006,
      "title": "The Development and Initial Validation of an Ultra-Short-Form Measure of Suicidal Ideation",
      "abstract": "The identification of a client's suicidal ideation is one of the more important tasks faced by social work practitioners in mental health settings.  There is also a growing recognition of the importance of social workers in health settings identifying persons who may be at risk of suicide.  This potential role has been underscored by findings suggesting, for example, that nearly 50% of depressed persons seek help from physicians.  Standardized short-form measures of suicidal thinking are one of the more important tools for detecting suicidal ideation.  The Multi-Problem Screening Inventory, or MPSI, is a multi-dimensional measurement tool with 27 short-form subscales, each designed to measure the magnitude or severity of a problem in an area of personal, interpersonal, or social functioning.  One of the MPSI subscales is the Suicidal Thoughts (ST) subscale.  Scores on this eleven item subscale can range from 0 to 100, with higher scores indicative of greater magnitude problems with suicidal thinking, and vice versa.  The psychometric properties of scores from this subscale have only recently been studied (Nugent, in press).  The results of the research by Nugent (in press) suggested the plausibility of using a very small number of items from this subscale to create an ultra-short-form measure of suicidal thinking that could be used in a wide range of service settings to help identify persons contemplating suicide. \tThe research reported in this paper focuses on the development of an ultra-short-form measure of suicidal ideation, the Ultra-Short-Form Suicidal Thinking Measure (USSTM), which contains only four items.  The brevity of this measure makes it potentially very useful in a wide range of mental health (and other) service settings, particularly those in which social workers face severe time constraints.  The results of psychometric analyses of scores from this measure, based upon classical, item response, and generalizability theories, are also reported.   \tFive-hundred-forty-two responses to the MPSI were obtained from persons seeking help, in one of several non-profit family service agencies, for personal and/or family problems.  The MPSI ST subscale responses were analyzed using SPSS version 11 and MULTILOG version 7.03.  The results of IRT analyses were used to identify MPSI ST subscale items with the most desirable item information curves for detecting and measuring suicidal thinking.  These information curves, together with item content considerations, led to the identification of four MPSI ST subscale items to be placed onto the USSTM.  Results of reliability analyses suggest that scores from this measure will have reliability coefficients in excess of .90, and dependability indices for clinical classification decisions as high as .92.  The results of IRT analyses further indicate excellent information function characteristics for both identification of persons at risk of suicide and for monitoring suicidal ideation across time.  Preliminary evidence also supports the validity of scores from this measure.  These results provide preliminary forecasts that suggest this measure will produce scores with excellent psychometric properties for detecting and measuring suicidal thinking.Nugent, W.  (In press).  A Psychometric Study of the MPSI Suicidal Thoughts Subscale.  Forthcoming in Crisis Intervention and Time Limited Treatment.",
      "authors": "William R. Nugent",
      "author_ids": "108960",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Unknown",
      "database_method": "quantitative",
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      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "prompt_eval_count": 1601,
        "eval_count": 24
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      "screened_at": "2026-08-02T17:32:48.062311+00:00"
    },
    {
      "input_index": 206,
      "record_key": "SWRD:86798",
      "source_database": "SWRD",
      "record_id": 86798,
      "year": 2006,
      "title": "Barriers to help-seeking in young people: Community beliefs about youth suicide",
      "abstract": "The present article reports on a study of the attitudes and behaviour of young people towards help-seeking during times of emotional distress and, in particular, when contemplating suicide. Twent- one young people aged between 16 and 24 years, as well as six parents and 14 youth service providers who lived in ‘Subcity’, a metropolitan community, were interviewed about their understandings of youth suicide and effective interventions. Nearly all the young people, service providers and parents identified a range of barriers that impede or prevent young people from asking for help when they need it most, including issues related to trust and confidentiality, parental support and fear, stigma and perceived loss of esteem. Implications for social work practice include an emphasis on developing parenting skills and community development related to education about suicide and the provision of appropriate support services. © 2006, Australian Association of Social Workers.",
      "authors": "Gilchrist H.; Sullivan G.",
      "author_ids": "",
      "journal_or_venue": "Australian Social Work",
      "doi": "10.1080/03124070500449796",
      "record_type": "Journal Article",
      "database_method": "Qualitative",
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      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "empirical_method": "Qualitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:33:00.588594+00:00"
    },
    {
      "input_index": 207,
      "record_key": "SWRD:19709",
      "source_database": "SWRD",
      "record_id": 19709,
      "year": 2006,
      "title": "Dealing with the aftermath: A qualitative analysis of mental health social workers' reactions after a client suicide",
      "abstract": "Social workers provide services to populations with mental health issues, including suicidal ideations and are thus at risk of experiencing a client suicide at some point during their career. Limited research using quantitative methods has explored the effect of client suicide on social workers, but little is known about their reactions from a qualitative standpoint-a method of study that is essential for fully understanding a social science phenomenon. This study addresses the gap in the literature by providing findings from an in-depth qualitative study of 25 mental health social workers who shared their experiences and reactions in the aftermath of a client suicide. Major themes were identified, including both professional and personal reactions of denial, anger, grief, and acceptance. Avoidance and intrusion, as well as additional themes of professional incompetence, responsibility, isolation, and justification were indicated and discussed in the conceptual framework of grief and secondary traumatic stress. The implications for practitioners, administrators, and educators are discussed.",
      "authors": "Ting, Laura; Sanders, Sara; Jacobson, Jodi M.; Power, James R.",
      "author_ids": "",
      "journal_or_venue": "Social Work",
      "doi": "10.1093/sw/51.4.329",
      "record_type": "Article",
      "database_method": "Qualitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2409592125,
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      },
      "screened_at": "2026-08-02T17:33:02.999830+00:00"
    },
    {
      "input_index": 208,
      "record_key": "SWRD:88932",
      "source_database": "SWRD",
      "record_id": 88932,
      "year": 2006,
      "title": "Evidence-Based Suicide Prevention",
      "abstract": null,
      "authors": "Peebles-Wilkins, Wilma",
      "author_ids": "",
      "journal_or_venue": "Children & Schools",
      "doi": "10.1093/cs/28.4.195",
      "record_type": "Editorial Material",
      "database_method": null,
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      "screening_basis": "title_only",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2142387750,
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        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:33:05.143242+00:00"
    },
    {
      "input_index": 209,
      "record_key": "SWRD:94134",
      "source_database": "SWRD",
      "record_id": 94134,
      "year": 2006,
      "title": "Implications of National Suicide Trends for Social Work Practice with Black Youth",
      "abstract": "Although homicide is the leading cause of death for African-Americans aged 15-24, suicide is silently claiming the lives of many African-American youth, males in particular. Given the disproportionate number of African-American adolescents in many of the primary human service institutions, it is important to increase social workers' understanding of the nature and trends in self-destructive behaviors of this population. This paper presents the descriptive epidemiological trend data on African-American adolescent suicide completion and parasuicidal behavior, reviews current explanatory hypotheses, highlights important risk and protective factors, and outlines several culturally-congruent practice guidelines for working with suicidal African-Americans adolescents.",
      "authors": "Joe, Sean",
      "author_ids": "",
      "journal_or_venue": "Child & Adolescent Social Work Journal",
      "doi": "10.1007/s10560-006-0064-7",
      "record_type": "Article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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      "screened_at": "2026-08-02T17:33:07.510680+00:00"
    },
    {
      "input_index": 211,
      "record_key": "SWRD:28550",
      "source_database": "SWRD",
      "record_id": 28550,
      "year": 2006,
      "title": "New approaches to preventing suicide: A manual for practitioners",
      "abstract": null,
      "authors": "LEWIS, H",
      "author_ids": "",
      "journal_or_venue": "British Journal of Social Work",
      "doi": "10.1093/bjsw/bch412",
      "record_type": "Book Review",
      "database_method": null,
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      "screening_basis": "title_only",
      "screening": {
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        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:33:11.986075+00:00"
    },
    {
      "input_index": 212,
      "record_key": "SWRD:19640",
      "source_database": "SWRD",
      "record_id": 19640,
      "year": 2006,
      "title": "Psychodynamic ideal types of elderly suicidal persons based on counter transference",
      "abstract": "Suicidality among the elderly is a serious health and social problem. In contrast to the quantitative significance of suicidality in old age, utilisation of psychiatric and psychotherapeutic treatment by the suicidal elderly is low. Single case based knowledge of the intra-psychic dynamics of the suicidal elderly exists but this has mostly been gained from long-running psychotherapies, and not from people who remain silent about their suicidality, even during treatment. In a systematic qualitative study, in-depth interviews were conducted with 30 people ( 60+), who judged themselves as suicidal but had not talked about it in treatment. Using the method of 'forming types by understanding', ideal types were developed by means of the suicidal elderly's transference offers on the background of their main biographic accounts and their suicidal symptoms. This typology presents the suicidal elderly's varied and multi-reasoned dynamics of psychosocial retreat, which both encourage and maintain suicidality, also leading to the fact that these people keep silent about their suicidality in professional health care relationships, or they contribute to negative counter-transference reactions, which make the start of a therapeutic relationship difficult.",
      "authors": "Lindner, R.; Fiedler, G.; Altenhoefer, A.; Goetze, P.; Happach, C.",
      "author_ids": "",
      "journal_or_venue": "Journal of Social Work Practice",
      "doi": "10.1080/02650530600932011",
      "record_type": "Article",
      "database_method": "Qualitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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        "eval_count": 24
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      "screened_at": "2026-08-02T17:33:14.596222+00:00"
    },
    {
      "input_index": 213,
      "record_key": "SWRD:28543",
      "source_database": "SWRD",
      "record_id": 28543,
      "year": 2006,
      "title": "September 10, 2001",
      "abstract": "This essay chronicles the impact of a patient's suicide on the therapist, reflecting on the initial trauma, the therapist's repeated attempts to deal with the loss, and her ultimate physical collapse. Time off from work began the healing of her physical symptoms, and the spontaneous writing and immediate sharing of her raw and unformulated feelings with a writing group she had just joined, began the process of grieving which, until this point, had only been known physically. Working and re-working this essay kept her safely, but affectively connected to the loss and gave her experiential understanding of the adaptive function of somatization, leading finally to the acceptance of the limitations of both patient and therapist.",
      "authors": "Leslie, Constance",
      "author_ids": "",
      "journal_or_venue": "Studies in Clinical Social Work: Transforming Practice, Education and Research",
      "doi": "10.1300/j497v76n04_13",
      "record_type": "Article",
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      "database_is_scientific": true,
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      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "eval_count": 27
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      "screened_at": "2026-08-02T17:33:17.158203+00:00"
    },
    {
      "input_index": 214,
      "record_key": "SWRD:20443",
      "source_database": "SWRD",
      "record_id": 20443,
      "year": 2006,
      "title": "Social support and health outcomes in a multicultural urban population",
      "abstract": "Data from the Ontario Health Survey were used to examine the relationship between levels of social support and general health, suicidal ideation, family functioning, and utilization of health services among Metropolitan Toronto Cultural Populations 16-59 years of age (N = 2684). The results of this study provided Some Support for the hypothesis that social support variables correlate with general health status. Results also show that being a visible minority immigrant is not a risk factor for any of the health Outcomes considered here. This finding is not in accordance with the notion of social hardship, which visible minority immigrants purportedly experience in a predominantly white society. Overall, indicators of social support show stronger association with mental health outcomes than with physical health ones.",
      "authors": "Wright, Robin",
      "author_ids": "",
      "journal_or_venue": "Social Work in Health Care",
      "doi": "10.1300/j010v43n04_02",
      "record_type": "Article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2344716959,
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        "eval_count": 24
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      "screened_at": "2026-08-02T17:33:19.504448+00:00"
    },
    {
      "input_index": 215,
      "record_key": "SWRD:20297",
      "source_database": "SWRD",
      "record_id": 20297,
      "year": 2006,
      "title": "Social Workers' Views of No Suicide Contracts",
      "abstract": "Social workers are often the primary providers of clinical services for clients with mental health diagnoses, including clients who contemplate suicide. While the issue of no suicide contracts has been addressed within the psychology, psychiatry, and nursing literature, a paucity of research on this topic exists within the field of social work. This qualitative study examined the views and beliefs of 25 social workers who have in the past or are currently providing clinical services to suicidal clients. Six themes emerged from the data, highlighting the diverse views that exist about no suicide contracts. Recommendations for clinical social work practice and education are provided. (C) 2006 by The Haworth Press, Inc. All rights reserved.",
      "authors": "Sanders, Sara; Ting, Laura; Power, James; Jacobson, Jodi",
      "author_ids": "",
      "journal_or_venue": "Social Work in Mental Health",
      "doi": "10.1300/j200v04n04_04",
      "record_type": "Article",
      "database_method": "Qualitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:33:21.853199+00:00"
    },
    {
      "input_index": 216,
      "record_key": "SWRD:28526",
      "source_database": "SWRD",
      "record_id": 28526,
      "year": 2006,
      "title": "Suicide Risk Assessment in the Depressed Elderly Patient with Cancer",
      "abstract": "Although several studies have identified different factors that increase the risk for suicide in the elderly, depression, especially in cancer patients, puts people at even greater risk. In geriatric patients with co-morbid illnesses, depression is often diagnosed or overlooked because of the assumption that it is to be expected. When patients with cancer are diagnosed with depression, it is imperative that clinicians have a clear-cut tool for assessing and identifying signs of suicidality in order to develop a treatment plan to manage the patient. This article delineates the steps involved in conducting a thorough and systematic suicide risk assessment in depressed elderly patients with cancer. (C) 2006 by The Haworth Press, Inc. All rights reserved.",
      "authors": "Labisi, Ola",
      "author_ids": "",
      "journal_or_venue": "Journal of Gerontological Social Work",
      "doi": "10.1300/j083v47n01_03",
      "record_type": "Article",
      "database_method": null,
      "database_is_scientific": true,
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      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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        "total_duration_ns": 2345589958,
        "prompt_eval_count": 1063,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:33:24.200465+00:00"
    },
    {
      "input_index": 217,
      "record_key": "SWRD:20000",
      "source_database": "SWRD",
      "record_id": 20000,
      "year": 2006,
      "title": "Validating the level of stability index for children",
      "abstract": "Objective: The Level of Stability Index for Children (LSIC) is a multidimensional, self-report, rapid assessment instrument for assessing emotional and behavioral tendencies children may exhibit toward self or others. The LSIC describes children's propensity toward depression, suicidal ideation, anger, and aggression. Method: Self-report survey instruments, including the LSIC and two measures for construct validation, were administered to a purposive sample of 426 children from various school and agency settings. Results: Strong evidence was found for reliability, content, and factorial validity Alpha coefficients ranged from .74 to .87 for LSIC subscales. Confirmatory factor analyses were conducted using the multiple group method and structural equation modeling. Convergent and discriminant analyses produced preliminary evidence for LSIC construct validity. Conclusion: The LSIC showed strong evidence of reliability and validity for younger children (7-12) and adolescents (13-18). Assessment tools can shed light on the complex mental health issues that social workers encounter when working with children in care.",
      "authors": "McMillan, JD; ABELL, N",
      "author_ids": "",
      "journal_or_venue": "Research on Social Work Practice",
      "doi": "10.1177/1049731505284864",
      "record_type": "Article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2395616125,
        "prompt_eval_count": 1126,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:33:26.597066+00:00"
    },
    {
      "input_index": 218,
      "record_key": "SWRD:20101",
      "source_database": "SWRD",
      "record_id": 20101,
      "year": 2006,
      "title": "WHY PEOPLE DIE BY SUICIDE",
      "abstract": null,
      "authors": "Manetta, Ameda A. Z.",
      "author_ids": "",
      "journal_or_venue": "Journal of Social Work in End-Of-Life & Palliative Care",
      "doi": "10.1300/j457v02n02_06",
      "record_type": "Book Review",
      "database_method": null,
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_only",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2134532333,
        "prompt_eval_count": 926,
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      },
      "screened_at": "2026-08-02T17:33:28.733347+00:00"
    },
    {
      "input_index": 220,
      "record_key": "SSWR:2007-O-5648",
      "source_database": "SSWR",
      "record_id": "2007-O-5648",
      "year": 2007,
      "title": "American and Caucasian Juvenile Offenders in a Statewide Population: Toward Building Prevention and Reentry Services",
      "abstract": "Purpose: Several indicators suggest that the number of juveniles in residentially incarcerated settings is increasing and this phenomenon exacerbates disproportionate confinement of minority youth, particularly African-Americans. The purpose of our investigation was to compare characteristics of incarcerated African-American and Caucasian youth in a statewide population of juvenile offenders. Our aim was to focus on mental health, substance use, delinquent conduct, and victimization variables in an effort to identify patterns to inform policy, practice and future research. Specifically, as a first step toward understanding if differential chains of risk mechanisms operate for each group. Thus, indicating possibly different risk pathways that can inform prevention and reentry services.    Methods: Structured face-to-face interviews of 238 African-American residential youth (M age = 15.5, SD = 1.2; 93% male) and 400 Caucasian youth (M age = 15.5, SD = 1.2; 84% male) in all 32 Missouri Division of Youth Services facilities were conducted. All youth providing written informed consent completed a 45-minute interview assessing lifetime and annual use of various psychoactive substances, substance-related problems, current and lifetime mental health symptoms, thoughts of suicide and actual suicide attempts, trauma history, and violent and nonviolent criminal activity. A sequence of analyses beginning with specific mean differences across variables using t-tests and accompanying effect sizes using Cohen's d were followed by logistic regression analyses (for binary variables) and Ordinary Least Squares (OLS) regression for continuous scales.  Results: Univariate findings revealed that Caucasian youth reported significantly higher (i.e., p<.001) mean levels of mental health distress including suicide ideation, lifetime substance use and earlier initiation of offending and intoxicants. African-American youth, however, reported significantly higher mean levels of overall delinquency, violence, personal victimizations, gang fighting, weapon carrying and traumatic experiences. Logistic regression analyses showed that African-American youth were approximately 67% less likely than Caucasian youth to use substances and not remembering what happened (OR=.335, p<.001), but were approximately twice as likely as White youth to have witnessed someone severely injured or killed in person (OR=2.08, p=.002), nearly five times more likely than Caucasian youth to report being in a gang fight (OR=4.63, p<.001), and approximately 65% more likely to have carried a hidden weapon (OR=1.64, p<.05). Further, OLS regression models showed that prior victimization was an important predictor of mental health symptoms (b=1.13, p<.001) for African-American youth, but not for Caucasian juveniles.  Implications for policy and practice: Our findings indicate that African-American youth face somewhat different life problems that possess enormous implications for pathways to criminal justice system involvement and post-release transition. In terms of policy, decisions that ameliorate concentrated disadvantage in urban areas are likely to have broad effects including preventing future incarceration and recidivism. Thus, the massive wave of incarceration which has disproportionately affected African-Americans is not only tied to system-wide punitive measures, but also to the initial social conditions that spawn and maintain problem behaviors. Within the juvenile system, recognition of these patterns may help to improve post-release services by tailoring or adapting pre-existing programs to patterns of risk factors and their relative magnitudes of effect.See more ofCharacteristics of Criminally-Involved Youth and AdultsSee more ofOral and PosterSee more ofBridging Disciplinary Boundaries (January 11 - 14, 2007)",
      "authors": "Michael G. Vaughn; John M. Wallace Jr; Larry E. Davis; Giselle Fernandes; Matthew Owen Howard",
      "author_ids": "108089; 109372; 109373; 109374; 108542",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3645851250,
        "prompt_eval_count": 1687,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:33:35.789919+00:00"
    },
    {
      "input_index": 226,
      "record_key": "SSWR:2007-O-5948",
      "source_database": "SSWR",
      "record_id": "2007-O-5948",
      "year": 2007,
      "title": "Findings from the CDC Youth Violence Survey",
      "abstract": "Purpose On balance, prevention research involving young ethnic minority populations has focused primarily on interpersonal violence, particularly in regards to African American and Latino youth. Less attention has been devoted to the study of suicidality among these populations. In an effort to more thoroughly explore the risk and protective factors associated with suicidality, and to address certain limitations of the current state of research in this area, we report on the prevalence, possible predictors and potential buffers of suicidal behaviors in a sample of urban African American and Latino youth who participated in the 2004 CDC Youth Violence Survey (n=2626).Methods The CDC Youth Violence Survey was administered to a census of public school students enrolled in grades 7, 9, and 11/12 in a school district in a high risk community in the northeastern region of the U.S. (Grades 11 and 12 were combined due to low enrollment in each of those grades)Multigroup structural equation modeling (SEM) was used to test for possible differences in the relationship between depressive symptomatology and suicidality for African Americans (n=1119), Latinos (n=1514), African American males (n=540), African American females (n=576), Latino males (n=690), and Latino females (n=820).  Exposure to violence and substance abuse were explored as potential mediators of this relationship.  Parental support and social support were explored as potential moderators.Results The prevalence of suicidality among the current study population was comparable to that found nationally in the 2003 Youth Risk Behavior Surveillance Survey data. Approximately 8% of African American study participants and 11% of Hispanic study participants reported some aspect of suicidality within the 12 months prior to administration of the survey.The SEM generated to explore the influence of risk and protective factors on suicidality was well fitted to the data. (CFI = 1.000; RMSEA = .000).  Depressive symptomatology was significantly related to suicidality. Substance abuse partially mediated the relationship between depressive symptomatology and suicidality.  Exposure to violence influenced suicidality indirectly through its relationship to substance abuse. Parental support moderated the influence of depressive symptomatology. However, social support had no significant influence on suicidality.  When the model was tested separately across groups, a number of relational differences were observedImplications  The findings of the current investigation suggest that challenges faced by African American and Latino youth may be unique to living in high risk urban environments. Recent studies suggest that chronic exposure to urban stressors, acculturation, and acculturative stress adversely affect the psychological well-being of many urban ethnic minority youth.Suicide prevention and intervention efforts with African and Latino youth should focus on cultivating supportive networks across the family, school, and peer domains. These efforts could be further enhanced by community level prevention and intervention efforts aimed at reducing exposure to violence and substance abuse.The current state of research on suicidality among African American and Latino youth highlights the need for cross cutting, multidisciplinary inquiries that focus on better understanding the complex interaction of suicidality, race, gender, and particular social, economic and environmental dynamics.See more ofSuicide and Related IssuesSee more ofOral and PosterSee more ofBridging Disciplinary Boundaries (January 11 - 14, 2007)",
      "authors": "M. Daniel Bennett; Sean Joe",
      "author_ids": "109204; 109205",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3398727208,
        "prompt_eval_count": 1624,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:33:56.751525+00:00"
    },
    {
      "input_index": 227,
      "record_key": "SSWR:2007-O-7119",
      "source_database": "SSWR",
      "record_id": "2007-O-7119",
      "year": 2007,
      "title": "Homeless Sexual Minority Youth and Suicide Attempts",
      "abstract": "Homeless youth are at an overall increased risk of suicidality over their non-homeless counterparts (DiFillippo, Esposito, Overholser, Spirito, 2001; Votta, 2004). Similarly, sexual minority youth have higher rates of suicidal ideation and attempts than their heterosexual colleagues (reviewed in McDaniel, Purcell, & D'Augelli, 2001). This study looks at risk and protective factors associated with increased probability of suicide attempts within a sample of the homeless youth population in eight U.S. cities. Researchers hypothesized that certain factors would operate differently for sexual minority youth than their heterosexual counterparts. Urban Peak, an organization that provides comprehensive services to homeless youth and young adults, coordinated a multi-city public health survey in 2004 through its involvement with the National Network of Youth and National Youth Policy Council and in collaboration with the University of Colorado Health Sciences Center. Staff at youth agencies in eight U.S. cities were trained to administer the survey and all administered the survey on the same date. Staff at the participating youth agencies attempted to connect with as many homeless youth on the specified date and encouraged them to complete the survey. Participation was voluntary and no incentives were provided. Final sample size was 590 youth. Variables collected included standard sociodemographics as well as information on suicide attempts, drug and alcohol usage, mental health hospitalizations, experience with child welfare system and other social and health factors. For this study, researchers analyzed the data using logistic regression, clustering on city to examine factors related to suicide attempts. Stata 8.2 was used for data analysis. Two primary differences emerge. While appearing to be a protective factor for heterosexual youth, being homeless in one's own home town is associated with an increased probability of a suicide attempt for sexual minority youth. In the opposite direction, one risk factor for increased probability of reporting a suicide attempt among heterosexual youth  having been in custody of social services  appears to be a protective factor for sexual minority youth.  These divergent findings are discussed within the context of understanding the role of the family and community in stigmatizing sexual minority youth. Implications for Practice or Policy While homeless sexual minority youth and their heterosexual counterparts share many of the same experiences and risks, attention should be given to how some of these experiences differentially influence the two groups. Relationships with family of origin and community of origin have an additional complexity for sexual minority youth. As such, social workers and other helping professionals should engage sexual minority youth in order to assess the role that these connections may play in suicidal behaviors and other mental health issues. Suicide and Related Issues Bridging Disciplinary Boundaries (January 11 - 14, 2007)",
      "authors": "N. Eugene Walls; Stacey Freedenthal; Cathryn C. Potter; Susan Boyle",
      "author_ids": "108751; 108070; 109038; 109731",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3154799625,
        "prompt_eval_count": 1475,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:33:59.908045+00:00"
    },
    {
      "input_index": 229,
      "record_key": "SSWR:2007-O-7051",
      "source_database": "SSWR",
      "record_id": "2007-O-7051",
      "year": 2007,
      "title": "Occurrence between Major Depressive Disorder and General Anxiety Disorder Symptoms",
      "abstract": "Introduction: The co-occurrence of Major Depressive Disorder (MDD) and General Anxiety Disorder (GAD) has been well researched.  Most of the studies to date have used odds ratios and correlations between these diagnostic categories to understand their relationship.  However, these diagnostic categories represent heterogeneous groups.  For example, several subtypes of depression, such as endogenous or atypical, have been identified.  In additional to heterogeneity of presentation, there are also different levels of severity within diagnostic categories.  Evidence of high rates of co-occurrence also suggests a degree of homogeneity between the diagnoses.  Many of the diagnostic indicators for depression such as sleep disturbance, lack of energy, and problems with concentration are also included in the algorithm for GAD.  Improving understanding of the relationship between these disorders requires analyze the relationship between symptoms rather than just between diagnoses.  Methods:  Data from the National Co-morbidity Survey (1990-1992) was used to analyze the symptoms of MDD and GAD.  All individuals who endorsed the screening questions for MDD and GAD were included (n=1009).  12 depression and 11 general anxiety symptoms were coded as dichotomous indicators.  Individuals were classified by their patterns of symptom responses using a Latent Class Analysis conducted in Mplus 3.1.  The fit of models with 1 to 10 classes were compared using Bayesian Information Criterion (BIC) statistics and interpretability.  The best fitting model was then used to predict individual class membership.  An individual's class membership was then used to analyze different clinical indicators including mental health hospitalization, service utilization, perceived mental health, suicide attempts and co-morbidity with other diagnoses.  Regression and logistic regression models were run, predicting each clinical indicator, while controlling for demographic and co-morbid diagnoses.  These models were then used to test whether the symptom-based class membership improved the prediction of the clinical indicators compared with the DSM diagnostic categories of MDD and GAD.  Results: According to the BIC and interpretability criteria the seven-class model had the best fit.  Each of these seven classes displayed not only differences in severity but also heterogeneity in the types of symptoms.  All but one class had high levels of psychological anxiety symptoms (i.e. feeling restless).  Other classes were distinguished by the amount of physical anxiety symptoms (i.e. dizziness), somatic depression symptoms (i.e. psychomotor retardation), or psychological depression symptoms (i.e. feelings of worthlessness).  Membership in classes with high rates of physical anxiety symptoms predicted higher rates of mental health hospitalization, while membership in classes with high rates of psychological depression symptoms predicted higher rates of suicide attempts.  When compared to the DSM diagnostic categories of MDD and GAD, class membership was a better predictor of outcome.  Discussion:  These results suggest that there are several distinct patterns of co-morbidity between depression and general anxiety.  These subtypes also have important clinical implications.   This analysis also provides evidence that examining the patterns of symptoms of disorders rather than just the diagnostic categories can improve our understanding of mental distress and help with targeting services and interventions.See more ofClinical Features, Implications, and Treatment of DepressionSee more ofOral and PosterSee more ofBridging Disciplinary Boundaries (January 11 - 14, 2007)",
      "authors": "George Jay Unick",
      "author_ids": "108717",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3379051875,
        "prompt_eval_count": 1627,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:34:06.666248+00:00"
    },
    {
      "input_index": 232,
      "record_key": "SSWR:2007-O-7396",
      "source_database": "SSWR",
      "record_id": "2007-O-7396",
      "year": 2007,
      "title": "The Moderating Effect of Exposure to Suicide on the Training  Self-Efficacy Relationship in Social Work Students",
      "abstract": ": A correlational hypothesis-testing survey study design was used to investigate the hypothesis.  Self-efficacy theory was used to develop a 19-item scale.  Exploratory Factor Analysis (EFA) was performed to identify the factor structure of the self-efficacy scale.  Participants were 151 Masters in Social Work students, of which 131 were direct practice and 20 were administration and planning (A&P).  Because the A&P students were unlikely to perform clinical services, they were excluded from the analysis. This study was IRB approved. : Results supported the main hypothesis. The correlation between training (IV) and self-efficacy (DV) was highly significant ( <.001) while the correlation between exposure (moderator) and self-efficacy was moderately significant ( =.013), and the correlation between exposure and training ( =.181) was not significant. The moderating effect of exposure on the relationship between training and self-efficacy was significant and accounted for approximately 3% of the variance (F(1, 127)=5.323, Δ=.032.). For students with low levels of exposure, the relationship between training and self-efficacy was more significant (R <.001) than for direct practice students with high levels of exposure (R =.052).  Results of the scale analysis suggested a high internal consistency reliability (Cronbach's α=.96). A scree plot analysis in the EFA suggested a one-factor solution  self-efficacy   (eigenvalue=11.4, total variance explained=60%). : Results suggest that higher levels of exposure to suicide and suicidal behaviors may contribute to students' increased confidence in their abilities to intervene with suicidal clients.  Two interpretations are: 1) Exposure to suicide in general is valuable in increasing the likelihood that students will recognize risk factors and engage suicidal clients in suicide assessments.  2) Conversely, exposure might overcompensate for low levels of training, resulting in students believing they do not need further training or consultation, resulting in lower quality of care.  Both interpretations are consistent with self-efficacy theory and suggest directions for future research, clinical supervision and training of social work students.  The self-efficacy scale holds promise as one of the few suicide-focused, theoretically-derived, social work-specific measures that can be used with all levels of experience.  Recommendations for future use will be discussed. Suicide and Related Issues Bridging Disciplinary Boundaries (January 11 - 14, 2007)",
      "authors": "Jonathan B. Singer",
      "author_ids": "108916",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3164791875,
        "prompt_eval_count": 1472,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:34:16.620323+00:00"
    },
    {
      "input_index": 234,
      "record_key": "SWRD:19484",
      "source_database": "SWRD",
      "record_id": 19484,
      "year": 2007,
      "title": "A Comparison of Grief Reactions in Cancer, HIV/AIDS, and Suicide Bereavement",
      "abstract": "This study compared the grief reactions of people who mourned three different types of death: Cancer, HIV/AIDS, and suicide, and addressed the question whether these bereavement groups can be differentiated on the basis of their grief, as measured by the Grief Experience Questionnaire (GEQ; Barrett & Scott, 1989). The results indicate that these groups (cancer: N = 50, AIDS-related: N = 50, and suicide: N = 50) had different grief reactions, specifically, in the areas of stigmatization and unique reactions to suicide. The implications of these results afford grief counselors, health-care providers, and pastoral professionals, intervention strategies that enfranchise people, who may experience one of these types of deaths, to work through their grief. Furthermore, this understanding of specific grief characteristics can also be assimilated into a therapist's preferred bereavement paradigm, for example, stages of grief (Kubler-Ross, 1969), phases of bereavement (Parkes, 1972), or tasks of mourning (Worden, 2004). (C) 2007 by The Haworth Press, Inc. All rights reserved.",
      "authors": "Houck, James A.",
      "author_ids": "",
      "journal_or_venue": "Journal of HIV-AIDS & Social Services",
      "doi": "10.1300/j187v06n03_07",
      "record_type": "Article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2597837917,
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        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:34:22.359884+00:00"
    },
    {
      "input_index": 235,
      "record_key": "SWRD:19109",
      "source_database": "SWRD",
      "record_id": 19109,
      "year": 2007,
      "title": "Client suicide: This is not happening to me: A clinical report and personal memoir",
      "abstract": "Mourning a suicide can be a difficult, complicated experience for family and friends. A therapist's bereavement can be even more complex. The multitude of feelings is often unspoken and/or unattended by colleagues, loved ones, and themselves. This article explores some defenses, both helpful and unhelpful, that one clinician used to process the event.",
      "authors": "Alexander, Judy L.",
      "author_ids": "",
      "journal_or_venue": "Studies in Clinical Social Work: Transforming Practice, Education and Research",
      "doi": "10.1300/j497v77n02_05",
      "record_type": "Article",
      "database_method": null,
      "database_is_scientific": true,
      "database_is_empirical": false,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2156375500,
        "prompt_eval_count": 997,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:34:24.517965+00:00"
    },
    {
      "input_index": 236,
      "record_key": "SWRD:88703",
      "source_database": "SWRD",
      "record_id": 88703,
      "year": 2007,
      "title": "Evidence-Based Suicide Prevention Screening in Schools",
      "abstract": "Screening for suicidality, as called for by the President's New Freedom Commission on Mental Health, is a major public health concern. As a place where adolescents spend a considerable amount of their waking hours, school is an important venue for screening adolescents for suicidal behaviors and providing preventive education and risk management. Social workers, as the largest occupational group of mental health professionals in the United States, have a significant role to play in the national strategy to prevent youth suicide, especially at the school level. This article reviews the literature on suicide prevention screening, warning signs, and risk factors to gain a better understanding of evidence-based screening strategies and discuss the implications for school social workers, counselors, and psychologists. It focuses on the identification of research-based information and explication of potential means for guiding preventive screening and clinical practice with suicidal adolescents.",
      "authors": "Joe, Sean; Bryant, Heather",
      "author_ids": "",
      "journal_or_venue": "Children & Schools",
      "doi": "10.1093/cs/29.4.219",
      "record_type": "Article",
      "database_method": null,
      "database_is_scientific": true,
      "database_is_empirical": false,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2353377416,
        "prompt_eval_count": 1080,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:34:26.872473+00:00",
      "screening_source": "Primary screen; blind audit agreement",
      "accuracy_audit": {
        "sample_group": "Relevant Non-empirical",
        "random_seed": 20260802,
        "blind_screening": {
          "is_relevant": true,
          "relevance_rationale": "The article centrally focuses on evidence-based suicide prevention screening strategies, warning signs, and risk factors for adolescents in school settings.",
          "evidence_class": "Non-empirical",
          "empirical_method": "Not applicable",
          "classification_rationale": "The abstract explicitly states that the article 'reviews the literature' to discuss implications for practice, indicating a narrative or traditional review rather than a systematic empirical study with analyzed data.",
          "confidence": "High"
        },
        "full_label_agreement": true
      }
    },
    {
      "input_index": 237,
      "record_key": "SWRD:80235",
      "source_database": "SWRD",
      "record_id": 80235,
      "year": 2007,
      "title": "Family interaction patterns and dysfunction analysis in suicide attempters",
      "abstract": "The literature on suicide reveals that this phenomenon has been frequently investigated in several specific groups such as the elderly, adolescents, substance abusere, the terminally ill, and other clinical populations. While literature on suicidology has been forthcoming in the international media, sufficient exploration has not occurred in the Indian context. The present study was conducted with a group of 50 suicide attempters admitted to a private psychiatric facility in India following a failed suicide attempt. Instruments to assess their family interaction pattern as well as the extent of dysfunction experienced in several domains were administered, besides studying their suicidal intent and the stressful life events faced. Poor family interaction pattern, particularly with regard to cohesion and leadership were observed. Dysfunction was high across all domains. The analysis was also based on gender and comparison of marital status. It was observed that while female respondents reported better family interaction, their dysfunction levels were higher than that for men. Unmarried respondents reported better family interaction, while the married respondents experienced greater dysfunction. The implications for therapeutic intervention have also been discussed.",
      "authors": "Stanley S.; Ramakrishnan K.",
      "author_ids": "",
      "journal_or_venue": "Indian Journal of Social Work",
      "doi": null,
      "record_type": "Journal Article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2376481375,
        "prompt_eval_count": 1124,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:34:29.250719+00:00",
      "screening_source": "Primary screen; blind audit agreement",
      "accuracy_audit": {
        "sample_group": "Quantitative",
        "random_seed": 20260802,
        "blind_screening": {
          "is_relevant": true,
          "relevance_rationale": "The study explicitly focuses on a population of suicide attempters and analyzes their suicidal intent, family interaction patterns, and dysfunction levels as central outcomes.",
          "evidence_class": "Empirical",
          "empirical_method": "Quantitative",
          "classification_rationale": "The abstract describes an observational study involving the administration of assessment instruments to a specific sample size (N=50) and reports statistical comparisons based on gender and marital status.",
          "confidence": "High"
        },
        "full_label_agreement": true
      }
    },
    {
      "input_index": 238,
      "record_key": "SWRD:19504",
      "source_database": "SWRD",
      "record_id": 19504,
      "year": 2007,
      "title": "Impact of Familial Factors and Psychopathology on Suicidality Among African American Adolescents",
      "abstract": "Racial differences in familial factors, psychopathology, perceptions of social support, and socioeconomic status were examined in a matched sample of African American and White suicidal adolescents (N = 90) during a psychiatric hospitalization. Exploratory analyses suggest that significant differences were found in family support and its association with psychopathology, but most noteworthy were the many similarities between the two adolescent groups. The results presented in this study represent new knowledge on the characteristics of African-American adolescents at high risk of suicidal behavior, and replace conventional wisdom with empirical knowledge about an aspect of human behavior for this population. Implications for social work practice, suicide prevention, and future research are discussed. (C) 2007 by The Haworth Press, Inc. All rights reserved.",
      "authors": "Joe, Sean; Clarke, Jenell; Ivey, Asha; Kerr, David; King, Cheryl",
      "author_ids": "",
      "journal_or_venue": "Journal of Human Behavior in the Social Environment",
      "doi": "10.1300/j137v15n02_12",
      "record_type": "Article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2385229667,
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        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:34:31.637660+00:00"
    },
    {
      "input_index": 239,
      "record_key": "SWRD:27918",
      "source_database": "SWRD",
      "record_id": 27918,
      "year": 2007,
      "title": "Oncology nurses' teaching and support for suicidal patients",
      "abstract": "Although the nursing literature contains many references to the nurses' teaching, Support, and advocacy functions, the consumer and other health care professional literature suggests that the potential importance of nurses in these roles is not widely accepted. In a secondary analysis, we examined nurses' interventions for teaching and support In Survey of a random sample of oncology nurses in a national organization. Clinical oncology nurses (n = 454) reported their attitudes to and knowledge about Suicidal patients. They reported their goals, interventions, and emotional Support for it Suicidal patient. When nurses described their care, they rarely mentioned patient teaching, emotional Support, and advocacy. A gap also existed between the recommended assessments, related goals, and interventions. The nurses' difficulties in responding therapeutically to Suicidal patients also emerged from their religious/other values, uncomfortable feelings, inadequate knowledge, personal experiences, and weight of professional responsibility. A small percentage of oncology nurses with good psychiatric skills reported they had no difficulty in their caregiving role including teaching, support, and advocacy.",
      "authors": "Valente, Sharon M.",
      "author_ids": "",
      "journal_or_venue": "Journal of Psychosocial Oncology",
      "doi": "10.1300/j077v25n01_07",
      "record_type": "Article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "prompt_eval_count": 1131,
        "eval_count": 24
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      "screened_at": "2026-08-02T17:34:34.016291+00:00"
    },
    {
      "input_index": 242,
      "record_key": "SWRD:19240",
      "source_database": "SWRD",
      "record_id": 19240,
      "year": 2007,
      "title": "Suicide prevention: An analysis and replication of a curriculum-based high school program",
      "abstract": "This article highlights some of the concerns about and benefits of curriculum-based suicide prevention programs delivered to students in a high school setting. In addition, it presents information about a specific curriculum-based prevention program and provides evidence that the program changed unwanted attitudes about suicide in all the areas targeted for change and reduced adolescents' reluctance to seek mental health treatment for themselves and their peers. The positive results were much like those found in a similar study by Ciffone (1993). Furthermore, multiple presenters in two separate schools all obtained similar positive results.",
      "authors": "Ciffone, Jerry",
      "author_ids": "",
      "journal_or_venue": "Social Work",
      "doi": "10.1093/sw/52.1.41",
      "record_type": "Article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2427520250,
        "prompt_eval_count": 1032,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:34:41.500925+00:00"
    },
    {
      "input_index": 243,
      "record_key": "SWRD:76452",
      "source_database": "SWRD",
      "record_id": 76452,
      "year": 2007,
      "title": "The relationship between childhood abuse and adult suicidal behavior among rural former mental health patients",
      "abstract": "This article explores the relationship between childhood abuse and adult suicidal behavior among former mental health patients in a rural area. Historical data from 1999-2005 were used and analyzed from an outpatient mental health center. Suicidal ideation and attempts were found to be significantly correlated to all types of childhood abuse, such as mental, physical, and sexual. We conclude with recommendations for future research and implications for future social work practice. © by The Haworth Press, Inc. All rights reserved.",
      "authors": "Richards K.; Molina I.",
      "author_ids": "",
      "journal_or_venue": "Journal of Evidence-Based Social Work",
      "doi": "10.1300/j394v04n01_05",
      "record_type": "fetch_failed",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2304971416,
        "prompt_eval_count": 1026,
        "eval_count": 24
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      "screened_at": "2026-08-02T17:34:43.807488+00:00"
    },
    {
      "input_index": 244,
      "record_key": "SWRD:18965",
      "source_database": "SWRD",
      "record_id": 18965,
      "year": 2007,
      "title": "The role of affect regulation in a case of attempted maternal filicide-suicide",
      "abstract": "The scarce empirical research into maternal filicide-suicide has resulted in a number of merely descriptive risk factors (depression, suicidality and psychosis) for the offender. The aim of this paper is to highlight the interaction amongst these risk factors via a case study of a woman who survived a filicide-suicide. We come to the conclusion that in order to better understand and prevent this type of crime, clinical social workers and other mental health professionals should take into account affect dysregulation as opposed to focusing merely on descriptive characteristics.",
      "authors": "Willemsen, Jochem; Declercq, Frdric; Markey, Samuel; Verhaeghe, Paul",
      "author_ids": "",
      "journal_or_venue": "Clinical Social Work Journal",
      "doi": "10.1007/s10615-007-0128-y",
      "record_type": "Article",
      "database_method": null,
      "database_is_scientific": true,
      "database_is_empirical": false,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "prompt_eval_count": 1029,
        "eval_count": 24
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      "screened_at": "2026-08-02T17:34:46.072522+00:00"
    },
    {
      "input_index": 245,
      "record_key": "SWRD:18956",
      "source_database": "SWRD",
      "record_id": 18956,
      "year": 2007,
      "title": "The role of affect regulation in a case of attempted maternal-filicide suicide: Commentary on an act of despair",
      "abstract": "A case of attempted maternal-filial suicide is discussed from the perspective of trauma, emotional regulation and defense mechanisms. Case details which include childhood sexual abuse, observed parental violence and emotional neglect allow for an illustration of the impact of childhood family experiences on adult intimacy and coping patterns. Domestic violence and the perception of protection are also explored. Emotional regulation in the experience of despair is approached from an object relations perspective. Based on this, implications for prevention and treatment are presented.",
      "authors": "Siegel, Judith P.",
      "author_ids": "",
      "journal_or_venue": "Clinical Social Work Journal",
      "doi": "10.1007/s10615-007-0129-x",
      "record_type": "Article",
      "database_method": null,
      "database_is_scientific": true,
      "database_is_empirical": false,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2270509834,
        "prompt_eval_count": 1023,
        "eval_count": 24
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      "screened_at": "2026-08-02T17:34:48.344899+00:00",
      "screening_source": "Primary screen; blind audit agreement",
      "accuracy_audit": {
        "sample_group": "Relevant Non-empirical",
        "random_seed": 20260802,
        "blind_screening": {
          "is_relevant": true,
          "relevance_rationale": "The record focuses centrally on a specific case of attempted maternal-filicide suicide, analyzing the psychological factors and implications for prevention.",
          "evidence_class": "Non-empirical",
          "empirical_method": "Not applicable",
          "classification_rationale": "The article is explicitly labeled as a commentary on a single case vignette used to illustrate theoretical concepts (trauma, emotional regulation) rather than presenting systematic empirical data analysis or a formal case study with rigorous methodology.",
          "confidence": "High"
        },
        "full_label_agreement": true
      }
    },
    {
      "input_index": 246,
      "record_key": "SWRD:94554",
      "source_database": "SWRD",
      "record_id": 94554,
      "year": 2007,
      "title": "The Role of Positive and Negative Social Exchanges Between Adolescents, their Peers and Family as Predictors of Suicide Ideation",
      "abstract": "The role of positive and negative social exchanges between adolescents, their peers and family as predictors of suicide ideation was investigated in a national random sample of 1591 adolescents from the US National Comorbidity Survey. Four indexes measured socio-emotional exchanges by type (positive or negative) and by source (family or peers). Negative exchanges with family were associated with increased suicide ideation scores in younger (15-17) but not in older (18-19) adolescents. Positive support provided as significant buffering effect that was age-specific and independent of gender, income or mood disorders. Providers, especially social workers need to identify both positive and negative exchanges that adolescents experience with family and peers.",
      "authors": "Bertera, Elizabeth M.",
      "author_ids": "",
      "journal_or_venue": "Child & Adolescent Social Work Journal",
      "doi": "10.1007/s10560-007-0104-y",
      "record_type": "Article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "prompt_eval_count": 1075,
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      },
      "screened_at": "2026-08-02T17:34:50.664877+00:00"
    },
    {
      "input_index": 247,
      "record_key": "SWRD:19121",
      "source_database": "SWRD",
      "record_id": 19121,
      "year": 2007,
      "title": "Violent Death: Understanding the Context of Traumatic and Stigmatized Grief",
      "abstract": "Approximately 1 in 3 Americans have a loved one die in a sudden violent manner in their lifetime. This article examines the post-event experiences of three groups of survivors: survivors of victims of motor vehicle fatalities, suicide, and homicide. The article takes the position that experiences vary, in part, because each group faces different challenges created by the mode of death. Challenges are classified as trauma reactions, negative social responses, and efforts to make or finding meaning in the tragedy. The manifestations of these challenges are delineated for each group. Obstacles to survivors' movement are described followed by interventions specific to containing or reducing trauma-based reactions, activating social support to buffer and alleviate the effects of negative social attitudes, and creating the possibility for meaning-making through the intense pursuit of what matters now. These interventions increase the probability that survivors can continue to grow and even thrive in spite of and quite often because of their history. (C) 2006 by The Haworth Press, Inc. All rights reserved.",
      "authors": "Armour, Marilyn",
      "author_ids": "",
      "journal_or_venue": "Journal of Human Behavior in the Social Environment",
      "doi": "10.1300/j137v14n04_04",
      "record_type": "Article",
      "database_method": null,
      "database_is_scientific": true,
      "database_is_empirical": false,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2304090334,
        "prompt_eval_count": 1126,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:34:52.970621+00:00"
    },
    {
      "input_index": 248,
      "record_key": "SWRD:27171",
      "source_database": "SWRD",
      "record_id": 27171,
      "year": 2007,
      "title": "Young people's gendered interpretations of suicide and attempted suicide",
      "abstract": "This paper aims to uncover gendered interpretations of various kinds of suicidal behaviour. its empirical basis is focus group discussions with a range of young people, including users of social work services. In support of Canetto's research, the authors found some of the young people to be associating 'successful' suicides with masculinity and 'failed' suicide attempts with femininity. These feminized suicide attempts were subject to some fairly pejorative interpretations, such as being motivated by revenge or manipulation. There was no particular pattern of viewpoints in terms of the sex of respondents. The implications of these findings for social work are discussed.",
      "authors": "Scourfield, Jonathan; Jacob, Nina; Smalley, Nina; Prior, Lindsay; Greenland, Katy",
      "author_ids": "",
      "journal_or_venue": "Child & Family Social Work",
      "doi": "10.1111/j.1365-2206.2007.00498.x",
      "record_type": "Article",
      "database_method": "Qualitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2279693458,
        "prompt_eval_count": 1040,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:34:55.251831+00:00"
    },
    {
      "input_index": 252,
      "record_key": "SSWR:2008-O-7524",
      "source_database": "SSWR",
      "record_id": "2008-O-7524",
      "year": 2008,
      "title": "an Exploratory Study of a Population at Risk",
      "abstract": "Description of the problem: Previous studies have explored the comorbid clinical disorders in children and adolescents with Asperger's Syndrome (AS), but no study to date has explored suicidal ideation among adolescents with AS. Currently, there are no data on the prevalence of suicidal ideation among adolescents and young adults diagnosed with AS.  Purpose of the study: This exploratory study examined: 1) the level of suicidal ideation, prevalence of comorbid psychiatric disorders, and degree of peer victimization; and 2) the association of suicidal ideation with: age, age at diagnosis, severity of AS symptomatology, Major Depressive Disorder, Generalized Anxiety Disorder, or degree of peer victimization.  Methods: A cross-sectional study using a self-administered mail questionnaire and a web-based questionnaire were used. Questionnaires were completed by each adolescent or young adult diagnosed with AS and one of his or her parents of that adolescent or young adult.  Two samples were selected for this study. The first sample used snowball sampling, starting with parents of adolescents or young adults diagnosed with Asperger's Syndrome (AS) who participated in a 2002 study. The second sample consisted of a volunteer sample of parents who visited one of the following web sites: 1) Asperger's Syndrome Parent Education Network; 2) Advocates for Individuals with High Functioning Autism, Asperger's Syndrome and other Pervasive Developmental Disorders; and 3) the National Alliance for Autism Research.  A link to the web-based survey was placed on the Research Projects page of each of these web sites. There were four domains of independent variables: 1) sociodemographic characteristics; 2) clinical characteristics; 3) comorbid psychiatric disorders; and 4) psychosocial functioning. The following measures were obtained from the adolescent or the young adult diagnosed with AS:  Level of suicidal ideation (Suicidal Ideation Questionnaire-SIQ), Major Depressive Disorder, Generalized Anxiety Disorder (Patient Health Questionnaire Adolescent version-PHQ-A), peer victimization measures (overt victimization, relational victimization, prosocial behavior, total degree of peer victimization using the Social Experience Questionnaire), Measures that were gathered from the parent were: the Krug Asperger's Disorder Index and use of educational and mental health services.   Results: Fifty percent of the sample had clinically significant levels of suicidal ideation, 20% met criteria for a diagnosis of Major Depressive Disorder and 30% met criteria for Generalized Anxiety Disorder. Bivariate analyses revealed that severity of AS symptomatology was negatively correlated with level of suicidal ideation (r = -.88, p = .01). Age of the adolescent or the young adult diagnosed with AS was negatively correlated with severity of AS symptomatology (r = .-97, p = .001).  Implication for social work: Implications for social work include: 1) studies of suicidal ideation and comorbid disorders in adolescents and young adults diagnosed with AS should include a large probability sample that will allow a more detailed investigation of the potential risk factors for suicidal ideation; 2) social work practitioners and mental health professionals should be aware of the potential risk factors for suicidal ideation among adolescents and young adults diagnosed with AS that were identified in this study.See more ofPoster Session II       Adolescents, Child Welfare, Gender/Women's Issues, Other, Research Design/MeasurementSee more ofOral and PosterSee more ofResearch That Matters (January 17 - 20, 2008)",
      "authors": "Oren Shtayermman",
      "author_ids": "109808",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3458061917,
        "prompt_eval_count": 1659,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:35:09.069712+00:00"
    },
    {
      "input_index": 253,
      "record_key": "SSWR:2008-O-8705",
      "source_database": "SSWR",
      "record_id": "2008-O-8705",
      "year": 2008,
      "title": "Assessing and Advancing the Validity of Adolescent Suicidality Questionnaires",
      "abstract": "Purpose:  Completed suicides tripled among youth between 1952 and 1996. In 1999 the Surgeon General called for expanded research on youth suicide prevention and the specific need to advance the validity of youth suicidality assessment tools. A call for research that matters; the current study was a direct response to that call. Assessment questionnaire development is a quantitative endeavor; however, there is growing interest in the systematic application of mixed methods to questionnaire development and validity assessment. Such mixed methods in questionnaire development, or cognitive methods, are used to collect qualitative data directly from potential respondents about how they understand, think about, and choose responses to assessment questionnaires.Method:  Two such mixed methods were used to collect data from adolescents (13-17) who had been psychiatrically hospitalized for suicidality (ideation to attempt). Cognitive pretesting (CP) interviews involve asking a respondent, while they read and respond to an assessment question, to explain what/how he/she: (a) interprets what a question is asking, (b) thinks about while forming a response, such as experiences, feelings, beliefs, etc., and (c) chooses an answer option. CPed was the Suicidal Ideation Questionnaire-Junior (SIQ-JR: Reynolds & Mazza, 1999), the most widely utilized such questionnaire. Construct probe interviews (CPI) apply open-ended questions to gather qualitative data about how adolescents experience the context and content of a targeted construct, suicidality.Results:  To date, 34 adolescents have been interviewed, with the full sample to be collected by the end of June 2007. Preliminary analyses indicate that while many of the SIQ-JR items perform well, several items have validity problems. For example, the item I thought about writing a will, which is infrequently endorsed but seen as a high risk sign; while some adolescents knew what a will was, most did not interpret this question as intended. Nearly half thought wills were what old people write, some felt wills are for people with money and property, and they have neither, finally several just did not know what a will was. The question I thought about telling people I plan to kill myself, several serious suicide attempters interpreted this wording as attention seeking behavior, and not something they would endorse. For those respondents it does not assess suicide risk, even the opposite. For the SSWR poster, full analyses will be available for the cognitive pretesting, including describing a codebook to quantitatively code the validity of responses, and the inter-rater reliability of multiple coders of the data. Finally, the CPI data are revealing a wide range of circumstances, dynamics, and responses to stressors and struggles that lead adolescents to think about or attempt suicide, and make them want to live or help when they feel suicidal.Implications:  The implications of this research matters. We need valid teen suicide assessment risk questionnaires that can both be used to screen a population in a school or applied in a clinical setting. Current findings will be used to develop such a questionnaire. Finally, the application and ongoing evolutions of such mixed methods in questionnaire development will be discussed.See more ofPoster Session II       Adolescents, Child Welfare, Gender/Women's Issues, Other, Research Design/MeasurementSee more ofOral and PosterSee more ofResearch That Matters (January 17 - 20, 2008)",
      "authors": "Michael E. Woolley",
      "author_ids": "109941",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "mixed_methods",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3355740375,
        "prompt_eval_count": 1634,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:35:12.427135+00:00",
      "screening_source": "Primary screen; blind audit agreement",
      "accuracy_audit": {
        "sample_group": "Qualitative",
        "random_seed": 20260802,
        "blind_screening": {
          "is_relevant": true,
          "relevance_rationale": "The study focuses on assessing the validity of adolescent suicidality questionnaires using data from hospitalized youth with suicidal ideation or attempts, making suicide assessment a central substantive focus.",
          "evidence_class": "Empirical",
          "empirical_method": "Qualitative",
          "classification_rationale": "The research employs cognitive pretesting interviews and construct probe interviews to collect qualitative data on how adolescents interpret suicide risk items, which constitutes a predominantly qualitative empirical design despite mentions of future quantitative coding.",
          "confidence": "High"
        },
        "full_label_agreement": true
      }
    },
    {
      "input_index": 255,
      "record_key": "SSWR:2008-O-8284",
      "source_database": "SSWR",
      "record_id": "2008-O-8284",
      "year": 2008,
      "title": "Differential Relationships in American Indian Youth",
      "abstract": "The question of how suicidal behavior in others relates to young people's own suicidal thoughts or attempts is of particular import to American Indians, whose youth suicide rate is 3 times higher than average. Research has produced conflicting accounts of whether exposure to suicidal behavior is linked to suicidality in young people, although a national survey of American Indian adolescents recently found that suicidal behavior (attempts or completions) in friends and family related positively to reservation youth's suicide attempts. In order to inform suicide prevention efforts, this study sought to more precisely examine how specific types of exposure in a mixed sample of urban and reservation American Indian youth vary in their relationship to youth's reports of prior suicidality. Accordingly, the study had three aims: 1) determine rates of exposure to suicide attempts and suicides, separately, in family and peers; 2) investigate relationships of the various exposure types to youth's prior ideation and attempts; and 3) examine whether these relationships remained statistically significant when controlling for potential confounders. METHOD: This study surveyed 345 American Indian youth (ages 14-21; mean=18.56, SD=1.55) in a stratified random sample of American Indian youth in a southwestern state. The sample comprised 181 urban and 164 reservation youth in a southwestern state. Participants completed a lengthy personal interview, including the Diagnostic Interview Schedule's depression and substance use modules. Questions assessed youth's lifetime suicidal ideation, suicide attempt, and exposure to, separately, suicide attempts and completions of family and friends. Analyses included descriptive statistics (Aim 1); chi square and logistic regression with post-estimation tests for differences in odds ratios (Aim 2); and logistic regressions controlling for age, gender, location, depression symptoms, substance use (Aim 3). Regression diagnostics ruled out multicollinearity. RESULTS: In all, almost half the sample (48.1%) was exposed to some type of suicidal behavior, including 34.0% who lost a peer to suicide and 4.0% who reported a family suicide. Of youth reporting any exposure to suicidal behavior, 46.1% reported prior suicidal ideation and 26.4% reported an attempt, both statistically significant higher proportions than youth with no exposure to suicidal behavior (22.5% and 16.9%, respectively). However, the different types of exposure related differentially to youth's ideation and attempts. Exposure to family attempts related most strongly, followed by exposure to peer attempts. Although exposure to peer suicide was associated bivariately with youth's suicidal ideation, it lost significance in analyses controlling for potential confounders. Family suicide had no significant relationship with youth's ideation or attempts. IMPLICATIONS: It is commonly accepted that some type of intervention with survivors (i.e., postvention) should follow an adolescent or family suicide. This study's associations of exposure to suicide attempt with youth's suicidality suggest that a nonfatal suicide attempt also may warrant intervening with family members and peers. Additionally, prevention programs training peers of suicidal youth as gatekeepers may need to take into account the peers' own potential vulnerability to suicidal behavior. Finally, risk assessments should not only include questions about family suicide, but also about peer suicide and suicide attempts in family and peers.See more of[ADOL] Adolescent Mental HealthSee more ofOral and PosterSee more ofResearch That Matters (January 17 - 20, 2008)",
      "authors": "Stacey Freedenthal; Arlene Rubin Stiffman",
      "author_ids": "108070; 108066",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3452547500,
        "prompt_eval_count": 1640,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:35:19.170893+00:00"
    },
    {
      "input_index": 257,
      "record_key": "SSWR:2008-O-9091",
      "source_database": "SSWR",
      "record_id": "2008-O-9091",
      "year": 2008,
      "title": "II in African-American Suicide Attempters",
      "abstract": "Purpose: Although preliminary studies have suggested that the Beck Depression Inventory-II may be a valid and reliable depression measure across some racial groups, there has been a paucity of research on the psychometric properties of the BDI-II among African Americans, and none we know of in a sample of suicidal African-Americans. Depression is a well established precursor for eventual suicide completion; therefore, a vital factor in ascertaining the benefit of suicide-related treatments, especially psychosocial interventions, is to determine whether a clinically significant degree of symptom reduction, like major depression, has occurred. Accurate assessment of depression among ethnic minorities, especially in individuals with a history of suicide behavior, is therefore an important task. Therefore, this study sought to examine the psychometric properties of the BDI-II in a psychiatric sample of African American participants who recently attempted suicide.Method: In this study we sought to test the fit of a second-order two-factor model and internal reliability of the BDI-II in a sample of 133 African-Americans with a recent history of suicide attempts. Additionally, the convergent validity with the Hamilton Rating Scale for Depression was examined. A confirmatory factor analytic (CFA) strategy using AMOS 5.0 was chosen because the goal of the current study was to cross-validate the fit of that two-factor model in a sample of African American suicide attempters. The Kaiser-Meyer-Olkin (KMO) was used to assess the appropriateness of the sample for factor analysis.Results: Descriptive statistics for the BDI-II item responses indicated that the item means were distributed around the center of the response range. Coupled with minimal skewness (item skewness ranged from .52 to -.40), the 21 items revealed fairly normal response distributions in this clinical sample.  Corrected item-total correlations for items within each first order factor ranged from .47 to .70, suggesting all items would load well and contribute to the reliability of the respective scales. The CFA results indicated the proposed second-order, two-factor model did not explain all of the variance and covariance in the data, 2 (188, N = 133) = 276.86, p < .05. However, other goodness-of-fit indices indicated an acceptable fit for this model, CFI = .92, IFI = .93, RMSEA = .06 (90% Confidence Interval = .04 - .07).Implications: This study also makes a rare contribution to our understanding of suicidal depression. The results indicated that the BDI-II is a reliable and valid measure of depressive symptoms for African-American suicide attempters.  Establishing validity and reliability of such assessment tools in diverse racial and ethnic groups minimizes the likelihood of poor treatment decisions or erroneous research conclusions.See more of[MH] Depression: Measurement and TreatmentSee more ofOral and PosterSee more ofResearch That Matters (January 17 - 20, 2008)",
      "authors": "Sean Joe; Michael E. Woolley",
      "author_ids": "109205; 109941",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3257964291,
        "prompt_eval_count": 1530,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:35:25.764777+00:00"
    },
    {
      "input_index": 258,
      "record_key": "SSWR:2008-O-8859",
      "source_database": "SSWR",
      "record_id": "2008-O-8859",
      "year": 2008,
      "title": "Infant Interactions: Findings from a Study of a Home-Based Therapeutic Intervention",
      "abstract": "Purpose: Postpartum mood disorders are potentially devastating conditions that are under-diagnosed, under-treated, and affect approximately 13% of childbearing women (O'Hara & Swain, 1996). Maternal depression, manifested through symptoms such as sadness, withdrawal, anxiety, irritability, or suicidality disrupts the parent-child bond and crucial aspects of social, emotional and cognitive development learned through early interaction with the primary caregiver.  Individual treatments to ameliorate the mother's depression have not demonstrated conclusive improvement in the maternal-infant interaction. Based on research evidence showing the importance of dyadic interventions (Nylen, et al., 2006), a community social service agency developed a program providing relationship-based therapeutic home-visits to a broad spectrum of mothers with serious postpartum mood disorders and their infants. The short-term intervention focuses on strengthening maternal competence and the parent-child relationship as early as 2-3 weeks postpartum. This study utilizes baseline data collected at intake from a multi-method evaluation to understand the nature and severity of the mothers' mood disorders and their impact on relationships with their infants.Methods:  Measures used for the study included the Postpartum Depression Screening Scale (Beck & Gable, 2000), the Maternal Self-Report Inventory (Shea & Tronick, 1988), the Brief Symptom Inventory (Derogatis, 1975, 1993), the Dyadic Adjustment Scale (Spanier, 1976), and the Coding Interactive Behavior scales (Feldman, 1998) based on mother-infant videos. Twenty-five mother-infant dyads were enrolled. Infant mean age was 11 weeks. We hypothesized that maternal depression and self-esteem would be negatively associated with engagement and sensitivity towards infants, infants' affective expression, and infants' involvement with the mother.Results:  Baseline data demonstrated that mothers were profoundly depressed, had poor self-esteem, and experienced mental confusion, emotional lability, anxiety, sleep disturbances, guilt, shame, and suicidal thoughts. In bivariate analyses we found that mother's severity of depression and poor self-esteem were significantly correlated with decreased sensitivity and disengagement from infants, and with infants' limited positive affect and initiation of interactions (e.g. gaze, vocalizations, etc). Counter to previous studies, quality of marital relationship was not associated with severity of postpartum depression or feeling inadequate as a mother. By computing a series of hierarchical regression models we found the following: 1) after controlling for baby age, the mothers with less parental confidence and greater depression were less able to acknowledge their infants and be responsive to their needs; 2) mothers with poor self-esteem, difficulties adjusting to parenting, and who were suicidal were more likely to be disengaged from their infants and display flat affect in interactions with them; and 3) regardless of age, infants who had very depressed mothers showed more fatigue, less positive affect, and initiated fewer interactions with their mothers.Implications:  These depressed mothers with extremely low self-esteem were unable to offer the nurturance their infants needed for optimal development (Weinberg, et al., 2001).  Without an accessible postpartum depression intervention women are left isolated and shamed by their experiences and their infants suffer the consequences. Our results support the importance of maternal depression screening immediately postpartum and the availability of interventions that focus on maternal-infant relationships as well as the mothers' mood disorders.See more of[CW] Parent Cognitions and Interactive Behavior as Targets for Early Intervention: a Role for Social Work in Infant Mental HealthSee more ofSymposiumSee more ofResearch That Matters (January 17 - 20, 2008)",
      "authors": "Ruth Paris; M. Katherine Weinberg; Rendelle Bolton",
      "author_ids": "109239; 110106; 110107",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3577950375,
        "prompt_eval_count": 1701,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:35:29.344519+00:00"
    },
    {
      "input_index": 260,
      "record_key": "SSWR:2008-O-8573",
      "source_database": "SSWR",
      "record_id": "2008-O-8573",
      "year": 2008,
      "title": "Inhalant Use among Incarcerated Adolescents II.  Characteristics of Inhalant Users",
      "abstract": "Background and Purpose: Inhalation of gasoline, glue, and other volatile solvents for the purposes of intoxication is highly prevalent in low income and otherwise disadvantaged populations served by social workers.  Prior studies have identified high rates of inhalant abuse among reservation-based American Indians, Hispanic youth living in barrio areas, and street youth living in many areas of the United States.  This study was funded by the National Institute on Drug Abuse and is among the first and largest investigations to assess the characteristics of incarcerated youth who abuse inhalants.  This report specifically examined factors that distinguish lifetime inhalant users from nonusers and low vs. high frequency inhalant users in a large state juvenile justice system.Methods: Residents (N = 723) of 27 Missouri Division of Youth Services (DYS) rehabilitation facilities completed interviews assessing substance use, mental health symptoms, antisocial attitudes, trauma, suicidality, and criminality.  Face-to-face interviews were conducted with nearly the entire population of incarcerated youth in DYS at the time the study was conducted.  Only 5 of 728 youth refused or were unable to fully participate in the study.  All youth completed the Volatile Solvent Screening Inventory and Comprehensive Solvent Assessment Interview developed by the first author.Results: Participants averaged 15.5 (SD = 1.2) years of age, were ethnically diverse, and predominantly male. More than one-third (36.9 %) reported lifetime inhalant use; nearly half of the 267 users had tried 4 or more inhalants.  Inhalant users evidenced significantly higher levels of criminal behavior, antisocial attitudes, current psychiatric symptoms, earlier onset of offending and substance use, and more extensive histories of head injury, kidney disease, hormonal problems, mental illness, suicidality, trauma, and substance-related problems than nonusers.  In multiple logistic models, race, geographic area of residence, fearlessness, suicidality, and polydrug use distinguished inhalant users and nonusers.  Measures of cognitive impairment, impulsivity, fearlessness, blame externalization, polydrug use, and substance-related problems were associated with greater lifetime frequency of inhalant use.Conclusions and Implications: Inhalant use was widespread in this sample of incarcerated youth and associated with a disturbingly extensive set of psychosocial and health impairments.  Social workers who work with youth in juvenile justice settings and other disadvantaged client populations should be attuned to the possibility that their clients may be abusing inhalants.  Approaches to identifying and intervening with inhalant users will be discussed.See more of[ADOL] Inhalant Use and Substance Use Treatment ModelsSee more ofOral and PosterSee more ofResearch That Matters (January 17 - 20, 2008)",
      "authors": "Matthew Owen Howard; Michael G. Vaughn; Lia Nower",
      "author_ids": "108542; 108089; 110014",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3163651584,
        "prompt_eval_count": 1496,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:35:35.783824+00:00"
    },
    {
      "input_index": 261,
      "record_key": "SSWR:2008-O-8005",
      "source_database": "SSWR",
      "record_id": "2008-O-8005",
      "year": 2008,
      "title": "Predictors of Outpatient Treatment Adherence in Patients with Mood Disorders",
      "abstract": "Background and Purpose: Premature drop-out from outpatient psychiatric treatment has long been recognized as a serious problem. In studies of depressed patients, rates of drop-out range from 15% to over 50%, with the majority falling between 20% and 40%.  Treatment drop-out is particularly problematic among depressed suicide attempters.  Up to 60% of attempters drop out of treatment after just one week of outpatient therapy.  Of those who do attend treatment, after 3 months of being hospitalized for a suicide attempt, 38% of attempters will no longer be attending outpatient treatment, and after a year, 73% of attempters will no longer be attending any treatment.  The risk of repeat attempts and possible completed suicide can be reduced if suicide attempters engage in effective outpatient treatment.  This study sought to identify patient characteristics associated with treatment adherence and, specifically, to determine whether rates of treatment adherence among depressed patients vary by ethnicity, suicide attempt status, and severity of depression.  Being able to identify the characteristics that indicate the likelihood of an individual engaging in outpatient treatment is essential.  This knowledge would facilitate focused intervention, targeting those most at risk for dropping out and, thereby, reducing repeat suicide attempts. Methods: This study was conducted through the Silvio O. Conte Center, Department of Psychiatry, New York State Psychiatric Institute.  Analyses were funded through the Developing Center on Interventions for the Prevention of Suicide (DCIPS) (P20 AA015630), Department of Psychiatry, New York State Psychiatric Institute.  518 subjects presenting for treatment of a depressive illness (MDD or bipolar disorder with a current major depressive episode) were assessed during their index hospitalization and given follow-up assessments at three months and one year. Logistic regressions were conducted examining multiple socio-demographic and clinical characteristics (including age, gender, marital status, number of children, ethnicity, diagnosis, suicide attempt status, and severity of depression) as predictors of adherence at the two follow-up periods. Results: Of the 518 subjects evaluated at baseline, 303 participated at the three month follow-up and 273 participated at the one year follow-up.  85 (16.2%) subjects had dropped out of treatment at the three month follow-up period and 75 (14.3%) subjects had dropped out of treatment at the one year follow-up period.  At 3 months, age(OR=.936, p<.001), ethnicity (OR=3.640, p=.004), and education (OR=1.244, p=.001) were significant predictors of outpatient treatment adherence with older age, non-caucasian ethnicity, and fewer years of education predicting decreased adherence to outpatient treatment.  At one year, age (OR=.932, p<.001),  ethnicity (OR=2.762, p=.047), and education (OR=1.294, p=.001) remained significant predictors.  Unexpectedly, suicide attempt status and severity of depresion were not significant predictors of outpatient treatment adherence at either time period. Conclusions and Implications: Older, Non-Caucasian patients with less education were consistently most likely to drop-out of treatment. Engagement interventions should be proactive in targeting patients with these characteristics, as at they are at high risk for treatment drop-out and, thus, repeat attempts.  Implications for social work practice and research are discussed. [MH] Social Work and Treatment Adherence: Examining the Impact and Contributions across Four Research Studies Research That Matters (January 17 - 20, 2008)",
      "authors": "Dana Lizardi; Jill Harkavy-Friedman; Ainsley Burke; Maria A. Oquendo; J. John Mann; Barbara Stanley",
      "author_ids": "109865; 109866; 109867; 109868; 109869; 109870",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3717497959,
        "prompt_eval_count": 1697,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:35:39.503128+00:00"
    },
    {
      "input_index": 262,
      "record_key": "SSWR:2008-O-7788",
      "source_database": "SSWR",
      "record_id": "2008-O-7788",
      "year": 2008,
      "title": "Profile and Use of Social Work Services",
      "abstract": "Background and Purpose: Depression among Arthritic individuals is associated with lower quality of life, increased risk of suicide, lower medical compliance and greater reliance on the health care system.  Despite these problems, social workers and other health professionals do not consistently screen for depression among their clients with arthritis. The purpose of our study was to determine the extent of social work contact with depressed individuals with Arthritis or Rheumatism as well as to compare and contrast depressed and non-depressed individuals with Arthritis or Rheumatism in a large, national Canadian sample. Our hypothesis was that depression is correlated with a range of demographic (e.g. gender, age), physical health (e.g. ADL limitations, pain) and psychosocial characteristics (e.g. social support, self-esteem).Methods: The nationally representative Canadian Community Health Survey 2000-2001 (CCHS) had a response rate of 84.7%, which resulted in a final sample of 130, 880 respondents.  Our sample was comprised of 24,511 Canadians who reported they had been diagnosed with arthritis or rheumatism by a health professional. Respondents were diagnosed as depressed by using a subset of items from the Composite International Diagnostic Interview (CIDI). Chi-square tests, independent t-tests and logistic regression analyses were conducted with depression as the outcome.Results: One in 10 Canadians with Arthritis or rheumatism has clinically relevant levels of depression. Depression rates were significantly higher among females, the unmarried, younger, and poorer individuals (p<.01).  Individuals in pain, with limitations in ADLs or IADLs, with less social support and with alcohol dependency were vulnerable to depression (p<.01).  Less than half of the depressed individuals had consulted a mental health professional and one-third were receiving anti-depressants. One in five depressed arthritic or rheumatic individuals had been suicidal in the past year. With respect to social work contact, two in every five individuals consulting a social worker were depressed.  In fact, twenty-three percent of all depressed individuals with arthritis or rheumatism had seen a social worker in the past year and one-third of these depressed clients had seriously considered suicide in the past year. Only ten percent of those with depression had discussed mental health issues with a social worker.Conclusions and Implications: The majority of depressed individuals with arthritis or rheumatism were not receiving adequate treatment for depression. Even depressed individuals seeing social workers were unlikely to discuss their mental health needs. Our findings suggest that all social work clients with arthritis or rheumatism should be screened for depression and suicidal ideation. Furthermore, this study's findings can help all health professionals to improve targeting and outreach efforts for identifying and treating the most vulnerable individuals with arthritis or rheumatism.See more of[MH] Depression and Medical ConditionsSee more ofOral and PosterSee more ofResearch That Matters (January 17 - 20, 2008)",
      "authors": "Yael Shaked; Esme Fuller-Thomson",
      "author_ids": "109835; 109836",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3273018792,
        "prompt_eval_count": 1532,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:35:42.777939+00:00",
      "screening_source": "Primary screen; blind audit agreement",
      "accuracy_audit": {
        "sample_group": "Quantitative",
        "random_seed": 20260802,
        "blind_screening": {
          "is_relevant": true,
          "relevance_rationale": "The study explicitly analyzes suicide risk factors and suicidal ideation prevalence among depressed individuals with arthritis, reporting specific statistics on past-year suicidality and its correlation with social work contact.",
          "evidence_class": "Empirical",
          "empirical_method": "Quantitative",
          "classification_rationale": "The abstract describes a quantitative analysis of national survey data using statistical methods such as chi-square tests, t-tests, and logistic regression to examine depression and suicide-related outcomes.",
          "confidence": "High"
        },
        "full_label_agreement": true
      }
    },
    {
      "input_index": 265,
      "record_key": "SSWR:2008-O-8538",
      "source_database": "SSWR",
      "record_id": "2008-O-8538",
      "year": 2008,
      "title": "Social and Clinical Factors Associated with Psychiatric Emergency Service Use and Civil Commitment among African American Youth",
      "abstract": "Purpose: This study examined the social and clinical factors associated with psychiatric emergency services (PES) use among African American youth, a group that disproportionately uses more PES services than community-based services.  We examined social and clinical factors associated with arrival status (e.g. involuntary versus voluntary) to PES and civil commitment decisions among a sample of African American youth to further elucidate their help-seeking patterns and entre into care.  Community-based mental health treatment might be accessed earlier in the illness careers of youth if we better understood what mental health problems precipitate their entre into PES.Methods: This study was a secondary data analysis of an inner-city psychiatric emergency service center in Philadelphia, PA.  One thousand, six hundred and twenty one African American youths under 24 years of age who arrived at the emergency service center were included in the study.  Patient records were reviewed to determine social and clinical predictors of arrival status (e.g. involuntary admission vs. voluntary admission) and case disposition among youth who were involuntarily admitted (e.g. disposition upheld vs. dismissed).  Social and clinical predictors included: age, insurance status, DSM diagnosis, substance abuse involvement, suicidality, GAF scores and time of arrival.  Information was gathered from the patient records of 1,621 African American youth who accessed the psychiatric emergency service unit between October 1, 2001 and September 30, 2002.  Multivariate logistic regression was used to examine the factors associated with arrival status and civil commitment decision among the subset of the sample for which there was an official petition for civil commitment.  In the multivariate model examining commitment decision, we controlled for the independent influence of sociodemographic and clinical factors.  Age and GAF scores were treated as continuous variables to improve the model fit.Results: Low income youth with behavior disorders were less likely to arrive voluntarily to PES. Older youth with serious impairment in functioning were more likely to have their involuntarily admission upheld. The multivariate logistic regression of social and clinical factors predicting voluntary arrival status (c2= 241.19, df = 14; p < .001) and predicting whether an involuntary commitment was upheld (c2= 354.53, df = 12; p < .001) fit the data well. Medical insurance, suicidality, DSM diagnosis, substance involvement, GAF scores, and time of day the youth arrived to PES were predictors of voluntary arrival.  Only two social and clinical factors were significant predictors of the decision to uphold an involuntary commitment: age and GAF scores.Implications:  Limited information is available on the PES experiences (e.g. arrival status, case disposition) of urban, African American youth.  If PES remains the main entre point into care for this group, social workers need to be more knowledgeable of the factors that underlie youths' service use experiences in PES, in particular, the social and clinical factors related to their case disposition.  This study underscores the importance of understanding social and clinical factors associated with arrival status and civil commitment among African American youth and discusses implications for social work practice in this sector.See more of[ADOL] Mental Health and Urban AdolescentsSee more ofOral and PosterSee more ofResearch That Matters (January 17 - 20, 2008)",
      "authors": "Michael A. Lindsey; Sean Joe; Briggett C. Ford",
      "author_ids": "109175; 109205; 110008",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3336821375,
        "prompt_eval_count": 1618,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:35:52.740300+00:00"
    },
    {
      "input_index": 267,
      "record_key": "SSWR:2008-O-8410",
      "source_database": "SSWR",
      "record_id": "2008-O-8410",
      "year": 2008,
      "title": "the Role of Emotional Abuse",
      "abstract": "Background and Purpose  Although the relationships between IPV and women's health have been extensively studied in the United States, studies in countries other than the United States remain limited. In addition, few studies in the U.S. accounted for exposure to childhood abuse or abuse perpetrated by non-intimates or relevant socio-demographic characteristics. Accounting for these variables, this study in Japan investigated the relationship between the experience of partners' emotional, physical and sexual abuse and health status among women in Japan.Methods As part of a cross-national research effort coordinated by the World Health Organization, data were collected through face-to-face interviews, augmented by paper-and-pencil questionnaires. The latter was included to avoid vocalization of sensitive questions and respondents' answers due to small housing quarters in most Japanese homes. The sample was a stratified cluster sample of 1,371 women aged 18 to 49 in Yokohama, Japan. The mean age of the respondents was 35.2 years, and the majority were married and had one or more children.We compared the health status across three groups of respondents:  those who had not experienced intimate partner violence (IPV), those who had experienced partners' emotional abuse only (EA only), and those who had experienced partners' emotional abuse as well as physical and/or sexual violence (EA+PSV). Using logistic or negative binomial regression models, we estimated odds ratio, as well as adjusted odds ratio, controlling for relevant characteristics known to be associated with health status.Results In most indicators examined, the odds of experiencing health-related problems were significantly higher for those who experienced EA+PSV compared to those with no IPV, controlling for age, relationship status, number of children, education, childhood abuse, adulthood abuse by non-intimates and socioeconomic well-being at interview. In most areas, there were no statistically significant differences between the EA only group and the EA+PSV group. Emotional abuse alone was associated with poorer self-rated health at interview, greater difficulty walking, greater difficulty performing usual activities, greater use of health services in the past month, lifetime suicidal ideation, and greater distress symptoms during the past month. Areas where the EA+PSV group fared significantly worse than the EA only group were difficulty with memory or concentration, use of sleeping pills/tranquilizer, the number of distress symptoms, and suicidal ideation.Conclusions Given the wide range of health consequences of intimate partner violence that this study highlighted, in addition to emergency departments and surgery clinics, other units such as primary care have opportunities to reach out abused women. The increased reporting of functional limitations and distress symptoms among abused women, especially those who have experienced EA only, is notable. Typically, these types of symptoms are difficult to pair with a medical diagnosis and are categorized as non-specific symptoms. As a result, health care providers may dismiss distress that women are experiencing, or worse, label women as hypochondriac. Professional training and health care organizations' protocols must address how to respond when female patients present non-specific symptoms. In addition, the current Japanese legal definition that does not include emotional abuse must be expanded.See more of[G/WI] Intimate Partner Violence, Health, and ParentingSee more ofOral and PosterSee more ofResearch That Matters (January 17 - 20, 2008)",
      "authors": "Mieko Yoshihama; Julie Horrocks; Saori Kamano",
      "author_ids": "109493; 109494; 109976",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3314068083,
        "prompt_eval_count": 1585,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:35:59.338318+00:00"
    },
    {
      "input_index": 268,
      "record_key": "SWRD:27051",
      "source_database": "SWRD",
      "record_id": 27051,
      "year": 2008,
      "title": "An Evidence-Based Approach to Managing Suicidal Behavior in Patients with BPD",
      "abstract": "This review will suggest an evidence-based approach to managing suicidal patients with borderline personality disorder (BPD). Many principles currently used in practice have little basis in empirical data. And some approaches used to manage chronic suicidality, particularly the emphasis on \"safety,\" may actually be counter-productive. (C) 2008 by The Haworth Press. All rights reserved.",
      "authors": "Paris, Joel",
      "author_ids": "",
      "journal_or_venue": "Social Work in Mental Health",
      "doi": "10.1300/j200v06n01_09",
      "record_type": "Article",
      "database_method": null,
      "database_is_scientific": true,
      "database_is_empirical": false,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 1979221709,
        "prompt_eval_count": 1000,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:36:01.318881+00:00",
      "screening_source": "Primary screen; blind audit agreement",
      "accuracy_audit": {
        "sample_group": "Relevant Non-empirical",
        "random_seed": 20260802,
        "blind_screening": {
          "is_relevant": true,
          "relevance_rationale": "The record focuses centrally on managing suicidal behavior in patients with borderline personality disorder, making suicide a primary substantive focus.",
          "evidence_class": "Non-empirical",
          "empirical_method": "Not applicable",
          "classification_rationale": "The abstract describes the article as a review that suggests an approach and critiques current practices without describing a systematic search strategy, data synthesis, or original empirical analysis, classifying it as a narrative or conceptual review.",
          "confidence": "High"
        },
        "full_label_agreement": true
      }
    },
    {
      "input_index": 269,
      "record_key": "SWRD:18854",
      "source_database": "SWRD",
      "record_id": 18854,
      "year": 2008,
      "title": "Analysis of HIV Caregivers in South Africa: A South African Depression and Anxiety Group",
      "abstract": "The severity of the HIV/AIDS epidemic in South Africa is well documented. However, little is known regarding the wellbeing of caregivers of persons with HIV/AIDS in South Africa. This study sought to evaluate characteristics, similarities and differences between groups of HIV caregivers in rural, semi-rural, and urban areas of South Africa. Interesting trends were noticed in the areas of suicidality, alcohol abuse, and intimate trauma. Findings indicate a substantial need for further study in the area of suicidality, denial of or lack of desire to know HIV status and the accompanying diagnostic stigma, and the need for a support network within lay caregivers.",
      "authors": "Webb-Robins, Lisa; Wilson, Zane",
      "author_ids": "",
      "journal_or_venue": "Journal of Human Behavior in the Social Environment",
      "doi": "10.1080/10911350802067831",
      "record_type": "Article",
      "database_method": "Qualitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2355512042,
        "prompt_eval_count": 1050,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:36:03.676186+00:00"
    },
    {
      "input_index": 270,
      "record_key": "SWRD:18114",
      "source_database": "SWRD",
      "record_id": 18114,
      "year": 2008,
      "title": "Available Supports and Coping Behaviors of Mental Health Social Workers Following Fatal and Nonfatal Client Suicidal Behavior",
      "abstract": "Research indicates that mental health social workers risk being confronted with fatal and nonfatal client suicidal behaviors during professional practice. Although reactions to client Suicidal behavior have been documented, there is little empirical evidence about coping behaviors and available supports following client suicidal behavior. This study explores types OF Supports available, perceived effectiveness of support resources, and coping behaviors of 285 mental health social workers who experienced either fatal or nonfatal client suicidal behavior. Factors predicting positive and negative coping were also explored. Predictors of positive coping included increased levels of secondary traumatic stress, the availability of family and friends. group therapy, religion, older age, and male gender. Predictors of negative coping were increased levels of secondary traumatic stress, male gender, Support from family and friends, and the lack of administrative support. Future research recommendations and implications For social work administrators and practitioners are discussed.",
      "authors": "Ting, Laura; Jacobson, Jodi M.; Sanders, Sara",
      "author_ids": "",
      "journal_or_venue": "Social Work",
      "doi": "10.1093/sw/53.3.211",
      "record_type": "Article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2291197791,
        "prompt_eval_count": 1102,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:36:05.969330+00:00"
    },
    {
      "input_index": 272,
      "record_key": "SWRD:26715",
      "source_database": "SWRD",
      "record_id": 26715,
      "year": 2008,
      "title": "Borderline Personality Disorder and Hospitalization",
      "abstract": "This chapter reviews and discusses the issues and controversies related to the hospitalization of suicidal patients with a diagnosis of borderline personality disorder. It highlights the challenges faced by both the clinical staff and a prototypical patient during a hospitalization. Included are a discussion of the transference and counter-transference that arise during inpatient treatment, the stressors on the staff as well as on the patients themselves. The chapter offers suggestions for enhanced in-hospital treatment, including increased collaborative decision-making, clear and realistic short-and long-term goals for patient and family, and increased supervision and ongoing education of staff. (C) 2008 by The Haworth Press. All rights reserved.",
      "authors": "Friedman, Freda Baron",
      "author_ids": "",
      "journal_or_venue": "Social Work in Mental Health",
      "doi": "10.1300/j200v06n01_07",
      "record_type": "Article",
      "database_method": null,
      "database_is_scientific": true,
      "database_is_empirical": false,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2284992292,
        "prompt_eval_count": 1050,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:36:10.512871+00:00"
    },
    {
      "input_index": 273,
      "record_key": "SWRD:26936",
      "source_database": "SWRD",
      "record_id": 26936,
      "year": 2008,
      "title": "By their own young hand: Deliberate self-harm and suicidal ideas in adolescents",
      "abstract": null,
      "authors": "Mainstone, Jenny",
      "author_ids": "",
      "journal_or_venue": "Journal of Social Work Practice",
      "doi": "10.1080/02650530701872488",
      "record_type": "Book Review",
      "database_method": null,
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_only",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 1987871750,
        "prompt_eval_count": 935,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:36:12.502372+00:00"
    },
    {
      "input_index": 274,
      "record_key": "SWRD:26377",
      "source_database": "SWRD",
      "record_id": 26377,
      "year": 2008,
      "title": "Client Firearm Assessment and Safety Counseling: The Role of Social Workers",
      "abstract": "Firearms constitute an environmental risk factor for suicide among all age groups. Although other professions have been urged to assess firearms availability and advocate for the removal of firearms of their clients, little is known about the practices and the techniques within the social work profession. The present study surveyed a random sample (N = 697) of Ohio licensed social workers (requiring a BSW) and Ohio licensed independent social workers (requiring an MSW and 3,000 hours of post-master's practice experience) on their attitudes, knowledge, and behaviors regarding client firearm assessment and safety counseling. Findings, indicated that the majority of social workers in this study did not report assessing for firearms or counseling on firearm safety on a routine basis. Barriers included lack of training Oil risks, lack of risk awareness, discomfort with the topic, not social work responsibility, lack of time, and more important topics to discuss. The most influential variable positively related to firearm assessment and counseling behaviors among these social workers was reporting previous firearm safety training. Other variables included influential media, depressed client, and Suicidal client.",
      "authors": "Slovak, Karen; Brewer, Thomas W.; Carlson, Karen",
      "author_ids": "",
      "journal_or_venue": "Social Work",
      "doi": "10.1093/sw/53.4.358",
      "record_type": "Article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2365450709,
        "prompt_eval_count": 1143,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:36:14.869386+00:00"
    },
    {
      "input_index": 275,
      "record_key": "SWRD:18677",
      "source_database": "SWRD",
      "record_id": 18677,
      "year": 2008,
      "title": "Correlates of suicide ideation in a population-based sample of cancer patients",
      "abstract": "National studies on suicide ideation in cancer patients are small in size, including only patients from select medical centers. Our purpose was to determine correlates of suicide ideation in a population-based sample of cancer patients. Data from the sixth National Mortality Followback Survey were analyzed using SAS and SUDAAN for 980 individuals with cancer present at time of death. Multiple logistic regression analyses included sociodemographics, health-related factors, and social support variables. Prevalence Of Suicide ideation was 17.7%. Suicidality was significantly more likely in cancer patients who were previously married, had a history of mental illness, died of lung, respiratory or oral cancer, had one or more chronic diseases and used multiple prescription drugs in the past year Suicide ideation in cancer patients is not solely a manifestation of depression. Overall poor physical health influences patients' desires for hastened death. (C) 2008 by The Haworth Press. All rights reserved.",
      "authors": "Schneider, Karen L.; Shenassa, Edmond",
      "author_ids": "",
      "journal_or_venue": "Journal of Psychosocial Oncology",
      "doi": "10.1300/j077v26n02_04",
      "record_type": "Article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2282879416,
        "prompt_eval_count": 1120,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:36:17.154021+00:00"
    },
    {
      "input_index": 276,
      "record_key": "SWRD:26879",
      "source_database": "SWRD",
      "record_id": 26879,
      "year": 2008,
      "title": "Dialectical Behavior Therapy",
      "abstract": "This chapter provides an overview of Dialectical Behavior Therapy (DBT), an evidence-based outpatient treatment developed for suicidal women with borderline personality disorder (BPD), and since adapted for other settings and populations. The chapter introduces the biosocial theory of the etiology of BPD and how DBT addresses each aspect of the disorder. It further describes the theoretical foundations of DBT in behaviorism, Zen and dialectics. The reader learns about DBT structures of treatment and what client behaviors are targeted in each stage of treatment. Finally, the chapter uses a clinical case example to illustrate how a therapist would get started with a new client using DBT. (C) 2008 by The Haworth Press. All rights reserved.",
      "authors": "Koons, Cedar R.",
      "author_ids": "",
      "journal_or_venue": "Social Work in Mental Health",
      "doi": "10.1300/j200v06n01_10",
      "record_type": "Article",
      "database_method": null,
      "database_is_scientific": true,
      "database_is_empirical": false,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2305823959,
        "prompt_eval_count": 1061,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:36:19.461320+00:00"
    },
    {
      "input_index": 277,
      "record_key": "SWRD:94047",
      "source_database": "SWRD",
      "record_id": 94047,
      "year": 2008,
      "title": "Health-Promoting Influences of the Family on Late Adolescent Functioning",
      "abstract": "This study examined whether potentially modifiable health-promoting family factors during mid-adolescence (age 15) predicted adaptive functioning in late adolescence (age 18) among members of a working-class community cohort. Family factors included feeling valued in the family, cohesion, and social support. Late adolescent outcomes covered developmentally salient areas: academic functioning; mental health; suicidal behavior; and social, psychological, and behavioral functioning. Our findings demonstrate that a positive adolescent family milieu is related to both adaptive outcomes and a reduced likelihood of serious difficulties, including mental and behavior problems. Although each hypothesized health-promoting factor was significantly associated with multiple areas of age 18 functioning, the patterns of association differed by type of family factor. Taken together, results suggest that the family remains an important social context during mid-adolescence and that to be most effective programs designed by practitioners aimed at strengthening families should target multiple features of the family environment.",
      "authors": "Reinherz, Helen Z.; Giaconia, Rose M.; Paradis, Angela D.; Novero, Caitlin; Kerrigan, Molly K.",
      "author_ids": "",
      "journal_or_venue": "Child & Adolescent Social Work Journal",
      "doi": "10.1007/s10560-008-0153-x",
      "record_type": "Article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2374550333,
        "prompt_eval_count": 1113,
        "eval_count": 27
      },
      "screened_at": "2026-08-02T17:36:21.837171+00:00"
    },
    {
      "input_index": 278,
      "record_key": "SWRD:26837",
      "source_database": "SWRD",
      "record_id": 26837,
      "year": 2008,
      "title": "Methodological and validity issues involved in the collection of sensitive information from children in foster care",
      "abstract": "The Illinois Child Well-Being Study (ICWBS) established a red-flag reporting system (RFRS) embedded in the Audio Computer Assisted Self Interview (ACASI) portion of its child survey to flag reports of violence toward the child, suicidality, neglect, sexual exploitation. When those RFRS questions were positively answered, the reported incident was relayed to the child's caseworker and investigated. This study describes the RFRS, the analysis of the children's reports, and a content analysis of the caseworkers' investigation. In this study, 166 children were interviewed and 28 children reported 36 RFRS incidents. On investigation, only 6 RFRS incidents were verified; most RFRS incidents were reported in error. The results of this study may help researchers using similar RFRS protocols.",
      "authors": "Jacobs, Mary Ann; Bruhn, Christina; Graf, Ingrid",
      "author_ids": "",
      "journal_or_venue": "Journal of Social Service Research",
      "doi": "10.1080/01488370802162517",
      "record_type": "Article",
      "database_method": "Mixed-Methods",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2343796042,
        "prompt_eval_count": 1101,
        "eval_count": 24
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      "screened_at": "2026-08-02T17:36:24.182627+00:00"
    },
    {
      "input_index": 279,
      "record_key": "SWRD:18667",
      "source_database": "SWRD",
      "record_id": 18667,
      "year": 2008,
      "title": "Preparing for the Inevitable: Training Social Workers to Cope with Client Suicide",
      "abstract": "Little attention has been given to educating and training social work students and professionals about working with suicidal clients. This article summarizes the literature on client suicide and the professional social worker, as well as presents results from a mixed methods study, which utilized both qualitative and quantitative data collected from a national study on client suicide among social workers. The results indicate that 55% of social workers will experience at least one client suicide attempt and 31% will experience a client suicide completion during the course of their career. Additionally, less than 50% of the social workers surveyed received previous training or education about client suicide in their MSW programs. Suggestions from social workers for the content of training classes on client suicide are included. Implications for practice and research are also discussed. (C) 2008 by The Haworth Press. All rights reserved.",
      "authors": "Sanders, Sara; Jacobson, Jodi; Ting, Laura",
      "author_ids": "",
      "journal_or_venue": "Journal of Teaching in Social Work",
      "doi": "10.1080/08841230802178821",
      "record_type": "Article",
      "database_method": "Mixed-Methods",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2278807833,
        "prompt_eval_count": 1096,
        "eval_count": 24
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      "screened_at": "2026-08-02T17:36:26.462971+00:00"
    },
    {
      "input_index": 280,
      "record_key": "SWRD:18261",
      "source_database": "SWRD",
      "record_id": 18261,
      "year": 2008,
      "title": "Preventing suicide: A neglected social work research agenda",
      "abstract": "Social workers encounter suicidal clients; however, little is known about social work's empirical knowledge base for suicide assessment and treatment. In the first comprehensive study of social work's contribution to the suicide literature, the authors conducted systematic electronic and manual searches for suicide research published in peer-reviewed journals by social work investigators for the period 1980-2006, with the purpose of ascertaining the state of clinical knowledge related to suicide risk factors and effective treatments. These findings reveal that despite recent increases to the study of suicide by social work researchers, they have contributed limited evidenced-based knowledge in the last twenty-six years on the treatment or prevention of suicide or suicide-related behaviours. The article outlines the risk factors for suicide and discusses the implications for clinical social work practice and research.",
      "authors": "Joe, Sean; Niedermeier, Danielle",
      "author_ids": "",
      "journal_or_venue": "British Journal of Social Work",
      "doi": "10.1093/bjsw/bcl353",
      "record_type": "Review",
      "database_method": null,
      "database_is_scientific": true,
      "database_is_empirical": false,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Review"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2289589042,
        "prompt_eval_count": 1074,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:36:28.754062+00:00"
    },
    {
      "input_index": 282,
      "record_key": "SWRD:26291",
      "source_database": "SWRD",
      "record_id": 26291,
      "year": 2008,
      "title": "Social Work Research on African Americans and Suicidal Behavior: A Systematic 25-Year Review",
      "abstract": "Suicide among African Americans is a neglected topic. Social workers practice in both clinical and nonclinical settings, and as the largest occupational group of mental health professionals, they have a unique opportunity to reach this underserved group. However, little is known about social work's empirical knowledge base for recognition and treatment of suicidal behavior among African Americans. The authors performed a systematic critical review of published articles by social workers on African American suicide and suicidal behavior, to ascertain the state of social worker's contribution to and knowledge of suicide risk factors and effective treatments. They conducted Web-based (for example, Social Work Abstracts, PsycINFO, PubMed, JSTOR) and manual searches of suicide research conducted by social work investigators and published in peer-reviewed journals from 1980 to 2005. References cited in the articles were used to identify candidate articles. According to the search results, social workers contributed only 11 empirical research articles focusing on African American suicide or nonfatal suicidal behavior. Risk factors for suicide are reviewed, and the implications for clinical social work practice and research are addressed.",
      "authors": "Joe, Sean; Niedermeier, Danielle M.",
      "author_ids": "",
      "journal_or_venue": "Health & Social Work",
      "doi": "10.1093/hsw/33.4.249",
      "record_type": "Article",
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      "database_is_scientific": true,
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      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Review"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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    },
    {
      "input_index": 283,
      "record_key": "SWRD:18844",
      "source_database": "SWRD",
      "record_id": 18844,
      "year": 2008,
      "title": "Suicidal ideation and attempts among sexual minority youths receiving social services",
      "abstract": "The increased risk of suicidal ideation and attempts among sexual minority youths have been documented in studies using both convenience samples and representative community samples. However, as most youths do not access social services, these studies do not necessarily represent the sexual minority youths that community-based social workers may encounter in their day-to-day practice. As such, the present study on risk and protective factors related to suicidality surveyed 182 sexual minority youths (14 to 21 years of age) who sought assistance at a community-based social services agency in Denver. Similar to existing literature, the findings suggest that risk factors related to suicidality include hopelessness, methamphetamme use, homelessness, and in-school victimization. However, unlike studies of the general youth population, this study found that African American and male sexual minority youths were not at a lower risk of suicidality than sexual minority youths who were, respectively, white or female. In addition, our findings suggest that the presence of gay-straight alliances in schools may function as a protective resource for sexual minority youths. Implications for social work practice are discussed.",
      "authors": "Walls, N. Eugene; Freedenthal, Stacey; Wisneski, Hope",
      "author_ids": "",
      "journal_or_venue": "Social Work",
      "doi": "10.1093/sw/53.1.21",
      "record_type": "Article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "eval_count": 24
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      "screened_at": "2026-08-02T17:36:35.971490+00:00"
    },
    {
      "input_index": 284,
      "record_key": "SWRD:18704",
      "source_database": "SWRD",
      "record_id": 18704,
      "year": 2008,
      "title": "Suicidal Ideation and Comorbid Disorders in Adolescents and Young Adults Diagnosed with Asperger's Syndrome: A Population at Risk",
      "abstract": "The purpose of this study was to examine the level of suicidal ideation and comorbid disorders (major depressive disorder, generalized anxiety disorder) among adolescents and young adults with diagnosed Asperger's syndrome (AS). A cross-sectional study using a self-administrated mail questionnaire and a Web-based questionnaire were used. Two samples were selected for this study. The first sample used snowball sampling, starting with parents of adolescents and young adults with diagnosed AS who participated in a qualitative study conducted in 2002. The second sample consisted of a volunteer sample of parents who visited Web sites for parents and individuals with diagnosed autism spectrum disorder. The sample included 10 adolescents and young adults with diagnosed AS. Fifty percent of the sample had a clinically significant level of suicidal ideation, 20% met criteria for a diagnosis of major depressive disorder, and 30% met criteria for generalized anxiety disorder.",
      "authors": "Shtayermman, Oren",
      "author_ids": "",
      "journal_or_venue": "Journal of Human Behavior in the Social Environment",
      "doi": "10.1080/10911350802427548",
      "record_type": "Article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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        "prompt_eval_count": 1120,
        "eval_count": 24
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      "screened_at": "2026-08-02T17:36:38.247134+00:00"
    },
    {
      "input_index": 285,
      "record_key": "SWRD:86726",
      "source_database": "SWRD",
      "record_id": 86726,
      "year": 2008,
      "title": "Suicidal ideation in the palliative care patient: Considerations for health care practice",
      "abstract": "For the clinician who works in a palliative health care setting, the suicidal ideation of palliative care patients is a challenge. How are patients with a life-limiting illness who wish to hasten their death, and who express this suicidal ideation, understood in the context of Palliative Care? The present article is a systematic literature review of published research to determine how this issue has been addressed in palliative care and the implications for social work practice. Because suicidal ideation and depression tend to be undertreated in the medically ill, the article examines whether there may, indeed, be barriers in the psychosocial environment of care for palliative patients. Attention was paid to determine how suicidal ideation has been variously interpreted and whether it has been linked to hopelessness. Of the relevant studies, which were primarily from leading services in the field, there is little evidence of approaches to suicidal ideation in palliative care to improve mental health outcomes for patients.",
      "authors": "Robertson M.",
      "author_ids": "",
      "journal_or_venue": "Australian Social Work",
      "doi": "10.1080/03124070801998426",
      "record_type": "Review",
      "database_method": null,
      "database_is_scientific": true,
      "database_is_empirical": false,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Review"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2491965292,
        "prompt_eval_count": 1119,
        "eval_count": 24
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      "screened_at": "2026-08-02T17:36:40.740777+00:00"
    },
    {
      "input_index": 287,
      "record_key": "SWRD:93785",
      "source_database": "SWRD",
      "record_id": 93785,
      "year": 2008,
      "title": "Treating Suicidality in African American Adolescents with Cognitive-Behavioral Therapy",
      "abstract": "Methods for preventing adolescent suicide are surveyed, and cognitive-behavioral therapy (CBT) is explored as a method for serving suicidal African American adolescents. Strengths, limitations, and compatibility of CBT with social work values are examined. Although CBT shows much promise in helping suicidal African American adolescents, research on the efficacy and effectiveness of CBT with this population is lacking. Suicide risk and protective factors and social inequities are evaluated as they relate to African American adolescents generally. In addition to relieving suicidal symptoms, CBT potentially could facilitate social liberation for this population.",
      "authors": "Bryant, Curtis E.; Harder, Jeanette",
      "author_ids": "",
      "journal_or_venue": "Child & Adolescent Social Work Journal",
      "doi": "10.1007/s10560-007-0100-2",
      "record_type": "Article",
      "database_method": null,
      "database_is_scientific": true,
      "database_is_empirical": false,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "eval_count": 24
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      "screened_at": "2026-08-02T17:36:45.488471+00:00"
    },
    {
      "input_index": 289,
      "record_key": "SSWR:2009-U-0121",
      "source_database": "SSWR",
      "record_id": "2009-U-0121",
      "year": 2009,
      "title": "A Clozaril Clinic Model for Successful Treatment of Serious Mental Illness",
      "abstract": "Background: Clozaril (generic form Clozapine) is an atypical antipsychotic medication that is appropriate for use with a subset of individuals with psychotic disorders who have not benefited from conventional antipsychotic medications. This presentation provides an overview of an agency based integrated outpatient model for treating clients with Clozaril and reports on 12 years of outcome findings (n=114). The �Clozaril Clinic� model is built on an interdisciplinary team approach that emphasizes the importance of regular peer interaction, at-site provision of ancillary services, and full coordination by the team of all other treatment, rehabilitation and support services, including specialized case management. The purpose of this study was to examine the effectiveness of the Clozaril Clinic Model for reducing psychiatric symptoms, decreasing the number of psychiatric admissions and days spent inpatient, and improving overall aspects of wellbeing including employment, social relationships, and global functioning. Method: Since its inception in 1992, 114 consumers, ages 16 to 69 that had not previously been prescribed Clozaril participated in the Clozaril Clinic. Of the 114 consumers originally accepted into the clinic, 67 individuals continue to receive services and serve as the sample for this study. Their diagnostic profiles include 78% having Schizophrenia and 22% Schizoaffective Disorder. For analysis they were grouped into three sample groups as follows: Sample Group A (receiving services for less than a year), Sample Group B (1-5 years in treatment), and Sample Group C (more than 5 years). Primary indicators related to number of inpatient psychiatric admissions/days and suicide attempts 2-years prior to their enrollment in the Clozaril Clinic were compared to post-enrollment numbers. Scores on the Brief Psychiatric Rating Scale and Global Assessment of Functioning Scale at time of enrollment to the clinic were compared to current scale scores. Data were collected using these indicators and analyzed. Results: Results indicate that the Clozaril Clinic Model which incorporates Clozaril, case management and other supports appears to facilitate an unusually high level of recovery. Individuals provided treatment services through this model dramatically decreased their need for inpatient psychiatric hospitalization as well as had reduced suicidal impulses. Individuals reached a higher level of mental clarity, devoid of psychotic symptoms such as hallucinations or paranoia, dramatic gestures and lethal attempts were greatly reduced. Measured by the BPRS and the GAF scales, overall functioning also improved through the use of Clozaril supported by the clinic model when other anti-psychotic medications had previously failed to produce such improvements. Conclusion: Results indicate that Clozaril delivered within this model promotes an unusually high level of recovery from serious mental illness, including a dramatic level of relief from psychotic symptoms, shielding of suicidal impulses, and reducing outpatient hospitalizations. Outcomes also included improvement in overall wellbeing as individuals made progress in the domains of employment and personal relationships. The implications of this study is that Clozaril, when provided for individuals in this type of model, can greatly improve the life of individuals with serious and persistent mental illness who have not yet responded to previous treatment.",
      "authors": "Bruce C. Nisbet; Catherine N. Dulmus; Laura Greyber",
      "author_ids": "110396; 110397; 110398",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "eval_count": 24
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      "screened_at": "2026-08-02T17:36:50.884262+00:00"
    },
    {
      "input_index": 291,
      "record_key": "SSWR:2009-U-0362",
      "source_database": "SSWR",
      "record_id": "2009-U-0362",
      "year": 2009,
      "title": "Do Stabilization Strategies Prevent Early Readmission? Opportunities for Improvement in Hospital-Based Psychiatric Care for Adolescents",
      "abstract": "Background and Purpose: Stabilization is a primary goal of psychiatric hospital care for children and adolescents. Young people are frequently admitted to hospitals because of suicidal and/or homicidal behaviors. Treatment teams, under pressure to keep length of stays short, must quickly assess, treat, and coordinate aftercare. Yet achieving stabilization is extremely challenging, as youth present with severe and chronic problems, multiple psychosocial stressors, and complex medication regimens. Consequences of inadequate stabilization are costly often resulting in readmission, repeat suicide attempts, and discontinuity of care. The purpose of this study is to assess the impact of clinical stabilization strategies�medication management, discharge planning, and aftercare--on adolescents' readmission within 30 days of discharge. Methods: Data are from a retrospective cohort study of a sample of 522 Medicaid covered adolescents (aged 11-17) consecutively admitted to three major private psychiatric hospitals in Maryland. Comprehensive data on sociodemographic (age, race/ethnicity, gender), clinical (primary psychiatric diagnosis, comorbidities, suicidal and homicidal behaviors), service history (prior hospitalizations and medications), organizational (hospital provider, length of stay), and inpatient treatment practices (medication regimens, number of medication changes, discharge living arrangements, type of aftercare) were collected from medical records by Master's level social work students who were blind to the purposes of the study. Administrative data from Medicaid paid claims and the Department of the Maryland Department of Health and Mental Health Hygiene were used to extract information on readmissions to any hospital in the state. Relative risks of readmission (hazard ratios and 95% confidence intervals) were estimated using multivariate Cox proportional regression models. Results: Twelve percent of adolescents were readmitted within 30 days of discharge. Controlling on sociodemographic and clinical characteristics, two stabilization strategies implemented during the hospital stay significantly reduced the likelihood of early readmission. First, the risk of readmission was reduced by 75% (HR = .25, p < .002), when social workers intervened to change the adolescents' placement at discharge. Of the 139 youths (30%) who experienced a change in placement, 62% moved to a more restrictive living environment, 33% remained the same, and 5% moved to a less restrictive environment. Second, changes in psychotropic medication regimens decreased the likelihood of readmission by 61% (HR = .39, p < .04). The most common type of medication change was the addition of another medication from a different drug class. However, discharge to partial hospitalization programs significantly increased risk of readmission (HR = 2.25, p <. 02). Conclusions and Implications: Readmission within one month of discharge from the hospital is a commonly used measure of quality of care. With the advent of managed care and resultant shortened length of stays, hospitals are under increasing pressure to provide timely, efficient, and high quality care. This study demonstrates that stabilization strategies focused on careful discharge planning by social workers and medication management by psychiatrists can reduce early readmission. It also raises questions about the use of partial hospitalization programs as a proxy for needed continued inpatient care. To achieve stabilization and improved quality of inpatient psychiatric care for adolescents, strategic interdisciplinary communication between researchers and practitioners in social work and psychiatry will be necessary.",
      "authors": "Cynthia A. Fontanella; Kathleen J. Pottick; Lynn A. Warner",
      "author_ids": "108340; 108341; 108339",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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        "total_duration_ns": 3302568542,
        "prompt_eval_count": 1630,
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      "screened_at": "2026-08-02T17:36:57.455716+00:00"
    },
    {
      "input_index": 292,
      "record_key": "SSWR:2009-U-0312",
      "source_database": "SSWR",
      "record_id": "2009-U-0312",
      "year": 2009,
      "title": "High School Teachers' Experiences with Suicidal Students: A Descriptive Study",
      "abstract": "Suicide is the third leading cause of death among U.S. adolescents, claiming almost 2,000 teenagers' lives a year. Additionally, research indicates that almost 1 in 5 high school students seriously considers suicide each year, and almost 1 in 10 makes a suicide attempt. School teachers potentially can contribute to suicide prevention by serving as the gatekeeper to social workers and other mental health service providers for at-risk students. However, researchers have rarely examined teachers' experiences with suicidal students and suicide prevention training. This study sought to fill that knowledge gap by identifying the proportion of teachers who had talked with a suicidal student, the proportion who had received suicide prevention training, and how students' disclosures and teachers' suicide prevention training might relate to each other. METHOD: Teachers at two Denver, Colorado-area high schools anonymously completed pen-and-paper surveys during a staff meeting in the fall of 2007. Although the schools' student bodies differed dramatically in demographic profiles, teachers from each school did not differ at a statistically significant level according to race/ethnicity, gender, or age, so the two samples were combined. The total sample comprised 120 people (50.0% female; 88.3% White; mean age = 41.5 years; SD=11.3). Survey items addressed the teachers' experiences with students who disclosed suicidal thoughts, as well as their prior training in suicide prevention. RESULTS: More than half of teachers (58.1%) reported that a student had ever confided suicidal thoughts to them, including 22.2% of teachers who had encountered a suicidal student within the previous year. At the same time, almost half (48.7%) of the sample had received no formal training in suicide prevention in their course work or continuing education. Even among those who did report prior suicide-related education ever in their life, the median number of hours was only two. Teachers with suicide prevention training were more likely to have directly asked a student if he or she was suicidal, compared to those without training (40.7% vs. 19.6%, chi square = 5.7, p <.05). Similarly, having received formal training in suicide prevention was strongly related to having had a student disclose suicidality (whether directly asked or not); of those reporting contact with a suicidal student, 78.0% had completed some type of suicide prevention training, compared to 36.5% who reported no contact with a suicidal student (chi square = 19.5, p < .001). The teachers' courses of action for dealing with a suicidal student generally involved immediate referral to a school social worker or counselor. CONCLUSION AND IMPLICATIONS: This study revealed that although many teachers have encountered a student at risk for suicide, only half ever received suicide prevention training. Such training related positively to teachers' inquiring directly about suicidality, but a causal relationship cannot be established from these cross-sectional data. In light of the high prevalence of teachers in contact with suicidal students, combined with little suicide-related education, school social workers and administrators should consider offering suicide prevention training seminars to teachers and learning more about their experiences with suicidal students.",
      "authors": "Stacey Freedenthal; Lindsey Breslin",
      "author_ids": "108070; 110575",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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        "total_duration_ns": 3308059541,
        "prompt_eval_count": 1588,
        "eval_count": 24
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      "screened_at": "2026-08-02T17:37:00.765234+00:00"
    },
    {
      "input_index": 294,
      "record_key": "SSWR:2009-U-0148",
      "source_database": "SSWR",
      "record_id": "2009-U-0148",
      "year": 2009,
      "title": "Inhalant Use Disorders among Delinquent Youth",
      "abstract": "Background and purpose: Inhalant use is believed to be widespread in juvenile justice service populations. However, few studies have examined the prevalence and correlates of DSM-IV inhalant use disorders (i.e., abuse and dependence) among antisocial youth. Thus, this investigation examined the 1) prevalence of DSM-IV inhalant use disorders (IUDs) and constituent criteria in a state population of delinquent youth; 2) diagnostic concordance of DSM-IV IUDs and empirically-derived classes of youth with IUDs identified via latent class analysis of inhalant users' responses to DSM-IV IUD diagnostic criteria, and 3) compared adolescent inhalant users without DSM-IV inhalant use disorders (IUDs) to youth with IUDs across demographic, psychosocial, and clinical measures. Methods: Data were collected via a cross-sectional survey with structured psychiatric interviews including Diagnostic Interview Schedule assessments of past-year/lifetime IUDs and measures of antisocial behavior, temperament, trauma-exposure, suicidality, psychiatric symptoms, and substance-related problems. Current residents (N = 723; 98% response rate) of 32 Missouri Division of Youth Services residential rehabilitation facilities participated. Most youth were male (87 %) and in mid-adolescence (M =15.5, SD = 1.2); 38.6 % (N = 279) had used inhalants. Results: Of inhalant users, 62 (22.2 %) met DSM-IV inhalant abuse criteria and 79 (28.3 %) met inhalant dependence criteria. Six of 10 DSM-IV IUD diagnostic criteria were met by >10 % of the total sample. Analyses demonstrated a high concordance between DSM-IV-defined IUDs and an empirically-derived classification based on latent class analysis of responses to DSM-IV IUD diagnostic criteria. Youth diagnosed with inhalant abuse had significantly more extensive histories of trauma exposure and substance-related problems than inhalant users without IUDs. Inhalant dependent youth had significantly more frequent antisocial conduct in the prior year, disabling current anxious and depressive symptoms, and more extensive histories of suicidal ideation, trauma, and substance-related problems than inhalant users without IUDs. Inhalant dependent youth had significantly more frequent antisocial behavior in the past year, higher levels of anxious and depressive symptoms, and greater lifetime suicidality than youth with inhalant abuse diagnoses. In multivariate logistic regression analyses, age, diagnosis with a psychiatric disorder, and number of lifetime substance-related problems significantly differentiated youth inhalant users with and without IUDs. Conclusions and implications: IUDs and inhalant-related impairments are widespread among youth in the juvenile justice system. In this population, DSM-IV IUD diagnostic criteria accurately identified groups of adolescent inhalant users differing substantially in their level of problematic involvement with inhalants. Youth with IUDs have personal histories characterized by high levels of trauma, suicidality, psychiatric distress, antisocial behavior, and substance-related problems. There is a monotonic relationship between inhalant use, abuse, and dependence and serious adverse outcomes. Inhalant screening, prevention and treatment efforts in juvenile justice settings are rarely delivered, but clearly needed.",
      "authors": "Matthew Owen Howard; Brian Perron, PhD; Michael G. Vaughn; Kimberly A. Bender",
      "author_ids": "108542; 108424; 108089; 109018",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3314593375,
        "prompt_eval_count": 1592,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:37:07.398732+00:00"
    },
    {
      "input_index": 296,
      "record_key": "SSWR:2009-U-0150",
      "source_database": "SSWR",
      "record_id": "2009-U-0150",
      "year": 2009,
      "title": "Misusing Asthma Inhalers to Get Intoxicated: An Unrecognized Problem Among Delinquent Youth",
      "abstract": "Background and purpose. Nearly 40 million prescriptions for asthma inhalers were dispensed in 2006 in the U.S. Although the pervasive use of asthma inhalers among youth and adults warrants increased attention to the possible misuse of these products, only one prior study has examined misuse of asthma inhalers for the purposes of intoxication. Thus, the aim of this investigation was to examine the prevalence, correlates and consequences of asthma inhaler misuse in a large sample of youth in residential care for antisocial behavior. Methods. A cross-sectional survey of 723 youth (participation rate = 97.7 %) in 32 residential treatment facilities comprising the Missouri Division of Youth Services was conducted over a three-month period. Youth completed psychometrically validated measures of mental health symptoms, substance use, and antisocial behavior and attitudes in face-to-face interviews with trained graduate MSW students. Results. Asthma diagnoses were common, with more than 26 % (N = 193) of youth reportedly receiving a lifetime asthma diagnosis; 91.2 % of youth diagnosed with asthma were prescribed an asthma inhaler. Nearly one-quarter (23.6 %, n = 88) of respondents who had used a prescribed or non-prescribed asthma inhaler (N = 373), reported using the inhaler to get high. Youth in this group were termed �inhaler misusers.� Compared to nonusers of asthma inhalers or to youth who used their inhalers only as prescribed, inhaler misusers had greater current psychiatric distress, suicidality, more substance use problems, and higher levels of temperamental low fear and impulsivity. In multivariate logistic regression analyses, Caucasian racial status, lifetime use of volatile solvent inhalants, and current level of psychiatric distress distinguished inhaler users and misusers. Asthma inhaler misusers also reported significantly greater euphoria, blurred vision, confusion, dizziness, memory problems, slurred speech, and other acute effects of asthma inhaler inhalation compared to youth who used inhalers only as prescribed. Conclusions and Implications. Misuse of asthma inhaler medications for the purpose of becoming intoxicated was prevalent in this state population of antisocial youth. Youth who used prescribed and nonprescribed asthma inhalers to get high were characterized by high levels of polydrug use, comorbid psychiatric problems, antisocial behavior, and temperamental profiles that place them at substantial risk for various adverse short-, intermediate-, and long-term outcomes. Acute reactions to asthma inhaler use were common and occurred more frequently among youth who were asthma inhaler misusers than among inhaler users. Our findings indicate that asthma inhaler misuse may legitimately be considered a form of substance abuse among some youth. Additional studies of the prevalence, phenomenology, and consequences of asthma inhaler use among children, adolescents, and adults in various treatment populations and the general population are needed. If such studies provide noteworthy reasons for concern, vigorous prevention and treatment efforts in this area should be initiated. The findings of this study clearly suggest that additional research and practice efforts are needed examining asthma inhaler misuse in juvenile justice populations.",
      "authors": "Brian Perron, PhD; Matthew Owen Howard; Kimberly A. Bender; Michael G. Vaughn",
      "author_ids": "108424; 108542; 109018; 108089",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
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      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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        "prompt_eval_count": 1569,
        "eval_count": 24
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      "screened_at": "2026-08-02T17:37:13.771498+00:00"
    },
    {
      "input_index": 300,
      "record_key": "SSWR:2009-U-0147",
      "source_database": "SSWR",
      "record_id": "2009-U-0147",
      "year": 2009,
      "title": "Recognizing Challenges and Capitalizing on Resiliencies: Findings from a Psychosocial Needs Study of Filipino Americans in the Chicagoland Area",
      "abstract": "Purpose: Although Filipino Americans are the second largest growing Asian population within the Chicagoland area with a number approaching 97,000, very little is known about the psycho-social needs of this community (Araneta, 1993; Bergano & Bergano Kinney, 1997). It is estimated that approximately 250 organizations exists within the Filipino American community in the Chicagoland area. Although many of these organizations may be regionally, professionally, or faith-based, it has been unclear whether these organizations comprehensively address the psycho-social needs of the community. With this, a needs assessment within the Chicagoland area was conducted, with the goal of identifying the most urgent psycho-social needs, strengths and challenges of the Filipino American community. Methods: Utilizing a Community-Based Participatory Research (CBPR) approach, the research team was composed of a diverse group of community members who were intimately involved throughout all phases of this study. Based on the feedback from 64 participants during a pilot phase, the Likert scale survey was revised and prepared for distribution. Participants were recruited through snowball sampling and the help of approximately 50 community members (i.e. leaders, activists, professionals and other community volunteers). The resulting sample of Filipino American individuals (N=224) closely represented the profile of Filipino Americans within Illinois by gender, place of residence and whether they were or were not born in the United States. Respondents ranged in age from 16 to 80 years old; were somewhat evenly distributed by gender (42% are male, 53% are female); and close to half (48%) of those sampled are Chicago residents, while the other half (52%) reside in the suburbs. 26% of respondents are U.S.-born, and 83% are U.S. citizens. Respondents were also asked to comment on what they believe are strengths and challenges within the Filipino American community in the Chicagoland area. All surveys were completed anonymously. Results: Data analysis reveal that youth delinquency, teen pregnancy, gender identity, language barriers, a lack of cultural/heritage awareness, and family break-ups/marital difficulties are considered to exist as prominent issues within the Chicagoland area Filipino American community. Domestic violence, suicide attempts and ideation are also identified as significant issues. The themes from the data analysis also reveal that the social service organizations and community organizations that currently exist do not sufficiently address the psychosocial needs of the Filipino American community. Further, mental health issues such as depression, intergenerational family conflict, and domestic violence are often stigmatized and considered �taboo� within Filipino families. Conclusions and Implications: Findings from the study reveal a need for strategies to de-stigmatize familial and mental health issues that are often kept hidden, including collaboration with existing community supports and resources (e.g. pastors, and other faith-based organizations) to encourage dialogue, linkage to professional help, and the use of more family-level interventions. Findings from this study have broader implications for many other ethnic communities in which both psychosocial issues and the services that address them are stigmatized; and in which the resources that already exist within the community must be capitalized on and enhanced to more readily and effectively address these issues.",
      "authors": "Maria Joy Ferrera; Jolynne Andal; Jocelyn Azada",
      "author_ids": "108346; 110428; 110429",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3236022000,
        "prompt_eval_count": 1618,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:37:26.937481+00:00"
    },
    {
      "input_index": 301,
      "record_key": "SSWR:2009-U-0421",
      "source_database": "SSWR",
      "record_id": "2009-U-0421",
      "year": 2009,
      "title": "Suicide Ideation and Attempts among Inhalant Users: Findings from the National Epidemiologic Survey on Alcohol and Related Conditions",
      "abstract": "Background and Purpose. Suicide is the 4th leading cause of death for adults in the U.S. (CDCP, 2007). Approximately 14 % of adults report suicidal ideation during their lifetimes and 5 % report one or more suicide attempts (Kessler et al., 1999). Psychiatric disorders are strongly associated with increased risk for suicidal behavior, with substance use disorders among the most potent predictors of suicidality. Reports have documented notable rates of inhalant use and inhalant-related suicide ideation, attempts, and completed suicides in clinical or otherwise select populations of conduct disordered youth (Sakai et al., 2004), homeless and runaway adolescents (Greene & Ringwalt, 1996), men who have sex with men (Botnick et al., 2002), persons with schizophrenia spectrum disorders (Shoval et al., 2006), and aboriginal peoples (Wick et al., 2007). However, little is know about the prevalence of suicide ideation/attempts among inhalant-using adults in the general population. Thus, this study examined the relationship of inhalant use, abuse, and dependence to suicidal behavior using data from the largest (N = 43,093) comorbidity survey conducted in the U.S. Methods. Data for this study were from the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC). Young adults, African American, and Hispanic respondents were oversampled. Multivariate logistic regression was used to test the association between inhalant use and suicidality, while controlling for other sociodemographic, clinical variables and other potentially confounding variables. Estimates were adjusted to account for the complex survey design, various forms of nonresponse, and to reflect the 2000 census figures for the U.S. population. Results. A total of 13,733 adults reported that they had experienced a time when they felt sad, blue, or down most of the time or during which they didn't care about/enjoy the things that they usually cared about/enjoyed for at least a 2-week period. Within this sample of lifetime low-mood respondents, inhalant users and persons with formal DSM-IV inhalant use disorders (IUDs) were significantly more likely to be young adults, never married, and to meet criteria for antisocial personality disorder and anxiety disorders than non-users. Suicide attempts were significantly more common among lifetime inhalant users (18.1%) and adults with IUDs (20.2 %) than in non-inhalant users (7.1 %). Suicide attempts were reported by nearly one-third (30.9 %) of adult women who had used inhalants. Respondents with IUDs were significantly more likely to report thinking about committing suicide (OR = 2.2), thinking about wanting to die (OR = 2.0), and thinking about one's own death (OR = 1.7). Conclusions and Implications. Inhalant use has been called the �forgotten epidemic,� because such use is widespread but rarely addressed in public or professional settings. Suicidal thoughts and attempts are significantly elevated among inhalant users and persons with IUDs. Mental health, chemical dependency, and other social services settings wherein risk for suicide is elevated should routinely screen for inhalant use.",
      "authors": "Matthew Owen Howard; Brian Perron, PhD; Paul Sacco; Mark A. Ilgen; Michael G. Vaughn",
      "author_ids": "108542; 108424; 109704; 110663; 108089",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3354201458,
        "prompt_eval_count": 1629,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:37:30.293163+00:00"
    },
    {
      "input_index": 303,
      "record_key": "SSWR:2009-U-0367",
      "source_database": "SSWR",
      "record_id": "2009-U-0367",
      "year": 2009,
      "title": "Understanding the Differential Effect of Maltreatment Types on Suicidal Risks among Korean Adolescents",
      "abstract": "Purpose: Research documented the association between child maltreatment and suicidal risks(Ackard et al., 2002; Arta et al., 2007; Chen et al., 2006; Collishaw et al., 2007; Evans et al., 2005; Joiner et al., 2007; Righthand et al., 2003; Sharma et al., 2007; Sunday et al., 2008; Zoroglu et al., 2003). Especially, sexual abuse and severe physical abuse were found to be associated with suicidal risks (Evans et al., 2005; Joiner et al., 2007). However, little research examined this relationship with Korean adolescents. Since the increase of suicide during last decade in South Korea rated top of OECD countries, public awareness of the importance of early suicide prevention has been increasing. However, little information is available to understand high risk population in developing effective intervention strategies. This study aimed to explore following research questions. 1. Whether there exists association between maltreatment and suicidal risks? 2. Is there differential effect on suicidal risks along the maltreatment type? 3. Which maltreatment type has strong impact on suicidal risks? Method: 2472 middle and high school youths residing in Seoul participated in this study. Participants completed self report survey which included measures of suicidal risks(using two items of suicidal ideation and suicidal attempts from K-YSR), child maltreatment(using CTS scale to measure severe physical violence between parents, severe physical violence from father, severe physical violence from mother, sexual abuse) and sociodemographic variables(gender, glade, religion, perceived economic status). Results: Nearly one-thirds of boys and girls reported suicidal risks. Less than 10% of participants reported either severe physical violence between parents, severe physical violence from father or mother. Almost 4% of participants reported sexual abuse. Results of logistic regression analysis indicated that being female (beta=-.390, p=.000), low perceived economic status (beta=.206, p=.000. e.g. high score indicated low economic status), severe physical violence from father (beta=.210, p=.004), sexual abuse (beta=-582, p=.007) increase the likelihood of suicidal risks among Korean adolescents. Implications: The results of this study are consistent with previous studies. Suicide preventions should discuss maltreatment issues and highlight the importance of working with abusive families. Also it is important to develop intervention strategies which regard adolescents as problem solver, not victims. With relations to sexual abuse issues, it requires careful consideration in order to prevent replicate traumatic experiences. The accumulative impact of maltreatment and poverty draw our attention. Suicide prevention has to underscore the complicated aspects of maltreatment and poverty which necessitate broad perspective in developing effective prevention.",
      "authors": "Hae Sung Kim; Sookyung Park; Haeryun Kim",
      "author_ids": "108434; 110615; 110616",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3232952041,
        "prompt_eval_count": 1540,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:37:36.802981+00:00"
    },
    {
      "input_index": 307,
      "record_key": "SWRD:51973",
      "source_database": "SWRD",
      "record_id": 51973,
      "year": 2009,
      "title": "Deliberate Indifference in Jail Suicide Litigation: A Fatal Judicial Loophole",
      "abstract": "Numerous national lawsuits have alleged that certain U. S. jails and detention centers are at fault for suicides that occur within their facilities. However, a significant number of court decisions have released the jail of liability. This article contends that the judicial rationale used in deciding the standard for liability, deliberate indifference, favors ignorance and has created an environment of ambiguity for jail suicide prevention policies. Cases involving custodial suicides and the recommended prevention policies developed by organizations affiliated with the U. S. correctional system are discussed. These are supplemented with anecdotal data from key informants working in the system. The analyses are followed by implications for augmenting existing practices through proactive policy changes to support enhanced systems of care.",
      "authors": "Hatcher, Schnavia Smith",
      "author_ids": "",
      "journal_or_venue": "Social Work in Public Health",
      "doi": "10.1080/19371910802678749",
      "record_type": "Article",
      "database_method": null,
      "database_is_scientific": true,
      "database_is_empirical": false,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2235874875,
        "prompt_eval_count": 1064,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:37:46.596649+00:00"
    },
    {
      "input_index": 308,
      "record_key": "SWRD:51214",
      "source_database": "SWRD",
      "record_id": 51214,
      "year": 2009,
      "title": "Does Social Work Make a Difference? A Controlled Study of Former 'Looked-After-Children' and 'Excluded-From-School' Adolescents Now Men Aged 16-24 Subsequent Offences, Being Victims of Crime and Suicide",
      "abstract": "In the UK the outcomes of former 'Looked-After-Children' (LAC) 1 as young adults have generally caused concern, especially those highlighting their relatively high involvement in crime. Yet statutory right of LACs to continued support might have been expected to make a difference to their lives. Social work support should have impacted upon their social integration and this should, in turn, have led to a reduced involvement in crime. However, previous studies on former LAC used their age peers in the general population as a 'control group' whereas another socially disadvantaged group would have been a more appropriate comparison. This study took another group of 'socially disadvantaged' people, that is, former adolescent Permanently-Excluded-from-School (PEFS) young men, who had no statutory right to social work support, to compare with LAC men now aged 16-24. This enables us to ask the question, did social work make a difference between the two groups? The focus will be upon examining the young men's subsequent involvement in crime, either as offenders or victims, which are issues policy and public concern. The study compares a five-year cohort of former LAC adolescent males (n = 438), as Young Adults, with a control five-year cohort of former PEFS males (n = 215). We examine whether there were any differences between the cohorts as either offenders or victims of crime and whether there were any suicides amongst them. This was based upon an analysis of National Police data and the Home Office prediction of future crime with actual outcomes of the two groups. A Regional Suicide register was examined to determine any suicides over the period. It should be stressed that the study was totally records based, all individual identification markers were stripped from the data before analysis and total anonymity and confidentiality was maintained. Chi square tests were used to compare outcomes of levels of offending and being victims of crime. Epidemiological rates were used to compare violent deaths. Findings: Despite the different entry referral points of the cohorts, they had similar social backgrounds. Subsequent offending rate by LAC was 44 percent, which was significantly less than the former PEFS (64%). The offences of PEFS were significantly more violent, including a murder rate more than 1670 times their peers in the general population. In regard to being victims of crime, whilst both LAC and PEFS had higher rates of being victims of crime than the general population, LAC men were significantly more often victims of sex and violent crimes, having a murdered rate 176 times their age peers. However, there were no suicides amongst LAC but the PEFS suicide rate was 133 times that of their peers in the general population. Applications: These results indicate that, despite starting from a more disadvantaged situation, former LAC did significantly better than the PEFS young men. Whilst the LAC rates of 'victimhood' shows their continuing relative vulnerability, the outcomes of the PEFS indicate another group of socially excluded people who require at least as much preventative support as former LAC. Overall, the LAC results indicate that Social Work support made a positive difference in the LAC outcomes.",
      "authors": "Pritchard, Colin; Williams, Richard",
      "author_ids": "",
      "journal_or_venue": "Journal of Social Work",
      "doi": "10.1177/1468017309334903",
      "record_type": "Article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3304803875,
        "prompt_eval_count": 1607,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:37:49.903217+00:00"
    },
    {
      "input_index": 309,
      "record_key": "SWRD:93960",
      "source_database": "SWRD",
      "record_id": 93960,
      "year": 2009,
      "title": "Evaluating the Efficacy of the Prodigy Prevention Program across Urban and Rural Locales",
      "abstract": "Comorbid juvenile offenders are an overlooked, vulnerable population which tend to present with a more diagnostically serious picture. Their arrest rates have dramatically increased over the last 10 years, yet there is a dearth of prevention and intervention programs available. This study examined the effects of the Prodigy Cultural Arts Program on at-risk and adjudicated youth in a rural and an urban locale. Results suggest a significant improvement in family functioning overall as well as statistically significant changes in mental health symptoms including Depression/Anxiety, Somatic, and Suicidal symptoms for both males and females at urban and rural locales. Females appeared to especially benefit from the program. The findings here extend our knowledge regarding viable alternatives for juvenile offenders with mental health symptoms, particularly females.",
      "authors": "Stewart, Chris; Rapp-Paglicci, Lisa; Rowe, William",
      "author_ids": "",
      "journal_or_venue": "Child & Adolescent Social Work Journal",
      "doi": "10.1007/s10560-008-0142-0",
      "record_type": "Article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2343330833,
        "prompt_eval_count": 1080,
        "eval_count": 27
      },
      "screened_at": "2026-08-02T17:37:52.248207+00:00"
    },
    {
      "input_index": 310,
      "record_key": "SWRD:17942",
      "source_database": "SWRD",
      "record_id": 17942,
      "year": 2009,
      "title": "Factors Associated with Suicidal Ideation Among Women Abused in Intimate Partner Relationships",
      "abstract": "This study examines factors associated with suicidal ideation among women abused in intimate partner relationships. Data were collected from the case records of 95 women screened upon in-person contact with admissions workers in a domestic violence shelter in one Midwestern state. Forty-three percent of the women reported suicidal ideation as significantly associated with childhood sexual abuse, childhood physical abuse, and adulthood intimate partner abuse lasting fewer than 12 months in duration. The results have policy and practice implications for those interested in the mental health needs of women abused in childhood and adulthood. Implications for research are presented that more precisely identify how the effects of past and current traumatic experiences intersect and contribute to suicidal ideation among women abused in intimate relationships.",
      "authors": "Renner, Lynette M.; Markward, Martha J.",
      "author_ids": "",
      "journal_or_venue": "Studies in Clinical Social Work: Transforming Practice, Education and Research",
      "doi": "10.1080/00377310902830809",
      "record_type": "Article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2300082625,
        "prompt_eval_count": 1066,
        "eval_count": 24
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      "screened_at": "2026-08-02T17:37:54.550550+00:00"
    },
    {
      "input_index": 313,
      "record_key": "SWRD:51207",
      "source_database": "SWRD",
      "record_id": 51207,
      "year": 2009,
      "title": "Men Who Were Sexually Abused in Childhood and Subsequent Suicidal Ideation: Community Comparison, Explanations and Practice Implications",
      "abstract": "In the Western world, men are particularly vulnerable to suicide, so it is important to undertake research that helps explain the manifestation of suicidality. This is one of the few studies to date that have researched men who were sexually abused in childhood and their presentation of suicidal ideation, much of the previous research with this focus having been restricted to women. The study draws on a clinical sample of 147 Australian men who were sexually abused in childhood, of whom thirty-nine also gave open-ended interviews, and comparisons are made with a community sample of 1,231 men. It was found that the sexually abused men were up to ten times more likely to report suicidal ideation than the controls. To understand risk factors for suicidal ideation, a predictive regression model was constructed, the most important variables in this model being self-blame, isolation and physical injuries sustained from the abuse. These variables are further explored and illuminated from the qualitative data. Key implications of the study for social work practice include the need for screening and assessment of men in clinical populations as well as in other vulnerable populations. Limitations of the study and future areas of inquiry are also outlined.",
      "authors": "O'Leary, Patrick; Gould, Nick",
      "author_ids": "",
      "journal_or_venue": "British Journal of Social Work",
      "doi": "10.1093/bjsw/bcn130",
      "record_type": "Article",
      "database_method": "Mixed-Methods",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2518128083,
        "prompt_eval_count": 1170,
        "eval_count": 24
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      "screened_at": "2026-08-02T17:38:01.931803+00:00"
    },
    {
      "input_index": 315,
      "record_key": "SWRD:52009",
      "source_database": "SWRD",
      "record_id": 52009,
      "year": 2009,
      "title": "Mental Health Characteristics of Social Work Students: Implications for Social Work Education",
      "abstract": "No studies have examined to date the mental health and substance use characteristics of social work students. Therefore, this study was undertaken to describe and identify these characteristics among a sample of social work students located in a Florida school of social work. Results indicated that approximately 34% of the participants reported high levels of depressive symptoms, 12% had a history of suicidal ideation, and 4% reported having thought about suicide recently. Six percent reported high levels of post-traumatic stress disorder symptomatology, and 3% were highly likely to have a dissociative disorder. High proportions of the students reported having multiple traumatic experiences. Students in this sample were less likely to report lifetime or current alcohol or marijuana use than national college student samples, but more likely to report lifetime or current use of illicit substances other than marijuana.",
      "authors": "Horton, E. Gail; Diaz, Naelys; Green, Diane",
      "author_ids": "",
      "journal_or_venue": "Social Work in Mental Health",
      "doi": "10.1080/15332980802467696",
      "record_type": "Article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "prompt_eval_count": 1087,
        "eval_count": 24
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      "screened_at": "2026-08-02T17:38:06.520581+00:00"
    },
    {
      "input_index": 317,
      "record_key": "SWRD:18035",
      "source_database": "SWRD",
      "record_id": 18035,
      "year": 2009,
      "title": "Relating to Self-harm and Suicide. Psychoanalytic Perspectives on Practice, Theory and Prevention",
      "abstract": null,
      "authors": "Smith, Martin",
      "author_ids": "",
      "journal_or_venue": "Journal of Social Work Practice",
      "doi": null,
      "record_type": "Book Review",
      "database_method": null,
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_only",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "prompt_eval_count": 937,
        "eval_count": 24
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      "screened_at": "2026-08-02T17:38:11.220016+00:00"
    },
    {
      "input_index": 318,
      "record_key": "SWRD:51294",
      "source_database": "SWRD",
      "record_id": 51294,
      "year": 2009,
      "title": "Repeat Substance-Using Suicidal Clients-How Can We Be Helpful?",
      "abstract": "Care of clients with mental health and substance abuse problems accounts for a significant proportion of all emergency department (ED) visits. This qualitative research project sought to understand the ED experiences of men with a history of suicidal behavior and substance abuse and those of the emergency personnel who work with them. Understanding the unique positions of care providers and this client population in the ED setting can assist the social worker to advocate for this highly vulnerable group of clients and to assist an interprofessional team to develop better crisis interventions.",
      "authors": "Bergmans, Yvonne; Spence, Julia M.; Strike, Carol; Links, Paul S.; Ball, Jeffrey S.; Rufo, Claire; Rhodes, Anne E.; Watson, William J.; Eynan, Rahel",
      "author_ids": "",
      "journal_or_venue": "Social Work in Health Care",
      "doi": "10.1080/00981380802592013",
      "record_type": "Article",
      "database_method": "Qualitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2262719667,
        "prompt_eval_count": 1020,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:38:13.484435+00:00"
    },
    {
      "input_index": 319,
      "record_key": "SWRD:17905",
      "source_database": "SWRD",
      "record_id": 17905,
      "year": 2009,
      "title": "Veterans and Suicide: A Review of Potential Increased Risk",
      "abstract": null,
      "authors": "Posey, Sebrina",
      "author_ids": "",
      "journal_or_venue": "Studies in Clinical Social Work: Transforming Practice, Education and Research",
      "doi": "10.1080/00377310903131447",
      "record_type": "Review",
      "database_method": null,
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_only",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 1982879792,
        "prompt_eval_count": 929,
        "eval_count": 24
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      "screened_at": "2026-08-02T17:38:15.469209+00:00"
    },
    {
      "input_index": 320,
      "record_key": "SWRD:93809",
      "source_database": "SWRD",
      "record_id": 93809,
      "year": 2009,
      "title": "Where Risks and Protective Factors Operate Differently: Homeless Sexual Minority Youth and Suicide Attempts",
      "abstract": "Using a sample of 628 homeless youth and young adults from eight US cities, this study examines whether the relationship between having been in custody of social services and suicide attempts, and the relationship between engaging in survival sex and suicide attempts differ based on sexual orientation. Findings suggest that being in custody of social services is associated with a significant increase in likelihood of suicide attempts for heterosexual youth, it does not, however, significantly change the already increased risk of suicide attempts for sexual minority youth. Engaging in survival sex appears to be associated with increased risks of suicide attempts for both heterosexual and sexual minority youth, but the increase in likelihood is much stronger for heterosexual youth than for sexual minority youth. Implications for practice and future research are discussed.",
      "authors": "Walls, N. Eugene; Potter, Cathryn; Van Leeuwen, James",
      "author_ids": "",
      "journal_or_venue": "Child & Adolescent Social Work Journal",
      "doi": "10.1007/s10560-009-0172-2",
      "record_type": "Article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2294907875,
        "prompt_eval_count": 1075,
        "eval_count": 24
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      "screened_at": "2026-08-02T17:38:17.765692+00:00"
    },
    {
      "input_index": 321,
      "record_key": "SSWR:2010-U-0426",
      "source_database": "SSWR",
      "record_id": "2010-U-0426",
      "year": 2010,
      "title": "12-Month and Lifetime Prevalence of Suicide Attempts among Black Adolescents",
      "abstract": "Purpose: Suicide is the third leading cause of death among all adolescents in the United States, including Black adolescents (Kochanek, Murphy, Anderson, & Scott, 2004). Historically, black teens and young adults have lower suicide rates than white teens, but in recent decades, the suicide rate for black youth has increased dramatically (O'Donnell, O'Donnell, Wardlaw, & Stueve, 2004). The gap in the rates of suicide between these two groups narrowed due to a recent increase in suicide among young Black Americans (Borowsky, Ireland, & Resnick, 2001; Joe, 2008; Price, Thompson, & Dake, 2004). There is a paucity of nationally representative epidemiological research on the prevalence of attempted suicide and the suicide risk profile for Black American adolescents. Without this work little can be done to understand, intervene, or prevent suicide and suicidal behavior in this population. General population survey data are presented for the first time on the prevalence of suicide attempts for African Americans and Caribbean black adolescents in the United States. Method: Data on non-fatal suicidal behavior among 1170 African American and Caribbean Black adolescents aged 13-17 years are from the National Survey of American Life--Adolescent (NSAL-A), a nationally representative household survey of adults with an attached adolescent sample conducted between February 2001 and June 2003. Descriptive analyses were employed to examine patterns of non-fatal suicidal behavior. Survival analysis methods were used to derive the projected risk by age 17 of experiencing suicidal ideation and of making a suicide attempt, as well as to assess potential sociodemographic and psychiatric risk factors for these behaviors. Results: Nationwide black adolescents reported lifetime prevalence of 7.5% for suicide ideation and 2.7% for attempts. The 12-month prevalence of suicidal ideation and attempt were 3.2% and 1.4%, respectively. Among all respondents, 4% of Black American adolescents and 7% of females were projected to actually attempt suicide by age 17. Black teen females were almost 3 times more likely to attempt suicide than their male counterparts. African American teens were 4.5 times more likely than Caribbean teens to attempt suicide. In contrast to previous studies, the researchers noted that youth from lower income households ($18,000�$31,999 annually) were least likely to report attempting suicide, while youth living in homes of modest means ($32,000�$54,999) were most likely. However, as in previous studies, teens living in the U.S. South and West appeared to be less at risk for attempted suicide than those living in the Northeast. Teens with anxiety disorders were a highest risk. Despite this relationship, roughly half of teens who attempted suicide did not have or were never diagnosed with a mental disorder. Implications: The study underscore that the importance of understanding ethnic differences in suicide risk among Blacks American adolescents. Black American teens, especially females, may be at high risk for attempting suicide even if they have never been diagnosed with a mental disorder. Clinicians should be trained to screen for suicidal behavior, even among those without DSM-IV disorders, when treating black adolescents.",
      "authors": "Sean Joe",
      "author_ids": "109205",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3302901584,
        "prompt_eval_count": 1617,
        "eval_count": 24
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      "screened_at": "2026-08-02T17:38:21.069994+00:00"
    },
    {
      "input_index": 322,
      "record_key": "SSWR:2010-U-0043",
      "source_database": "SSWR",
      "record_id": "2010-U-0043",
      "year": 2010,
      "title": "A Statewide Study of Older Adults Who Ban Themselves From Casinos",
      "abstract": "Background/Purpose: Little is known about the gambling behavior of older adults, though rates of gambling participation appear to be increasing (citations omitted). A majority of older adults gamble recreationally, however, higher rates of problem gambling have been reported among ethnic minorities and those who frequent casinos, senior centers, and bingo halls. Despite these findings, few older adults present for gambling treatment. It is, therefore, important to identify gateways where older adults may initiate help-seeking in order to facilitate access to services. This is the first study to investigate older adult problem gamblers in one of those gateways � the casino self-exclusion program � which assists gamblers in banning themselves voluntarily and receiving referrals to treatment services. The objectives of this study were to compare the (a) demographic characteristics, (b) gambling preferences, and (c) primary reasons for self-excluding of older versus younger and middle-aged adult problem gamblers in a statewide self-exclusion program. Methods: A de-identified data set of individuals (N=1601) applying for self-exclusion from Missouri casinos between January 1, 2001 and March 31, 2003 was used for these analyses. Participants completed an optional demographic questionnaire, designed and administered by the Missouri Gaming Commission, at one of 11 casinos or three Commission offices. Consistent with prior research on older adult gamblers, the sample was categorized as younger adults (ages 21 to 35; n=490), middle-aged adults (ages 36 to 55; n=950) and older adults (ages 56 to 79; n=161). Bivariate, univariate and logistic regression analyses were performed. Results: Older adults were more likely than other groups to be Caucasian and unemployed and to initiate gambling later in life. Women reported a later age of onset than men, which was particularly significant among older adults (48.7 years, women, versus 37.7 years, men). The total number of years spent gambling also increased with age. Older adults gambled an average of 17 years before self-exclusion, more than twice the length of time reported by younger adults. Older adults and middle-aged adults endorsed preferences for slots (80.1% vs. 80.4%), lottery (39.8% vs. 47.7%), and video poker (35.4% vs. 42.2%). Compared to younger adults, older adults were more likely to have gambled longer before self-exclusion, to be married and/or unemployed, and to express a strong preference for non-strategic forms of gambling such as gaming machines. In addition, they were nearly four times as likely to self-exclude in an effort to prevent suicide. Compared to middle-aged adults, older adults were more likely to be unemployed and nearly three times as likely to ban themselves to prevent suicide. All results were significant at p < .01 level. Implications: Problem gambling among older adults appears to develop over time, possibly due to a preference for slot and video poker machine play. Social workers who work with older adults should be educated in recognizing early signs and symptoms of problem gambling and the potential risk for suicide. They should also be knowledgeable about resources for problem gambling services including self-exclusion. Approaches to identifying and intervening with older adult problem gamblers will be discussed.",
      "authors": "Lia Nower",
      "author_ids": "110014",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3296499708,
        "prompt_eval_count": 1624,
        "eval_count": 24
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      "screened_at": "2026-08-02T17:38:24.368184+00:00"
    },
    {
      "input_index": 323,
      "record_key": "SSWR:2010-U-0276",
      "source_database": "SSWR",
      "record_id": "2010-U-0276",
      "year": 2010,
      "title": "Adolescent Health and Mental Health Service Use, Settings, and Barriers: Differences by Sexual Minority Status",
      "abstract": "Background and Purpose: Adolescents have a largely unmet need for health and mental health services and overall do not access services in proportion to their needs (Simpson, Scott, Henderson, & Manderscheid). Very little is known about service use among non-heterosexual (i.e., sexual minority) youth; however, the accumulated research strongly suggests that their need for services is at least equal to the general adolescent population and likely greater due to social factors. Logan and King (2001) suggest that the parent-adolescent relationship plays a key role in whether youth obtain needed services. Sexual minority youth have fewer support resources, such as parental support (Eisenberg & Resnick, 2006), which may contribute both to a need for services as well as greater difficulty accessing services. This paper presents findings from the National Longitudinal Study of Adolescent Health (Add Health), a school-based representative study, and addresses the following research questions: 1) Are the needs for health and mental health services greater for sexual minority youth compared to non-sexual minority youth? 2) Do sexual minority youth access health and mental health services with the same frequency as their peers? 3) Relative to their need, is there an underutilization of services (i.e., unmet need) among sexual minority youth? 4) Do service use settings differ for sexual minority youth? 6) Do sexual minority youth forego needed healthcare services with the same frequency as their peers? 6) Do the barriers to healthcare services reported by sexual minority youth differ from those reported by their peers? 7) Do sexual minority youth report differences in the qualities/closeness of their parent relationships as compared to their peers? Methods: Data is taken from Wave I of Add Health, and consists of a core sample of 18,924 youth in grades 7 � 12 with a subsample of 1,388 sexual minority youth. Add Health uses a complex survey design that stratifies schools by size, type, region, location, and percent white. Youth are selected with unequal probability from 132 schools. Using survey software (Stata 10) and inferential statistics, this study compares group differences on health and mental health need, service use, service use setting, barriers to services, and quality/closeness of parent relationships. Results: Consistent with prior literature, findings demonstrate significantly higher health and mental health need (i.e., sexual health risk, anxiety, depression, suicidality, and history of victimization) among sexual minority youth. Sexual minority youth access mental health services almost two times as frequently as their peers, yet still have greater unmet need. School-based mental health services are accessed significantly less by sexual minority youth. With regard to healthcare, sexual minority youth also have higher unmet health needs and forego needed medical care more frequently, citing barriers related to confidentiality (i.e., not wanting parents to know and fear of what the doctor will say/do). Finally, sexual minority youth report significantly lower levels of closeness to their parents. Conclusions and Implications: These findings highlight the need for tailored interventions aimed at parents, schools, and healthcare providers to promote access to services through understanding and acceptance of sexual minority youth.",
      "authors": "Kelly A. Williams; Mimi V. Chapman",
      "author_ids": "110565; 108254",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3253245167,
        "prompt_eval_count": 1597,
        "eval_count": 24
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      "screened_at": "2026-08-02T17:38:27.623498+00:00"
    },
    {
      "input_index": 324,
      "record_key": "SSWR:2010-U-0053",
      "source_database": "SSWR",
      "record_id": "2010-U-0053",
      "year": 2010,
      "title": "Adolescent Help-Seeking After a Suicide Prevention Program: Evidence from Staff and Students",
      "abstract": "BACKGROUND AND PURPOSE : As the third leading cause of death for U.S. adolescents, suicide constitutes a significant problem. Research indicates that most teens at risk for suicide, as well as peers of suicidal teens, do not turn to an adult for help. A Colorado-based group, the Yellow Ribbon Suicide Prevention Program, strives to increase adolescent help-seeking via staff, student, and school-wide programs that incorporate the message �It's OK to ask for help.� The Yellow Ribbon program has been widely used in schools nationally and internationally, but reports about its effectiveness have remained anecdotal. This study investigated rates of student help-seeking before and six months after the introduction of the Yellow Ribbon Suicide Prevention Program. METHODS : In Fall 2007, before the introduction of Yellow Ribbon activities to a Denver-area high school, and six months later in Spring 2008, 168 staff members at the experimental school and at a control school were surveyed about students seeking help from them. Also, a sample of 146 students (59% female; 43.4% Latino, 39.2% White, 17.5% of another race or ethnicity) at the experimental school completed pre- and post-intervention surveys about help-seeking from 12 different types of helpers. Neither school had received Yellow Ribbon programming before the study. The staff and student surveys were developed in consultation with two suicide prevention experts and a counselor and the principal at the experimental school; also, for the student survey, 27 students in focus groups provided input. Using the equality of proportions test in Stata, pre- and post-intervention differences in the proportions of staff or students reporting help-seeking were tested for statistical significance. Changes in staff-reported help-seeking at the experimental and control schools also were compared for differences. RESULTS : Based on both staff and student reports, almost all types of help-seeking by students did not increase to a statistically significant degree after the Yellow Ribbon program's introduction. Although the proportion of staff reporting that at least one student came to them for help for emotional or behavioral problems increased by almost 5 percent at the experimental school, from 60.0% in Fall 2007 to 64.9% in Spring 2008, neither the within-school nor between-schools changes attained statistical significance. With one exception, students' reported generally similar levels of help-seeking from Fall to Spring, with about 35% turning to a teacher for help, 16% consulting a mental health professional, and 18% seeking help online. One type of student-reported help-seeking � use of a crisis hotline � did increase to a statistically significant degree, from 2.1% pre-intervention to 6.9% post-intervention. The study failed to find any increase in students telling a school-based adult when a friend disclosed suicidal thoughts or acts. DISCUSSION : This study appears to be the first to test the effects of the Yellow Ribbon Suicide Prevention Program on students' help-seeking, providing needed evidence for school social workers in need of an effective suicide prevention program. Although most types of help-seeking did not increase after the program's introduction, students' increased use of crisis hotlines is encouraging and merits further exploration.",
      "authors": "Stacey Freedenthal",
      "author_ids": "108070",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3288616542,
        "prompt_eval_count": 1591,
        "eval_count": 24
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      "screened_at": "2026-08-02T17:38:30.913940+00:00"
    },
    {
      "input_index": 327,
      "record_key": "SSWR:2010-U-0404",
      "source_database": "SSWR",
      "record_id": "2010-U-0404",
      "year": 2010,
      "title": "Factors Leading to Psychiatric Hospitalization for Suicidal Ethnic Minority Adolescents",
      "abstract": "Purpose: Suicide is the third leading cause of death for U.S. adolescents. The psychiatric emergency service (PES) has been identified as a key entry point for youth into the mental health system. Given ethnic minority adolescents are more likely to use PES, we need to know more about the factors associated with the treatment decision for suicidal ethnic minority adolescents presenting at the PES, in particular predictors of their discharge disposition. The purpose of the current study is to identify factors leading to psychiatric hospitalization among a diverse group of suicidal adolescents. This retrospective study will investigate specific demographic and diagnostic factors in order to identify those that are predictive of either outpatient disposition or inpatient hospitalization. Method: The current study was conducted with a sample of 755 suicidal children and adolescents who presented to a psychiatric emergency service adjacent to the Emergency Department of a large urban mid-sized hospital. The relationship between the independent variables and the dependent variable was hypothesized as path models, which were tested using structural equation modeling with AMOS 6.0. All descriptive statistics were calculated with SPSS 13.0. Three fit indices (CFI, NFI, RMSEA) will be utilized to evaluate model fit for the current SEM analysis. Another goal of the current study was to examine whether the nature of the relationships between study variables was similar across gender and race/ethnicity groups, and invariant group analyses was employed. Results: Descriptive statistics reveal that 511 subjects were diagnosed with a mood disorder, 195 a behavior disorder, and 41 a thought disorder. Additionally, 189 clients were dispositioned to receive outpatient treatment while 559 were dispositioned to receive inpatient treatment. The GAF scores of all participants ranged from 10 to 80 with a mean of 31.99 (sd = 11.96). Testing the model with all participants (n = 755) revealed excellent model fit with the data: CFI = .997, NFI = .993, RMSEA = .030 (90% ci = .00 to .05). The model fit across the three race groups and for males and females were equally well. For each increase in a clients GAF score by one, a client was approximately 2.6% less likely to be hospitalized. Implications: This study makes a rare contribution to our understanding of factors associated with the treatment decision for suicidal ethnic minority children and adolescents. The practice implications social workers working in hospital will be discussed.",
      "authors": "Sean Joe; Michael E. Woolley",
      "author_ids": "109205; 109941",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "prompt_eval_count": 1444,
        "eval_count": 24
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      "screened_at": "2026-08-02T17:38:40.509716+00:00"
    },
    {
      "input_index": 328,
      "record_key": "SSWR:2010-U-0271",
      "source_database": "SSWR",
      "record_id": "2010-U-0271",
      "year": 2010,
      "title": "Gender Differences in Epidemiology and Correlates of Major Depressive Disorder and Suicidal Ideation among Asian Americans",
      "abstract": "Objectives: Research in major depressive disorder (MDD) and suicidal ideation has documented gender differences in prevalence and correlates of MDD and suicidal ideation. However, few studies have investigated the gender differences in the epidemiology and correlates of MDD and suicidal ideation among Asian Americans, the fastest growing population in the US. It is vital to clinicians that ethnic specific research be available to treat patients in the most effective way possible. Also, gender specific demographic characteristics and risk factors can help clinicians to formulate the different presentations of the disorder, to select target behaviors, and to develop gender specific interventions, which may ultimately deliver more effective mental health services among Asian Americans. This study aims to investigate national prevalence estimates and socio-demographic characteristics of lifetime DSM-IV MDD and lifetime suicidal ideation by gender, and to investigate the similarities and differences in factors associated with lifetime DSM-IV MDD and lifetime suicidal ideation among Asian American women and men. Methods: Data were derived from the 2002-2003 US National Latino and Asian American Study (NLAAS; total n=2,095; male=997; female=1,097). People between the ages of 18 and 75 years old were included in the analyses. Logistic regression analysis was used to assess factors associated with lifetime DSM-IV MDD and lifetime suicidal ideation. Covariates include age, education, US citizen status, subjective economic status, and acculturative stress. Findings: No statistical significance was found in either DSM-IV MDD (women 10.1 % vs. men 8.5 %) or suicidal ideation (women 10.8% vs. men 7.8%) among the nationally representative sample of Asian Americans, contrary to abundant research that reports higher rates of DSM-IV MDD and suicidal ideation in women than in men. Similarities and differences were observed in terms of factors associated with DSM-IV MDD and suicidal ideation among men and women. Higher levels of perceived discrimination and higher number of physical illnesses were associated with DSM-IV MDD for both Asian men and Asian women, and were also associated with suicidal ideation for Asian women. Factors associated with suicidal ideation for Asian men included higher levels of perceived discrimination and poor self-assessed health. In addition, lower family cohesion was consistently associated with both DSM-IV MDD and suicidal ideation among Asian women, but not for Asian men. Discussion: This study highlights the intriguing evidences of similarities and differences in regard to prevalence and factors associated with mental health outcomes of nationally representative samples of Asian American women and men. Approximately one in ten Asian women and approximately eight percent of Asian men were suffering from lifetime DSM-IV MDD and lifetime suicidal ideation. The perceived discrimination and health concepts (both self-assessed health and physical illnesses) had significant roles in mental health outcomes for both Asian men and women. Strengthening family cohesion, particularly among Asian women, could lead to significant reductions in societal and personal burdens and improve the quality of life of those who suffer from MDD and suicidal ideation.",
      "authors": "Hyeouk Chris Hahm; Jillian Gaumond",
      "author_ids": "108114; 110987",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3274430042,
        "prompt_eval_count": 1570,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:38:43.786104+00:00"
    },
    {
      "input_index": 329,
      "record_key": "SSWR:2010-U-0417",
      "source_database": "SSWR",
      "record_id": "2010-U-0417",
      "year": 2010,
      "title": "Geographic and Spatial Determinants of Suicidal Behaviors among Asian Americans",
      "abstract": "Background and Purpose: While studies have demonstrated that completed suicides are strongly related to spatial and geographic characteristics, it is unclear if this holds true for non-fatal suicidal behaviors. Although research on the general population has shown strong linkages between spatial or geographic characteristics and completed suicides, prior studies have either omitted Asian Americans or have included very small sample sizes of Asian Americans. Given these limitations, it is unclear if the spatial and geographic correlates of suicidal behaviors among Asian Americans are similar to the general population or if there are significant differences. This study examines the spatial and geographic correlates of suicidal ideation, plan and attempt among a national sample of Asian Americans. Methods: Analyses consisted of weighted bivariate and multivariate logistic regression using data from the Asian American sample (N=2095) of the National Latino and Asian American Study (NLAAS) conducted May 2002-November 2003. Due to the multistage cluster sampling design of the study, all analyses were conducted using SAS-callable SUDAAN. Suicidal behaviors are measured using a modified version of the World Mental Health CIDI. Geographic and spatial determinants are represented by four categorical variables: neighborhood safety, household density, rural and urban location, and ethnic density. Results: Asian Americans living in suburban and rural areas were more likely than those living in urban areas to experience suicidal ideation (OR=1.5, CI=1.02, 2.20; OR=2.0, CI=1.18, 3.37) and suicide attempt (OR=1.83, CI=1.10, 3.04; OR=3.86, CI=1.33, 11.20). Asian Americans who lived alone were also more likely to have suicidal ideation (OR=2.77, CI=1.26, 6.10) and attempt suicide (OR=4.65, CI=1.20, 18.07) than those living in larger households. Those living in unsafe neighborhoods were less likely than those living in safe neighborhoods to have suicidal ideation and suicide attempt, although these differences were not statistically significant. There were also no statistically significant differences between Asian Americans living in areas highly populated by Asians and those who lived in areas marked by lower Asian density. Further analyses examining gender showed that Asian American women who lived alone and in suburban areas were also more likely to have suicidal thoughts and attempt suicide than women in urban areas and living in larger households. Conclusion: This study yielded important findings with regard to how certain geographic or spatial characteristics can serve as possible protective factors against suicide for Asian Americans. Urban living appears to be a protective factor, which could be due to urban areas traditionally being centers for Asian American immigration and settlement. Rural living is also a risk factor for suicidal thoughts and suicide attempts. This could be due to low population density and lack of social integration or the fact these areas are correlated with Asian Americans who live alone. Asian American women who live alone and those who do not live in urban areas also appear to be at greater risk for suicidal thoughts and attempts compared to their male counterparts. This may be attributable in part to cultural beliefs that emphasize close emotional and spatial proximity to family members, particularly for women.",
      "authors": "Aileen Alfonso Duldulao",
      "author_ids": "111120",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3292043417,
        "prompt_eval_count": 1603,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:38:47.079865+00:00"
    },
    {
      "input_index": 333,
      "record_key": "SSWR:2010-U-0279",
      "source_database": "SSWR",
      "record_id": "2010-U-0279",
      "year": 2010,
      "title": "Suicide attempts, parent-adolescent conflict, familism, self-esteem, and internalizing behaviors in adolescent Latinas",
      "abstract": "Purpose: Parent-adolescent conflict has been shown to be related to adolescent risk behaviors, self-esteem and mental health outcomes. However, little has been examined about how the conflict that adolescent Latinas experience with their parents affects their self-esteem and internalizing behaviors, and how conflict relates to the likelihood of attempting suicide. Similarly, there is also a paucity of research about suicide attempts and the Latino cultural value known as familism. Familism is shown in research with Latino populations to be a protective factor against parent-adolescent conflict, negative mental health outcomes and risk behaviors. This study explored the relationships between parent-adolescent conflict, familism, self-esteem, internalizing behaviors and suicide attempts in adolescent Latinas. Method: Data were collected via questionnaires administered to a sample of 106 Latina adolescent suicide attempters and a comparison group of 102 non-attempters with similar demographic characteristics, all living in the New York City area, as part of a larger research project studying the sociocultural processes of Latina adolescent suicide attempters. Structural equation modeling and path analysis were used to examine the relationships between parent-adolescent conflict and familism to suicide attempts, mediated by adolescent self-esteem and internalizing behaviors. Measures used to evaluate these relationships included the Hispanic Familism Scale (Lugo Steidel, & Contreras, 2003), items from the Child Behavior Questionaire (CBQ: Robin & Foster, 1989), the internalizing behaviors subscale of the Youth Self Report (YSR: Achenbach, 1991), and the Rosenberg Self Esteem Scale (RSES: Rosenberg, 1965). Results: Analyses that included covariates for parent education level and adolescent age showed that familism is a cultural asset associated with higher adolescent self-esteem and reduced levels of parent-adolescent conflict. However, it is also associated with higher levels of internalizing behaviors. Parent-adolescent conflict was the strongest risk factor associated with higher levels of internalizing behaviors, lower levels of self-esteem, and higher risk for adolescent suicide attempts. Additional analyses suggest that internalizing behaviors and self-esteem partially mediated the effects of parent-adolescent conflict on suicide attempts, indicating that parent-adolescent conflict remains a strong factor in predicting suicide attempts even with the inclusion of these mediators. Implications: Our findings point to the interactive process that young Latinas report as influencing their suicide attempts. It appears that parent-adolescent conflict is both a direct and indirect influence on suicidal behavior among Latinas, with a relationship to individual and family-related factors on the girls' inclination to attempt suicide. Possible aspects of Hispanic familism that could explain its relationship to increased internalizing behaviors in adolescent girls are introduced. Implications for culturally competent programs and social work practice focusing on reducing the conflict in the relationship between Latino parents and their adolescent daughters, and in strengthening protective factors are discussed.",
      "authors": "Jill A. Kuhlberg; Juan B. Pena; Luis H. Zayas",
      "author_ids": "110993; 110994; 110995",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3286822459,
        "prompt_eval_count": 1536,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:39:00.178792+00:00"
    },
    {
      "input_index": 336,
      "record_key": "SSWR:2010-U-0509",
      "source_database": "SSWR",
      "record_id": "2010-U-0509",
      "year": 2010,
      "title": "Three Suicide Prevention Trainings: Six-Month Effects on Suicide Prevention Knowledge, Confidence and Behavior",
      "abstract": "Purpose and Background: Suicide is a major public health problem: it is the third leading cause of death among 15-24 year olds in the US. A primary youth suicide prevention effort is �gatekeeper training�: educating adults about suicide and training them to be able to identify youth at risk, to ask about suicide, and to connect at-risk youth with help. Gatekeeper trainings have been amply demonstrated to improve trainees' knowledge and confidence they can help at-risk youth, but the few studies that tested behavior changes have not shown changes in trainee behavior with at-risk youth. As part of a federally-funded youth suicide prevention public health intervention, the current study tested two gatekeeper trainings, QPR and RESPONSE, and a more involved training, ASIST, for suicide prevention knowledge, confidence and 6 month suicide prevention behaviors. Methods: A quasi-experimental design was employed with three groups (QPR, RESPONSE, ASIST) and three measurement points (pre-training, post-training, 6 month follow-up). �Question, Persuade, Refer� (QPR) is a widely disseminated two-hour gatekeeper training. RESPONSE is a school based program that includes two hour gatekeeper training.. ASIST is a 2 day training that teaches gatekeeper skills as well as suicide interventions for at-risk youth, and includes role-play of key behaviors. Using proven mail survey methods, response rate for the 6 month follow-up exceeded 60%. The responders and non-responders differed only in a modest difference in age. There were 180 participants: 77 men (43%) and 101 women (57%); approximately 85% of the sample identified as White; roughly one-third were clinicians and one-third were teachers. The average age was 42.8 years old (SD = 12.0). Seventy-six attended RESPONSE (42%); QPR had 59 trainees (33%); and 44 in ASIST (24%). Measures were adapted from a published clinical trial of QPR and showed excellent reliability. Changes between the three time points were tested with t-tests and between trainings with one-way ANOVA. Results: There were large, significant changes for all groups in suicide prevention knowledge and confidence from pre to post training, changes that were maintained or grew slightly by the 9 month follow-up. Likert scale ratings of suicide prevention behaviors showed medium size changes, with larger changes for ASIST. Participant counts of six-month behaviors did not change from pre-training to follow-up. Across trainings, an empathic relationship with youth was correlated with more suicide prevention behaviors. Conclusions and Implications: Consistent with clinical trials of brief gatekeeper trainings, all trainings showed large effects on knowledge and confidence, and QPR and RESPONSE had no or small effects on suicide prevention behaviors. ASIST, however, showed larger changes on ratings of prevention behaviors. Trainees who reported higher levels of empathic connection with youth showed more change from trainings, convergent with previous research. Suicide prevention training should target those who are skilled and capable in relating and communicating with youth. More intensive training that includes modeling and behavioral rehearsal may be needed to change trainee suicide prevention behavior. Improved gatekeeper trainings can advance societal efforts to identify and help youth at-risk of suicide.",
      "authors": "Daniel Coleman; Jung-hee Bae; Del Quest",
      "author_ids": "109621; 111205; 111206",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3251274916,
        "prompt_eval_count": 1613,
        "eval_count": 24
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      "screened_at": "2026-08-02T17:39:09.997221+00:00"
    },
    {
      "input_index": 338,
      "record_key": "SWRD:50780",
      "source_database": "SWRD",
      "record_id": 50780,
      "year": 2010,
      "title": "Challenges of Depression and Suicidal Ideation Associated With Aging With HIV/AIDS: Implications for Social Work",
      "abstract": "As the number of older adults with HIV/AIDS increases, new challenges are emerging that threaten their ability to age with this disease. Threats of particular concern are depression and suicidal ideation. Studies show that those aging with HIV/AIDS have a number of stressors that tax their coping mechanisms, increasing vulnerability to depression and suicidal ideation. These stressors can be categorized into three areas. First, there are psychosocial stressors that can contribute to depression. Second, there are health and biochemical stressors that can contribute to depression, as well as compromise cognitive abilities needed to adapt to such stressors. Third, cognitive stressors may create predispositions to depression. In particular, certain cognitive abilities needed to cope with depression and suicidal ideation may be compromised by aging with HIV/AIDS. A model of these stressors is provided for didactic purposes, as well as to suggest implications for social work practice and research.",
      "authors": "Vance, David E.; Struzick, Tom; Childs, Gwendolyn",
      "author_ids": "",
      "journal_or_venue": "Journal of Gerontological Social Work",
      "doi": "10.1080/01634370903415692",
      "record_type": "journal-article",
      "database_method": null,
      "database_is_scientific": true,
      "database_is_empirical": false,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2317406083,
        "prompt_eval_count": 1112,
        "eval_count": 24
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      "screened_at": "2026-08-02T17:39:14.933114+00:00"
    },
    {
      "input_index": 339,
      "record_key": "SWRD:125807",
      "source_database": "SWRD",
      "record_id": 125807,
      "year": 2010,
      "title": "Consilierea comportamentelor umane suicidare.",
      "abstract": "Suicide is one of the expressions of the limit of human behavior present in all historical periods and in all cultures. Existential crisis, unable to face the current difficulties of life, determines many people to resort to suicide, as a last solution. Support for people with suicidalrisk is complex and multidisciplinary, a special place being occupied by the counseling offered by the social worker. Due to social workers' ability and means to support, assessment and intervention, the client with suicidal risk may be advised properly so they can overcome the difficult situationthat is found, to regain confidence in others, to highlight their personal resources and to have a normal life, harmony. (Journal abstract)",
      "authors": "Dumitrascu, D.H.",
      "author_ids": "",
      "journal_or_venue": "Aotearoa New Zealand Social Work",
      "doi": null,
      "record_type": "Article",
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      "database_is_scientific": true,
      "database_is_empirical": false,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2245370000,
        "prompt_eval_count": 1053,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:39:17.180124+00:00"
    },
    {
      "input_index": 340,
      "record_key": "SWRD:49044",
      "source_database": "SWRD",
      "record_id": 49044,
      "year": 2010,
      "title": "Correlates of Cutting Behavior among Sexual Minority Youths and Young Adults",
      "abstract": "Using secondary analyses of data from a sample of 265 sexual minority youths, the authors examined correlates of cutting behavior to determine whether patterns are similar to those found in studies of self-injury with community samples of predominately heterosexual youths. The sample consisted of youths who received services at an urban social service agency serving the sexual minority community; youths from the region attending social events, who located the survey through the Internet, or who were referred from other youth-serving agencies; and youths from out of state who found the survey through the Internet or were referred by youth-serving agencies. Prevalence of cutting was higher than that found in community-based samples of similar age groups. However, similar patterns of risk were found with regard to peer victimization, homelessness, suicidality, and depression. Female and transgender respondents were more likely to have engaged in cutting behavior than were male respondents. No significant race-based differences emerged. Both age and having knowledge of a supportive adult were associated with decreased likelihood of cutting. Additional findings link higher levels of \"outness,\" higher occurrence of suicidality among social network, and higher rates of smoking to increased likelihood of cutting. Implications for practice and future research are discussed.",
      "authors": "Walls, N. Eugene; Laser, Julie; Nickels, Sarah J.; Wisneski, Hope",
      "author_ids": "",
      "journal_or_venue": "Social Work Research",
      "doi": "10.1093/swr/34.4.213",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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        "prompt_eval_count": 1163,
        "eval_count": 24
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      "screened_at": "2026-08-02T17:39:19.701620+00:00"
    },
    {
      "input_index": 341,
      "record_key": "SWRD:49499",
      "source_database": "SWRD",
      "record_id": 49499,
      "year": 2010,
      "title": "Death By Domestic Violence: Preventing the Murders and Murder-Suicides Westport",
      "abstract": null,
      "authors": "Kirk, Rosalind",
      "author_ids": "",
      "journal_or_venue": "Research on Social Work Practice",
      "doi": "10.1177/1049731509350175",
      "record_type": "journal-article",
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      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_only",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 1966637708,
        "prompt_eval_count": 935,
        "eval_count": 24
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      "screened_at": "2026-08-02T17:39:21.670527+00:00"
    },
    {
      "input_index": 345,
      "record_key": "SWRD:49031",
      "source_database": "SWRD",
      "record_id": 49031,
      "year": 2010,
      "title": "Identity and Trauma in Adolescents Within the Context of Political Violence: A Psychosocial and Communitarian View",
      "abstract": "The author explores the concept of identity as a frame of analysis in adolescents responding to various actual experiences of trauma. The author looks into numerous themes including the impact of broken identities, different ways of understanding the \"victim identity\", the identities of trauma, the role of transitions, as well as identity dilemmas. By examining the experience of young Mapuche in South America, the experience of war and political violence in Mexico and el Salvador, the identity of displaced young people in Colombia, and a multilevel analysis of child suicides among the Embera ethnic group in Choco, Colombia, a psychosocial and communitarian analysis of the impact of violence and war on youth is offered.",
      "authors": "Perez-Sales, Pau",
      "author_ids": "",
      "journal_or_venue": "Clinical Social Work Journal",
      "doi": "10.1007/s10615-010-0262-9",
      "record_type": "journal-article",
      "database_method": null,
      "database_is_scientific": true,
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      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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        "prompt_eval_count": 1068,
        "eval_count": 27
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      "screened_at": "2026-08-02T17:39:31.332237+00:00",
      "screening_source": "Primary screen; blind audit agreement",
      "accuracy_audit": {
        "sample_group": "Relevant Non-empirical",
        "random_seed": 20260802,
        "blind_screening": {
          "is_relevant": true,
          "relevance_rationale": "The abstract explicitly mentions a 'multilevel analysis of child suicides' among the Embera ethnic group as a central component of the study's examination of trauma and identity.",
          "evidence_class": "Non-empirical",
          "empirical_method": "Not applicable",
          "classification_rationale": "The text describes the author 'exploring concepts' and 'offering an analysis' based on examining experiences, which characterizes a conceptual or theoretical review rather than a report of primary data collection or systematic empirical synthesis.",
          "confidence": "High"
        },
        "full_label_agreement": true
      }
    },
    {
      "input_index": 347,
      "record_key": "SWRD:49372",
      "source_database": "SWRD",
      "record_id": 49372,
      "year": 2010,
      "title": "Parental Acceptance and Illegal Drug Use among Gay, Lesbian, and Bisexual Adolescents: Results from a National Survey",
      "abstract": "Although gay, lesbian, and bisexual (GLB) adolescents face many of the same developmental challenges as do heterosexual adolescents, they must also deal with the stress of being part of a stigmatized group. The purpose of this study was to examine the extent to which family support and involvement with the queer community may buffer the effects of life stress on substance use among GLB youths. Drawing on a large national online survey, the authors examined drug use in 1,906 GLB youths 12 to 17 years of age. Overall, 20 percent of the youths reported using illegal substances in the past 30 days. Results from multivariate analyses revealed that stress, as measured by suicidal ideation, significantly increased the risk of drug use. A positive reaction from the mother to the youth's coming out served as a significant protective factor, whereas involvement in a queer youth group had no effect. The authors found evidence that, for GLB adolescents, parental acceptance of sexual identity is an important aspect of a strong family relationship and, thus, has important ramifications for their healthy development. Implications of the findings for social work practice are discussed.",
      "authors": "Padilla, Yolanda C.; Crisp, Catherine; Rew, Donna Lynn",
      "author_ids": "",
      "journal_or_venue": "Social Work",
      "doi": "10.1093/sw/55.3.265",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:39:36.122099+00:00"
    },
    {
      "input_index": 349,
      "record_key": "SWRD:50490",
      "source_database": "SWRD",
      "record_id": 50490,
      "year": 2010,
      "title": "Perceptions of suicide and their impact on policy, discourse and welfare",
      "abstract": "In recent years, there has been an increase in suicide rates throughout the Western world. However, psycho-social responses to the problem are limited, as is public awareness of suicide and its consequences. This article presents findings from a survey on public attitudes toward suicide in Israel. The survey was conducted among a representative sample, and examined the extent to which the problem is a public priority for developing interventions aimed at preventing and reducing the rates of suicide. The findings revealed that despite the prevalence of suicide in Israel, and even though many of the participants had been personally acquainted with the families of suicide victims, suicide still ranks low on the hierarchy of bereavement. The Israeli public is ignorant about suicide, and does not consider it a problem that calls for government intervention and accountability. The study highlights the need for social workers to play an active role as social agents in an attempt to change the social 'bereavement pyramid' perception and effect on government policy toward suicide.",
      "authors": "Nuttman-Shwartz, Orit; Lebel, Udi; Avrami, Shirley; Volk, Nirit",
      "author_ids": "",
      "journal_or_venue": "European Journal of Social Work",
      "doi": "10.1080/13691450903403883",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:39:40.911560+00:00"
    },
    {
      "input_index": 350,
      "record_key": "SWRD:50079",
      "source_database": "SWRD",
      "record_id": 50079,
      "year": 2010,
      "title": "Social Work Practitioner Knowledge and Assessment of Late-Life Depression",
      "abstract": "Late-life depression has attracted considerable attention in the social work literature. This study examined levels of knowledge and self-efficacy (confidence) in evaluation of depression in late life among a random sample of social workers (N = 168) from the National Association of Social Workers. Relationships among knowledge on aging, job-related variables, and predictors of knowledge of geriatric depression were examined. Participants ranked depression as one of the most frequent clinical problems seen in practice, scored at the lower end on knowledge about aging, and experienced great difficulty on the items pertaining to suicide in the older adults.",
      "authors": "Gellis, Zvi D.",
      "author_ids": "",
      "journal_or_venue": "Journal of Gerontological Social Work",
      "doi": "10.1080/01634372.2010.494196",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:39:43.148551+00:00"
    },
    {
      "input_index": 351,
      "record_key": "SWRD:98410",
      "source_database": "SWRD",
      "record_id": 98410,
      "year": 2010,
      "title": "Suicide and alcohol use among American Indians: Toward a transactional-ecological framework",
      "abstract": "American Indian/Native Alaskan suicide rates are 72% higher than in the general US population. Current estimates indicate over 90% of people in the US who suicide have a mental illness and/or alcohol and substance issues. Among American Indians/Native Alaskans in 2002, the vast majority (69%) of suicides involved alcohol. Chronic alcohol use can cause or contribute to depressive disorders. Thus, suicide, chronic alcohol use, depression and mental health are intertwined. This article asserts the need for a transactional-ecological framework along with the strengths and comparative perspectives as a useful way to understand this problem and devise intervention strategies. © 2010 Taylor & Francis.",
      "authors": "Aguirre R.T.P.; Kelly McNally Koney; Watts T.D.",
      "author_ids": "",
      "journal_or_venue": "Social Work in Health Care",
      "doi": "10.1080/17486830903391479",
      "record_type": "Journal Article",
      "database_method": null,
      "database_is_scientific": true,
      "database_is_empirical": false,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2237547209,
        "prompt_eval_count": 1069,
        "eval_count": 24
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      "screened_at": "2026-08-02T17:39:45.390202+00:00"
    },
    {
      "input_index": 352,
      "record_key": "SWRD:93877",
      "source_database": "SWRD",
      "record_id": 93877,
      "year": 2010,
      "title": "Suicide in Adolescent American Indians: Preventative Social Work Programs",
      "abstract": "Suicide is a leading social problem among the adolescent American Indian community. This literature review examines the demographics of American Indian adolescents who attempt suicide, along with the effects it has on the entire family/community. This paper describes various programs used to address individuals, while correlating them to specific use within the American Indian population. The authors look at the effectiveness of the Adolescent Suicide Prevention Project, American Indian Life Skills Development Curriculum, and Zuni Life Skills Development, along with the draw-backs associated with the implementation of each program. The importance of incorporating culturally specific programs and addressing the issue at a community level in an attempt to enhance the well-being of at-risk American Indian Adolescents is emphasized.",
      "authors": "Hamilton, Shane M.; Rolf, Karen A.",
      "author_ids": "",
      "journal_or_venue": "Child & Adolescent Social Work Journal",
      "doi": "10.1007/s10560-010-0204-y",
      "record_type": "journal-article",
      "database_method": null,
      "database_is_scientific": true,
      "database_is_empirical": false,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2283727458,
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        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:39:47.677609+00:00"
    },
    {
      "input_index": 353,
      "record_key": "SWRD:52811",
      "source_database": "SWRD",
      "record_id": 52811,
      "year": 2010,
      "title": "The Effect of Parental Remarriage Following Parental Divorce on Offspring Suicide Attempt",
      "abstract": "Parental divorce during childhood is associated with an increased risk of suicide attempts for male but not female offspring. This study examines whether parental remarriage has a differential effect on suicide risk for male and female adult offspring. Using the 2001-2002 National Epidemiologic Survey on Alcohol and Related Conditions (NESARC), the sample consists of respondents who experienced parental divorce (N = 6,436). Multivariable regressions were estimated. Females who lived with a stepparent were significantly more likely to report a lifetime suicide attempt compared with females who had not. Clinicians should note that female depressed patients who have a history of childhood parental divorce and remarriage may be at more risk for suicide attempt than previously recognized.",
      "authors": "Lizardi, Dana M.; Thompson, Ronald G.; Keyes, Katherine M.; Hasin, Deborah S.",
      "author_ids": "",
      "journal_or_venue": "Families in Society",
      "doi": "10.1606/1044-3894.3982",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2250754791,
        "prompt_eval_count": 1077,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:39:49.931546+00:00",
      "screening_source": "Primary screen; blind audit agreement",
      "accuracy_audit": {
        "sample_group": "Quantitative",
        "random_seed": 20260802,
        "blind_screening": {
          "is_relevant": true,
          "relevance_rationale": "The study explicitly investigates the association between parental remarriage following divorce and offspring suicide attempts, making suicide attempt a central outcome.",
          "evidence_class": "Empirical",
          "empirical_method": "Quantitative",
          "classification_rationale": "The abstract describes the use of survey data (NESARC) and multivariable regression analysis to estimate associations, which constitutes quantitative empirical research.",
          "confidence": "High"
        },
        "full_label_agreement": true
      }
    },
    {
      "input_index": 354,
      "record_key": "SWRD:50198",
      "source_database": "SWRD",
      "record_id": 50198,
      "year": 2010,
      "title": "The Use of Social Workers' Emergency Certificates and Factors Associated With Linkage to Services",
      "abstract": "This research has the following specific aim: to measure outcomes of social work emergency certificates produced by a Mobile Crises Team to determine the effectiveness of these certificates at linking clients to services. Linkage to services is a programmatic goal and is achieved by ensuring clients receive adequate crisis and follow-up services as a result of emergency certificates. In doing so, risks of homicide, suicide, and grave disability are mitigated. The data come from 233 consecutive cases of emergency certificates employed by social workers to transport clients to the local emergency department for psychiatric evaluation and treatment. Data were gathered post-hoc by reviewing copies of each specific certificate and cross-referencing those certificates with an agency risk management report and an electronic data base that stores demographic data on all clients. Descriptive, bivariate, and multivariable analysis, such as cross tabulations and binary logistic regression, are used to analyze the data in this study. Outcomes include a linkage rate of 86%, with predictors of linkage including substance abuse, police involvement, health-related disorders, and suicidality. Data were then controlled to remove the effect of police-initiated referrals and referrals from rural locales. In both cases, suicide as justification for the referral was a negative predictor of linkage. Recommendations include improving follow-up on those with health-related disorders and responding to low rates of linkage for those with police involvement. Research recommendations include developing better definitions of suicide variable and better measurements of functional status, and using control groups and larger data sets.",
      "authors": "Holland, John; Tran, Thanh V.",
      "author_ids": "",
      "journal_or_venue": "Social Work in Mental Health",
      "doi": "10.1080/15332985.2010.481994",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2552163750,
        "prompt_eval_count": 1225,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:39:52.486730+00:00"
    },
    {
      "input_index": 355,
      "record_key": "SWRD:49122",
      "source_database": "SWRD",
      "record_id": 49122,
      "year": 2010,
      "title": "Training Outcomes from the Samaritans of New York Suicide Awareness and Prevention Programme among Community- and School-Based Staff",
      "abstract": "The Samaritans of New York public education suicide awareness and prevention programme is designed to train lay and professional staff on effective suicide prevention practices and how to 'befriend' a person in crisis. However, little is known about the individual-level characteristics of staff who attend these trainings. Community- and school-based staff (N = 365) completed pre- and post-training measures of self-efficacy regarding their knowledge about suicide and suicide prevention and their ability to intervene with individuals at risk for suicide. Results indicate increased self-efficacy after suicide prevention training (M = 3.7, SD = 0.6) than before (M = 3.3, SD = 0.7) (t = -13.24, p < 0.05). Trainees with higher levels of education and previous contact with suicidal individuals were significantly more likely to indicate gains in self-efficacy after training.",
      "authors": "Clark, Tanisha R.; Matthieu, Monica M.; Ross, Alan; Knox, Kerry L.",
      "author_ids": "",
      "journal_or_venue": "British Journal of Social Work",
      "doi": "10.1093/bjsw/bcq016",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2289607583,
        "prompt_eval_count": 1123,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:39:54.779536+00:00"
    },
    {
      "input_index": 357,
      "record_key": "SSWR:2011-U-0551",
      "source_database": "SSWR",
      "record_id": "2011-U-0551",
      "year": 2011,
      "title": "Differential Effects of Religiosity On Blacks Risk for Suicide",
      "abstract": "Background and Purpose: Suicide is among the few racial health disparity areas for which Black Americans traditionally fare better than whites. Although religiosity is frequently proposed for examination as a buffer against suicidal behavior among Black Americans, empirical investigations of this hypothesis have been limited to qualitative studies, college samples, and several national studies using either aggregate or probability data with less than 200 Black Americans in the sample. The investigations of the impact of religion on suicidal thoughts and acts, based primarily on aggregate level data, has not yielded consistent results (Lester, 2000; S. Stack & David Lester, 1991). The current study examine whether different types of religiosity confer similar or differential effects on suicide risk among an nationally representative sample of Black Americans. Method: Data are from the National Survey of American Life (NSAL), a national household probability sample of 5181 black respondents aged 18 years and older, conducted between February 2001 and June 2003, using a slightly modified adaptation of the World Health Organization World Mental Health version of the Composite International Diagnostic Interview (WMH-CIDI). Bivariate and logistic analyses were employed to delineate patterns and correlates of nonfatal suicidal behavior. Results: The more religious Black Americans who attend religious service at least once a week were less likely to engage in suicide ideation (x22=16.50, P<.001) and attempts (x22=4.96, p=.08). An increase subjective religiosity was associated with lower suicide risk. Surprisingly those who engaged in private devotion (e.g., listening or watching religious broadcasts) did not confer an increase protective effect on either ideation or suicide attempts. The multivariate model revealed that after control of social stressors (material hardship and food insufficiency), service attendance and subjective religiosity does not resulted in a significant reduction in Black risk for suicide. Conclusions and Implications: This study makes a rare contribution to our understanding of the various dimensions of religious participation, including organizational religiosity (e.g., service attendance), private devotion (e.g., reading religious materials, listening to religious music), subjective religiosity (e.g., importance of religion in one's life) associated with a reduced risk for suicide among Black Americans. The study advances knowledge of the various dimensions of religious participation, namely, organizational religiosity (e.g., service attendance), in contrast to private devotion (e.g., reading religious materials, listening to religious music) or subjective religiosity (e.g., importance of religion in one's life), which does not help to reduce the risk for suicide attempts and serious suicide ideation among Black Americans. The findings that high material hardship increases the risk for suicide despite the engagement in religious, implies that these factors have an independent and opposite effects on suicide risk. The implications of these findings for future research and suicide prevention will be discussed.",
      "authors": "Sean Joe",
      "author_ids": "109205",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3036260292,
        "prompt_eval_count": 1513,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:40:00.926839+00:00"
    },
    {
      "input_index": 358,
      "record_key": "SSWR:2011-U-0379",
      "source_database": "SSWR",
      "record_id": "2011-U-0379",
      "year": 2011,
      "title": "Latina Adolescents' Help-Seeking Behaviors and Attitudes Regarding Suicide Compared to African American and Caucasian Peers",
      "abstract": "Background: Latina adolescents have the highest rates of suicidal\nideation and attempts compared to Caucasian and African American peers (CDC,\n2008), yet the contributing factors are largely unknown.� Research has not\nfocused on Latinas' perceived norms regarding seeking help for distress and suicidal\nconcerns.� Previously, low help-seeking norms, including low perceived peer\nsupport for help-seeking, have been linked to risk for suicidal behavior.� Traditional\nLatino culture emphasizes seeking emotional support within the family unit. We\nhypothesized that Latina adolescents, compared to other race/ethnic groups,\nwould have lower perceived norms for help-seeking at school and lower\nexpectations that adults outside of their family are sources of help for\nemotional distress.� � Methods: Subjects were 9 th and 10 th grade female\nstudents from six economically diverse high schools in Cobb County, Georgia selected\nto be representative of their high schools by random selection of classrooms (n=2,011).\nFour scales assessed perceived norms: Help Seeking from Adults at School (personal and perceived peer norms for help-seeking when distressed) (α = 0.78; 4 items); Knowledge of Suicidal Behaviors and\nHelp (expectations that adults in school help suicidal youth) (α = 0.75; 4 items); Rejecting Codes of Silence (engaging adults and overcoming\nunwillingness of suicidal peers to get help) (α = 0.68; 6 items); Sources of Strength Coping (perceived effectiveness when\ndistressed of informal and formal resources including family and services) (α = 0.81; 9 items).� Scales used a 4-item Likert Scale from\nstrongly disagree to strongly agree.� MANCOVA analyses, controlling for age,\ntested for race/ethnicity differences on each scales.� Contrast analysis\nallowed Latinas to be compared to African American and Caucasians. Results: Compared to Caucasians, Latinas reported lower\nhelp-seeking acceptance from adults at school, lower expectations that adults\nhelp suicidal youth in their school (p < 0.05), lower willingness to\novercome suicidal friends' reluctance to get help from adults (p < 0.05),\nand less overall expectations that formal and informal supports help them\nduring times of distress (p < 0.05).� Compared to African Americans, Latinas\nreported lower norms on Help-Seeking from Adults (p < 0.05) and Sources of\nStrength Coping (p < 0.05).� Examining levels of expectations of help\nfrom different sources of support, Latinas reported lower expectations of\ngetting help from formal services including counselors (M=2.60, SD=.928) and\nmedical services (M=2.65, SD=.920), whereas they had higher expectations of\ngetting help from family (M=3.40, SD=.754) and friends (M=3.52, SD=.680).� Conclusions: Latina's help-seeking norms for suicidal concerns about\npeers in addition to expectations for getting help from distress from formal\nand informal sources were significantly lower compared to their peers.� Although\nacculturation status was not assessed, the findings are consistent with the perspective\nthat Latino cultural norms may reduce opportunities for going outside of family\nnetworks for emotional support, particularly for suicidal concerns.� Future\nresearch could profitably examine how these perceived norms influence\nhelp-seeking behaviors, particularly for suicidal ideation and behavior and how\nsuch knowledge can be incorporated into preventive interventions.�",
      "authors": "Susan M. De Luca; Peter A. Wyman; Karen H. Schmeelk-Cone",
      "author_ids": "109129; 111623; 111624",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3593646875,
        "prompt_eval_count": 1692,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:40:04.523460+00:00"
    },
    {
      "input_index": 361,
      "record_key": "SSWR:2011-U-0570",
      "source_database": "SSWR",
      "record_id": "2011-U-0570",
      "year": 2011,
      "title": "Prevalence of Suicide Ideation and Attempts Among Black Americans in Later Life",
      "abstract": "Background and Purpose: Among all Americans, suicide is the eleventh leading cause of death and the rates vary by race and age, with older adults bearing the highest burden. Obtaining national estimates of nonfatal suicidal behavior among older black Americans is an important public health objective, given that the black population is projected to double by 2050 and that suicidal thoughts and behaviors are among the strongest predictors of suicide. This article seeks to provide for the first time national estimates of the prevalence and correlates of non-fatal suicidal behavior among older black Americans. Methods: Data are from the National Survey of American Life (NSAL), a national U. S. adult household probability sample of black Americans. The WHO Composite International Diagnostic Interview (CIDI) was used to assess older blacks for non-fatal suicidal behavior and 14 DSM-IV disorders. Bivariate and multivariate logistic regression analyses were employed to delineate patterns and correlates of non-fatal suicidal behavior. Results: The estimated lifetime prevalence of suicidal ideation and attempts among older blacks in the United States was 6.1% and 2.1, respectively. On an average it took 2.5 and 5.7 years respectively to go from ideation to attempts or from planning to attempts. Surprisingly, among older black adults, male were 3.16 (�21 = 2.82, p <. 09) and 1.93 (�21 = 4.67, p <. 05) times more likely than females to report attempting suicide and to serious consider taking their own lives, respectively. Older blacks at higher risk for suicide attempts were middle aged, poorer health, anxious, and had multiple DSM IV disorders. The results also show that approximately one-in-four attempters and two-in-five ideators have never sought treatment for their emotional or psychological problems. Conclusions and Implications: Preventative care, particularly screening in primary care settings, should consider these findings when treating older black Americans for psychiatric-related risk. We found no significant ethnic group differences in the prevalence of non-fatal suicidal behavior among Black Americans aged 55 and older, which contradict previous NSAL studies that found ethnic differences among blacks in early phases of life. The findings that among older blacks the risk for attempted suicide is highest among those middle aged, 55 to 64 years, is consistent with the mortality data that show among blacks Americans it is the younger generation that are at significantly higher suicide risk. Given our results that a majority of attempters went to a health professional for their emotional problems and about a third of them went to a general medical professional, physicians have an important role to play in the prevention of suicide among older black Americans. The results of the study should influence clinicians who screen for risk for suicide. For instance, clinicians should focus on modifiable risk factors (e.g., anxiety). Physicians and mental health professionals should be skilled in talking with black clients about the risk for suicide, providing interventions for those at imminent risk for suicidal behavior, and referring clients for expert assessment and treatment.",
      "authors": "Sean Joe; Briggett C. Ford; Robert Joseph Taylor; Linda M. Chatters",
      "author_ids": "109205; 110008; 110485; 110483",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3298291959,
        "prompt_eval_count": 1552,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:40:14.669970+00:00"
    },
    {
      "input_index": 362,
      "record_key": "SSWR:2011-U-0353",
      "source_database": "SSWR",
      "record_id": "2011-U-0353",
      "year": 2011,
      "title": "School Social Workers' Experiences and Beliefs about Working with Suicidal Youth",
      "abstract": "Background & Purpose: Child and adolescent suicidal behavior is a national and preventable public health problem (Center for Substance Abuse Treatment, 2008). School staff members are an important component of suicide prevention and intervention efforts. Although school social worker (SSWs) are likely to play an important role in suicide and concomitant issues due to their focus on, and work with, high-risk students (Constable, 2008), their involvement is currently undocumented. The purpose of this study was to document SSWs' experience, beliefs and attitudes about working with suicidal students at the elementary school (ES), middle school (MS), and high school (HS) level. Methods: Data were collected between January and March 2008 from 399 SSWs from 9 of the 11 member states of the Midwest School Social Work Council, representing SSWs in suburban (49.7%), urban (26.6%), and rural (23.6%) schools, and elementary schools (37.8%), middle schools (32.3%), and high schools (29.8%). The majority of the respondents were White (87.2%) and female (88.5%), with an average age of 45.4 years (SD = 11.2), and 12.8 years of practice experience (SD = 8.5). Respondents provided raw numbers for students they worked with who made suicidal threats, attempted suicide, were hospitalized for suicidal risk, and who died by suicide. Respondents rated their level of agreement (1 = strongly disagree to 4 = strongly agree) on six questions about their attitudes and beliefs about working with suicidal youth (e.g. I feel confident identifying risk factors for suicidal behavior; I feel prepared to work with suicidal students). Results: Univariate analyses indicated that in the previous two years SSWs reported working with at least one student who: threatened suicide (88%); attempted suicide (50%); was hospitalized for suicide risk (64%); or died by suicide (10%). Consistent with existing literature, as the school level increased from ES to MS to HS, so did the percentage of SSWs who reported working with youth in all four categories. ANOVAs with post-hoc analyses using Tukey HSD indicated that SSWs at the HS level reported significantly more (p<.001) experience providing immediate counseling during a suicidal threat, working with youth with non-fatal suicide attempts, or arranging for hospitalization due to suicide risk, than SSWs at the MS and ES levels. Rates of agreement for the six questions about SSWs attitudes and behaviors approached or exceeded 90% for all questions except for #10��My graduate training prepared me to work with suicidal youth� (57.6%). MANOVA indicated that, across school levels, there were no significant differences in beliefs, attitudes, confidence, and preparation, Wilks's λ = .947, F(12, 754) = 1.72, p = .058, partial η 2 = .027. Conclusions and Implications: Compared to extant literature, SSWs reported working with more suicidal youth and were more likely to feel confident and prepared to work with suicidal youth than school staff members from other disciplines (Debski et al., 2007; Feldman & Freedenthal, 2006; King et al., 1999; King & Smith, 2000). Given their importance in working with suicidal youth, future research should identify SSWs' skills and knowledge in suicide prevention and intervention.",
      "authors": "Jonathan B. Singer; Karen Slovak",
      "author_ids": "108916; 111594",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3556078792,
        "prompt_eval_count": 1693,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:40:18.228035+00:00"
    },
    {
      "input_index": 366,
      "record_key": "SSWR:2011-U-0357",
      "source_database": "SSWR",
      "record_id": "2011-U-0357",
      "year": 2011,
      "title": "Transportability of CBT for Adolescent Depression and Suicide Prevention to Social Work Practitioners",
      "abstract": "Background and Purpose: Suicide is the third leading cause of death among adolescents. Untreated depression is the leading mental health risk factor for adolescent suicide. Over two-thirds of female and half of male suicide completers were reported to have depression at the time of their death. The majority of these adolescents were untreated. The reduction of youth suicide is dependent upon effective treatment being disseminated and implemented in community settings. Evidence is building that training community clinicians in manualized Cognitive behavioral therapy (CBT) reduces depressive symptoms, the necessity of other services, and treatment costs among depressed adolescents. Transportability and adherence to evidence-based practice (EBP) models is not without its barriers. Individual therapists may have reservations that can impede the implementation of EBP. Clinicians with less experience treating adolescents and those who lack organizational support tend to report more difficulty in accepting EBP into practice. Improving the therapist's support network may help to improve the adoption of the EBP. This study evaluates the effectiveness of a 2-day training session, accompanied by online support, discussion and group consultation, on knowledge and transportability of CBT skills into clinical practice with depressed adolescents. Methods: A purposive sample of 22 licensed clinical social workers who treat adolescents or young adults in Monmouth County, New Jersey was selected. Subjects were recruited from private practice, community based settings and hospital agencies, and were selected to represent the greatest range of practices and locations across the county. Subjects completed baseline information regarding their prior training, clinical practice, barriers to adopting evidence based practice and knowledge of CBT skills and techniques. Subjects participated in two 6-hour training sessions on the components of CBT and the skills and techniques of CBT for suicide prevention. A post-test of CBT knowledge and skills was administered following the 2 day training. Individual client contact sheets were collected for 3 months following the training to assess CBT skills used in practice. Results: There was a significant increase in clinicians' knowledge of CBT for depression and suicide prevention immediately following the training. Clinicians with less experience with CBT showed the most improvement. Individuals reported significant barriers to incorporating the skills into practice. However, this was mediated by the number of consultations and online discussions they participated in. Clinicians reported frequent use of the suicide safety plan and indicated that they felt it was one of the most helpful tools that they had learned. Other skills readily incorporated into practice were chain analysis and cognitive restructuring. Conclusions and Implications: Evidence-based treatments, such as CBT for adolescent depression and suicide prevention, can be transported into the community. Licensed clinical social workers are able to incorporate manualized evidence-based practice in their regular practices provided support is given. .",
      "authors": "Michelle A. Scott; Maureen Underwood",
      "author_ids": "111600; 111601",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3064178208,
        "prompt_eval_count": 1466,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:40:31.157877+00:00"
    },
    {
      "input_index": 371,
      "record_key": "SWRD:80085",
      "source_database": "SWRD",
      "record_id": 80085,
      "year": 2011,
      "title": "A study of young adults who attempted suicide in Turkey",
      "abstract": "This study was conducted with the aim of gaining an integrated and comprehensive psychosocial understanding of the behaviours of young adults, who were brought to the emergency service unit of a hospital after they had attempted suicide. Semistructured interviews were used to gather data from 21 individuals. Most studies conducted earlier have attributed suicide attempts to problems encountered in relationships with the opposite sex. However, the findings of this study indicate that suicide attempts are largely a result of the individual's inability to face or cope with difficult situations and the ability to solve his/her problems.",
      "authors": "Alptekin K.; Duyan V.",
      "author_ids": "",
      "journal_or_venue": "Indian Journal of Social Work",
      "doi": null,
      "record_type": "Journal Article",
      "database_method": "Qualitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2267056959,
        "prompt_eval_count": 1029,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:40:44.766308+00:00"
    },
    {
      "input_index": 374,
      "record_key": "SWRD:47898",
      "source_database": "SWRD",
      "record_id": 47898,
      "year": 2011,
      "title": "Bereavement, Cognitive-Emotional Processing, and Coping With the Loss: A Study of Indian and Japanese Students",
      "abstract": "Campus suicides have increased manifold across academic institutions, often leaving unresolved bereavement issues in these institutions, primarily because students are supposed to carry on with their daily activities with little or no time and attention paid to this necessary process. In this study, the role of cognitive-emotional processes in coping, especially when one is grieving a death, was investigated through a comparison between 40 bereaved Japanese and Indian female college students. The participants were assessed for resilience, cognitive-emotional regulation, posttraumatic cognition, and coping strategies in the aftermath of the suicide death of someone close. Positive reappraisal mediated the relationship between resilience and proactive coping, whereas negative cognitions about the self mediated the relationship between resilience and proactive as well as reflective coping. The participants from the two cultures differed significantly on resilience, with Indians scoring higher than Japanese young adults. The findings are analyzed in light of the coping with distressful life events model and could have possible implications for social workers and/or mental health professionals in terms of acceptability of interventions.",
      "authors": "Bhushan, Braj; Kumar, Surender; Harizuka, Susumu",
      "author_ids": "",
      "journal_or_venue": "Journal of Social Work in End-Of-Life & Palliative Care",
      "doi": "10.1080/15524256.2011.593160",
      "record_type": "journal-article",
      "database_method": "Quantitative",
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      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T17:40:52.285129+00:00"
    },
    {
      "input_index": 375,
      "record_key": "SWRD:47391",
      "source_database": "SWRD",
      "record_id": 47391,
      "year": 2011,
      "title": "Comparing Health and Mental Health Needs, Service Use, and Barriers to Services among Sexual Minority Youths and Their Peers",
      "abstract": "Using a representative national sample (N = 20,745), this article explores health and mental health needs, service use, and barriers to services among sexual minority youths (SMYs) and heterosexual peers. SMYs were defined by ever having a same-sex romantic attraction or having a recent same-sex romantic relationship or sexual partner. SMYs accounted for 7.5 percent of the sample. Data were analyzed to ascertain prevalence of risks and explore group differences. Compared with peers, SMY self-reports indicated higher prevalence rates on all indicators of health and mental health need. SMYs reported more sexual activity, more sexually transmitted disease diagnoses, a higher perceived risk for HIV/AIDS, and more forgone medical care than peers. Also compared with peers, SMYs reported higher levels of anxiety, depression, suicidality, and physical and sexual victimization and higher rates of unmet mental health need. SMYs also reported greater concerns about confidentiality and were less likely to use school-based services. The majority of SMYs reported same-sex attraction only. Social work and other helping professionals should incorporate same-sex attraction questions into assessment protocols to target services for this population. School- and office-based providers must consider whether their services are welcoming and offer sufficient assurances of confidentiality to facilitate access by SMYs.",
      "authors": "Williams, Kelly A.; Chapman, Mimi V.",
      "author_ids": "",
      "journal_or_venue": "Health & Social Work",
      "doi": "10.1093/hsw/36.3.197",
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T17:40:54.851589+00:00"
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    {
      "input_index": 377,
      "record_key": "SWRD:47251",
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      "record_id": 47251,
      "year": 2011,
      "title": "Current Levels of Perceived Stress among Mental Health Social Workers Who Work with Suicidal Clients",
      "abstract": "Mental health social workers are at increased risk of being confronted with fatal and nonfatal client suicidal behavior (CSB). Research has documented personal and professional reactions to CSB; however, empirical evidence describing the potential long-term effects is scarce. This study examined current reactions of perceived stress and continual thoughts of the CSB in 285 social workers. Results from multiple regression suggested that higher levels of secondary traumatic stress immediately following CSB predicted higher levels of current perceived stress, and the more time that had passed since the CSB predicted lower levels of perceived stress. Predictors of current level of thinking about the CSB included time since the CSB and whether the social worker completed the grieving process. Implications for social work practitioners, supervisors, and educators are discussed.",
      "authors": "Ting, Laura; Jacobson, Jodi M.; Sanders, Sara",
      "author_ids": "",
      "journal_or_venue": "Social Work",
      "doi": "10.1093/sw/56.4.327",
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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    {
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      "record_key": "SWRD:88218",
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      "record_id": 88218,
      "year": 2011,
      "title": "Death and suicidal ideation among nursing home residents in a chinese city - a pilot study",
      "abstract": "This paper examines death and suicidal ideation among nursing home residents in a Chinese City using a questionnaire survey data. Findings from the survey show that 17.4% of the participants have death and suicidal ideation, and the prevalence of passive and active ideation are 15.4% and 6.2% respectively. The presence of death and suicidal ideation among nursing home residents correlates with depressive symptoms, life satisfaction, and satisfaction with nursing home services. As death and suicidal feelings are risk factors for suicide, the findings imply that implementing depression prevention programmes and improving service quality of nursing homes are vital in preventing suicides among nursing home residents. © 2011 Taylor & Francis.",
      "authors": "Yan S.; Yi S.",
      "author_ids": "",
      "journal_or_venue": "China Journal of Social Work",
      "doi": "10.1080/17525098.2011.590463",
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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    {
      "input_index": 379,
      "record_key": "SWRD:48469",
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      "year": 2011,
      "title": "Death Ideation in Cancer Patients: Contributing Factors",
      "abstract": "Advances in cancer research and therapy have improved prognosis and the quality of life of many patients. However, previous epidemiological studies in oncologic patients have shown an increased risk of suicide. Suicidal thoughts, relatively well known in those terminally ill, may be just as important for cancer patients who are survivors or are living with the disease. Nonetheless, there is a relative paucity of data about suicidality in this setting. The authors conducted a prospective observational study to identify death thoughts and to explore the factors associated with suicidal ideation in cancer patients. A sample of 130 patients referred for psychiatric consultation was obtained following informed consent and authorization from the local ethics committee. A semistructured interview assessed sociodemographic data, psychosocial support, and information regarding the cancer process and its treatment. Psychometric instruments were used to evaluate psychopathology, namely the Hospital Anxiety and Depression Scale, the Beck Hopelessness Scale, and the Beck Scale for Suicide Ideation. Psychiatric diagnoses were obtained through the application of the Mini International Neuropsychiatric Interview. Death ideation was identified in 34.6% of patients, yet only 10% had active suicidal thoughts. Risk of suicide was associated with female gender, a psychiatric diagnosis (major depressive disorder, panic disorder, or dysthymia), difficult interpersonal relationships, associated pain, high hopelessness, and depressive and anxiety symptoms. Although suicidal thoughts are frequent in cancer patients at different stages of disease, most are transitory. Risk factors for suicidal ideation have been identified, such as depression, hopelessness, uncontrolled pain, and difficult interpersonal relationships. Further assessment is necessary to identify those at higher risk of attempting suicide, and underlying psychiatric disorders should be vigorously treated.",
      "authors": "Madeira, Nuno; Albuquerque, Emilia; Santos, Tiago; Mendes, Alexandre; Roque, Marta",
      "author_ids": "",
      "journal_or_venue": "Journal of Psychosocial Oncology",
      "doi": "10.1080/07347332.2011.615381",
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    {
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      "record_key": "SWRD:47827",
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      "year": 2011,
      "title": "Does Past Treatment for Depression Influence the Current Functioning of Individuals With a History of Depression? A National Study",
      "abstract": "This study examines whether a history of treatment differentiates levels of general mental and physical functioning among individuals with lifetime depressive disorder, with and without a history of suicide attempt. We also examine whether functioning varies treatment type (outpatient psychotherapy, pharmacologic, pharmacologic and outpatient psychotherapy, or inpatient treatment). Using the 2001-2002 National Epidemiologic Survey on Alcohol and Related Conditions (NESARC), individuals meeting criteria for depression, with and without a history of suicide attempt, who received past treatment were included. No type of treatment was associated with better mental or physical functioning among attempters. Only outpatient psychotherapy was associated with higher physical and mental functioning among non-attempters. Given the poor rates of treatment adherence among depressed suicide attempters, long-term improvement in physical and mental health functioning is difficult to achieve. Treatment engagement should be a major focus of work with this population.",
      "authors": "Alonzo, Dana; Thompson, Ronald G.; Keyes, Katherine; Hasin, Deborah",
      "author_ids": "",
      "journal_or_venue": "Social Work in Mental Health",
      "doi": "10.1080/15332985.2011.581129",
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    {
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      "record_key": "SWRD:48280",
      "source_database": "SWRD",
      "record_id": 48280,
      "year": 2011,
      "title": "Educational Needs Assessment for Homeless Service Providers on Preventing Suicide",
      "abstract": "This study assessed the educational needs, experience, and exposure of homeless service providers regarding suicide. Data were collected from clinical providers and paraprofessionals employed by homeless organizations. Using questionnaires, 51 participants were surveyed before and immediately after attending a brief standardized gatekeeper suicide prevention training program. Results indicate that 90% had past contact with suicidal individuals, and 95% of the providers are willing to participate in continuing education on suicide prevention. Given the high levels of exposure, suicide prevention training is essential to support the capacity of homeless service providers to address suicidal behaviors in the lives of their clients.",
      "authors": "Hensley, Melissa A.; Matthieu, Monica M.",
      "author_ids": "",
      "journal_or_venue": "Social Work in Mental Health",
      "doi": "10.1080/15332985.2010.522920",
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    {
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      "record_key": "SWRD:52710",
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      "year": 2011,
      "title": "Expanding Cross-Cultural Understanding of Suicide Among Immigrants: The Case of the Somali",
      "abstract": "There are a growing number of Somali refugees resettling in the United States. Frequently these immigrants have experienced significant stress both in their home country premigration and during the resettlement process. Best practices require that practitioners engage in culturally responsive ways to deal with cultural differences; social workers should strive toward building a practice that is culturally informed.",
      "authors": "Kamya, Hugo A.; White, Erina",
      "author_ids": "",
      "journal_or_venue": "Families in Society",
      "doi": "10.1606/1044-3894.4167",
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        "empirical_method": "Not applicable"
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      "model": "qwen3.6:27b",
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    {
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      "record_key": "SWRD:52725",
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      "year": 2011,
      "title": "Family Relationships and Latina Teen Suicide Attempts: Reciprocity, Asymmetry, and Detachment",
      "abstract": "Using qualitative data collected from adolescent Latinas and their parents, this article describes ways in which family relationships are organized within low-income Latino families (n = 24) with and without a daughter who attempted suicide. Based on a family-level analysis approach, we present a framework that categorizes relationships as reciprocal, asymmetrical, or detached. Clear differences are identified: Families of nonattempters primarily cluster in reciprocal families, whereas families with an adolescent suicide attempter exhibit characteristics of asymmetrical or detached families. Our results highlight the need for detailed clinical attention to family communication patterns, especially in Latino families. Clinicians may reduce the likelihood of an attempt or repeated attempts by raising mutual, reciprocal exchanges of words and support between parents and daughter.",
      "authors": "Gulbas, Lauren E.; Zayas, Luis H.; Nolle, Allyson P.; Hausmann-Stabile, Carolina; Kuhlberg, Jill A.; Baumann, Ana A.; Pena, Juan B.",
      "author_ids": "",
      "journal_or_venue": "Families in Society",
      "doi": "10.1606/1044-3894.4131",
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    {
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      "record_key": "SWRD:81403",
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      "record_id": 81403,
      "year": 2011,
      "title": "Growing www.parentsofsuicide: A Case Study of an online support community",
      "abstract": "Worldwide, people can now come together in online support communities (e-communities) to share common concerns. Although myriad e-communities now exist, few researchers have investigated their leadership, infrastructure, and developmental processes. Because these e-communities are often founded without professional oversight by people confronted with life crises, social workers have expressed concern about their safety and effectiveness for vulnerable populations. This article presents findings from a case study of an e-community, www.parentsofsuicide, for parents who have lost a child to suicide, and the leadership and organizational development factors contributing to its organizational durability and effectiveness as a source of social support. © Taylor & Francis Group, LLC.",
      "authors": "Jones A.C.; Meier A.",
      "author_ids": "",
      "journal_or_venue": "Social Work with Groups",
      "doi": "10.1080/01609513.2010.543049",
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      "screened_at": "2026-08-02T17:41:18.073324+00:00",
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        "rationale": "The article reports case-study findings on an online community for parents bereaved by suicide."
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    },
    {
      "input_index": 387,
      "record_key": "SWRD:48630",
      "source_database": "SWRD",
      "record_id": 48630,
      "year": 2011,
      "title": "Pathways and Predictors of Juvenile Justice Involvement for Native Hawaiian and Pacific Islander Youths: A Focus on Gender",
      "abstract": "Despite the growth of Native Hawaiian and other Pacific Islander (NHOPI) youths in court and correctional involvement, studies of their delinquency and juvenile justice involvement are quite limited, and the literature becomes almost nonexistent when examining gender differences. Using case file analysis of 150 Native Hawaiian/part-Hawaiian and Pacific Islander juvenile offenders, this article addresses this dearth of research by showing NHOPI's overall backgrounds and pathways to delinquency and youth corrections, ascertaining gender differences in such pathways, and analyzing those factors that impact incarceration. Overall, chronic law violations, crystal methamphetamine addiction, and death of an important adult emerged as the significant pathway predictors of correctional involvement, whereas official child welfare/protective service records of physical abuse and neglect decreased juveniles' odds of commitment. Underscoring gender, this article also shows how NHOPI girls have more extensive histories of sexual abuse, suicidal ideation, and crystal methamphetamine use than their male counterparts despite having less serious offense histories, and are more likely to be committed for probation violations. This article concludes with recommendations for social work policy and practices.",
      "authors": "Pasko, Lisa; Mayeda, David T.",
      "author_ids": "",
      "journal_or_venue": "Journal of Ethnic & Cultural Diversity in Social Work",
      "doi": "10.1080/15313204.2011.570120",
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    {
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      "record_key": "SWRD:93806",
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      "record_id": 93806,
      "year": 2011,
      "title": "Physical and Psycho-Social Predictors of Adolescents' Suicide Behaviors",
      "abstract": "The current study examined the relationship between suicidal behaviors and physical and psycho-social predictors including body image, weight control behaviors, and risky sexual behaviors among Asian, African American, Caucasian, and Hispanic adolescents. This study used the 2007 Youth Risk Behavior Survey (YRBS). The target populations were 11,134 adolescents (5,636 female and 5,498 male) in 9th-12th grade who completed the survey. A linear regression was conducted to examine the correlation between predictors and suicidal behaviors. The results showed that gender, grade, depression, substance use, body image, weight control behaviors, and risky sexual behaviors were significant predictors of adolescents' suicidal behaviors, while race/ ethnicity was not a good predictor. Also, there were significant gender and grade differences in suicidal behaviors. Based on the results, practice implications for suicide prevention were discussed.",
      "authors": "Kim, Yi Jin; Moon, Sung Seek; Kim, Min Ju",
      "author_ids": "",
      "journal_or_venue": "Child & Adolescent Social Work Journal",
      "doi": "10.1007/s10560-011-0241-1",
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      "record_key": "SWRD:119728",
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      "year": 2011,
      "title": "Review of <em>Suicide: Foucault, History and Truth. Ian Marsh.</em> Reviewed by Oona Morrow.",
      "abstract": "Book review of Ian Marsh, Suicide: Foucault, History and Truth. Cambridge University Press, 2010. $35.00, paperback.",
      "authors": "Morrow, Oona; Morrow, Oona",
      "author_ids": "",
      "journal_or_venue": "The Journal of Sociology & Social Welfare",
      "doi": "oai:scholarworks.wmich.edu:jssw-3627",
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      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T17:41:27.742041+00:00"
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    {
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      "record_key": "SWRD:88970",
      "source_database": "SWRD",
      "record_id": 88970,
      "year": 2011,
      "title": "School Social Workers' Experiences with Youth Suicidal Behavior: An Exploratory Study",
      "abstract": "No published studies have explored school social workers (SSWs) experiences with, or beliefs and attitudes about, working with suicidal youths at the elementary, middle, and high school levels. The authors surveyed SSWs (N = 399) who were members of the 11-state Midwest Council on School Social Workers. Results indicated significant SSW involvement with suicidal youths: 88 percent of SSWs worked with suicidal youths in the past two years, and rates for SSWs at the high school level approached 100 percent. Most SSWs felt very confident and prepared to work with suicidal youths, were responsible for suicide assessments, expressed confidence identifying suicide risk factors and making appropriate referrals, and were highly knowledgeable on school suicide policy. Multivariate analysis of variance indicated no reported differences on perceived suicide knowledge and preparation among SSWs working in elementary, middle, and high schools. Consistent with recent research, SSWs reported low levels of receiving graduate-level training in working with suicidal youths. Implications include the need to address a perceived lack of suicide training in SSW graduate education and to further research on the experiences and preparation of SSWs at each school level. This exploratory study provides a baseline of information on SSWs and suicide.",
      "authors": "Singer, Jonathan B.; Slovak, Karen",
      "author_ids": "",
      "journal_or_venue": "Children & Schools",
      "doi": "10.1093/cs/33.4.215",
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      "model": "qwen3.6:27b",
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      "screened_at": "2026-08-02T17:41:30.311395+00:00"
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      "record_key": "SWRD:48483",
      "source_database": "SWRD",
      "record_id": 48483,
      "year": 2011,
      "title": "Social Work with Older People-Reducing Suicide Risk: A Critical Review of Practice and Prevention",
      "abstract": "Although suicide remains an uncommon event among older people in most developed countries, suicide rates do increase with age, mainly accounted for by the higher incidence among older men. A critical interpretive synthesis review that emphasises practitioner perspectives reveals three problems: (i) a scarcity of research that takes a system-wide approach to suicide prevention in later life; (ii) a dearth of evidence about the social work contribution to reducing the risk of suicide in later life; and (iii) a noticeable absence of reference to social work practice in national guidelines for mental health practitioners. This absence of social work services from studies about later life suicide arises partly from concentration on medical, nursing and psychological literature and partly from the use of a hierarchy of evidence that grades research by quality of the science and stands to miss accounts of practice, let alone the experiences of older people. This article suggests that emphasis should be given to guideline development, and to improving sub-optimal care and support. These actions would use social work skills in opening channels of communication between other professionals; communicating with carers; advocating on behalf of individuals with mental health problems; and offering acceptable and accessible support.",
      "authors": "Manthorpe, Jill; Iliffe, Steve",
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      "journal_or_venue": "British Journal of Social Work",
      "doi": "10.1093/bjsw/bcq117",
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          "classification_rationale": "The abstract explicitly identifies the study as a 'critical interpretive synthesis review,' which constitutes a systematic evidence synthesis method.",
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      "record_key": "SWRD:48097",
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      "year": 2011,
      "title": "Substance Misuse, Suicidal Ideation, and Suicide Attempts Among a National Sample of Homeless",
      "abstract": "This study's purpose was to identify the relationship between the annual incidence of drug and alcohol misuse among a national probability sample of 2,974 homeless individuals and self-reports of suicidal ideation and attempts while considering the predictors of both drug and alcohol misuse and suicidal ideation and attempts. By using a national dataset, the National Survey of Homeless Assistance Providers and Clients (NSHAPC), and testing a series of logistic models, this study allows for the development of empirically-driven prevention and treatment programs designed to appropriately and effectively target suicidal ideation and attempts among homeless substance misusers.",
      "authors": "Dietz, Tracy L.",
      "author_ids": "",
      "journal_or_venue": "Journal of Social Service Research",
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      "record_key": "SWRD:47319",
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      "record_id": 47319,
      "year": 2011,
      "title": "TEACHING NOTE SUICIDE AWARENESS AND PREVENTION WORKSHOP FOR SOCIAL WORKERS AND PARAPROFESSIONALS",
      "abstract": "Social workers and paraprofessionals serve psychiatric populations at high risk for suicide, but may receive little training related to suicidality. This study evaluated a suicide awareness and prevention training workshop for providers working with mentally ill homeless and previously homeless adults. Trainees attended a half day of training, and completed knowledge posttests and training evaluations. Half the trainees completed knowledge pretests, and those on-site at 21 months completed follow-up knowledge tests. Both professionals and paraprofessionals showed substantially improved knowledge at posttest and follow-up. Trainees also reported high levels of satisfaction with training format and content.",
      "authors": "Levitt, Aaron J.; Wean, Caren; Lorenzo, Julie; Miller-Solarino, Sophie; Yu, Van",
      "author_ids": "",
      "journal_or_venue": "Journal of Social Work Education",
      "doi": "10.5175/jswe.2011.200900108",
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      "record_key": "SWRD:124454",
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      "year": 2011,
      "title": "The birthing of a social worker through a phenomenological study of suicide research.",
      "abstract": null,
      "authors": "Mitchell, Elizabeth A.",
      "author_ids": "",
      "journal_or_venue": "Reflections: Narratives of Professional Helping",
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        "empirical_method": "Not applicable"
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    {
      "input_index": 397,
      "record_key": "SWRD:97395",
      "source_database": "SWRD",
      "record_id": 97395,
      "year": 2011,
      "title": "Violence, Negligence and Suicidal Tendency among Physically Disabled Street Children",
      "abstract": "This study was carried out among physically disabled street children (PDSC) in the city of Dhaka in Bangladesh. The aim of the study was to explore violence, negligence and suicidal This study was carried out among physically disabled street children (PDSC) in the city of tendency among PDSC. To do this, 30 PDSC (15 male and 15 female) were conveniently selected and interviewed with an interview protocol developed by a step-by-step process. The results of this study revealed that all the participants experienced physical violence but female children were more likely to experience sexual violence than male children. Violence against disabled children came from both family members or relatives and other people. As with violence, all the participants experienced some sort of negligence, again both from family members or relatives and other people. More importantly, this study found that more than half of the physically disabled children had suicidal tendency to some extent, i.e. some thought of committing suicide at least once in their life, while others attempted to commit suicide due to the sufferings that came with disability. This study concludes with some policy implications, particularly: providing counseling to parents and the disabled children; training of the service providers who provide services to disabled persons; and building awareness through mass media. © 2011 The Author. Asian Social Work and Policy Review © 2011 Blackwell Publishing Asia Pty Ltd.",
      "authors": "Sayem A.",
      "author_ids": "",
      "journal_or_venue": "Studies in Clinical Social Work: Transforming Practice, Education and Research",
      "doi": "10.1111/j.1753-1411.2010.00048.x",
      "record_type": "journal-article",
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T17:41:46.747904+00:00"
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    {
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      "record_key": "SWRD:47074",
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      "record_id": 47074,
      "year": 2011,
      "title": "Working with Suicidal Individuals: A Guide to Providing Understanding Assessment and Support",
      "abstract": null,
      "authors": "de Chenu, Linda",
      "author_ids": "",
      "journal_or_venue": "British Journal of Social Work",
      "doi": "10.1093/bjsw/bcr179",
      "record_type": "journal-article",
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      "screening_basis": "title_only",
      "screening": {
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        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T17:41:48.725426+00:00"
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    {
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      "record_key": "SSWR:2012-U-0050",
      "source_database": "SSWR",
      "record_id": "2012-U-0050",
      "year": 2012,
      "title": "A Validity Study of a Brief Suicidal Thinking Measure with Older Adults",
      "abstract": "Purpose: Suicide is a significant problem among older adults. While the prevalence of suicide in the general population is 11 per 100,000, amongst older adults it increases to 14.3 per 100,000. The prevalence of suicidal ideation among older adults is between 1% and 12%. Research has suggested the probability of a person who is contemplating suicide developing a suicide plan is about .34, and the probability that he or she then makes an attempt is .72. Consequently, the identification of suicidal thinking in older adult clients is a critically important clinical task. A number of measures of suicidal ideation exist, but few have been validated with older adults. This is a critical gap in the literature on measures of suicidal thinking (Brown, 2002). This validity study of a four item suicidal thinking screener addresses this gap Method: Older adults entering services in two agencies that offer health and mental health services were informed of this validity study of the Brief Suicidal Thinking Screener (BSTS). Two-hundred clients signed informed consent documents and completed the BSTS, the Geriatric Depression Scale (GDS), and other measures at the end of a psychosocial assessment conducted by agency social workers. During the psychosocial assessment, and prior to their completion of the BSTS and other measures, clients were assessed for suicidal ideation and risk. These ratings of suicidal thinking and suicide risk, along with the scores from the BSTS, the GDS, and scores from other measures were analyzed using multiple methods, including logistic regression, receiver operator characteristic curve (ROC) analysis, confirmatory factor analysis, and methods from generalizability theory and item response theory (IRT). Results: The results from the multiple analytic methods converged to provide various forms of evidence supporting the reliability and validity of the scores from the BSTS. For example, the coefficient alpha estimate of the reliability of the BSTS scores was .90. The correlation between scores on the BSTS and the independent clinician ratings of suicidal thinking was .63; and the partial correlation between scores on the BSTS and the independent clinician ratings, controlling for demographics and scores on the GDS was .56. Patterns of correlations between scores on the BSTS, the scores from the other measures, and demographic variables were consistent with convergent and divergent validity. A clinical cutting score was identified that had a sensitivity of .85, a specificity of .80, and a dependability index of .90. Analyses based upon IRT suggested no gender bias in the BSTS scores. Implications: The results provided strong evidence for the validity of the scores from the BSTS with older adults. In contrast to most other measures of suicidal ideation, which take about 10 minutes to complete (Brown, 2002), the BSTS can be completed in five minutes. The results of this study suggest the BSTS can be a valuable assessment tool for social workers who work with older adults. Reference: Brown, G. (2002). A review of suicide assessment measures for intervention research with adults and older adults. Bethesda, MD: National Institute of Mental Health. Online: http://www.nimh.nih.gov/suicideresearch/adultsuicide.pdf",
      "authors": "William R. Nugent; Sherry Cummings",
      "author_ids": "108960; 108072",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Unknown",
      "database_method": "quantitative",
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      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:41:55.440417+00:00"
    },
    {
      "input_index": 402,
      "record_key": "SSWR:2012-U-0006",
      "source_database": "SSWR",
      "record_id": "2012-U-0006",
      "year": 2012,
      "title": "Are Asian-American Women Who Were Maltreated As Children At Higher Likelihood for HIV Risk Behaviors and Adverse Mental Health Outcomes?",
      "abstract": "Background and Purpose: Multiple maltreatment during childhood is increasingly recognized as a risk factor of HIV risk behaviors and adverse mental health outcomes among White and Black women. However, the majority of research on child maltreatment among Asian-Americans has focused on either prevalence of single types of maltreatment among children or predictors of child maltreatment among parents. This study aims to describe the prevalence of single and multiple types of child maltreatment among unmarried Asian-American women, and is the first to systematically investigate whether multiple child maltreatment (e.g., Sexual abuse plus other maltreatment) is associated with HIV risk behaviors and adverse mental health outcomes among Asian-American women. Methods: Using data from the Asian-American Women's Sexual Health Initiative Project (AWSHIP), we conducted a cross-sectional study of unmarried Chinese, Korean, and Vietnamese women (n = 400), aged 18 to 35, who identified as children of immigrants, using Computer-Assisted Survey Interviews (CASI). Pearson χ2 tests were performed to compare the proportions of HIV risk behavior and mental health outcomes among women who were exposed to child maltreatment. We ran multiple logistic regression models to estimate the effect size of child maltreatment types on HIV risk behaviors and mental health outcomes. Results: Approximately seven in ten women reported having been maltreated as a child and 6.8% reported any type of sexual abuse. Contrary to the findings from previous studies of other racial groups of women, sexual abuse plus other maltreatment was not associated with HIV risk behaviors, but was associated with an increased risk of having moderate to severe depression by 3 times (Odds ratio 3.2, 95% CI 1.2-8.4) and having attempted suicide in one's lifetime by almost 12 times (Odds ratio 11.7, 95% CI 2.1-66.2) among Asian-American women. Conclusions and Implications: There was no evidence indicating that multiple child maltreatment was linked to HIV risk behaviors, but it exhibited a robust association with poor mental health outcomes. Asian-American victims may perceive that manifesting their trauma through externalizations, including engaging in risky sexual behaviors, brings greater risk of shame and loss of face to themselves and their families. Hence, Asian-American women who have been sexually abused may choose to internalize their trauma and suffer alone in order to maintain family harmony, which are in accord with Asian-cultural norms. The robust links between multiple child maltreatment and mental health outcomes suggest two important intervention strategies. First, prevention of maltreatment during childhood may reduce mental health problems. Immigrant families have greater exposure to discrimination, financial hardship, and language barriers. Children whose parents face these stressors may be at higher risk for maltreatment. Second, the identification of adults who were victims of multiple child maltreatment is equally important. Interventions for these victims should consider providing family therapy in addition to individual therapy to help both victims and families understand and process the impact of multiple child maltreatment.",
      "authors": "Hyeouk Chris Hahm; Eric Kolaczyk; Yookyong Lee, PhD; Jisun Jang; Lisa Ng",
      "author_ids": "108114; 111831; 108312; 111832; 111833",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Unknown",
      "database_method": "quantitative",
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      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:42:01.947186+00:00"
    },
    {
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      "record_key": "SSWR:2012-U-0444",
      "source_database": "SSWR",
      "record_id": "2012-U-0444",
      "year": 2012,
      "title": "Bullying Victimization Among Sexual Minority Youths: A Systematic Review",
      "abstract": "BACKGROUND AND PURPOSE: Sexual minority youths (SMY) experience substantially higher rates of bullying victimization and related mental health and academic problems compared to the general adolescent population. This profound public health problem has recently received national-level attention because of a rash of adolescent suicides attributed to bullying victimization. At present, no systematic review has been conducted summarizing the risk and protective factors that are associated with differential rates of bullying victimization and related mental health and academic problems among this vulnerable adolescent population. This systematic review investigated three aims among studies with sexual minority youth samples: (1) identify risk and protective factors associated with differential rates of bullying victimization and related mental health and academic problems, (2) identify associations between bullying victimization and mental health and academic problems, and (3) evaluate methodological strengths and limitations within this body of research. METHODS: Studies were included if they met the following inclusion criteria: (1) measured bullying victimization, (2) sampled non-heterosexual youths, (3) utilized a quantitative design, and (4) published in a peer-reviewed journal between 1985-2011. Non-empirical, qualitative, or retrospective studies were excluded from the review. Academic Search Premier, ERIC, LGBT Life, PsychINFO, PubMed, and ScienceDirect were searched using the following key words: �bully�, �bullying�, �harassment�, �victimization�, �lesbian�, �gay�, �bisexual�, �transgender�, and �sexual minority�. Eighteen articles were included in the final review. RESULTS: Four broad risk and protective factors were significantly associated with differential rates of bullying victimization and related mental health and academic problems: (1) sexuality disclosure, (2) gender-role nonconformity, (3) school environment, and (4) family support. Bullying victimization was significantly associated with greater sexuality disclosure and gender-role nonconformity. Having a Gay-Straight Alliance at school was associated with lower levels of bullying victimization. Higher levels of family support were significantly associated with fewer suicidal behaviors for SMY who experienced verbal forms of bullying victimization. Bullying victimization was significantly associated with mental health and academic problems: (1) higher rates of depression, suicidal ideation, and suicide attempts, (2) higher drop-out and truancy rates, and (3) lower levels of academic aspirations. Methodological limitations included non-causal research designs, lack of explicit theory informing hypothesis selection, and lack of multiple informants. Methodological strengths included the use of standardized measures and a trend in the use of advanced statistical techniques and school-based samples. CONCLUSIONS AND IMPLICATIONS: Prior research has identified associations between bullying victimization, mental health, and academic problems, including risk and protective factors that provide important points of intervention. Next steps include addressing substantive gaps and methodological limitations. Future studies need to investigate the risk and protective factors�coping skills, attributional styles, family abuse and neglect, friendship quality�that have been identified in the general adolescent bullying literature but remain untested with sexual minority youth samples. To address problems with shared method variance, future bullying studies require multiple informants�self, parent, peer, teacher�to accurately measure the prevalence of bullying victimization and related problems among SMY. Multiple informants are standard practice in the general adolescent bullying literature but were not used by studies in this review.",
      "authors": "Paul Sterzing; Wendy Auslander",
      "author_ids": "110433; 108040",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Unknown",
      "database_method": "review",
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      "screening_basis": "title_and_abstract",
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        "evidence_class": "Empirical",
        "empirical_method": "Review"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:42:05.271404+00:00"
    },
    {
      "input_index": 404,
      "record_key": "SSWR:2012-P-0085",
      "source_database": "SSWR",
      "record_id": "2012-P-0085",
      "year": 2012,
      "title": "Death As An Escape From Discrepancy: Examining the Value of Life Satisfaction and Self-Esteem In Predicting Suicidality In Schizophrenia",
      "abstract": "Background: Suicide in schizophrenia occurs at an alarming rate and continues to be poorly understood. Suicide is often framed as an escape but an escape from what? The Escape Theory of Suicide posits that suicide is an escape from discrepancies in perceptions of self and life, which are characterized by the distance between where one is and where one wants to be. Discrepancy factors have not been well-studied in the suicide literature and the explanatory framework carries tremendous promise for an improved understanding of why people kill themselves, and more critically, how we should intervene. Informed by the Escape Theory of Suicide, the present study aims to examine the relationship between incongruence in self and life conditions and current suicidality. Methods: An analysis was performed using baseline data from an NIMH-funded, longitudinal study investigating the psychosocial rehabilitation of individuals with serious mental illness. All individuals with a schizophrenia-spectrum diagnosis (N=166) were selected for analysis. The Satisfaction with Life Scale (SLS) and Index for Self-Esteem (ISE) were employed to operationalize life- and self- discrepancy. The Brief Psychiatric Rating Scale-Extended (BPRS-E) was used to measure psychiatric symptom severity. History of suicide attempt and demographic factors were measured using self-report. Current suicidality was measured by a single-item from the BPRS-E. Hierarchical regression was employed to examine the relative contribution of three sets of predictors in explaining current suicidality: (i) demographic/historical factors, (ii) current clinical factors and (iii) discrepancy factors. Model 1 included demographic/historical variables. Model 2 added a variable for psychiatric symptom severity. Model 3 added the set of discrepancy factors. Results: Model 1 was significant (F=4.252, p<01). Model 2 represented a significant improvement in fit relative to Model 1 (change in F-statistic= 12.592, p<.001), and Model 3 represented a significant improvement in fit relative to Model 2 (change in F-statistic= 3.291, p<.01). Model 3 accounted for an additional 9.9% of the variance in current suicidality. Based on these findings, Model 3 was identified as the best fitting model, accounting for 26.8% of the variability in current suicidality. Controlling for all other variables (such as age, race, gender), lower life satisfaction (p<.01, one-tailed), suicide history (p<.01, one-tailed) and greater psychiatric symptom severity (p<.01, one-tailed) were significant individual predictors of current suicidality. Conclusions and Implications: Although suicide is a primary source of premature mortality in the Schizophrenia population, it has surprisingly garnered little attention. To prevent suicide, we need to know why individuals kill themselves, which can only be furthered by more vigorous research efforts. The current research answers this call to action. Consistent with the Escape Theory of Suicide, discrepancy factors, particularly life satisfaction, were important factors in explaining suicidality. These findings suggest that discrepancy factors may be ideal targets and new entry points for suicide intervention and assessment. Future research should attempt measuring life discrepancy directly, as it is largely implied from our current measures; nonetheless, the current findings speak to the viability of Escape Theory in predicting suicidality among individuals with Schizophrenia.",
      "authors": "Anthony Fulginiti; John S. Brekke, PhD",
      "author_ids": "112190; 108615",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
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      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:42:08.606496+00:00"
    },
    {
      "input_index": 405,
      "record_key": "SSWR:2012-P-0122",
      "source_database": "SSWR",
      "record_id": "2012-P-0122",
      "year": 2012,
      "title": "Discrimination and Suicide Risk Among Black Americans",
      "abstract": "Background and Purpose: The emerging literature suggests that perceived discrimination is a neglected stressor that adversely affects the health of Hispanics, Asian Americans, American Indians, and Whites (Paradies, 2006a; Williams et al., 2003). Discrimination has been conceptualized in the literature as a social stressor that can broadly affect physical and mental health. The relationship between discrimination and mental health outcomes and strongest related to distress, depressive symptoms and depression. Despite numerous studies with findings supporting poor mental health outcomes as a major outcome of discrimination for Black Americans (Paradies, 2006; Williams and Mohammed, 2009), lacking is research on the effects of perceived discrimination on suicide ideation and suicide attempts risk. The study assesses the extent to which race-related stressors and general stressors can account for ethnic and gender differences in suicide risk among Black Americans. Method: Nationally representative data are from the National Survey of American Life (NSAL), a national household probability sample of 5193 African and Caribbean American adults aged 18 and older designed to investigate the nature, severity, and impairment of mental disorders among national samples Blacks in the US, with a special emphasis within the study focused on the nature of race and ethnicity within the black population. Standard measures of major and everyday discrimination were employed. The Composite International Diagnostic Interview (CIDI 3.0; Kessler & Ustun, 2004) was used to assess suicidality (lifetime ideation, planning, and attempts) and the presence of DSM-IV disorders. All analyses were carried out using the SAS Version 9.1.3 software package (SAS Institute, 2005). The data were weighted to adjust for the stratified multistage sample design, clustering of the data and for differential non-response. Correlation coefficient and F statistics are also reported and have been adjusted for design effects. Multivariate tests are based on Rao-Scott �2's computed from coefficient variance-covariance matrices that were adjusted for design effects. Results: Differences in suicide risk vary significantly among ethnicity-gender groups. Material hardship may be more of an indicator of suicide risk, among Black Americans, than discrimination. African American males were more likely to report perceived lifetime discrimination than Black females and Caribbean males. African American females, were more likely to report perceived everyday discrimination than Black males and Caribbean females. Suicide risk is higher among Black Americans that report experiences of major discrimination or perceived everyday discrimination. The results provide evidence that material hardship as a general stressor contributes more to suicide risk than lifetime discrimination or everyday discrimination. Conclusions and Implications: The burden of suicide risk among Black Americans is related to differences in the types of social stressor experienced. The study findings suggest that material hardship and race-related stressors are measuring different types of social stressors. Recognition of such differences is essential for appropriately designing suicide prevention efforts in lieu of social stressors experience by Black Americans. Future research must examine if different attributes of discrimination ( i.e., race, age) might contribute to suicide risk, and account for some of the variance noted in this study.",
      "authors": "Sean Joe; Brandon Respress",
      "author_ids": "109205; 112320",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3276822958,
        "prompt_eval_count": 1558,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:42:11.885086+00:00"
    },
    {
      "input_index": 406,
      "record_key": "SSWR:2012-U-0442",
      "source_database": "SSWR",
      "record_id": "2012-U-0442",
      "year": 2012,
      "title": "Documenting Challenges Facing Homeless Sexual Minority Youths and Moving Toward Effective Interventions",
      "abstract": "Background and Purpose: Sexual minority youths comprise a disproportionate number of homeless youths (Kruks, 2001). A report issued by the National Gay and Lesbian Task Force (Ray, 2006) has estimated that between 20% and 40 % of all homeless youths identify as gay, lesbian, bisexual or transgendered (GLBT). More than 32 studies regarding homeless sexual minority youths have been published (Gattis, 2009). This study contributes to the literature by examining the roles that contextual variables play in explaining disparate outcomes between homeless sexual minority youths and heterosexual youths. Likewise, when compared to heterosexual and cisgendered homeless youths, sexual minority youths who are homeless face heightened risk of mental health and substance use issues, sexual risk behavior, and discrimination (Cochran, Stewart, Ginzler, & Cauce, 2002; Tyler, Whitbeck, Hoyt, Cauce, 2004; Milburn, Ayala, Rice, Batterham, Rotheram-Borus, 2000). The purpose of this study was to investigate the psychosocial problems (i.e., as they relate to mental health, substance use, sexual risk behaviors, and discrimination) associated with homeless sexual minority youths. A key study aim was to compare these youths to homeless heterosexual youths, and to examine the contextual risk factors associated with their psychosocial problems with an emphasis on future intervention planning. Methods: Individuals ages 16-24 were recruited from three drop-in programs serving homeless youths in downtown Toronto (N=147). Inclusion criteria required participants to have not had a stable place to live for at least seven days in the past month. Structured survey interviews were conducted with each participant. Dependent variables substance use, mental health (suicide and depression) and sexual risk were modeled by sexual orientation identity. The contextual variables included school engagement, family, peers, stigma related to homelessness and discrimination based on sexual orientation. Results: Bivariate analyses indicated that homeless sexual minority youths (n=66) fared more poorly than their homeless heterosexual counterparts (n=81) overall, with statistically significant differences on mental health, substance use and sexual risk behaviors, as well as contextual factors such as peers, family communication, stigma, and discrimination. Results of multiple regression analyses indicated that sexual identity moderated the relationship between negative peers and three psychosocial behaviors: sexual risk behaviors (b=-0.11,t=-2.07,p=0.04), condom use (b�0.07,t=-2.92, p<0.005) and substance use (b=-0.06,t=-3.19, p=0.002). Among sexual minority youths, having peers who engaged in negative behaviors was associated with increased risky behaviors, but for homeless heterosexual youths, there was no effect between negative peers and their sexual risk behaviors, condom use, and substance use. Results also indicated that sexual identity did not moderate the relationship between other contextual factors (i.e., family communication, stigma, or discrimination) and psychosocial outcomes such as mental health, substance use, and sexual risk behaviors. Conclusion and Implications: Study findings suggest several ways to move the field forward including developing peer based interventions for substance use and condom use among homeless sexual minority youths. Preliminary results regarding individuals involved in Q-Block, an innovative transitional living program for homeless sexual minority youths in Milwaukee, will be discussed.",
      "authors": "Maurice N. Gattis",
      "author_ids": "110389",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Unknown",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3362833500,
        "prompt_eval_count": 1646,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:42:15.249794+00:00"
    },
    {
      "input_index": 408,
      "record_key": "SSWR:2012-U-0404",
      "source_database": "SSWR",
      "record_id": "2012-U-0404",
      "year": 2012,
      "title": "Examining the Impact of Psychopathological Comorbidity On the Medical Lethality of Adolescent Suicide Attempts",
      "abstract": "Background and Purpose: Suicide is the third leading cause of death for adolescents, as compared to the eleventh leading cause of death for all ages (CDC, 2008). The set of risk factors for adolescent suicide is complex and the understanding of how they are related with one another is not fully developed. Research suggests that medical lethality of a suicidal act is the main determinant of the likelihood of death following a suicide attempt (Nasser & Overholser, 1999), and it has been suggested that the characteristics of highly lethal suicide attempters may be similar to those of suicide completers (Beautrais, 2003; Brent, 1987). Therefore, studies differentiating the medical lethality of attempts can help to expand the knowledge base about risk factors for adolescent suicide. The primary aim of this study was to determine if various typologies of psychiatric diagnoses and patterns of comorbidity have different effects on the medical lethality of adolescent suicide attempts. The secondary aim was to determine if the relationship between psychopathological comorbidity and suicide attempt lethality differs across gender, age, and race. Methods: Psychiatric evaluations were reviewed for all adolescents that presented to Children's Hospital Boston (CHB) from 2006 to 2010 for a suicide attempt (N=375). The Lethality of Suicide Attempt Rating Scale II (LSARS-II) was used to measure the dependent variable of lethality (Berman, Shepherd, & Silverman, 2003) and psychopathological comorbidity was measured using DSM-IV diagnoses. Statistical analysis used bivariate tests and OLS regression. Regressions were run for gender and age groups separately using the psychopathological comorbidity variables. Additionally, moderating effects were examined by creating interaction terms for gender and psychopathological comorbidity, as well as age group and psychopathological comorbidity. Results: Bivariate results showed that attempters diagnosed with a substance abuse disorder had higher levels of suicide attempt lethality than those without the diagnosis. Additionally, having bipolar or mood disorder NOS in combination with either substance abuse alone or substance abuse and disruptive disorders had a significant positive relationship with suicide attempt lethality when compared to those without those comorbidity patterns. Substance abuse was the only diagnostic predictor of lethality in regression analysis, and no comorbidity patterns were predictive of lethality. However, once regressions were run separately for gender and moderating effects were taken into account, comorbid depressive and substance abuse disorders had a significant positive impact on suicide attempt lethality at trend level for males only. No depressive disorder comorbidity patterns were predictive of lethality for females. Age group was not predictive of lethality in regression analysis. African-American/Black race had a significant negative relationship with lethality. Conclusions and Implications: Substance abuse was the only unique psychopathological predictor of adolescent suicide attempt lethality, suggesting the need for advancement of suicide risk assessments for adolescents receiving substance abuse treatment and policies that support the development and implementation of specialized adolescent dual diagnosis treatment facilities. Future research needs to focus on the development of effective treatment strategies with suicidal adolescent substance abusers, and further investigate suicidal behaviors of adolescents with comorbid bipolar and substance abuse diagnoses.",
      "authors": "Kimberly H. McManama O'Brien; Stephanie C. Berzin",
      "author_ids": "110756; 108133",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Unknown",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3252214167,
        "prompt_eval_count": 1599,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:42:22.287917+00:00"
    },
    {
      "input_index": 411,
      "record_key": "SSWR:2012-P-0068",
      "source_database": "SSWR",
      "record_id": "2012-P-0068",
      "year": 2012,
      "title": "Impact of Mindfulness Interventions with Adolescents: A Systematic Review",
      "abstract": "Background and Purpose: A relatively new group of therapies has emerged over the past two decades, known as mindfulness or third-wave cognitive behavioral therapies. Different from traditional cognitive-behavioral therapy (CBT), the mindfulness component seeks to alter the context and relationship one has with their thoughts and behaviors rather than simply focusing on altering the behavior, thoughts, or content. Mindfulness therapies have gained considerable attention recently in empirical literature and revealed promise in the reduction of a variety of psychological and physiological symptoms among adults. Studies have offered promising results regarding the efficacy of Acceptance and Commitment Therapy (ACT), Dialectical Behavior Therapy (DBT), Mindfulness-Based Cognitive Therapy (MBCT), and Mindfulness-Based Stress Reduction (MSBR) with problems such as depression, anxiety disorders, borderline personality traits, internalizing and externalizing problems, chronic pain, psychosis, and epilepsy. Only in recent years have researchers begun to investigate the impact of mindfulness therapies on adolescent illnesses. To date, however, no synthesis of research on mindfulness therapies with adolescents exists. Therefore the purpose of this study is to offer an overview of each third wave therapy, their utility with adolescents, and corresponding empirical support by calculating effect sizes for treatment effect. Method Authors searched the following databases: CINHAL, Dissertation Abstracts International, ERIC, MEDLINE, and PsycINFO using four groups of search terms : 1)�Acceptance and Commitment Therapy� and �adolescen* or youth or teenage*�, 2) �Dialectical Behavior Therapy or Dialectical Behavioral Therapy� and �adolescen* or youth or teenage*�, 3) �Mindfulness-Based Cognitive Therapy� and �adolescen* or youth or teenage*�, and 4) �Mindfulness-Based Stress Reduction� and �adolescen* or youth or teenage*.� The search yielded 296 articles (46 ACT, 209 DBT, 14 MBCT, and 27 MBSR). Articles employing randomized controlled trial, quasi-experimental, or one-group pre-posttest designs utilizing one the mindfulness therapies with adolescents (age 12-18) were included in the final sample of 15 (2 ACT, 12 DBT, 0 MBCT, and 1 MBSR). Effect sizes (Hedges' g) were calculated for all outcome measures using Comprehensive Meta-Analysis 2.0 software when not reported in the articles. When studies reported multiple follow-up points, the first follow-up point was selected to help calculate effect sizes. Results The majority of included studies reflected moderate to very large effect sizes regarding the impact of the mindfulness therapies on outcome variables; however, only particular variables were significant. Psychological variables significantly impacted by the mindfulness therapy were depression symptoms, internalizing and externalizing symptoms, suicidal ideation, borderline personality traits, aggression, and oppositional defiant disorder symptoms. Mindfulness therapies had moderate to large significant effects on some physiological symptoms as well, such as somatization (g=0.45, p<.05), pain intensity (g=1.15, p<.001), and pain related discomfort (g=0.99, p<.01). Large significant effects were also found for school attendance (g=1.06, p<.001). Conclusions Findings from this study offer a first step toward understanding the impact of mindfulness therapies with adolescents. Additional research is needed to truly offer insight into the efficacy of mindfulness therapies with adolescents; however, taken with caution, these therapies may offer social worker practitioners a promising therapeutic alternative when working with clients with challenging psychological and physiological illnesses.",
      "authors": "Katherine L. Montgomery; Johnny S. Kim; Joy Learman; David W. Springer",
      "author_ids": "110911; 108966; 112131; 108531",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "review",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Review"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3514951333,
        "prompt_eval_count": 1674,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:42:32.549113+00:00"
    },
    {
      "input_index": 416,
      "record_key": "SSWR:2012-U-0426",
      "source_database": "SSWR",
      "record_id": "2012-U-0426",
      "year": 2012,
      "title": "Predictors of Response to Suicide Prevention Trainings: Towards Maximizing Training Impact",
      "abstract": "Purpose and Background: Suicide is the third leading cause of death among youth aged 10-24 years old in the United States. Gatekeeper trainings are designed to educate adults who have frequent contact with young people to recognize the warning signs for suicidal behaviors and to make appropriate referrals. The effectiveness of gatekeeper training on prevention attitudes and knowledge has been well demonstrated, but little is known about what trainee characteristics are associated with greater training effect. The current study used data from an evaluation of the gatekeeper trainings QPR and RESPONSE, and the suicide intervention skill training, ASIST. This study tested the association of trainee characteristics with change from pre-training to follow-up in suicide prevention attitudes, knowledge and behavior. Methods: A 3 group quasi-experimental design was used, with 3 measurement points (pre � and post-training, and a 6 month follow-up). This study evaluates the 2 hour gatekeeper training component of RESPONSE (a comprehensive high school suicide prevention program), the 2 hour gatekeeper training QPR, and the 2 day suicide intervention skill training ASIST. Of the 180 participants, 77(43%) were male and 101 (57%) were female. Eighty-five percent identified as white; about one-third of the sample were teachers and one-third were clinicians. The average age of the trainees was 42.8 years old (SD=12.0). Seventy six (42%) of the trainees participated in the RESPONSE training, 59 (33%) in QPR, and 44 (24%) in ASIST. Measures were adapted from a previous clinical trial and showed excellent reliability. Regression residualized change scores were computed of pretraining to 6 month follow-up change in prevention attitudes, knowledge and behavior. The association of trainee characteristics and change scores was tested with bivariate correlation and partial correlation, controlling for training condition. Results: The relationships that emerged in both bivariate and partial correlation analyses included: medium to small-medium effects that showed weaker training effects for teachers on 4 of 7 outcomes; and female trainees showed stronger training effects on three outcomes. Significant correlates, not controlling for training type, included small to moderate, positive correlations for clinicians on half of the prevention behavior variables and one attitude variable, and hours of previous suicide prevention training had small to moderate, positive correlations on the majority of prevention behavior variables, and small, positive correlations on attitude and efficacy. While the sample was largely White, no differences were found by race. Conclusions and Implications: Teachers experienced dampening effects on change in suicide prevention behaviors and attitudes, indicating that trainings might be better tailored to teachers. Previous suicide prevention training appears to prime trainees for greater change in suicide prevention outcomes, supporting continued prevention trainings. Gatekeeper trainings have been shown to be an effective component of suicide prevention trainings. The results of this study some areas of modification of prevention trainings to maximize the impact on participants. Despite the public health importance of suicide, it has received little attention in social work training. Further steps for research and implications for social work training and practice are discussed.",
      "authors": "Del Quest; Daniel Coleman",
      "author_ids": "111206; 109621",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Unknown",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3339827458,
        "prompt_eval_count": 1569,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:42:48.897801+00:00",
      "screening_source": "Primary screen; blind audit agreement",
      "accuracy_audit": {
        "sample_group": "Quantitative",
        "random_seed": 20260802,
        "blind_screening": {
          "is_relevant": true,
          "relevance_rationale": "The study centrally focuses on evaluating the effectiveness of suicide prevention gatekeeper trainings by analyzing changes in suicide-specific attitudes, knowledge, and behaviors among trainees.",
          "evidence_class": "Empirical",
          "empirical_method": "Quantitative",
          "classification_rationale": "The abstract describes a quasi-experimental design with pre- and post-training measurements, using statistical methods such as regression and correlation to analyze numerical data on suicide prevention outcomes.",
          "confidence": "High"
        },
        "full_label_agreement": true
      }
    },
    {
      "input_index": 417,
      "record_key": "SSWR:2012-P-0112",
      "source_database": "SSWR",
      "record_id": "2012-P-0112",
      "year": 2012,
      "title": "Quality of Life and Suicide In Schizophrenia; What We Don't Know Can Hurt Us",
      "abstract": "Background: Individuals diagnosed with schizophrenia have a suicide rate that is greater than 8-fold the rate of the general population. Unfortunately, research pertaining to the relationship between quality of life and suicide has generally been restricted to suicide in the end-of-life care context. Quality of life appears especially well-suited as a target of investigation in suicide risk for individuals with schizophrenia because it is an illness that has profound effects on quality of life. Purpose: The current study aimed to explore the relationship between various quality of life indices and suicide risk in an outpatient sample of individuals with schizophrenia. Specifically, the study sought to (1) examine differences on a range of quality of life measures in groups with and without evidence of current suicidality and (2) examine quality of life differences between groups of individuals classified by current and historical suicide status. Methods: We used pooled data from two NIMH-funded studies investigating the psychosocial rehabilitation of individuals with serious mental illness. All individuals with a diagnosis of schizophrenia (N=223) were selected for analysis. The Satisfaction with Life Scale (SLS), the Role Functioning Scale (RFS) and the Brief Psychiatric Rating Scale (BPRS) were used to measure subjective and objective quality of life indices. Evidence of current suicidality was determined by a non-zero rating of suicidality on the BPRS. History of suicide attempt was measured using self-report. Two stages of analysis were conducted in the study. In the first stage, we compared suicide and non-suicide groups on quality of life measures. In the second stage, we examined quality of life differences in groups based on current and historical suicide status. In stage two we analyzed differences among four groups: (i) current and historical suicide, (ii) current suicide only, (iii) history suicide only, and (iii) no suicide. Results: In the first stage of analysis, a series of t-tests revealed significant differences between the suicide and non-suicide groups on general life satisfaction (t=2.760, p<.01), satisfaction with social relationships (t=2.364, p<.01), satisfaction with present self/life (t=4.032, p<.001) and psychiatric symptom severity (t=-4.436, p<.001). In each case, the suicide group was more impaired. In the second stage of analysis, ANOVA and subsequent post hoc tests showed differences on general life satisfaction, satisfaction with self/present life and psychiatric symptom severity between the group evidencing current and historical suicide risk and groups with either a history-only or no evidence of suicidality. Conclusions and Implications: Findings from the first stage of analysis suggest that both subjective (i.e. life satisfaction) and objective (i.e. psychiatric symptom severity) quality of life indices may aid in distinguishing between the suicidal and non-suicidal groups with schizophrenia. Findings from the second stage of analysis suggest that lower life satisfaction and higher psychiatric symptom severity may be more indicative of current suicidality as opposed to historical risk. It is argued that quality of life may be able to aid in detecting �under-the-radar� suicide risk, propel collaborative efforts with consumers and delineate targets for suicide intervention for the highly vulnerable population of individuals with schizophrenia.",
      "authors": "Anthony Fulginiti; John S. Brekke, PhD",
      "author_ids": "112190; 108615",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3302606583,
        "prompt_eval_count": 1602,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:42:52.202786+00:00"
    },
    {
      "input_index": 418,
      "record_key": "SSWR:2012-U-0035",
      "source_database": "SSWR",
      "record_id": "2012-U-0035",
      "year": 2012,
      "title": "Race-Ethnicity Differences In Help-Seeking Among Suicidal College Students",
      "abstract": "Background and Purpose: Suicide is estimated to be the second leading cause of death among college students in the United States. Mental illness is considered a major contributory factor in suicide fatalities, yet many suicidal students do not receive any mental health treatment and an estimated 80% of those who die by suicide were never seen by campus mental health services. Limited prior research has investigated factors associated with the underutilization of services in this population, including possible differences in help-seeking by race-ethnicity. The purpose of this study was to examine how race-ethnicity is correlated with help-seeking attitudes, beliefs, social network factors, and mental health service use among suicidal college students. Help-seeking is conceptualized as a multi-dimensional process in which social and cultural contexts influence individuals' perspectives about mental health problems and their potential resolution. Methods: The study uses data from the Healthy Minds Study, a Web-based survey administered in spring 2009 to a random sample of 8,487 undergraduate and graduate students from 15 universities. The focus of the present study is on the subsample of respondents with suicidal ideation (n = 543), which was measured with a question about any serious thoughts of suicide in the prior 12 months. Help-seeking attitudes and beliefs investigated included perceived need for help, beliefs about treatment effectiveness, perceived stigma, and personal stigma. Social network factors included contact with mental health service users, encouragement to seek services, and perceived warm and trusting relationships. Self-reported barriers and facilitators to service use were also examined. Treatment utilization was measured by the reported use of therapy or psychotropic medication in the previous 12 months. Descriptive analyses used chi-square, ANOVA, and t-tests to compare variances in help-seeking attitudes and behaviors by race-ethnicity. Multivariate analyses employed hierarchical logistic regressions to estimate predictors of past year treatment use. Response propensity weights were applied in all analyses to account for potential survey response bias. Results: Results showed that 51.5% of all respondents with suicidal ideation received any treatment during the previous 12 months. Rates of treatment use were significantly lower among Asian, Black, and Latino students compared to non-Latino White students. In regression analyses, ethnic minority respondents had lower odds of using mental health services relative to White respondents, even when controlling for personal attitudes, beliefs, and social network variables. Descriptive analyses indicated significant race-ethnicity variances in a range of factors correlated with help-seeking, including perceived need, personal and perceived stigma, treatment beliefs, personal contact with service users, and encouragement to seek help. Conclusions and Implications: The lower rate of treatment use among ethnic minority students compared to White students represents an important disparity that should be a focus of suicide prevention initiatives. Findings indicate that race-ethnicity is correlated with a number of variances in personal attitudes and social network factors that may partially account for the differential use of services. Efforts to increase treatment use among suicidal college students should use comprehensive strategies that are tailored to address the varied personal, social, and cultural factors associated with mental health help-seeking.",
      "authors": "Marilyn F. Downs",
      "author_ids": "111871",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Unknown",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3330695916,
        "prompt_eval_count": 1558,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:42:55.535215+00:00"
    },
    {
      "input_index": 419,
      "record_key": "SSWR:2012-P-0032",
      "source_database": "SSWR",
      "record_id": "2012-P-0032",
      "year": 2012,
      "title": "Suicidality and Health Risk Behaviors Among Youth In Juvenile Detention",
      "abstract": "Background/Purpose: Suicide is the third leading cause of death in young people ages 15 to 24 years, affecting 9.5/100,000 adolescents (Hoyert et al., 2005); it is an even greater risk for incarcerated youths (Gallagher, 2006). Female youth, in particular, were reported to have more suicidal ideation than male youth (Abram et al, 2008). Despite these concerns, there is still limited assessment of the phenomena and the associated health risks behaviors among female juvenile detainees. The purpose of the study was 1) to examine the prevalence of suicide ideation and attempts and health risk behaviors in incarcerated female adolescents and 2) to determine whether associations existed with suicidal ideations and attempts and health risk behaviors. Methods: Youth in a regional long-term detention center were administered a health behaviors survey during a regular morning class period. Cross-sectional study design was used for the sample of 104 female juvenile detainees, aged 12 to 20, in 7th to 12th grade. Health risk behaviors assessed included substance use behaviors (smoking, consuming alcohol, use of marijuana, cocaine, and meth), sexual behaviors (number of sexual partners and use of condom), weapon carriage, gang involvement, physical fights, eating habits, and physical inactivity. Logistic regression analysis was used to assess the association between health risk behaviors and suicidal ideation and attempt. Results: The analysis revealed that both suicidal ideation and attempts were highly prevalent (40% suicide ideation and 54% suicide attempts) among female juvenile detainees. For suicidal ideation, two out of the 12 health risk behaviors, number of sexual partners and physical fights, were included in the final model (X2=9.69, df=2, p=.008). Odds ratio for sexual partners was 1.33 (CI=1.01, 1.27) and physical fights was 1.13 (CI=1.03, 1.72), indicating both have positive relationships with suicidal ideation. In other words, the more sexual partners the female youth has, the more likely she has suicidal ideation; and the more physical fights she is involved in, the more likely she has suicidal ideation. Pseudo R-square indicated that these two variables explain 14.5% in suicidal ideation in the sample. However, none of the health risk behaviors were significantly associated with the suicidal attempts reported. Conclusion: The study findings revealed that the prevalence of suicidal ideation and attempts were extremely high among the female adolescent detainee sample. The prevalence rate of suicide ideation and attempts were by far the highest among the few studies that have been conducted with juvenile detainee samples, not to mention the rates with the general youth populations. Given the significance of the relationship of suicide ideation with violence exposure and sexual health risk behaviors, detention facilities should consider these factors when developing crisis management programming and suicidal prevention policies. Additionally, services for at-risk adolescent females should include strategies for health promotion and continuity of care once released. Further research is needed to examine what other risk factors may be associated with suicidal ideation and attempts among juvenile detainee populations to consider additional health promotion approaches to deter incarcerated youth from fatal self-harm activities.",
      "authors": "Hyejung Oh; Schnavia Smith Hatcher; Dione Moultrie King; Brian E. Bride",
      "author_ids": "110819; 110818; 111980; 108076",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3258432084,
        "prompt_eval_count": 1615,
        "eval_count": 24
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      "screened_at": "2026-08-02T17:42:58.795443+00:00"
    },
    {
      "input_index": 422,
      "record_key": "SSWR:2012-P-0004",
      "source_database": "SSWR",
      "record_id": "2012-P-0004",
      "year": 2012,
      "title": "Trauma, Psychological Distress, and Suicide Risk Among Female Gang Members",
      "abstract": "Background and Purpose: Previous ethnographic research on gang-involved women has revealed patterns of violence, victimization, and self-defeating behavior within social contexts characterized by poverty, family disorganization, and parental neglect (e.g., Fleisher, 1998). This research suggests that these women are at high risk for psychosocial problems associated with trauma. Although previous studies have demonstrated increased risk for sexually transmitted diseases, violence exposure, and substance use among female gang members (Wingwood et al., 2002), little is known about the psychological symptomology of this population. This study uses standardized psychosocial and psychometric data to develop clinical profiles of adolescent and young adult women gang members. Methods: Instruments included: the Brief Symptom Inventory (BSI); the Childhood Trauma Questionnaire (CTQ); the Exposure to Violence Scales: Adult Version (EVS); and the Short Drug Abuse Screening Test (S-SDAST). These tests were administered to 49 female gang members ranging in age from 18 to 45, with an average age of 24.1 (6.3). About half of the women were members of the Gangster Disciples (51.0%). The remaining women were Vice Lords (20.4%), Black P. Stones (16.4%), Black Disciples (6.1%), Black Gangsters (4.0%), and Crips (2.0%). This sample was drawn from a larger study of women in gangs in Champaign, Illinois which utilized a respondent-driven sample (OJJDP grant number: 2000-JR-VX-0006). Results: Analysis of EVS and CTQ data found high levels of violence exposure and childhood physical neglect. More than two-thirds (69.4%) reported exposure to severe violence (being a victim of or witness to a shooting or knife attack); 36.7% experienced lifetime sexual assault; 16.3% reported recent sexual assault; and 98.0% experienced childhood physical neglect. Respondents had elevated psychological symptom distress as measured the BSI: 44.9% had clinically elevated Global Severity Index scores; 30.6% had clinical depression scores; and 44.9% had clinical levels of hostility. Almost half (44.9%) had clinically elevated substance use. Finally, there was evidence of suicide risk among many of the women, with 46.9% reporting feelings of hopelessness and 18.1% reporting thoughts of ending their life. Of the 9 women who reported suicidal ideation, 7 had clinically elevated substance use and 7 had clinically elevated hostility. Six (12%) evidenced very high risk of suicide, reporting suicidal ideation, clinical hostility, and clinical substance use. Conclusions and Implications: This study reveals a pattern of neglect, violence exposure, sexual victimization, substance use, and psychosocial distress, including suicidal ideation, among gang women. Findings suggested that 12% of the sample were at extremely high suicide risk. Our findings imply that mainstream approaches to gang related problems, which often focus on deterrence/enforcement and do not consider high levels of psychological pathology, suicide risk, and substance addiction, are inadequate. Interventions for women gang populations should integrate assessment and therapy for psychological distress, suicide risk, and substance use and should consider the vicarious traumatization of practitioners as a potential barrier to successful intervention. Prevention efforts should focus on strengthening families to prevent violence, sexual victimization, and abuse/neglect. Limitations of this study include the nonrandom nature of the sample and the lack of a comparison group.",
      "authors": "Julia M. Noveske; Mark I. Singer; Mark S. Fleisher; Daniel Flannery; Jenni Bartholomew",
      "author_ids": "111854; 108701; 111855; 108702; 110546",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3570106917,
        "prompt_eval_count": 1681,
        "eval_count": 24
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      "screened_at": "2026-08-02T17:43:08.902875+00:00"
    },
    {
      "input_index": 423,
      "record_key": "SSWR:2012-P-0063",
      "source_database": "SSWR",
      "record_id": "2012-P-0063",
      "year": 2012,
      "title": "Views and Experiences of Suicidality During Pregnancy and the Postpartum: Findings From Interviews with Maternal Care Clinic Patients",
      "abstract": "Background and Purpose: Perinatal suicidality - including thoughts of death, suicide attempts, or self-harm - is a major public health concern. Suicide is one of the leading causes of maternal death in several countries including the United States, where rates average 10.3% of all injury related deaths during the perinatal period. In 2006, the American College of Obstetricians and Gynecologists recommended screening for psychosocial risk factors during the perinatal period. Although perinatal suicidality is in dire need of research, few studies identify the factors associated with suicidality and maternal health. Even fewer investigations examine patients' own views and experiences of maternal suicidality. Methods: Screening took place during pregnancy and postpartum as part of routine practice in a hospital-based prenatal care clinic. Between April and October 2010, 14 patient participants were identified for a follow-up semi-structured interview if they screened positive for suicidal ideation using the Patient Health Questionnaire short-form (PHQ-9). In-depth interviews, conducted in-clinic with antenatal women and in-home with postnatal women, followed an interview guide and lasted 15 to 90 minutes. Interviews addressed past experiences with suicidality, coping, support, treatment, and beliefs about suicide and self-harm during pregnancy. All interviews were transcribed and analyzed verbatim using thematic network analysis (Attride-Stirling, 2001). Atlas ti 6.2 was used to manage and organize all of the data. Results: Patient participants described the experience of suicidality during pregnancy as related to somatic symptoms, past diagnoses, infanticide, family psychiatric history (e.g., completed suicides and attempts in the family), and pregnancy complications. Both antenatal and postnatal women experienced an interruption in thoughts of suicide or interruption in self-harming actions when met with supportive and trusting communication between providers or family support systems. The main themes include relationship to fetus/infant, physical changes, psychiatric history, provider relationship, and communicating needs. One divergent theme for the postnatal participants is the description of challenges bonding with the infant. Conclusions and Implications: The networks established are congruent with findings in international samples with perinatal women, where antenatal suicidality is a period of rebirth for some women and relates to the treatment adherence and mother infant interactions for other women. The networks of themes shows that pregnancy represents a critical time period to screen for suicide and to establish treatment for mothers. Prior research indicates that systematic and routine screening for suicide in the perinatal period is scarce. These findings identify practice and translational research implications for developing enhanced clinical approaches to screen and identify women at high risk for perinatal suicidality across settings.",
      "authors": "Karen Tabb; Amelia R. Gavin; Yuqing Guo; Hsiang Huang; Katherine Debiec",
      "author_ids": "112117; 109846; 112118; 112119; 112120",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "qualitative",
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      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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        "eval_count": 24
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      "screened_at": "2026-08-02T17:43:12.009726+00:00"
    },
    {
      "input_index": 425,
      "record_key": "SWRD:76310",
      "source_database": "SWRD",
      "record_id": 76310,
      "year": 2012,
      "title": "A State's Approach to Suicide Prevention Awareness: Gatekeeper Training in Kentucky",
      "abstract": "As part of Preventing Suicide: Kentucky's Plan, a gatekeeper training was implemented. The implementation of this brief educational intervention and changes in participants' suicide prevention attitudes were examined. Data were collected from 3,958 people in 213 sessions from May 2004 to August 2006. Participants reported high levels of satisfaction with the trainings. Immediately following the training, participants showed substantial increases in their perception of their suicide knowledge and their perceived efficacy to help someone who displays signs of suicide. QPR was widely disseminated across the state and shows promise to change immediate beliefs and feelings of efficacy. © 2012 Copyright Taylor and Francis Group, LLC.",
      "authors": "Cerel J.; Padgett J.H.; Robbins V.; Kaminer B.",
      "author_ids": "",
      "journal_or_venue": "Journal of Evidence-Based Social Work",
      "doi": "10.1080/15433714.2010.498672",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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        "total_duration_ns": 2263380833,
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        "eval_count": 24
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      "screened_at": "2026-08-02T17:43:17.597396+00:00"
    },
    {
      "input_index": 427,
      "record_key": "SWRD:45454",
      "source_database": "SWRD",
      "record_id": 45454,
      "year": 2012,
      "title": "African American Women's Perceptions of Depression and Suicide Risk and Protection: A Womanist Exploration",
      "abstract": "This article reports the findings of a qualitative study that examined the perceptions of depression and suicide risk and protection among 40 African American women. Seven focus groups were conducted. The thematic findings of the focus group discussions included perceptions of depression as a sense of \"spiritual forsakenness\" and a healthy alternative to suicide. Living in spirit as well as in community with others was viewed as protection against suicide. Having a strong sense of African American heritage, history, and identity was perceived as protection against suicide and depression. Womanist implications for social work research, practice, and education are discussed.",
      "authors": "Borum, Valerie",
      "author_ids": "",
      "journal_or_venue": "Affilia-Feminist Inquiry in Social Work",
      "doi": "10.1177/0886109912452401",
      "record_type": "journal-article",
      "database_method": "Qualitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "prompt_eval_count": 1045,
        "eval_count": 24
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      "screened_at": "2026-08-02T17:43:22.165089+00:00"
    },
    {
      "input_index": 428,
      "record_key": "SWRD:46096",
      "source_database": "SWRD",
      "record_id": 46096,
      "year": 2012,
      "title": "Age at Entry into Prostitution: Relationship to Drug Use, Race, Suicide, Education Level, Childhood Abuse, and Family Experiences",
      "abstract": "This study seeks to explore factors related to age at entry into prostitution. Participants were 389 women arrested for prostitution who had attended a diversion program. Women who entered prostitution as minors were found to be more likely to be African-American; report having a family member with a substance use problem; have a history of attempted suicide; and not have completed middle or high school. The age at first drug use was found to significantly impact the reported age at entry. Key areas for intervention should include improving school connectedness and preventing adolescent substance abuse, specifically for African-Americans.",
      "authors": "Clarke, Ross; Clarke, Elizabeth; Roe-Sepowitz, Dominique; Fey, Richard",
      "author_ids": "",
      "journal_or_venue": "Journal of Human Behavior in the Social Environment",
      "doi": "10.1080/10911359.2012.655583",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
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      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "prompt_eval_count": 1047,
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      "screened_at": "2026-08-02T17:43:24.453708+00:00",
      "screening_source": "Primary screen; blind audit agreement",
      "accuracy_audit": {
        "sample_group": "Quantitative",
        "random_seed": 20260802,
        "blind_screening": {
          "is_relevant": true,
          "relevance_rationale": "The study explicitly analyzes a history of attempted suicide as a distinct outcome associated with age at entry into prostitution.",
          "evidence_class": "Empirical",
          "empirical_method": "Quantitative",
          "classification_rationale": "The abstract describes an analysis of data from 389 participants using statistical associations (e.g., 'more likely', 'significantly impact'), indicating a quantitative empirical design.",
          "confidence": "High"
        },
        "full_label_agreement": true
      }
    },
    {
      "input_index": 429,
      "record_key": "SWRD:104979",
      "source_database": "SWRD",
      "record_id": 104979,
      "year": 2012,
      "title": "Book Review: Latinas Attempting Suicide: When Cultures, Families, and Daughters Collide.",
      "abstract": "The article reviews the book \"Latinas Attempting Suicide: When Cultures, Families, and Daughters Collide,\" by Luis H. Zayas.",
      "authors": "Alain; Lévy; Joseph J.; Lopezrevoredo'; Howell; Tamika Jarrett; Hubbard; Steven; Washington; Thomas Alex",
      "author_ids": "",
      "journal_or_venue": "Affilia-Feminist Inquiry in Social Work",
      "doi": "10.1177/0886109912452646",
      "record_type": "journal-article",
      "database_method": null,
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      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2011559709,
        "prompt_eval_count": 959,
        "eval_count": 24
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      "screened_at": "2026-08-02T17:43:26.467071+00:00"
    },
    {
      "input_index": 430,
      "record_key": "SWRD:45841",
      "source_database": "SWRD",
      "record_id": 45841,
      "year": 2012,
      "title": "Brief Symptom Inventory Factor Structure in Antisocial Adolescents: Implications for Juvenile Justice",
      "abstract": "Objectives: The Brief Symptom Inventory (BSI) is widely used in juvenile justice settings; however, little is known regarding its factor structure in antisocial youth. The authors evaluated the BSI factor structure in a state residential treatment population. Methods: 707 adolescents completed the BSI. Exploratory and confirmatory factor analyses were used to assess factor structure. Intergroup variability was examined using multiple-group structural equation modeling. Results: Findings supported a 6-factor, 25-item model explaining 49.5% of sample variance. The derived structure differed from prior findings with adult psychiatric patients by including a suicidal ideation latent variable and excluding several developmentally inappropriate factors. Conclusion: There may be problems associated with indiscriminant application of the original BSI factor model to juvenile justice populations.",
      "authors": "Whitt, Ahmed; Howard, Matthew O.",
      "author_ids": "",
      "journal_or_venue": "Research on Social Work Practice",
      "doi": "10.1177/1049731511418786",
      "record_type": "journal-article",
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      "database_is_scientific": true,
      "database_is_empirical": true,
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:43:28.785470+00:00"
    },
    {
      "input_index": 431,
      "record_key": "SWRD:52699",
      "source_database": "SWRD",
      "record_id": 52699,
      "year": 2012,
      "title": "Changing the Meaning of Help: Clinical Approaches to Reducing Stigma Among Suicidal Young Adults",
      "abstract": "Reducing stigma associated with mental health concerns is a key objective of suicide prevention policies. Although the primary aim of these efforts is to promote help-seeking, the problem of stigma does not necessarily end when a person crosses the threshold to treatment. Internalized stigma can affect meanings attached to experiencing a problem or needing help, adding to the burden of mental health difficulties. Perceived stigma by others can inhibit positive social connections and exacerbate social isolation. This article draws on cognitive and relational-cultural theories to discuss psychological and interpersonal consequences of mental illness stigma for depressed and suicidal young adults. Clinical approaches to addressing stigma are illustrated with a case vignette of a 19-year-old male college student.",
      "authors": "Downs, Marilyn F.",
      "author_ids": "",
      "journal_or_venue": "Families in Society",
      "doi": "10.1606/1044-3894.4182",
      "record_type": "journal-article",
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      "database_is_scientific": true,
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      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:43:31.071842+00:00"
    },
    {
      "input_index": 432,
      "record_key": "SWRD:46869",
      "source_database": "SWRD",
      "record_id": 46869,
      "year": 2012,
      "title": "Clinical Concepts in Messaging Strategies to Parents of Depressed and Suicidal Adolescents",
      "abstract": "Firearms have been noted as a risk factor in youth suicide, but this has not necessarily translated effectively into the clinical setting. There is little information from the mental health field on firearm counseling interventions with parents of adolescents. The intent of this study was to uncover adolescent mental health clinicians' endorsements of specific messaging strategies on firearm access and safety counseling geared toward parents of depressed and suicidal adolescents. A total of 24 clinicians from a rural area took part in a focus group study. As part of the focus group, mental health counselors looked at six short paragraphs that phrased counseling parents on suicide and firearms. They were asked to identify three sentences across these paragraphs that they felt would be useful with parents of depressed or suicidal adolescents in counseling. Results found 66 responses that resulted in the recognition of 16 common statements across participants. The frequency of statements was examined, qualitatively analyzed and grouped according to messaging concept. The results indicated that the sentences the counselors identified fit into five concepts: Risk, Empathy, Impulsivity, Lethal Means Restriction Counseling, and Parental Responsibility. The present study provides insight into message strategies identified as helpful in engaging parents in discussions of firearms when the risk of adolescent suicide is present.",
      "authors": "Slovak, Karen",
      "author_ids": "",
      "journal_or_venue": "Social Work in Mental Health",
      "doi": "10.1080/15332985.2011.625299",
      "record_type": "journal-article",
      "database_method": "Qualitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:43:33.598099+00:00"
    },
    {
      "input_index": 434,
      "record_key": "SWRD:110808",
      "source_database": "SWRD",
      "record_id": 110808,
      "year": 2012,
      "title": "Engaging Chinese Immigrant Parents in Youth Suicide Prevention: Shifting Parenting Paradigm in a Culturally Relevant Context",
      "abstract": "This article discusses a school and community collaborative initiative that targeted students of Chinese descent as a suicide at-risk population. Its main focus was to reach out to immigrant parents to help them strengthen communication and relationships with their adolescent children and to facilitate their access to mental health services in the community. Discussion focuses on implementation of the educational workshop curriculum, relevant to Chinese immigrant values and parenting styles as well as engagement strategies for forming empathic alliance with immigrant parents. Implications for school social workers as cross-cultural liaisons also are discussed. Adapted from the source document.",
      "authors": "Chung, Irene Wai Ming; Ming Chung, Irene Wai; Saint-Jacques, Marie-Christine; Mathews, Maria; Chu, Hsiao-Ching; Fortin, Marie-Christine; Turcotte, Daniel; Chu, Hsiao-Ching; Bloom, Scott; Bloom, Scott; St-Amand, Annick; Gargano, Virginie",
      "author_ids": "",
      "journal_or_venue": "School Social Work Journal",
      "doi": null,
      "record_type": "Article , Report",
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      "database_is_scientific": true,
      "database_is_empirical": false,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2314834833,
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      "screened_at": "2026-08-02T17:43:38.067347+00:00"
    },
    {
      "input_index": 435,
      "record_key": "SWRD:45676",
      "source_database": "SWRD",
      "record_id": 45676,
      "year": 2012,
      "title": "Engaging parents of suicidal youth in a rural environment",
      "abstract": "Engaging caregivers is an essential component of service for at-risk youth. Engagement has been described as specific behaviours (e.g. treatment participation) and attitudes (e.g. therapeutic alliance). Although best practices for working with suicidal youth includes involving parents in the assessment and crisis plan, there has been almost no research on the process that clinicians in outpatient settings use to engage parents of youth who exhibit risk for suicide. The purpose of this study was to document how clinicians in outpatient mental-health settings engaged parents following a youth suicide assessment. Twenty-four clinicians from the rural Midwestern USA took part in two focus groups to discuss typical interactions with parents following a suicide assessment. Analyses suggested that clinicians' engagement with parents included five major elements: (i) presenting difficult information; (ii) responding to parents' reactions; (iii) joining with parents; (iv) moving the parents towards concrete actions; and (v) addressing rural gun culture. The results are discussed within the context of Staudt's conceptual framework of engagement with caregivers of at-risk children. Implications for practice and research are discussed.",
      "authors": "Slovak, Karen; Singer, Jonathan B.",
      "author_ids": "",
      "journal_or_venue": "Child & Family Social Work",
      "doi": "10.1111/j.1365-2206.2012.00826.x",
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      "record_key": "SWRD:45725",
      "source_database": "SWRD",
      "record_id": 45725,
      "year": 2012,
      "title": "Family-based Crisis Intervention with Suicidal Adolescents in the Emergency Room: A Pilot Study",
      "abstract": "The prevailing model of care for psychiatric patients in the emergency room (ER) is evaluation and disposition, with little or no treatment provided. This article describes the results of a pilot study of a family-based crisis intervention (FBCI) for suicidal adolescents and their families in a large, urban pediatric ER. FBCI is an intervention designed to sufficiently stabilize patients within a single ER visit so that they can return home safely with their families. Of the 100 suicidal adolescents and their families in the sample, 67 met eligibility criteria for FBCI. Demographic and clinical characteristics and disposition outcomes from the sample were compared with those obtained retrospectively from a matched comparison group (N = 150). Statistical analyses compared group inpatient admission rates and disposition outcomes. Patients in the pilot cohort were significantly less likely to be hospitalized than were those in the comparison group (36 percent versus 55 percent). Only two of the patients in the FBCI cohort were hospitalized immediately after receiving the intervention during their ER visit. FBCI with suicidal adolescents and their families during a single ER visit is feasible and safely limits the need for inpatient psychiatric hospitalization, thereby avoiding disruption of family, academic, and social activities and increasing use of less intrusive and more cost-effective psychiatric treatment.",
      "authors": "Wharff, Elizabeth A.; Ginnis, Katherine M.; Ross, Abigail M.",
      "author_ids": "",
      "journal_or_venue": "Social Work",
      "doi": "10.1093/sw/sws017",
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      "input_index": 439,
      "record_key": "SWRD:115887",
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      "record_id": 115887,
      "year": 2012,
      "title": "PSIGOSOSIALE BEHOEFTES VAN ADOLESSENTE DOGTERS MET SELF-MOORDGEDRAG",
      "abstract": "This article focuses on the psychosocial needs of adolescent girls who present with suicidal behaviour, which can be attributed to a variety of circumstances. Qualitative interviewing was done with participants until data-saturation was achieved. The overarching psychosocial needs of participants were discussed in three main themes with specific sub-themes. The first theme focuses on love and acceptance; it has three sub-themes, namely a negative self-concept, parental rejection and peer group rejection. Theme two focuses on communication, with the expression of emotions, quality time and trust as sub-themes. The third theme discusses a certain future, with career choices and hope as sub-themes.",
      "authors": "Andrea Du Toit; Herman Strydom; Herman Strydom; Herman Strydom; Herman Strydom; Herman Strydom; Herman Strydom; Herman Strydom; Herman Strydom; Herman Strydom; Herman Strydom; Herman Strydom; Herman Strydom; Herman Strydom; Herman Strydom; Herman Strydom; Herman Strydom; Herman Strydom; Herman Strydom; Herman Strydom; Herman Strydom; Herman Strydom; Herman Strydom; Herman Strydom; Herman Strydom; Herman Strydom; Herman Strydom; Herman Strydom; Herman Strydom; Herman Strydom; Herman Strydom; Herman Strydom; Herman Strydom; Herman Strydom; Herman Strydom; Herman Strydom",
      "author_ids": "",
      "journal_or_venue": "Social Work-Maatskaplike Werk",
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    {
      "input_index": 440,
      "record_key": "SWRD:127088",
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      "record_id": 127088,
      "year": 2012,
      "title": "Psychosocial Needs of Adolescent Girls with Suicidal Behaviour",
      "abstract": "This article focuses on the psychosocial needs of adolescent girls who present with suicidal behaviour, which can be attributed to a variety of circumstances. Qualitative interviewing was done with participants until data-saturation was achieved. The overarching psychosocial needs of participants were discussed in three main themes with specific sub-themes. The first theme focuses on love and acceptance; it has three sub-themes, namely a negative self-concept, parental rejection and peer group rejection. Theme two focuses on communication, with the expression of emotions, quality time and trust as sub-themes. The third theme discusses a certain future, with career choices and hope as sub-themes. Adapted from the source document.",
      "authors": "du Toit, Andrea; Strydom, Herman",
      "author_ids": "",
      "journal_or_venue": "Social Work-Maatskaplike Werk",
      "doi": null,
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    {
      "input_index": 441,
      "record_key": "SWRD:45646",
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      "record_id": 45646,
      "year": 2012,
      "title": "Randomized Trial of Suicide Gatekeeper Training for Social Work Students",
      "abstract": "Problem: Education and research on social work's role in preventing client suicide is limited. Method: Seventy advanced master of social work students were randomly assigned to either the training group (Question, Persuade, and Referral suicide gatekeeper training) or the control group. Outcomes measured over time included suicide knowledge, attitudes toward suicide prevention, self-efficacy, and skills. Results and Conclusion: Interaction effects between group assignment and time suggest improvement among the intervention group with regard to knowledge, efficacy to perform the gatekeeper role, and skills. Both groups improved over time for reluctance to engage with clients at risk for suicide, referral, and gatekeeper behaviors. The intervention group reported improved knowledge of resources and perceived preparedness. No changes in attitudes were observed.",
      "authors": "Jacobson, Jodi M.; Osteen, Phillip J.; Sharpe, Tanya L.; Pastoor, Jennifer B.",
      "author_ids": "",
      "journal_or_venue": "Research on Social Work Practice",
      "doi": "10.1177/1049731511436015",
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      "screened_at": "2026-08-02T17:43:54.404735+00:00"
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    {
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      "record_key": "SWRD:47052",
      "source_database": "SWRD",
      "record_id": 47052,
      "year": 2012,
      "title": "Role of social welfare in European suicide prevention",
      "abstract": "The aims of this study were to assess the relationship between suicide mortality and social expenditure in 26 European countries, explore attitudes towards welfare systems and their relationship with suicide mortality, and compare attitudes towards welfare provision in Eastern and Western Europe. The World Health Organization suicide data and Organisation for Economic Co-operation and Development social expenditure data for 1980-2005 were used. Data on attitudes towards welfare systems were taken from the European Social Survey. Differences between mean scores for attitudes in Western and Eastern European countries were calculated. Correlations between social expenditure and suicide trends were negative in most countries for both genders. Inverse correlations between attitudes towards welfare provision and suicide mortality rates were demonstrated for males only. Differences in attitudes were found between Eastern and Western European countries; for example, confidence in the welfare system was found to be stronger in Western Europe. Higher social expenditure and greater confidence in welfare provision appear to have suicide-preventive effects.",
      "authors": "Yur'yev, Andriy; Vaernik, Airi; Vaernik, Peeter; Sisask, Merike; Leppik, Lauri",
      "author_ids": "",
      "journal_or_venue": "International Journal of Social Welfare",
      "doi": "10.1111/j.1468-2397.2010.00777.x",
      "record_type": "journal-article",
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      "database_is_scientific": true,
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T17:43:56.740498+00:00"
    },
    {
      "input_index": 443,
      "record_key": "SWRD:97379",
      "source_database": "SWRD",
      "record_id": 97379,
      "year": 2012,
      "title": "Socio-Economic Factors and Mental Health of Young People in India and China: An Elusive Link with Globalization",
      "abstract": "Globalization and its related social, cultural, and economic changes have significant mental health outcomes for young people. However, mental health disorders among youth are seldom included in the range of problems linked to globalization. It is imperative that these multifaceted associations are considered in light of the substantial and increasing burden of disease caused by mental illness, particularly in Asian countries, which are comparatively young and in next few decades will be the major sources of the growth of world's young population. The evidence reviewed in this study makes an argument that globalization has increased [relative] poverty and deprivation, social and income inequality, migration, occupational stress, educational competition, and educated unemployment in India and China. Simultaneously there is evidence which shows that these variables are causally linked with mental health of young people. Altogether, these phenomena are accompanied by higher rates of suicide among lower class, migrant, and student youth. This substantiates the proposition that globalization has significant consequences for the mental health of young people. Some interventions for debate and discussion are considered. © 2012 The Authors. Asian Social Work and Policy Review © 2012 Blackwell Publishing Asia Pty Ltd.",
      "authors": "Bhat M.A.; Rather T.A.",
      "author_ids": "",
      "journal_or_venue": "Studies in Clinical Social Work: Transforming Practice, Education and Research",
      "doi": "10.1111/j.1753-1411.2011.00059.x",
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        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
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      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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    },
    {
      "input_index": 444,
      "record_key": "SWRD:45209",
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      "record_id": 45209,
      "year": 2012,
      "title": "Sociocultural study of immigrant suicide-attempters: An ecological perspective",
      "abstract": "This article discusses the findings of a qualitative study with a sample of suicide attempters in the Chinese immigrant community of New York City from an ecological perspective. Findings: The narratives of the participants delineate the pathway of their suicide attempts as the culmination of an interactive process of stressors, mental illness, and diminished help-seeking behavior, compounded by immigrant-specific issues, cultural meanings of distress and social barriers to resources. Application: The transactional dynamics of these risk factors underscore the importance of adopting an integrative and contextualized stance of inquiry in suicide studies and initiating a broad-based community effort in suicide prevention.",
      "authors": "Chung, Irene",
      "author_ids": "",
      "journal_or_venue": "Journal of Social Work",
      "doi": "10.1177/1468017310394240",
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    {
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      "record_key": "SWRD:46460",
      "source_database": "SWRD",
      "record_id": 46460,
      "year": 2012,
      "title": "Solution-focused therapy in an Emergency Room setting: Increasing hope in persons presenting with suicidal ideation",
      "abstract": "One-third or more of persons presenting to Emergency Rooms (ER)/Accident and Emergency departments in psychiatric emergencies report experiencing suicidal ideations. A critical task for hospital-based practitioners is to assess the lethality of the situation to determine whether the person should be hospitalized. Practitioners often employ standardized assessment instruments to assist in determining the suicidal risk factors, yet such measures often fail to recognize or consider the following: 1) the relative importance of the therapeutic process in creating meaningful therapeutic change; 2) the quality of the therapeutic encounter in the ER; and 3) follow-through with the community referral process. Findings: This article proposes the use of the actual ER encounter between client and practitioner to work with suicidal risk factors that are amenable to immediate therapeutic change. Using a therapy approach that can positively impact a client's level of hopelessness and allow for the assessment of suicide risk can work to ensure that an appropriate hospitalization disposition is reached. Application: This article details how the use of solution-focused therapy provides one avenue for assessing suicide risk and how the therapeutic intervention, which has not been subjected to the scrutiny of empirical research, can serve as an opportunity for increasing hope.",
      "authors": "Kondrat, David C.; Teater, Barbra",
      "author_ids": "",
      "journal_or_venue": "Journal of Social Work",
      "doi": "10.1177/1468017310379756",
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        "empirical_method": "Not applicable"
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      "screened_at": "2026-08-02T17:44:04.239063+00:00"
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    {
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      "record_key": "SWRD:122326",
      "source_database": "SWRD",
      "record_id": 122326,
      "year": 2012,
      "title": "Suicidal thoughts in adopted versus non-adopted youth: A longitudinal analysis in adolescence, early young adulthood, and young adulthood.",
      "abstract": "Data from 3 waves of the National Longitudinal Study of Adolescent Health, a nationally representative database, are used to test complex models addressing the developmental links between child adoption or non-adoption and suicidal ideation across adolescence, early young adulthood, and young adulthood. Diverse developmental dynamics are tested, while controlling for a variety of potential demographic confounds. Models are tested comparing kin and non-kin adopted youth to non-adopted youth, as well as the estimated effects of earlier versus later age at adoption to non-adoption. The models suggest modest differences in suicidal ideation during adolescence, early young adulthood, and young adulthood as a function of being adopted versus not-adopted and being adopted at age 4 years or later versus non-adoption. (PsycINFO Database Record (c) 2014 APA, all rights reserved) (journal abstract)",
      "authors": "Festinger, Trudy; Jaccard, James",
      "author_ids": "",
      "journal_or_venue": "Journal of the Society for Social Work and Research",
      "doi": null,
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      "record_key": "SWRD:46423",
      "source_database": "SWRD",
      "record_id": 46423,
      "year": 2012,
      "title": "Suicide Attempt Presentations at the Emergency Department: Outcomes From a Pilot Study Examining Precipitating Factors in Deliberate Self-Harm and Issues in Primary Care Physician Management",
      "abstract": "The aim of this study was to examine the psychosocial precipitating factors of people presenting to the emergency department (ED) due to attempted suicide. Demographic, diagnostic and service use data were collected for a 6-week period. All patients were referred for primary care physician (PCP) management, with a sample followed up for secondary analysis of precipitants to self-harm and follow-up outcomes. Results of the study showed that key psychosocial stressors that triggered suicidality were relationship issues and recent unemployment, with depression present in 92% of cases. While 83% of patients followed attended their first PCP appointment, 50% discontinued by 3 months. The conclusion of this study is that psychosocial crises and depression are key factors in suicide attempts. Assertive crisis intervention, facilitated linkage to community services, and greater monitoring are recommended.",
      "authors": "Joubert, Lynette; Petrakis, Melissa; Cementon, Enrico",
      "author_ids": "",
      "journal_or_venue": "Social Work in Health Care",
      "doi": "10.1080/00981389.2011.622673",
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      "screened_at": "2026-08-02T17:44:08.850220+00:00"
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      "record_key": "SWRD:46344",
      "source_database": "SWRD",
      "record_id": 46344,
      "year": 2012,
      "title": "Suicide: Foucault, History and Truth",
      "abstract": null,
      "authors": "Hempling, Leslie",
      "author_ids": "",
      "journal_or_venue": "Social Work in Mental Health",
      "doi": "10.1080/15332985.2010.528731",
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        "empirical_method": "Not applicable"
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      "screened_at": "2026-08-02T17:44:10.850747+00:00",
      "independent_manual_spot_check": {
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        "rationale": "The title is centrally about suicide and Foucauldian history; no abstract establishes an empirical design."
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    },
    {
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      "record_key": "SWRD:46543",
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      "record_id": 46543,
      "year": 2012,
      "title": "The Co-Occurrence of Mental Illness and High HIV Risk in a Sample of African American MSM: Findings and Implications",
      "abstract": "African American men who have sex with men often experience rejection and discrimination. Mental illness may contribute to high HIV risk behavior. We assessed the relationship between mental illness and HIV risk among African American men who have sex with men. We assessed 125 African American men who have sex with men aged 18 years or older in Ohio for mental illness, substance use, HIV knowledge, and risk. Bivariate analyses were conducted. Any mental illness was associated with substance abuse (p = .001), child abuse (p = .032), suicide attempts (p = .028), and trading sex for money or drugs (p = .002). Bipolar disorder was associated with trading sex for money or drugs (p = .008). Mood disorders appear undertreated among African American men who have sex with men. More adequate mental health and substance abuse treatment are needed both in the prison system and the community setting to reduce HIV risk and transmission.",
      "authors": "Loue, Sana; Daugherty-Brownrigg, Brittany; Heaphy, Emily; Mendez, Nancy; Sajatovic, Martha",
      "author_ids": "",
      "journal_or_venue": "Journal of HIV-AIDS & Social Services",
      "doi": "10.1080/15381501.2012.703561",
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      "model": "qwen3.6:27b",
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      "screened_at": "2026-08-02T17:44:15.942967+00:00"
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    {
      "input_index": 452,
      "record_key": "SWRD:45636",
      "source_database": "SWRD",
      "record_id": 45636,
      "year": 2012,
      "title": "Understanding Suicide: A Sociological Autopsy",
      "abstract": null,
      "authors": "Grimbly, Caroline",
      "author_ids": "",
      "journal_or_venue": "Qualitative Social Work",
      "doi": "10.1177/1473325012446944b",
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        "empirical_method": "Not applicable"
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      "model": "qwen3.6:27b",
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      "screened_at": "2026-08-02T17:44:20.617991+00:00",
      "screening_source": "Primary screen; blind audit agreement",
      "accuracy_audit": {
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        "random_seed": 20260802,
        "blind_screening": {
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          "relevance_rationale": "The title explicitly focuses on understanding suicide through a sociological lens, indicating suicide is the central substantive topic.",
          "evidence_class": "Non-empirical",
          "empirical_method": "Not applicable",
          "classification_rationale": "As a title-only record with no abstract to indicate data analysis or systematic methods, the conservative fallback for design is Non-empirical.",
          "confidence": "High"
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      "input_index": 453,
      "record_key": "SWRD:45426",
      "source_database": "SWRD",
      "record_id": 45426,
      "year": 2012,
      "title": "YOU CAN'T RECOVER FROM SUICIDE: PERSPECTIVES ON SUICIDE EDUCATION IN MSW PROGRAMS",
      "abstract": "Suicide is a profound worldwide public health problem that has received increased attention in recent years. The major federal response, the National Strategy for Suicide Prevention, calls for more suicide education for mental health professionals, including social workers. Little is known about the amount of suicide education in MSW curricula nationwide. This study presents quantitative findings from 2 national surveys of MSW deans and directors and of MSW faculty on suicide education and qualitative findings from a series of faculty focus groups. Results suggest that MSW students receive 4 or fewer hours of suicide education in graduate school, and most deans and faculty do not have plans to increase suicide content. Barriers include lack of faculty expertise, crowded curricula, and other educational priorities. Implications are discussed.",
      "authors": "Ruth, Betty J.; Gianino, Mark; Muroff, Jordana; McLaughlin, Donna; Feldman, Barry N.",
      "author_ids": "",
      "journal_or_venue": "Journal of Social Work Education",
      "doi": "10.5175/jswe.2012.201000095",
      "record_type": "journal-article",
      "database_method": "Mixed-Methods",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2359478459,
        "prompt_eval_count": 1085,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:44:22.979216+00:00"
    },
    {
      "input_index": 456,
      "record_key": "SSWR:2013-P-0074",
      "source_database": "SSWR",
      "record_id": "2013-P-0074",
      "year": 2013,
      "title": "Adolescent Suicide Triggered by Problems At School in Korea: Analyses Focusing On Depression, Suicidal Ideation, Plan and Attempt As Four Dimensions of Suicide",
      "abstract": "Purpose: Recently, issues related to adolescent suicide have received much attention in Korea. The rate of suicide is 22 for every 100,000 people in 2008—the highest in the world in that year. Problems at school have comprised the single largest catalyst of adolescent suicide in Korea, accounting for 11.7% of all suicides in this demographic group in 2010, for instance. Suicide has now become the most prevalent cause of death among Korean teenagers. This study aims to investigate adolescent suicide triggered by problems at school in Korea, by focusing on four dimensions of suicide: depression, suicidal ideation, plan and attempt. Methods: Data were collected from 664 middle- and high-school students in Korea; structural equation modeling analyses were utilized. Factors such as academic stress and school violence are considered as independent variables, while ego resilience, family resilience, and academic resilience are considered as mediators which are also protective factors. The dependent variables consist of four dimensions related to adolescent suicide: depression, suicidal ideation, suicidal plan, and suicidal attempt. Differences in the paths among models with different dependent variables are compared. Results: The results of the structural equation modeling analyses indicated that academic stress has positive effects on depression, suicidal ideation, and suicidal plan, but negative effects on family and academic resilience. School violence has positive effects on depression, suicidal ideation, plan, and attempt but negative effects on family resilience. Both ego and family resilience act as protective factors, negatively affecting depression and suicidal ideation. Ego resilience, however, has no significant effect on suicidal plan or attempt while family resilience has negative effects on all four dimensions. This study has confirmed that academic stress and school violence relate to adolescent suicide as risk factors. The effects of protective factors diminish in dimensions that are acute in nature, such as a suicide plan or attempt. Family resilience is a key protective factor in models of all four dimensions. Implications: A high level of academic stress at school does not necessarily lead to a suicidal attempt. However, it can become a risk factor that could lead to a suicidal attempt if a student suffers from a high level of stress while simultaneously experiencing depression and having ideas about a suicidal attempt—especially, if related symptoms worsen and timely treatment is not provided. Therefore, when adolescents reach a certain level of depression or suicidal ideation, it is extremely important to apply a direct intervention and selective treatment. Additionally, in order to reduce the amount of stress experienced by most adolescents in Korea, it is necessary to change the social atmosphere related to the Korean education system, as well as education policies that put too much emphasis on the university entrance examination. Instead of overly emphasizing academic achievements expressed in terms of the university entrance examinations, it is necessary to help adolescents find meanings in their lives in other areas. Similarly, it is necessary to encourage them to find a career path appropriate to their own capabilities and aptitudes.",
      "authors": "Jae Yeon Park; Ick Joong Chung; Eun Mi An",
      "author_ids": "112684; 112685; 112686",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3318098250,
        "prompt_eval_count": 1537,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:44:32.916017+00:00"
    },
    {
      "input_index": 458,
      "record_key": "SSWR:2013-P-0030",
      "source_database": "SSWR",
      "record_id": "2013-P-0030",
      "year": 2013,
      "title": "Depression Symptoms and Alcohol Use and Their Association with Suicidal Behavior Among Dominican Adolescents",
      "abstract": "Background and Purpose. The World Health Organization (WHO) has identified suicide behavior among young people as a worldwide public health concern. There is an increasing interest in understanding the role played by risk factors in the suicide attempts reported by adolescents living in developing countries.  Among the many risk factors influencing adolescent suicidal behavior (e.g., family history), depression and problematic alcohol use are two of the most important. This project aims to answer three questions: (1) What are the levels of depressive symptoms, problematic alcohol use, and suicidal behavior among adolescents attending public secondary schools in Dominican Republic? (2) Are depression symptoms, and problematic alcohol use associated with suicide attempts? (3) Is there an independent effect of problematic alcohol use on suicide attempts even when controlling for depressive symptoms among Dominican youth? Methods . For this report we drew data from the 566 questionnaires completed by adolescents who were attending two public secondary schools (grades 9 to 12) in urban and rural settings in Dominican Republic. Data was collected between January and February 2008. At each school, one classroom of students from each grade was randomly selected to complete the questionnaires (eight classrooms in total).  The outcomes and demographic measures were based on a modified Spanish version of the National Longitudinal Study of Adolescent Health.  Self-reported surveys included questions about risk behaviors (e.g., alcohol use), depression, and suicidal behaviors.  Data manipulation and analysis were performed using Stata Release 11 (StataCorp, College Station, TX, 2011). Results .  Dominican adolescent females reported higher rates of depressive symptoms and suicidal behavior than males (depression: 34.32% vs. 17.54%; suicide planning: 10.64% vs. 2.73%; suicide attempts: 13.43% vs. 5.36%).  Boys reported higher rates of lifetime alcohol use (81% vs. 74.93%).  The theorized relationship between depression symptoms, problematic alcohol use, and suicide attempts was confirmed by the data (Likelihood χ²=54.92, p<.0000).    Adolescents who were depressed had a 3.16 greater likelihood (p<.000) of attempting suicide that those who were not, when controlling for problematic alcohol use, age and gender.  Those adolescents who reported problematic alcohol were 4.78 times (p<.000) more likely to attempts suicide. Being a female increased the likelihood of attempting suicide by 2.51 times (p<.01) Conclusions and implications .  Consistent with the literature, Dominican adolescent females reported higher rates of depressive symptoms and suicidal behavior than males.  Boys, on the other hand, reported higher rates of lifetime alcohol use. Problematic alcohol use has a stronger independent direct effect than depressive symptoms on suicide attempts.  Thus, depression symptoms and problematic alcohol use increase the risk of suicide attempts among Dominican adolescents. This is an important finding, taking into consideration the higher levels of alcohol consumption and problematic alcohol use described for this sample.  This study has implications for social workers interested in depression, alcohol abuse and suicide prevention services development and implementation in Dominican Republic.",
      "authors": "Carolina M. Hausmann-Stabile; Juan B. Pe�a",
      "author_ids": "112385; 112503",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3375147792,
        "prompt_eval_count": 1606,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:44:39.728038+00:00"
    },
    {
      "input_index": 460,
      "record_key": "SSWR:2013-U-0277",
      "source_database": "SSWR",
      "record_id": "2013-U-0277",
      "year": 2013,
      "title": "Differences in Psychiatric Diagnosis Between Non-Lethal and Highly Lethal Adolescent Suicide Attempters",
      "abstract": "Background and Purpose: The medical lethality of a suicidal act, defined as the seriousness of the physical consequences or risk to life, is the main determinant of the likelihood of death following a suicide attempt. Identifying characteristics of those at particular risk for highly lethal suicide attempts is important for informing clinical intervention strategies aimed to prevent suicide in adolescents, because individuals who make highly lethal suicide attempts have been found to exhibit a similar risk profile to suicide completers. Relatively little is known, however, about the characteristics differentiating between non-lethal and highly lethal suicide attempts in adolescents. The aim of this study was to determine if psychiatric diagnosis differed among adolescents who made non-lethal and highly lethal suicide attempts. Methods: All psychiatric evaluations for adolescents who presented to an urban general hospital from 2006 to 2010 for a suicide attempt (N=375) were reviewed. The Lethality of Suicide Attempt Rating Scale II ( LSARS-II ) was used to measure medical lethality of suicide attempts, with LSARS-II scores of 0-1 representing non-lethal attempts, and scores of 5-10 representing highly lethal attempts. The sample of the current study consisted of 58 non-lethal and 20 highly lethal adolescent suicide attempters. Psychiatric diagnoses were derived from the psychiatric evaluation in the medical record, which were determined by licensed social workers, psychologists, or psychiatrists in accordance with DSM-IV-TR criteria.  Logistic regression was conducted to assess diagnostic differences between non-lethal and highly lethal suicide attempters, with gender and age covaried. Results: Depressive, disruptive, and anxiety disorders did not differentiate between non-lethal and highly lethal attempters in logistic regression analysis. However, substance abuse did differentiate between non-lethal and highly lethal attempters, with adolescents diagnosed with a substance abuse disorder being four and a half times more likely to have made a highly lethal attempt than those without the disorder ( p = 0.04, OR = 4.57). Gender and age did not differentiate between non-lethal and highly lethal attempts. Conclusions and Implications: Substance abuse was the only psychiatric diagnosis to differentiate between non-lethal and highly lethal suicide attempts in adolescents, with neither gender nor age showing a significant relationship. These results suggest the importance of substance abuse as a risk factor for highly lethal suicide attempts in adolescence, over and above the role of male gender and older age. These findings suggest the need for routine suicide risk assessments for adolescents receiving substance abuse treatment, and for standard assessment for substance use with suicidal adolescents. Limitations included the lack of structured diagnostic interviews, the low prevalence of bipolar disorder in the sample precluding its inclusion in the analysis, and the study’s cross-sectional design. Future research should focus on the development of effective treatment strategies for adolescents with co-occurring suicidality and substance abuse, as they represent a population at risk for making highly lethal suicide attempts.",
      "authors": "Kimberly H. McManama O'Brien; Richard T. Liu",
      "author_ids": "110756; 112713",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Unknown",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3107033833,
        "prompt_eval_count": 1526,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:44:46.197647+00:00"
    },
    {
      "input_index": 461,
      "record_key": "SSWR:2013-U-0286",
      "source_database": "SSWR",
      "record_id": "2013-U-0286",
      "year": 2013,
      "title": "Emotional Reactions of Victims of On-Line Harassment: Does the Relationship to the Harasser Matter?",
      "abstract": "In the past five years, the growing body of research around cyberbullying and negative online social interactions has focused on adolescent’s behavior (Ang 2010), but little attention is being paid to the emerging adult population (age 18 – 24).  Despite online rates comparable to adolescents, 93% are online and 72% use social networks (Lenhart et al., 2010), young adults have been either excluded from research or lumped into cyberbullying studies with 11-17 year olds (Blumenfeld & Cooper 2010). Studies have shown that negative emotional responses— such as depression, anxiety, and suicidal ideation—are common after experiencing online victimization (Annenberg Policy Center, 2010) but due to the dearth of studies conducted with emerging adults, little is known about whether they, too, experience these outcomes. This study attempts to fill this gap. An online survey was distributed to introductory social work classes in a large public university in the Southwestern United States from September to October 2010. Young adults in the sample (n = 342) represented 50 different majors; 24.5% were male and 74.9% female. The average age was 21.8 years (SD = 5.7); 53.1% of respondents reporting that they are white, 26% Latino, 7.4% black, 5.9% multiracial, 7.6% other. In order to measure experiences of harassment participants were asked: “In the past two years have you received threatening, insulting, harassing messages from…1) Someone you don’t know 2) Some you know 3) A significant other 4) A person after you asked them to stop?” with  possible responses ranging from (0) never to (4) 5+ times.  Emotional responses to online harassment were measured by asking “In the past two years have your on-line interaction ever left you feeling…1) anxious 2) depressed?”; (0) No and (1) Yes.  Logistic regressions were used to test the relationship between the amounts of harassment an individual experienced and negative emotional reactions. Separate models were run for all four relationship types controlling for gender, age and race. Receiving a harassing message from someone unknown to the respondent did not significantly predict experiencing depression or anxiety as a result of on-line interaction, however receiving a harassing message from someone known, as well as a significant other, indicated greater odds of reporting both negative emotions. Specifically, for every additional harassing message received 1) from someone known, an individual was 58% more likely to experience anxiety and 38% more likely to feel depressed from on-line interactions, 2) from a significant other, 85% more likely to experience anxiety and 38% more likely to experience depression, and 3) from someone the individual had asked to stop, they were 97% more likely to experience anxiety and 55% more likely to experience depression. Online communications are increasingly becoming an important space for social interaction that should be considered in social work practice. These findings indicate that for young adults negative emotional outcomes are more likely when the sender is known, suggesting that online violence can be understood better as an extension of relationship that occur off line. These finding have important policy and practice implication.",
      "authors": "Megan Lindsay; Jaime Booth; Jonel Thaller",
      "author_ids": "112721; 112129; 112338",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Unknown",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3320789917,
        "prompt_eval_count": 1644,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:44:49.520182+00:00"
    },
    {
      "input_index": 464,
      "record_key": "SSWR:2013-U-0006",
      "source_database": "SSWR",
      "record_id": "2013-U-0006",
      "year": 2013,
      "title": "Examining the Risk Factors for Denial of Equal Treatment in Social Welfare Services for Transgender and Gender Non-Conforming Clients",
      "abstract": "For years, transgender activists and their allies have indicated that transgender and gender non-conforming people frequently experience oppression in social welfare systems due to policies and practices that do not acknowledge non-binary experiences of gender and that punish and discriminate against trans people. Anecdotal evidence indicates that problematic practices include (a) using intake forms that ignore non-binary genders (Davis, 2008); (b) assigning people into facilities that are incongruent with their gender (Lombardi & Davis, 2006); and (c) treating trans people as if their genders are the “problem” by forcing them out of homeless shelters (Spade, 2006) or using transphobic justifications for denying access to welfare benefits (Blum et al., 2000). Few researchers have collected data from large samples of the transgender community. Additionally, scant research has attempted to distinguish the experiences of various subgroups within the transgender population (Davis, 2008). However, a recent study conducted by the National Center for Transgender Equality (NCTE) and the National Gay and Lesbian Task Force (Grant et al., 2011) breaks these trends and samples a much larger portion of the transgender community in the U.S. about experiences accessing health care, social services, education, and public spaces. This research project utilizes data collected from that survey. Purpose: The purpose of this research is to study the occurrence of unequal treatment of transgender and gender non-conforming individuals in social welfare settings. The research question is: Among transgender and gender non-conforming people, which demographic variables, psychosocial risk factors, and gender-related characteristics predict an increased risk for denial of equal treatment in social welfare settings based upon gender identity and gender expression? Methods: The NCTE/Task Force dataset was examined using secondary data analysis. Although this survey utilized a convenience sample, the geographic distribution of the 6,456 participants is said to approximately reflect the population distribution (Grant et al., 2011). The research question was examined using a series of logistic regression models. Results: Significant predictors for denial of equal treatment across all settings examined included having a disability, having engaged in sex work, and whether people could tell that one is transgender or gender non-conforming.  In 3 of the 4 models, being a person of color, having attempted suicide, having lost the support of at least one family member, and having had transition-related hormone treatments or surgery predicted a significantly higher risk of unfair treatment. In some of the models, lower income, lower education, being MtF, and being older were significant predictors of unfair treatment. Implications: Findings indicate that transgender and gender non-conforming individuals who hold other marginalized identities or have a history of psychosocial risks are more likely to have been thrown out of homeless shelters or denied equal treatment in social welfare settings due to gender identity and gender expression.  This presentation will detail implications for policy and practice with transgender and gender non-conforming people, such as the need for transgender-inclusive cultural competency trainings for agency staff and for practices that respect an individual’s pronouns, gender identity, gender expression, and preferred name.",
      "authors": "Kristie L. Seelman",
      "author_ids": "111253",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Unknown",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3340026959,
        "prompt_eval_count": 1586,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:44:59.497672+00:00"
    },
    {
      "input_index": 465,
      "record_key": "SSWR:2013-P-0034",
      "source_database": "SSWR",
      "record_id": "2013-P-0034",
      "year": 2013,
      "title": "Exploring Differences in Reasons for Suicidal Thoughts Among Middle and High School Students in a Rural School Mental Health System",
      "abstract": "Background & Purpose: Youth suicide is a national public health priority and of growing concern to schools, families, and communities. Data from the CDC indicate that suicide is the 3 rd and 4 th leading cause of death for 15-24 and 10-14 year olds, respectively. In response, many schools are strengthening their school mental health systems to include suicide prevention strategies. School social workers are critical within these efforts. Because of the oftentimes limited resources available, especially in many rural communities, it is critical to understand what contributes to youths’ suicidal thoughts to help advance prevention and early intervention efforts. Also, understanding potential differences that may exist in relation to broad demographic factors would help to further target these strategies. This study uniquely examines the following research questions in rural middle and high school students, 1) What are the underlying reasons youth attribute to their suicidal thoughts? 2) Are there differences in reasons for suicidal thoughts in relationship to grade-level, gender, and race/ethnicity? Methods: A sample of 4,291 6 th -12 th graders from a rural school district completed a suicide prevention program knowledge survey. One survey item, “ Have you ever had thoughts of hurting yourself?” was used to identify suicide risk based on responses of in the past year or past few days. Twelve percent of the sample was identified at-risk and in need of further assessment (n = 513). Over half of youth were in middle school (58%), and 54% were female. In relationship to race/ethnicity, 70% of adolescents were white, 23% black, 6% Hispanic, and 1% Asian. At-risk adolescents were assessed by a SMH staff member. As part of the assessment, youth identified life events and/or difficulties that contributed to their suicidal thoughts. These reasons were coded into one of twelve categories and served as the secondary data analyzed for this study. Data were grouped by family-related reasons (i.e., relationships with parents, parent separation/divorce, or family problems) and school-related reasons (i.e., feeling bullied, peer problems, and school problems) to examine demographic group differences. Descriptive and chi-square analyses were used to analyze the data. Results: Overall, family problems and feeling bullied were the most commonly reported reasons for suicidal thoughts. Developmental differences in youths’ reasons for suicidal thoughts was found (χ 2 (1,n=338)=4.58, p<.05). Among youth reporting school reasons, 71% were in middle school versus high school. Gender differences existed when comparing the type of school reason (χ 2 (2,n=76)=6.19, p<.05) with females comprising 80% of youth reporting peer problems, males comprising 85% of those feeling bullied, and females comprising 73% of those reporting school problems. Differences also existed when comparing family-related reasons. Females comprised 72% of youth reporting relationships with parents as the reason for suicidal thoughts (χ 2 (2,n=262 =5.11, p<.10). There was no support for any race/ethnicity differences. Conclusions/Implications: This study highlights the importance of addressing family and school problems through prevention and early intervention strategies. Preliminary support also was found for targeting these strategies in the face of limited resources. This study has important implications for research and policy on suicide prevention in schools.",
      "authors": "Aidyn Iachini; Melissa George; Rob Schmidt; Mark Weist",
      "author_ids": "110415; 112510; 112511; 112512",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3358503166,
        "prompt_eval_count": 1651,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:45:02.858322+00:00"
    },
    {
      "input_index": 466,
      "record_key": "SSWR:2013-U-0260",
      "source_database": "SSWR",
      "record_id": "2013-U-0260",
      "year": 2013,
      "title": "From Practice Wisdom to Evidence-Based Intervention: Developing the Family-Based Crisis Intervention (FBCI) for Suicidal Adolescents",
      "abstract": "Purpose: Suicide is the third leading cause of death of youth between the ages of 10 and 24 in the US ( CDC, 2009b ).  Despite an abundance of published conceptual discussions of suicide risk and protective factors, few evidenced-based suicide interventions exist ( NREPP, 2012 ).  Only two (Asarnow, Baraff, Berk et al., 2011; Rotheram-Borus, Piacentini, Van Rossem et al., 1999) have been implemented in the emergency department (ED) with suicidal adolescents.  Neither intervention yielded reductions in suicidality or hospitalization rates.  Noting a need for an ED-based intervention designed to address these two outcomes, the authors utilized  social work practice wisdom to develop a single-session family-based crisis intervention (FBCI). In this paper, the authors describe a series of three studies of FBCI to illustrate the evidence-based intervention development process (Pollio, 2006; Sheldon, 2001; Thyer, 2004). Methods: FBCI originated in a large New England teaching hospital after the authors noticed a substantial increase in suicidal adolescents being “boarded” in the ED while waiting for an inpatient psychiatric bed, thereby forgoing much needed psychiatric care. The authors discovered that an ED crisis intervention with these adolescents and families could often reduce suicidality and enhance coping skills in both the teen and parents, allowing many of these patients to return home safely, instead of waiting hours or days for psychiatric hospitalization.  First, the authors conducted an open trial of FBCI, in which demographic and clinical characteristics and disposition outcomes from the pilot sample (n=100) were compared to a retrospectively matched comparison group.  In the second study, the authors pilot tested a manualized version of FBCI.  The third study, a randomized clinical trial comparing patient outcomes between suicidal adolescents who received treatment as usual (TAU) and FBCI  commenced in January 2012 and is ongoing. Results: Results from the initial open trial reveal that patients receiving FBCI were significantly less likely to be admitted to inpatient psychiatric units than a matched retrospective comparison sample (35% vs. 55.3%; p<0.01) and were functioning well on follow-up. Results from the pilot study of the manualized version of FBCI showed comparable results (70% discharged home) as well as clinically significant reductions in suicidality and hopelessness. Outcome measures in the randomized clinical trial were further revised to include several patient-level psychometric measures of adolescent functioning, including family communication and empowerment as well as more system-level outcome measures, including ED recidivism, and additional services obtained. Implications: Too often, social workers are the master clinicians who wait for other disciplines to create and test clinical treatments. The process of developing and testing FBCI shows that social workers can (and should) use their practice knowledge to create and assess interventions with the overall goal of developing a body of social work-inspired evidenced based practice.  These studies illustrate how practice wisdom can be utilized to address an unmet need of a vulnerable population.  Future directions, including dismantling studies and effectiveness trials, will also be discussed.",
      "authors": "Elizabeth A. Wharff; Abigail M. Ross; Erina M. White; Katherine B. Ginnis",
      "author_ids": "112671; 110915; 112672; 112673",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Unknown",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3354187417,
        "prompt_eval_count": 1619,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:45:06.214630+00:00"
    },
    {
      "input_index": 467,
      "record_key": "SSWR:2013-P-0025",
      "source_database": "SSWR",
      "record_id": "2013-P-0025",
      "year": 2013,
      "title": "HIV Risk, Substance Use, and Suicidal Behaviors Among Asian American Sexual-Minority Women",
      "abstract": "Background & Purpose : Asian American sexual-minority adolescents often face rejection in their family and cultural community because non-heterosexuality is seen as a threat to the family system and a rejection of typical male and female familial roles (Chung & Katayama, 1998). This can create identity confusion and social isolation that contributes to a hostile and stressful social environment for Asian American sexual-minority females. Therefore, the sense of normlessness and social stigma can lead to mental health complications, substance use, and suicidality (Durkheim, 1951; Hahm et al., 2008; Meyer, 2003) among them . This study examined the role of being a sexual minority on 3 risky health behaviors: HIV risk, substance use, and suicidal behaviors among unmarried Asian American women. Thus, our hypothesis was that, after controlling for ethnicity, age, level of education, birthplace, and acculturative stress, being a sexual minority would be independently associated with increased odds of HIV risk, substance use, and suicidal behaviors among young Asian American women. The analysis that follows describes the general characteristics, HIV risk, substance use, and suicidal behaviors in a sample of young Asian American women and compares differences in the proportions of these risks between heterosexual and sexual-minority Asian American women. Methods: This study was part of a larger cross-sectional study (Asian Women’s Health Initiative Project, AWSHIP) designed to examine the prevalence of HIV risk behaviors and mental-health functioning among Chinese, Korean, and Vietnamese women who are children of immigrants, ages 18 to 35 using computer-assisted survey interviews (CASI). Sexual minority status was assessed by asking participants, “How do you describe your sexual orientation?” The sexual orientation in our study was established on a question with nonexclusively heterosexual as the definition of sexual minority. Of the 704 Asian American women who completed the survey, χ 2 tests were used to compare the prevalence of the behavioral outcomes of interest among women by sexual-minority status. Additionally, we fit a series of multiple logistic regression models to estimate the relative contribution of sexual-minority status on the health risk behaviors including HIV risk (multiple sex partners, anal sex, sex while drinking or taking drugs & risky sexual partners), substance use (illegal drug use, marijuana use & binge drinking), and suicidal behaviors (suicidal ideation & attempts). Results: Approximately one out of five Asian American women identified themselves as a sexual minority (18%). Overall, Asian American sexual minority women reported higher proportions of health risk behaviors, compared to exclusively heterosexual counterparts. After controlling for ethnicity, age, level of education, birthplace, and acculturative stress, being a sexual minority woman was associated with 2 to 3 time greater odds of being engaged in HIV risk behaviors; 1.5 to 3 times greater odds of using various substances, and 2 times greater odds of ever having suicide ideation. Conclusions: Asian American sexual minority women have alarming risks of HIV, substance use, and mental health problems. These findings suggest that rigorous screening is necessary to identify this group and underscore the need for better assessment, and for better provision of services.",
      "authors": "Jieha Lee; Hyeouk Chris Hahm",
      "author_ids": "109064; 108114",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3305917041,
        "prompt_eval_count": 1590,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:45:09.521886+00:00"
    },
    {
      "input_index": 468,
      "record_key": "SSWR:2013-X-0010",
      "source_database": "SSWR",
      "record_id": "2013-X-0010",
      "year": 2013,
      "title": "How Are Mothers Impacted by Their Adolescent's Suicide Attempt? �Things Are Never the Same�",
      "abstract": "Background and Purpose: Suicidal behavior is a major mental health problem among adolescents.  In order to effectively intervene with youths who have made suicide attempts and their families, it is important to consider how their mothers are affected by their suicidal behaviors.  Mothers’ reactions to their adolescent’s suicidal behavior can vary considerably; their reactions may impact their interactions with adolescents, parenting practices, and follow-through with treatment recommendations.  Nonetheless, few studies examine how mothers are impacted by their adolescent’s suicide attempt.  Such research has direct implications for addressing the mental health needs of mothers and the ways in which mothers can be most effectively involved in the treatment of suicidal adolescents.  The purpose of this study was to address this gap in the literature by exploring mothers’ reactions and experiences after their adolescent attempted suicide. Methods: This study used data collected for a NIMH-funded research study designed to examine the reactions of 288 mothers of hospitalized adolescents that made recent suicide attempts and mothers of adolescents who were hospitalized for other reasons.  The mothers are assessed at 1, 3, 6, and 12 months following youths’ discharge from the hospital. The current analysis focused on qualitative data collected during the first assessment from 16 randomly selected mothers of adolescents who attempted suicide.  Semi-structured interviews were conducted by trained Master- or Doctoral-level staff.  Interviews lasted between 20 and 40 minutes and were digitally recorded and transcribed.  Nvivo 9 qualitative software was used for data management and as a tool for data analysis.  Using an iterative process, six individuals collaborated to develop a codebook.  Emergent themes were systematically identified via grounded theory methods.  Inter-rater reliability was achieved when coding reached 75% agreement. Results: Although mothers varied in their reaction to their adolescent’s suicide attempt (e.g., anger, confusion, disbelief), most mothers reported changing how they supervised and monitored their adolescent.  Mothers also reported changes in their relationships with their adolescent (e.g., more communication) and with others (e.g., seeking additional supports and fewer interactions with others because of concerns about stigma).  Mothers encountered barriers to treatment (e.g., access to care, cost) and challenges with communicating with mental health providers.  Mothers provided suggestions on how to improve the mental health system and indicated the need for additional supports (e.g., support groups, pamphlets) to help them cope.  The interviews revealed the mothers’ insight into how their adolescent’s coping and emotions impacted their emotional experience. Conclusions and Implications: Results from this study suggest that mothers would like to be more involved with their adolescent’s treatment providers and that mothers frequently question their parenting practices because they feel like they are “walking on egg shells.” This study provides practice implications for mothers of youths who have attempted suicide.  Specifically, mothers need more emotional support and may benefit from formal and/or informal support groups.",
      "authors": "Bridget E. Weller; Otima Doyle",
      "author_ids": "109228; 110149",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Other",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3090901334,
        "prompt_eval_count": 1517,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:45:12.614545+00:00",
      "screening_source": "Primary screen; blind audit agreement",
      "accuracy_audit": {
        "sample_group": "Qualitative",
        "random_seed": 20260802,
        "blind_screening": {
          "is_relevant": true,
          "relevance_rationale": "The study centrally focuses on the experiences and reactions of mothers following their adolescent's suicide attempt, which falls under suicide bereavement/survivors and postvention contexts.",
          "evidence_class": "Empirical",
          "empirical_method": "Qualitative",
          "classification_rationale": "The abstract describes a primary data analysis using semi-structured interviews and grounded theory methods to identify emergent themes from qualitative data.",
          "confidence": "High"
        },
        "full_label_agreement": true
      }
    },
    {
      "input_index": 469,
      "record_key": "SSWR:2013-P-0055",
      "source_database": "SSWR",
      "record_id": "2013-P-0055",
      "year": 2013,
      "title": "Intimate Partner Homicides Among Asian Immigrants",
      "abstract": "Background and Purpose: Research on domestic violence has begun to pay more attention to Asian Americans with the increase in the number of Asian immigrants in the US and the concerns about intimate partner violence and homicides among immigrants groups (Raj & Silverman, 2002). A study of homicides in New York City from 1990 to 1999 found significantly more victims identified as Asians were killed by an intimate partner than by a non-intimate (Frye, Hosein, Waltermaurer, Blaney, & Wilt, 2005). However, there has been substantially less work focusing on intimate partner homicides (IPHs) among Asian immigrants. Studies on Asian populations tend to aggregate various ethnic groups, not accounting for cultural heterogeneity among Asians. Furthermore, there is a general lack of research on gender differences in IPHs across ethnic subgroups of Asian immigrants. Understanding ethnic/gender differences is important for the identification of at-risk groups of Asians and targets for prevention efforts. Therefore, the purpose of this study was to identify gender differences in characteristics of IPHs among different ethnic sub-groups of Asian immigrants. Methods: This research is based on newspaper clippings obtained from the Asia Pacific Islander Institute of Domestic Violence, the National Domestic Violence Fatality Review Initiative, advocates and service providers, and femicide reports from the state coalitions of Minnesota, Oregon, Texas, Washington and Wisconsin.  The study included IPH cases among Asians (N=125) that occurred between January 2000 and December 2005 in the United States. The sample was 50% South-east Asian, 22% East Asian, 20% South Asian, and 8% other Asian and Pacific Islander ethnic-subgroup. Data were analyzed using descriptive and bivariate statistics. Results: Men were more likely than women to kill their intimate partners, and to commit IPH-suicides. This gender gap was apparent across all Asian ethnic sub-groups. Men in their 30s and women in their 40s were at highest risk for perpetrating IPH. The average age gap between male perpetrators and their female victims ( M =6.3) was significantly greater than the average age gap between female perpetrators and their male victims ( M =3.2). Most killings occurred among current marital partners. However, compared to women, men were more likely to kill their former partners. Stabbing was the most common killing method used by both men and women. In more than a quarter of IPHs, the perpetrator committed suicide. IPH-suicides cases were characterized by old age of partners, partners in marital relationships, and use of guns as a weapon of choice. Among all Asian ethnic sub-groups, most IPHs and IPH-suicides occurred among South-east Asian immigrants. Implications for Practice: As reported in studies on other racial/ethnic groups, Asian women comprised a disproportionately higher percentage of IPH victims than men. Although prior violence in the relationship is a risk factor for homicide, cultural and immigrant-related barriers may restrict women from seeking help in abusive relationships. This calls for education and awareness about dangers of abusive relationships among Asian communities, culturally competent risk/danger assessment, and initiatives targeting their unique needs, to reduce the risk of IPHs among Asian immigrants.",
      "authors": "Bushra Sabri; Jacquelyn Campbell; Chic Dabby",
      "author_ids": "109391; 112325; 112619",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3310744542,
        "prompt_eval_count": 1598,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:45:15.927105+00:00"
    },
    {
      "input_index": 470,
      "record_key": "SSWR:2013-U-0139",
      "source_database": "SSWR",
      "record_id": "2013-U-0139",
      "year": 2013,
      "title": "Normative Rates of Depression, Suicide and Well-Being for Military and Nonmilitary",
      "abstract": "Purpose: Family conflict and unexpected life altering events can be disorienting and stressful to youth. Deployments are associated with behavior problems in general, and externalizing and internalizing behaviors, including stress disorders, conduct problems, and symptoms of ambiguous loss. Most studies emphasize that younger children with a deployed parent are at greater risk for developing mental health problems; there is scant survey research on the impact deployment has on adolescents’ mental health and no identified literature on the influence of having a military sibling on mental stress. To better understand the relationship between military connectedness and adolescent mental health, this study examines how military connectedness (parent and/or sibling) and deployment influence adolescent mental health. Methods: Data from the 2011 California Healthy Kids Survey were used to examine four assessments (suicidal ideation, feeling sad/hopeless, positive affect, negative affect) of mental stress by military connectedness among a subsample (N=14,931) of 7th, 9th and 11th grade California adolescents. Cross-classification tables and multiple logistic regression were utilized. Results: Military-connected youth were more likely to be older and identify as Asian or Hispanic. Nonmilitary affiliated youth were significantly less likely to report feeling sad/hopeless in the last two weeks (X2=7.91, p<0.05) or report suicidal ideation (X2=25.1, p<0.0001) as compared to their military-connected counterparts. In regression models, while military connectedness was not associated with feeling sad or having thoughts of suicidal ideation, number of deployments increased mental stress both in the single-item measures(suicide 1.17; CI 1.07-1.27 and sad/hopeless 1.26; CI1.18-1.34) and the negative affect scale (1.18; CI 1.11-1.26). Conclusions: This study is one of few to use a normative sample to explore the mental health of military-connected adolescents. Training for mental health providers, both in school and clinical settings, must be bolstered to increase understanding of the unique needs of military-connected children. This may be particularly important given the number of families who utilize healthcare providers outside of a military-specific setting, specifically families of Reservists and National Guard. Early detection of potential mental health stressors allows for early intervention, reducing long-term and severe outcomes. Coupled with this, mental health needs should be supported through development of a systematic referral systems and collaboration with community based mental health centers.",
      "authors": "Julie A. Cederbaum, PhD; Tamika D. Gilreath; Rami Benbenishty, PhD; Ron Avi Astor; Diana Pineda; Kris M. Tunac De Pedro; Monica C. Esqueda; Hazel Atuel",
      "author_ids": "110863; 111773; 109814; 109262; 112138; 112127; 112143; 108418",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Unknown",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3083980000,
        "prompt_eval_count": 1463,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:45:19.013291+00:00"
    },
    {
      "input_index": 471,
      "record_key": "SSWR:2013-U-0213",
      "source_database": "SSWR",
      "record_id": "2013-U-0213",
      "year": 2013,
      "title": "Possible Selves and Risk Behavior Among Adolescents in Conflict with the Law in the Hashemite Kingdom of Jordan",
      "abstract": "Background: Possible selves describe a personalized future-oriented form of self-concept that is linked to ideas about who we believe we can be (expected selves) and who we are afraid of becoming (feared selves). Research finds that individuals who possess clear ideas and goals about what they desire to do, be, or be like in the future are more likely to put forth the effort necessary to actualizing these possible selves. However, little is known about possible selves among Arab adolescents in the Middle East, particularly those residing in institutional settings. The current study has two key objectives: (1) to describe the possible selves and strategies for achieving those selves of Jordanian youths residing in juvenile detention centers (JDCs); and (2) to explore the relationship between possible selves, risk behaviors, and internalizing/externalizing problems. Methods: The study uses survey and case file data from interviews conducted with 187 adolescent boys residing in JDCs across Jordan as part of the Community-Family Integration Teams Project (C-FIT) Screening Study. Possible selves were assessed using standardized questionnaire asking youths to describe their expected and feared possible selves as well as strategies to achieve or avoid the future self. Content analysis and bivariate tests of association were used to describe the possible selves and their associations with behavioral and emotional problems. Results: Ninety-percent of youths report having an expected self, primarily related to achievement-related goals (e.g., getting a job). Slightly less (87%) youths reported at least one feared self, with a majority of these related to non-normative behaviors (e.g., getting in trouble). Most future selves had a strategy attached to them. About 60% of feared strategies qualified as relevant and effective discrete tasks; whereas among the expected selves strategies, 60% were relevant to attaining the future self, 52% qualified as effective, and only 45% were discrete tasks. Sixty-percent of both expected and feared strategies were self-regulated, with the youth taking a central active role in the planned approach to achieving the future self. Experiencing physical abuse was significantly associated with reporting fewer strategies and with strategies of poorer quality than youths without a report of physical abuse. Statistically significant differences in the presence of feared selves and their related-strategies were found with regard to discouragement about the future, suicidal ideation, symptoms of affective disorder, aggressive behavior, and conduct problems. Conclusions: Findings suggest that Jordanian youths in detention have a clearer vision of how to avoid becoming their feared future selves than of how to realize their expected selves. Additionally, youths lacking clear self-regulated strategies for avoiding their feared selves show higher levels of suicidal ideation, as well as affective disorders and conduct problems. In contrast, the presence of achievement-related future selves may serve as a protective factor against externalizing behavioral problems. A growing body of international research highlights the risks associated with institutionalized responses to youth in conflict with the law. Findings underscore the need to help detained youth consider their future possibilities and to increase skills in developing effective and self-regulated strategies for reaching these goals.",
      "authors": "Kathryne B. Brewer; Michael J. MacKenzie; Robin E. Gearing; Craig S. Schwalbe; Rawan W. Ibrahim",
      "author_ids": "112037; 108580; 109445; 108956; 112036",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Unknown",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3294234334,
        "prompt_eval_count": 1561,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:45:22.309300+00:00"
    },
    {
      "input_index": 472,
      "record_key": "SSWR:2013-U-0378",
      "source_database": "SSWR",
      "record_id": "2013-U-0378",
      "year": 2013,
      "title": "Reducing the Effects of Homelessness On Adolescents and Their Families by Embedding Evidence-Informed Prevention Programs within Shelters: The HOPE (Homeless Outreach To Parents And Early Adolescents) Family Program",
      "abstract": "Purpose and Background: A growing number of adolescents residing with their families experience extended periods of homelessness and housing instability.  As a result, these youth are increasingly likely to experience compromised child mental health, health, academic performance as well as manifest increased sexual and drug risk taking. Embedded within shelter systems servicing over one million homeless children across the U.S. are providers who have the unique opportunity, not only to enhance housing stability, but also to interrupt emerging youth difficulties before developmental outcomes are compromised.  However, few brief, evidence-based, preventative interventions are available which align with the serious needs of adolescents and their families experiencing significant stressors and transitions. In response, the HOPE Family Program was designed to enhance family-level protective processes, as well as promote early identification and service referral of highly vulnerable youth.  Results from a recently completed NIDA-funded effectiveness study (R01 DA018574) will be presented for the purpose of guiding public policy makers and publicly-funded homeless service systems.  This study tests the hypothesis that the HOPE Family Program, relative to the comparison group (health education) would result in improved youth risk-taking behavior, mental health status, and parent/family-level protective processes. Methods:  The HOPE Family Program was examined via an experimental effectiveness study involving 247 youth (ages 11-14) and their families residing in ten family homeless shelters nested within urban, low-income communities. Participants were randomly assigned to one of two study conditions:  1) HOPE or; 2) health education family workshops.  Outcomes related to youth risk taking behavior, mental health and parent/family-level protective processes were captured via a set of standardized assessments at three time points, baseline, post-intervention (8 weeks) and 3 month follow-up (5 months from baseline). Random regression modeling was used to examine multi-level outcomes across time. Findings:  Both study conditions were associated with statistically significant improvements on HIV knowledge and stigmatizing attitudes towards persons with HIV over time.  However, only participation in the HOPE Family Program was associated with improvements in youth mental health (e.g. emotional symptoms; conduct problems; total difficulties).  Youth reports of suicidal ideation decreased over time for youth in HOPE Family Program only.  The HOPE Family Program was also associated with significant improvements in frequency of family communication regarding difficulty topics, within family support and youth reports of confidence about engaging in safe sex over time. Implications: As poverty rates in the U.S. increase, family homelessness is likely to be a serious and more prevalent stressor for a larger number of young people.  The stigma that accompanies homelessness may have a significantly greater impact on older youth as they are aware of their social circumstances and experience related distress associated with neighborhood, peer, and school transitions.  Shelter staff are in unique positions to offer both concrete supports and linkages, but also can be prepared to provide brief, evidence-based preventative care to reduce some of the negative effects associated with homelessness.",
      "authors": "Latoya A. Small; Mandy McGuire-Schwartz; Mary M. McKay",
      "author_ids": "112806; 112807; 108769",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Unknown",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3320392917,
        "prompt_eval_count": 1559,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:45:25.631307+00:00"
    },
    {
      "input_index": 474,
      "record_key": "SSWR:2013-U-0451",
      "source_database": "SSWR",
      "record_id": "2013-U-0451",
      "year": 2013,
      "title": "Screening for Current or Past Symptoms of Depression, Anxiety, and Suicidal Ideation",
      "abstract": "Background and Purpose: The passage of the 2010 Patient Protection and Affordable Care Act (PPACA) signaled a change in the approach to health care away from specialty services and towards primary care services. One of those changes is the increased integration of physical and behavioral health care in primary care settings. For mental health services to youth, the focus on primary care holds promise:  nearly 70% of adolescents visit a primary care provider (PCP) each year and many adolescents report a willingness to talk to their medical provider about mental health problems. As a result, there is a growing interest in the feasibility of screening adolescents for mental health problems in primary care.  It has been estimated that 9% of adolescent patients are experiencing depression, 6-20% are suffering from an anxiety disorder, and 13% are having suicidal thoughts. Consequently, best practice recommendations now encourage screening for behavioral health concerns at least at a pediatric well visit, but preferably at all visits. One of the limitations of current screening tools is that most only ask about symptoms in the past week or two. This presents particular limitations because a high percentage of patient contact is at a yearly well visit. Serious behavioral health concerns may go undetected if patients are only asked once a year about symptoms in the past two weeks. Therefore, the purpose of this study is to examine whether additional high risk youth are identified when screening for past year symptoms of depression and anxiety, and lifetime symptoms of suicide ideation.  A second purpose is to examine if frequency, in addition to presence, of past symptoms is associated with increased odds of endorsing risk behaviors. Methods: 415 adolescents, aged 12 – 21 years old (M = 15.8, SD = 2.2) completed the Behavioral Health Screen in four urban primary care offices.  The BHS assesses current and past symptoms and is a web-based, psychosocial screening tool designed for primary care settings. Simple descriptive statistics odds ratios were used to answer the research questions. Results: When asked about symptoms in the past year, even with the absence of current symptoms, an additional 22% of adolescents endorsed depression symptoms, 9% endorsed anxiety symptoms, and 13% reported suicidal ideation (in their lifetime).  Adolescents who endorsed symptoms in the past had significantly greater odds of displaying other risk behaviors than those who endorsed no symptoms at all, but lower odds than those with current symptoms.  Youth reporting frequent past symptoms had a similar level of risk for other psychiatric and risk behaviors, as those patients who endorse current symptoms . Conclusions and Implications: The 2010 PPACA has provided a financial incentive to integrate physical and behavioral health care in primary care. This presents a significant opportunity for social workers to provide mental health services to youth in primary care settings. By screening for current and past symptoms, the BHS provides more accurate identification of youth with serious depressive and anxiety symptomology and suicidal ideation.",
      "authors": "Jonathan B. Singer",
      "author_ids": "108916",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Unknown",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3332227625,
        "prompt_eval_count": 1538,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:45:32.063077+00:00"
    },
    {
      "input_index": 475,
      "record_key": "SSWR:2013-U-0262",
      "source_database": "SSWR",
      "record_id": "2013-U-0262",
      "year": 2013,
      "title": "Separation From a Parent Through Age 16 As a Contributing Factor to Severe Mental Health Conditions in a General Population Study in the US: Considerations for Practice, Programming and Research",
      "abstract": "Background and Purpose: Understanding  the impact of childhood stressors on mental health outcomes is of critical importance to social workers  in the arenas of child welfare and mental health practice, programming and policy.  In this study we examined whether adults who had been separated from a parent during childhood are at increased risk for a range of mental health conditions, specifically Post-Traumatic Stress Disorder (PTSD), Major Depressive Disorder (MDD), Suicidal Ideation (SI),  and Psychotic Experience (PE). Methods: We  explored the impact of separation from parents through age 16 on mental health outcomes  among participants in the National Comorbidity Survey Replication, a cross-sectional survey conducted in the US between 2001 and 2003 that examines the prevalence and correlates of mental health disorders in the general population. The overall sample included 9282 adults.  Among those responded to the item inquiring whether they experienced childhood separation from one or both parents for more than six months prior to age 16 (n = 6625), we identified four subsamples, including those who had experienced death of a parent (n =  409),   parental separation/divorce (n = 1377), placement in foster care (n = 21), and leaving home (n =  41).  We then calculated the Adjusted Odds Ratios (AOR; controlling for demographics) for PTSD, MDD, SI, and PE for each separation factor. Results:   Approximately 31% (2055/6625)  had been separated from a parent for a prolonged period during childhood. Such separation  was associated with increased risk for PE, PTSD, and SI. Risk for PE was especially heightened for those ever in foster care (OR=3.93, p < .05) or who had left home (OR=4.04, p < .01). Risk for lifetime SI was likewise elevated for these two specific groups, especially foster care (OR=5.34, p < .01). Risk for lifetime PTSD was greatest for those who had been in foster care (OR=4.44, p < .01) but not for those who had left home for other reasons (OR=1.39). Parental separation or divorce was also a significant risk factor for PTSD (OR=1.42, p < .05) and SI (OR=2.13, p < .001);  parental death was a significant risk factor for PTSD (OR=1.42, p < .05) only. Of note, risk for MDD was not significantly different for individuals who had been separated from a parent (OR=.99). Taken together, these findings suggest that childhood separation from a parent increases risk for severe mental health outcomes, especially if this separation included foster care or otherwise leaving  home prior to age 16. Conclusions and Implications: The findings support the need for increased attention to the challenges faced by those who have faced separation from a parent during the formative years. Future studies should attempt to replicate these findings by prospectively following youth separated from parents, especially those in foster care. Identifying  needs and building on assets of children and teens who face such traumatic loss through age 16 would help professionals develop family and individually focused interventions, programs and policies that serve to prevent and treat mental health issues as they emerge and before they become entrenched.",
      "authors": "Ellen P. Lukens; Jordan E. DeVylder",
      "author_ids": "108352; 112063",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Unknown",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:45:35.655371+00:00"
    },
    {
      "input_index": 479,
      "record_key": "SSWR:2013-P-0067",
      "source_database": "SSWR",
      "record_id": "2013-P-0067",
      "year": 2013,
      "title": "Tipping the Scale: Examining Perceived Versus Actual Weight Status in Predicting Suicidal Ideation in African American, Latino and Caucasian Adolescents",
      "abstract": "Background: Suicide is the third leading cause of death among youth, spurring the U.S. Surgeon General to emphasize the need for an improved understanding of risk and protective factors.  In an increasingly diverse society, the elucidation of pathways to suicidal phenomena in different ethnic groups is critical to advancing culturally-tailored prevention programming.  An emerging body of evidence suggests that actual and perceived weight status may influence suicide risk.  However, the author is not aware of current work examining the impact of actual and perceived weight status on suicidal ideation within African American, Latino and White adolescents by gender. Purpose: The current research will aim to examine the influence of actual and perceived weight status on suicidal ideation among subgroups of African American, Latino and White adolescent males and females while controlling for well-established risk factors. Methods : Secondary data analyses were performed using data from African American (N=3343), Latino (N=2063) and White (N=6117) adolescents that participated in the Youth Risk Behavior Survey. The YRBS consists of a nationally representative sample (N=13,917) of 9 th to 12 th grade high school students. Measures of actual and perceived overweight status, history of victimization, tobacco, alcohol and illicit drug use as well as sadness/hopelessness were derived from items on the YRBS survey. Using suicidal ideation as the outcome variable, a series of logistic regression analyses were performed to examine the relative contribution of various measures of weight status along with other well-known risk factors from the adolescent suicide literature.  Separate logistic regression analyses were conducted for African American, Latino and White males as well as females, producing six distinct models. Results: Among males, both Latinos (OR=2.04, CI=1.16, 3.60) and Whites (OR: 1.78, CI=1.23, 2.57) perceiving themselves to be overweight were more likely to report suicidal ideation than males who did not perceive themselves to be overweight.  No relationship was found among any of the groups for actual overweight status. Among females, both African Americans (OR=1.62, CI=1.07, 2.47) and Whites (OR: 1.73, CI=1.33, 2.27) perceiving themselves to be overweight were more likely to report suicidal ideation than females who did not perceive themselves to be overweight.  Similar to the male groups, no relationship was found among any of the groups for actual overweight status.  There was also evidence of distinct risk profiles for suicidal ideation by race and gender for other well-established factors. Conclusions and Implications: The current work suggests that while actual weight is not associated with suicidal ideation, perceived weight may differentially affect suicidal ideation across ethnic and gender groups.  Broad-based programming may be impractical and poorly targeted programming may be ineffective in addressing cross-cultural youth suicide, prompting the need for cultivated programming that fits the risk profile within different ethnic and gender groups; the present findings can guide such program development.  Increasing obesity in tandem with the marketing of unrealistic body images in our society fosters conditions that may shift the pendulum of perception, thus elevating suicide risk; in such an impressionable population, we cannot afford to wait to understand this phenomenon.",
      "authors": "Anthony Fulginiti",
      "author_ids": "112190",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:45:48.691167+00:00"
    },
    {
      "input_index": 480,
      "record_key": "SSWR:2013-U-0221",
      "source_database": "SSWR",
      "record_id": "2013-U-0221",
      "year": 2013,
      "title": "Underreporting of Harms in Pharmaceutical Company-Sponsored Psychotropic Drug Research: The Need for Social Workers' Increased Involvement in Medication-Related Issues",
      "abstract": "Background: In the modern U.S. mental health system, no treatment has received the political attention and financial investment that psychotropic medications have benefitted from. As primary stakeholders in mental health care, pharmaceutical companies invest vast resources to research, market, and promote psychotropic medications, but have come under intense public scrutiny in recent years as the practice of deliberately concealing and minimizing medications’ risks and harms has been revealed. Purpose: To examine the extent and quality of reporting of serious adverse events and psychiatric adverse events across Internet-registered clinical trial reports and peer-reviewed journal publications for popularly prescribed psychotropic medications. As social workers routinely work with medicated clients across a variety of practice settings, increased understanding of possible distortions of the drug treatment evidence base is essential for advancing roles as medication monitors and interdisciplinary collaborators and for ensuring the safety of medicated clients. Methods: Internet-registered clinical trial reports and the first peer-reviewed journal publication associated with each report were retrieved for six psychotropic medications (Abilify, Geodon, Zyprexa, Strattera, Cymbalta, Zoloft). Data collection resulted in 142 pairs of online reports and print publications, reporting on more than 35,000 drug-treated participants. Three coders independently tallied the number and types of serious and psychiatric adverse events in each report and publication. Results: Rates of serious adverse events ranged from a low of 0.6% in print publications of Strattera (2.1% in Strattera’s online reports) to a high of 10.5% in online reports of Geodon (7.3% in Geodon’s print publications). Across the six medications, only 28.5% of deaths appearing in online reports were also reported in print publications, as well as 30% of completed suicides, 25.8% of cases of suicidal ideation or suicide attempts, and 17.7% of cases of new or worsened psychiatric adverse events. On average, nearly half of online reports and print publications that reported the number of serious adverse events failed to describe the nature of the event. Conclusions and Implications: Underreporting and selective reporting of serious and psychiatric adverse events was common in this sample of studies from six psychotropic medications. A lack of full and accurate reporting of possible drug harms in peer-reviewed literature - the primary outlet for disseminating drug research - damages the credibility of the evidence base and places treatment professionals in the precarious position of making benefit-to-risk assessments based on uncertain information. In light of this, the subjective experience of the medication consumer should be at the center of treatment decision-making. Social workers should help clients monitor the effects of medication, paying careful attention to the possibility of a drug-induced worsened psychiatric condition, elicit clients’ feelings and subjective perceptions of the medication experience, and collaborate with prescribers to improve rational treatment decision-making. Until the pharmaceutical industry is displaced as the primary stakeholder in mental health care, for example, through policies that remove control of research from drug manufacturers and support the expansion of psychosocial treatment alternatives, social workers should be critical consumers of drug information and vigilant in helping to ensure the safety of medicated clients.",
      "authors": "Shannon Hughes",
      "author_ids": "110849",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Unknown",
      "database_method": "quantitative",
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      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:45:52.037119+00:00"
    },
    {
      "input_index": 481,
      "record_key": "SSWR:2013-P-0106",
      "source_database": "SSWR",
      "record_id": "2013-P-0106",
      "year": 2013,
      "title": "Where Is Family-Based HIV Prevention Needed Most: Poverty, Homelessness & Family-Level Mental Health Need As Critical Influences On Youth Outcomes",
      "abstract": "Background: The threats of HIV exposure, substance use, and mental health difficulties are significantly increased for those youth who reside in inner-city communities and who experience an associated range of urban “toxins,” particularly high rates of poverty, exposure to violence and resource scarcity. For those youth who experience homelessness along with accumulated risks (e.g. parent with mental health or substance abuse difficulties, extended family instability), factors appear to converge to place them at the highest risk for overlapping difficulties, particularly behavioral risk-taking. Methods: This paper presents findings from a secondary analyses of baseline data of a sample of 335 youth and their families living in 10 family homeless shelters in poverty-impacted urban communities in the US. This data was collected in 2008-2010 as part of a NIDA-funded large scale field trial (R01 DA018574) . Standard measures tapped the following constructs:  1) family communication; 2) within family support; 3) supervision and monitoring; 4) family conflict; 5) youth alcohol and drug use and; 6) depression and suicidal ideation; 7) adult mental health and; 8) youth HIV knowledge. Multivariate analytic approaches were applied. Results: Subgroup analyses revealed that youth were residing with parents who reported extended periods of homelessness, as well as serious adult need. They were: a) 3 times more likely to indicate low parent-child communication and within family support; b) 5 times more likely to report low protective parenting processes, such as supervision and monitoring; c) 3 times more likely to evidence conduct difficulties; d) 7 times more likely to have high levels of distress in relationships with their parents; e) 4 times more likely to have used alcohol and marijuana; f) twice as likely to report suicidal ideation. Further, multivariate analyses revealed a significant interaction between length of homelessness, multiple episodes of housing instability, adult caregiver mental health needs and youth outcomes (e.g. HIV knowledge, mental health). Implications: Youth living in poverty have differing levels of need and face various risk factors.  Homeless adolescents face the greatest level of deprivation and warrant specific interventions to protect them from dangerous environmental toxins.  In an era of scarcity of resources supporting youth-focused HIV prevention, targeting youth and families most in need of evidence-based prevention programming is critical.",
      "authors": "Latoya A. Small; Tricia Stephens; Mary M. McKay; Robert Hawkins",
      "author_ids": "112806; 112818; 108769; 109198",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
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      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:45:55.114717+00:00"
    },
    {
      "input_index": 482,
      "record_key": "SSWR:2013-U-0094",
      "source_database": "SSWR",
      "record_id": "2013-U-0094",
      "year": 2013,
      "title": "�It Gets Better' but How? Pathways to Resilience in the Accounts of LGBT Adults",
      "abstract": "Purpose: Risk and vulnerabilities of lesbian, gay, bisexual and transgender (LGBT) youth are well-documented. Compared to their heterosexual counterparts, LGBT youth are significantly more likely to report depression, substance abuse, sexual risk, and suicide. Studying risk outcomes alone, however, does not inform key stakeholders of how to mitigate risk and promote the well-being of LGBT youth. In light of increasing reports on bullying and suicide among LGBT youth in recent years, research must expand its focus from risk outcomes to resilience promotion among LGBT youth. The purpose of this study was to explore pathways to resilience in the accounts of LGBT adults posted on YouTube videos. Method: “ It Gets Better ” ( IGB ) is a social media campaign initiated in 2010 in response to a series of youth suicide incidents following anti-LGBT bullying. In this qualitative content analysis of IGB videos, I addressed the research question, “How do LGBT adults account for their lives getting better?” Given the large number of IGB videos available online (i.e., 30,000+), I employed purposive sampling. I began by reviewing all of the videos posted by employees of companies that sponsored the IGB campaign (e.g., Google) as initial sampling frame. From there, I identified and analyzed the videos (n=11) that met the following inclusion criteria: 1) Adults describing adversities of having grown up as LGBT, 2) “ordinary” people, not celebrities, and 3) individuals describing how life got better for them. I kept a time indexed content log, including detailed descriptions of both verbal and non-verbal events. Grounded theory coding techniques were employed for inductive data analysis, such as initial, focused and axial coding and constant comparative method. Memo-writing was used extensively during data collection and analysis to ensure trustworthiness. Results: Four major themes emerged: 1) Leaving the hostile social environment; 2) Experiencing “coming out” in meaningful ways; 3) Re-Membering the social environment; and 4) Challenge provides strengths and opportunities. Despite the collective nature of the IGB campaign, the pathways to resilience initially emerged through each individual’s unique capacity and resources to negotiate with their hostile social environments. Physically moving away from hostile sites (e.g., hometown) offered them opportunities to locate a more LGBT-affirming environment. Although “coming out” also marked a turning point for their lives getting better, its form and significance varied across individuals. Furthermore, LGBT individuals developed and maintained their adult social environments by actively surrounding themselves with those who supported them through challenges and affirmed their LGBT identities. Finally, LGBT individuals attributed their lives getting better to the character strengths and coping skills they developed because of their childhood/adolescent adversities. Implications: Study findings provide a nuanced look at pathways to resilience among LGBT individuals. The retrospective nature of the data analyzed in this study complement previous cross-sectional studies by suggesting ways in which resilience develops over time through childhood, adolescence and adulthood. Finally, this study emphasizes social workers’ roles not only in helping LGBT youth carefully assess their current situations but also in helping them develop long-term skills required to navigate themselves to healthy adulthood.",
      "authors": "Kenta Asakura",
      "author_ids": "111947",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Unknown",
      "database_method": "qualitative",
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      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T17:45:58.439312+00:00"
    },
    {
      "input_index": 483,
      "record_key": "SWRD:52641",
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      "record_id": 52641,
      "year": 2013,
      "title": "\"Do They See Nothing Wrong With This?\": Bullying, Bystander Complicity, and the Role of Homophobic Bias in the Tyler Clementi Case",
      "abstract": "Despite intense national and international media coverage, surprisingly little attention has been paid to the role of the many bystanders in the bullying and suicide of Rutgers University student, Tyler Clementi. This article examines the case as an exemplar for careful review of the discrepancy between academic literature and popular understanding of the role of bystanders in bullying processes, integrating research on bystander effect, bullying, and homophobia. The case reveals a process in which bystanders come to disavow their complicity by either denying the harm done or scapegoating the bully after the fact. Both processes may inhibit future educational efforts and bystander interventions. Implications for clinical social work practice in schools, university settings, and communities are discussed.",
      "authors": "Byers, David S.",
      "author_ids": "",
      "journal_or_venue": "Families in Society",
      "doi": "10.1606/1044-3894.4325",
      "record_type": "journal-article",
      "database_method": null,
      "database_is_scientific": true,
      "database_is_empirical": false,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T17:46:00.769559+00:00"
    },
    {
      "input_index": 484,
      "record_key": "SWRD:43323",
      "source_database": "SWRD",
      "record_id": 43323,
      "year": 2013,
      "title": "'Giving a voice to the unheard'? Is female youth (15-24 years) suicide linked to restricted access to family planning? Comparing two Catholic continents",
      "abstract": "Suicide is a neglected area of social work research and suicides are often influenced by cultural factors. WHO data on female youth (15-24 years) suicide, and Undetermined Deaths (UnD), the most likely source of under-reported suicides, are analysed from two continents sharing religio-cultural views on suicide and family planning, that is, Western European Catholic countries (WECC) and Latin American countries (LatAC). It was found that LatAC female youth suicides and UnD were significantly higher than WECC, and correlated with higher birth rates and poverty. This may indicate that restricted access to family planning contributes to more births, poverty, unwanted pregnancies and suicides.",
      "authors": "Pritchard, Colin; Roberts, Sion; Pritchard, Claire E.",
      "author_ids": "",
      "journal_or_venue": "International Social Work",
      "doi": "10.1177/0020872812441645",
      "record_type": "journal-article",
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        "evidence_class": "Empirical",
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      "screened_at": "2026-08-02T17:46:03.148299+00:00"
    },
    {
      "input_index": 485,
      "record_key": "SWRD:44071",
      "source_database": "SWRD",
      "record_id": 44071,
      "year": 2013,
      "title": "A pilot study on a knowledge-based case library to support suicide risk assessment",
      "abstract": "This article describes the system development processes for an electronic case library, built to facilitate and support the suicide prevention service provided by a social service organization in Hong Kong. It is a knowledge management system in which both 'rule-based reasoning' (RBR) and 'case-based reasoning' (CBR) are adopted. Initial test results, potentials and limitations of this knowledge management approach are discussed.",
      "authors": "Cheung, C. F.; Wang, W. M.; Leung, Zeno C. S.",
      "author_ids": "",
      "journal_or_venue": "International Social Work",
      "doi": "10.1177/0020872811414037",
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      "screened_at": "2026-08-02T17:46:05.210755+00:00"
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    {
      "input_index": 486,
      "record_key": "SWRD:44249",
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      "record_id": 44249,
      "year": 2013,
      "title": "A Social Work Contribution to Suicide Prevention Through Assertive Brief Psychotherapy and Community Linkage: Use of the Manchester Short Assessment of Quality of Life (MANSA)",
      "abstract": "There is a striking absence of literature articulating and evaluating clinical social work contributions to suicide prevention, despite considerable practice in this important field. This article reports on a model of assertive brief psychotherapeutic intervention and facilitated linkage to community services utilized in a prospective cohort study of emergency department suicide attempt aftercare. A key outcome measure, the Manchester Short Assessment of Quality of Life (MANSA), was used with 65 patients to assess psychosocial domains at initial presentation, 4-weeks, 3-months, and 6-months. There were significant improvements in the domains of work, finance, leisure, social life, living situation, personal safety and health by 3 months. There were highly significant correlations between psychosocial improvements and improved depression scores.",
      "authors": "Petrakis, Melissa; Joubert, Lynette",
      "author_ids": "",
      "journal_or_venue": "Social Work in Health Care",
      "doi": "10.1080/00981389.2012.737903",
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    {
      "input_index": 489,
      "record_key": "SWRD:44017",
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      "record_id": 44017,
      "year": 2013,
      "title": "CLINICAL PRACTICE WITH SUICIDAL CLIENTS",
      "abstract": null,
      "authors": "Matorin, Sue",
      "author_ids": "",
      "journal_or_venue": "Social Work",
      "doi": "10.1093/sw/swt010",
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    {
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      "record_key": "SWRD:43164",
      "source_database": "SWRD",
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      "year": 2013,
      "title": "Devastating Losses-How Parents Cope with the Death of a Child to Suicide or Drugs",
      "abstract": null,
      "authors": "Byers, David S.",
      "author_ids": "",
      "journal_or_venue": "Clinical Social Work Journal",
      "doi": "10.1007/s10615-012-0431-0",
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      "record_key": "SWRD:44270",
      "source_database": "SWRD",
      "record_id": 44270,
      "year": 2013,
      "title": "Development Guidelines from a Study of Suicide Prevention Mobile Applications (Apps)",
      "abstract": "Every day, Americans are inundated with advertisements and appeals to purchase the latest mobile technology in the form of smart phones, tablets, and their accompanying applications (apps). Human service organizations (HSOs) across the United States have begun to recognize that apps can provide a valuable resource for individuals and communities by addressing social issues. Additionally, forward-thinking HSOs are aware that apps are a fresh and important way of reaching a rapidly changing, tech-savvy population. But just like the marketplace at large yields a variety of apps that range from useful and engaging to poorly contrived and ineffective, HSOs' foray into app development has achieved mixed results. This report analyzes existing mobile applications available for one specific field of HSO service delivery-suicide preventionin order to describe what is currently available and to generate beginning guidelines for the development, implementation, and evaluation of new suicide prevention apps for underserved populations. Twenty-seven apps were analyzed and recommendations for HSOs and future research are presented.",
      "authors": "Aguirre, Regina T. P.; Mccoy, Mary K.; Roan, Michelle",
      "author_ids": "",
      "journal_or_venue": "Journal of Technology in Human Services",
      "doi": "10.1080/15228835.2013.814750",
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    },
    {
      "input_index": 492,
      "record_key": "SWRD:44102",
      "source_database": "SWRD",
      "record_id": 44102,
      "year": 2013,
      "title": "Dying Together: Suicide Pacts and Other Episodes of Paired Suicides in Yorkshire and the Humber",
      "abstract": "This article discusses the paired suicide using a number of case studies drawn from a sample of cases of paired suicides in Yorkshire and the Humber. Worldwide, suicide is the tenth leading cause of death; 1.5per cent of all deaths are the result of suicide, a rate of 14.5:100,000 individuals per year ( Windfuhr and Kapur, 2011). In 2010, there were 5,608 suicides in people aged fifteen years and over in the UK ( ONS, 2012). Paired suicides, often called suicide pacts, in which two people die together, are a small fraction of suicides overall but are a persistent and devastating phenomenon. Cases were included in the study only when the suicides occurred together in the same place and within twenty-four hours. The term paired suicide is used here because the suicide pact is quite difficult to define, due to a number of contextual factors. Social workers have a key role to play in the prevention of suicide, and will encounter the kinds of cases discussed here in their work in mental health teams, drug and alcohol services, practice with offenders and community care practice with the elderly. The article therefore concludes with a discussion of the implications for collaborative practice.",
      "authors": "Gregory, Marilyn J.",
      "author_ids": "",
      "journal_or_venue": "British Journal of Social Work",
      "doi": "10.1093/bjsw/bct015",
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    },
    {
      "input_index": 493,
      "record_key": "SWRD:44182",
      "source_database": "SWRD",
      "record_id": 44182,
      "year": 2013,
      "title": "Enhanced Case Management versus Substance Abuse Treatment Alone among Substance Abusers with Depression",
      "abstract": "This pilot study evaluated the effectiveness of enhanced case management for substance abusers with comorbid major depression, which was an integrated approach to care. One hundred and 20 participants admitted to drug treatment who also met Computerized Diagnostic Interview Schedule criteria for major depression at baseline were randomized to enhanced case management (ECM) (n = 64) or treatment as usual (TAU) (n = 56). Both groups were followed up at six and 12 months. Participants' current clinical status across a broad range of domains in the past 90 days was assessed using the Global Appraisal of Individual Needs and included their Depressive Symptom Scale, Homicidal-Suicidal Thought Index, and Mental Health Treatment Index scores. The findings did not reveal any statistically significant effects of ECM on outcome measures. However, in view of the high rates of adverse treatment outcomes among comorbid groups, including suicide, the finding of a clinically significant reduction in homicidal and suicidal thoughts warrants further research; the comprehensive approach to treatment tested may be especially helpful to depressed substance abusers with such ideations.",
      "authors": "Striley, Catherine W.; Nattala, Prasanthi; Ben Abdallah, Arbi; Dennis, Michael L.; Cottler, Linda B.",
      "author_ids": "",
      "journal_or_venue": "Social Work Research",
      "doi": "10.1093/swr/svs019",
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    {
      "input_index": 495,
      "record_key": "SWRD:44084",
      "source_database": "SWRD",
      "record_id": 44084,
      "year": 2013,
      "title": "From Sense-Making to Meaning-Making: Understanding and Supporting Survivors of Suicide",
      "abstract": "This article reports findings from a qualitative study conducted in Switzerland, aimed at understanding how forty-eight survivors made sense of the suicide of a loved one. In-depth interviews were carried out and grounded theory analysis was performed. Suicide shatters the assumptive world of survivors. In their quest for meaning, they undergo three processes. Sense-making is seeking comprehensibility and consists of rebuilding the path which led to suicide and the figure of the person who died. Memory-building encompasses dealing with the legacy of suicide, by preserving reputation and presenting a public storyline intended for people outside the family circle. Meaning-making allows the survivor to journey towards an existential significance of the loss. Four ways of meaning-making were highlighted: for some, suicide becomes the driving force behind a commitment to suicide prevention; for others, it is the source of an increased awareness of life. Other survivors cannot find a constructive personal existential meaning, which prevents the rebuilding of self. Finally, for a minority, suicide is a mishap which needs to be dealt with. Suggestions are made on how social workers can assist survivors in their processes of meaning-making by supporting the elaboration of constructive narratives and offering tailored resources.",
      "authors": "Dransart, Dolores Angela Castelli",
      "author_ids": "",
      "journal_or_venue": "British Journal of Social Work",
      "doi": "10.1093/bjsw/bct026",
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        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
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      "screened_at": "2026-08-02T17:46:28.574785+00:00"
    },
    {
      "input_index": 499,
      "record_key": "SWRD:94546",
      "source_database": "SWRD",
      "record_id": 94546,
      "year": 2013,
      "title": "Personal Trauma and Risk Behaviors Among Youth Entering Residential Treatment",
      "abstract": "The focus of this study was to determine the prevalence and types of traumas experienced by adolescents prior to admission to long term mental health residential care and the impact of these traumas on their risk behaviors. The research was conducted at a state-supported residential mental health treatment facility functioning under the authority of the Department of State Health Services. Client level data was extracted from social assessment forms (N = 457) in case records of clients. Results confirmed that exposure to trauma was pervasive among adolescents admitted to the facility. Findings also revealed a link between trauma and risk behaviors among youth entering residential treatment facilities. Increased trauma exposure significantly impacted the risk behaviors of youths entering the residential treatment facility. The results indicate that the total number of traumas experienced was a greater predictor of risk behaviors among these youth than the specific traumas experienced. Internalizing behaviors such as self-harm and suicide attempts also increased with the number of traumas experienced by the adolescent. The study demonstrates the need for further exploration of the complex relationship between personal trauma, mental health, and social development in adolescents.",
      "authors": "Harr, Cynthia R.; Horn-Johnson, Tancy C.; Williams, Nathaniel J.; Jones, Megan; Riley, Kelly",
      "author_ids": "",
      "journal_or_venue": "Child & Adolescent Social Work Journal",
      "doi": "10.1007/s10560-013-0297-1",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T17:46:38.333134+00:00"
    },
    {
      "input_index": 501,
      "record_key": "SWRD:44855",
      "source_database": "SWRD",
      "record_id": 44855,
      "year": 2013,
      "title": "Rethinking Adolescent Inpatient Psychiatric Care: The Importance of Integrated Interventions for Suicidal Youth With Substance Use Problems",
      "abstract": "Adolescents psychiatrically hospitalized following a suicide attempt are at high risk for a repeat attempt or suicide completion, and substance use is consistently implicated as a risk factor for continued suicidal behavior in adolescents. Despite this knowledge, there have been few studies that have investigated the effectiveness of combined suicidality and substance use interventions within acute psychiatric care settings for suicidal youth with substance use problems. While social workers are well-positioned to deliver such interventions, greater emphasis on teaching integrated therapeutic techniques in social work curriculum and professional training is needed to ensure their implementation.",
      "authors": "O'Brien, Kimberly H. McManama",
      "author_ids": "",
      "journal_or_venue": "Social Work in Mental Health",
      "doi": "10.1080/15332985.2013.774924",
      "record_type": "Article",
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        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T17:46:43.193783+00:00"
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    {
      "input_index": 502,
      "record_key": "SWRD:110795",
      "source_database": "SWRD",
      "record_id": 110795,
      "year": 2013,
      "title": "School Climate, Individual Support, or Both? Gay-Straight Alliances and the Mental Health of Sexual Minority Youth",
      "abstract": "Using a sample of 284 sexual minority youth and young adults, this paper examines the relationships between mental health variables, the absence or presence of a gay-straight alliance, and membership status in a gay-straight alliance. The results suggest that the presence of a gay-straight alliance in a school or college, rather than actual membership in the club, is correlated with decreased suicidality, while substance use and comfort with gender expression is correlated with membership specifically. Implications for social work practice and future research are suggested. Adapted from the source document.",
      "authors": "Walls, N Eugene; Walls, N. Eugene; Dufour, Claudia; Wehbi, Samantha; Wisneski, Hope; Gervais, Marie-Hélène; Ryan, Dana; Wisneski, Hope; Kane, Sarah; Kane, Sarah; Negura, Lilian; Mathews, Maria",
      "author_ids": "",
      "journal_or_venue": "School Social Work Journal",
      "doi": null,
      "record_type": "Journal Article",
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T17:46:45.477597+00:00"
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    {
      "input_index": 503,
      "record_key": "SWRD:119832",
      "source_database": "SWRD",
      "record_id": 119832,
      "year": 2013,
      "title": "Suicide Within United States Jails: A Qualitative Interpretive Meta-synthesis",
      "abstract": "Suicide was the leading cause of unnatural deaths in local jails, accounting for 29% of all jail deaths between 2000 and 2007. Though much literature exists on suicide in jails, very little is qualitative. Additionally, little attention has been focused on how the Interpersonal Theory of Suicide applies to the jail environment. To gain a better understanding of suicide in jails, an interpretive meta-synthesis of three qualitative articles was conducted. The combined sample included thirty-four individuals from three jails. These three articles were analyzed to identify common themes that led inmates to suicide. Three broad categories were identified through constant comparison of the data. These categories are: mental health factors, environmental conditions, and relationship issues. These three broad categories are discussed in relation to the Interpersonal Theory of Suicide, demonstrating its application in the jail setting. This information is essential for correctional facilities and staff for use in their day-to-day interactions with inmates. Future research is needed to identify and examine current suicide prevention programs in the United States penal system.",
      "authors": "Frank, Laura; Frank, Laura; Aguirre, Regina T. P.; Aguirre, Regina T. P.",
      "author_ids": "",
      "journal_or_venue": "The Journal of Sociology & Social Welfare",
      "doi": "oai:scholarworks.wmich.edu:jssw-3744",
      "record_type": "fetch_failed",
      "database_method": "Review",
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        "empirical_method": "Review"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T17:46:47.789356+00:00"
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    {
      "input_index": 504,
      "record_key": "SWRD:126676",
      "source_database": "SWRD",
      "record_id": 126676,
      "year": 2013,
      "title": "The Ethics of Involuntary Hospitalization",
      "abstract": "This article utilizes a public health ethical framework proposed by Roberts and Reich (2002) to deconstruct and examine the practice of involuntary commitment of suicidal individuals. The author employs a case example to describe the decision-making process involved in involuntary commitment through libertarian, egalitarian liberal, and communitarian ethical frameworks. Finally, using a postmodern lens, this paper explores the potential power dynamics inherent in the practice of involuntary psychiatric hospitalization. The author demonstrates how the process of deconstruction can lead to both increased self-reflection and greater ambiguity. Adapted from the source document.",
      "authors": "White, Erina",
      "author_ids": "",
      "journal_or_venue": "International Journal of Social Work Values and Ethics",
      "doi": null,
      "record_type": "Article",
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      "database_is_scientific": true,
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      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T17:46:50.192334+00:00"
    },
    {
      "input_index": 508,
      "record_key": "SWRD:117159",
      "source_database": "SWRD",
      "record_id": 117159,
      "year": 2013,
      "title": "Violent Death Among Recently Released Prison Inmates: Stories Behind the Numbers",
      "abstract": "Research on rates of violent deaths in prison releasees exists, however little work has gone into examining their associated contexts and circumstances. Using North Carolina Department of Corrections and North Carolina Violent Death Reporting System data, the authors sought to understand the contexts surrounding the deaths of recently released inmates. Findings revealed that homicides (64% of deaths) were associated with violence as a result of argument and with criminal activity. Suicides (30%) were in response to risk of reincarceration, relationship problems, depression, and situational difficulties. Six percent of deaths were the result of legal intervention. Implications for social work practice and research are examined.",
      "authors": "Anna Scheyett; Candice Morgan; Steven E. Lize; Scott Proescholdbell; Tammy Norwood; David Edwards",
      "author_ids": "",
      "journal_or_venue": "Journal of Forensic Social Work",
      "doi": "dc/731333e4b0",
      "record_type": "fetch_failed",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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        "prompt_eval_count": 1052,
        "eval_count": 24
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      "screened_at": "2026-08-02T17:46:59.150707+00:00"
    },
    {
      "input_index": 510,
      "record_key": "SWRD:73443",
      "source_database": "SWRD",
      "record_id": 73443,
      "year": 2013,
      "title": "‘The stranger inside’: suicide-related grief and ‘othering’ among teenage daughters following the loss of a father to suicide",
      "abstract": "Grief research highlights risks associated with parental suicide during childhood and adolescence: mental illness, social difficulties, repeated suicide attempts and actual suicide. This article aims to explore how these ‘risks’ are constituted, by investigating the relationship between suicide-related grief and ‘othering’ in four young women’s narratives on their experiences of losing a father to suicide during adolescence. Othering works through expressions of insecurity, avoidance and outright rejection from individuals in the women’s vicinity and even family members. However, what is noteworthy is that othering is also found to work from the inside; due to their father’s norm-breaking act, the women describe themselves as actually being ‘different’ or ‘strange.’ Moreover, attempts to ‘normalise, or ‘liberate’ oneself from the suicide involves attempts to understand its reasons. The preoccupation with ‘why questions,’ thereby primarily appears to be a question of self-formation. ‘The stranger inside’ is described as the strongest impediment to seeking social support.",
      "authors": "Silvén Hagström A.",
      "author_ids": "",
      "journal_or_venue": "Nordic Social Work Research",
      "doi": "10.1080/2156857x.2013.801877",
      "record_type": "journal-article",
      "database_method": "Qualitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:47:04.040040+00:00"
    },
    {
      "input_index": 511,
      "record_key": "SSWR:2014-P-0096",
      "source_database": "SSWR",
      "record_id": "2014-P-0096",
      "year": 2014,
      "title": "A Multiethnic Examination of Suicidal Ideation, Psychotic Symptoms and Belongingness Among Adults Based On the Collaborative Psychiatric Epidemiological Surveys",
      "abstract": "Purpose: Psychotic symptoms are often associated with increased risk of suicidal behavior.  Identification of such behaviors is critical for effective early intervention.  Joiner’s (2005) interpersonal theory of suicide suggests that belongingness – being socially involved and supported – mitigates suicidal ideation.  Joiner’s theory, aimed at suicide prevention, is a relatively new framework that has not been empirically validated for application to ethnically diverse populations or those with psychotic symptoms.  Historical and sociocultural experiences shared within ethnic groups may be associated with risk of suicidal ideation.  This study aims to answer the following research questions: Are psychotic symptoms differentially associated with risk of suicidal ideation across ethnic groups? Based on Joiner’s theory, are family support and religious service involvement associated with a reduction of suicidal ideation? Method: Using data from the Collaborative Psychiatric Epidemiological Surveys (CPES), 11,937 participants (19.7% Latino, 18.9% Caribbean-Black/African American, 52% European American, 8% Asian, and 1.4% Other [weighted]) were evaluated using the Composite International Diagnostic Interview.  Respondents were classified as positive if they reported any psychotic symptoms in their lifetime.  Demographic and clinical covariates, along with family support and religious involvement, were examined for those reporting any suicidal ideation (lifetime).  We compared group differences in the covariates among those with and without lifetime psychotic symptoms using Rao-Scott X 2 tests.  Multinomial logistic regression was used, controlling for demographic and clinical covariates to assess for differential effects in suicidal ideation within ethnic groups, stratified by psychotic symptoms.  We then repeated the regression including family support and religious involvement. Results: Lifetime experience of psychotic symptoms did not differentially affect risk of suicidal ideation for respondents of any ethnic groups.  Controlling for demographic and clinical factors, Caribbean-Black/African Americans and Latinos were less likely than European Americans to report suicidal ideation in their lifetime regardless of endorsing psychotic symptoms ( without psychotic symptoms – Caribbean-Black/African American: OR=0.63 [95% CI 0.49–0.81]; Latino: OR=0.59 [95% CI 0.43–0.80]) ( with psychotic symptoms – Caribbean-Black/African American: OR=0.60 [95% CI 0.39–0.92]; Latino: OR=0.58 [95% CI 0.34–0.98]).  Controlling for the aforementioned variables, our final regression model suggests family support (OR=0.70 [95% CI 0.53–0.94]) and religious involvement (OR=0.64 [95% CI 0.49–0.82]) were associated with reduction in suicidal ideation among those not reporting psychotic symptoms.  Caribbean-Black/African Americans (OR=0.66 [95% CI 0.49–0.89]) and Latinos (OR=0.58 [95% CI 0.42–0.79]) also reported less suicidal ideation than European Americans after accounting for these protective factors.  However, these protective factors were not associated with a reduction of suicidal ideation among those reporting psychotic symptoms.  Only among Latinos were lifetime psychotic symptoms associated with reduced suicidal ideation after controlling for the two protective factors (OR=0.55 [95% CI 0.30–0.99]). Conclusions: These results suggest that Joiner’s interpersonal theory of suicide may not apply to those with psychotic symptoms. Other protective factors for suicidal ideation should be considered for those living with psychotic symptoms.  Although further research is needed, these findings may inform efforts to modify and adapt preventative and early interventions for consumers reporting psychotic symptoms.",
      "authors": "Armando Barragán; Mercedes Hernandez; Ann Marie Yamada; Concepcion Barrio",
      "author_ids": "112469; 112174; 108416; 108417",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
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      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:47:07.739741+00:00"
    },
    {
      "input_index": 514,
      "record_key": "SSWR:2014-U-0533",
      "source_database": "SSWR",
      "record_id": "2014-U-0533",
      "year": 2014,
      "title": "Companion Animals As Evokers of Connection and Responsibility Among Individuals With Serious Mental Illness: A Systematic Review of Qualitative Findings",
      "abstract": "Introduction Evidence is mounting in support of animal-assisted therapies (AAT) and activities (AAA) as adjunct interventions for serious mental illness (SMI), however, there is minimal empirical consideration of whether or how living with a companion animal may impact SMI and mental health recovery.  Given there are many more people living with SMI who simply live with one or more companion animals (a.k.a., “pets”) - as opposed to individuals with SMI involved in AAA or AAT - the purpose of this paper was to systematically review and summarize existing research relating to how living with a companion animal(s) may impact SMI.  Because the majority of such research is qualitative, a qualitative systematic review method was applied using recommendations from the Cochrane Qualitative Methods Group (Noyes, J., Popay, J., Pearson, A., Hannes, K., and Booth, A., 2011). Method Inclusion criteria included qualitative studies reporting findings relating to having a SMI and living with a companion animal(s).  An exhaustive bibliographic search was conducted using a broad range of terms: (\"mental health consumer\" or \"psychiatric survivor\" or \"severe mental illness\" or \"schizophren*\" or \"schizoaffective\" or bipolar or \"serious mental illness\" or \"psychiatric disability\" or “psychiatric rehabilitation” or “mental health recovery”) AND (\"emotional support pet\" or \"pet guardian*\" or \"pet owner*\" or \"companion animal\").  The following databases were searched: Academic Search Complete; CINAHL Plus with Full Text; Education Research Complete; Health Source - Consumer Edition; Health Source: Nursing/Academic Edition; MEDLINE; Psychology and Behavioral Sciences Collection; PsycINFO; Social Work Abstracts; SocINDEX; Sociological Collection; Vocational and Career Collection; Women's Studies International; and AgeLine.  The search yielded six hits: four peer-reviewed studies; one duplicate record; and one letter.  Of the four studies, three utilized qualitative methods.   Given the data transformation level (topical/thematic rather than interpretive) in these studies, a qualitative meta-summary approach (Saini, M. & Sclonsky, A., 2012; Sandelowski & Barroso, 2003) was used entailing a meta-content analysis of themes across studies. Findings All studies utilized thematic analysis of data obtained through semi-structured individual interviews.  In the first study (n=44), three themes emerged: connectedness ; emotional stability ; and responsibility .  In the second study (n=177), four themes emerged: connectedness ; empathy/therapy ; self-efficacy ; and pets as family .  In the third study (n=4), five themes emerged: belonging/connectedness ; continuity , action/self-construction ; participation ; and acceptance . Connectedness emerged as the most frequent single theme across these studies. Responsibility , self-efficacy , and action/self-construction entailed similar content relating to caring for another being who was dependent; in combination, these themes were likewise represented across studies.   Examples of quotes for both responsibility and self-efficacy included statements from individuals who reported wanting to commit suicide but refraining due to feeling responsible for their respective companion animals. Implications This review summarizes preliminary evidence of perceived benefits of living with companion animals among individuals with SMI.  In particular, living with a companion animal reportedly evoked connection and responsibility .  Substantiating content related to these themes suggests having a companion animal may be an overlooked protective factor in suicidality.   Given individuals with SMI are at disproportionate risk of suicide, additional research is warranted to explore such.",
      "authors": "Janet Hoy",
      "author_ids": "109875",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Unknown",
      "database_method": "review",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Review"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3641927333,
        "prompt_eval_count": 1699,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:47:18.003883+00:00"
    },
    {
      "input_index": 517,
      "record_key": "SSWR:2014-U-0372",
      "source_database": "SSWR",
      "record_id": "2014-U-0372",
      "year": 2014,
      "title": "Growing Up Queer and Religious: A Quantitative Study Analyzing the Relationship Between Religious Identity Conflict and Suicide in Sexual Minority Youth",
      "abstract": "Purpose : Sexual minority youth (SMY) mature in contexts that espouse anti-homosexual values. For many youth these contexts are defined by religious belief. A Minority Stress framework explains that religious environments exact stress on SMY, which can lead to religious and sexual identity conflict. To date no known study has quantitatively established a link between religious identity conflict and suicide within this population. This study seeks to understand how religious identity conflict impacts suicide in SMY, and to determine if internalized homophobia mediates this relationship. Methods : A secondary data analysis was conducted using data collected by OutProud in 2000 via an internet-survey sample recruited though in-print media and websites, which cater to SMY. Of 5,281 U.S. respondents, 18-24 years old, 2,949 were included in this analysis. Three indicators of identity conflict (religious identity conflict self report, parental anti-homosexual religious beliefs, and leaving one’s religion of origin due to conflict), an internalized homophobia (IH) scale, and two suicide variables (suicidal thoughts in the last month, and suicide attempt in the last year) were measured. Analysis included logistic regressions to establish relationships between conflict measures and suicide outcomes, and to determine the extent to which IH mediates these relationships. Results : All three indicators are associated with higher odds of suicidal thoughts. Internalized homophobia fully mediated one indicator’s (religious identity conflict self report) relationship to suicidal thoughts and partially mediated the other two (parental anti-homosexual religious beliefs, and leaving one’s religion of origin due to conflict). Leaving one’s religion due to conflict had a dual relationship with suicidal thoughts (directly increasing the odds, and indirectly via IH decreasing the odds). Further, this direct relationship was found to be stronger than the indirect relationship. Both leaving one’s religion of origin due to conflict and parental anti-homosexual religious beliefs were associated with twice the odds of a suicide attempt in the last year. IH was not associated with suicide attempt in the last year. Implications : SMY who mature in religious contexts, which facilitate identity conflict, are at higher odds for suicidal thoughts and suicide attempt compared to other SMY. Internalized homophobia accounts for portions of this conflict, but does not explain the whole of this phenomenon. Although leaving one’s religion due to conflict may appear to suggest an adaptive response to intolerance for SMY, it is also associated with higher odds of suicide. Not only do clinicians have the extra responsibility to assess for suicide in this population, but they also need to consider the implications of a client leaving his or her religion. Because of the increased risk for suicide, these finding suggest that clinical best practices do not involve encouraging SMY to leave their intolerant religion of origin. Further research is needed to investigate this complex relationship.",
      "authors": "Jeremy Gibbs; Jeremy Goldbach",
      "author_ids": "112268; 110332",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Unknown",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3129952917,
        "prompt_eval_count": 1513,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:47:27.786898+00:00"
    },
    {
      "input_index": 518,
      "record_key": "SSWR:2014-X-0019",
      "source_database": "SSWR",
      "record_id": "2014-X-0019",
      "year": 2014,
      "title": "How Are Mothers Impacted By Their Adolescent's Suicide Attempt Over Time? �Now That It's Over; Its Not Over�",
      "abstract": "Purpose: Suicidal behavior is a major mental health problem among adolescents.  In order to develop effective family-based interventions for youth who have made suicide attempts, it is important to consider how mothers are affected by their adolescent’s suicidal behaviors. Moreover, it is important to understand how mothers’ reactions changes over time.  Nonetheless, few studies examine how mothers are impacted by their adolescent’s suicide attempt, and even fewer studies examine their reactions overtime.  Such research has direct implications for addressing the mental health needs of mothers and the ways in which mothers can be most effectively involved in the treatment of suicidal adolescents. The purpose of this study was to address this gap in the literature by exploring the similarities and differences between mothers reaction one month and three months after their adolescent attempted suicide. Methods: This study used data collected for a NIMH-funded research study designed to examine the reactions of 288 mothers of hospitalized adolescents that made recent suicide attempts and mothers of adolescents who were hospitalized for other reasons.  The mothers are assessed at 1, 3, 6, and 12 months following youths’ discharge from the hospital. The current analysis focused on qualitative data collected during the first and second assessment from 32 randomly selected mothers of adolescents who attempted suicide.  Semi-structured interviews were conducted by trained Master- or Doctoral-level staff.  Interviews lasted between 20 and 40 minutes and were digitally recorded and transcribed.  Nvivo 10 qualitative software was used for data management.  Using an iterative process, six scholars collaborated to develop a codebook. Coding was completed by trained research assistants.  Emergent themes were systematically identified as informed by grounded theory methods.  Inter-rater reliability was achieved when coding reached 67% agreement. Results: Although mothers varied in their reaction to their adolescent’s suicide attempt, several themes emerged. First, mothers reported slightly different emotional reactions at one month compared to three months after the suicide attempt.  In particular, one month afterwards mothers tended to report feelings of anger, confusion, and disbelief, whereas three months afterwards mothers tended to report feeling numb (e.g., I don’t have any feelings.”), nervous, and worried.  It is important to note that some mothers reported feeling “better” three months after the suicide attempt.  Second, in general, mothers reported their relationship with their adolescent was “closer” at both the one and three month assessment.    Third, most mothers reported continuing to implement the safety plan established at the hospital. Conclusions and Implications: Results from this study suggest that mothers continue to be impacted by their adolescent’s suicide attempt three months afterwards.  Moreover, mothers’ reactions from one month to three months afterwards appear to shift from confusion to feelings of numbness or anxiety. This study provides practice implications for mothers of youth who have attempted suicide.  Specifically, mothers may benefit from formal and/or informal supports.  Further, clinicians should be aware of and assess for shifts in a mother’s reactions to their adolescent’s suicide attempt and consider these reactions in treatment planning and implementation.",
      "authors": "Bridget E. Weller; Otima Doyle; David Goldston",
      "author_ids": "109228; 110149; 108677",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Other",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3338252667,
        "prompt_eval_count": 1560,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:47:31.126854+00:00"
    },
    {
      "input_index": 519,
      "record_key": "SSWR:2014-P-0040",
      "source_database": "SSWR",
      "record_id": "2014-P-0040",
      "year": 2014,
      "title": "Latina Youth Suicide: Understanding Why?",
      "abstract": "Purpose: It has been more than a decade since epidemiological studies have reported that Latina youth have the highest rate of suicide behavior in comparison to their non-Latino counterparts (e.g. African America and Non-Hispanic Whites). Among Latinas ages 10 to 25, suicide is the second leading cause of death.  According to the Youth Risk Behavior Surveillance System (YRBS), a greater number of Latina youths (13.5%) reported that they attempted suicide in than other racial and ethnic counterparts (YRBS, 2011). The purpose of this study is to use YRBS risk data to identify risk factors that predict Latina risk for suicidal behavior. If identified, these risk factors can inform culturally competent suicide prevention efforts. Method: This study utilized the YRBS, an epidemiological survey that utilizes a three-stage cluster sample design and a national purposive sample of respondents (n=15,425) from all public, Catholic, and private schools. For the purposes of this study, we only utilized respondents who identified themselves as Latina females (n=2363). Variables included demographic characteristics (e.g., age, ethnicity, race, gender) and health-risk behaviors (e.g., sexual behaviors, the use of alcohol, tobacco and other drugs, and unhealthy dietary behaviors). The variables selected to be included in this multiple regression model were based on suicide risk factors identified in the broader body of suicide research—typically drawn from studies with majority White participants. The entry method for the Regression used was  “Enter” as this is the most conservative (Brace, Kemp, & Snelgar, 2006). There were three models tested before a statistically significant regression was identified. Result: Twenty percent (n = 474) of the participants reported they had ever considered suicide, 16.2% (n = 381) had made a suicide plan, and 13% (n = 270) attempted suicide at least once within the past 12 months. The Regression model was statistically significant  (p < .001) with three predictors explaining 21% of the variance. These predictors included suicide behavior, violence, and physical weight control. Conclusion: Our findings suggest that suicide behavior, exposure to violence and weight control are important factors to consider for Latina suicide prevention. However, given the 20% of variance explained, the findings also indicate that the risk behaviors assessed in the YRBS are not sufficient to predict suicidality among Latina youth. Application of the Interpersonal Theory of Suicide will be used to explain possible missing elements in the survey and recommend items to be added to better assess suicide risk for youth—not just Latinas—taking this survey. This information could lead to better understanding of youth suicide risk and, ultimately, more effective youth suicide prevention.",
      "authors": "Erika Ruiz; Marcella Tanya Smith; Regina T. P. Aguirre",
      "author_ids": "111574; 113066; 111573",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3093385291,
        "prompt_eval_count": 1506,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:47:34.222318+00:00"
    },
    {
      "input_index": 522,
      "record_key": "SSWR:2014-P-0016",
      "source_database": "SSWR",
      "record_id": "2014-P-0016",
      "year": 2014,
      "title": "Predicting Changes in Mental Health Professionals' Clinical Practice Behaviors for Recognizing and Responding to Suicide Risk",
      "abstract": "Purpose: Clinicians who have primary contact with people at risk for suicide play a critical role in suicide prevention. Clinicians’ ability to accurately access an individuals’ suicide risk, which can be developed by a structured clinical training in evidence-based risk assessment, plays an important role in preventing suicide. Previous studies confirm the effectiveness of training for mental health professionals in improving suicide assessment and management skills. However, there is limited research on how clinicians’ attitudes and self-efficacy influence changes in practice behaviors over the training period. The majority of published studies utilize longitudinal, group-comparison statistical analyses, which are effective for testing for changes in key constructs (i.e., knowledge, attitudes, practice behaviors) but less so for predicting changes in key constructs. Extending research by employing statistical models to identify factors that influence practice behaviors will benefit the field of suicide prevention. The Recognizing and Responding to Suicide Risk (RRSR) training is designed to improve clinicians’ competency to assess and respond to suicide risk. It is two-day skill-based training which teaches clinicians specific strategies to recognize and respond to client suicide risk. This study investigates if the RRSR training is effective in improving clinicians’ practice behaviors, including the ability to effectively assess and respond to suicide risk. Additional outcomes of interest are identifying factors that influence changes in practice behaviors. Methods: Multilevel modeling (MLM) was used to examine the effectiveness of the RRSR training and identify key predictors of behavior change. Secondary data from a longitudinal study of the RRSR training was used ( n =302). Standardized instruments were used to assess attitudes toward suicide prevention and self-efficacy; three detailed client vignettes with high inter-rater reliabilities were used to assess ability to assess and respond to suicide risk of clients. Results: The unconditional model with ICC of .421 supported conducting MLM analyses. Significant changes were found in clinicians’ practice behaviors over time across the four models tested. Clinicians’ attitude, self-efficacy, gender, age, and educational degree were found to be significant predictors of clinicians’ practice behaviors: (1) attitudes toward suicide prevention ( b =-.004, p =.001) and self-efficacy ( b =.002, p =.004) in model 1; (2) gender ( b =.04, p =.007) and educational degree ( b =.03, p =.01) in model 2; (3) self-efficacy ( b =.002, p = .04) and age ( b =-.001, p =.03) in model 3; and (4) gender ( b =.06, p =.03) and educational degree ( b =.07, p =.002). Conclusion and Implication: Findings from the current study are consistent with previous research, and support the RRSR as an effective training for improving clinicians’ practice behaviors even controlling for attitude, self-efficacy, and individual characteristics. Further, age, gender, and educational degree significantly predicted clinicians’ practice behaviors; gender and educational degree remained significant across models, including the random slopes and intercepts model. Trainees’ diverse backgrounds require customized training approaches; customized trainings may be even more effective to improve clinicians’ practice behavior and relatively reduce training expenses.",
      "authors": "Sang Jung Lee; Phillip Osteen; Jodi M. Jacobson",
      "author_ids": "112718; 110912; 108088",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3414647958,
        "prompt_eval_count": 1625,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:47:43.849397+00:00"
    },
    {
      "input_index": 524,
      "record_key": "SSWR:2014-U-0117",
      "source_database": "SSWR",
      "record_id": "2014-U-0117",
      "year": 2014,
      "title": "Rates and Characteristics of Violent Death Victims Among Persons Released From Prison",
      "abstract": "Background : Persons released from prison face multiple challenges to successful re-entry, including high risk of mortality by natural causes and violence.  Little is known about violent fatalities, such as homicide and suicide, among releasees.  Additional study is needed to ensure safe and successful re-entry of releasees and decrease violence in the communities to which they return.  This study examines characteristics of violent death victims among prison releasees in North Carolina, asking: Do rates of violent death among releasees differ significantly from the general population? What characteristics are associated with releasees who died violently? Methods: This is a retrospective cohort study of 48,228 inmates released from NC Division of Corrections (NCDC) from 7/06 through 6/07.  This cohort was predominantly male (87.1%), nonwhite (55.4%), never married (60.9%), with less than 12 th grade education (69.5%), and mean age of 35 ( SD= 10.3).  The NCDC provided inmate records for match with the NC National Violent Death Reporting System, and releasees who died violently within 12 months were identified and data merged. Probabilistic matching was used, with SSN, name, and DOB creating single variable strings, with subsequent manual review of matches and non-matches.  We identified 88 violent deaths. Analysis involved computation of rate of violent deaths per 100,000 population and use of Chi-square and logistic regression to identify significant characteristics associated with risk of violent death and compute adjusted odds ratios. Results : Rates of violent death per 100,000 were higher for releasees than the general population overall (182.5, 24.8), for homicide (107.8, 8.5) and suicide (62.2, 4.0). The proportion of homicides to suicides differed significantly between releasees (59.1%, 34.1%) and general population (32.9%, 63%), X 2 (2, N =3,436) = 7248.2, p < .001. Controlling for demographic and prison-related characteristics revealed for all violent deaths significantly higher odds of violent death for males, (adjusted OR=2.7, p = .039 ), mentally ill in prison (adjusted OR=2.2, p =.002), and younger age (adjusted OR=0.97, p =.033).   For homicides significantly higher odds occurred for nonwhites (2.9 p =.001), >2 incarcerations (2.1, p =.019), and younger age (0.9, p =.001). For suicides significantly lower odds occurred in nonwhite (0.4, p = .016), without supervised release (0.4, p =.047), and receiving substance abuse treatment in prison (0.3, p =.010). Conclusions : Violent death rates are significantly higher among releasees than the general population, with males, young adults, and mentally ill at higher risk of overall violent death; young adults, nonwhites, and persons with multiple incarcerations at higher risk of homicide; and whites, supervised post-release, and untreated for substance abuse in prison at higher risk of suicide. Though absolute numbers are not high, violent deaths among releasees involve not simply loss of an individual with rehabilitation potential, but also significant impact on family and community. Re-entry practices must address violent death risks in pre-release interventions, particularly targeting high risk groups such as the mentally ill or untreated substance abusing individuals.  More research is needed to better understand the predictors and socio-environmental contexts in which violent deaths occur post-release, so that releasees have maximal opportunity to be safe as they work to reintegrate into the community.",
      "authors": "Anna Scheyett; Stephen Lize; Candice Morgan",
      "author_ids": "113064; 109444; 113065",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Unknown",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3636791458,
        "prompt_eval_count": 1746,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:47:51.080092+00:00"
    },
    {
      "input_index": 525,
      "record_key": "SSWR:2014-P-0144",
      "source_database": "SSWR",
      "record_id": "2014-P-0144",
      "year": 2014,
      "title": "Suicide Plans and Attempts As Predictors of Carrying Weapons Among Adolescents",
      "abstract": "Purpose: The carrying and use of weapons among adolescents is increasing at alarming rates.  Much of the literature has focused on adolescents feeling threatened, exhibiting aggressive behaviors, or being the victim of bullying as predictors for carrying a weapon.  Chronic feelings of being threatened or bullied can lead to depressive behaviors and suicidal tendencies.  Little is understood about a relationship between depressive behaviors or suicidal tendencies and carrying a weapon.  This project will examine the predictability of depressive behaviors, suicidal ideation, and suicide attempts for carrying a weapon, carrying a gun, and carrying a weapon on school grounds in the past thirty days using data from the 2011 Youth Risk Behavior Survey (YRBS). Methods: Data from the 2011 YRBS was accessed and downloaded from the CDC’s website.  Five dichotomous variables, felt sad for two weeks or more, seriously considered attempting suicide, made a suicide plan, attempted suicide one or more times, and being injured after attempting suicide, were selected as predictor variables for carrying a weapon, carrying a gun, and carrying a weapon on school grounds in the past thirty days.  Logistic regression was used to determine the predictability of the five variables.  Age, gender, and race were controlled, as well as nine other variables previously identified in the literature as predictive of carrying a weapon (i.e., drinking alcohol before the age of thirteen, feeling threatened, physical fights in the community and at school, being injured from a fight, and being bullied). Results: The sample consisted of 10623 adolescents (m=5453, 51.3%) between the ages of fourteen and eighteen.  1706 (16.1%) adolescents reported carrying a weapon, 499 (4.7%) reported carrying a gun, and 508 (4.8%) adolescents reported carrying a weapon to school.  Chi-square results suggest significant relationships among all dependent and predictor variables.  The results from the logistic regression indicate that: (1) making a suicide plan (OR=1.85, 95% CI:1.53-2.24) and attempting suicide (OR=1.4, 95% CI:1.1-1.79) increases the likelihood of carrying a weapon; (2) attempting suicide (OR=1.96, 95% CI:1.44-2.67) increases the likelihood of carrying a gun; and (3) making a suicide plan (OR=2.32, 95% CI:1.82-2.95) and being injured after a suicide attempt (OR= 1.77, 95% CI:1.14-2.76) increases the likelihood of carrying a weapon on school grounds. Discussion: The results of this study indicate that making a suicide plan, attempting suicide, and being injured from a suicide attempt are predictive behaviors for carrying a weapon, carrying a gun, and carrying a weapon on school grounds.  To the best of the author’s knowledge, it is believed that this is the first time that making a suicide plan and being injured from a suicide attempt have been associated with carrying a weapon on school grounds.  Furthermore, an important detail that this data does not explain is the intent (i.e., self-harm or to harm others) that adolescents with suicidal ideations have with carrying a weapon, especially on school grounds.  These results highlight the need for improved suicide assessments and preventive interventions.",
      "authors": "Aaron C. Willis",
      "author_ids": "112845",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3453939208,
        "prompt_eval_count": 1657,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:47:54.536298+00:00"
    },
    {
      "input_index": 526,
      "record_key": "SSWR:2014-P-0018",
      "source_database": "SSWR",
      "record_id": "2014-P-0018",
      "year": 2014,
      "title": "The Clinical Significance of Sub-Threshold Psychosis in the General Population: Comorbidity and Suicide Risk",
      "abstract": "Background and Purpose: The general population prevalence of psychotic disorders is far exceeded by that of sub-clinical psychotic-like experiences, which are phenomenologically similar to threshold psychosis but of less intensity or associated impairment. Psychotic-like experiences often occur in the context of common mental disorders, where they are associated in adolescents with greater severity, earlier onset, and greater need for treatment. Psychotic-like experiences are also strongly associated with suicidal ideation and behavior in adolescents. It is not known whether psychotic-like experiences continue to be associated with comorbidity of common disorders or with suicidality in adulthood. The first aim of this study is to examine the prevalence of psychotic-like experiences among respondents with common mental disorders, and to describe the clinical significance of these symptoms when occurring in the context of common mental disorders. The second aim is to determine the risk for suicidal ideation and behaviors among respondents with psychotic-like experiences. Method: Data from the Collaborative Psychiatric Epidemiology Surveys (n=20,013) were used to examine psychiatric comorbidity and suicidality among adults who reported psychotic-like experiences.  Presence of psychotic-like experiences and mental health disorders was determined using the World Health Organization Composite International Diagnostic Interview. Odds ratios with 95% confidence intervals (OR, 95% CI) were calculated for associations between psychotic-like experiences and common mental disorders (affective, anxiety, and substance use disorders) and suicidal behaviors (ideation, plans, and attempts). All odds ratios were adjusted for demographic factors, with significance of individual predictors tested using Wald chi-square tests. Results:  Within this nationally-representative data set, 6.6% of all respondents endorsed lifetime psychotic-like experiences and 2.4% reported psychotic-like experiences over the prior 12-months. All classes of common mental disorders were more than twice as prevalent among individuals reporting psychotic-like experiences, whether using 12-month or lifetime diagnoses. Further, risk for psychotic-like experiences increased in a dose-response relationship with increasing number of comorbid conditions such that those with three or more mental health conditions had 12-fold greater odds of experiencing psychotic-like experiences over the concurrent 12-month period (OR = 12.3, 95% CI = 3.3-45.3). Twelve-month psychotic-like experiences were also associated with greatly increased odds for suicidal ideation (OR = 5.5, 95% CI = 3.3-9.2), suicide plans (OR = 4.4, 95% CI = 2.2-8.9), and suicide attempts (OR = 10.2, 95% CI = 4.4-23.3) over the same year, particularly if psychotic-like experiences included sub-threshold delusions that one’s mind was being controlled by strange forces (OR = 14.8, 95% CI = 3.1-70.5). Conclusions and Implications: This study presents evidence that psychotic-like experiences are clinically meaningful despite not meeting full criteria for threshold psychotic disorder. They appear to be indicators of general mental health difficulties and comorbidity of common mental disorders, and may be particularly important as markers of suicide risk. Future studies should examine whether there is a causal relationship between psychotic-like experiences and suicidality, or if they are simply useful risk indicators. Regardless, social work practice may benefit by assessing and screening for psychotic-like experiences in high-risk mental health clients, particularly those with multiple comorbidities or elevated risk for suicide.",
      "authors": "Jordan E. DeVylder",
      "author_ids": "112063",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "eval_count": 24
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      "screened_at": "2026-08-02T17:47:58.023149+00:00"
    },
    {
      "input_index": 529,
      "record_key": "SSWR:2014-U-0294",
      "source_database": "SSWR",
      "record_id": "2014-U-0294",
      "year": 2014,
      "title": "The Role of Relationships and the Search for Meaning in Suicide Ideation: An Exploratory Study of Incarcerated Women With Life Sentences",
      "abstract": "Background : Preventing suicide by incarcerated individuals is a concern for the fields of public health, social work, and criminal justice. A particular population in need of suicide prevention is women serving life sentences as they have significantly more suicide attempts in their lifetimes than men with life sentences and women with shorter sentences. Current theoretical models of suicide risk focus on the person in environment and assessing risk based vulnerability when responding to the dynamic interactions of biological, psychological, and situational factors. Incarcerated women with life sentences is a population that has been neglected in the suicide prevention research, and thus the research question underlying this exploratory work is: What factors related to place (i.e. prison), situations and events, individual characteristics and the perception of time (i.e. life in prison) are connected to suicide ideation for women with life sentences? Methods : Semi-structured interviews were conducted with a sample of 33 women with life sentences in a state prison after their involvement in a pilot intervention for women with violent offenses. The mean age of the women was 42, and the average length of incarceration was 16 years with a range from 2 to 38 years. A majority of women (75%) had children, with approximately half as mothers to minor-age children. Unsolicited information about hopelessness/suicide was offered by several women.  Using principles of grounded theory, a thematic analysis was performed to identify themes related to suicide risk with an iterative process to develop codes for data interpretation. Within-case and cross-case analyses were conducted to identify and verify emerging themes. Coding was completed until inter-rater reliability was reached within the research team. Results : Dominant themes emerged around the pivotal role of relationships in women’s lives. These relationships were described as based on loss (e.g. separation from children and family on the outside; grieving the inability to even have children), transition (e.g. other inmates entering and leaving the prison), and strain (e.g. struggling to sustain relationships under strict institutional policies). A meta-theme was the search for meaning and purpose while incarcerated for life. The need for supports to cope with these relationship factors and a lack of purpose were explained as driving feelings of hopelessness and the consideration of suicide as an option. Women reported seeking groups to address these needs as the current model of service provision within the prison prioritizes women facing re-entry into the community. Conclusion/Implications : This study displays how incarcerated women with life sentences are a high risk and underserved population, as well as factors that are connected to feelings of hopelessness and suicide ideation. Given recent efforts led by SAMSHA, the World Health Organization, and other organizations to prevent suicide in prisons, social workers can gain insight about the possible needs and experiences of incarcerated women, especially those with long-term sentences, from this study. In consideration of the overwhelming spontaneous sharing of suicide ideation and feelings of hopelessness by the women, these results are a call to action for intervention development and testing with this population.",
      "authors": "Gina Fedock; Sheryl Pimlott Kubiak",
      "author_ids": "112570; 109093",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Unknown",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:48:08.430672+00:00"
    },
    {
      "input_index": 530,
      "record_key": "SSWR:2014-U-0351",
      "source_database": "SSWR",
      "record_id": "2014-U-0351",
      "year": 2014,
      "title": "Violence Against Youth With Disabilities in Vietnam and Its Relationship to Suicidal Ideation and Self-Harm Behaviors",
      "abstract": "Purpose: Between 180 and 220 million youth with disabilities exist worldwide; 80% of whom live in developing nations. These youth are particularly vulnerable to violence and abuse both within the family and the community. To date, little research exists on the victimization of youth with disabilities in Asian countries or its effects upon their mental health. Yet, developing Asian countries, such as Vietnam, harbor a significant number of youth with disabilities, while social and medical services to address their needs often lag behind. Given the current gap in the literature, the objectives of this study are: 1) to identify the prevalence of reported injury due to violence among youth with disabilities in a nationally representative sample of Vietnamese youth 2) to estimate the relationship between youth disability and injuries due to violence, controlling for other socioeconomic and family variables and 3) to identify whether disability status moderates the impact of victimization upon self-harm behaviors/suicidal ideation. Method: This study draws upon the 2003 Vietnam Survey Assessment of Vietnamese Youth (VNSAVY), which is the first nationally representative, population-based survey of 7,584 adolescents and young adults in Vietnam. Data collection included face-to-face interviews and self-administrated anonymous surveys. Weighted bivariate and multiple logistic regressions were used to investigate the relationship among disability, violence and other selected co-variates. The SVY procedures in STATA 12 were applied to take into account the complex survey design and sampling weights. Results: Approximately fourteen percent of Vietnamese youth report having a disability. Among these youth, approximately 10% report injuries due to one victimization, in comparison to 8.7% of youth without disabilities. Likewise, almost twice as many youth with disabilities report two victimizations (1.1%), in comparison to youth without disabilities (.6%). The odds of youth with disabilities reporting injuries due to family violence remained 50% higher than those without disabilities, controlling for all other variables, including sociodemographic and family risk variables. Disability status moderated the impact of victimization upon self-harm/suicidal ideation such that the probability of engaging in self-harm behaviors or suicidal ideation was five times higher for youth with disabilities, versus youth without disabilities who reported both familial and extra- familial victimizations. Likewise, among Vietnamese youth with disabilities, the probability of reporting self-harm behaviors or suicidal ideation was approximately five times higher for those who reported both familial and extra-familial victimization versus only one victimization. Conclusion: The results of this study suggest that youth with disabilities in developing Asian countries, such as Vietnam, may be vulnerable to extreme forms of physical violence, in comparison to peers without disabilities. Moreover, the experience of familial and extra-familial victimization together, appears to have a “threshold effect” upon the probability of engaging in self-harm behaviors/suicidal ideation among youth with disabilities.  Social services are needed to address the heightened vulnerabilities of youth with disabilities in developing contexts. Services should not only seek to screen and prevent family and community violence against youth with disabilities, but also, provide appropriate mental health supports to address the behavioral health sequelae of victimization observed among disabled youth.",
      "authors": "Kristen A. Berg; Cheng Shi Shiu; Huong Nguyen",
      "author_ids": "113330; 111375; 113266",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Unknown",
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      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:48:11.729302+00:00"
    },
    {
      "input_index": 535,
      "record_key": "SWRD:41206",
      "source_database": "SWRD",
      "record_id": 41206,
      "year": 2014,
      "title": "A Validity and Measurement Equivalence Study of the Ultra-Short Suicidal Ideation Scale With Older Adults",
      "abstract": "The assessment of suicide risk is a critically important task for practitioners working with older adults. Short-form scales are important tools for use in the assessment of suicide ideation and risk since their brevity makes them ideally suited for use in busy practice settings. This article reports results of a validity study of an ultra-short suicidal ideation scale (USSIS) used with an older adult population. The study tests the hypothesis that scores on the USSIS represent magnitude of suicidal thinking. The USSIS was used to gather data on more than 200 adults, ages 50 to 97 years, recruited from 2 clinical settings that serve older adults. The data are analyzed to provide evidence for concurrent criterion, divergent, factorial, and known-groups discriminant validity. In addition, we conducted analyses to test measurement equivalence across the 2 study sites. Results are consistent with the scores on the USSIS representing magnitude of suicidal ideation, and with measurement equivalence across the study sites.",
      "authors": "Nugent, William Robert; Cummings, Sherry",
      "author_ids": "",
      "journal_or_venue": "Journal of the Society for Social Work and Research",
      "doi": "10.1086/679225",
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      "database_is_empirical": true,
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:48:26.392998+00:00"
    },
    {
      "input_index": 536,
      "record_key": "SWRD:41235",
      "source_database": "SWRD",
      "record_id": 41235,
      "year": 2014,
      "title": "African Americans' Perceived Sociocultural Determinants of Suicide: Afrocentric Implications for Public Health Inequalities",
      "abstract": "The cultural values of African Americans have not been adequately incorporated as a theoretical base to develop new public health models. The major objectives of this study were to explore, with a purposive sample, via seven focus groups, 40 African American college students, the following: How do (a) ethnic culture and (b) a \"minoritized\" status influence perceptions of sociocultural determinants in explaining increases in the incidence of suicide among African Americans? Thematic results of focus group discussions including the following: (a) racism, discrimination, and stereotyping; (b) U.S. individualism; (c) integration and cultural assimilation; and, (d) the prison industrial complex.",
      "authors": "Borum, Valerie",
      "author_ids": "",
      "journal_or_venue": "Social Work in Public Health",
      "doi": "10.1080/19371918.2013.776339",
      "record_type": "journal-article",
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      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:48:28.700272+00:00"
    },
    {
      "input_index": 537,
      "record_key": "SWRD:42924",
      "source_database": "SWRD",
      "record_id": 42924,
      "year": 2014,
      "title": "Associations Between Sexual Abuse and Negative Health Consequences Among High-Risk Men Who Have Sex with Men",
      "abstract": "This study evaluated whether a history of sexual abuse could differentiate negative health consequences among men who have sex with men (MSM; N = 148) enrolled in a risk counseling program. More than half (51.4%) reported an experience of sexual abuse. A history of sexual abuse was associated with increased psychological distress, increased rates of alcohol (AOR = 2.91; p < .01) and/or drug abuse (AOR = 2; p < .01) treatment, increased risk of housing instability (AOR = 2.13; p < .05), and increased risk for suicidality (AOR = 4.3; p < .001). Findings demonstrate that screening for sexual abuse may be useful in determining the service needs of high-risk MSM.",
      "authors": "Rusow, Joshua A.; Fletcher, Jesse B.; Le, Hung; Reback, Cathy J.",
      "author_ids": "",
      "journal_or_venue": "Sexual and Gender Diversity in Social Services",
      "doi": "10.1080/10538720.2014.891451",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:48:31.014904+00:00"
    },
    {
      "input_index": 540,
      "record_key": "SWRD:42742",
      "source_database": "SWRD",
      "record_id": 42742,
      "year": 2014,
      "title": "Exploring the Formal Supports Used by People Bereaved Through Suicide: A Qualitative Study",
      "abstract": "Approximately seven Australians take their own lives every day (Mendoza & Rosenberg, 2010), which means that thousands of survivors will require support for their unique grief each year. This study seeks to better understand the personal lived experiences of people bereaved by suicide by exploring their use of formal supports and identifying any unmet needs. In this phenomenological study, 14 individuals bereaved by suicide were interviewed. Thematic analysis of the data identified two major themes supports in the immediate aftermath and ongoing supports. Survivors were inconsistently connected with service providers or provided with information regarding available services. The response of first responders and other professionals influenced the bereavement journey for suicide survivors, and the participants' lived experience ranged from compassionate to cold. Continuing study into postvention is critical to ensure that available supports can meet the needs of those grieving after a suicide. Such efforts may help avert complications associated with the suicide of a loved one.",
      "authors": "McKinnon, Janette M.; Chonody, Jill",
      "author_ids": "",
      "journal_or_venue": "Social Work in Mental Health",
      "doi": "10.1080/15332985.2014.889637",
      "record_type": "journal-article",
      "database_method": "Qualitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:48:37.999439+00:00"
    },
    {
      "input_index": 541,
      "record_key": "SWRD:43111",
      "source_database": "SWRD",
      "record_id": 43111,
      "year": 2014,
      "title": "Field Note-Developing Suicide Risk Assessment Training for Hospital Social Workers: An Academic-Community Partnership",
      "abstract": "This article describes 1 large urban pediatric hospital's partnership with a university to provide suicide assessment and management training within its social work department. Social work administrators conducted a department-wide needs assessment and implemented a 2-session suicide assessment training program and evaluation. Respondents (97.8%) indicated that the training was either helpful or very helpful in 8 suicide assessment skill-based domains. All attendees reported positive changes in perceived competence in 6 of 8 skill-based domains. A brief and time-efficient in-service training can be instrumental in augmenting hospital social worker competence in suicide risk assessment practice. This model of training program development, implementation, and evaluation is feasible, evidence-informed, and may be replicated.",
      "authors": "Wharff, Elizabeth A.; Ross, Abigail M.; Lambert, Susan",
      "author_ids": "",
      "journal_or_venue": "Journal of Social Work Education",
      "doi": "10.1080/10437797.2014.856249",
      "record_type": "journal-article",
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      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T17:48:40.357670+00:00"
    },
    {
      "input_index": 542,
      "record_key": "SWRD:42431",
      "source_database": "SWRD",
      "record_id": 42431,
      "year": 2014,
      "title": "Lifestyle Practices, Psychological Well-Being, and Substance Use among Chinese-Canadian Youth",
      "abstract": "Lifestyle factors serve an important determinant of health and are critical to youths' psychosocial development. This cross-sectional survey study aimed to assess the associations between lifestyle practices and mental health and substance use among a sample of 152 Chinese-Canadian youth in the Greater Toronto Area. Findings indicated that youths' sedentary behaviors are linked to increased depressed mood, stress, and suicidal ideation. Moreover, a lack of healthy eating habits is associated with increased substance use. The use of a buddy program, installation of peer counseling, and an implementation of a holistic health policy may help promote healthy living for Chinese-Canadian youth.",
      "authors": "Fang, Lin; Zhang, Vivian F.; Poon, Helen Lai Man; Fung, Wai Lun Alan; Katakia, Dhvani",
      "author_ids": "",
      "journal_or_venue": "Journal of Ethnic & Cultural Diversity in Social Work",
      "doi": "10.1080/15313204.2014.932732",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:48:42.723314+00:00"
    },
    {
      "input_index": 543,
      "record_key": "SWRD:42084",
      "source_database": "SWRD",
      "record_id": 42084,
      "year": 2014,
      "title": "Living in Danger: Previous Violence, Socioeconomic Position, and Mortality Risk among Women over a 10-Year Period",
      "abstract": "Violence against women has many negative consequences. In this short report the authors investigate patterns of mortality among women experiencing violence leading to inpatient care from 1992 to 2006. Do women who are victims of severe violence have an increased mortality risk (a) in general? (b) by violence? (c) by suicide? Does socioeconomic position have any bearing on the mortality risk? The study was based on Swedish national registers, where 6,085 women exposed to violence resulting in inpatient care were compared with a nonexposed population sample of 55,016 women. Women of all social strata previously exposed to severe violence and treated in hospital had a highly increased risk of premature death from all-cause mortality, violence, or suicide. Women previously exposed to severe violence continue to live a life in danger. There is need for a societal response to support and protect these women against further violence after discharge from hospital.",
      "authors": "Trygged, Sven; Hedlund, Ebba; Kareholt, Ingemar",
      "author_ids": "",
      "journal_or_venue": "Social Work in Public Health",
      "doi": "10.1080/19371918.2013.776350",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:48:45.034012+00:00"
    },
    {
      "input_index": 546,
      "record_key": "SWRD:42037",
      "source_database": "SWRD",
      "record_id": 42037,
      "year": 2014,
      "title": "Meta-Analysis and Systematic Review Assessing the Efficacy of Dialectical Behavior Therapy ( DBT)",
      "abstract": "Objective: The objective was to quantitatively and qualitatively examine the efficacy of DBT (e.g., decreasing life-threatening suicidal and parasuicidal acts, attrition, and depression) explicitly with borderline personality disorder (BPD) and using conservative assumptions and criteria, across treatment providers and settings. Method: Five randomized controlled trials (RCTs) were identified in a systematic search that examined the efficacy of DBT in reducing suicide attempts, parasuicidal behavior, attrition during treatment, or symptoms of depression, in adult patients with BPD. Results: Combining effect measures for suicide and parasuicidal behavior (five studies total) revealed a net benefit in favor of DBT (pooled Hedges' g -0.622). DBT was only marginally better than treatment as usual (TAU) in reducing attrition during treatment in five RCTs (pooled risk difference -0.168). DBT was not significantly different from TAU in reducing depression symptoms in three RCTs (pooled Hedges' g -0.896). Discussion: DBT demonstrates efficacy in stabilizing and controlling self-destructive behavior and improving patient compliance.",
      "authors": "Panos, Patrick T.; Jackson, John W.; Hasan, Omar; Panos, Angelea",
      "author_ids": "",
      "journal_or_venue": "Research on Social Work Practice",
      "doi": "10.1177/1049731513503047",
      "record_type": "journal-article",
      "database_method": "Review",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Review"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T17:48:52.487334+00:00"
    },
    {
      "input_index": 548,
      "record_key": "SWRD:42016",
      "source_database": "SWRD",
      "record_id": 42016,
      "year": 2014,
      "title": "Our Encounters with Suicide",
      "abstract": null,
      "authors": "Leah, Caroline",
      "author_ids": "",
      "journal_or_venue": "British Journal of Social Work",
      "doi": "10.1093/bjsw/bcu009",
      "record_type": "journal-article",
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      "screening_basis": "title_only",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:48:57.023106+00:00"
    },
    {
      "input_index": 549,
      "record_key": "SWRD:42729",
      "source_database": "SWRD",
      "record_id": 42729,
      "year": 2014,
      "title": "Personal and Professional Knowledge of and Experience With Suicide and Suicide Prevention Among Stakeholders in Clinical and Community Practice",
      "abstract": "Community-dwelling veterans at risk for suicide may be in contact with a variety of providers in agency-based settings that offer health and human services. The study aim is to describe the perspective of agency-based clinical and community providers who may come into contact with veterans in need of suicide prevention services and to examine the nature of their personal and professional relationships to individuals at risk for suicide among this sample. This study reports on qualitative data from a sample of Veterans' Affairs (VA) and community providers serving veterans and military families in one Midwestern state (N = 70). Providers completed a survey assessing exposure to suicide, including contact with and relationship to someone suicidal, and organizational characteristics of the providers' employing agencies. Semi-structured interview questions probed for the nature of how they would react with suicidal individuals. Most providers (94%) had some prior contact with someone who was suicidal, and nearly three quarters (77%) knew someone who had died by suicide. Providers reported powerful emotional responses of sadness and remorse to suicidal experiences. While these providers interact with veterans and military families as part of their jobs, they may have their own history of being exposed to suicide, both professionally and personally.",
      "authors": "Matthieu, Monica M.; Gardiner, Giovanina; Ziegemeier, Ellen; Buxton, Miranda; Han, Lu; Cross, Wendi",
      "author_ids": "",
      "journal_or_venue": "Social Work in Mental Health",
      "doi": "10.1080/15332985.2014.884517",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
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        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T17:48:59.662570+00:00",
      "independent_manual_spot_check": {
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        "manual_screening": {
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          "evidence_class": "Empirical",
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        },
        "rationale": "The abstract explicitly reports qualitative interview data on providers' suicide experience and responses."
      }
    },
    {
      "input_index": 550,
      "record_key": "SWRD:42965",
      "source_database": "SWRD",
      "record_id": 42965,
      "year": 2014,
      "title": "Perspectives and Appropriateness of Suicide Prevention Gatekeeper Training for MSW Students",
      "abstract": "As the largest provider group of outpatient mental health services, social workers are at the forefront of suicide prevention, yet lack formal education to recognize and respond to client suicide risk. The Question, Persuade, and Refer (QPR; Quinnett, 1995) gatekeeper training teaches basic suicide prevention skills, focusing on suicide risk factors, warning signs, and response. Eight advanced MSW students, who completed the QPR training, participated in a face-to-face interview to share perspectives of the training and how they applied skills learned within their social work field placement. Study results provide crucial information about suicide prevention education for social workers.",
      "authors": "Sharpe, Tanya L.; Frey, Jodi Jacobson; Osteen, Philip J.; Bernes, Sarah",
      "author_ids": "",
      "journal_or_venue": "Social Work in Mental Health",
      "doi": "10.1080/15332985.2013.848831",
      "record_type": "journal-article",
      "database_method": "Qualitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
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        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:49:01.943608+00:00"
    },
    {
      "input_index": 551,
      "record_key": "SWRD:42348",
      "source_database": "SWRD",
      "record_id": 42348,
      "year": 2014,
      "title": "Psychiatric Pathology and Suicide Risk in Patients with Cancer",
      "abstract": "The aims of the study were to assess sociodemographic and clinical factors associated with suicidal ideation in patients with cancer who required a psycho-oncological support. Among 504 participants, there were 136 (23 men and 113 women) cancer patients who completed psychological assessment when admitted to the Psycho-oncology Outpatient Clinic between 2006 and 2011. Suicidal ideation was assessed by Item 9 of the Brief Symptom Inventory, Hopelessness was assessed by the hopelessness subscale of the Mini-Mental Adjustment to Cancer Scale, and Depression was assessed by the depression subscale of the Hospital and Anxiety Depression Scale. Around 30% of this sample reported affective symptoms and around 20% reported suicidal ideation and hopelessness. Patients who reported suicidal ideation were more hopeless (18.8 +/- 6.7vs. 15.7 +/- 5.2; t(134) = 2.54; p < 0.05) and reported more depression (11.8 +/- 4.8vs. 6.8 +/- 4.1; t(134) = 5.30; p < 0.001). It is evident that cancer can result in a strong psychological distress in the patient. It is important, therefore, that cancer patients receive a proper assistance and psychological support and that both the possible presence of depression and suicidal ideation are constantly monitored.",
      "authors": "Costantini, Anna; Pompili, Maurizio; Innamorati, Marco; Zezza, Maria Cristina; Di Carlo, Alessandra; Sher, Leo; Girardi, Paolo",
      "author_ids": "",
      "journal_or_venue": "Journal of Psychosocial Oncology",
      "doi": "10.1080/07347332.2014.917136",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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      "screened_at": "2026-08-02T17:49:04.599675+00:00"
    },
    {
      "input_index": 554,
      "record_key": "SWRD:100717",
      "source_database": "SWRD",
      "record_id": 100717,
      "year": 2014,
      "title": "REFLECTIONS ON THE EXPERIENCES AND NEEDS OF ADOLESCENTS WHO HAVE ATTEMPTED SUICIDE: A QUALITATIVE STUDY",
      "abstract": "Suicide and attempted suicide as a response to crisis are growing alarmingly among the young. Thomerson (2002:30) states that “Youth suicide is a growing epidemic… It is currently the third leading cause of death of 15- to 24-year-olds, and the fourth leading cause of death among 10- to 14-year-olds. Nearly 4600 kids killed themselves in the United States, and approximately 46 000 others tried”. Schlebusch (1995:3) has confirmed the high incidence of attempted suicides by postulating that for every completed suicide there are at least eight to ten attempted suicides. In a study by Terblanche, Bates, Bokwana, Brits, Corder, Cuendet, Davis, Donson, Mbengu, Ngesi, Olivier, Roger, Stokwe, Totana and Viljoen (1999:148) on risk behaviours of high school learners in Port Elizabeth, South Africa, it was found that 25% of a sample of 2198 learners that had responded to the specific item in the questionnaire on having thoughts the past year, had such thoughts in the year preceding the study. From the total 25% who had thoughts about suicide, 16% had told someone about such thoughts. 14% of the sample of 2201 who responded to the specific item in the questionnaire on attempting suicide in the year of the study, in fact did attempted suicide, and 42% (or 122 respondents) of the learners who attempted suicide needed to seek professional treatment. Terblanche et al. (1999:81) concluded that suicide ideation was higher amongst female respondents than among their male counterparts. However, more male respondents actually attempted suicide which necessitated professional treatment following such incidents",
      "authors": "Aspaslan; Jonathan; Nicky Aspaslan; Nicky Aspaslan; Nicky; Lowe",
      "author_ids": "",
      "journal_or_venue": "Social Work-Maatskaplike Werk",
      "doi": "10.15270/39-3-361",
      "record_type": "journal-article",
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      "database_is_scientific": true,
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      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:49:12.112324+00:00"
    },
    {
      "input_index": 556,
      "record_key": "SWRD:42715",
      "source_database": "SWRD",
      "record_id": 42715,
      "year": 2014,
      "title": "Suicidal Behavior and HIV/AIDS: A Partial Test of Joiner's Theory of Why People Die by Suicide",
      "abstract": "Suicidal behavior occurs among people living with HIV/AIDS. Thomas Joiner has postulated that in order to complete suicide three variables must be present-perceived burdensomeness and thwarted belongingness, and acquired capacity. We examined these three concepts in a partial test of Thomas Joiner's interpersonal- psychological theory of suicidal behavior. Our sample consisted of 52 individuals that were receiving services at HIV/AIDS clinics. These individuals were divided into two groups-one with suicidal behaviors, the other with no suicidal behaviors. Acquired capacity was limited to medication adherence and both groups reported good adherence with their medications. Results show those in the suicidal behavior group experience slightly more perceived burdensomeness and feelings of thwarted belongingness than those in the no suicidal behaviors group. These findings and suggestions for future research are presented.",
      "authors": "Manetta, Ameda A.; Cox, Lisa E.",
      "author_ids": "",
      "journal_or_venue": "Social Work in Mental Health",
      "doi": "10.1080/15332985.2013.832717",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:49:16.684222+00:00"
    },
    {
      "input_index": 557,
      "record_key": "SWRD:42824",
      "source_database": "SWRD",
      "record_id": 42824,
      "year": 2014,
      "title": "Suicide Prevention in Social Work Education: How Prepared Are Social Work Students?",
      "abstract": "The prevalence of suicide suggests social workers will encounter clients at risk for suicide, but research shows social workers receive little to no training on suicide and suicide prevention and feel unprepared to work effectively with clients at risk. Baseline results from a randomized intervention study of the Question, Persuade, and Refer suicide prevention gatekeeper training with 73 advanced master's of social work student interns show suicide knowledge was average, attitudes about suicide prevention were generally neutral, and use of suicide prevention practice skills was low. These results indicate an opportunity for enhancing student outcomes through training and inform social work education regarding necessary preparation for student interns and new graduates to identify and respond effectively to client suicide risk.",
      "authors": "Osteen, Philip J.; Jacobson, Jodi M.; Sharpe, Tanya L.",
      "author_ids": "",
      "journal_or_venue": "Journal of Social Work Education",
      "doi": "10.1080/10437797.2014.885272",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:49:19.023388+00:00"
    },
    {
      "input_index": 558,
      "record_key": "SWRD:42728",
      "source_database": "SWRD",
      "record_id": 42728,
      "year": 2014,
      "title": "Suicide Prevention Training Program for Gatekeepers Working in Community Hospice Settings",
      "abstract": "Gatekeepers in community hospice settings encounter patients and caregivers struggling with suicidal thoughts. Limited guidance is available for training staff on the prevention of suicide in hospice care. This study evaluated one promising, evidence-based, suicide prevention program with a behavioral rehearsal practice session. A pre-and post-, one group design, was utilized to measure the training impact and educational needs of staff working in community hospice settings (N = 39). Training increased awareness of the risk factors for suicide, as reported by nearly 80% of participants. Self-efficacy scores showed a statistically significant Increase, t(df = 35), -9.59, p = .00 (two-tailed), from pretraining (n = 36, M = 2.21, SD = .65) to posttraining (n = 36, M = 3.03, SD =. 56). Satisfaction and the need for additional devoted time for suicide prevention training were highly rated. Suicide prevention training programs can enhance self-efficacy, knowledge, and skills for gatekeepers working in community hospice settings.",
      "authors": "Matthieu, Monica M.; Swensen, Angela B.",
      "author_ids": "",
      "journal_or_venue": "Journal of Social Work in End-Of-Life & Palliative Care",
      "doi": "10.1080/15524256.2013.877865",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:49:21.575776+00:00"
    },
    {
      "input_index": 559,
      "record_key": "SWRD:42894",
      "source_database": "SWRD",
      "record_id": 42894,
      "year": 2014,
      "title": "Systematic Literature Review Unemployment and psychological distress among young adults in the Nordic countries: A review of the literature",
      "abstract": "This article reviews Nordic research, published from 1995 and onwards, on the relationship between unemployment and mental health among young adults. Cross-sectional, longitudinal and time-series studies are included. Cross-sectional studies show that the unemployed experience more mental health problems than the non-unemployed. Leaving unemployment is associated with increased well-being. Economic problems, feelings of shame and poor social support increase the likelihood of psychological distress. The longitudinal studies show that unemployment increases the risk of psychological distress and attempted suicide, after initial mental health status and confounding factors are accounted for. The relationship remains significant when time-invariant characteristics of the individuals are controlled for. The time-series studies found no relationship between unemployment and suicide, but levels of psychological distress were found to vary with changes in the labour market. This relationship remained significant after excluding the non-employed, indicating that unemployment trends have effects beyond those directly associated with unemployment.",
      "authors": "Reneflot, Anne; Evensen, Miriam",
      "author_ids": "",
      "journal_or_venue": "International Journal of Social Welfare",
      "doi": "10.1111/ijsw.12000",
      "record_type": "journal-article",
      "database_method": null,
      "database_is_scientific": true,
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      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Review"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:49:23.865312+00:00",
      "screening_source": "Primary screen; blind audit agreement",
      "accuracy_audit": {
        "sample_group": "Review",
        "random_seed": 20260802,
        "blind_screening": {
          "is_relevant": true,
          "relevance_rationale": "The abstract explicitly reports on suicide attempts and suicide rates as distinct outcomes analyzed in the reviewed studies regarding unemployment and mental health.",
          "evidence_class": "Empirical",
          "empirical_method": "Review",
          "classification_rationale": "The title and abstract identify the work as a systematic literature review that synthesizes findings from cross-sectional, longitudinal, and time-series studies.",
          "confidence": "High"
        },
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      }
    },
    {
      "input_index": 560,
      "record_key": "SWRD:42000",
      "source_database": "SWRD",
      "record_id": 42000,
      "year": 2014,
      "title": "The Attachment Function of Acute and Chronic Suicidal Illness in the Psychotherapy of an Adult Female Incest Survivor",
      "abstract": "This paper presents the attachment-focused psychotherapy of a suicidal adult woman with a history of paternal incest, paternal suicide, and maternal death; the latter provoked the patient's near lethal overdose. Psychotherapy with this patient posed formidable clinical challenges because killing herself represented the internalization of profound incest-related shame and pathological beliefs about herself and mother that permeated her whole way of being. By focusing on the patient's multiple working models of attachment associated with the incest and father's suicide, I illustrate the intergenerational transmission of unresolved trauma underlying her suicidal illness. The implications for practice emphasize how understanding and utilizing the intersubjective disorganized attachment dynamics facilitated the patient's internalization of more adaptive and life-affirming views of self and surrounding conditions.",
      "authors": "Greenfield, Robert M.",
      "author_ids": "",
      "journal_or_venue": "Clinical Social Work Journal",
      "doi": "10.1007/s10615-012-0429-7",
      "record_type": "journal-article",
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      "database_is_scientific": true,
      "database_is_empirical": false,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:49:26.348786+00:00"
    },
    {
      "input_index": 561,
      "record_key": "SWRD:42145",
      "source_database": "SWRD",
      "record_id": 42145,
      "year": 2014,
      "title": "The Influence of Intergenerational Family Dynamics on Suicidal Behavior: Conceptualization, Assessment, and Intervention",
      "abstract": "Suicidal behavior is often conceptualized as an intrapsychically- determined phenomenon. This article illustrates the value of conceptualizing suicidal behavior from a psychodynamic theoretical perspective that includes a comprehensive understanding and formulation of intergenerational family dynamics, in addition to the individual's intrapsychic determinants, and emphasizes that family therapy, informed by psychoanalytic principles, is an important treatment modality for suicidal patients and their families. A conceptual framework that delineates the psychodynamics of familial transmission of suicidality is presented along with an assessment and intervention protocol.",
      "authors": "Morey, Cathleen M.",
      "author_ids": "",
      "journal_or_venue": "Studies in Clinical Social Work: Transforming Practice, Education and Research",
      "doi": "10.1080/00377317.2014.860787",
      "record_type": "journal-article",
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      "database_is_scientific": true,
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      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:49:28.627112+00:00"
    },
    {
      "input_index": 562,
      "record_key": "SWRD:43090",
      "source_database": "SWRD",
      "record_id": 43090,
      "year": 2014,
      "title": "Uncomplicated Depression, Suicide Attempt, and the DSM-5 Bereavement Exclusion Debate: An Empirical Evaluation",
      "abstract": "Purpose: To evaluate the claim, made repeatedly during Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition debates over eliminating the bereavement exclusion (BE), that uncomplicated depressive reactions have elevated suicidality like other major depressive disorder (MDD), so exclusions risk missing suicidal cases. Method: We found no published evidence assessing suicide risk specifically in uncomplicated depression. Using data from four epidemiological surveys, we calculated suicide attempt rates both concurrently and predictively for those with histories of no MDD, uncomplicated MDD, and standard MDD. Results: Both concurrently and predictively, uncomplicated MDD suicide attempt rates were no greater than no-MDD history rates and less than standard MDD rates. Discussion: Excluding uncomplicated cases from MDD poses no risk of missing elevated suicidal rates typical of depression. The suicide argument used to support BE elimination was spurious.",
      "authors": "Wakefield, Jerome C.; Schmitz, Mark F.",
      "author_ids": "",
      "journal_or_venue": "Research on Social Work Practice",
      "doi": "10.1177/1049731513495092",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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      "screened_at": "2026-08-02T17:49:30.923538+00:00"
    },
    {
      "input_index": 563,
      "record_key": "SWRD:41396",
      "source_database": "SWRD",
      "record_id": 41396,
      "year": 2014,
      "title": "Understanding the Relationship between Domestic Abuse and Suicide Behavior in Adults Receiving Primary Care: Does Forgiveness Matter?",
      "abstract": "This study examined the interrelation of domestic abuse, forgiveness of self, forgiveness of others, and suicide behavior in a community sample of 101 patients receiving primary care from a clinic in the southeastern United States. As expected, it was found that more frequent experience of domestic abuse was associated with more frequent suicide behavior. Results from conducting mediation analyses and using bootstrapping techniques provided support for a model in which the relationship between domestic abuse and suicide behavior was accounted for by forgiveness of self, but not by forgiveness of others. The article concludes with a discussion of some of the implications of the present findings for practice and the study's limitations.",
      "authors": "Chang, Edward C.; Kahle, Emma R.; Yu, Elizabeth A.; Hirsch, Jameson K.",
      "author_ids": "",
      "journal_or_venue": "Social Work",
      "doi": "10.1093/sw/swu028",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:49:33.234714+00:00"
    },
    {
      "input_index": 564,
      "record_key": "SSWR:2015-O-0219",
      "source_database": "SSWR",
      "record_id": "2015-O-0219",
      "year": 2015,
      "title": "\"Being Safe and Being Yourself Is Two Different Things\": Understanding Structural Violence and Resistance Among Sexually Diverse Youth in Kingston, Jamaica",
      "abstract": "Background and Purpose Stigma and discrimination targeting sexually and gender diverse youth (SGDY) are pervasive global phenomena that exert a devastating impact on health and wellbeing. The limited available information indicates SGDY in Jamaica experience hate crimes, physical and sexual violence, and homelessness. This violence occurs within socio-cultural contexts of stigma and discrimination that devalue SGDY, often abetted by social and institutional exclusion. Scant research, however, has explored stigma, its health effects, and resistance strategies among SGDY in low- and middle-income countries. Intersectionality refers to the interdependent and mutually constitutive relationship between social identities and structural inequities. We employed an intersectional framework to explore stigma and agency among SGDY in Kingston, Jamaica. Methods Peer research assistants (n=3), who were SGDY, purposively sampled participants from local community agencies that provide health and support services for SGDY. We conducted focus groups (n=3) with: young (<24 years old) gay, bisexual and other men who have sex with men (MSM) (n=10); transgender persons (n=11); and lesbian, bisexual and other women who have sex with women (WSW) (n=6) in Kingston, Jamaica. Focus groups were digitally recorded and transcribed verbatim. Our study was guided by critical ethnography and paid particular attention to processes of social exclusion and lived experiences of inequity and personal/collective agency. We analyzed transcripts using narrative thematic analysis to identify, analyze and report themes in the data. Results Participants across focus groups discussed stigma towards SGDY as rooted in hegemonic masculinity and exacerbated for gender non-conforming persons. Findings revealed multi-level forms of direct and indirect violence that threatened health and survival. Direct forms of violence include: macro-level (police violence; systemic discrimination in employment, housing, health care and education), meso-level (homophobic/transphobic sexual, verbal and physical violence) and micro-level (familial rejection). Indirect forms of violence include: macro-level (criminalization of homosexuality; limited health care access), meso-level (social isolation; hegemonic masculinity) and micro-level (relationship power). Participants discussed violence impacts: mental health, in particular depression, substance use and suicidal ideation; sexual health, presenting barriers to HIV/ STI prevention; and physical health, including barriers to health care even in emergency situations. Agency was also discussed across macro (advocacy), meso (mentorship; collective mobilization) and micro (self-acceptance) domains. Important differences emerged between groups, with MSM more likely to discuss concealing their sexuality to avoid physical violence; transgender persons facing extreme poverty, homelessness, survival sex and sexual violence; and WSW reporting a lack of visibility and community. Within groups, participants discussed heightened stigma towards gender non-conforming, poor and rural SGDY. Conclusions and Implications Findings reveal the complexity of social and structural contexts of violence that have deleterious impacts on wellbeing among SGDY. Violence emerged across multiple sites (housing, police, community, family, health care, education), levels (micro, meso, macro) and forms of violence included latent, direct, indirect, and symbolic. The severe marginalization of SGDY and the need to hide sexuality to be safe, are not only barriers for realizing one’s potential but endanger survival. Interventions could address these multiple levels, sites and forms of violence to promote social justice, health and agency among SGDY in Jamaica.",
      "authors": "Carmen Logie; Nicolette Jones; Kristina Mena; Annecka Marshall",
      "author_ids": "110009; 113869; 113870; 113871",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3396096416,
        "prompt_eval_count": 1643,
        "eval_count": 24
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      "screened_at": "2026-08-02T17:49:36.632666+00:00"
    },
    {
      "input_index": 566,
      "record_key": "SSWR:2015-O-0627",
      "source_database": "SSWR",
      "record_id": "2015-O-0627",
      "year": 2015,
      "title": "Adverse Childhood Experiences, Protective Factors, and Mental Health Problems Among Court-Involved Youth",
      "abstract": "Purpose: Although histories of childhood trauma are common amongst juvenile justice-involved youth, reports detailing breadth of experiences, including nonviolent adversities and social disadvantage, remain sparse. Court-involved youth are also more likely than other youth to have a mental health problem; an estimated 20% have a diagnosable disorder, with higher numbers struggling with symptoms (Cocozza & Skowyra, 2000). There is growing recognition of the vulnerability of this population, however there is relatively little guidance for practitioners in the field (National Center for Mental Health & Juvenile Justice, 2010). Practitioners especially need malleable targets for interventions that address histories of adversity and mental health disorders. This study aims to fill that gap, drawing on general strain theory (Agnew, 2001) to conceptualize the relationships between adversity, coping, mental health, and delinquent behaviors. The sample fills an important gap between nonadjudicated samples and those in detention, residential centers or group homes. Methods: System-entrance psychosocial assessment data (used in 17 states, Barnoski, 2003) were linked with court records for moderate- and high-risk youth (n=5030) adjudicated to probation in an urban, diverse Western region during an 8-year period. Data captured adverse childhood experiences (ACEs) including victimization (physical, sexual, emotional, neglect), nonviolent adversity (including familial incarceration and substance use), and economic disadvantage (including parental employment problems, poverty). Mental health problems (MHPs) assessed whether individual had current diagnoses, whether the problems affected daily living, and suicide ideation. Three protective factors assessed social skills (e.g., problem solving), impulse control, and parenting practices. Stepped multiple regression was used to test the unique and cumulative contribution of ACEs as well as protective factor mediation and moderation. Results: 75% reported one or more serious victimization experiences, half had two or more forms of nonviolent adversity, and two-thirds had indicators of economic disadvantage. 26.7% reported current MHPs with 6.3% reporting serious suicidal ideation. MHPs were strongly correlated with victimization, and modestly with nonviolent and economic adversities. All three ACEs dimensions and MH problems had moderate-to-strong correlations in the expected direction with the protective factors. In multivariate analyses, victimization had the strongest unique contribution to MHPs, controlling for covariates; nonviolent adversity was nonsignficant. Tests revealed modest mediation effects of impulse control and social skills, with parenting nonsignificant. Moderation tests suggested that all three protective factors moderated the pathway between victimization and MHPs; those with low protective factors and high victimization were significantly more likely to have MHPs. Implications: These results resonate with recent calls to attend to the serious trauma and mental health burdens among court-involved youth. Results elaborate characterization of adversity histories among court-involved youth, and demonstrate that all assessed ACE dimensions function as indicators of possible MHPs, with victimization the strongest predictor within this multivariate framework. The models also suggest that social skills, parenting practices, and impulse control may all serve as targets to buffer the effects of adversity on MHPs, providing important, practical recommendations for service providers who connect with this population. Findings underscore the need to deepen personnel and system readiness to work effectively within therapeutic/rehabilitative paradigms with delinquent youth.",
      "authors": "Patricia Logan-Greene; Paula S. Nurius; Sharon Borja; Robert Tennyson",
      "author_ids": "111353; 108293; 113271; 114394",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3381804708,
        "prompt_eval_count": 1648,
        "eval_count": 24
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      "screened_at": "2026-08-02T17:49:43.131982+00:00"
    },
    {
      "input_index": 570,
      "record_key": "SSWR:2015-O-0382",
      "source_database": "SSWR",
      "record_id": "2015-O-0382",
      "year": 2015,
      "title": "Can Better Emotion Regulation Protect Against Suicidality in Traumatized Homeless Youth?",
      "abstract": "Title: Can Better Emotion Regulation Protect Against Suicidality in Traumatized Homeless Youth? Background/Purpose: Homeless youth are characterized by high rates of early childhood trauma and street victimization and are at increased risk for posttraumatic stress disorder and suicidality. Previous research examining suicidality in homeless youth has focused largely on associations with psychopathology and substance use behavior as well as demographic variables such as gender and sexual orientation. The role of emotion regulation behaviors, which are response tendencies individuals use to manage emotions, has been not been investigated in this population despite the responsiveness of emotion regulation to intervention and evidence linking difficulties regulating emotion to increased risk for suicidal behavior in clinical samples. The purpose of this study was to understand the relationship between trauma experiences, PTSD, emotion regulation and suicidality among homeless youth. Method :  This project used data collected from 389 youth recruited at three drop in centers in the Los Angeles area as part of the NIMH funded YouthNet project. All responses were based on self-reports. Suicidality was operationalized as two dichotomous variables capturing suicidal ideation and at least 1 suicide attempt in the last year. Trauma experiences were dichotomized as presence or absence of trauma prior to and after homelessness. PTSD was a count variable of symptoms in the last two weeks (0-4). Emotion regulation was measured on the emotional control and awareness subscales of the Difficulties in Emotion Regulation Scale (6-30); higher scores mean better regulation. Multinomial logistic regression models were conducted to account for the effects of independent variables on suicidality. Results: Nearly a fifth of youth reported suicidal ideation in the last year and 6.98% reported at least one attempt during that time. Heterosexual youth were less likely to report suicidal ideation but not suicide attempts. Trauma exposure prior to homelessness was a significant risk for both suicidal ideation (OR=5.95, 95% C.I. 2.41, 14.70) and attempts (OR=2.86, 95% C.I. 1.24, 6.56) as were PTSD symptoms (OR=1.33, 95% C.I. 1.09, 1.62; OR=1.55, 95% C.I. 1.23, 1.95). Emotional control was negatively associated with suicidal ideation and attempts (OR=.95, 95% C.I. .90, 1.00; OR=.93, 95% C.I. .88, .99) and emotional awareness with attempts (OR=.94, 95% C.I., .90, .99). An emotional awareness score one standard deviation above the mean was associated with a 25.24 decrease in the relative odds of a suicide attempt. Discussion: This study has important implications for interventions targeting suicidality among homeless youth. Results suggest that emotion regulation skills may protect against the effects of early trauma and PTSD symptoms on suicidality. An ability to observe emotional content and exert control in emotionally challenging contexts may facilitate use of adaptive coping skills, such as problem solving and reappraisal, which are associated with better mental and behavioral health outcomes. Emotion regulation skills are highly amenable to improvement through intervention. Renewed focus on interventions which build regulatory skills in addition to those targeting risk behavior directly may represent an effective strategy for reducing homeless youth’s suicide risk.",
      "authors": "Nicholas U. Barr; Eric Rice; Harmony Rhoades; Hailey Winetrobe",
      "author_ids": "114068; 111415; 112528; 112500",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3609943541,
        "prompt_eval_count": 1672,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:49:56.525453+00:00"
    },
    {
      "input_index": 572,
      "record_key": "SSWR:2015-O-0563",
      "source_database": "SSWR",
      "record_id": "2015-O-0563",
      "year": 2015,
      "title": "Child Maltreatment, Depression and Suicide in Adolescents with Chronic Pain",
      "abstract": "Background and Purpose : Chronic pain decreases the quality of life across the lifespan and increases the risk for suicidal thoughts and behaviors. Maltreated children may also be more likely to experience some forms of chronic pain and thus, be more at risk for suicide. Both child maltreatment and pain have also been associated with depression which is a primary factor in suicide ideation/behavior. This study examines the relationship between chronic pain, child maltreatment and suicide ideation/behavior in adolescents. Our primary aim is to determine if the association with child maltreatment and chronic pain with suicide ideation/behavior may be at least partially mediated by depression. Methods: Path analysis is used to model the relationships between pain, child maltreatment, depression, and suicide ideation/behavior in a large national sample of adolescents (N=592). Separate models are tested for stomachaches and headaches. Results: Both stomach and head pain models are a good fit (χ² (1) =1.508 p=0.220 and χ² (1) = 0.881, p=0.348, respectively). Results indicate both stomach and head pain have a significant direct relationship with suicide ideation/behaviors (β=0.636, p<0.001 and β=0.823, p<0.05, respectively). The relationship between suicide ideation/behaviors and both stomach pain and child maltreatment are partially mediated by depression. Head pain and child maltreatment are significantly correlated, but the relationship between head pain and suicide is not mediated by depression, although depression does mediate the relationship between child maltreatment and suicide thoughts/behaviors (β=0.862, p<0.001). Conclusion: Headaches, stomachaches, and child maltreatment are associated with suicide ideation/behaviors. Our results support the hypothesis that the relationship between child maltreatment, stomach pain and suicide is partially mediated by depression, but did not support the hypothesis that the relationship between head pain and suicide is mediated by depression. Child maltreatment is also significantly correlated with head pain and suicide, although this cannot be explained by depression. Future research might consider other variables that may better explain the relationship between head pain and suicide. Social workers should consider screening for depression and suicide in adolescents reporting chronic stomach pain. Social workers working with the child welfare population might consider screening for chronic pain as a risk factor for both depression and suicide, and initiating necessary referrals. Early screening and treatment may prevent suicide and increase overall quality of life for maltreated children in adolescence and throughout adulthood.",
      "authors": "Candace Killian-Farrell; Miranda A.L. van Tilburg; Diana English; David Goldston; Jonathan B. Kotch; Desmond Runyan; Richard Thompson",
      "author_ids": "113185; 114320; 114321; 108677; 108581; 114322; 109177",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3091912125,
        "prompt_eval_count": 1457,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:50:03.233529+00:00"
    },
    {
      "input_index": 573,
      "record_key": "SSWR:2015-O-0596",
      "source_database": "SSWR",
      "record_id": "2015-O-0596",
      "year": 2015,
      "title": "Co-Occurrence of Suicidal Ideation, Depressed Mood, and Recent Substance Use Among Military-Connected Adolescents: A Latent Class Analysis",
      "abstract": "Background and Purpose:  Substance use in adolescence has been found to co-occur with poor mental health. This is of particular interest among military-connected youth in the United States who have been found to be at increased risk for suicidal ideation, depressed mood, and substance use in recent research.  Thus, the present study seeks to examine the co-occurrence of substance use, suicidal ideation, and depressed mood among military and non-military connected adolescents. Methods: Latent class analysis of a sub-sample of data from 9 th and 11 th graders in the 2011 California Healthy Kids Survey was utilized to examine variation in the co-occurrence of past 30 day use of ATOD with suicidal ideation or sad/hopeless mood and their association with perceptions and experiences of being  military connected or not (n=7167). The perceptions included were whether youth felt their family sacrifice was important, whether they felt their family was supported by the military, whether they felt their family was supported by other military families, being worried about their family member who is serving, and whether they believed their teachers appreciated their family’s sacrifice. Results: The latent class analysis revealed a four class solution. Youth in the first class were not military connected and had a 13% chance of reporting co-occurring substance use and mental health issues.  The second class included youth who had an 80% chance of having a parent on active duty. These youth reported feeling that the military supported their family and that their family sacrifice is important.  They also had a 13% chance of co-occurring outcomes.  The third class included youth who were 60% likely to have a parent serving. These youth had a lower probability of feeling supported by the military or that their family sacrifice was important. The likelihood of co-occurrence for this class was 16.2%.  Finally, the fourth class represented youth who had a 57% chance to have a sibling on active duty.  They reported that they did not feel supported by the military or that their sacrifice was important.  These youth had a 21.3% chance for co-occurring substance use, suicidal ideation, or depressed mood. Conclusions and Implications: Much of the literature currently focuses on the influence of parental military service.  The results of this analysis revealed that a majority of military connected youth experience co-occurrence of substance use and mental distress at rates similar to their civilian counterparts.  However, a significant proportion of military connected youth may be at elevated risk for co-morbidity.  Additionally, those at greater risk were also likely to report feeling unsupported or that their family’s sacrifice is not important.  Finally, these findings support a need for additional research on the adolescent siblings of military service persons as the class that was predominantly defined by those who had a sibling serving had the highest risk of co-occurrence of substance use, suicidality, and depressed mood.",
      "authors": "Tamika D. Gilreath",
      "author_ids": "111773",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3339414041,
        "prompt_eval_count": 1560,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:50:06.574752+00:00"
    },
    {
      "input_index": 574,
      "record_key": "SSWR:2015-O-0351",
      "source_database": "SSWR",
      "record_id": "2015-O-0351",
      "year": 2015,
      "title": "College Institutional Climate, Interpersonal Victimization, and the Relationship to Suicidality and Homelessness Among Transgender Individuals",
      "abstract": "Background and Purpose: Transgender students face heightened risks for interpersonal victimization on college campuses compared to non-transgender individuals (Rankin, 2005), which can lead to a multitude of psychosocial risks. Qualitative research indicates that institutional-related climate factors—such as the presence or lack of gender-neutral bathrooms and gender-blind campus housing—also impact the well-being of transgender people while on campus (Bilodeau, 2007). However, scant quantitative research has examined whether institutional climate factors predict transgender people’s psychosocial well-being. This study examines this topic using data from the National Transgender Discrimination Survey (NTDS, n= 6,456), which is the largest survey of transgender individuals in U.S. history (Grant et al., 2011). Research Question: How do transgender-related institutional climate factors affect transgender people’s risk for lifetime suicidality and homelessness? Given the influence of interpersonal victimization and psychosocial risks (Meyer, 2003), these effects are examined while controlling for interpersonal victimization. Methods: Secondary data analysis was used to examine those in the NTDS sample who attended college while transgender ( n =2,325, mean age 31, 27% people of color, 44% FTM, 31% MTF). Institutional climate variables included denial of access to campus bathrooms/other facilities as well as student housing. Other questions inquired about interpersonal victimization (harassment/bullying, physical assault, or sexual assault) by students or teachers/staff. Sequential logistic regression models were conducted for lifetime suicidality and lifetime homelessness due to being transgender. Block 1 included demographic variables and the two institutional climate factors (denial of access to bathrooms/facilities or campus housing). Block 2 added the interpersonal victimization variables. Results: In Block 1 of the suicidality model ( n =1,178), disability status, income, and the two institutional climate variables were statistically significant predictors of suicidality. After adding the interpersonal victimization variables, denial of college housing became marginally significant, but denial of access to bathrooms/facilities remained a statistically significant predictor of suicidality (AOR=1.56, p <.01). Interpersonal victimization perpetrated by students (AOR=1.61, p <.001) and teachers/staff (AOR=1.50, p <.05) also predicted suicidality. In the homelessness model ( n =864), all demographic variables and the two institutional climate variables were significant predictors of homelessness. After adding the interpersonal victimization variables, denial of access to bathrooms/facilities became non-significant, but denial of access to campus housing remained a significant predictor of homelessness (AOR=3.42, p <.001). Interpersonal victimization by students (AOR=1.68, p <.05) and teachers/staff (AOR=2.15, p <.001) were also significant predictors. Implications: This study suggests that college institutional climate related to bathroom and housing access increases the risk of suicidality and homelessness among transgender individuals, even when controlling for experiences of on-campus interpersonal victimization. Such evidence supports the calls of advocates to change the physical structures and policies of college campuses to better meet the needs of transgender individuals. The findings also direct researchers and practitioners to address both the institutional and interpersonal factors that put transgender people at risk for negative outcomes. Future research can build from this study by analyzing other institutional factors and collecting longitudinal data.",
      "authors": "Kristie L. Seelman",
      "author_ids": "111253",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3490936417,
        "prompt_eval_count": 1686,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:50:10.067328+00:00"
    },
    {
      "input_index": 576,
      "record_key": "SSWR:2015-O-0065",
      "source_database": "SSWR",
      "record_id": "2015-O-0065",
      "year": 2015,
      "title": "Connectedness and Suicidality: Implications for Prevention Among Child Welfare-Investigated Youth",
      "abstract": "Background: Suicide is the third leading cause of death among youth. Youth investigated by child protective services (CPS) may be particularly vulnerable given the co-occurrence of various suicide risk factors, such as maltreatment and behavioral and mental health problems.  With suicidal ideation having been linked to suicidal behavior, it serves as a viable and recommended target for suicide prevention efforts. Although suicide theory and considerable evidence support the value of social connectedness in protecting against suicide, few studies have examined the relationship between social connectedness and suicidal ideation among CPS-investigated youth. Given that CPS-investigated youth may be at greater risk for being disconnected from caregivers, peers and schools than youth in the general population, an improved understanding of how connectedness to these different domains relates to suicidal ideation can inform targeted primary prevention efforts in this population. Methods: This study used baseline data from the National Survey of Child and Adolescent Well-Being (NSCAW II) and consisted of a sub-sample of adolescent youth ages 11 to 17 (N=1054). Social connectedness domains were measured using modified versions of the Rochester Assessment (RAPS-SM)  (caregiver), Loneliness and Social Dissatisfaction Questionnaire (peer), and Drug Free Schools (school) scales. Suicidal ideation was measured by a composite variable consisting of two items, one from the Children's Depression Inventory (CDI) and another from the Youth Self-Report (YSR). Logistic regression analyses examined the relationship between various connectedness domains and suicidal ideation while controlling for other well-known risk factors (e.g. placement history and maltreatment allegation type, and behavioral and mental health status). Analyses were stratified by gender (males, n=471; females, n=583). Results: Among males, connectedness to primary caregiver (OR: 0.27, CI=0.10, 0.73) but not peers or school decreased the likelihood of suicidal ideation. Among females, connectedness to school (OR: 0.42, CI=0.19, 0.93) but not primary caregiver or peers decreased the likelihood of suicidal ideation. Interestingly, several CPS factors, including the substantiation of a case and the presence of child neglect as compared to physical abuse, were associated with an increased likelihood of suicidal ideation exclusively among males.  PTSD increased the likelihood of suicidal ideation across gender groups, while substance use disorder only increased the likelihood of suicidal ideation for males and depression only increased the likelihood of suicidal ideation for females. Conclusions and Implications: The current work suggests that the protective value of connectedness is domain-specific and differs across gender groups.  For males, finding that connectedness to primary caregiver reduces the likelihood of suicidal ideation indicates that service professionals working with CPS-investigated males would be wise to promote this type of relationship building.  For females, finding that connectedness to school reduces the likelihood of suicidal ideation indicates that suicide prevention efforts targeting CPS-investigated females should assess and seek to bolster the formation and preservation of school ties.  Although existing research suggests that connectedness to peers is often considered to be of the utmost importance among adolescent youth, it appears that such connectedness may play a less pivotal role in suicide prevention among CPS-investigated youth.",
      "authors": "Amy He; Anthony Fulginiti; Megan A. Finno-Velasquez",
      "author_ids": "112520; 112190; 112688",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3351123959,
        "prompt_eval_count": 1615,
        "eval_count": 24
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      "screened_at": "2026-08-02T17:50:16.829156+00:00"
    },
    {
      "input_index": 577,
      "record_key": "SSWR:2015-P-0083",
      "source_database": "SSWR",
      "record_id": "2015-P-0083",
      "year": 2015,
      "title": "Crisis Care: A Smartphone Application Intervention for Suicidal Adolescents",
      "abstract": "Background and Purpose: Interconnectedness through technology is a fact of life for today’s adolescents. The new digital metropolis presents both challenges and opportunities for social worker engagement and intervention with adolescents with mental health problems. Many social workers interact with suicidal adolescents and their families in their daily practice. There is a critical need to reach suicidal adolescents at their time of highest acuity and vulnerability, and to do so using the mechanisms of communication with which they are most familiar. A recent and continuing increase in smartphone ownership by adolescents across race, ethnicity, and income (Lenhart, 2012) suggests the potential for smartphone applications as intervention approaches with suicidal adolescents. Methods: Crisis Care (O’Brien, Wharff, & Kahn, 2013) is a smartphone application intervention developed specifically for suicidal adolescents and their caregivers. There is an adolescent mode and a caregiver mode designed to be used in tandem when the adolescent is experiencing a suicidal crisis. The primary function of Crisis Care is to give adolescents and caregivers an immediate connection to help. Additionally, the adolescent can access a set of personalized skills and the caregiver can access tips on effective listening and skill coaching. A web-based prototype of Crisis Care was developed and pilot tested with 10 participants (n=5 adolescents, n=5 caregivers). The System Usability Scale (SUS) , a 23 item questionnaire, was used to assess usability and acceptability. Results: All 10 participants answered “Agree” or “Strongly Agree” to the statement “I thought the app was easy to use,” and 9 of 10 answered “Agree” or “Strongly Agree” to the following statements: “I think most people could learn to use the app quickly,” “I think I would use the app,” and “I think most people would be able to use the app in a crisis situation.” Specific to usability, 9 of 10 participants were able to find and access what was asked of them by the interviewer in two or fewer clicks. Conclusions and Implications: Crisis Care is a promising technological intervention for suicidal adolescents and their caregivers in the context of a suicidal crisis. The limited use of smartphone applications in mental health care represents a missed opportunity, as they have the potential to extend and supplement traditional therapies (Erhardt & Dorian, 2013). Social workers may be skeptical about integrating technological innovations into mental health care because of the fear of taking away from the client-centeredness of the profession and diminishing face to face practice interaction. However, smartphone application interventions have the ability to personalize content (Erhardt & Dorian, 2013) and make care more accessible, efficient, and interactive (Luxton et al., 2011). They have the potential to engage adolescents in their individual, familial, and social worlds, and to do so in a way that is uniquely personalizable. By establishing a custom-made connection to a support system, smartphone applications have the opportunity to enhance safety planning procedures, interventions, and treatment with suicidal adolescents.",
      "authors": "Kimberly H. McManama O'Brien; Jason Kahn; Christina Gironda; Mary LeCloux; Elizabeth A. Wharff",
      "author_ids": "110756; 113785; 113786; 113448; 112671",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3316864208,
        "prompt_eval_count": 1543,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:50:20.148085+00:00"
    },
    {
      "input_index": 580,
      "record_key": "SSWR:2015-P-0395",
      "source_database": "SSWR",
      "record_id": "2015-P-0395",
      "year": 2015,
      "title": "Disclosure of Suicidal Thoughts: Examining Individual and Relational Factors for Getting Help",
      "abstract": "Background and Purpose: Suicidal thoughts are a well-recognized target for interventions aimed at reducing suicidal behavior but it is often overlooked that an individual must disclose those thoughts before suicide risk can be optimally managed and treated.  In short, the disclosure of suicidal thoughts represents a key first step in getting help and provides a window of opportunity for suicide prevention.  Available evidence in the general population suggests that approximately half of those with a history of suicidal thoughts have talked to someone about those thoughts.  However, little is known about the subject of disclosure among those with serious mental illness (SMI), which is alarming given the fact that the risk of suicide is disproportionately concentrated in this vulnerable group.  Given that any given disclosure involves a discloser and a target confidant for disclosure, understanding the disclosure of suicidal thoughts requires consideration of individual and relationship factors. The aim of the current study was to examine the association between individual and relationship factors and the intent to disclose suicidal thoughts. Methods: Egocentric network and survey data were collected from individuals with SMI receiving community-based mental health treatment.  The current study focuses on individuals with a reported history of suicidal ideation (n=40).  Information was obtained for individuals’ social networks, disclosure of suicidal thoughts as well as several clinical (i.e. psychiatric symptoms, function) and psychosocial (i.e. social support, stigma) variables. Multilevel Modeling (MLM) was conducted to determine the influence of individual and relational factors on intent to disclose future suicidal thoughts. Due to power concerns, individual and relational variables were evaluated separately in bivariate followed by multivariable analyses. MLM was used to account for clustering within individual-specific networks.  The level 2 sample size constitutes the study participants (n=40) while the level 1 sample size constitutes participant network members (n=598). Results: Bivariate analyses of individual-level factors indicate that females as well as those reporting more support and less stigma are more likely to indicate an intent to disclose suicidal thoughts in the future.  Results of the MLM demonstrated that only perceived social support (OR=1.16, p<.01) was found to be significantly associated with intent to disclose suicidal thoughts. Bivariate analyses and results from the MLM of relational-level variables indicate that relationship closeness (OR=2.03; p<.001), frequency of contact (OR=1.46, p<.01), and in-person contact (OR=3.47, p<.05)were associated with intent to disclose. Conclusions and Implications: At the individual-level, finding that social support and stigma represent key factors for the disclosure of suicidal thoughts is consistent with studies of other concealable stigmatized conditions (i.e. HIV/AIDS). This calls for increased efforts at enhancing social support and targeted stigma of suicide among those with a history of suicidal ideation.  Furthermore, finding that relationship closeness and frequency of contact/in-person contact increase the likelihood of suicidal disclosure suggest that relationship quality and opportunity are critical for disclosure.  This work highlights the protective value of relationship enhancement and social network development.",
      "authors": "Anthony Fulginiti; Rohini Pahwa",
      "author_ids": "112190; 111170",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3362016291,
        "prompt_eval_count": 1568,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:50:30.249590+00:00"
    },
    {
      "input_index": 581,
      "record_key": "SSWR:2015-O-0558",
      "source_database": "SSWR",
      "record_id": "2015-O-0558",
      "year": 2015,
      "title": "Double Trouble: Disabilty and Suicide Attempts in Adolescence",
      "abstract": "Background: The risk factors for adolescent suicide, a serious and persistent public health problem, are well known, but there are certain vulnerable populations at risk for higher suicide that have been neglected. Youth with disabilities such as ADHD, learning disabilities and psychiatric conditions are known to or commit suicide  or suicide attempts ( SA ) at disproportionately higher rates, but the suicide risks for other disability sub-groups have received little attention (sensory impairments, autism spectrum disorders ( ASD ), physical mobility). Study objectives: The aim of this study is to address two questions: (1) What is the relative risk for SA reported by youth identifying different disability conditions?; (2) Does disability status  add to the risk for SA above well-known risk factors for suicide?  We examine a comprehensive range of suicide risk factors, some well known and others typically excluded (e.g. health, activity levels, online posting of nude pictures). Methods: This study utilizes crossectional data from the 2012 Dane County Youth Assessment (DCYA), which surveyed high school students (in regular and alternative schools) from fifteen school districts in a large urban and rural county in Wisconsin (study sample=13,925).  The survey is anonymous (though youth with disabilities can receive help to complete the survey). Independent variables that served as moderators or mediators of SA (within last twelve months) pertain to social-demographic background, mental health status, family stability and maltreatment, social relationships, sexual minority status, high risk sexual behavior, substance use and other illegal behavior, school functioning and achievement, and various personal assets or social resources. Multivariate analyses utilized hierarchical binary logistic regression. Results: Youth reporting any disability are far more likely to report a SA in the past year than peers without a disability (OR=3.6), and having more than one disability tripled the risk of SA (OR=9.2). Not surprisingly, youth reporting an emotional/psychiatric disability topped the list for suicide attempts in the past year (20.8%), followed by youth with ASD (18.2%). Curiously, youth with ASD reported being most likely, proportionately, to make multiple suicide attempts. It was also unexpected that youth hearing and vision impairments were more likely to report suicide attempts than youth with learning disabilities, ADHD and health-related issues.  All youth with a disability, including each of four groups about which we have little previous information regarding suicidality (hearing, vision and mobility impairments, ASD) were found at markedly elevated risk in every domain we examined (including poverty, sexual risk behavior, sexual minority status, and substance use). Finally, we found indication of a disability increased the odds of SA by 53% beyond the variation explained by psychosocial predictors of SA (Nagelkerke R 2 D .348--.357, p<.001). Implications: These findings call attention to populations vulnerable to suicidality that have not received sufficient or adequate (tailored) prevention and intervention efforts. There is also much room for reconceptualizing and broadening the study of disability far beyond the negative impacts of impairment on well-being at the individual and inter-personal level to focus on disability in the sense of environmental barriers to wellbeing (resources, policies, attitudes).",
      "authors": "Tally Moses",
      "author_ids": "110629",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3334646917,
        "prompt_eval_count": 1599,
        "eval_count": 24
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      "screened_at": "2026-08-02T17:50:33.585985+00:00"
    },
    {
      "input_index": 583,
      "record_key": "SSWR:2015-P-0172",
      "source_database": "SSWR",
      "record_id": "2015-P-0172",
      "year": 2015,
      "title": "Examining the Efficacy of the Family Based Crisis Intervention for Suicidal Adolescents in the Emergency Department: Results of a Randomized Clinical Trial",
      "abstract": "Background and Purpose:  Suicide is a significant public health problem, recently ranked as the 3 rd leading cause of death in adolescents in the US.  The Emergency Department (ED) often serves as a portal to the mental health system for suicidal adolescents. The usual practice for suicidal adolescents in emergency psychiatry is evaluation, with little or no in-ED treatment; and disposition, usually to an inpatient psychiatry unit. Unfortunately, often there are not enough inpatient psychiatric beds throughout the system of care for all of the suicidal adolescents who need them, resulting in patients who must “board” in the ED while awaiting appropriate care. In response to this systemic crisis, the investigators developed the Family Based Crisis Intervention (FBCI) for suicidal adolescents and their families.   Developed exclusively by social workers, FBCI is a single-session intervention that is designed to sufficiently stabilize patients within a single ED visit by reducing suicidality and increasing individual tools and familial supports, so that they may return home safely with their families. Previous open and pilot trials of FBCI demonstrated feasibility and safety of the intervention; with significant differences in hospitalization rates among a cohort of FBCI patients compared to a retrospectively matched comparison group (36% versus 55%, p<.001).  The objectives of this presentation are to report on efficacy outcomes for a randomized clinical trial of FBCI. Methods:   A total of N=100 suicidal adolescents (ages 13-18) and their families presenting for a psychiatric evaluation to a large pediatric ED were randomized to be treated with FBCI or treatment as usual (TAU).  Patients and their caregivers completed demographic and validated self-report measures of suicidality, family communication, and family empowerment, which were collected at pretest, posttest, and 3 follow up time points over a one month period. Data on disposition, psychiatric diagnoses and ED recidivism rates were collected through retrospective chart review. All statistical analyses were completed using Stata 12. Results: Of the 100 patients recruited, 76% were female.  The sample was 62% white, 20% mixed, 8% Latino, 7% Black, and 3% Asian, and average age of the adolescent participant was 15.4 years.  Results of initial logistic regression reveal that, at posttest, patients receiving FBCI condition were significantly more likely to be discharged home with outpatient follow-up care compared to their TAU counterparts (p<0.05) when controlling for age, race, gender, and insurance type.  Longitudinal outcomes related to psychiatric symptoms (including suicidality), family communication, family empowerment, and ED recidivism will also be reported. No completed suicides were reported during the study period by any study participant. Conclusions and Implications:  A focus on evidence-based suicide prevention initiatives is critical to enhancing the long-term health and well being of adolescents.  There is an increasing reliance on the development and translation of evidence-based practices for many conditions in the ED, although the main focus has been on medical interventions.  FBCI may be a viable alternative to usual care provided by psychiatry, and would reflect the treatment model already used for medical patients in the ED.",
      "authors": "Elizabeth A. Wharff; Katherine B. Ginnis; Erina M. White; Abigail M. Ross; Kerry Brodziak",
      "author_ids": "112671; 112673; 112672; 110915; 114069",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3410942417,
        "prompt_eval_count": 1615,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:50:40.407241+00:00"
    },
    {
      "input_index": 585,
      "record_key": "SSWR:2015-O-0681",
      "source_database": "SSWR",
      "record_id": "2015-O-0681",
      "year": 2015,
      "title": "Exploring the Unique Treatment Needs of Gang-Involved Sex Trafficked and Prostituted Adults",
      "abstract": "BACKGROUND AND PURPOSE:  This study explores the experiences of gang-involved adults enrolled in a prostitution diversion program located in a large Southwestern state. In recent years, increased attention has been paid to gang-related prostitution and sex trafficking by law enforcement, the media, and the general public (Dorais, & Corriveau, 2009). Gangs recognize that there is a higher profit to be made in trafficking humans and a lower risk of being identified and punished for this crime relative to drug and weapons trafficking (National Gang Intelligence Center, 2011), yet little is known about the experiences of gang-involved victims of sex trafficking and prostitution. The purpose of this study is to explore differences in lifetime histories of abuse, substance use, family involvement in prostitution, and sex trafficking victimization among a group of women in a court-ordered prostitution diversion program that reported gang affiliation compared to those without gang affiliation. METHOD: Adults involved in a prostitution diversion program were recruited to participate in the study. Data consisted of surveys including a written questionnaire with dichotomous yes/no questions and open-ended questions about family and childhood experiences, substance use, and experiences related to prostitution involvement.  The survey also included a dichotomous yes/no question to solicit information about gang involvement: “Have you ever been involved in a gang?” RESULTS: Thirty-five clients (10.8%) reported having gang affiliation.  T-tests and Chi-square analyses were utilized to explore differences between gang-affiliated and non-gang affiliated women involved in a prostitution diversion program. Gang-affiliated women were more likely to report experiencing physical abuse, including having been scratched and bruised, sustaining injuries that caused bleeding, or broken bones or teeth.  They were also more likely to report that food had been withheld as a form of punishment during their childhood.   The gang-affiliated group was more likely to report other forms of childhood maltreatment including sexual molestation, witnessing domestic violence and specifically the witnessing their father having hit or abused their mother.  Interestingly, the gang-affiliated group was found to be less likely than the non-gang affiliated group to have reported running away during their childhood. Gang-affiliated women were also more likely to report having been placed in special education classes in school and experience being expelled from school.  In examining life experiences during adulthood, gang-affiliated women had significantly higher rates of previous arrests relative to non-gang affiliated women, and were more likely to report self-harm behaviors, a history of attempted suicide, report drug use, and self-report addiction to drugs and/or alcohol. The gang-affiliated group was also more likely to report having children.  Age of being sex trafficked and presence of a pimp is also explored. CONCLUSTIONS AND IMPLICATIONS: This study offers new insight into the experiences and treatment needs of gang-affiliated adults who are involved in prostitution and sex trafficking situations. Gang-affiliated women experienced child maltreatment and other difficult life experiences at much higher rates relative to women without gang-involvement which indicates the need for specialized training and awareness of gang-related issues for service providers which is missing in our current delivery system.",
      "authors": "Dominique E. Roe-Sepowitz; Kristine Hickle",
      "author_ids": "109824; 110502",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3352195292,
        "prompt_eval_count": 1562,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:50:47.110168+00:00"
    },
    {
      "input_index": 587,
      "record_key": "SSWR:2015-O-0560",
      "source_database": "SSWR",
      "record_id": "2015-O-0560",
      "year": 2015,
      "title": "From the Community's Point of View: Suicide Prevention from the Ground up",
      "abstract": "Abstract Title: From the Community’s Point of View: Suicide Prevention from the Ground Up Background/Purpose: The highest suicide rate in North America is among Indigenous peoples. Among the Inuit of Arctic Canada the suicide rate is ten times the national rate, and almost all suicides are youth. In the 1990s the federal government of Canada spent a large amount of money on training Inuit in suicide prevention. This was ineffective, and the suicide rates continued to rise. In my research with Inuit communities I discovered that several communities had developed their own activities and programs for suicide prevention, and the suicides decreased markedly. I went to two communities to find out exactly what they did, who was involved, and what the process was on such community action. Our research, along with research by Chandler and Lalonde (1998), convinced Health Canada of the federal government to develop a new policy for Indigenous suicide prevention, which consists of funding these communities to develop their own programs. They have funded over 200 communities thus far. This study will describe what these two communities did and how suicides were decreased. Methods: The methodology of this study was ethnographic. I spent one month in one community and lived in the other community for nine months. This included interviewing 27 people and sitting in weekly meetings with the Amittuq Youth Society who was planning the suicide prevention strategy of opening a youth center. Results: Interviews with key players in the first community found that they had organized weekly meetings of all community members, and weekly meetings of all youth in the community, plus the removal of the primary method of suicide from every house, the closet rod. Suicides stopped for about four years in this community that had the highest suicide rate in the Arctic. I worked with the Amittuq Youth Society in the second community and helped them apply for grants for the youth center. Most of these grants were received and the youth center opened. In the nine years after the center opened, compared to the nine years before, suicides have decreased by 70%. Conclusions and Implications: In keeping with Indigenous self-determination and sovereignty, community control over health services including suicide prevention is essential. Communities can be helped by social workers and others to develop their own intervention strategies. We have found that for suicide prevention there is no one intervention that is effective, but rather community control, collective efficacy, is the effective ingredient. This can be turned into government policy to help communities take control over their interventions.",
      "authors": "Michael Kral",
      "author_ids": "114318",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3069149167,
        "prompt_eval_count": 1426,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:50:53.270200+00:00"
    },
    {
      "input_index": 588,
      "record_key": "SSWR:2015-O-0718",
      "source_database": "SSWR",
      "record_id": "2015-O-0718",
      "year": 2015,
      "title": "Help-Seeking Patterns Among College Students with Mental Health Issues: Who Do They Turn to for Support?",
      "abstract": "Background and Purpose : While previous studies have identified barriers to mental health help-seeking among college students, little is known about who they turn to for support (e.g. healthcare professionals, academic personnel, or natural supports) when faced with such challenges. Our study addressed this gap by identifying preferred sources of support among a large national sample of college students.  Particularly, for students with depression, frequent binge drinking patterns, or suicidal ideation (SI) (n = 22,845), we seek to understand who they would turn to for support when experiencing serious and emotional distress. Methods : This study used data from the Healthy Minds Study (2010-2012), an annual web-based survey of college students that examines mental health related issues. Depression was screened with the PHQ-9 whereas binge drinking and SI were self-reported. We first used chi-square analysis to compare the preferred sources of support among students with depression (n = 12,928), SI (n = 5,417) and frequent binge drinking (n = 9,195).  We then calculated the Adjusted Odds Ratios (AOR, adjusting for demographics) for each source of support. Results: Important help-seeking patterns were observed.  Only 45.14% of students who endorsed SI and less than one third of students with depression or frequent binge drinking (32.18%, 30.90%, respectively) would seek help from healthcare professionals. While academic supports would be chosen 50%-65% of the time, students would seek help from their natural supports most often (about 95%). Among natural supports, students would seek support from their friends first followed by their family members and then would choose to turn to others including significant others and spiritual contacts. Of note, there were a number of students with depression, SI, or frequent binge drinking who reported that they would not talk to anyone if they were to experience serious emotional distress (13.04%, 14.11%, and 6.02%, respectively). Compelling patterns emerged from logistic regressions. Students with depression (AOR= 0.65 p< 0.05) or SI were less likely to turn to academic professionals (AOR= 0.67) or their natural supports (AOR= 0.57 & 0.55, respectively, p< 0.05).  Students reporting frequent binge drinking were less likely to seek any formal support (AOR=0.80, p< 0.05), however, they were more likely to turn to their natural supports (AOR=1.48, p< 0.05). Conclusion and Implications : The majority of students would not seek professional help, which may have vital consequences for a successful academic and life trajectory.  Our  findings underline the importance of developing preventive strategies and interventions specifically targeting students with mental health issues who have chosen not to seek professional help.  Additionally, they point to the need for multi-faceted campus-based strategies that not only encourage students to seek professional help but importantly, to equip academic and natural supports with tools to recognize mental health issues and support students’ needs.  Moreover, interventions are needed to build mental health literacy and reduce known help-seeking barriers including stigma.",
      "authors": "Sapna J. Mendon; Amy S. Kapadia; Ellen P. Lukens",
      "author_ids": "114489; 110671; 108352",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3406266292,
        "prompt_eval_count": 1629,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:50:56.678122+00:00"
    },
    {
      "input_index": 590,
      "record_key": "SSWR:2015-O-0712",
      "source_database": "SSWR",
      "record_id": "2015-O-0712",
      "year": 2015,
      "title": "How Are Mothers Impacted By Their Adolescent's Suicide Attempt over Time? �We're Kind of at a Crucial Point Right Here.�",
      "abstract": "Purpose: Suicidal behavior among adolescents is one of the primary precipitants of psychiatric emergencies and psychiatric hospitalization.  The suicidal behavior and need for emergency intervention may have multiple impacts on the primary caretakers, often mothers, of these youths.  Nonetheless, few studies have examined how mothers are impacted by their adolescent’s suicide attempt, and even fewer studies examine how their reactions change over time. The purpose of this study was to address this gap in the literature by exploring the similarities and differences between mothers’ reactions one month, three months, and six months after their adolescent attempted suicide. Methods: This study used data collected for a NIMH-funded research study designed to examine the reactions of 288 mothers of hospitalized adolescents that made recent suicide attempts and mothers of adolescents who were hospitalized for other reasons.  The mothers are assessed at 1, 3, 6, and 12 months following youths’ discharge from the hospital. The current analysis focused on qualitative data collected during the first, second, and third assessment from 48 randomly selected mothers of adolescents who attempted suicide.  Semi-structured interviews were conducted by trained Master- or Doctoral-level staff.  Interviews lasted between 20 and 40 minutes and were digitally recorded and transcribed.  Nvivo 10 qualitative software was used for data management.  Using an iterative process, six scholars collaborated to develop a codebook. Coding was completed by trained research assistants.  Emergent themes were systematically identified as informed by grounded theory methods.  Inter-rater reliability was achieved when coding reached 67% agreement. Results: Although mothers varied in their reaction to their adolescent’s suicide attempt overtime, several themes emerged. First, across all assessments, mothers reported distress, but their descriptions differed overtime.  Mothers often reported (a) one month afterwards feelings of anger, confusion, and disbelief, (b) three months afterwards feeling numb (e.g., I don’t have any feelings.”), nervous, and worried, and (c) six months afterwards feeling stressed and drained (e.g., “tired of it all.”). Second, at the one and three month assessments, mothers discussed their adolescent’s needs for mental health services, whereas at the six month assessment, mothers reported needing mental health care for themselves.  Mothers also reported less support during the second and third assessment than during the first assessment. Third, mothers reported needing to monitor their adolescent less at six months than during the first two assessments. Conclusions and Implications: Results from this study suggest that mothers continue to be impacted by their adolescent’s suicide attempt six months afterwards.  Moreover, mothers’ reactions from one, three, and six months afterwards appear to shift from confusion to numbness/anxiety to stress. This study provides practice implications for development of interventions that support of mothers of adolescents who have attempted suicide.  For example, mothers may benefit from psychoeducation about how their reaction may change overtime, which could validate their experience.  Further, clinicians should be aware of and assess for shifts in a mother’s reactions to their adolescent’s suicide attempt and consider these reactions in treatment planning and implementation.",
      "authors": "Bridget E. Weller; Otima Doyle; David Goldston",
      "author_ids": "109228; 110149; 108677",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "record_key": "SSWR:2015-P-0124",
      "source_database": "SSWR",
      "record_id": "2015-P-0124",
      "year": 2015,
      "title": "Latino Suicide: Identifying and Comparing Risk Factors Among Adolescent Males and Females",
      "abstract": "Over 10 years ago, epidemiological studies reported Latino youth have the highest rate of suicide behavior in comparison to non-Latino counterparts. Among Latina youth, suicide is the second leading cause of death and the third for Latino males youth. According to the Youth Risk Behavior Surveillance System (YRBS), a greater number of Latina and Latino youth (13.5%, 10.2% respectively) reported that they attempted suicide than other racial and ethnic counterparts (2011).  When comparing Latino males to females, females had higher percentages of considering suicide in the past 12 months (20% vs. 12%), making a suicide plan (16.2% vs. 11.4%), and attempting suicide (13% vs. 6.1%).  Yet, more Latino males die by suicide each year. Therefore, the purpose of this study is to: a) identify, compare and contrast risk factors that predict Latino risk for suicide behavior between Latino male and female youth, and b) inform culturally competent and gender specific suicide prevention efforts. This study utilized the YRBS, an epidemiological survey with a cluster sample design and respondents (n=15,425) from all public, Catholic, and private schools. This study utilized respondents who identified themselves as Latino females (n=2363) and males (n= 2265). The majority were between 15 and 17 years old. Variables included demographic characteristics (e.g., age, ethnicity, race, gender) and health-risk behaviors (i.e., Hopelessness, Transportation, Violence, Substance Use, Weight Control Behavior, Physical Activities, Watching TV, Risky Sexual Behaviors, Sleep Hours, and Computer Use). The variables selected for the multiple regression model were based on suicide risk factors identified in the literature—typically from studies with majority White participants. Three models were tested for Latina females and 5 for Latino males, before a statistically significant regression was identified. For males, the regression model was statistically significant with five predictors explaining 29% of the variance: hopelessness, participation in violence with weapons, participation in physical fights, weight control behavior, and sleep. For females, the regression model was statistically significant with three predictors explaining 29%:  hopelessness, participation in violence with weapons, participation in physical fights, substance use, physical health, sleep, and computer use. Though 29% of the variance in suicide behavior can be explained by the respective models, the findings also indicate that the risk behaviors assessed in the YRBSS are not sufficient to predict suicidality among male and female Latino youth. It is recommended that the Interpersonal Theory of Suicide be used to improve the YRBS in assessing suicide risk for youth—not just Latinos—taking this survey. The theory focuses on three factors for a person to be capable of suicide: perceived burdensomeness, thwarted belongingness, and capability. The theory points to a need for additional items in the YRBS to capture one’s social support situation and specifically whether perceived burdensomeness and thwarted belongingness are predictors. Existing items on the survey capture capability for suicide. This information, if used to revise the YRBS, could lead to a better understanding of youth suicide risk among all groups and more effective youth suicide prevention.",
      "authors": "Erika Ruiz; Regina T. Praetorius; Marcella Tanya Smith",
      "author_ids": "111574; 113665; 113066",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:51:16.528349+00:00"
    },
    {
      "input_index": 596,
      "record_key": "SSWR:2015-O-0286",
      "source_database": "SSWR",
      "record_id": "2015-O-0286",
      "year": 2015,
      "title": "Mental Health Disparities Among Military Service Members and Veterans Enrolled in College",
      "abstract": "Background/Purpose: Military service members/veterans (SM/V) are enrolling in colleges in record numbers using the Post 9/11 Veterans Educational Assistance Act of 2008 benefit.  Prior research has identified the mental health disparities of veterans and the mental health disparities of lesbian, gay and bisexual (LGB) people.  However, no known research has explored the needs of LGB SM/V in college. As both LGB and SM/V, these students are at dual risk of mental health disparities that negatively impact quality of life and longevity. The U.S. Census and other national entities do not collect data on sexual orientation making it difficult to assess the needs of the LGB. It can be particularly difficult to locate national data that measures both SM/V status and sexual orientation.  Previous studies have shown that LGB people attend college at rates higher than the general population in an effort to increase the likelihood of experiencing a fruitful life. The goal of this study is to explore the mental health needs of SM/V students and inform practices with this growing population by answering:  What are the differences in mental health characteristics of SM/V college students by sexual orientation? Methods: This study used fall 2011 National College Health Assessment II data from the American College Health Association (ACHA). ACHA administers this survey biannually with volunteer samples from varied institutions across the United States. The sample included 27,774 students from 44 post-secondary institutions. Only students with military experience were included ( n = 702). Descriptive statistics were calculated for demographic variables. Two-sample proportion and mean tests were used to compare mental health characteristics by sexual orientation. We dropped cases with missing data from the analyses.  Mental health characteristics were categorized in three ways: (1) 11 measures of mental health symptoms (e.g., felt things were hopeless; attempted suicide); (2) 16 treatment/diagnosis conditions (e.g., bipolar, panic attack); and (3) 12 measures of stress (e.g., academic, family-related). Results: Results of descriptive statistics and two-sample proportion and mean tests found that LGB SM/V had statistically significant higher levels of mental health symptoms than heterosexual student veterans in all measures except one. For example, 18% of LGB SM/V in our sample have seriously considered suicide compared to only 6% of heterosexual SM/V; and 49% of LGB SM/V reported a diagnosis of depression at some point in their lives compared to only 24% of heterosexual peers. Conclusions and Implications: LGB SM/V college students experience significant mental health disparities that can interfere with college and their life course.  It was surprising to find statistically significant mental health difference in 38 of the 39 measures and the magnitude of disparity in measures such as suicide attempts. In 2012, the White House Joining Forces initiative partnered with NASW to ensure that as the largest provider of mental health services, social workers understand the needs of veterans. This study reiterates this need and serves as a reminder to understand the needs LGB SM/V.",
      "authors": "Michael D. Pelts; David L. Albright; Rebekah A. Freese",
      "author_ids": "113904; 111025; 113905",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3360861125,
        "prompt_eval_count": 1570,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:51:23.267847+00:00"
    },
    {
      "input_index": 597,
      "record_key": "SSWR:2015-O-0042",
      "source_database": "SSWR",
      "record_id": "2015-O-0042",
      "year": 2015,
      "title": "Mental Health of Youth Orphaned Due to HIV in South Africa: Biological and Supportive Links to Caregivers",
      "abstract": "Purpose : In South Africa over 5 million people live with HIV with 2.1 million children orphaned due to AIDS. Many of these children experienced orphan-hood at an age when parental guidance and socialization is most desirable, with the loss impacting the child’s psychological well-being and mental health throughout their lifetime.  Little is known about how the protective links between caregiver support and caregiver relations may interact to improve the mental health of children orphaned by AIDS. The researchers were exploring what specific factors related to caregiver support and caregiver relation may predict negative mental health outcomes (depression, PTS symptoms, anxiety, suicide) of children orphaned by AIDS when controlling for age and gender? Methods :  In 2005 1025 youth were purposely sampled matching those orphaned by AIDS to other orphans and non-orphaned controls to examine in more depth the particular vulnerabilities and resilience factors associated with each population.  Four years later in 2009, 71% of these original youth (N=723) were located and were re-interviewed, of these 266 were classified as being orphaned due to AIDS.  All 266 youth were living in neighborhoods formerly designated for Black Africans under apartheid, with high rates of violence, HIV prevalence (23-30%), and poverty.  Advanced statistical analysis (multiple regression and logistical regression) were used to estimate regression models that best predicts depression, anxiety, PTS symptoms, and suicidality among the 266 youth.  In all, 7 factors were entered into each analysis (age, gender, caregiver relation, support-having a person, emotional support, instrumental support, and support-perceived satisfaction). Results : Caregiver relation was analyzed in several combinations to determine if it was a significant predictor of mental health outcomes.  Anxiety was the only mental health outcome that showed a significance difference, specifically the mean anxiety score for those living with a parental caregiver was significantly higher than those living with a grandparent, other kin, or non-kin.  Age was the only significant variable (Beta=.22, p<.05) from the model that predicts depression accounting for 14.4% of the variance in depression.  Age, caregiver relation, presence of a caregiver and instrumental support all significantly predicted anxiety (p<.05), accounting for 15.6% of the variance in anxiety.  Age, emotional support, instrumental support, and perceived satisfaction all significantly predict PTS symptoms (p<.05) in this model.  All four variables account for 17.1% of the variance in PTS symptoms.    Gender and age predicted suicidality, specifically every boy is 2.25 times more likely to exhibit suicide tendencies compared to girls and every yearly increase in age results in the youth being 1.22 times more likely to exhibit suicidal tendencies. Implications : Having a stronger understanding of how the youth’s links with the caregiver (kin and social support) relates to mental health outcomes can lead to stronger intervention that support caregivers and strengthen families among these vulnerable youth affected by poverty, HIV, and crime in South Africa.  This research highlights the need to focus on providing key services to the youth themselves while also focusing on the family or caregiver who is often the first line of support to youth orphaned by AIDS.",
      "authors": "Melissa Sharer; Lucie Cluver; Joseph J. Shields",
      "author_ids": "113255; 113626; 108905",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3340000125,
        "prompt_eval_count": 1623,
        "eval_count": 24
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      "screened_at": "2026-08-02T17:51:26.609505+00:00"
    },
    {
      "input_index": 600,
      "record_key": "SSWR:2015-O-0639",
      "source_database": "SSWR",
      "record_id": "2015-O-0639",
      "year": 2015,
      "title": "Perceived Racial, Sexual Identity, and Homeless Status-Related Discrimination Among Black Youth Experiencing Homelessness",
      "abstract": "Purpose: Black GLB youth experiencing homelessness possess multiple stigmatized identities. Perceptions of race and sexual-identity-based discrimination are positively associated with depressive symptoms and suicidality among Black GLB and racial/ethnic minority youth (Thoma & Huebner, 2013; Milburn et al., 2010). GLB youth who reported perceived discrimination based on sexual orientation were found to report significantly more depressive symptoms and suicidal ideation compared to their heterosexual counterparts (Almeida, Johnson, Corliss, Molnar, & Azrael, 2009). Perceived stigma due to homeless status was associated with sexual orientation and also related to negative psychological well-being among homeless youths (Kidd, 2007). Our study expands on previous research by testing predictors of compromised mental health in a targeted sample of Black homeless youth. Methods: This study utilized a cross-sectional research design with structured face-to-face interviews of a convenience sample of 89 black homeless youths aged 16-24 years ( M =20.06, SD =2.06). Data was collected between October 2012 and October 2013. We measured psychological well-being using:  (1) the Center for Epidemiologic Studies Depression Scale (CES-D) and (2) suicidality as measured by a three-item index constructed from items regarding suicidal thoughts, planning, and suicide attempts. Respondent characteristics included sexual identity, history of trauma, and homelessness severity. Homeless stigma was measured using a 13-item social stigma scale and racial and GLB discrimination were measured using 7- and 13-item scales from the Alcohol Use Disorder and Associated Disabilities Interview Schedule–IV (AUDADIS-IV). After completing bivariate tests, we defined a path model and tested for direct and indirect effects of respondent characteristics on psychological well-being, with experiences of stigma and discrimination entered into separate models as mediators. Results: Results showed significant associations between respondent characteristics and psychological well-being. Reporting a sexual identity other than heterosexual ( n =44), a history of trauma, and sleeping on the street were positively associated with depressive symptoms and suicidality. Endorsing experiences of homelessness stigma, racial discrimination, and GLB discrimination were independently positively associated with depressive symptoms, though only homelessness stigma was associated with suicidality after controlling for discrimination. Results of meditational analyses showed that while 30% of the association between sleeping on the street and depressive symptoms was explained by homelessness stigma, it explained 60% of the association with suicidality. Approximately 70% of the association between sexual identity and depressive symptoms was explained by experiencing GLB stigma, though discrimination did not mediate the pathway between sexual identity and suicidality. Although the experience of racial discrimination did not act as a mediator, it remained an independent predictor of depressive symptoms and suicidality after controlling for respondent characteristics. Implications: The impact of stigma related to being homeless may suggest that housing first as an intervention may reduce the negative impact that homelessness has on mental health. The most appropriate interventions would be systemic and aimed at reducing the experiences of discrimination of this population. Future research should take into account multiple minority status and how their health is impacted by stigma and discrimination related to multiple stigmatized identities.",
      "authors": "Maurice N. Gattis; Andrea M. Larson",
      "author_ids": "110389; 113659",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3359097417,
        "prompt_eval_count": 1609,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:51:36.934276+00:00"
    },
    {
      "input_index": 601,
      "record_key": "SSWR:2015-O-0124",
      "source_database": "SSWR",
      "record_id": "2015-O-0124",
      "year": 2015,
      "title": "Perceived Treatment Needs Among Women with Co-Occurring Substance Use Disorders and PTSD",
      "abstract": "Background & Purpose: Perception of need is a key factor that influences decisions to seek help and complete treatment for substance use and mental health problems (Mojtabai, Olfson & Mechanic, 2002; Resko & Mendoza, 2013). Although researchers have suggested there is considerable variation in how women with co-occurring PTSD and substance use problems view their treatment needs, few empirical studies have been conducted in this area. The purpose of the current study is to 1) examine patterns of perceived treatment needs among women with co-occurring substance use disorders and PTSD (latent class analysis) and 2) explore how these patterns were associated with demographic characteristics (e.g. age, race, education), psychosocial variables (e.g. PTSD severity), and treatment-related factors (e.g. legal coercion) (multinomial logistic regression). Methods: Data were drawn from the NIDA Clinical Trial Network’s Women and Trauma Study (Hien et al., 2009). Participants (n=348) were women receiving treatment at seven outpatient substance abuse programs located throughout the U.S. All participants met DSM-IV criteria for PTSD, reported substance use within the past 6 months, and had a current substance use disorder diagnosis. The sample included women between the ages of 18-65 (mean=39.2 sd=9.3) and was 46% White; 34% African American; 21% other races/ethnicities. Perceptions of treatment needs were assessed before starting treatment and were focused on treatment needs related to substance use, psychological/emotional, medical, family and social problems. Results: A three group model representing unique perceptions of treatment needs demonstrated the best fit (BIC = 2101.43; entropy = 0.86, average posterior probabilities = 0.82, 0.96, and 0.91). In class 1 (“Multiple Needs” 37.5%), participants reported high levels of need in all areas (substance use, psychological problems and medical, family/social problems). Class 2 (“High Psychological Needs” 22.7%) reported high levels of needs for psychological problems. Class 3 (“High Substance Use Needs” 39.9%) reported high levels of needs for substance use problems, moderate levels of need for psychological problems and low needs in other areas. Legal coercion, PTSD severity and depression were significantly associated with membership in class 2 (OR = 3.46, 1.7, and 0.43 respectively). CPS coercion, PTSD severity, and a history of a suicide attempt were associated with membership in class 3 (OR=0.32, 0.95, and 1.42. Demographic factors (e.g. age, race, education) and number of treatment sessions attended were not significantly associated with class membership. Conclusions & Implications: These results provide insight into the heterogeneity of how women with co-occurring PTSD and SUD view their treatment needs.   Findings highlight how many women who are diagnosed with a current substance use disorder and have a trauma history may not identify as having a drug or alcohol problem. Approximately 60% of participants (class 1 and 2) rated their psychological/emotional treatment needs to be greater than their substance use treatment needs. Participants who reported coercion for treatment (legal or CPS) were significantly less likely to identify as having a substance use problem. Additional research is needed to consider factors not assessed by this study (e.g. social support) that may also be related to perception of treatment needs.",
      "authors": "Stella M. Resko; Suzanne Brown; Natasha S. Mendoza; Shantel D. West; Antonio González-Prendes",
      "author_ids": "108544; 110773; 110906; 113727; 113728",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3606778667,
        "prompt_eval_count": 1685,
        "eval_count": 24
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      "screened_at": "2026-08-02T17:51:40.542486+00:00"
    },
    {
      "input_index": 602,
      "record_key": "SSWR:2015-O-0131",
      "source_database": "SSWR",
      "record_id": "2015-O-0131",
      "year": 2015,
      "title": "Physical and Mental Health Concerns for Young Women with Arrest Histories: Results from the National Survey on Drug Use and Health",
      "abstract": "Background and Purpose: Criminal justice epidemiology focuses on the intersections of public health and criminal justice. One particular public health concern is the significantly higher rates of physical and mental health needs of women, versus men, in jail. However many of these studies have been conducted regionally, with little attention to variation due to age. Given recent attention to ‘transitional youth’ and that 20% of women in jail are 25 or younger, it is important to determine if they differ from their non-criminally involved counterparts. Younger women entering the adult criminal justice system offer an important opportunity for prevention and intervention efforts that improve health and decrease recidivism. As such, this study has two research questions: (1) For women ages 18-25, what physical health factors are associated with a history of arrest?; (2) What mental health factors are associated with a history of arrest? Methods: Secondary data analysis was conducted with the 2011 National Survey on Drug Use and Health. This annual survey utilizes multistage area probability sampling to obtain a representative sample of households in the U.S.  The subpopulation of 18-25 year old women in this sample was 9899 women. History of arrest, the independent variable, was dichotomously coded and race, income, and education were control variables. Dependent variables included the presence or absence of specific physical (asthma, diabetes, hepatitis, high blood pressure and sexually transmitted disease) and mental health (anxiety, depression, serious mental illness, substance use, co-occurring disorder, suicide ideation, and suicide attempt) factors.  All health indicators were measured for occurring during the past year. STATA (version 12) subpopulation functions for complex surveys, binary logistic regression models and adjusted Wald tests were performed for each health outcome. Results: Approximately 12% of women had an arrest history and were significantly more likely to have a lower income and education level than women without arrest. Compared to women without, women with an arrest had a higher risk of hepatitis [OR=5.99, 95% CI (1.68, 21.35), p=.007] and sexually transmitted diseases [OR=2.29, 95% CI (1.60, 3.27), p<.001). Furthermore, women with arrest histories had a significantly higher risk for all mental health conditions : most strikingly, serious mental illness [OR=2.12, 95% CI (1.68, 2.68), p<.001], co-occurring disorders [OR=3.43, 95% CI (2.63, 4.25), p<.001], and suicide attempt [OR=2.57, 95% CI (1.58, 4.18), p<.001). Conclusions and Implications : Although it cannot be determined if the health issues occurred before or after the arrest, young women with an arrest history display a greater risk for public health concerns, including hepatitis, STDs, anxiety, depression, and serious mental illness. Similarly, the high rate of suicide attempts in the past year for women with arrest histories is a pressing public health concern especially given that suicide is the primary cause of death for jail inmates. Thus, social work involvement is needed that focuses on interventions that prevent arrest and re-arrest, promote healthy re-entry and improve physical and mental health for young women.  Future research can inform such efforts and the expansion of criminal justice epidemiology with social work.",
      "authors": "Gina Fedock; Sheryl Pimlott Kubiak",
      "author_ids": "112570; 109093",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3608501417,
        "prompt_eval_count": 1698,
        "eval_count": 24
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      "screened_at": "2026-08-02T17:51:44.152825+00:00"
    },
    {
      "input_index": 604,
      "record_key": "SSWR:2015-O-0490",
      "source_database": "SSWR",
      "record_id": "2015-O-0490",
      "year": 2015,
      "title": "Prevalence and Correlates of Depression, PTSD, and Suicidality Among Adolescents in Institutional Care in Jordan",
      "abstract": "Background : Adolescents in residential care have been identified as having increased mental illness rates compared to community populations. One in five children and one in three adolescents are estimated as having a mental health condition. Mental health problems have been found to predict suicide attempt and completion in youth. Among youth in out-of-home placements, mental illness prevalence rates have been found to consistently exceed established rates for youth within the community.  With approximately 2 million children residing in institutional care, it is important to understand the prevalence of mental health conditions and their impact on suicidality within this vulnerable population in order to provide more effective services. Although research has investigated the prevalence of mental health needs and suicidality of institutionalized children in many parts of the world, youth in the Middle East remain an under-investigated population. This study examines the prevalence and correlates of PTSD, depression and suicidality of youth residing in institutional care in Jordan. Methods : Eighty-six youth, ages 7-18, residing in residential care across Jordan were interviewed for PTSD (UCLA PTSD Index for DSM-IV ‘UPID’), depression (Center for Epidemiologic Studies—Depression Scale ‘CES-D’), and suicidality (endorsement of suicidal ideation or intent to deliberately hurt of kill themself). Data was also collected from staff-caregivers and administrative files. Prevalence rates were examined using descriptive analyses. Logistic regressions were used to model suicidality across depression, PTSD, comorbid depression/PTSD, controlling for demographics, case history, youth self-beliefs, and social support factors. Results : Institutionalized adolescents endorsed high rates of mental health problems, with this study finding that 45% of the youth experience depression and 24% experiencing PTSD. 17% of the youth reported comorbid depression and PTSD. Suicidality was also endorsed by 27% of youth in the sample. Depression and presence of abuse were significant correlates of suicidality in adjusted logistic regression models.  Specifically, depressed youth were 3.6 times more likely to report suicidality than their non-depressed counterparts and abused youth were four times more likely to report suicidality compared to their non-abused counterparts. Implications : Results parallel existing prevalence rates of institutionalized youth throughout the world.  Although institutional care supports housing and material needs, there is a clear need for greater attention to mental health and psychosocial wellbeing. Elevated rates of mental illness and suicidality indicate the importance of addressing these needs early in institutions to ensure healthy development over the life course for these vulnerable children. Developing institutional and community-based programs that foster peer relationships is recommended for youth assessed with depression and/or PTSD, specifically within more collective-based societies. Policy and program recommendations to be discussed include: the need for comprehensive assessment and screening, incorporating and implementing mental health services within institution settings in Jordan; and the development of culturally-appropriate alternatives to institutional care in the region.",
      "authors": "Kathryne B. Brewer; Robin E. Gearing; Jennifer Elkins; Rawan W. Ibrahim; Michael J. MacKenzie; Craig S. Schwalbe",
      "author_ids": "112037; 109445; 112055; 112036; 108580; 108956",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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        "prompt_eval_count": 1534,
        "eval_count": 24
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      "screened_at": "2026-08-02T17:51:50.597331+00:00"
    },
    {
      "input_index": 606,
      "record_key": "SSWR:2015-P-0197",
      "source_database": "SSWR",
      "record_id": "2015-P-0197",
      "year": 2015,
      "title": "School Social Workers Knowledge of, and Responses to, Youth Suicidal Thoughts and Behaviors: Results of a National Survey",
      "abstract": "Background: Schools are a primary location for identification and intervention of suicidal thoughts and behaviors (STB). Prior research found that nearly 90% of school social workers (SSWs) work with suicidal youth, and yet only 57% report receiving graduate-level training. Although SSWs provide more crisis services than any other school personnel, there are almost no data on what SSWs know and how they respond to suicidal youth. The purpose of this study, therefore, was to document SSWs knowledge of risk factors, assessment, intervention and postvention of STB. Methods: Letters were sent to the offices of 1400 active members of the School Social Work Association of America inviting them to complete a four-page survey using pen and paper, or online through Qualtrix. 302 SSWs completed the survey (201 paper, 101 online; 21% response rate). Respondents were 85% female, 74% white, reported an average age of 46 years (SD = 12) and 14.9 years of practice experience (SD = 10.3). Respondents worked at suburban (41.8%), urban (33%), and rural (23.5%) schools. Because SSWs can work in multiple schools and multiple levels, they were instructed to respond based on a single level of school. The distribution of school level was: elementary (34.4%), middle (29.8%), high (35.1%). Descriptive statistics were used to identify percentages of correct answers. Independent t-test was conducted to identify correlation between graduate-level training and SSWs’ responses. Results: Nearly all (92%-99%) SSWs correctly identified the following risk factors for youth STB: history of suicide attempt, current psychopathology, interpersonal discord, and recent humiliation. Only 77% correctly identified presence of a gun in the home as a risk factor. A majority of SSWs incorrectly believed that antidepressants increased suicide risk (53%), that psychiatric hospitalization as an effective intervention (62%), and that suicide risk could be assessed by using the phrase “have you thought of hurting yourself?” (76%).  SSWs who endorsed graduate school training (50%) were significantly more likely to accurately recent humiliation (p=.046) and engaging in non-suicidal self-injury (p<.001) as risk factors for suicide. They were also significantly more likely to initiate contact with at-risk following a students’ suicide death (p<.001). Implications: SSWs’ knowledge of risk factors is high, particularly compared to studies of school psychologists (Debski, Spadafore, Jacob, Poole, & Hixson, 2007). Graduate school training provides a small but significant influence on SSWs knowledge of risk factors and best-practice responses. There is clear need for more education about the risks posed by guns, the lack of risk posed by antidepressants, and the most effective ways to assess for suicide risk. This study fills an important gap in the literature because it provides data on SSWs, and is the first national study of its kind. It highlights the need for SSWs to receive more advanced and targeted training on suicide assessment, intervention, and postvention.",
      "authors": "Jonathan B. Singer; Karen Slovak",
      "author_ids": "108916; 111594",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3383590208,
        "prompt_eval_count": 1631,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:51:57.308667+00:00"
    },
    {
      "input_index": 607,
      "record_key": "SSWR:2015-O-0397",
      "source_database": "SSWR",
      "record_id": "2015-O-0397",
      "year": 2015,
      "title": "Sexual Minority Adolescents and Religious Identity Dissonance: Understanding the Stress and Management of Conflict Between a Religious Identity and Sexual Orientation Identity",
      "abstract": "Background and Purpose : Compared to their heterosexual peers, sexual minority adolescents (SMA) are more likely to report depressive symptoms and self-harm, and are over 5 times more likely to attempt suicide. Sexual minority youth who experience religious identity dissonance are at even greater risk for suicide compared to other sexual minority youth. These disparities are commonly attributed to minority stress, however a minority stress framework does not account for religious identity nor identity dissonance. An understanding of the stress experience of identity dissonance requires the appropriation of the identity frameworks of a theory that responds to dissonance; namely Cognitive Dissonance Theory (CDT). Using an intersectional qualitative approach, the purpose of this study was: to investigate the experience of identity dissonance sample of SMA, to identify cognitive strategies used to avoid or manage dissonance, and to determine the feasibility of using CDT to extend a minority stress framework into this area. Methods : Thirty semi-structured interviews were conducted, Fall 2013 to Spring 2014, with SMA (ages 14 to 17), recruited from 3 community agencies serving SMA in the Los Angeles area. As part of the Institutional Review Board approved procedures, participants were able to give assent for participation. Participation involved a 90-minute recorded interview utilizing a Life History Calendar (LHC) approach. The chronological structure of the LHC increases participants’ ability to recall both events and associated feelings, and acknowledges the fluid aspects of sexual identity formation. Participants were given prompts to reflect on the experience of being a sexual minority given their identified race/ethnicity and religious background. Youth were asked to discuss any identity incongruence experienced and how this incongruence was managed. Recordings were transcribed verbatim and entered into QSR NVivo. All transcripts were coded by two members of the research team and went through a consensus process. Codes across transcripts were then examined using thematic analysis. Results : Results indicated a high level of inter-rater agreement (91%). Participants were on average 16 years old. They identified with a diversity of racial/ethnic backgrounds (20% Asian, 16% African American, 36% Latino, 28% White). Most participants identified as male (44%) or female (40%) with a minority identifying as other (16%). Participants identified with a range of sexual orientations: 28% Gay, 24% Lesbian, 32% Bisexual, 16% as other. More than half of the sample endorsed experiencing identity dissonance. Participants indicated different cognitive strategies to manage identity dissonance (e.g. identifying hypocrisy in religious institutions). Further, racial/ethnic minority youth reported racial identity dissonance due to a strong connection between their racial identity and religious beliefs. Conclusion and Implications : SMA employ several different cognitive strategies to create consonance between their sexual identity and their religious identities; some differences between racial/ethnic groups also existed. CDT offers a promising framework for understanding, measuring, and intervention with this minority stress. Future research directions include, development of a measure of identity dissonance, and quantitative investigation of the additive impact on mental health of minority stress dimensions with the inclusion of a new dimension of intrapersonal identity dissonance.",
      "authors": "Jeremy Gibbs; Jeremy Goldbach",
      "author_ids": "112268; 110332",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3359229375,
        "prompt_eval_count": 1611,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:52:00.669664+00:00"
    },
    {
      "input_index": 612,
      "record_key": "SSWR:2015-O-0092",
      "source_database": "SSWR",
      "record_id": "2015-O-0092",
      "year": 2015,
      "title": "Suicide and Self-Harm: A Qualitative Study of Korean American Women's Experiences during Adolescence",
      "abstract": "Background and Purpose: Contrary to their perceived academic and financial markers of adjustment, the National Alliance of Mental Health (NAMI) indicates that Asian American girls, ages 15-24, have the highest suicide mortality rates across all racial/ethnic groups (Africa & Carrasco, 2011). However, little is known about ethnic sub-groups of Asian Americans adolescents, specifically on the etiology of suicidal ideations and moreover, self-harm by cutting. This qualitative study sought to understand the unique experiences of Korean American young adult women, who either experienced suicidal ideations/attempts or made non-suicidal self-injuries to themselves during adolescence. In particular, this qualitative research study asks: 1) What are the experiences of Korean-American girls that led them to participate in self-destructive behaviors such as cutting or suicidal thoughts during adolescence? 2) What types of supports did they seek, if any; and 3) What was the role of friends, peers, family, or churches/organizations during their experiences with self-harm or suicidal thoughts? Methods: IRB approval was obtained for this qualitative study. Participants were recruited from three large metro areas across the United States. Women were included in this study if they identified as Korean-American (were either born or moved to the U.S. before the age of 5) and were over the age of 18 (N = 6). In-depth, semi-structured interviews were completed by phone or in person on topics of family relationships, peers, help-seeking behaviors and their general experiences of suicidal thoughts, attempts or self-harm during adolescence. Transcripts were coded using a constructivist, grounded theoretical approach and emic themes were analyzed. Results: Five of the six participants experienced suicidal thoughts. The other participant used self-harm by cutting, only. Two women experienced both suicidal thoughts and cutting and of those who only reported having suicidal thoughts, one individual tried to self-harm by cutting but did not continue beyond her first try. For all individuals, the age of onset for these experiences ranged from 7 th -9 th grade (13-15 years old). Four common themes emerged from coding the interviews: 1) poor relationship with at least one parent; 2) lack of understanding of one’s experience during the time of their suicidal thoughts/self-harm, 3) academic excellence despite difficulties with mental health; and 4) help-seeking, or the lack, thereof. Conclusions and Implications: This research studied the experiences of Korean American women who endured suicidal thoughts and/or self-harm by cutting during their adolescence. Common themes from interviews conducted with six Korean American women reflect issues with parent and peer relationships, lack of mental health understanding, perfectionism, and no help-seeking. Many of the participants indicate they suffered through these difficulties on their own. This study, though small in size, has implications for practitioners, counselors and other school personnel in understanding the intricate family dynamics that affect this demographic of adolescents. Additionally, future research should examine the role of school counselors and administrators in working together with parents to help students struggling with these topics.",
      "authors": "Saras Y. Chung",
      "author_ids": "113684",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3380369500,
        "prompt_eval_count": 1562,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:52:17.551567+00:00"
    },
    {
      "input_index": 613,
      "record_key": "SSWR:2015-P-0331",
      "source_database": "SSWR",
      "record_id": "2015-P-0331",
      "year": 2015,
      "title": "Suicide Attempt and Functional Change for Individuals with Chronic Mental Illness: Implications for Risk and Rehabilitation",
      "abstract": "Background: Suicide is a major cause of premature death among those with Schizophrenia, and those with a history of suicide attempt (attempters) are at markedly higher risk for completed suicide than those without a history of suicide attempt (non-attempters).  Given the association between functional level and suicide, change in functioning over time carries implications for change in suicide risk.  Although we know that community-based support programs (CSPs) can improve functioning, no known studies have examined whether or not these programs are equally effective for attempters and non-attempters.  It is critical to determine whether or not these groups are differentially responsive to treatment to better guide suicide prevention programming in CSPs. Purpose: The current study aimed to (1) examine the rate and character of change in functional level (independent living, occupational and social relationships) among suicide attempters and non-attempters in CSPs (2) test for differences in functional level change between attempters and non-attempters in CSPs. Methods : Analyses were performed using data from attempters (n=81) and non-attempters (n=85) in a seven-wave NIMH-funded longitudinal study investigating psychosocial rehabilitation among individuals with Schizophrenia; measures were taken every 6 months over a 3-year period.  Established measures for suicide attempt status, functional level, and clinical variables (symptoms and self esteem) were used.  Using the functional domains as outcomes, two-level growth curve analyses were employed.  A series of unconditional growth models were compared to determine the polynomial function of time that provided the best fit.  An interaction of time with attempt status was then entered into the model to test for group differences. Results: For the domain of social relationships, attempters and non-attempters were found to change differently over time.  Non-attempters demonstrated positive linear change over time (b = 0.19, SE = 0.05, p < .001), while attempters did not demonstrate any change.  For the domains of independent living and work, attempters and non-attempters changed similarly over time.  Specifically, a quadratic model best fit the data for both groups in the domains of independent living (linear b = 0.23, SE = 0.05, p < .001; quadratic b = -0.02, SE = 0.01, p < .01) and work (linear b = 0.10, SE = 0.06, p < .010; quadratic b = -0.03, SE = 0.01, p < .05), indicating that individuals exhibit improvement followed by decline over time. Conclusions and Implications: Given the role of social connectedness in protecting against suicide, it is problematic that the group of attempters did not show any change in social functioning while non-attempters showed significant improvement over time. This calls for targeting the development of social skills among attempters engaged in CSP treatment.  Given that poorer functioning can increase suicide risk, it is reassuring that both groups showed time-limited improvement in the areas of employment and independent living.  However, the subsequent drop-off in functioning in these areas may be more concerning for suicide attempters because the decline may leave them more vulnerable to suicide risk.  The finding of “tipping points” in these domains suggests critical windows within which clinicians can intervene.",
      "authors": "Anthony Fulginiti; John S. Brekke, PhD",
      "author_ids": "112190; 108615",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3366072000,
        "prompt_eval_count": 1645,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:52:20.919468+00:00"
    },
    {
      "input_index": 614,
      "record_key": "SSWR:2015-P-0230",
      "source_database": "SSWR",
      "record_id": "2015-P-0230",
      "year": 2015,
      "title": "Suicide Attempt Trends in Central Texas Youth",
      "abstract": "Purpose : It is estimated that two million adolescents in the United States attempt suicide each year. While effective school-based and community-based youth suicide prevention interventions have been identified, research is limited on the months and/or seasons that have an increase of youth suicide attempts. One international study that examined a combined sample of adolescents and adults over a calendar year found the highest frequency of suicide attempts in September for women and August for men. Few studies however, have examined child and adolescent suicide attempt frequencies over a calendar year. This information is essential in order to identify optimal time points for the implementation of youth suicide prevention interventions. The purpose of this study is to retrospectively examine youth suicide attempts over 20 months in an effort to identify time periods of high frequency. Methods : A retrospective cohort design was conducted to identify patients presenting to two hospitals in Central Texas with a Level 1 Trauma Center due to a suicide attempt. Given the lack of consistent classification of suicide attempts in medical records, a two-step screening process was conducted. First, four data sources were queried to identify encounters of patients 5 and 18 years of age presenting to a hospital due to self-directed violence between 1/1/2011 and 8/31/2012. Next, the 1,903 encounters from step one were screened to assess if they met classification requirements for suicide attempts versus other forms self-directed violence (e.g., suicidal ideations, cutting, etc.).The screening resulted in 252 encounters identified as suicide attempts. Researchers used descriptive statistics to describe the sample and graphs and examine trends in suicide attempt encounters by gender, race/ethnicity over a 20 month period. Results: Of the 235 patients who attempted suicide, the majority were female (75.74%) and Non-Hispanic White (48.51%). More than a third of patients who attempted suicide were Hispanic (34.47%), followed by patients who were black Non-Hispanic (11.91%) and other Non-Hispanic (5.11%).  The average age of patients was 14.69 years old (SD=2.09). In the full sample (N=252), there was a visually significant increase in suicide attempts that occurred near the spring (February-May) and fall (September-November) seasons. These patterns were visually significant for males and females (March and April, respectively). In addition, all ethnicities showed increases in the number of suicide attempts near the spring and fall. Specifically, in white Non-Hispanic encounters, marked increases were visible in fall (November) and spring (April). Among Hispanics, the greatest increases in encounters occurred in spring (April).  Spring (May) displayed the greatest visual increase in suicide attempts among the other Non-Hispanic population. Implications: Fall and spring showed the highest frequency of suicide attempts in central Texas youth. Findings from this study provide evidence for the need of social workers and suicide prevention specialists to target suicide prevention efforts at the beginning and end of the school year in order to best reach at-risk youth. Future research is needed to examine reasons for the increase in suicide attempts during these time periods (i.e., transition into and out of the school year, season changes, etc.).",
      "authors": "Amanda N. Barczyk; Mary Klingensmith; Veena Reddy; Karen Piper; Sarah Duzinski; Karla Lawson",
      "author_ids": "110640; 114200; 114201; 114202; 114203; 114204",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3368356291,
        "prompt_eval_count": 1593,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:52:24.289716+00:00"
    },
    {
      "input_index": 615,
      "record_key": "SSWR:2015-O-0485",
      "source_database": "SSWR",
      "record_id": "2015-O-0485",
      "year": 2015,
      "title": "The Health Status of Transition Age Foster Age: Early Findings from the Calyouth Study",
      "abstract": "Background Transition age foster youth are disproportionately at risk for a number of poor health outcomes compared to their non-foster care peers (Courtney, Terao, & Bost, 2004; Havlicek, Garcia, & Smith, 2012). Adolescence is an important period of development for all youth with strong links to future adult trajectories of health and well-being (Sawyer, et al., 2012). Youth directly influence their health, as does the context in which they develop. With the option to extend foster care to age 21, states can now provide a contextual “net” of health related services to foster youth during this important developmental period. This policy change provides an opportune time to examine the health status of foster youth to improve our understanding of their health needs and importantly, to inform the services and supports they will require as they make the transition to adulthood. Method  T his study draws from self-report data from Wave 1 interviews with 16 and 17-year-old foster care youth in the CalYOUTH Study ( n = 727). The data were collected using a stratified random sample design and when weighted are representative of the 16 and 17-year-old foster care population in California in 2013. Outcomes examined include: physical health, suicide, mental health, pregnancy, health care utilization, preparation for managing health needs, and satisfaction with health services and trainings. Univariate and bivariate statistics are used to describe the sample with unweighted frequencies and weighted percentages. Results Sixty-one percent ( n =450) of respondents report having excellent/very good health. Almost 90% had a physical and dental exam in the previous year, while 10% received psychiatric hospitalization. Many participants (54%) report having received counseling and almost 1 in 5 have ever attended a substance abuse treatment program; 41% and 23% have ever thought about and ever attempted suicide respectively. Forty-two percent of youth are diagnosed with recurrent major depressive episodes, 14% have ever had a manic episode, 7% have an anxiety disorder and PTSD respectively, 5% have a conduct disorder and 7% have oppositional defiant disorder. Differences in mental health by gender indicate that females compared to males are more likely to experience major depression ( p < .01), past manic episodes ( p < .01), social phobia ( p < .05), and PTSD ( p < .01). A drug dependence or abuse problem was assessed for 11% of youth and over 25% of females (9% of males) have ever been pregnant (gotten a girl pregnant). Most youth  report feeling prepared to manage different aspects of their health and while a large proportion (87%) have received services in various health related areas, as many as 11% feel dissatisfied with that preparation. Implications Findings suggest a mixed view with adolescent foster care youth faring well in some dimensions of health and mental health but with significant needs in other areas. As California and other states implement extended foster care services, the health status of older foster youth may call for more tailored supports than what has been previously provided in an effort to give youth the  strongest start possible in adulthood.",
      "authors": "Pajarita Charles; Mark E. Courtney",
      "author_ids": "109242; 108172",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3399112000,
        "prompt_eval_count": 1613,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:52:27.691601+00:00"
    },
    {
      "input_index": 619,
      "record_key": "SSWR:2015-O-0381",
      "source_database": "SSWR",
      "record_id": "2015-O-0381",
      "year": 2015,
      "title": "Think Outside of the Maysi-2 Box and See Loneliness As a Red Flag",
      "abstract": "Background and Purpose: Suicide is the leading cause of death in juvenile justice facilities. In fact, each year approximately 11,000 juvenile offenders confined in juvenile justice facilities engage in suicidal behaviors. When compared to the general population, detained juvenile offenders are at a greater risk for and are more successful at suicide attempts. In response, facilities in 47 states use the mental health screening tool, the Massachusetts Youth Screening version 2 (MAYSI-2), to screen for suicide ideation. The MAYSI-2’s suicide ideation (SI) scale requires affirmative responses to at least two of five items designed to indicate whether in the past few months a youth had thoughts or intentions of self-harm or is currently at risk of a suicide attempt or gesture. The item “have you felt lonely too much of the time?” is used to identify feelings of loneliness. However, despite research showing that loneliness is one of the leading causes of suicide for adolescents, an affirmative response to the item is not weighed more heavily than the remaining four items. The aim of this study is to identify the prevalence of juvenile offenders endorsing the feeling lonely item alone and coupled with a second item on the SI scale. Methods: MAYSI-2 data were collected from all youth detained in a Midwestern juvenile detention facility between May 2006 and March 2010 for a total of 1,992 occasions. The sample ( N =1,348) was 86% male; 79% Black, 17% White, and 4% Other; and ages 10-17. Chi-square analyses were conducted using SAS 9.2. Results: On the overall SI scale, univariate analyses revealed n=1,542 (78%) responses to zero items, n=205 (10%) to one item, n=245 (12%) to two or more items, and n=415 (21%) felt lonely.  Chi-square analyses revealed n=84 felt lonely and had suicidal thoughts (χ 2 =150.41, p<.0001); n=91 felt lonely and wanted to hurt themselves (χ 2 =144.31, p<.0001); n=117 felt lonely and wished they were dead (χ 2 =168.11, p<.0001); and n=167 felt lonely and life was not worth living (χ 2 =194.92, p<.0001). Conclusions and Implications: Not only is suicide a major public health concern, it is a tremendous issue for juvenile offenders and every effort should be made to identify suicide ideation. In this study, there were practical and statistically significant responses to items reflective of suicidal thoughts. By broadening how we identify those at risk, mental health practitioners can be more equipped to address suicidal thoughts, gestures, and attempts. Although it was not possible to explore the number of actual suicide gestures or attempts made by study participants, this study highlights the pervasiveness of feeling lonely.  Prior or current feelings of loneliness, separation from one’s normal environment, and being detained, might exacerbate a juvenile’s loneliness and ultimately their risk of suicide. These possibilities warrant concern and should be responded to; therefore, a new strategy should be used when identifying suicide ideation with the MAYSI-2. Instead of only noting when any two items are responded to affirmatively, addition al attention should be paid when a juvenile responds affirmatively to feeling lonely, coupled with another SI item.",
      "authors": "Henrika McCoy",
      "author_ids": "109529",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3604415458,
        "prompt_eval_count": 1683,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:52:41.949823+00:00"
    },
    {
      "input_index": 620,
      "record_key": "SSWR:2015-O-0385",
      "source_database": "SSWR",
      "record_id": "2015-O-0385",
      "year": 2015,
      "title": "Title: Screening for Suicide on a Pediatric Inpatient Medical Unit: Should We Ask Them?",
      "abstract": "Introduction: Suicide is a significant public health problem, recently ranked as the 2nd leading cause of death in youth ages 10 to 24.  Substantial evidence suggests that individuals who are hospitalized for medical reasons are at increased risk for suicide.  Early detection of patients at risk is a critical prevention strategy; however, little is known about the prevalence of suicidality in pediatric medical inpatient populations.  Moreover, few studies explore how to ask young patients about their suicidality.  To date, research examining suicide screening tools and patient opinions regarding screening practices in pediatric populations has been limited to the Emergency Department (ED) settings.  Although results indicate that the majority of pediatric patients support universal screening for suicide in the ED, no studies have explored pediatric medical inpatient opinions about screening for suicide risk.  This qualitative study describes pediatric patients’ opinions regarding suicide screening in the inpatient medical setting. Methods: This is a sub-analysis of a cross-sectional study of children and adolescents aged 10-21 years, inclusive, receiving medical treatment on a general medical floor in a large urban pediatric hospital.  Patient data was collected as part of a multisite suicide screening instrument validation study of the Ask Suicide-ScreeningQuestions (ASQ; Horowitz et al., 2012).  Patients were interviewed by two clinical social workers over a period of four months.  A total of 200 young patients between the ages of 10 and 21 completed a series of self-report measures, including a demographic questionnaire, the ASQ, the Suicidal Ideation Questionnaire (SIQ) and the Patient Health Questionnaire-Adolescent Version (PHQ-A).  In addition, study participants were asked the following questions about screening practices: “Have you ever been asked about suicide before?” and “Do you think nurses should ask kids about suicidal thoughts while they are in the hospital?  Why or why not?”  Qualitative data was analyzed using thematic analysis.  Patient demographics (primary diagnosis, length of stay on unit) were collected through a retrospective chart review. Findings: Sixty percent (N=120) of the sample was female and average age was 15.44 (SD: 2.8).  Seventy percent of the sample was White, 12.5% Latino, 6.5% mixed, 9% Black, and 2% Asian.  Fifteen percent of the study sample (N=30) screened positive on the ASQ for risk of suicide. Only 38% of the total sample (N=76)  reported that they had been asked about suicide prior to their current inpatient stay.  The majority of patients (87%)supported universal screening by nurses who treat patients on hospital medical floors.  Salient themes included prevention, safety, and the critical importance of nurses.  Demographic, systemic, and clinical variables associated with positive screens on the ASQ will also be described. Conclusions & Implications: Pediatric medical inpatients support suicide screening in the hospital setting. Results indicate that the majority of medical adolescent inpatients have not been screened for suicide.  Overwhelmingly, youth noted the importance of suicide screening and comfort with answering questions about suicidal thoughts and behaviors.  Implications for hospital setting-based strategies for addressing the public health issue of youth suicide will be discussed.",
      "authors": "Abigail M. Ross; Erina M. White; Sally Nelson; F. Julian Lantry; Lisa Horowitz; Elizabeth A. Wharff",
      "author_ids": "110915; 112672; 114074; 114075; 114076; 112671",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3320601458,
        "prompt_eval_count": 1623,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:52:45.272841+00:00"
    },
    {
      "input_index": 622,
      "record_key": "SSWR:2015-O-0552",
      "source_database": "SSWR",
      "record_id": "2015-O-0552",
      "year": 2015,
      "title": "Universal or Culturally-Specific? Black and White Mothers' Reactions to Their Adolescents' Suicide Attempts",
      "abstract": "Background Suicidal behavior is a major problem for adolescents, and also sometimes has major impacts on the well-being of primary caregivers. Mothers’ mental health may be affected by these behaviors and subsequent hospitalizations, which in turn may affect their capacity to support their adolescents’ treatment. Little is known about impact of youths’ suicide attempts on mothers. Racial differences, however, have been demonstrated more generally with regard to expressions of distress, perceptions of suicide, and preferences for treatment. Therefore, our objective is to examine racial differences in mothers’ reactions to youths’ hospitalizations due to a suicide attempt. Method Data were collected for a larger NIMH-funded, longitudinal, mixed method, multi-site study examining the impact of a youths’ hospitalizations on 288 mothers of adolescents hospitalized for suicide and other reasons. Semi-structured interviews were conducted by trained Master- or Doctoral-level staff.  Qualitative interviews were conducted during the first 20 to 40 minutes of the overall assessment, digitally recorded, and transcribed. Using an iterative process, six individuals collaborated to develop a codebook. Nvivo 10 was used to sort the data. Inter-rater reliability was set at 75% agreement.  Informed by grounded theory, emergent themes were systematically identified. The current analysis focuses on the qualitative component of mothers’ assessments at one month post their youths’ hospitalization. Black (n = 15) and White (n = 15) mothers of adolescents who attempted suicide were randomly selected. The subgroups were similar with regard to mothers’ and youths’ ages. Comparatively, Black mothers had lower household incomes and more diverse relationships with youths’ fathers. Results Mothers of both races emphasized experiences of distress (e.g., fear, guilt, anger, crying) related to the suicide attempt, and reported increased monitoring of their adolescents. Mothers of both races also noted the importance of prayer, supportive relationships, needing a break, keeping busy, and not dwelling on the suicidal behaviors.  Racial differences, sometimes subtle, were also noted. In addition to describing experiences of fear, guilt and so forth, some Black mothers utilize analogies (e.g., unclimbable mountain), identified somatic or behavioral concerns (e.g., can’t rest, rock self to sleep, hold my breath) or used other descriptors such as “numb” and “torn between logic and emotion.” Further, Black mothers appeared somewhat more expressive regarding their reliance on religion, focused on their need for emotional support, and reported more instances of improved mother-adolescent relationships. In contrast, White mothers seemed to use a slightly wider array of emotional descriptors (e.g., broken hearted, traumatized, mentally exhausted) to label their experiences of distress, and placed a greater emphasis on their needs for increased volume and higher quality resources both immediately and with regard to the future. White mothers also reported monitoring adolescents’ text messages and social media activities. Implications The findings suggest that discharge planning for this population should include mental health services and resources for primary caregivers. Clinicians need to be attuned to racial differences in language used to describe experiences of distress as well as the potential confounding influence of economic challenges that may serve as barriers to supporting adolescents’ treatment.",
      "authors": "Otima Doyle; Bridget E. Weller; Stephanie Daniel; John F. Curry; Karen C. Wells; Alfiee M. Breland-Noble; Sue Estroff; David Goldston",
      "author_ids": "110149; 109228; 114298; 114299; 114300; 114301; 110531; 108677",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3393740583,
        "prompt_eval_count": 1592,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:52:52.290931+00:00"
    },
    {
      "input_index": 628,
      "record_key": "SWRD:39890",
      "source_database": "SWRD",
      "record_id": 39890,
      "year": 2015,
      "title": "Characteristics of the Ongoing Bond",
      "abstract": "The nature of the ongoing bond maintained by a bereaved person with a deceased one has attracted considerable attention in recent years, but studies have generally been limited to a functional viewpoint which examines only the outcomes of the bond. The current study provides a unique view of the ongoing bond which is maintained by the bereaved with the deceased; the characteristics of this bond are examined. The narratives of nine bereaved Israeli sibling suicide survivors formed the basis for the research. It was carried out on the basis of open, inductive research methodology. The results highlighted five characteristics of this post-death relationship. Each characteristic can be plotted along a continuum from(i) concrete-symbolic; (ii) dynamic-static; (iii) conscious-unconscious; (iv) personal-public; and (v) monologue-dialogue. The results address both the content of the post-death relationship and the manner in which the bond was constructed as well as how it is maintained. The application of relational dialectic theory to the results has added a conceptual dimension to our understanding of the subject. Further attention is given to the implications of this research results to social work practice.",
      "authors": "Leichtentritt, Ronit D.; Yerushalmi, Ayelet; Barak, Adi",
      "author_ids": "",
      "journal_or_venue": "British Journal of Social Work",
      "doi": "10.1093/bjsw/bct171",
      "record_type": "Article",
      "database_method": "Qualitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2455172042,
        "prompt_eval_count": 1140,
        "eval_count": 27
      },
      "screened_at": "2026-08-02T17:53:10.751017+00:00"
    },
    {
      "input_index": 630,
      "record_key": "SWRD:40784",
      "source_database": "SWRD",
      "record_id": 40784,
      "year": 2015,
      "title": "Developing a Brief Suicide Prevention Intervention and Mobile Phone Application: A Qualitative Report",
      "abstract": "Suicide is the second leading cause of death among youth and has become a serious public health problem. There has been limited research on strategies to decrease the likelihood of reattempt in adolescents. As phase one of a treatment development study, clinicians, parents, and adolescents participated in qualitative interviews in order to gain new perspectives on developing a targeted intervention and a safety plan phone application for suicide prevention. Participants indicated that transition of care, specific treatment targets, and safety planning were important parts of treatment. In addition, all participants endorsed the use of a smartphone application for these purposes.",
      "authors": "Kennard, Beth; Biernesser, Candice; Wolfe, Kristin; Foxwell, Aleksandra; Lee, Simon; Rial, Katie; Patel, Sarita; Cheng, Carol; Goldstein, Tina; McMakin, Dana; Blastos, Beatriz; Douaihy, Antoine; Zelazny, Jamie; Brent, David",
      "author_ids": "",
      "journal_or_venue": "Journal of Technology in Human Services",
      "doi": "10.1080/15228835.2015.1106384",
      "record_type": "journal-article",
      "database_method": "Qualitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2289579500,
        "prompt_eval_count": 1037,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:53:15.397090+00:00"
    },
    {
      "input_index": 631,
      "record_key": "SWRD:39275",
      "source_database": "SWRD",
      "record_id": 39275,
      "year": 2015,
      "title": "Exposure to Community Violence, Suicidality, and Psychological Distress Among African American and Latino Youths: Findings From the CDC Youth Violence Survey",
      "abstract": "The present investigation explored risk and protective factors for suicidal ideation and behavior in a sub-sample of African American and Latino adolescents (n = 2,626) who participated in the 2004 Centers for Disease Control Youth Violence Survey. Structural equation modeling was used to explore exposure to violence at the community level as a contextual factor that could potentially influence depressive symptomatology, substance abuse, parental support, social support, and suicidality among study participants. Findings indicated that exposure to violence at the community level was not directly related to suicidality among this population of urban adolescents. However, it was directly related with several other variables under study in the model, which in turn were directly related with suicidality. Tests of invariance revealed several across-group differences, particularly by race and gender, in how the identified risk and protective factors in the model related to suicidality. Implications for research and practice with urban, ethnic minority, adolescent populations are discussed.",
      "authors": "Bennett, M. Daniel, Jr.; Joe, Sean",
      "author_ids": "",
      "journal_or_venue": "Journal of Human Behavior in the Social Environment",
      "doi": "10.1080/10911359.2014.922795",
      "record_type": "Article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2338271084,
        "prompt_eval_count": 1137,
        "eval_count": 24
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      "screened_at": "2026-08-02T17:53:17.736746+00:00"
    },
    {
      "input_index": 632,
      "record_key": "SWRD:40818",
      "source_database": "SWRD",
      "record_id": 40818,
      "year": 2015,
      "title": "Health and Psychosocial Service Use among Suicides without Psychiatric Illness",
      "abstract": "Although mental illness is a major suicide risk factor, some cases of suicide list no symptoms of mental disorder at the time of death. Studying suicides without psychiatric illness has important implications for social work because this group's service needs seem to have been overlooked. The authors of this article conducted a psychological autopsy study of 150 people who committed suicide and 150 age- and gender-matched living controls. Suicides without psychiatric illness showed similar detectable psychopathology as the suicide and living control groups with nonpsychotic psychiatric disorders. Though suicides without psychiatric disorders showed fewer warning signs that could be noticed by their informants, they experienced more negative life events than living controls. The suicide cases without psychiatric illness also seemed to be less protected by enabling factors (such as social support and employment) than living controls with and without psychiatric disorders. Furthermore, they had lower use of services than the control and deceased-with-diagnosis groups. With fewer at-risk signs and poorer enabling resources, they were undetected or unengaged by the existing physical, psychiatric, and psychosocial services. This group should be of concern to social workers, who may develop community-based health education programs and preventive services to meet this vulnerable population's psychosocial needs.",
      "authors": "Law, Yik Wa; Wong, Paul W. C.; Yip, Paul S. F.",
      "author_ids": "",
      "journal_or_venue": "Social Work",
      "doi": "10.1093/sw/swu054",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "prompt_eval_count": 1174,
        "eval_count": 24
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      "screened_at": "2026-08-02T17:53:20.324597+00:00"
    },
    {
      "input_index": 633,
      "record_key": "SWRD:88727",
      "source_database": "SWRD",
      "record_id": 88727,
      "year": 2015,
      "title": "Integrating a Suicide Prevention Program into a School Mental Health System: A Case Example from a Rural School District",
      "abstract": "Youth suicide is a growing public health concern. As schools are becoming a key entry point for preventing and addressing youth suicide, the integration of suicide prevention efforts into existing school mental health (SMH) systems is becoming even more important. Unfortunately, as schools expand and adapt their existing SMH systems to meet this need, little guidance is available to them regarding how to do this. This article shares a case study documenting one rural school district's efforts to initiate, implement, and evaluate a suicide prevention program (Yellow Ribbon Ask 4 Help) through integration into the district's existing SMH system. Data were collected from 5,949 sixth-to 12th-grade students over four academic years, and changes were tracked in relationship to students' knowledge and help-seeking behaviors to support peers with suicidal thoughts. Data also capture the reasons students gave for experiencing suicidal thoughts, and the prevalence of these reasons. This case study suggests the feasibility of integrating a suicide prevention program into an existing SMH system and offers strategies for other schools to consider in their efforts. Implications for school social workers developing programs to prevent and address suicide among students through connections to SMH systems also are discussed.",
      "authors": "Schmidt, Robert C.; Iachini, Aidyn L.; George, Melissa; Koller, James; Weist, Mark",
      "author_ids": "",
      "journal_or_venue": "Children & Schools",
      "doi": "10.1093/cs/cdu026",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "eval_count": 24
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      "screened_at": "2026-08-02T17:53:22.929399+00:00"
    },
    {
      "input_index": 634,
      "record_key": "SWRD:89044",
      "source_database": "SWRD",
      "record_id": 89044,
      "year": 2015,
      "title": "Micro- and Macrosystem Predictors of High School Male Suicidal Behaviors",
      "abstract": "Suicide is the third leading cause of death among young people ages 15 to 19 years, with male adolescents four times more likely to die than their female peers. This study used Bronfenbrenner's bioecological model to examine micro-and macrosystems as predictors of suicidal behaviors through responses by male adolescents (N = 9,910) to a statewide youth survey. Findings show that the micro-and macrosystems of race and ethnicity, individual risky and resilient behaviors, family, school, and community were significant predictors of suicide intent, suicide attempt, or both. Recommendations for school social workers are provided for individual, family, school, and community interventions.",
      "authors": "Beck-Cross, Cathy; Cooper, Robyn",
      "author_ids": "",
      "journal_or_venue": "Children & Schools",
      "doi": "10.1093/cs/cdv028",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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        "eval_count": 24
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      "screened_at": "2026-08-02T17:53:25.243171+00:00"
    },
    {
      "input_index": 635,
      "record_key": "SWRD:39284",
      "source_database": "SWRD",
      "record_id": 39284,
      "year": 2015,
      "title": "No One Theory of Suicide: The Experience of a Cancer Patient Who Killed Himself",
      "abstract": "More than a million people worldwide die by suicide annually, and more than 30,000 of them in the United States. Cancer patients are two to four times more likely to die by suicide than the general population. The purpose of this article is to use the results of a phenomenological psychological autopsy to (1) illustrate the interplay of the interpersonal and intrapersonal circumstances of one colon cancer patient's struggle and ultimate suicide, and (2) demonstrate that health and mental health practitioners need to use more than one theory of suicide to inform their assessment of risk. The findings present a telling picture of the struggles of the decedent, and the authors recommend how the results inform health and mental health practitioners' practice, policy, and research related to suicide prevention.",
      "authors": "Mitchell, Elizabeth A.; Praetorius, Regina T.",
      "author_ids": "",
      "journal_or_venue": "Journal of Human Behavior in the Social Environment",
      "doi": "10.1080/10911359.2015.1031311",
      "record_type": "Article",
      "database_method": "Qualitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:53:27.560012+00:00",
      "independent_manual_spot_check": {
        "random_seed": 20260803,
        "agreement": true,
        "manual_screening": {
          "is_relevant": true,
          "evidence_class": "Empirical",
          "empirical_method": "Qualitative"
        },
        "rationale": "The study uses a phenomenological psychological autopsy to analyze a suicide case."
      }
    },
    {
      "input_index": 636,
      "record_key": "SWRD:93983",
      "source_database": "SWRD",
      "record_id": 93983,
      "year": 2015,
      "title": "Peer Victimization and Adolescent Suicide: The Mediating Effect of Risk Behaviors",
      "abstract": "This study explored the impact of three risk behaviors (risky sexual behaviors, aggression, and substance use) on the peer victimization-suicide relationship. A hypothesized model was developed using an integrated conceptual model based on social cognitive theory and escape theory of suicide. This model was then tested using structural equation modeling. The participants were 7,656 males (49.8 %) and 7,708 females (50.2 %) from the 2011 Youth Risk Behavior Survey ranged in age from 12 years or less to over 18 years (mean = 16.1 years, SD = 1.24). Results demonstrated that peer victimization has a significant direct effect on suicidal behavior. Aggression, and substance use, but not risky sexual behavior, mediated the risk of suicide. Also, substance use has a significant direct effect on aggression that affects suicidal behavior. Findings were discussed within the context of the empirical and theoretical review and implications for social work practice were considered.",
      "authors": "Moon, Sung Seek; Karlson, Alexis; Kim, Yi Jin",
      "author_ids": "",
      "journal_or_venue": "Child & Adolescent Social Work Journal",
      "doi": "10.1007/s10560-014-0365-1",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:53:29.877733+00:00"
    },
    {
      "input_index": 637,
      "record_key": "SWRD:39558",
      "source_database": "SWRD",
      "record_id": 39558,
      "year": 2015,
      "title": "Risk, Hope and Recovery: Converging Paradigms for Mental Health Approaches with Suicidal Clients",
      "abstract": "The management of risk in the work with people with suicidal thoughts and behaviours is fraught with difficulties. Across the globe, deaths by suicide have been increasing and social workers are often on the front lines of suicide prevention. In response to heightened risk and vulnerability, many agency and national policies reflect a risk-dominated paradigm of practice. At the same time, the recovery movement has been influential in the move toward 'least restrictive policies for interventions'. The juxtaposition of these two influences-risk-dominated paradigms and the recovery focus-creates tensions, challenges and opportunities for social workers and agencies. The author reviews the literature on suicide risk, examines the dilemma for social work practitioners and explores these converging paradigms along with the promising developments about the role of hope as a mediating concept in the work with suicidal clients. Implications for social work practice are highlighted.",
      "authors": "Heller, Nina Rovinelli",
      "author_ids": "",
      "journal_or_venue": "British Journal of Social Work",
      "doi": "10.1093/bjsw/bcu007",
      "record_type": "Article",
      "database_method": null,
      "database_is_scientific": true,
      "database_is_empirical": false,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2295037625,
        "prompt_eval_count": 1098,
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      "screened_at": "2026-08-02T17:53:32.174484+00:00"
    },
    {
      "input_index": 638,
      "record_key": "SWRD:40337",
      "source_database": "SWRD",
      "record_id": 40337,
      "year": 2015,
      "title": "Science from Evaluation: Testing Hypotheses about Differential Effects of Three Youth-Focused Suicide Prevention Trainings",
      "abstract": "As part of an evaluation component of a youth suicide prevention, a quasi-experimental repeated measures design tested hypotheses about two brief suicide prevention gatekeeper trainings (Question, Persuade, Refer [QPR] and RESPONSE) and one longer suicide intervention skills training (Applied Suicide Intervention Skills Training [ASIST]). All three trainings showed large changes in prevention attitudes and self-efficacy, largely maintained at follow-up. ASIST trainees had large increases in asking at-risk youth about suicide at follow-up. Convergent with other research, modeling and role-play in training are crucial to increased prevention behaviors. Practice and research implications are discussed, including social work roles in suicide prevention and research.",
      "authors": "Coleman, Daniel; Del Quest, Aisling",
      "author_ids": "",
      "journal_or_venue": "Social Work in Public Health",
      "doi": "10.1080/19371918.2014.938397",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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    {
      "input_index": 639,
      "record_key": "SWRD:39741",
      "source_database": "SWRD",
      "record_id": 39741,
      "year": 2015,
      "title": "Structural and Cultural Factors in Suicide Prevention: The Contrast between Mainstream and Inuit Approaches to Understanding and Preventing Suicide",
      "abstract": "This article is a documentary analysis of Inuit knowledge about suicide prevention which yields insights into how structural and cultural factors are essential to curbing suicide in marginalized populations. This study investigated the grey literature produced by Inuit community organizations and Inuit-led regional governments for Inuit understandings of suicide, its causes and prevention. Findings include that Inuit identify rapid colonization and its effects as the root of Inuit's highest suicide rate of any group in Canada; that suicide cannot be viewed in isolation from socio-economic conditions; that restoring the cultural pride of Inuit is essential to mental well-being; and that Inuit have created suicide prevention models building on strengths, relationship skills building and engaging the community, particularly youth and elders. This article makes an important contribution to the academic literature and social work practice in documenting Inuit suicide prevention concepts as a complement to western models which focus on individual depression.",
      "authors": "Morris, Marika; Crooks, Claire",
      "author_ids": "",
      "journal_or_venue": "Journal of Social Work Practice",
      "doi": "10.1080/02650533.2015.1050655",
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    {
      "input_index": 640,
      "record_key": "SWRD:94392",
      "source_database": "SWRD",
      "record_id": 94392,
      "year": 2015,
      "title": "Suicide and Related-Behavior Among Youth Involved in the Juvenile Justice System",
      "abstract": "Youth in the juvenile justice system are at significant risk for suicidal thoughts, behaviors and deaths. Approximately 70 % of youth in the juvenile justice system have at least one mental health diagnosis which increases their risk for suicide. Over the past 20 years, the juvenile justice system has made extensive efforts to identify and address the mental health needs of these youth. This paper reviews risk factors for suicidal behavior, describes the current approaches and recommendations for programs (i.e., mental health and suicide screening and risk assessment) and policies throughout the juvenile justice system to reduce the risk for suicide and related-behavior among youth.",
      "authors": "Scott, Michelle; Underwood, Maureen; Lamis, Dorian A.",
      "author_ids": "",
      "journal_or_venue": "Child & Adolescent Social Work Journal",
      "doi": "10.1007/s10560-015-0390-8",
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        "empirical_method": "Not applicable"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T17:53:39.134340+00:00"
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    {
      "input_index": 641,
      "record_key": "SWRD:41057",
      "source_database": "SWRD",
      "record_id": 41057,
      "year": 2015,
      "title": "Suicide Attempts and Social Worker Contact: Secondary Analysis of a General Population Study",
      "abstract": "There is a general dearth of social work studies in relation to suicide and very little is known about the characteristics of social work service users who are also suicidal. This paper is based on secondary analysis of the survey 'Adult Psychiatric Morbidity Study in England 2007'. Results showed that (i) social work contact in the previous twelve months was significantly associated with lifetime suicide attempt; (ii) various risk and protective factors help to explain the relationship between suicide attempt and social work contact. Non-suicidal self-harm was found to be associated with suicide attempt, both with and without social work contact. Drug dependency was associated with social work contact, regardless of suicide attempt history. Other variables affected certain aspects of the relationship between social work contact and suicidality. These included age, religion, income, employment and background in local authority care. The implications for social work provision are discussed.",
      "authors": "Slater, Thomas; Scourfield, Jonathan; Greenland, Katy",
      "author_ids": "",
      "journal_or_venue": "British Journal of Social Work",
      "doi": "10.1093/bjsw/bct112",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:53:41.478870+00:00"
    },
    {
      "input_index": 642,
      "record_key": "SWRD:39657",
      "source_database": "SWRD",
      "record_id": 39657,
      "year": 2015,
      "title": "Suicide Risk, Stress Sensitivity, and Self-Esteem among Young Adults Reporting Auditory Hallucinations",
      "abstract": "Individuals with subthreshold psychotic experiences are at increased risk for suicidal thoughts and behavior, similar to those with schizophrenia and other psychotic disorders. This may be explained by shared risk factors such as heightened stress sensitivity or low self-esteem. Understanding the nature of this relationship could inform suicide prevention in social work practice. In tins study, authors examined the relationship between self-reported auditory hallucinations and suicidal thoughts, plans, and attempts, in a nonclinical sample of young adults, controlling for scores on the Psychological Stress Index and Rosenberg Self-Esteem Scale. Auditory hallucinations were associated with approximately double the odds of suicidal ideation and plans and four times the odds for suicide attempts. This relationship was not explained by stress sensitivity or self-esteem, which were independently related to hallucinations and suicidality, respectively Subthreshold auditory hallucinations may be a useful indicator of suicide risk. Tins association may represent a clinically significant relationship that may be addressed through social work interventions intended to alleviate stress sensitivity or improve self-esteem.",
      "authors": "DeVylder, Jordan E.; Hilimire, Matthew R.",
      "author_ids": "",
      "journal_or_venue": "Health & Social Work",
      "doi": "10.1093/hsw/hlv037",
      "record_type": "Article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T17:53:43.859480+00:00"
    },
    {
      "input_index": 643,
      "record_key": "SWRD:40443",
      "source_database": "SWRD",
      "record_id": 40443,
      "year": 2015,
      "title": "Teaching Note-Understanding of Suicide Prevention, Intervention, and Postvention: Curriculum for MSW Students",
      "abstract": "The training of social workers in suicide prevention, intervention, and postvention is encouraged as a key feature of the National Strategy for Suicide Prevention. Despite the acknowledgment that training in suicide and its related behaviors is important, few master's in social work (MSW) programs offer classes dedicated to suicide-related content. This teaching note describes a semester-long course in suicide for second-year MSW students. The introduction provides a rationale for the course. A description of the course structure, readings, assignments, and exercises is included. Finally, the experiences of 20 second-year MSW students who took the course are described.",
      "authors": "Scott, Michelle",
      "author_ids": "",
      "journal_or_venue": "Journal of Social Work Education",
      "doi": "10.1080/10437797.2015.979095",
      "record_type": "journal-article",
      "database_method": null,
      "database_is_scientific": true,
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      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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        "prompt_eval_count": 1051,
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      "screened_at": "2026-08-02T17:53:46.177209+00:00"
    },
    {
      "input_index": 646,
      "record_key": "SSWR:2016-U-0024",
      "source_database": "SSWR",
      "record_id": "2016-U-0024",
      "year": 2016,
      "title": "A Comparison of Physical and Mental Health Disparities By Race/Ethnicity and Income Among Transgender Adults: Analysis of a Statewide Survey",
      "abstract": "Background/Purpose Transgender people are understudied in relation to health disparities. Few federal health surveys ask about gender identity in a way that captures transgender and gender non-conforming identities. Even less is known about differences in health disparities across subgroups of transgender individuals, such as people of color and low-income adults. With this background in mind, the present study utilizes statewide health data from a sample of over 400 transgender adults to explore whether health outcomes differ by race/ethnicity and by income. The hypothesis is that transgender people of color and low-income adults face increased health risks. Methods This project involved secondary data analysis of an online, statewide community-based survey of 417 transgender adults in the Rocky Mountain region. Survey questions were modeled on the CDC's Behavioral Risk Factor Surveillance System, with input from community organizations and transgender community members. The sample was recruited in 2014 through advertisement by LGBT organizations, health providers, colleges and universities, and religious communities. Results Almost half (45.3%, n=178) of this sample identified as women/transgender women, 30.5% (n=120) men/transgender men, and 18.3% (n=72) gender queer/gender fluid. The majority (88.4%, n=352) were White, and 8.8% (n=35) were multiracial. 6.8% (n=28) were Hispanic. Compared to CDC data for the state, the sample had high rates of asthma (26.7% compared to 14.7%), depression (63.4% to 18.2%), a physical, mental or emotional problem that limits activities (47.3% to 18.8%), and high blood pressure (31.8% to 26.3%). Logistic and multiple regression models indicate that, after controlling for health insurance, age, and exercise, transgender people of color and those who had lower incomes generally faced poorer health outcomes. Transgender people of color were 2.2 times as likely as whites to have had asthma (p<.05) and 2.44 times as likely to have arthritis, gout, lupus, or fibromyalgia (p<.05). They were less likely to have been told by a health provider that they had depression (AOR=2.25, p<.01), although there were no differences by race for current depression. Those who had lower income were more likely to have been told by a health professional that they have high cholesterol (AOR=1.11, p<.05), COPD/emphysema/chronic bronchitis (AOR=1.38, p<.05) or anxiety AOR=1.12, p<.05). They were more likely to have current depression (AOR=1.32, p<.001), suicidal ideation (AOR=1.22, p<.001), or a suicide attempt in the past year (AOR=1.23, p<.05), and they had fewer days of general health (B=-0.12, p<.001), physical health (B=-0.78, p<.001), and mental health (B=-1.07, p<.001) in the past month. They reported more days when they couldn't do usual activities in the past month due to poor physical or mental health (B=-0.94, p<.001). Conclusions: Compared to the state population, this sample of transgender adults was at heightened risk for various health challenges, with transgender people of color and low-income adults experiencing additional health disparities. Findings indicate the importance of targeted prevention and intervention efforts with these two subgroups. There is a need for continuing research on this topic, particularly studies that use larger samples of transgender people of color and recruit participants from other regions of the country.",
      "authors": "Kristie L. Seelman",
      "author_ids": "111253",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:53:55.122457+00:00"
    },
    {
      "input_index": 648,
      "record_key": "SSWR:2016-U-0135",
      "source_database": "SSWR",
      "record_id": "2016-U-0135",
      "year": 2016,
      "title": "A Path Model of Relationships Between Bullying Victimization and Suicidal Thinking, Suicide Planning, and Suicide Attempts in Adolescents",
      "abstract": "Research has shown an increasing prevalence of suicide among adolescents.  The bullying of adolescents on school grounds (traditional bullying) has been shown to be significantly related with adolescent suicide. Today’s adolescents are confronted with additional and novel stressors as a result of cyberbullying.  Cyberbullying has been shown to be associated with suicidal ideation and attempts.  Previous research has also suggested relationships exist between both traditional and cyber bullying victimization and depression, violent behavior, and adolescent substance abuse.  The goal of this study was to test a comprehensive path model for the relationships between age, gender, traditional bullying and cyber bullying victimization, and violent behavior, substance abuse, depression, suicidal ideation and suicide attempts in adolescents.  Based on results of prior research, it was hypothesized that depression would mediate the relationships between both traditional and cyber bullying victimization and suicidal ideation; and that violent behavior and substance abuse would mediate the relationships between both traditional and cyber bullying victimization and suicidal ideation and suicidal behaviors. The hypothesized path model was fit to data from the 2011 Youth Risk Behavior System Survey (YRBSS) on a nationally representative sample of 15,425 high-school students from across the United States. The path model was estimated using the robust weighted least squares method in Mplus, and the complex sampling used in the 2011 YRBSS was taken into account in analyses.  Missing data were handled using multiple imputation. A multiple groups approach was used to test the invariance of the path model across male and female adolescents. The final model fit indices for the model were, Chi-squared (31) = 49.0, p = .02; RMSEA = .009 (90% CI, .003, .013), probability (RMSEA ≤ .05) = 1.0; CFI = .999, and TLI = .999.  In terms of effect sizes, the 99.9% confidence intervals for the R-squared for suicide attempts for females was, .76 - .86; and for males, .77 - .87. Results suggested that the effects of both traditional and cyber bullying victimization on suicidal thinking were partially mediated by depression.  Results further suggested that the relationships between both traditional and cyber bullying victimization and suicidal behaviors were mediated by both substance abuse and violent behavior. Results indicated statistically significant indirect paths from both traditional and cyber bullying victimization to suicide attempts without the involvement of depression, suicidal thinking, or suicide planning. These findings suggested that both traditional and cyber bullying victimization may be associated with spontaneous suicide attempts by non-depressed adolescents.  While the configuration of the model was invariant across males and females, there were a few differences in path coefficients for male and female adolescents. The results have implications for social workers in school and mental health settings.  For example, adolescents who report being bullied, but no depression or suicidal thinking, should be considered at risk for a spontaneous suicide attempt.  Under these circumstances social workers should look for events in the adolescent’s life that might serve as a triggering event, such as a cyberbullying victimization incident, substance abuse, or a recent physical fight.",
      "authors": "Karen Reed; William R. Nugent; Lyle Cooper",
      "author_ids": "114735; 108960; 114736",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:54:02.122231+00:00"
    },
    {
      "input_index": 652,
      "record_key": "SSWR:2016-U-0066",
      "source_database": "SSWR",
      "record_id": "2016-U-0066",
      "year": 2016,
      "title": "An Exploration of the Pre- and Post-Migration Experiences of LGBT Refugees and Asylees",
      "abstract": "Background : Lesbian, gay, bisexual, and transgender (LGBT) forced migrants are a particularly vulnerable subset of an inherently vulnerable refugee population. However, no empirical studies have explored the effects of victimization on the their mental health and resettlement. This qualitative study fills a gap in the literature by exploring the pre- and post-migration experiences of LGBT forced migrants who have obtained refugee/asylee status in the United States or Canada. Increased knowledge and understanding of the experiences of LGBT forced migrants is critical because this population is rapidly growing (ORAM, 2012). Methods : We recruited 26 participants who obtained refugee/asylee status in the United States ( n =16) or Canada ( n =10) on the basis of sexual orientation or gender identity. Participants originated from Russia, Africa, the Middle East, the Caribbean, and Latin America and ranged in age from 21-49. Twenty participants identified as gay, two as lesbian, two as transmale, and two as transfemale. Ten participants identified as Black, ten as White, three as Hispanic/Latino, two as Asian, and one as multi-racial. Purposive sampling was used to recruit participants from community and social service organizations. To participate, individuals had to be at least 18-years-old and had to have official refugee/asylee status for at least one month. The life history interview, which lasted 75-120 minutes, explored lifetime experiences of victimization, resettlement challenges, and self-reported mental health problems. Interviews were audio-recorded and transcribed verbatim. The data was analyzed using the phenomenological method (Moustakas, 1994). We (three authors) independently coded each interview and then convened to reach consensus and transform codes into units of meaning. Comparing and contrasting meaning units across all interviews resulted in a synthesis. To enhance methodological rigor, we bracketed individual biases and assumptions throughout the analysis, identified negative cases, and maintained an audit trail. Results : Two pre-migration themes emerged: Struggling to Survive and Nowhere to Turn . Participants experienced multiple traumatic events including physical and sexual assault, threats and violence toward family members, corrective rape, and severe verbal abuse. Participants who sought help from teachers, police, or relatives frequently suffered further victimization or were blamed. Two post-migration themes also emerged: Broken and Broke and Alone, Lonely, and Uncertain . Upon arrival to the host country participants reported depression, anxiety, post-traumatic stress symptoms, and suicidal ideation. Participants had difficulty finding housing and struggled financially, and the process of seeking asylum was also lengthy. The majority of participants struggled to connect with other LGBT individuals or meet new people. Participants experienced discrimination based on their immigration status, and sexual prejudice by members of their racial/ethnic community, further complicating their resettlement. Conclusions : Findings revealed that LGBT forced migrants experience numerous pre- and post-migration stressors that have serious effects on their mental health and resettlement. Participants experienced difficulties accessing financial, legal, and social support, which exacerbated feelings of isolation, futility, and hopelessness. Moreover, they lacked many of the protective factors shown to mitigate the effects of trauma in the general refugee population (Birman & Tran, 2008). We discuss practice and policy implications for easing the resettlement of LGBT forced migrants.",
      "authors": "Edward J. Alessi; Sarilee Kahn; Sangeeta Chatterji",
      "author_ids": "110624; 111872; 114631",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3351839459,
        "prompt_eval_count": 1620,
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      "screened_at": "2026-08-02T17:54:15.403301+00:00"
    },
    {
      "input_index": 655,
      "record_key": "SSWR:2016-U-0644",
      "source_database": "SSWR",
      "record_id": "2016-U-0644",
      "year": 2016,
      "title": "Bullying, and Suicide Attempt Among Lesbian, Gay, and Bisexual NYC Public High School Students",
      "abstract": "Background and Purpose: Lesbian, gay, and bisexual  (LGB)  youth are more likely to attempt suicide than their heterosexual peers. They are also more likely to experience bullying by other students. In this study we hypothesized that bullying is one of the mechanisms that mediates the relationship between LGB youth and suicide attempt among a representative sample of New York City (NYC) public high school students. Methods: Data for this study were obtained from the 2013 New York City Youth Risk Behavior Survey (YRBS) and is representative of NYC public high school students. We took into account the complex survey design in our analysis. We tested a mediation model using Mplus to test the significance of the indirect effect of LGB identification on suicide attempt via bullying. Results: LGB youth had a significantly higher rate of suicide attempt than their non-LGB counterparts:  27.0% vs. 7.3%. Moreover, LGB youth were significantly more likely to experience bullying than their non-LGB counterparts: 19.2% vs. 10.0%. After adjusting for covariates including depressed mood and substance use we found that bullying was a partial mediator of the association between LGB youth and suicide attempt. Conclusions and Implications: Suicide attempts are alarmingly high for LGB youth in NYC public high schools. Suicide prevention approaches for LGB students should include anti-bullying initiatives in school settings. Future research should test if approaches that foster affirming school climates for LGB youth may help to lower suicide attempts among this population.",
      "authors": "Stephanie Peña; Lissette Vasquez; Tiyanna McFarlane; Juan Peña",
      "author_ids": "115514; 115515; 115516; 115517",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "prompt_eval_count": 1251,
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      "screened_at": "2026-08-02T17:54:24.984946+00:00"
    },
    {
      "input_index": 658,
      "record_key": "SSWR:2016-U-0339",
      "source_database": "SSWR",
      "record_id": "2016-U-0339",
      "year": 2016,
      "title": "Content Analysis of Military and Civilian Suicide Coverage By AP Wire Service",
      "abstract": "Background and Purpose: In 2008, military suicides began to outpace civilian suicides, and concerns about escalating rates were widely reflected in media reports.  According to social learning theory, imitative suicide results from identification with a suicide model.  Certain reporting practices (e.g., public tributes, the use of inappropriate language and images, explicit detail, repetitious coverage) increase suicide contagion through identification, while positive reporting practices (i.e., inclusion of help messages and educational content) can actually reduce suicide (Pirkis et al., 2006).  The Suicide Prevention Resource Center (SPRC, 2007) has adapted recommendations on safe reporting practices. The AP Wire Service is the largest supplier of digital news content to the most widely read online news aggregators (i.e., Yahoo! News, Huffington Post, & Google).  The purpose of this study was to assess the quality of suicide reporting by the AP Wire Service during 2012, a peak year for military suicides.  Specifically, suicide stories were assessed for adherence with the SPRC recommendations, and military and civilian suicide stories were examined for differences. Methods: Using a content analysis strategy (Neuendorf, 2001), a search of AP Wire Service stories with “suicide” in the headline or lead paragraph was conducted using Access World News (Newsbank) for 73 (20%) randomly selected days in 2012.  A total of 514 suicide stories were screened for individually identifiable suicides (i.e., at least two details about the decedent), for an eligible subsample of 270.  A final sample of 167 suicide stories was randomly selected and assessed for compliance with constructs derived from SPRC recommendations.  Three coders blind-coded an overlapping sample of 50 articles. Inter-rater agreement was assessed using Krippendorff’s alpha.  Differences in AP Wire Service coverage of military and civilian suicide stories were assessed using t-tests. Results :  Almost 27% of the suicide stories involved military personnel or veterans.  On average, AP articles violated 11 out of 13 SPRC recommendations on practices to avoid. However, articles about military suicides contained fewer violations ( M =10.91, p=.013) than articles about civilian suicides ( M =11.34).  On average, the AP articles demonstrated 4 of 8 identified SPRC positive reporting practices. Articles about military suicides included significantly fewer positives ( M =3.97, p<.001) than those concerning civilians ( M =4.12).  Krippendorff’s alpha ranged from .68 to 1.0. Conclusions and Implications :  The AP Wire Service did not consistently adhere to media guidelines for responsible reporting on suicide in 2012.  AP stories of military suicide were more likely to adhere to SPRC guidelines than were civilian stories, suggesting widespread coverage of escalating rates positively influenced reporting practices.   Military stories were more likely to miss opportunities to include resource information which might have influenced vulnerable readers to seek help.  Social workers who serve military populations should be aware of the contagion risk of military/veteran suicide, and need to assess the impact of high profile coverage.  The social work profession could play a key role in educating clients, families, and the media on the potential for imitative suicide and in advocating for the widespread adoption of the SPRC guidelines.",
      "authors": "Donna L. Schuman; Regina T. Praetorius",
      "author_ids": "113713; 113665",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
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      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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        "total_duration_ns": 3369190708,
        "prompt_eval_count": 1651,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:54:35.616750+00:00"
    },
    {
      "input_index": 659,
      "record_key": "SSWR:2016-U-0253",
      "source_database": "SSWR",
      "record_id": "2016-U-0253",
      "year": 2016,
      "title": "Depression, Addictive Behaviors, and Suicidal Ideation Among Korean College Students: Examining the Moderating Roles of Alcohol Use and Gambling",
      "abstract": "Background and Purpose : The prevalence of suicide in South Korea is staggeringly high as it ranks number one among OECD (Organization for Economic Co-operation and Development) countries in suicide rate. This is South Korea’s most severe social problem and has become the leading cause of death among twenty year olds. Suicidal ideation among college students has been associated with poor mental health, academic pressure, and employment seeking stress, which demonstrate Korea’s hypercompetitive socio-cultural context. Furthermore, permissive alcohol policies on college campuses, high internet accessibility, and a revitalized gambling industry have led to uniquely high rates of addictive behaviors such as alcohol abuse and gambling among Korean college students. Research indicates that depression is an important predictor for suicidal ideation. Studies have also found that depression, addictive behaviors, and suicidal ideations are highly associated with each other. This study examines the association between depression and suicidal ideation among Korean college students and the moderating roles of addictive behaviors (i.e., alcohol use, gambling). Methods : We collected data from full-time students (n = 870) enrolled at nine Universities throughout South Korea. More than half of the total sample (52.3%, n = 450) experienced either alcohol use or gambling. We used a stratified sampling strategy selecting two Universities with similar sizes from each of the five geographically representative areas (except one from Kang-Won area). The survey was conducted on each campus using in-person methods by trained assistants after attaining participant consent. We measured depression using seven items selected from the DASS-21 (Depression, Anxiety and Stress Scale, α=.845). Suicidal ideation was measured by five items selected from the YRBSS (Youth Risk Behavior Surveillance System, α=.882). Alcohol use and gambling were assessed by the 10- item AUDIT (Alcohol Use Disorder Identification Test, α=.852) and 9-item PGSI (Problem Gambling Severity Index, α=.933) respectively. We employed hierarchical multiple regression analyses with interaction terms to examine the association between depression and suicidal ideation, and the moderating roles of alcohol use and gambling. Results: Findings reveal that depression, alcohol use, and gambling are associated with suicidal ideation among Korean college students. We found a significant moderating effect of alcohol use on the relationship between depression and suicidal ideation (ß = .015, p < .001). The influence of depression on suicidal ideation is greater for Korean college students who use high levels of alcohol (respondents with +1 standard deviation greater than the mean score) compared to those who use low levels of alcohol, presenting the moderating role of alcohol use. Gambling did not moderate the relationship between depression and suicidal ideation. Conclusions and Implications : These findings support existing knowledge on the moderating roles of addictive behaviors, alcohol use in particular, on the relationship between depression and suicidal ideation among college students in South Korea. The results suggest that alcohol use is an important modifiable factor for suicidal ideation when specifically related with depression. It is crucial that policy makers and practitioners working on college campuses recognize the need for efforts that reduce alcohol use and potentially prevent suicide among college students.",
      "authors": "Soo Mi Jang; Seunghye Hong, PhD",
      "author_ids": "114915; 111798",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3385888458,
        "prompt_eval_count": 1595,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:54:39.004194+00:00"
    },
    {
      "input_index": 660,
      "record_key": "SSWR:2016-U-0524",
      "source_database": "SSWR",
      "record_id": "2016-U-0524",
      "year": 2016,
      "title": "Depression, Positive Symptoms of Psychosis, and Suicidal Ideation Among Adults Diagnosed with Schizophrenia: A Secondary Analysis of Data from the Clinical Antipsychotic Trials of Intervention Effectiveness (CATIE) Using Structural Equation Modeling",
      "abstract": "Background/Purpose: Suicide is the leading cause of death among adults diagnosed with schizophrenia with risk estimates over eight times greater as compared to the general population.  While symptoms of depression are consistently supported factors involved in suicidal ideation and attempt, findings on the role of positive symptoms of psychosis have been mixed with limited understandings of how hallucinations and delusions relate to suicide risk.  High suicide rates have received attention in the literature to date, yet, behavioral evidence-based treatments are lacking as suicide continues to be a major public health problem.  Thus, we need to increase understandings of the factors involved in suicidal ideation and attempt within this vulnerable population as a first step towards ultimately developing suicide prevention-focused interventions.  Accordingly, this study aims to empirically test how symptoms of depression and positive symptoms of psychosis (i.e. hallucinations and delusions) relate to suicidal ideation. Methods: Data were obtained from the Clinical Antipsychotic Trials of Intervention Effectiveness (CATIE), a randomized controlled trial of antipsychotic effectiveness among a sample of adults diagnosed with schizophrenia (n= 1,460).  The outcome of suicidal ideation was measured post baseline by the Calgary Depression Scale (CDRS).  Symptoms of depression were measured by the CDRS and hallucinations and delusions were both measured by the Positive and Negative Syndrome Scale (PANSS), all at baseline.  The data were analyzed using Structural Equation Modeling (SEM) with AMOS 21.0 using a maximum likelihood algorithm. Results: The SEM model yielded good model fit by both global (chi square, CFI, standardized RMR, RMSEA) and focused (standardized residuals and modification indices) fit indices.  It was found that both hallucinations and delusions distinctly predicted suicidal ideation independent of depression but not when entered jointly in the same linear equation.  A latent variable model that focused on the common variance of hallucinations and delusions (represented as a latent positive symptoms of psychosis variable with hallucinations and delusions as indicators) was predictive of suicidal ideation over and above depression.  Both path coefficients for positive symptoms (latent) and depression were statistically significant (p<.05).  For every one unit increase in positive symptoms of psychosis (i.e. hallucinations and delusions), suicidal ideation was found to increase, on average, by .04 units (p < 0.05).  For every one unit increase in symptoms of depression, suicidal ideation was found, on average, to increase by .25 units (p < 0.05).  Symptoms of depression, hallucinations, and delusions accounted for approximately 13% of the variance in suicidal ideation. Conclusions and Implications: Symptoms of depression and positive symptoms of psychosis (i.e. hallucinations and delusions) are independently associated with suicidal ideation among adults diagnosed with schizophrenia.  White it has been consistently demonstrated that symptoms of depression predict suicidal ideation, the present study provides support for the relationship between positive symptoms of psychosis, specifically hallucinations and delusions, and suicidal ideation.  Future prospective longitudinal study designs are needed to further increase understandings of the roles that hallucinations, delusions, and additional symptoms of schizophrenia play in both suicidal ideation and attempt to ultimately inform evidence-based interventions aiming to reduce suicidal death.",
      "authors": "Lindsay A. Bornheimer; James J. Jaccard, PhD",
      "author_ids": "114170; 113134",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3356842041,
        "prompt_eval_count": 1638,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:54:42.363258+00:00"
    },
    {
      "input_index": 662,
      "record_key": "SSWR:2016-P-0158",
      "source_database": "SSWR",
      "record_id": "2016-P-0158",
      "year": 2016,
      "title": "Exploring Attitudes Toward Suicide in Adults Bereaved By Suicide and Suicide Attempt Survivors",
      "abstract": "Despite some research on public attitudes towards suicide, there is a lack of research on attitudes towards suicide in adults bereaved by suicide (loss survivors) and suicide attempt survivors. Understanding how suicide loss and attempt survivors perceive suicide and their experience with stigma is essential in designing interventions that can help change public perceptions and individual experiences of those with personal experience of suicide, particularly in promoting help seeking behaviors. The current study aimed to examine attitudes towards suicide and stigma experienced in suicide loss and attempt survivors. Specifically, this study aimed to investigate stigmatized attitudes, as compared to perceptions with those of the general public, their perception of others’ attitudes towards suicide, and detailed accounts of personal experience with stigma. The study enhances the existing literature by providing a unique perspective on suicide and stigma from suicide loss and attempt survivors. The sample consisted of 312 respondents, of which 79 (25.3%) identified as suicide loss survivors, 87 (27.9%) identified as attempt survivors, and 146 (46.8%) identified as having experienced both a loss and an attempt. The sample was predominately female ( N =271, 87%) and respondent age ranged from 18-83 years of age, (M=44; SD =13.92). Participants were recruited through American Association of Suicidology’s listserv and snowball sampling was encouraged for the online survey.  Measures included the Stigma of Suicide Scale (SOSS), a 88-item scale comprised of descriptor words of a “typical” person who dies by suicide and general statements about suicide, rated on a 5-point Likert scale from (1) strongly disagree to (5) strongly agree. Previous research on the SOSS with members of the general public has showed a three factor structure. Other measures included a basic demographic questionnaire, the Patient Health Questionnaire (PHQ-9), and three open-ended questions about personal experience with stigma around suicide. An exploratory principal components factor analysis with orthogonal rotation was conducted to determine the factor structure of the SOSS scale in these novel populations. The results revealed three SOSS factors with factor loadings on 16 items each loading above the cutoff point (≥.05). The factors representing isolation, stigma, and glorification accounted for 11.26%, 8.01%, and 7.27% of the variance (total 26.53%) respectively. These findings are consistent with past empirical findings using the SOSS in the general population. One-way ANOVAs were used to identify group differences in SOSS-Isolation, SOSS-Stigma, and SOSS-Glorification scores. Suicide loss survivors had significantly higher ratings on the Isolation factor than those who had experienced both a loss and a personal attempt ( p =.021). However, there was no significant effect of groups on stigma and glorification. Results from this study provide useful information about how suicide loss and attempt survivors perceive suicide and whether there exist any differences between these populations that would help change messaging about suicide overall and to these specific populations. Additionally, findings have the potential to inform social work practice and programs aimed at helping suicide loss and attempt survivors and can also identify barriers to seeking care that may exist in these populations.",
      "authors": "Athena Kheibari; Rebecca Sanford; Julie Cerel; Laura Frey",
      "author_ids": "114859; 114860; 114861; 114862",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3358311666,
        "prompt_eval_count": 1603,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:54:49.088779+00:00"
    },
    {
      "input_index": 664,
      "record_key": "SSWR:2016-P-0275",
      "source_database": "SSWR",
      "record_id": "2016-P-0275",
      "year": 2016,
      "title": "Factors Related to the Transition from Suicide Ideation to Suicidal Behavior",
      "abstract": "Background and Purpose: There are many known predictors of suicidal ideation including depression, anxiety, substance use, impulsivity, trauma history, and others. However, known predictors are very poor at distinguishing individuals with ideation who do not make attempts from those with ideation who do go on to make attempts. It is, therefore, very difficult to predict who is at greatest need for further intervention among individuals with suicidal ideation, leaving a substantial gap in clinical knowledge that has greatly impeded suicide prevention efforts. Two factors that have been shown to distinguish those who make attempts from those who do not are hopelessness and sub-threshold psychotic experiences (i.e., fleeting perceptual abnormalities or unusual thoughts that do not meet DSM-5 psychosis criteria). The purpose of this study is to test whether hopelessness screens and psychotic experience screens independently distinguish people with ideation with attempts from those without attempts. Methods: Participants were drawn from a research pool of undergraduate college students ( N =678). Each respondent completed a survey that included measures of psychotic experiences (five dichotomous items indicating presence or absence of hallucination- and delusion-like experiences), hopelessness (two items with 5-point Likert responses), and suicidal behavior (dichotomous variables indicating ideation and attempts). Logistic regression analyses tested for associations between suicide attempts (outcome) and psychotic experiences and hopelessness. Analyses were first run with the entire sample to examine predictors of attempts overall, and then within the subset endorsing suicidal ideation to test whether these factors distinguished isolated ideation from ideation with attempts. All analyses were a priori adjusted for sex and race/ethnicity (but not age due to restricted range of the sample), and were considered significant at two-tailed alpha=0.05. Results: Within this sample, 36% of respondents endorsed lifetime suicidal ideation and 2.7% reported suicide attempts. At least one lifetime psychotic experience was endorsed by 27.1% of respondents. Approximately half of the sample endorsed at least some hopelessness. Within the entire sample, psychotic experiences (Wald = 6.13, p =0.013) and hopelessness (Wald =17.17, p <0.001) each independently predicted suicide attempts in the fully adjusted model (χ² df=4 =30.28, p <0.001)). Results were similar when the sample was limited to respondents with a history of suicidal ideation ( n =244). Specifically, both psychotic experiences (Wald=4.46, p =0.035) and hopelessness (Wald=10.37, p =0.001) were associated with suicide attempts among respondents with ideation in the fully adjusted model (χ² df=4 =18.46, p =0.001). Conclusions and Implications: The main finding is that both psychotic experiences and hopelessness independently distinguish individuals with suicidal ideation alone from those with ideation and attempts. This distinction is highly clinically relevant given the difficulty in predicting which individuals will go on to make suicide attempts among those that report suicidal thoughts. Hopelessness and psychotic experiences can both be assessed through brief screening tools that can be easily incorporated into existing suicide prevention efforts. Future prospective studies may clarify the role of psychotic experiences and hopelessness in predicting suicide attempts over time.",
      "authors": "Jordan E. DeVylder; Meshan Lehmann; Matthew Hilimire",
      "author_ids": "112063; 115076; 115077",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3392708125,
        "prompt_eval_count": 1620,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:54:56.106048+00:00"
    },
    {
      "input_index": 665,
      "record_key": "SSWR:2016-U-0227",
      "source_database": "SSWR",
      "record_id": "2016-U-0227",
      "year": 2016,
      "title": "Family Support and Mental Health Service Use Among Suicidal Adolescents",
      "abstract": "Background and Purpose: While multiple evidence-based treatments have been shown to ameliorate suicidal ideation and behaviors among adolescents, fewer than 30% of suicidal youth report having contact with a mental health provider within the past year. While family members often serve as informal supports for youth and can help connect them with services, suicidal youth are also more likely to experience neglect, abuse, and dysfunction within their families. This study investigated whether levels of perceived family support were related to the likelihood that suicidal adolescents would utilize mental health services and, secondly, whether this relationship was mediated by symptom severity. It was hypothesized that, if higher levels of parental support were related to a lower likelihood of mental health service use, that this relationship would be mediated by the severity of symptoms reported. Methods: Using a prospective design, bivariate and mediational analyses were conducted using data from the first two waves of data from the National Longitudinal Study of Adolescent Health. Two different models were tested using two different proxies for symptom severity at Wave I: scores on the Center for Epidemiological Studies Depression Scale (CES-D) and whether or not a suicide attempt was reported. The relationship between scores on the parental connection subscale at Wave I, each measure of symptom severity at Wave I, and mental health service use (“receipt of emotional or psychological counseling”) at Wave II were tested. The sample included only those respondents who reported “seriously considering suicide” during the first year of data collection. Results: 30.6% of the sample reported a suicide attempt during Wave I and 78.3% reported no mental health service use at Wave II. Higher parental connection scores were consistently associated with a lower likelihood of mental health service use. Having attempted suicide and higher CES-D scores were associated with a higher likelihood of mental health service use. In Model 1, there was strong evidence that the presence of a suicide attempt mediated the relationship between parental connection and mental health service use. For Model 2, however, once CES-D scores and parental connection were concurrently entered into the model, parental connection scores became non-significant. Additional tests showed that depression did not mediate the relationship between parental connection and mental health service use. Conclusion and Implications: Despite the fact that suicidal adolescents are at high risk for suicide attempts, few of them have contact with mental health providers. Parental support appears to be highly protective, at least for suicide attempts. The continued development of family-based interventions for this population would be extremely beneficial.  Additionally, different types of symptomatology (depression versus suicidal behavior) appear to have different relationships to both parental connection and mental health service use. Future research should continue to investigate the relationships between different types of symptomatology, family dynamics, and mental health service use in this population.",
      "authors": "Mary LeCloux; Peter Maramaldi; Kristie A. Thomas; Elizabeth A. Wharff",
      "author_ids": "113448; 109118; 112720; 112671",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3116184000,
        "prompt_eval_count": 1481,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:54:59.224434+00:00"
    },
    {
      "input_index": 667,
      "record_key": "SSWR:2016-P-0384",
      "source_database": "SSWR",
      "record_id": "2016-P-0384",
      "year": 2016,
      "title": "Firearm Suicides Among Older Males: Means Restriction and the Role of Healthcare Providers",
      "abstract": "Gun control debate has typically focused on gun violence as a criminal justice problem but not a public health issue.  With 75% of older male suicides involving the use of firearms (CDC, 2013), gun control conversations must address the critical role social workers and other health care professional play in reducing suicidal behaviors. Purpose : This presentation will identify how gun control laws can help reduce firearm suicides especially among at-risk older males. In this presentation, a three-prong approach will be used to explain factors associated with older-adult suicides for policy and practice considerations. A discussion about building research strategies on gun control laws, gun ownership and firearm suicides among older males will be addressed. Methods: With the three-prong approach, first, a systematic review was conducted to address the epidemiology of older adult suicides as related to physical illness, social support, and firearm ownership. Second, evidence was demonstrated via secondary statistical analyses using the data from Centers for Disease Control and Prevention’s Web-based Injury Statistics Query and Reporting System 2000 to 2013 and Behavioral Risk Factor Surveillance System in 2004.  Quantitative evidence will connect firearm suicides among older males to gun availability and gun control measures. Third, trend analysis was conducted to compare the patterns of firearm suicides among the general population and among the older males. Presentation on these data aim to provide evidence-based policy recommendations and practice implications. Results : Males 65 and older not only have a high firearm suicide rate (31.97 per 100,000 people), compared to males younger than 65 (18.52 per 100,000), but they are also affected by higher case fatality rates from the use of lethal means such as firearms (91% resulted in death). The systematic review shows that gun control laws have reduced the overall suicide rates (e.g., Miller, Azrael, & Barber, 2012). In addition, 70% of older adults visit their primary care physician prior to their suicide. The findings from the secondary data analyses testify that states with weak gun laws and high gun ownership tend to have the high firearm suicide rates among males 65+ in the United States (F=28.59, p <.001, R 2 =.744). Regression analysis shows one percent increase in gun-ownership in the male (65+) population in the 50 states will expect a suicide rate increase of 47.279 per 100,000 persons (t=3.27, p =.002, R 2 =.767). Implication : The current epidemiology of older adult suicides highlights the critical problem related to the rising trend of suicides and firearm access among older males. Examining current literature and policies that can lead to assessing suicidal risk factors among older adults, social workers must advocate policy changes through multidisciplinary testimonies about firearm ownership and gun control measures as predictors of suicidal rates among males 65 and older. Future research can test the use of suicide prevention strategies in the medical settings as potential mediator for reducing the high number of suicide deaths among the older adult population.  With healthcare professionals’ involvement, research will move toward the direction of producing a standard of care for older clients with firearm access.",
      "authors": "Carol A. Leung; Mark S. Kaplan",
      "author_ids": "115291; 115292",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "mixed_methods",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3279763958,
        "prompt_eval_count": 1618,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:55:05.883779+00:00"
    },
    {
      "input_index": 668,
      "record_key": "SSWR:2016-U-0304",
      "source_database": "SSWR",
      "record_id": "2016-U-0304",
      "year": 2016,
      "title": "Former Foster Youth Typology of Risk: A Latent Class Analysis of Risk Factors Prior to Homelessness",
      "abstract": "Background : Homeless youth suffer from a wide range of risk factors that impact the length and quality of their lives. As many as 40% of all homeless youth report a history of foster care and emerging research suggests some experiences while in foster care may impact behavioral health outcomes. Given the rates of foster youth who become homeless, and risk behaviors associated with both a foster care experience and homelessness, this paper will seek to understand how a variety of adverse childhood experiences (ACEs) can be used to generate a typology of homeless former foster youth and subsequently how this typology based upon ACE’s is related to substance use and sexual risk taking during homelessness. Such a typology may be useful in identifying early intervention strategies for subset of homeless former foster youth and foster youth at risk of becoming homeless. Methods : The YouthNet data set was used for this analysis, utilizing a convenience sample of 1046 homeless youth (age 13-25) from three drop in centers in Hollywood, Venice, and Santa Monica CA, collected as part of a longitudinal study of social networks at those locations. A latent class analysis (LCA) was conducted in SAS to determine a profile of risks among these homeless former foster youth, using ACE variables to construct these classes Results: The latent class analysis revealed a four-class solution. Results of the LCA indicated that risk factors common to these youth belonged to a model with four risk classes including those with high homelessness risk and low trauma experience (class1), low homelessness risk and low trauma experience (class 2), low homelessness risk and high trauma experiences (class 3), and high homelessness risk and high trauma experience (class 4). Results indicated that the presence of homelessness risk more highly predicts engagement in drug and sex risk behaviors compared to you with both homelessness risk and trauma experience. In the logistic regression models, class 1 predicted the largest number of drug use, sex risk, and depressive/suicidal risk variables; those youth who had largely experienced homelessness risk variables were more like to engage in lifetime drug use with a variety of drugs, engage in sex risks, to have experienced suicidal ideation in the past 12 months and have above average CESD scores. Discussion: This study indicates that homeless former foster youth generally fit into four distinct risk classes where their homelessness risk and trauma are concerned. While prior literature has looked at risk typologies for foster youth, this study specifically examined class membership of homeless former foster youth by their risks prior to homelessness. These findings may influence the way interventions examine risk among homeless former foster youth; youth who have experienced trauma may also have other skills or experiences that have helped reduce their incidence in drug and sex risks, and lower their levels of depressive/suicidal symptoms. Finally, these results suggest that the risk incurred by so many homeless youth, is similarly influential in the lives of homeless former foster youth, impacting behavioral health outcomes.",
      "authors": "Amanda Yoshioka-Maxwell; Eric Rice",
      "author_ids": "113497; 111415",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3245078625,
        "prompt_eval_count": 1514,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:55:09.130653+00:00",
      "screening_source": "Primary screen; blind audit agreement",
      "accuracy_audit": {
        "sample_group": "Quantitative",
        "random_seed": 20260802,
        "blind_screening": {
          "is_relevant": true,
          "relevance_rationale": "Suicidal ideation and depressive/suicidal risk are explicitly analyzed as distinct outcome variables in the logistic regression models predicting class membership.",
          "evidence_class": "Empirical",
          "empirical_method": "Quantitative",
          "classification_rationale": "The study utilizes a latent class analysis and logistic regression on a dataset of 1046 youth, which constitutes a quantitative statistical analysis.",
          "confidence": "High"
        },
        "full_label_agreement": true
      }
    },
    {
      "input_index": 669,
      "record_key": "SSWR:2016-U-0447",
      "source_database": "SSWR",
      "record_id": "2016-U-0447",
      "year": 2016,
      "title": "Gender Differences in the Pathways from Sexual Abuse to Risky Sexual Behavior in Homeless Youth",
      "abstract": "Background:  Sexual abuse (SA) prior to becoming homeless is commonly reported among homeless youth and can lead to adverse health outcomes, such as risky sexual behavior. While the mechanisms that underlie the association between SA and risky sexual behavior are well-documented, little is known about how this may be different for men and women. Interventions targeting sexual risk reduction for men and women may benefit from an understanding of gender-specific mediating mechanisms between SA and sexual risk behaviors. This study seeks to identify the ways in which gender moderates the relationship between SA and risky sexual behavior among a sample of both men and women homeless youth, and how mediating mechanisms may differ by gender. Methods: These data draw from the YouthNet study, which included 4 waves of recruitment at three drop-in centers within the Los Angeles area. Participants (n= 1,046) consist of homeless youth who were recruited between 2011 and 2013. Respondents completed a computerized self-administered interview in English or Spanish.  Participants also had the option of listening to the questions and response options through headphones. Questions included participants’ sexual abuse history, prior to and after becoming homeless were included, along with items assessing post-traumatic stress disorder, gang involvement, intimate partner violence, suicidal ideation, and substance use frequency. These mechanisms were used in logistic regression to assess differences in paths from SA to risky sexual behavior, by gender. Results: Participants ranged in age from 13-29 (m= 21.34, sd=2.16), were predominantly comprised of men (71.57%), and the majority identified as heterosexual (75.15%). Findings indicate a high presence of self-reported SA (20.16%) and 36.69% were re-victimized while homeless. Risky sexual behavior was assessed in the past year and included measures of concurrent sex (37.18%), in the past 3 months and included exchange sex (17.46%), and the past month and included unprotected anal sex (9.94%), unprotected vaginal sex (42.73%) and having 2 or more partners (20.2%). Men with SA who reported using cocaine in the past 30 days were 1.85 times as likely than non-using men without past SA to have multiple partners (SE= .399, p= .032) and 1.96 times as likely to engage in concurrent sex (SE=.438, p=.025).  Men with SA who used heroin were 1.66 times as likely to engage in concurrent sex (SE= .642, p= .048) and those who used meth were 2.76 times as likely to report exchange sex (SE= .551, p< .001). Reporting suicidal ideation significantly increased the likelihood of engaging in unprotected vaginal sex by 1.92 (SE= .703, p= .027) for men. For women, those with SA and PTSD were 2.24 times as likely to engage in exchange sex (SE= 1.725, p= .012). Conclusion: Results indicate paths in the association between SA and risky sexual behavior differ between men and women homeless youth. Trends in substance use as a mechanism in this relationship warrants its inclusion when addressing HIV risk behavior with men. These findings also indicate a need to incorporate mental health treatment of traumatic symptoms when targeting sexual risk prevention and intervention for women.",
      "authors": "Taylor Harris; Hailey Winetrobe; Harmony Rhoades; Eric Rice",
      "author_ids": "114832; 112500; 112528; 111415",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3586466625,
        "prompt_eval_count": 1673,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:55:12.719326+00:00",
      "screening_pre_manual_spot_check": {
        "is_relevant": false,
        "evidence_class": "Not applicable",
        "empirical_method": "Not applicable"
      },
      "screening_source": "Independent manual spot-check correction",
      "independent_manual_spot_check": {
        "random_seed": 20260803,
        "agreement": false,
        "manual_screening": {
          "is_relevant": true,
          "evidence_class": "Empirical",
          "empirical_method": "Quantitative"
        },
        "rationale": "Suicidal ideation is included in regression as an analyzed mechanism and has a separately reported significant association."
      }
    },
    {
      "input_index": 670,
      "record_key": "SSWR:2016-U-0598",
      "source_database": "SSWR",
      "record_id": "2016-U-0598",
      "year": 2016,
      "title": "Global Comparison of Predictors of Suicide Ideation in Youth",
      "abstract": "Purpose: Suicide is increasingly considered a crisis in countries throughout the world with rates of adolescent suicide on the rise in many regions of the world. The present study examined gender and age differences in suicide ideation as a function of depression and anxiety in youth from 21 different countries.  The study also explored how family and peer variables influence depression and anxiety, and, in turn, suicide ideation. A comparative analysis was conducted for five different regions of the world. The universality of age and gender differences in depression, anxiety, and suicide ideation was evaluated as well as the protective effects of supportive families and peer support. Method: Data were from the WHO’s Global School-Based Student Health Survey, a self-administered questionnaire given to students across the world (N=93,487).  Exhaustive school based sampling was used with standard scientific sample selection strategies across all countries. Suicide ideation was measured by asking adolescents (12 to 16) whether in past 12 months they ever seriously considered attempting suicide (0-No, 1-Yes). Anxiety was measured by asking how often in the past 12 months adolescents had been so worried about something that they could not sleep at night (Scale 1-5, Never-Always). Depression was measured by asking whether during the past 12 months, if the adolescent ever felt so sad or hopeless almost every day for two weeks or more in a row that they stopped doing their usual activities (0-No, 1-Yes). The data were analyzed using robust multi-level structural equation modeling in Mplus. Results: A common path model was evolved that yielded a good model fit for each of the 21 countries individually as reflected by both global fit indices (e.g., RMSEA, CFI, standardized RMR) and focused tests of fit (e.g., modification indices). A multi-level version of the model was applied to evaluate country differences in the magnitude of specific path coefficients in the common model.  Country commonalities and differences in the magnitude of path coefficients were modeled as a function of country characteristics and regions of the world.  Both anxiety and depression tended to show independent effects on suicide ideation across countries, implicating both mental health constructs across diverse cultures. For example, in China, the path coefficients for feelings of depression and anxiety on suicide ideation were 0.189 and 0.049, respectively, and in Kenya, they were 0.104 and .040, respectively (all p < 0.05). There also were reasonably consistent gender differences in depression, anxiety, and suicide ideation across countries as well as age differences. Finally, parental empathy but not parental involvement was a consistent predictor of suicide ideation across countries. Implications : This is the first study to comparatively examine predictors of adolescent suicide ideation in 21 countries.  Striking across-country similarities and differences were documented and then interpreted using world systems theory.  The results support universal screening for suicide ideation among youth experiencing symptoms consistent with anxiety and/or depression.  The consistency of age/gender differences as well as select parental predictors invite interesting theoretical accounts of the development of anxiety, depression and suicidal tendencies in youth.",
      "authors": "Shelly Ben-David; Michelle R. Munson; James J. Jaccard, PhD",
      "author_ids": "112675; 108275; 113134",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3369048250,
        "prompt_eval_count": 1580,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:55:16.090889+00:00"
    },
    {
      "input_index": 671,
      "record_key": "SSWR:2016-U-0223",
      "source_database": "SSWR",
      "record_id": "2016-U-0223",
      "year": 2016,
      "title": "Health Care Resources, Family Supports, and Long-Term Mental Health Outcomes for Suicidal Adolescents",
      "abstract": "Background and Purpose: Suicide is currently the third leading cause of death for all individuals ages 15-24 and, in 2010, the estimated cost of deaths from suicide was $44 billion. Few studies have investigated the relationship between specific social and institutional resources and later suicide risk for suicidal youth. Using a theoretical framework that combines the Behavioral Model of Health Services Use and the Children’s Network Episode Model (C-NEM), this study investigated the relationship between three resources addressed under policy in the Patient Protection and Affordable Care Act (ACA) and depression and suicidality in a nationally representative sample of suicidal adolescents. This study examined whether type of insurance (public, private/other, or none), receipt of routine medical care, availability of school-based mental health treatment, and parental support during adolescence were related to levels of depression, suicidal ideation and suicide attempts during young adulthood. It was hypothesized that having routine medical care, school-based treatment, and higher levels of parental support would be protective against depression and suicidality in young adulthood. Methods: Longitudinal bivariate and regression analyses were conducted using data from the National Longitudinal Study of Adolescent Health. The sample included only those respondents who reported “seriously considering suicide” during the first year of data collection. Primary predictors at Wave I included: type of insurance, receipt of a routine physical, availability of school-based counseling, and parental connection subscale scores. Demographic variables and two proxies for symptom severity at Wave I were entered as controls. Symptom severity was measured with scores from the Center for Epidemiological Studies Depression Scale (CES-D) and whether or not a suicide attempt had been made at Wave I. Outcome measures included scores on the CES-D, presence of suicidal ideation, and presence of a suicide attempt at Waves III and IV. Results: This sample was at comparatively high risk for depression, suicidal ideation, and attempts during young adulthood, particularly those respondents who had made a suicide attempt at Wave I. Having public insurance was associated with significantly higher depression scores at Wave IV, even with demographic and symptom severity factors controlled. Higher levels of parental support were associated with lower levels of depression at Waves III and IV, but with all predictors in the model, this relationship only remained significant at Wave IV. Having had a physical at Wave I was associated with a higher risk of suicide attempt at Wave III and the availability of school-based treatment during Wave I was not associated with any of the outcomes. Conclusion and Implications: Because suicidal adolescents are at high risk for depression and suicidality as they enter adulthood, prevention and intervention strategies for this population are crucial. Youth who are publically insured may be at particular risk for later negative outcomes, and may benefit from specific outreach and intervention programs. More research is needed to examine the relationship between routine medical care and long-term outcomes for this population. Additionally, more research on the long-term efficacy of specific types of school-based treatment protocols may be warranted.",
      "authors": "Mary LeCloux; Peter Maramaldi; Kristie A. Thomas; Elizabeth A. Wharff",
      "author_ids": "113448; 109118; 112720; 112671",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3318706125,
        "prompt_eval_count": 1528,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:55:19.411299+00:00"
    },
    {
      "input_index": 672,
      "record_key": "SSWR:2016-U-0666",
      "source_database": "SSWR",
      "record_id": "2016-U-0666",
      "year": 2016,
      "title": "Healthcare Avoidance and Mental Health Problems Among Transgender Veterans: The Role of Minority Stressors",
      "abstract": "Background and purpose: The healthcare experiences of transgender veterans are poorly understood. Some evidence suggests that transgender veterans are overrepresented in healthcare settings, and experience higher rates of mental health problems than the general veteran population (Blosnich et al., 2013; Shipherd et al., 2011). However, very little is known about the factors contributing to their healthcare seeking behaviors, and how these behaviors inform their mental health. Building on a few studies examining minority stressors in transgender populations (e.g., Bockting et al., 2013), the current study explores how identity-related minority stressors inform transgender veterans’ mental health and healthcare experiences. Methods: The relationships among internalized transphobia, healthcare avoidance, and mental health outcomes in a sample of transgender veterans (N=150) were examined in this study. The study’s following hypotheses were tested through a series of OLS hierarchical regressions: 1) internalized transphobia predicts healthcare avoidance due to one’s gender identity, above and beyond respondents’ demographic characteristics (age, employment, education, relationship status, and income); and 2) avoidance and transphobia predict more negative mental health outcomes above and beyond demographic characteristics. The study also sought to explore whether transphobia would predict more negative mental health outcomes above and beyond avoidance . To test the study’s first hypothesis, the dependent variable, avoidance , was regressed on transphobia , after controlling for the effects of demographic variables entered in the first step. To test the study’s second hypothesis, three dependent variables were examined that measure mental health outcomes: concerns about suicide, depression, and PTSD. For each dependent variable, after controlling for demographic variables in the first step, avoidance was entered in the second step to examine its unique contribution to mental health outcomes. Finally, transphobia was entered into the third step of the equations to examine whether it predicted poorer mental health above and beyond the effects of avoidance . Findings: Results indicated that internalized transphobia significantly predicted healthcare avoidance due to one’s gender identity [ F (7, 98) = 7.49, p < .001, Adj. R 2 = .302], and both healthcare avoidance and internalized transphobia predicted greater concerns about suicide [ F (9, 95) = 2.44, p < .01, Adj. R 2 = .11], higher depression [ F (9, 95) = 2.29, p < .05, Adj. R 2 = .10], and more PTSD symptomatology [ F (9, 95) = 4.78, p < .001, Adj. R 2 = .25]. Furthermore, in each of the models testing mental health outcomes, transphobia significantly predicted more negative mental health outcomes above and beyond the effects of healthcare avoidance. Of note, the strength of the contribution of healthcare avoidance on mental health outcomes was diminished in all models when accounting for the effects of internalized transphobia. Conclusion: This study has important implications for improving healthcare access for transgender veterans in order to meet their important health and mental health needs. It is crucial that service providers are aware of their own competencies that may affect transgender veterans’ decisions and feelings about healthcare. Healthcare providers should also be prepared to explore and address their transgender veteran clients’ identity status in order to sufficiently address their mental health needs.",
      "authors": "Ryan M. Kull",
      "author_ids": "112874",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3364716541,
        "prompt_eval_count": 1641,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:55:22.777681+00:00"
    },
    {
      "input_index": 673,
      "record_key": "SSWR:2016-X-0027",
      "source_database": "SSWR",
      "record_id": "2016-X-0027",
      "year": 2016,
      "title": "How Are Mothers Impacted By Their Adolescent's Suicide Attempt?: �It about Trust�",
      "abstract": "Purpose: Suicidal behavior among adolescents is one of the primary precipitants of psychiatric emergencies and psychiatric hospitalization.  The suicidal behavior and need for emergency intervention may have multiple impacts on the primary caretakers, often mothers, of these youths.  Nonetheless, few studies have examined how mothers are impacted by their adolescent’s suicide attempt, and even fewer studies examine how their reactions change over time. The purpose of this study was to address this gap in the literature by exploring the similarities and differences between mothers’ reactions one month, three months, six, and twelve months after their adolescent attempted suicide. Methods: This study used data collected for a NIMH-funded research study designed to examine the reactions of 288 mothers of hospitalized adolescents that made recent suicide attempts and mothers of adolescents who were hospitalized for other reasons.  The mothers are assessed at 1, 3, 6, and 12 months following youths’ discharge from the hospital. The current analysis focused on qualitative data collected during all four time-points from 64 randomly selected mothers of adolescents who attempted suicide.  Semi-structured interviews were conducted by trained Master- or Doctoral-level staff.  Interviews lasted between 20 and 40 minutes and were digitally recorded and transcribed.  Nvivo 10 qualitative software was used for data management.  Using an iterative process, six scholars collaborated to develop a codebook. Coding was completed by trained research assistants.  Emergent themes were systematically identified as informed by grounded theory methods.  Inter-rater reliability was achieved when coding reached 67% agreement. Results: Although mothers varied in their reaction to their adolescent’s suicide attempt overtime, several themes emerged. First, across all assessments, mothers reported distress, but their descriptions differed overtime.  Mothers often reported (a) one month afterwards feelings of anger, confusion, and disbelief, (b) three months afterwards feeling numb (b), nervous, and worried, (c) six months afterwards feeling stressed and drained (e.g., “tired of it all.”), and (d) twelve months afterwards feeling relieved and improved confidences in coping with their adolescent’s illness.  Parents reported positive improvements in caregivers’ reactions when they started to trust their adolescent more. Conclusions and Implications: Results from this study suggest that mothers continue to be impacted by their adolescent’s suicide attempt a year afterwards; however, the nature of this impact varies.  Moreover, mothers’ reactions from one, three, six, and twelve months afterwards appear to shift from confusion to numbness/anxiety to stress to acceptance/understanding. This study provides practice implications for development of interventions that support of mothers of adolescents who have attempted suicide.  For example, mothers may benefit from psychoeducation about how their reaction may change overtime, which could validate their experience.  Further, clinicians should be aware of and assess for shifts in a mother’s reactions to their adolescent’s suicide attempt and consider these reactions in treatment planning and implementation.",
      "authors": "Bridget E. Weller; Otima Doyle; David Goldston",
      "author_ids": "109228; 110149; 108677",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3331558250,
        "prompt_eval_count": 1531,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:55:26.110994+00:00",
      "screening_source": "Primary screen; blind audit agreement",
      "accuracy_audit": {
        "sample_group": "Qualitative",
        "random_seed": 20260802,
        "blind_screening": {
          "is_relevant": true,
          "relevance_rationale": "The study centrally focuses on the impact of an adolescent's suicide attempt on their mothers, analyzing maternal reactions over time as a primary outcome.",
          "evidence_class": "Empirical",
          "empirical_method": "Qualitative",
          "classification_rationale": "The abstract describes the analysis of semi-structured interview data using grounded theory methods and thematic coding to identify emergent themes in maternal experiences.",
          "confidence": "High"
        },
        "full_label_agreement": true
      }
    },
    {
      "input_index": 674,
      "record_key": "SSWR:2016-U-0005",
      "source_database": "SSWR",
      "record_id": "2016-U-0005",
      "year": 2016,
      "title": "Impact of Applied Suicide Intervention Skills Training in Army Reserve Units",
      "abstract": "Background and Purpose: Suicide is a concern in the armed forces both because of the increased risk due to the high prevalence of mental health issues and its ripple effect. Increasing protective factors against suicide then, becomes crucial in reducing military suicide. Following the approval for a service-wide training-the-trainers initiative, the U.S. Army Reserves 807th Medical Command has been involved in the implementation of the peer model Applied Suicide Intervention Skills Training (ASIST) initiative since 2009 and in the Army National Guard since 2012. At the time of this study, total force in the Army Reserves had received ASIST training. Although, studies on peer-led prevention programs reinforce justification for peer-led modules, studies examining effectiveness of peer training prevention programs on the target community suicide risk factors including depression, hopelessness, suicidal ideation, attempt, and completion is null. This presentation will discuss results of a pilot study conducted to examine the efficacy of ASIST in reducing risk factors for suicide in one ASIST-trained Army Reserve sub-division with varying levels of training compared with one Army National Guard unit prior to training. Method: This study utilized a pre/post two-group quasi-experimental design to investigate two hypotheses over a four month intervention period. The two groups are Army Reserve platoons (N = 131) which have received more ASIST training and a comparison group of Army Reserve platoons which have received less. Since all Reservists had received training, characteristics available from a descriptive study of an Army National Guard (N = 38) prior to onset of their ASIST training were also examined for a baseline comparison. Resilience was measured by the self-report Resilience Scale for Adults, Negative future expectations were measured by the self-report Beck Hopelessness Scale, and suicidal ideation was measured at time 1  for Reservists and for Guardists by the self-report Beck Scale for Suicide Ideation. Results: National Guard (untrained) and pretest Army Reserve low training group demographic characteristics were similar.  Their clinical characteristics differed in that Guardists’ resilience (mean scores of 179.13 and 186. 66 respectively) and suicidal ideation (mean scores of .55 and 4.40 respectively) were lower than Reservists’. Pretest hopelessness scores were significantly negatively correlated with pretest resilience scores (r = -.59; p = .01), while pretest suicidality scores were not significantly correlated with any predictors.  Posttest hopelessness scores decreased for both training groups, and resilience scores decreased for the high training group.  However, post-training clinical scores were not correlated with training group, except that higher resilience scores were associated with the low training group, which was significantly older (t = 2.34; p = 02) and had fewer females (df 1; Χ 2 <.0001)  , rather than the high training group (t = 56.51; p<.0001), contrary to hypothesis. Nevertheless, administrative records documented that the high training group had fewer reported suicide attempts and reports of suicidal ideation than the low training group. Conclusions: Results support the need for direct investigation on efficacy of such primary prevention programs on target community suicide risk factors and whether they are ameliorated by peer model interventions.. Back to: Military Suicides Previous Abstract | Next Abstract >>",
      "authors": "Alexa Smith-Osborne; Arati Maleku",
      "author_ids": "108896; 113383",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3336601792,
        "prompt_eval_count": 1624,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:55:29.449154+00:00"
    },
    {
      "input_index": 677,
      "record_key": "SSWR:2016-P-0609",
      "source_database": "SSWR",
      "record_id": "2016-P-0609",
      "year": 2016,
      "title": "Investigating the Relationship Between Self-Esteem, Stereotype Awareness, and Suicide Attempts",
      "abstract": "Background and purpose Stigma towards individuals with mental illness, including negative social stereotypes, can internalize over time within individuals experiencing mental illness. Stereotype awareness is negatively correlated with psychological variables such as hope, self-esteem, and empowerment. Self-esteem may be relevant in understanding the impact of stigma among individuals with a history of suicidal behavior since impaired self-esteem is a leading predictor of suicide ideation and suicide re-attempts. Thus, understanding the effects of stigma on the post-attempt population may have direct implications for suicide prevention. This study aims to better understand the relationship between stereotype awareness and self esteem among young adults who have and have not attempted suicide.  In accordance with modified labeling theory, we hypothesized that stereotype awareness would be related to lower self-esteem among young adults with suicide attempts, but would not be related to self-esteem among young adults without suicide attempts. Methods Data were collected using a cross-sectional survey design, with a convenience sample of undergraduate students (N=622, 63% female, 65% Caucasian). Measures included the Rosenburg Self Esteem Scale and The Stereotype Awareness scale (young adult version), as well as items assessing suicide attempt history and demographics. Both scales are validated measures with good internal consistency in this sample. Participants who made suicide attempts were compared to those without attempts on demographic factors using t -tests and chi square. Linear regression was used to test for an association between stereotype awareness and self-esteem and whether this association varied by suicide attempt status (i.e., an attempt by stereotype awareness interaction), adjusted for age, sex, and race/ethnicity. Results In univariate analyses, attempt history was unrelated to sex  (Χ 2 (1, N =  637) = 1.14, p = .26) , race (c 2 (1, N =  637) = .002, p = .97), and age t (635) = 1.94, p = .26, as well as self-esteem t (635) = -1.37, p = .17 , and stereotype awareness t (635) = .69, p = .49. Race, sex, age, and stereotype awareness significantly predicted self esteem scores R 2 = 0.042, F (6, 630) = 4.58, p < .001. In the regression analysis, there were significant main effects of stereotype awareness (β = -.09, SE = .067, p = .036) and suicide attempts (β = .68, SE = 7.05, p = .011) on self-esteem, and a significant stereotype awareness x attempt interaction (β = -.74, SE = .27, p = .006). Conclusions and Implications This is the first study to our knowledge to show that stereotype awareness is associated with lower self-esteem among young adults with histories of suicide attempts. Individuals with past attempts and low self-esteem may be at risk for repeated attempts, which may be accentuated by awareness of negative stereotypes regarding mental illness. On a community level, stigma alleviation efforts may reduce suicide rates by improving self-esteem among individuals with attempt histories, contributing to other known public health benefits of reducing stigma. Future research should explore interventions to reduce the effect of stigma within communities and among individuals at risk for suicide.",
      "authors": "Meshan Lehmann; Matthew Hilimire; Jordan E. DeVylder",
      "author_ids": "115076; 115077; 112063",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3459382500,
        "prompt_eval_count": 1644,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:55:40.033888+00:00"
    },
    {
      "input_index": 678,
      "record_key": "SSWR:2016-U-0440",
      "source_database": "SSWR",
      "record_id": "2016-U-0440",
      "year": 2016,
      "title": "Lessons Learned from Implementation of Suicide Risk Screening in Pediatric Primary Care Populations",
      "abstract": "Background: Recent research indicates that about 45% of people who die by suicide have had contact with primary care providers within 1 month of suicide and about 75% people who die by suicide had contact with primary care providers within the year of suicide. Given the potential for screening to improve outcomes, primary care providers have enormous potential to prevent suicides and connect them to needed specialty care. Screening can be effective, but is an under-utilized prevention strategy. Primary care providers often lack the training and capacity to conduct these suicide risk screenings, due to discomfort, stigma, and lack of brief screening tools that have been validated in primary care settings.  Validation of suicide risk screening tools and guidelines for implementation can be effective ways to identify patients at risk and to link them to specialty care. This study builds on previous research conducted with the Ask Suicide-Screening Questions (ASQ), a 4-item rapid suicide risk screening instrument that has been validated in emergency and inpatient medical settings, with adolescent and young adults.  It has not yet been validated in primary care settings.  This presentation will describe the multisite study designed to validate a suicide risk screening instrument and guidelines for implementation to further increase the screening and identification of youth at risk for suicide in primary care settings. Methods: As part of a larger instrument validation study, the current project examines the implementation planning phase of a brief suicide screening instrument in primary care using the PRECEDE-PROCEED implementation planning model.  This model underscores the importance of predisposing factors (e.g., knowledge, attitudes, beliefs, personal preferences, existing skills, and self-efficacy towards the desired behavior change), reinforcing factors (e.g., factors that reward or reinforce the desired behavior change, including social support, economic rewards, and changing social norms), and enabling factors (e.g., skills or physical factors such as availability and accessibility of resources, or services that facilitate achievement of motivation to change behavior). Results: Lessons learned from implementation of a standardized suicide risk screening in the primary care clinic in a pediatric hospital will be described.  Specific strategies to address implementation barriers, including time, provider attitudes about and comfort with suicide risk screening, as well as other predisposing, reinforcing, and enabling factors, will be discussed. Specific protocol modifications that are unique to the primary care setting will be explored. Conclusions: Screening for suicide risk can be an effective prevention strategy, but is underutilized in primary care clinics.  Implementation of a brief suicide risk screening protocol for adolescents presenting to primary care clinics is feasible, but uptake and sustainability of standardized practice requires much attention in the implementation phase.",
      "authors": "Laika Aguinaldo",
      "author_ids": "115179",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "other",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3108433041,
        "prompt_eval_count": 1449,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:55:43.144444+00:00"
    },
    {
      "input_index": 679,
      "record_key": "SSWR:2016-U-0555",
      "source_database": "SSWR",
      "record_id": "2016-U-0555",
      "year": 2016,
      "title": "Looking Back and Forward: Identifying Foster Care Placement History Classes and Assessing Later Mental Health",
      "abstract": "Background and Purpose: With foster care (FC) administrative records becoming more available and reliable, researchers have begun to explore the association between FC placement characteristics and subsequent mental health problems (E.g., Rubin et al., 2008; Aarons et al., 2010).  These samples consisted of mostly infants and children, and assessed mental health not long after FC entry.  Thus, little is known about associations between placement history and mental health outcomes for older FC youth, considering their full and sometimes lengthy FC involvement.  This study identifies latent classes based on FC placement characteristics and examines associations between the classes and subsequent mental health. Methods: FC placement records were obtained from the California Department of Social Services and linked to data from Wave 1 of the CalYOUTH study (n=714).  CalYOUTH participants were screened for mental health conditions using the Mini-KID.  A multivariate latent mixture model was used to identify latent classes based on the following FC characteristics: age of entry, removal reason, total years in FC, rate of placement change, modal placement type, and whether youth exited and reentered FC.  Model fit criteria (e.g., Log Likelihood, AIC, BIC) in combination with substantive interpretation were used to select the class solution.  Since a four-class solution had a very high classification rate (entropy=.927), most likely class assignments were used instead of posterior probabilities in regression analyses.  Logistic regression models examined class differences in the likelihood of mental health conditions (depression, mania, externalizing problems, PTSD, substance use, and alcohol use) and suicidality (ideation and attempts).  Covariates included several demographic variables.  Sensitivity analyses with posterior probabilities instead of likely class assignment yielded largely consistent results. Results: Results supported a four class solution, which consisted of early leavers (12.2%), early stayers (14.7%), middle welters (22.5%), and late movers (50.5%).  Early leavers entered care young, exited and reentered care, changed placements frequently, and were more likely to experience abuse.  Early stayers also entered care young but remained in care for over twice as long and were less likely to change placements or leave FC.  Middle welters entered halfway between infancy and adolescence, about half left and returned to care, and were average in placement stability.  This group also had high rates of physical abuse and placement in therapeutic foster care.  Late movers entered around age 15, were more likely to be sexually abused, experienced greater placement instability, and were more likely to spend most of their time in FC in group care.  Late movers were also more likely to screen positive on depression, alcohol use, and attempt suicide than some of other classes (p<.05). Conclusions and Implications: Many of the youth experienced mental health difficulties, and youth with different FC placement profiles did not differ significantly on most mental health outcomes.  The late movers were the exception, reporting higher rates of depression, alcohol use, and suicide attempts.  Since these youth make up half of the young people in care at 17, youth entering care in late adolescence may be particularly important to screen for mental health problems.",
      "authors": "Nathanael Okpych, PhD; Mark E. Courtney",
      "author_ids": "113439; 108172",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3383945333,
        "prompt_eval_count": 1596,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:55:46.530130+00:00"
    },
    {
      "input_index": 681,
      "record_key": "SSWR:2016-U-0566",
      "source_database": "SSWR",
      "record_id": "2016-U-0566",
      "year": 2016,
      "title": "Mental Health Among Chinese Elders",
      "abstract": "The global aging population creates significant potential for social work research and practice. Depression is a global public health issue that is a pressing concern in China, where the aging population is growing rapidly. China has the third highest rate of suicide in its elderly population; suicide rates among Chinese elderly has been estimated to range from 44.3 to 200.0 per 100,000 individuals. Chinese suicide rates increases with age, especially among individuals over 55 in rural areas.  Stigma and social isolation due to migration have been theorized to influence emotional well-being through changing family dynamics and economic structures in Chinese society (Li et al., 2006).  This current study aims to examine the health and social factors associated among urban and rural Chinese elderly, and to specify the risk factors for suicide among Chinese elderly. The secondary research is based on the WAVE I (2010) of the WHO Study on Global AGEing and Adult Health (SAGE). This study analyzed a subset of the nationally representative sample aged 60 and older from China (N=7560). Further analysis focused on respondents to questions about suicidal thoughts and behaviors (n=194). Urban older adults accounted for 39% of the sample, while rural older adults comprised 25% of the sample.  Data showed that urban residents were older than their rural counterparts (mean age: 69.3 vs. 66.8).  There were more women in the rural setting than in the urban area (64.9% vs. 52.3%), and urban elders were more educated (high school or above schooling) than rural elders (35% vs. 3%). In terms of physical well-being, rural elders reported poorer health than urban elders.  Almost 26.2% of the rural elders reported poor to worse health conditions versus 16.3% of the urban elders.  However, rural elders reported fewer numbers of chronic illnesses than urban elders (1.0 vs. 1.6). One-quarter of the study sample endorsed having suicidal thoughts and behaviors. Bivariate analyses showed depressed mood, hopelessness, financial satisfaction, self-rated health, and pension receipt were associated with suicidal thoughts and behaviors. When adjusting for covariates in a logistic regression analysis, feeling hopeless increased the risk for suicidal thoughts and behaviors (OR=4.95). Additionally, higher levels of self-rated health decreased the risk of having suicidal thoughts and behaviors (OR=0.25). Migration and changing family composition create risks for older adults’ mental health.  The differentiation of mental health risks between urban and rural Chinese older adults merit further research and practice.  Further, suicidal thoughts and behaviors are mental health issues that need to be addressed among Chinese elderly. Emotional and physical well-being, as well as financial security are important foci for Chinese elderly in this study. Culturally appropriate social gerontological approaches are needed to improve the well-being of Chinese elderly globally.",
      "authors": "Duy Nguyen; Huajuan Chen; Ada Mui",
      "author_ids": "110922; 113885; 109315",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3324779958,
        "prompt_eval_count": 1535,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:55:53.204572+00:00"
    },
    {
      "input_index": 682,
      "record_key": "SSWR:2016-P-0043",
      "source_database": "SSWR",
      "record_id": "2016-P-0043",
      "year": 2016,
      "title": "Mental Health Treatment Use and Perceived Treatment Need Among Suicide Planners and Attempters in the United States: Between and within Group Differences",
      "abstract": "Background/Purpose :  Suicide is a serious public health problem globally and in the United States (US). According to the Centers for Disease Control and Prevention, suicide resulted in more than 38,000 deaths in the US in 2010 and was a top four cause of death among age groups between 15 and 54 years. Despite many previous studies of suicidal ideation and/or attempts, little research has been done to examine mental health treatment use among those with suicidal ideation and/or suicide attempt. In this study, using Andersen’s behavioral model of health service use, we examined mental health treatment use and perceived treatment need among US adults who had serious suicidal thoughts in the preceding 12 months. Methods : Data came from the public use files of the 2008 to 2012 National Survey on Drug Use and Health (NSDUH) for individuals aged 21+ ( n =154,923). Serious suicidal thoughts were assessed with a question: “ Did you seriously think about trying to kill yourself? ” Suicide plans and attempts were assessed with two questions, respectively; “ Did you make any plans to kill yourself? ”; “ Did you try to kill yourself? ” Responses to these questions (yes=1 or no=0) were used to classify four groups with different levels of suicide risk: (1) no plan/no attempt; (2) planned/no attempt; (3) no plan/attempted; and (4) planned/attempted. Mental health treatment use referred to any inpatient/outpatient treatment for “ any problem with emotions, nerves, or mental health (not including treatment for alcohol or drug use). ” Perceived mental health treatment need referred to not getting treatment when needed. All analyses, including multivariate logistic regression models, were conducted with Stata/MP 13’s svy function to account for NSDUH’s multi-stage, stratified sampling design. Results : Of the sample, 3.5% reported past-year serious suicidal thoughts. Of those with suicidal thoughts, 69.8% neither made plans nor attempted suicide (no plan/no attempt group); 18.3% made plans but did not attempt suicide (planned/no attempt group); 2.4% had no plan but attempted suicide (no plan/attempted group); and 9.5% made plans and attempted suicide (planned/attempted group). The 12% attempt rate is especially striking, given that a nonfatal suicide attempt is the strongest known clinical predictor of eventual suicide. More than 30% of planners and/or attempters received no treatment before or after planning or attempting. Only one-third of the planned/attempted group received inpatient treatment. The planned/no attempt group included the largest proportion of people who perceived treatment need. Racial/ethnic minorities had lower odds of treatment use in all four groups, but major depression significantly increased the odds in all but the no plan/attempted group. Treatment use and substance use disorder increased the odds of perceived need in all four groups. Conclusions and Implications : The four groups that present different levels of suicide risk have different rates of treatment access and perceived treatment need that are not commensurate to their risk level. The findings underscore the importance of treatment access for those at-risk, especially racial/ethnic minorities and those of lower SES. Along with mental health screening and treatment, screening and treatment for substance use disorders is necessary.",
      "authors": "Namkee G. Choi; Diana M. DiNitto; C. Nathan Marti",
      "author_ids": "108057; 109441; 113804",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3416693625,
        "prompt_eval_count": 1650,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:55:56.622997+00:00"
    },
    {
      "input_index": 686,
      "record_key": "SSWR:2016-P-0563",
      "source_database": "SSWR",
      "record_id": "2016-P-0563",
      "year": 2016,
      "title": "Relationship Between Suicidal Plans and Atempts Among Korean Adolescents with Suicidal Thoughts: Testing for Violence Experience and Social Support As Mediators",
      "abstract": "Background/Purpose: Suicide is a global phenomenon. In 2012, suicide is the third cause of death among adolescents in the U.S. and is the first cause of death among youth in South Korea. Suicide is a complex endpoint on a continuum ranging from thoughts, plans, attempts, and completions. Research reported that a third of youth with suicidal thoughts go on to develop a suicidal plan, with around 60% of those with a plan proceeding to attempt suicide. Understanding a path of suicide and mediators between suicidal plans and attempts are important to prevent adolescents from suicidal completion. Therefore, this current study will test 1) the relationship between suicidal plans and attempts among adolescents who had suicidal thoughts and 2) violence experience and social support as mediators of the relationship between suicidal plans and attempts. Methods: Data and Sample: This study used secondary analysis of the 2014 Korean Youth Health Risk Behavior On-line Survey (KYHRBS), which used a two-stage of cluster sampling method that produced a representative sample of students attending grade 1-3 from 400 middle schools and from 400 high schools in South Korea. Of a total of 72,060 adolescents, this current study used 9,438 adolescents who reported suicidal thoughts during the past 12 months. Measures: Suicidal plans were measured by whether respondents had a plan during the past 12 months. Suicidal attempts were measured by whether respondents attempted to suicide during the past 12 months. Violence experience was assessed by whether respondents experienced violence (i.e, bullying, physical violence, threat) during the past 12 months. Social support was assessed separately for support from 1) family, 2) friends, 3) school teachers, and 4) others. Control variables included gender, year in school, living with parents, economic situation, school performance, perceived stress, and depressive feelings. Structural Equation Model was used to examine the causality between plans for suicide and suicidal attempts and to analyze violence experience and social support as mediators between suicidal plans and attempts. Results: Suicidal plans were statistically associated with suicidal attempts (β =0.362, p <. 001). Violence experience, family social support and friends social support statistically mediated the relationship between suicidal plans and suicidal attempts. In addition, gender (β =0.031), living with parents (β = -0.04), school performance (β =-0.01) and depressive feelings (β =0.05) were statistically associated with suicidal attempts. Conclusions and Implications: This study finding suggest that suicidal plans leads to attempt suicide. In addition, this study found that violence experiences increased a risk of suicidal attempts while social support from family and friends decreased possibility of suicidal attempts.  The findings stresses that social support appears to be a  key factor to prevent from suicide deaths.",
      "authors": "Jae In Kim; Sonam Yang; Chang-Sik Shin; So-Youn Park",
      "author_ids": "115617; 115618; 115619; 111128",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3324828208,
        "prompt_eval_count": 1542,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:56:10.003907+00:00"
    },
    {
      "input_index": 687,
      "record_key": "SSWR:2016-P-0619",
      "source_database": "SSWR",
      "record_id": "2016-P-0619",
      "year": 2016,
      "title": "Revealing a Potentially Life-Saving Secret: An Exploratory Social Network Study Examining the Patterns and Correlates of Suicidal Disclosure Among People with Serious Mental Illness in India",
      "abstract": "Background and Purpose: Non-disclosure of suicidal thoughts can seriously limit suicide risk management. Despite functioning as a key step in getting “help”, there is a paucity of literature on the subject of “suicidal disclosure” (i.e. disclosure of suicidal thoughts). Although this research gap is apparent in the domestic literature on serious mental illness (SMI)—which is alarming given the disproportionately higher suicide risk in this group—it is even more pronounced in international work. With increasing rates of suicide in India during recent decades and no known work examining disclosure among people with SMI in India, an exploratory study is needed to begin shedding light on the issue of disclosure in this high-need population and cultural context. Consistent with the notion that any disclosure involves a sender (i.e. discloser) and receiver (i.e. confidant), a thorough examination of “suicidal disclosure” demands accounting for individual and relationship factors. The aims of this preliminary study were to (1) describe patterns of disclosure and (2) examine the association between individual and relationship factors and the intent to disclose suicidal thoughts in a small group of people with SMI in India. Methods: Egocentric network and survey data were collected from individuals with SMI receiving community-based mental health treatment in India. Information was gathered about the individual participants, including clinical (e.g. psychiatric symptoms) and psychosocial (e.g. social support) variables, as well as their relationships with people in their social networks. Two-level hierarchical logistic models (HLM), which accounted for clustering within individual-specific networks, were employed to examine the associations between individual and relational factors and the intent to disclose. Due to the exploratory nature of the study and power constraints, individual and relational variables were evaluated in bivariate analyses. Level 2 sample size constitutes study participants (n=12) while level 1 sample size constitutes participant network members (n=170). Results: Participants, on average, had disclosed their suicidal thoughts to nearly 4 people in their social network in the past and intended on disclosing to nearly 3 people in the future if suicidal thoughts were to reoccur. Bivariate analyses of individual-level factors indicated that people with greater social support (OR=1.51; 95% CI: 1.07, 2.13) are more likely to intend to disclose suicidal thoughts. Bivariate analyses of relational-level factors indicated that greater frequency of contact (OR=1.79; 95% CI: 1.12, 2.83) and greater relationship closeness (OR=2.43; 95% CI: 1.44, 4.11) with a social network member was associated with increased intent to disclose to that network member. Conclusions and Implications: In line with work on other concealable stigmatized statuses (e.g. HIV/AIDS), social support was found to be influential in the disclosure of suicidal thoughts among people with SMI in India. This raises awareness about additional benefits of enhancing social support among people in the higher risk subpopulation of people with SMI and a history of suicidal ideation. Finding that greater frequency of contact and relationship closeness increased the likelihood of suicidal disclosure suggests that generating greater opportunities for social interaction and stronger bonds within social networks could pay untold dividends for greater disclosure.",
      "authors": "Anthony Fulginiti; Rohini Pahwa",
      "author_ids": "112190; 111170",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3399439750,
        "prompt_eval_count": 1638,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:56:13.405169+00:00"
    },
    {
      "input_index": 688,
      "record_key": "SSWR:2016-U-0439",
      "source_database": "SSWR",
      "record_id": "2016-U-0439",
      "year": 2016,
      "title": "Screening Adult Medical Inpatients for Suicide Risk",
      "abstract": "Background and Purpose: Suicide recently advanced to the 10 th leading cause of death for adults in the US. Early detection is a critical suicide prevention strategy. Hospitals are uniquely positioned to capture patients at risk for suicide. While the Joint Commission (JC) has recommended screening medical patients for suicide risk, validated screening tools are lacking. As hospitals across the country begin to screen medical patients for suicide risk, challenges arise in how to effectively and efficiently screen and manage medical inpatients once suicide risk is identified. What is the experience of the healthcare team, including social workers, on the use of a suicide screening tool in adults admitted to inpatient units in a hospital setting? This presentation will describe a pilot suicide screening quality improvement project (QIP) and subsequent research study that addressed suicide screening in the medical setting at the National Institutes of Health Clinical Center. Methods: Conducted a QIP called asQ`em ( Ask Suicide Screening Questions to Everyone in Medical Settings ) using the plan-do-study-act method at the NIH Clinical Center (NIH CC), approved by the NIH Office of Human Subjects Research. A convenience sample of adult medical / surgical inpatients was screened for suicide risk using a brief, 2-item asQ`em instrument during the initial nursing assessment with subsequent mental health follow-up for positive screens. Feedback surveys were administered to patients, nurses, and social workers to gather data about their experience.  This QIP led to an IRB-approved instrument development suicide screening study which enrolled 140 adult medical inpatients . Participants completed several questionnaires including a gold standard risk of suicide questionnaire, the Adult Suicidal Ideation Questionnaire (ASIQ).  Positive screens were managed by Social Work and Psychiatry departments. Results: QIP results: A total of 331 patients were screened; 13 (4%) patients screened “positive” for suicide risk and received further evaluation. No patient had acute suicidal thoughts or required an observational monitor. 87% of patients reported feeling comfortable with screening; 81% of patients, 75% of nurses, and 100% of social workers agreed that all patients in hospitals should be screened for suicide risk. asQ`em study results: 140 patients participated in the research study, yielding a 4% positive rate for suicide risk requiring further evaluation. Conclusions/Implications: Hospitals are important places to identify people at risk for suicide. However, clinicians require population and site-specific screening tools to reliably capture those at highest risk. Screening medically ill adult inpatients for suicide risk is an important component of good clinical practice. However, validated screening tools are lacking.  The development of a rapid screening tool to be used by non-behavioral clinicians at the bedside will allow hospitals to identify those most in need as well as to meet JC’s standards. Working closely with members of multidisciplinary care teams, social workers should position themselves to participate in the evaluation and management of medically ill patients who are at risk for suicide. Results from our experience in both the asQ`em QIP and research study will inform suicide screening implementation in a hospital setting.",
      "authors": "Deborah J. Snyder",
      "author_ids": "115178",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3354597750,
        "prompt_eval_count": 1553,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:56:16.761461+00:00"
    },
    {
      "input_index": 689,
      "record_key": "SSWR:2016-U-0437",
      "source_database": "SSWR",
      "record_id": "2016-U-0437",
      "year": 2016,
      "title": "Screening for Suicide Risk in Pediatric Medical Inpatient Units: Implications for Clinicians",
      "abstract": "Background: Medical inpatients, especially youth, are at increased risk for suicide. Early detection of suicide risk is a critical prevention strategy.  Little is known about the feasibility of implementing universal screening practices on inpatient medical units, and whether nurses and patients in this setting have favorable opinions regarding universal screening. The purpose of this presentation is to discuss the feasibility of implementing standardized suicide risk screening in hospital units and discuss these findings within the context of the social worker’s role in screening medically ill patients for suicide risk.  Feasibility was assessed in three domains: 1) Prevalence: Are self-reported suicidal ideation and behavior prevalent enough to warrant screening? 2) Practicality: Can patients who screen positive for suicide risk be managed effectively without straining mental health resources? 3) Provider and patient opinion: Do patients and providers support suicide risk screening on the inpatient medical unit? Methods: As part of a larger multisite suicide risk screening instrument validation study, pediatric medical inpatients from an urban teaching hospital, ages 10-21 years old, were screened for suicide risk. In order to capture provider opinion, an electronic survey was distributed to all nursing staff treating the same sample of patients to assess comfort level with subject matter and opinions about screening. Participants and nurses were asked “Do you think nurses should ask kids about suicide while they are in the hospital? Why or why not?” Findings: 200 pediatric medical inpatients and 64 nurses participated in the study. 10.5% of pediatric participants (n=21) reported recent suicidal ideation and/or past suicidal behavior. All patients who endorsed recent ideation or past behavior received follow-up care in line with the hospital’s standard of care guidelines. The vast majority of both patients (87.5%) and providers (84%) were in favor of screening for suicide risk.  Discrepancies between patient and provider samples also emerged.  Over half of the participating nurses reported discomfort with assessing for suicide risk. Nurses reported that major barriers to screening for suicide risk included parent presence (77.1%), perceived discomfort of patient (59.0%), perceived parent discomfort (59.0%), nurses’ own discomfort (44.3%), and burden of time (24.6%). Conclusions.  Prevalence of suicide risk was high enough to warrant screening, but low enough that it only resulted in roughly one extra mental health evaluation per week during the data collection period. Both patients and providers agreed that nurses should be asking adolescent medical inpatients about suicide risk.  Given that social workers are the leading providers of mental health services in the US and the nature of social work is interdisciplinary, social work professionals are in a unique position to contribute to suicide prevention initiatives that involve collaboration with other disciplines, such as nursing. These findings present an opportunity for social workers to become involved with the creation of a more patient-centered and coordinated health care system. These findings will inform setting-based implementation strategies for addressing the public health issue of youth suicide.",
      "authors": "Abigail M. Ross",
      "author_ids": "110915",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3341257250,
        "prompt_eval_count": 1544,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:56:20.104570+00:00"
    },
    {
      "input_index": 690,
      "record_key": "SSWR:2016-U-0356",
      "source_database": "SSWR",
      "record_id": "2016-U-0356",
      "year": 2016,
      "title": "Social Support Network Typologies and Suicidality Among African Americans",
      "abstract": "Background and Purpose: Suicide claimed the lives of 39,518 Americans in 2011 (most recent data available).  As the tenth leading of cause of death in the U.S., suicides account for 12% of all deaths.  It is evident that suicide is an important and preventable public health problem, and although extant research has identified a range of risk and protective factors associated with suicidality among the general population, there is scant empirical work on risk and protective factors among minority populations.  Prior research has demonstrated that social support and strong social ties protect against suicide, while negative social interactions are positively associated with suicidality.  The purpose of this study is to determine whether belonging to specific support network types (i.e., profiles) is associated with suicidality.  We hypothesize that: 1) membership in a support network type characterized by high levels of social integration will be negatively associated with suicidality; 2) membership in a support network type characterized by high levels of negative interaction, regardless of the level of social integration, will be positively associated with suicidality. Methods: Data analysis was based on a nationally representative sample of African American adults (N = 3,419) from the National Survey of American Life.  Suicidal ideation, plans, and attempts were assessed.  Support network types were derived using latent class analysis using ten latent class indicators of positive and negative relationship qualities with family and friends.  Latent class regression analysis was used to test the association between suicidality and support network types. Results: Four distinct support network types were identified: “optimal,” “ambivalent,” “strained,” and “isolated.”  Support network types were associated with suicide plans and attempts.  Overall, types characterized by high levels of negative interactions with family members were associated with higher rates of suicide planning.  This effect held despite the level of social integration.  Interestingly, respondents in the “optimal” type (characterized by high social integration and low negative interactions) were more likely to have planned and attempted suicide.  This finding is consistent with the resource mobilization model, which suggests that adversity motivates individuals to seek out support and assistance from their support networks in order to cope with the presenting problem. Conclusions and Implications: This study underscores the important role of negative family interactions in mental health.  The findings also suggest that African Americans use social support/integration as a suicide prevention strategy or, among those with a history of suicide attempts, as a means to mobilize social resources to reduce the risk of future suicide attempts.  This demonstrates the importance of informal support as a resource for coping with stressors among African Americans.  Further, the findings indicate that support network types represent differing suicide risk profiles.  Consequently, this study has implications for social work practice and interventions.",
      "authors": "Ann W. Nguyen; Robert Joseph Taylor; Linda M. Chatters",
      "author_ids": "115034; 110485; 110483",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3145014917,
        "prompt_eval_count": 1505,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:56:23.251781+00:00"
    },
    {
      "input_index": 692,
      "record_key": "SSWR:2016-U-0299",
      "source_database": "SSWR",
      "record_id": "2016-U-0299",
      "year": 2016,
      "title": "Suicidal Ideation and Attempts Among Women Seeking Treatment for Substance Use and Trauma",
      "abstract": "Background & Purpose: Co-occurring Substance Use Disorder (SUD) and Posttraumatic Stress Disorder (PTSD) are common, particularly among women. Research has shown that those with both disorders have a more severe clinical profile and may be at high risk for suicidal thoughts and behaviors (Harned and Najavits, 2006). Building on earlier efforts to understand suicidal thought and behaviors among women with trauma and substance use histories (e.g. Harned & Najavits, 2006; Najavits, Weiss & Shaw, 1999), we examine rates and correlates of suicidal ideation and attempts among a community-based sample of women seeking treatment for substance use and trauma. Methods: Data were from the screening sample of the NIDA Clinical Trial Network’s Women and Trauma Study (Hien et al., 2009). Participants (n=541) were women seeking treatment for substance use and trauma at one of seven outpatient substance abuse programs. The sample included women between the ages of 18-65 (mean=39.2 sd=9.3) and was 44% White; 33% African American; 8% Latina and 15% other races/ethnicities (e.g. Asian American). We used logistic regression models to examine factors associated with a lifetime history of serious suicidal ideation and a serious suicide attempt. Results: Women in the screening sample had extensive trauma histories and the majority had experienced physical assault (90%), sexual assault (85%), or other unwanted sexual experiences (80%). Over a third of the women (37%) reported they were held captive by an abuser. Eight percent of women reported serious suicidal ideation in the past 6 months, while 21% of women reported recurrent suicidal ideation in their lifetime. Although most women screened for the study did not report a suicide attempt in the past six months (98%), a quarter of the women (25%) had attempted suicide in their lifetime. Some of these attempts were impulsive and did not have accompanying serious suicidal ideation. Results of the logistic regression analyses indicate the age PTSD symptoms began (OR = 0.97) an alcohol use disorder (OR = 1.9), taking medications for psychological/emotional problems (OR = 2.6), and not meeting study eligibility criteria* (OR  = 2.2) were associated with serious suicidal ideation. Older Age (OR = 0.97), current PTSD (OR = 2.6), taking medications for psychological/emotional problems (OR = 1.8), experiencing more types of traumas (OR = 1.1) and not meeting eligibility criteria (OR  = 2.2) were significantly associated with a past suicide attempt. Other variables (e.g. race/ethnicity, cocaine use disorder, opiod use disorder) were not significantly associated with suicidal ideation or attempts. Conclusions & Implications: Findings highlight the need for social workers to attend to elevated risk levels for suicidal thoughts and behaviors when working with women with histories of substance use and trauma. Future research would benefit from examining other potential correlates of such behavior (eg., coping style), as well as mechanisms (eg., emotion dysregulation) that may explain the relationship among these co-occurring problems. *Women were eligible for the study if they met DSM-IV-TR criteria for PTSD. Exclusion criteria included active psychosis, cognitive impairment, a history of schizophrenia, current suicidal/homicidal thoughts/behavior, or PTSD-related litigation involvement.",
      "authors": "Stella M. Resko; Sarah Kruman Mountain; Suzanne Brown; David C. Kondrat; Michael Kral",
      "author_ids": "108544; 114972; 110773; 108337; 114318",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3633535042,
        "prompt_eval_count": 1670,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:56:30.504893+00:00"
    },
    {
      "input_index": 693,
      "record_key": "SSWR:2016-P-0240",
      "source_database": "SSWR",
      "record_id": "2016-P-0240",
      "year": 2016,
      "title": "Suicide and Protective Service Occupations: Findings from a Nationally Representative Sample",
      "abstract": "Background and Purpose : Suicide remains a significant public health concern as one of the top ten causes of death in the United States. Research has identified determinants in suicide rates by gender, age, race/ethnicity, education/income, marital status and mental health. However, social work research can extend the knowledge associated with suicidality by examining additional social determinants of suicide, including client occupation. Occupations such as protective service workers are at heightened risk for increased substance abuse and mental health issues due to repeated exposure to stress and trauma. However, it is unclear whether the risks associated with protective services occupations heighten risk for suicide. The purpose of this study is to explore whether protective service occupations have an increased likelihood for suicidality, controlling for additional factors associated with suicide. Methods: Data is from the combined 2011 and 2012 National Survey of Drug use and Health (NSDUH), an annual nationally representative survey administered by SAMHSA. The total sample from the 2011 and 2012 NSDUH was 113,665. Participants reported social demographics including age, race/ethnicity, gender, education, marital status and annual household income, and clinical variables, including past year DSM-IV diagnoses of major depressive disorder, alcohol use disorder, and drug use disorder. Participants were asked three dichotomous questions associated with suicidal ideation in the past year: whether they had thought about suicide, made a plan, or attempted suicide. Finally, participants were asked to report their current occupation, which was dichotomized to identify protective service worker status. Protective service workers include correctional officers, police officers, fire fighters and other law enforcement personnel. A multivariate logistic regression analysis examined whether protective service workers were significantly more likely to report suicidal ideation, controlling for social and clinical variables associated with suicide risk. All analyses used population weights provided within the NSDUH to adjust for nonresponse and geographic distribution of the sample. Results : Among respondents, 2.8% of protective service workers reported they had thought about suicide in the past, 0.9% had made a plan to commit suicide, and 0.1% had attempted suicide in the past year. Compared to other occupations, protective service workers were more likely to be male, possess higher levels of education, higher income, less likely to have a past-year drug use disorder, and less likely to seek treatment for mental health related problems. While multiple correlates of suicidal ideation emerged, logistic regression models showed that while protective service workers were no more likely to have thought about suicide, or made a plan, protective service workers were significantly more likely to have attempted suicide in the past year (OR = 2.74), compared to other occupations. Conclusions and Implications: Current evidence-based interventions in reducing suicidal ideation focus on brief, rapid assessment, information exchange, education, and long-term, regular follow-up contact across all points of access for health care facilities. A significantly higher likelihood of suicide attempt among protective service workers requires improved delivery of these interventions from social workers, emphasizing stronger integration within occupation based settings, among individuals in protective service occupations.",
      "authors": "Dana R. Dillard; Orion P. Mowbray",
      "author_ids": "115008; 110801",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3342860375,
        "prompt_eval_count": 1571,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:56:33.849646+00:00"
    },
    {
      "input_index": 694,
      "record_key": "SSWR:2016-U-0293",
      "source_database": "SSWR",
      "record_id": "2016-U-0293",
      "year": 2016,
      "title": "Suicide Interventions in the Military � Testing the Interpersonal Theory of Suicide",
      "abstract": "Abstract Background: Suicide in the military has become an increasingly problematic issue. Military suicide rates have risen over the last 15 years to exceed that of the normal population (Claussen and Knox, 2011). The objective of this study was to assess the degree to which components of the interpersonal theory of suicide (IPTS; Joiner et al 2005) vary as a function of brief cognitive behavioral therapy (BCBT) compared to treatment as usual (TAU). Specifically, this study hypothesized that BCBT would result in long-term (assessment at 12 months) reductions in two components of IPTS: thwarted belongingness (TB) and perceived burdensomeness (PB). It was hypothesized that these reductions would be greater than that seen in the control (TAU) condition. Methods: This randomized clinical trial compared suicide treatment interventions. Participants with suicidal ideation (with intention to die) or a recent suicide attempt were randomly assigned to TAU or BCBT in addition to TAU. Therapists in the BCBT condition were trained and monitored for compliance (See Rudd et al, 2015). Participants were active-duty Army soldiers ( N =127) at Ft. Carson, Colorado who were recruited from emergency room visits. Data from a subset of this sample ( N = 40) were soldiers who completed measures at pre-test and at 12 months. Data were collected at military installation treatment clinics by treatment providers and investigators. The primary outcome measure used in this study was the Interpersonal Needs Questionnaire (INQ; Van Orden, Witte, Gordon, Bender & Joiner, 2008). The INQ has two subscales measuring TB and PB—both of which have been shown to have adequate psychometric properties and utility for predicting suicide risk in the military. Data were analyzed using repeated measures analysis of variance (ANOVA) comparing within subjects and between treatment group variations in the outcome measures. Results: On PB, there was a significant main effect for treatment (BCBT Time 1: M = 18.30, SD = 12.67; Time 2: M = 14.22, SD = 11.31; TAU Time 1: M = 28.24, SD = 10.76; Time 2: M = 20.47, SD = 12.89; F (1, 3) = 8.96, p = .004). On TB, there was no significant main effect ( F (1, 3) = 1.31, p = 0.26). However, BCBT (Time 1: M = 24.61, SD = 7.17; Time 2: M = 24.78, SD = 6.60) showed less overall levels of TB than TAU (Time 1: M = 25.82, SD = 7.43; Time 2: M = 27.76, SD = 7.98) at 12 -months, suggesting that this condition may lead to better overall outcomes on this variable. Conclusions: There is an urgency to reduce death by suicide in the military together with the need to reduce risk factors for suicide among military service members. This study suggests that BCBT may benefit soldiers with serious suicide events and that BCBT may help reduce the risk factors proposed by the IPTS. Future research should undertake longitudinal analytic methods to account for attrition and increase statistical power.",
      "authors": "David S. Wood",
      "author_ids": "114455",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3642858666,
        "prompt_eval_count": 1687,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:56:37.494293+00:00"
    },
    {
      "input_index": 695,
      "record_key": "SSWR:2016-P-0024",
      "source_database": "SSWR",
      "record_id": "2016-P-0024",
      "year": 2016,
      "title": "Suicide Risk Assessment: Examining Influences on Social Workers' Professional Judgment",
      "abstract": "Background: Every year, approximately 1 million people die from suicide, resulting in a worldwide mortality rate of 16 per 100,000, or one death every 40 seconds ( World Health Organization, 2011 ). High risk populations include those who suffer from a major mental disorder; youth in special education, child welfare and juvenile justice settings ( Chavira, Accurso, Garland, & Hough, 2010 ; Farand, Chagnon, Renaud, & Rivard, 2004 ; Pilowsky & Li-Tzy, 2006 ); women who are victims of violence ( Garcia-Moreno, Jensen, Ellsberg, Heise, & Watts, 2005 ; Haarr, 2010 ); and individuals facing extreme social conditions ( Canada, 2005 ; Harris & Barraclough, 1997 ; Kessler, Berglund, Borges, Nock, & Wang, 2005 ; Kirmayer et al., 2007 ; World Health Organization, 2007 ).  Given these high risk populations, it is not surprising that a US national survey revealed that 92% of social workers had worked with suicidal clients ( Feldman & Freedenthal, 2006 ). Professional judgment in complex clinical situations such as the assessment of suicide risk encompasses a multifaceted cognitive understanding of the substantive issues, technical expertise, and emotional awareness ( Epstein & Siegal, 2008 ; Eraut, 1994 ; Schon, 1987 ). Experts reflect on previous similar experiences and selectively apply this knowledge to the problem at hand ( Cheetham & Chivers, 2005 ; Ruch, 2002 ), actively using critical thinking and tacit knowledge to find creative solutions ( Cheetham & Chivers, 1998 ; Eraut, 2002 ; Schon, 1983 , 1987 ). However, clinical experience may allow not only for the acquisition of knowledge, but may also include exposures that lead to physiological stress, trauma response and burnout that can potentially negatively influence decision-making.  This experimental design study investigated the degree to which the previous work-related experiences of workers and their pre-existing emotional state influence professional judgment regarding acute risk in patients presenting with suicidal ideation. Methods: Thirty-seven MSW students and 34 experience clinicians assessed two simulated patients, portrayed by standardized patients presenting with suicidal ideation, an older chronically depressed woman, and an adolescent in crisis.  Through random assignment, half the participants interviewed one client first and the other half interviewed the other client first to control for order effects.  After indicating their professional judgment regarding the need for hospitalization, participants completed three standardized suicide risk assessment measures. Pre-test measures addressed previous work experiences and current levels of post-traumatic stress, generalized stress and burnout in participants. Results: This study revealed significant variations in clinical judgments of social workers assessing suicide risk.  While scores on standardized risk assessment measures were the strongest predictor of judgments regarding the need for hospitalization in order to ensure the safety of patients, other influences included clinician age and levels of post-traumatic stress symptoms. Implications: Social workers and organizations that employ them should be aware of possible individual influences on professional judgments related to suicide risk. Social work education programs should ensure that training and supervision includes sensitizing students to their decision-making processes in this critical area of mental health practice.",
      "authors": "Cheryl Regehr; Marion Bogo; Vicki LeBlanc; Jane Paterson",
      "author_ids": "108326; 108327; 110291; 114578",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3466471375,
        "prompt_eval_count": 1656,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:56:40.963358+00:00"
    },
    {
      "input_index": 696,
      "record_key": "SSWR:2016-P-0211",
      "source_database": "SSWR",
      "record_id": "2016-P-0211",
      "year": 2016,
      "title": "Symptom Profiles Among Individuals at-Risk for Major Depressive Disorder and Their Correlates Among a Nationally Representative Sample",
      "abstract": "Background and Purpose : Despite overall improvements in treatment, major depressive disorder (MDD) remains the most prevalent mental health problem in the U.S (Hassin et al., 2005). Current interventions to improve outcomes of individuals with MDD emphasize a prevention-based approach, with intention to reduce the likelihood of future MDD onset. Yet within social work research, MDD onset is usually examined as a binary event: either an individual experiences it or they do not. While there is some evidence that symptoms associated MDD are multidimensional (Sullivan, 1998; Kendler et al. 1996), these claims have not been examined within a prevention-based framework among individuals at risk for MDD, but who are yet to experience onset. In the current study, we used nationally representative data from participants with prodromal indicators of MDD to examine whether distinct symptom profiles for MDD exist, and whether sociodemographic and clinical variables are correlates of these profiles. Methods: We analyzed the Collaborative Psychiatric Epidemiology Survey (CPES), a nationally representative survey of non-institutionalized U.S. adults (2001-2003). Participants completed the World Mental Health Composite International Diagnostic Interview (WMH-CIDI), which is used to establish DSM-IV consistent psychiatric disorder criteria, including (MDD). Our sample included all respondents who met criteria for a past-year major depressive episode (n= 1,543). Nine MDD criteria, consistent with DSM-IV guidelines, were our latent class indicators. Social demographics (age race/ethnicity, gender, marital status, education and annual household income) and clinical variables (the presence of a lifetime DSM-IV alcohol or drug use disorder, general anxiety disorder, major depressive disorder and post-traumatic stress disorder (PTSD) were examined in a follow-up analysis to establish correlates of class membership. M plus was used to establish MDD symptom profiles, where model fit statistics and substantive theory was used to identify the appropriate number of latent classes. Next, multinomial regression analysis examined social and clinical correlates of the latent classes. CPES survey weights were used in all analyses to obtain accurate standard error estimates for the population. Results : Four MDD symptom profiles emerged; High Cognitive Functioning (3.8% of the sample), Absolute Depression (63.7% of the sample), Diminished Cognitive Functioning/Low Suicidal Ideation (24.7% of the sample) and Diminished Cognitive Functioning/High Suicidal Ideation (7.7% of the sample). The multinomial regression model showed that individuals in the High Cognitive Functioning class and the Absolute Depression class were more likely to be racial/ethnic minority. Individuals in the Absolute Depression class and the Diminished Cognitive Functioning/Low Suicidal Ideation were more likely to experience PTSD. Conclusions and Implications: Symptom profiles clearly exist among individuals at risk for MDD onset. Race/ethnicity and PTSD were associated with these profiles, suggesting that culturally appropriate assessments are essential for the effective detection of depression profiles, and that integrated treatment approaches focusing on the intersection of trauma and depression are in high need. Finally, future research associated with MDD needs to move beyond MDD onset as a binary event. Through identifying symptom profiles of MDD, social workers may be able to implement targeted interventions that match client experiences to necessary services.",
      "authors": "Jay D. O'Shields; Gregory Purser; Orion P. Mowbray",
      "author_ids": "114959; 114906; 110801",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3495796250,
        "prompt_eval_count": 1628,
        "eval_count": 27
      },
      "screened_at": "2026-08-02T17:56:44.460984+00:00"
    },
    {
      "input_index": 698,
      "record_key": "SSWR:2016-P-0297",
      "source_database": "SSWR",
      "record_id": "2016-P-0297",
      "year": 2016,
      "title": "The Dangerous Side of Social Ties: The Influence of Peer Depression on the Risk of Suicidal Ideation Among Homeless Youth",
      "abstract": "Background and Purpose: Homeless youth are at elevated risk for experiencing suicidal ideation, which serves as a warning sign for suicidal behavior. Suicide theory and research has often promoted the protective value of social connectedness—exemplified by the recent CDC initiative focusing on connectedness as a suicide prevention strategy—and generally neglected the potential risks associated with social connectedness. Given that peer affiliation in social networks of homeless youth can influence a range of risky behaviors (e.g. substance use, risky sex), it is critical to better understand the extent to which affiliation may also affect suicide risk in this vulnerable group. Peer depression, which can be “contagious”, represents a potentially dangerous social toxin that may elevate suicide risk. The aim of the current study was to examine the relationship between peer depression exposure and suicidal ideation among homeless youth. Method: We utilized data from the first panel of a longitudinal, social network study of homeless youth. Participants (N=383) were sampled from two drop-in centers in Los Angeles. Youth completed a survey and social network interview. Sociometric networks of youth were constructed and a measure of depression exposure was derived.  Univariable and multivariable logistic regression analysis was employed to examine associations between peer depression exposure and suicidal ideation. Results: Nearly one-fifth of the sample endorsed having experienced suicidal ideation in the past year. On average, more than one-quarter of a youth’s peers were depressed.  In univariable analyses, being connected to greater proportions of depressed peers increased the likelihood of suicidal ideation (OR: 4.14; 95% CI= 2.05, 8.32). In the multivariable model, greater exposure to depressed peers remained associated with suicidal ideation (OR: 3.63; 95% CI= 1.67, 7.92) while controlling for a broad range of individual factors. Conclusions and Implications: This study found that being embedded in a peer group with a higher concentration of depressed members increased the likelihood of experiencing suicidal ideation. A point of emphasis is that exposure to peers’ depression was found to increase the risk of suicidal ideation above and beyond a set of individual factors that included a youth’s own depression status. This suggests that treating any given youth who has depression in isolation to prevent suicidal ideation may be only transiently effective. Suicide prevention programming, which tends to be implemented in schools, is likely to miss many homeless youth and does not typically address dyadic exposure to suicidogenic factors. Identifying and treating depression in naturally occurring friendship groups among homeless youth represents a promising network-level intervention.",
      "authors": "Anthony Fulginiti; Eric Rice; Hsun-Ta Hsu; Harmony Rhoades; Hailey Winetrobe",
      "author_ids": "112190; 111415; 112266; 112528; 112500",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3085787000,
        "prompt_eval_count": 1476,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:56:51.280346+00:00"
    },
    {
      "input_index": 701,
      "record_key": "SSWR:2016-U-0288",
      "source_database": "SSWR",
      "record_id": "2016-U-0288",
      "year": 2016,
      "title": "The Interplay Between Family Dynamics, Culture, and Attempted Suicide Among Latina Teens",
      "abstract": "Background and Purpose: Research has confirmed high rates of suicidal behaviors by U.S. Latina adolescents, and explanations for this epidemiological pattern often foreground cultural values. Much of the scholarship defines culture as shared sets of values that drive individual behavior. Although this approach accurately portrays one aspect of culture, the reliance on this definition has resulted in the reification of culture as an immutable, bounded, and discrete system. This presentation provides an interactionist perspective of culture to explore the family and cultural context within which Latina teens’ suicidal actions are situated. Culture is defined as a dynamic process in which individuals actively draw on cultural elements to interpret and find meaning in everyday life. Methods: The data presented draw from individual qualitative interviews conducted with 10 parent-child units with a teen suicide attempter (6 mother-daughter dyads, 1 father-daughter dyad, and 3 mother-daughter-father triads) and 10 child-parent units with an adolescent with no lifetime history of suicidal behavior (9 mother-daughter dyads and 1 mother-daughter-father triad). The overall number of participants totaled 44. The average age of girls was 15.7 years. Mothers and fathers had a mean age of 40 years. Research participants identified with seven Hispanic subgroups: Colombian, Dominican, Ecuadoran, Mexican, Puerto Rican, Salvadoran, Venezuelan. Qualitative comparative analysis (QCA) was used to systematically examine empirical patterns across cases and assess how different configurations of themes related to the occurrence of a suicide attempt. Results: Three major themes were identified as salient in Latinas’ narratives of their decisions to attempt suicide: subjective distress, interpersonal discord, and emotional isolation. In 9 of the 10 families with an adolescent suicide attempter, all themes were present, yet some themes were not exclusive to families with an adolescent suicide attempter. In families with an adolescent with no history of suicidal behavior, themes of subjective distress and interpersonal discord configured in different ways, but emotional isolation never emerged in the narratives of non-attempting adolescents. Across participants, interpersonal discord revealed individualist tensions within patterns of family dynamics. In lieu of interpersonal dynamics that emphasized a unified sense of family harmony and interdependent collaboration, teens and their parents expressed conflicting and often contradictory cultural conceptions of the family. When such experiences were compounded by emotional isolation, the collapse of relational ties that might otherwise help to ground the youth’s sense of place in her world left her feeling alienated and shaped her decision to attempt suicide. Conclusions and Implications: These results are consistent with the extant literature that emphasizes the primacy of social isolation in shaping decisions to attempt suicide, suggesting that processes that contribute to suicidal behavior might be similar despite diverse cultural contexts. By attending to an interactionist perspective, it guides against the tendency for researchers to assume which cultural values are salient to the worldview of research participants. It can also highlight when acculturative conflict between an adolescent and her parents is perceived as a normal process of development or when psychological suffering is intensified as a result of cultural conflict.",
      "authors": "Lauren E. Gulbas; Luis H. Zayas",
      "author_ids": "111719; 110995",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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        "eval_count": 24
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      "screened_at": "2026-08-02T17:57:01.379579+00:00"
    },
    {
      "input_index": 702,
      "record_key": "SSWR:2016-P-0013",
      "source_database": "SSWR",
      "record_id": "2016-P-0013",
      "year": 2016,
      "title": "The Longitudinal Trajectories of Depression and Suicide Ideation Among Asian American Youth",
      "abstract": "Background and Purpose: Research has suggested that depressive symptoms are one of the strongest correlates of suicide ideation among Asian American youth.  However, a limitation in the literature on Asian American mental health is the relative lack of focus on ethnic group differences and gender dynamics among Asian Americans.  The purpose of this study was to investigate: 1) Asian ethnic differences (Chinese, Filipino, and Korean American youth) in depressive symptoms and suicide ideation across two major developmental periods from adolescence (ages 12 to 17) to young adulthood (ages 25 to 30); and 2) gender dynamics across three Asian American groups over time. Methods: The data for this study come from the National Longitudinal Study on Adolescent Health (Add health).  The current study used a subsample of Chinese, Filipino, and Korean American youth who completed interviews during adolescence and young adulthood.  A total of 322 Chinese, 651 Filipino, and 122 Korean American youth were studied.  Constructs were measured by: 1) a short version of 9-item CES-D scale for depression; and 2) one item on suicide ideation.  Covariates included age, gender, family structure, parent’s marital status, family education, family income, and youth relationships with parents, peers, and teachers.  The study used multi-group structural equation modeling (SEM) for data analysis. Results: A good model fit for the global fit indices for the proposed model among Asian American youth was observed (χ 2 =2.996, p>0.05; RMSEA<0.001; CFI=1.000; SRMR= 0.007; P-value for the test of close fit=0.970) and the focused fit indices were good. Comparisons of the magnitude of effects were explored by using scaled chi square difference tests between an unconstrained model and a constrained model. No unstandardized path coefficient differences were found across three Asian American subgroups. With regard to gender dynamics, the global fit indices of the proposed model were good for Asian males (χ 2 =1.2443, p>0.05; RMSEA < 0.001; CFI=1.000; SRMR= 0.017; P-value for the test of close fit=0.993) and reasonable for Asian females (χ 2 =6.879, p>0.05; RMSEA = 0.029; CFI=0.995; SRMR= 0.014; P-value for the test of close fit=0.584). More focused fit indices were good for both groups. The magnitude of effects were compared across three Asian American subgroups by gender. Among males, there were two statistically significant path coefficient differences between Chinese and Filipino groups: the path linking adolescent suicide ideation to young adulthood suicide ideation (path coefficients= -0.064 and 0.159, respectively) and the path linking young adulthood depression to young adulthood suicide ideation (path coefficients = 0.275 and 0.064, respectively). Among females, one path coefficient was statistically significant between Chinese and Filipino groups: the path linking adolescent depression to young adulthood depression (path coefficients = 0.119 and 0.337, respectively). Implications: Findings of this study suggest that the effects of adolescent depression and suicide ideation can persist across a later developmental period, young adulthood.  The results illustrate the importance of Asian American mental health disparities by Asian ethnicity and gender for social work practice and policy.",
      "authors": "So-Young Park; James J. Jaccard, PhD",
      "author_ids": "113133; 113134",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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        "total_duration_ns": 3599515916,
        "prompt_eval_count": 1710,
        "eval_count": 24
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      "screened_at": "2026-08-02T17:57:04.980694+00:00"
    },
    {
      "input_index": 703,
      "record_key": "SSWR:2016-P-0028",
      "source_database": "SSWR",
      "record_id": "2016-P-0028",
      "year": 2016,
      "title": "The Mediating Effect of Depression on Spousal Emotional Abuse and Suicidal Ideation of the Elderly Korean",
      "abstract": "Background/Purpose: The elderly suicide rate in South Korea was the highest among the member nations of the OECD, and elderly suicide has become a serious problem that cannot be ignored. The elderly suicide is required to social welfare alternatives because it has decisive effect on the elderly’s life and needs social costs with related problems. Meanwhile, the individual’s psychological factors and family factors have addressed the critical factors associated with suicide among the elderly. The purpose of this study was to examine the possibility that depression is likely to increase the suicidal ideation produced by spousal emotional abuse. Methods: Data and samples: The research model was tested by using the Statistical Equation Modeling (SEM) procedure on a data conducted from ‘2013 Korean Welfare Panel Study’, a cross-sectional general population survey performed in 2013 by Korea Institute for Health and Social Affairs in South Korea. We merged the household data and the member of household data. A total of 5,456 subjects aged 65 years and older was analyzed. Measures: First, suicidal ideation measured whether or not respondents have thought about suicide. Second, spousal emotional abuse measured whether he or she has experienced emotional violence by a spouse like insulting and malicious remarks. Third, we used modified CES-D scale (The Center for Epidemiologic Studies-Depression scale) based on the factor structures of scale. Results: It was found that spousal emotional abuse and depression enhances suicidal ideation. It was also discovered that depression partially mediates the relationship between spousal emotional abuse and suicidal ideation. Conclusions and Implications: According to the findings of this study, the relationship between spousal emotional abuse and the suicidal ideation may reside in depression, and that depression is a very crucial factor in suicidal ideation of elderly. Also, the findings suggest interventions to reduce suicidal ideation with the aim of reducing depression and preventing spousal emotional abuse in these groups. This study contributes to extend understanding of elderly Korean suicidal ideation because not much research has been conducted in the relationship between spousal emotional abuse, depression and suicidal ideation in South Korea. More researches are required to be undertaken to explore the role of depression and spousal emotional abuse within this area.",
      "authors": "Jayoung Cho; Sejeong Cheong",
      "author_ids": "114104; 113156",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2890633750,
        "prompt_eval_count": 1383,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:57:07.873125+00:00"
    },
    {
      "input_index": 706,
      "record_key": "SSWR:2016-U-0232",
      "source_database": "SSWR",
      "record_id": "2016-U-0232",
      "year": 2016,
      "title": "The Positive Role of School Climate on School Victimization, Depression and Suicidal Ideation Among School-Attending Homeless Youth",
      "abstract": "Background: Although research indicates that homeless youths are at higher risk of victimization and mental health problems, little is known about school victimization and mental health outcomes for school-attending homeless youths. Generally, limited research has been conducted with school-attending homeless youth, as most studies rely on shelter and street-based samples. While the role of school-climate was found to have important implications for adolescents' mental and behavioral health, research on school-climate in the context of school-attending homeless youths is scarce. This preliminary study examines the relationship between school-climate and school related victimization, depression and suicidal ideation among school-attending homeless youth. Methods: Multivariate analysis, using hierarchical logistic regression, was conducted to examine the relationship between school-climate factors and school-victimization, suicide ideation and depression tendency. The model was tested with a representative sample of 1,169 9 th and 11 th grade school-attending homeless youths from the 2012-2013 California Healthy Kids Survey dataset. Homelessness was based on the response “Shelter, car, campground, or other transitional or temporary housing” to current living situation. Perceived school-climate was assessed by items of several dimensions: caring relationships, high expectations, school connectedness, meaningful participation and safety. The responses ranged either on a four or a five Likert scale. To assess school victimization students were asked to report the rate of victimization on school grounds during the past 12 months of items on a four Likert scale.  A composite victimization scale was created, then recoded into two categories (low and high). Depression tendency and suicidal ideation were based on yes/no questions. Control variables included gender, ethnicity and grade. Results: The sample was almost evenly split by grade level (9 th = 51.8%, 11 th =48.2%). The majority of the sample was male (74%) and the results indicate a diverse sample of students by race and ethnicity, 86% of the sample being non-white. Hispanic students comprised the largest ethnicity group in the sample (50.5%) while the other groups ranged between 11%-14%. The sample was almost evenly split by school-victimization (high=49.6%, low=50.4%), suicidal ideation (yes=47.9%, no=52.1%) and depression tendency (yes=46.5%, no=53.5%). The results show that adding the five components of school-climate to the demographic variables contributes significantly to each outcome. High expectation and safety were found to be significantly negatively associated with victimization (B= -.13, p<0.05, OR=0.88, 95% C.I. = .79-.97; B=-.30, p<0.001, OR=0.74, 95% C.I. =.69-.80, respectively). Feeling safe was also significantly negatively associated with depression tendency and with suicidal ideation (B= -.19, p<0.001, OR=0.83, 95% C.I. = .77-.89; B= -.23, p<0.001, OR=0.79, 95% C.I.=.74-.85,  respectively). Discussion: The results highlight that school-attending homeless youths are at high risk of being school-victimized, have high rates of depression tendency and suicidal ideation, compared with results of previous studies with other populations. These preliminary findings enhance the need to further investigate this population and to develop school-based interventions. Although school-climate was found to be significantly associated with the outcomes, most components’ associations were weak, with the exception of high expectations and, especially safety. To address the needs of homeless students, schools should focus on creating a safe environment for students.",
      "authors": "Hadass Moore; Rami Benbenishty, PhD; Ron Avi Astor; Eric Rice",
      "author_ids": "114742; 109814; 109262; 111415",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3701920875,
        "prompt_eval_count": 1766,
        "eval_count": 24
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      "screened_at": "2026-08-02T17:57:18.617827+00:00"
    },
    {
      "input_index": 708,
      "record_key": "SSWR:2016-P-0400",
      "source_database": "SSWR",
      "record_id": "2016-P-0400",
      "year": 2016,
      "title": "The Role of Social Work in Suicide Prevention, Intervention, and Postvention: The Absence of a Voice and a Need for Action",
      "abstract": "Introduction: Through prevention, intervention, and postvention efforts, social workers frequently encounter those whose lives have been touched by suicide. Social work offers a unique perspective on issues such as suicide, with a concern for the holistic understanding of the person and a focus on social justice and change. However, the social work voice has been notably missing from the literature on suicide. In light of this, and given the continued public focus on suicide prevention, the authors aimed to extend the work of Joe and Niedermeier (2006) to identify recent contributions of social workers in this area of research, with an emphasis on the empirical literature relating to preventative and postvention interventions for suicide.\nMethod: An exhaustive search for relevant studies published between January 2003 and December 2013 was undertaken of seven electronic bibliographic databases selected in the areas of social work, psychology, health, and sociology. Using the PRISMA guidelines (Liberati et al., 2009) tailored keyword search strings using advanced search functions were devised. The search strategies were designed to be both sensitive and specific, yielding 3,262 potentially relevant citations. A three stage screening process was utilized with one author reviewing all search results, and two additional authors reviewing all articles identified as meeting the inclusion criteria. Due to the heterogeneous nature of the methodology and populations of the studies retrieved, the authors did not attempt to undertake a meta-analysis; rather a narrative synthesis was conducted using content analysis to determine the frequency of key domains which were then counted and tabulated. Included articles were categorized according to Rosen's (Rosen, Bailey, Proctor, Bruno & Staudt, 1999) typology of social work knowledge, where social work research outputs have been grouped according to one of three categories namely descriptive, explanatory and control.\nResults: The systematic review resulted in the identification of 241 articles on suicide authored by social workers. A majority of the papers retrieved were found to be either descriptive 33% (n=79) or explanatory 57% (n=137) in nature. Only 10% (n=25) of the 241 studies were identified as a control study. This reaffirms the previous findings of Joe & Niedermeier (2006) where there remains a paucity of social work research on knowledge that guides and directs social work practice through the testing and evaluation of the efficacy of strategies for suicide prevention, intervention, and postvention.\nConclusion: Results of this review suggest that social work researchers should more actively pursue contributions to the evidence base on primary prevention of suicide and interventions for those bereaved by suicide loss. As argued by Rosen et al., (1999, p.8) social work research has been dominated by explanatory studies as opposed to control studies. When considering the prevalence of suicide, the impact on those left behind, and the importance that has been placed by governmental and other agencies on reducing the rates of suicide, social workers clearly need a stronger voice and greater involvement in the development and evaluation of programs and interventions to reduce suicide and to help those left behind after a suicide death.",
      "authors": "Rebecca Sanford; Tania Pearce; Myf Maple; Julie Cerel",
      "author_ids": "114860; 115329; 115330; 114861",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "review",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Review"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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        "prompt_eval_count": 1584,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:57:25.873225+00:00"
    },
    {
      "input_index": 709,
      "record_key": "SSWR:2016-P-0592",
      "source_database": "SSWR",
      "record_id": "2016-P-0592",
      "year": 2016,
      "title": "The Role of Supportive Adults on Sexual Minority Mental Health Symptoms and Isolating Behaviors",
      "abstract": "Background and Purpose: Sexual and gender minority youth (SGMY; i.e. non-heterosexual and/or transgender) report unique stressors related to their sexual/gender minority status that go beyond the common stressors associated with adolescence. Recent research has begun exploring how SGMY demonstrate resilience and coping strategies. Social support from adults is well associated with healthy coping among adolescents in general and research is showing that this may be particularly true for SGMY, protecting from negative outcomes like externalizing and internalizing behaviors. Parents and family can often be a source of support for SGMY, but the disclosure and coming out process brings additional stressors not faced by non-SGMY. The role of non-familial adult support is particularly interesting in these cases. However, little data has been collected from the point-of-view of SGMY to determine how adults are supporting them. This study sought to investigate the link between SGMY mental health and adult social support. Methods: A purposive sample of SGMY ( N =52) was interviewed in Los Angeles, CA in the spring and summer of 2014. Youth were recruited at SGMY community centers and through school clubs affirming support for SGMY. Youth had to identify as non-heterosexual (e.g. gay, lesbian, bisexual) and be fluent in English or Spanish to qualify. Each semi-structured interview was between 90-120 minutes and employed a life history calendar to add historical structure. All interviews were conducted privately by clinically-trained research assistants. Interviews were coded using techniques based in grounded theory. Stress and coping were a priori sensitizing concepts but codes for supportive adults developed naturally in the interviews. All interviews were coded by at least two master’s-level research assistants with a consensus reliability of 92%. Chi-square cross-tabs in SPSS v.19 were used to determine whether reports of mental health symptoms were related to the presence of a supportive adult in the SGMY’s life Results: Ages of the youth interviewed ranged from 14 to 20 years (M=16.56, SD=1.66). Self-identified race/ethnicities were: 40.4% Latino, 15.7% African-American, 19.2% Asian, 26.9% Caucasian. Sexual orientation labels provided were: 25.0% gay, 13.5% lesbian, 30.8% bisexual, 15.4% pansexual, 1.9% asexual, and 13.5% other (non-heterosexual). Chi-square analysis showed that having LGBT teachers or role models was associated with fewer reports of self-harm behaviors, χ² (1, N =52) = 4.66, p <.05. Youth who reported having a supportive adult at school were less likely to report isolation, χ² (1, N =52) = 4.49, p <.05, while half of youth that didn’t report a supportive adult at school reported isolating behaviors. Self-reported statements of anxiety, depression, and suicidal thoughts did not demonstrate any relation to reports of supportive adults at home or school. Conclusions and Implications: The present study has significant implications for SGMY at risk for self-harm or isolation. The clinical benefits of having supportive adults at school for SGMY are apparent and may help reduced isolating and self-harm in this population. This study did not specifically look at supportive clubs at school, which by their existence signal the presence of a supportive adult. Future studies may further examine the buffering role of parental support.",
      "authors": "Joshua A. Rusow; Claire Burgess; Jeremy Gibbs; Jeremy Goldbach",
      "author_ids": "113876; 115643; 112268; 110332",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "prompt_eval_count": 1674,
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      "screened_at": "2026-08-02T17:57:29.508017+00:00"
    },
    {
      "input_index": 710,
      "record_key": "SSWR:2016-P-0478",
      "source_database": "SSWR",
      "record_id": "2016-P-0478",
      "year": 2016,
      "title": "The Use of Social Networking Sites and Mental Health Among Young Adults",
      "abstract": "Background and Purpose : Social media has become an integral part of daily life, especially for younger adults. In particular, social networking sites (SNS), such as Facebook, Instagram, and Twitter, have profoundly altered the way in which people communicate with one another. Due to the novelty of SNS, it remains unclear how mental health is impacted by this recent transformation in human interaction. Both positive and negative impacts of SNS use have been documented in the literature (Block et al., 2014; Pantic, 2014). The present study aimed to examine the relationship between SNS usage and mental health (depression and suicidal ideation) in young adults. The study also investigated whether this relationship differed between the subgroups with diverse demographical characteristics (i.e., emerging young adults and young adults, heterosexual and non-heterosexual groups, men and women). The research was informed by social comparison theory, which explains how individuals utilize their social context to evaluate themselves and their abilities (Bergstrom et al., 2009) Method: Study data was gathered from The New Family Structures Survey, a comparative research study which focused on young adults residing in the United States, who were raised in diverse family structures (Regnerus, 2012). The sample was composed of 2,988 young adults aged 18 to 39 (38.6% emerging adults, n =1,146; 64.7% female, n =986; 19.9% non-heterosexual, n =585). Within the sample, 2,059 young adults were from nonconventional family systems (grew up with parents in same-sex relationships, remarried after divorce, and single, step, or adoptive parents) and 929 young adults were from conventional family systems (grew up with their biological parents). Data was gathered through the use of an online survey. SNS usage was measured by self-report questions assessing participants’ use of SNS (yes, no), the approximate time spent per day on SNS, and the number of Facebook friends.  An 11-item self-report measure of depressive symptoms was developed for the study (alpha= .89). Suicidal ideation was measured by a question asking whether participants thought about committing suicide during the past 12 months. A series of multiple regression, independent t-test and chi-square analyses was performed. Results: Results indicated that the more time spent on any SNS was associated with higher levels of depressive symptoms across age, sexual orientation and gender. For the emerging young adult group, simply using an SNS was also associated with higher levels of depressive symptoms, but this relationship was not established for the young adult group. Results also displayed a positive relationship between the use of SNS and suicidal ideations for the young adult group, heterosexual participants, as well as both male and female participants. Implications: This study serves as an important step in beginning to elucidate the role of SNS usage in understanding mental health of young adults. The finding of this study addresses the important implication for clinical practice with young adult population since they utilize them to a sizeable degree. Clients’ use of social media and its impact on their lives should be carefully assessed and monitored to better address the needs of clients with mental health problems.",
      "authors": "Zoha Bootwala; Juye Ji",
      "author_ids": "115480; 108489",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3367454250,
        "prompt_eval_count": 1600,
        "eval_count": 24
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      "screened_at": "2026-08-02T17:57:32.877787+00:00"
    },
    {
      "input_index": 712,
      "record_key": "SSWR:2016-U-0077",
      "source_database": "SSWR",
      "record_id": "2016-U-0077",
      "year": 2016,
      "title": "Trauma and Mental Health of Homeless Gang Members and Gang Affiliates",
      "abstract": "Background : Homeless youth is a large and growing population with an estimated 1.6 million in America. Additionally, youth gang membership and related negative outcomes continues to be a national problem. These two social issues intersect as many homeless youth identify as being a part of a gang or closely connected to a gang member. Experiences of homelessness and gang membership are both known determinants of increased rates of trauma experiences and poor mental health. Yet, almost no empirical research has examined the intersection between these populations. The purpose of this current study is to determine if gang involvement- either membership or close affiliation- is related to increased risk for trauma and poor mental health outcomes amongst a homeless youth population. Method : A sample of 505 Los Angeles area drop-in service seeking HY completed a self-administered questionnaire. Youth were asked if they identify as a gang member or if they are gang affiliated (i.e. have a relative, romantic partner or close friend who identified as a gang member). Youth were also asked a series of questions regarding recent mental health and trauma including symptoms of depression, PTSD and suicide attempt, childhood maltreatment (physical abuse, sexual abuse and witnessing family violence) and past year experiences of interpersonal and intimate partner.  Multivariable logistic regressions controlling for age, race, gender, sexual orientation, current living situation and city or origin tested the overall effect of membership or affiliation compared to non-gang involved homeless youth. Results : Within the sample, 17% identified as a gang member and 46% identified as gang affiliated. Gang members had 6 times greater odds of PTSD symptoms and 2.5 times more likely to have ever attempted suicide compared to non-involved youth. Gang members were 6 times more likely and gang affiliates were twice as likely to report recent involvement in physical violence. Gang membership was related to all surveyed types of childhood trauma. Gang affiliates had twice the odds of reporting experiences of childhood sexual abuse. Gang members were over 3 times more likely to experience intimate partner violence in the previous year. Discussion : Our analyses reveal that gang involvement amongst homeless youth is prevalent. Rates of membership in this Los Angeles based sample were higher than previous studies and rates of affiliation are notable.  Over half of the sample had ever been gang involved.  This study is unique in that it delineates between members and gang affiliates and compares them to non-involved youth. The results capture the diverse risk profile that is related to gang involvement, particularly in regards to trauma and mental health. Gang members and affiliates experience higher levels of violence and trauma within a population that already experience higher rates than the general youth population. This demonstrates the need for comprehensive interventions to address gang involvement within high-risk and the need to prioritize future research in this field to inform policies and programs that can address the specific needs of this population.",
      "authors": "Robin Petering",
      "author_ids": "113367",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3088864042,
        "prompt_eval_count": 1494,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:57:39.602940+00:00"
    },
    {
      "input_index": 713,
      "record_key": "SSWR:2016-U-0099",
      "source_database": "SSWR",
      "record_id": "2016-U-0099",
      "year": 2016,
      "title": "Understanding the Effect of Social Support on Access to Mental Health Care Among Adult Canadians: Findings from a Population-Based Study",
      "abstract": "Background/Purpose : Previous studies have identified factors influencing unmet healthcare needs based on the behavioral model of access to healthcare services developed by (Aday & Andersen, 1974). The model hypothesized that health care service use is influenced by predisposing, enabling, and need factors (Aday & Andersen, 1974). Predisposing factors describe an individual’s tendency to use healthcare service and include demographic factors such as age, gender, and race/ethnicity. Enabling factors refer to the resources (e.g., marital status, income, and level of education) individuals have and can draw on in accessing healthcare services when needed. In the model, need factors encompass the level of illness and individual’s psychosocial level of functioning that affects their healthcare service use (Aday & Andersen, 1974). Moreover, although there exists considerable social epidemiological evidence linking social support to various positive health outcomes, the contributory role of social support as a social determinant of access to mental health services in Canada has not been adequately examined. Thus, the objective of this paper was to examine the independent effect of social support on unmet mental health needs among adult Canadians after taking into account predisposing, enabling, and need factors. Methods : This study uses a secondary data from the 2012 Canadian Community Health Survey – Mental Health (CCHS-MH). A sample of 3,857 respondents aged 20 years and older with perceived mental health needs was analyzed using binary logistic regression. The outcome variable examined was unmet mental health needs and the main explanatory variable examined was social support. Social support was measured based on the Social Provision Scale developed by (Cutrona, 1984) and assesses the availability of various forms of social support to an individual based on his/her perception. Results : The study found that of the 3,857 respondents with some form of perceived mental health needs, close to a third (31.9%) had unmet needs. Results from the binary logistic regression revealed that social support had a significant independent effect on unmet mental health needs. For each additional increase in social support, the odds of a respondent having unmet needs were predicted to decease by a factor of 10% (AOR=0.90, p<.001, 95% CI=0.89-0.92), net the effect of predisposing, enabling, and need factors. Respondents from Quebec, Manitoba, and Alberta were less likely to have unmet needs when compared to respondents from Ontario. Other factors associated with having unmet mental health needs include: younger age, suicidal ideation, having anxiety issues, and adverse childhood experiences. Conclusions and Implications : In summary, this paper found social support to be the strongest predictor of access to mental health services over and above predisposing, enabling, and need factors. The finding that individuals with low social support are more likely to have unmet mental health needs underscores the need for social workers to explore ways to improve social support systems for individuals with mental health issues. It is also important for policy makers to develop mental health care policies and programs that are appropriate and meets the needs of individuals with mental health-related problems and who are without adequate social support.",
      "authors": "Phillip Baiden; Wendy den Dunnen; Barbara Fallon",
      "author_ids": "113715; 114684; 109805",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3389648708,
        "prompt_eval_count": 1606,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:57:42.994619+00:00"
    },
    {
      "input_index": 714,
      "record_key": "SSWR:2016-U-0208",
      "source_database": "SSWR",
      "record_id": "2016-U-0208",
      "year": 2016,
      "title": "Using Multiphase Qualitative Research to Develop an Affirmative Intervention for Transgender and Gender Non-Conforming Youth",
      "abstract": "Background: Transgender and gender non-conforming (TGNC) youth experience pervasive discrimination, microaggressions, and victimization in their homes, schools, and communities, contributing to disparate rates of suicide, anxiety and depression.  Clinical interventions targeting these youth must be empirically supported and affirming, competently and sensitively attending to the impact of transphobic discrimination while engaging youths’ strengths.  The unique bias-based challenges faced by TGNC youth require the integration of transgender affirmative practices into research informed interventions.  Transgender affirmative clinical practice acknowledges and counters the oppressive contexts in which transgender clients often experience health and mental healthcare.  This study will describe a multiphase, qualitative research process used to inform the development and ongoing adaptation of a transgender affirmative cognitive behavioral intervention for TGNC youth. Methods: Phase 1 of the intervention development process included the collection of qualitative data from 3 focus groups (N=28) conducted with culturally diverse LGBQ and TGNC youth, as well as, l interviews with service providers working with TGNC youth (N=5). Data collection focused on understanding needs and experiences of youth with attention to intersecting developmental, cultural, gender, and sexual identities.  Following the integration of phase 1 findings into a transgender affirmative cognitive behavioral intervention, phase 2 involved the collection of post-treatment implementation data through open ended qualitative survey questions from TGNC youth participants (n=8), and intervention facilitators (n=6).  All data was analyzed using grounded theory strategies (Charmaz, 2015).  Grounding analyses in the data led to identification of codes, generation of categories and the emergence of themes used to inform the development and subsequent iterations of the intervention protocol, training, and manual. Findings: The first phase of qualitative data analysis yielded the following four themes: (1) interplay between an emerging understanding of gender identity and intersecting cultural, religious, and sexual identities, (2) the impact of transphobia across multiple dimensions of the youths’ lives (3) the simultaneous importance of and disconnection from trans affirmative support and community, and (4) the importance of nurturing resilience among TGNC youth.  Findings associated with phase 2 post-intervention implementation data suggest that the intervention had high levels of acceptability among TGNC youth.  However, findings from both participant and facilitator data found that facilitator level of experience, comfort, and competence working with TGNC notably impacted the delivery of the affirmative intervention.  Finally findings revealed the importance of tuning in to evolving identities and the role of technology and virtual community in the lives of TGNC youth.  Findings from phase 2 were use to guide the 3 rd and current phase of the intervention development. Conclusions and Implications: Several elements of affirmative practice with TGNC youth emerge from this study and are key to developing interventions and programs that address the current service gaps.  Moreover, in keeping with ever evolving experiences of young people in society, it is imperative that programs targeting TGNC youth, as well as the practitioners delivering the interventions have the competence and flexibility to affirmatively engage emerging trans identities and youth culture into practice.",
      "authors": "Ashley Austin; Shelley L. Craig; David J. Brennan",
      "author_ids": "111000; 109193; 108994",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3322521583,
        "prompt_eval_count": 1576,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:57:46.318858+00:00"
    },
    {
      "input_index": 716,
      "record_key": "SSWR:2016-U-0076",
      "source_database": "SSWR",
      "record_id": "2016-U-0076",
      "year": 2016,
      "title": "Violence, Trauma, Mental Health, and Substance Use of Homeless Youth That Identify As Juggalos",
      "abstract": "Background : Homeless youth is a large and growing population with an estimated 1.6 million in America. Insane Clown Posse (ICP) is a rap-rock hip-hop duo whose fans are known as “Juggalos.” Many homeless youth identify as Juggalos most likely because ICP’s music embraces poverty and being an outsider in mainstream society. Juggalos are stereotyped as being violent, undereducated, poor, racist, crime-committing youth and in 2012, the FBI officially labeled Juggalos as a gang. However, little is known about homeless youth Juggalos because no empirical research has ever considered this population. The purpose of this current study is to explore the risk of Juggalo identifying homeless youth. Method : A sample of 394 Los Angeles area drop-in service seeking homeless youth completed a self-administered questionnaire. Youth were asked if they have ever identified as a Juggalo. Youth were also asked a series of questions regarding their health and behavioral health.. Univariable logistic regression models were used to test the likelihood of risk variables  to be associated with Juggalo identification. Results : Within the sample, 16% of homeless youth identified as Juggalos. Univariable logistic regressions revealed that Juggalos were twice as likely to identify as a LGBQ and white. Juggalos have twice the odds of ever spending time in jail or be recently injured during a fight. They have four times the odds to have recently been in a fight or identifying as a gang member. Juggalos are twice as likely to recently inject drugs, three times as likely to recently use methamphetamine and 3.4 times more likely to recently use crack cocaine. Juggalos are more likely to have witnessed community violence  or witness a family member experience a violent death or serious injury. Juggalos are more likely to have thoughts of suicide, PTSD, experience physical or sexual abuse as a child and to have lived in over 5 foster care placements. Discussion :Our analyses reveal that identification as a Juggalo is prevalent amongst the homeless youth population. Rates of membership in this Los Angeles based sample are higher than what would be expected in a housed youth population.  This study is unique in that it is the first empirical study to explore the risk and behaviors of youth who identify as Juggalos. Results indicate that Juggalos are a subpopulation of HY that are at-risk of a variety of poor outcomes compared to their non-Juggalo peers which has implications on future practice and intervention development. Identification as a Juggalo could be used as an indicator for risk but previous trauma must be considered. Given the lack of knowledge on the intersection between youth homelessness and Juggalos, the results emphasize the need to prioritize future research in this field to inform policies and programs that can address the specific needs of this population.",
      "authors": "Robin Petering; Eric Rice",
      "author_ids": "113367; 111415",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3118256500,
        "prompt_eval_count": 1519,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:57:53.068332+00:00"
    },
    {
      "input_index": 717,
      "record_key": "SSWR:2016-U-0362",
      "source_database": "SSWR",
      "record_id": "2016-U-0362",
      "year": 2016,
      "title": "What Can Specific PTSD Symptom Profiles Tell Us about Suicidality and Non-Suicidal High Risk Behavior in Military Veterans?",
      "abstract": "Objective: Military veterans are disproportionally represented among individuals with posttraumatic stress disorder (PTSD), which has been linked to preventable premature death. While much study has been devoted to PTSD and suicide risk, there has been little investigation of links between PTSD and non-suicidal high risk behaviors (NSHRB), which may account for a significant proportion of premature death in veterans. We argue that the interpersonal-psychological theory of suicide, which locates suicide in the context of (1) perceived burdensomness, (2) thwarted belonging, and (3) acquired capability for suicide, can be extended to help elucidate elevated rates of potentially lethal NSHRB in veterans with PTSD. The aim of this study was to examine the relationship between specific PTSD symptoms, suicidality, and NSHRB in veterans. Method: Data for these analyses were drawn from a survey of 1356 veterans in a large urban Southern California county. All responses were collected via a paper and pencil or online survey. A four pronged sampling strategy leveraging state agency administrative data, partnerships with community agencies serving veterans, local social service centers, and snowball sampling techniques were used to account for the diversity of the area’s veteran population. Independent variables were PTSD symptoms operationalized by the PCL. Outcomes included the dichotomous variables suicidal ideation and suicide plan, and dichotomous items capturing the NSHRB reckless driving, starting fights, carrying a weapon, and taking unnecessary risks to life. Results: After exploratory and confirmatory factor analysis of individual measurement models for PTSD symptoms and NSHRB indicated a good fit to the data, a structural equation model was employed to test relationships between PTSD symptom clusters, suicidality and NSHRB. Results indicated a good fit to the data, with χ 2 (N=848, 238)= 777.87, p<.01, CFI=.97, RMSEA= .05 (95% CI: .05, .06). The re-experiencing factor showed a direct effect on suicidality (γ = .31, p<.05) as did the avoidance factor (γ = .28, p<.05). The hyperarousal factor demonstrated a direct effect on NSHRB (γ = .76, p<.05). There was an indirect effect of re-experiencing on high risk behavior partially mediated by suicidality (c’+ab = .07). Implications: This study is the first to examine relationships between PTSD symptoms, suicidality, and NSHRB in a single model. Consistent with the literature, we found re-experiencing symptoms to have the strongest association with suicidality. Results suggest that reexperiencing and avoidance symptoms below the PLC clinical cut-point may warrant intervention. Our analyses also showed a strong relationship between hyperarousal and NSHRB. Study limitations included a cross-sectional design and missing data which may limit generalizability. Study findings indicate that veterans who experience hyperarousal symptoms and who have an enhanced tolerance for physical discomfort acquired through military service may be more likely to engage in high risk behaviors with lethal potential. In the context of hyperarousal symptoms and acquired capability for tolerating physical distress, this constellation of risk factors may place veterans in significant danger of early mortality.",
      "authors": "Nicholas U. Barr; Sarah Kintzle; Carl A. Castro; Kathrine S. Sullivan",
      "author_ids": "114068; 110041; 114665; 114224",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3370160416,
        "prompt_eval_count": 1638,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:57:56.440362+00:00"
    },
    {
      "input_index": 721,
      "record_key": "SWRD:38206",
      "source_database": "SWRD",
      "record_id": 38206,
      "year": 2016,
      "title": "A review of the effectiveness of military suicide prevention programs in reducing rates of military suicides",
      "abstract": "The suicide rate within the U.S. armed forces remains a pressing issue for the country. This comprehensive literature review found only five published studies on military suicide prevention programs and their outcomes. Substantial research design and methodological issues are noted, and only one study produces statistically significant results. Findings reveal a serious lack of empirical evidence demonstrating effective suicide prevention programs within the U.S. armed forces.",
      "authors": "Harmon, Lisa M.; Cooper, R. Lyle; Nugent, William R.; Butcher, Jimmie J.",
      "author_ids": "",
      "journal_or_venue": "Journal of Human Behavior in the Social Environment",
      "doi": "10.1080/10911359.2015.1058139",
      "record_type": "journal-article",
      "database_method": null,
      "database_is_scientific": true,
      "database_is_empirical": false,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2096623917,
        "prompt_eval_count": 1002,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:58:07.821776+00:00",
      "screening_source": "Primary screen; blind audit agreement",
      "accuracy_audit": {
        "sample_group": "Relevant Non-empirical",
        "random_seed": 20260802,
        "blind_screening": {
          "is_relevant": true,
          "relevance_rationale": "The record focuses centrally on evaluating the effectiveness of military suicide prevention programs and analyzing outcomes related to suicide rates.",
          "evidence_class": "Non-empirical",
          "empirical_method": "Not applicable",
          "classification_rationale": "Although it reviews literature, the abstract describes a 'comprehensive literature review' without explicitly stating systematic search methods or meta-analytic techniques, classifying it as a narrative/traditional review rather than a systematic empirical synthesis.",
          "confidence": "High"
        },
        "full_label_agreement": true
      }
    },
    {
      "input_index": 722,
      "record_key": "SWRD:39024",
      "source_database": "SWRD",
      "record_id": 39024,
      "year": 2016,
      "title": "A Value-Critical Choice Analysis of a Policy to Prevent Suicide in Veterans and Service Members",
      "abstract": "A few years after the advent of the Global War on Terror, veteran and service member suicide emerged on the national forefront as a public health issue of significant concern. This social policy analysis applies a value-critical choice model to the military suicide prevention provisions mandated by Section 2 of Exec. Order No. 13625 (2012): Improving Access to Mental Health Services for Veterans, Service Members, and Military Families. Results reveal that the suicide prevention provisions mandated by the order have not been fully and effectively implemented and the goal of reducing military suicide remains elusive.",
      "authors": "Schuman, Donna L.; Schuman, Donald L.",
      "author_ids": "",
      "journal_or_venue": "Social Work in Public Health",
      "doi": "10.1080/19371918.2016.1160335",
      "record_type": "Article",
      "database_method": null,
      "database_is_scientific": true,
      "database_is_empirical": false,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2375585667,
        "prompt_eval_count": 1042,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:58:10.199041+00:00"
    },
    {
      "input_index": 724,
      "record_key": "SWRD:115079",
      "source_database": "SWRD",
      "record_id": 115079,
      "year": 2016,
      "title": "Bulletproofing the Psyche: Mindfulness Interventions in the Training Environment to Improve Resilience in the Military and Veteran Communities",
      "abstract": "While clinical health services exist for service members with existing mental health conditions like posttraumatic stress, they are not stemming the rising tide of service suicides. A new approach to mental health intervention and suicide prevention in military-connected personnel is required, one that speaks to the participatory, hardworking ethos of military culture. Social work and health promotion professionals working to prevent and treat mental health problems like depression and stress injuries must understand the confluence of warrior culture and mental health issues in the veteran community. While the research literature does not yet address this confluence issue directly, programs exist that provide guidance, and a mindfulness-based training protocol may provide the answer. The purpose of this review is to provide programming recommendations based on a review of successful exemplars in treatment settings, the limited evaluation of best practices currently available when worki",
      "authors": "Kate Hendricks Thomas; Sarah Plummer Taylor",
      "author_ids": "",
      "journal_or_venue": "Advances in Social Work",
      "doi": "dc/def22ebbfe",
      "record_type": "fetch_failed",
      "database_method": null,
      "database_is_scientific": true,
      "database_is_empirical": false,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2334119458,
        "prompt_eval_count": 1096,
        "eval_count": 24
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      "screened_at": "2026-08-02T17:58:14.821917+00:00"
    },
    {
      "input_index": 725,
      "record_key": "SWRD:38837",
      "source_database": "SWRD",
      "record_id": 38837,
      "year": 2016,
      "title": "Continuing Education on Suicide Assessment and Crisis Intervention for Social Workers and Other Mental Health Professionals: A Follow-Up Study",
      "abstract": "Historically, graduate training programs have not taught suicide assessment and intervention skills in depth; therefore, the development of effective continuing education offerings is relevant and necessary for practicing social workers. Although the ability to increase knowledge and confidence is critical, a focus on competency-based education demands that training participants also incorporate the new skills into practice. This study evaluates a 6 hour continuing education program on suicide assessment and intervention. A one-group, pretest/posttest/3-month follow-up design assessed changes in knowledge and confidence as well as participants' self-reported integration of knowledge and skills into their practice. Implications for continuing education programs on suicide assessment and intervention are discussed.",
      "authors": "Mirick, Rebecca G.; Bridger, Joanna; Mccauley, James; Berkowitz, Larry",
      "author_ids": "",
      "journal_or_venue": "Journal of Teaching in Social Work",
      "doi": "10.1080/08841233.2016.1200171",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2358967250,
        "prompt_eval_count": 1060,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:58:17.183133+00:00"
    },
    {
      "input_index": 726,
      "record_key": "SWRD:102743",
      "source_database": "SWRD",
      "record_id": 102743,
      "year": 2016,
      "title": "Death of a Student: Dealing with Competing Interests",
      "abstract": "When I accepted roles of Associate Chair and Director of Online & Offsite Programs in the Social Work Department in August 2013, it meant taking on additional academic administrative responsibilities as well as continuing my teaching, albeit in a reduced capacity. The excitement and nervousness about my new role quickly transformed into a life-changing experience when in my first year a student with whom I had worked closely—and whom I admired for her earnest passion and determination to help others—died by suicide. Amanda was my Capstone student and also part of the offsite program, which meant I was both her teacher and the administrator for her program. Her death led to profound personal and professional challenges for me. As an individual, I had a close connection, so I wanted to share stories about her, grieve with others who were grieving, and try to understand what had happened. As an administrator, I had rules I was expected to follow, obligations to students who were grieving, and the feeling that I couldn’t grieve as I wanted to because I needed to project professionalism. Recognizing and navigating this duality posed a great challenge, raised many questions, and ultimately pushed me to evolve my thinking.",
      "authors": "Wrenn; Haskel D",
      "author_ids": "",
      "journal_or_venue": "Reflections: Narratives of Professional Helping",
      "doi": null,
      "record_type": "Article",
      "database_method": null,
      "database_is_scientific": true,
      "database_is_empirical": false,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2569987583,
        "prompt_eval_count": 1158,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:58:19.754957+00:00"
    },
    {
      "input_index": 727,
      "record_key": "SWRD:38211",
      "source_database": "SWRD",
      "record_id": 38211,
      "year": 2016,
      "title": "Evidence-based gatekeeper suicide prevention in a small community context",
      "abstract": "This review examines 10 studies of suicide prevention programs conducted in small communities using these programs: (1) Applied Suicide Intervention Skills Training (ASIST), (2) Connect, (3) Campus Connect, and (4) Question, Persuade, and Refer (QPR). These evidence-based programs are listed in the Best Practices Registry funded by the Substance Abuse and Mental Health Services Administration. The programs with the strongest evidence of efficacy and effectiveness are ASIST and QPR. Recommendations are the following: (1) increase research on prevention programs with diverse trainees; (2) create decision models that consider program costs relative to impacts; and (3) develop more suicide prevention programs that target at-risk adults.",
      "authors": "Herron, Freida B.; Patterson, David A.; Nugent, William R.; Troyer, Jason M.",
      "author_ids": "",
      "journal_or_venue": "Journal of Human Behavior in the Social Environment",
      "doi": "10.1080/10911359.2015.1058626",
      "record_type": "journal-article",
      "database_method": null,
      "database_is_scientific": true,
      "database_is_empirical": false,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2284113916,
        "prompt_eval_count": 1063,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:58:22.040939+00:00",
      "independent_manual_spot_check": {
        "random_seed": 20260803,
        "agreement": true,
        "manual_screening": {
          "is_relevant": true,
          "evidence_class": "Non-empirical",
          "empirical_method": "Not applicable"
        },
        "rationale": "Suicide-prevention programs are central, but the abstract does not describe a systematic, scoping, or meta-analytic search and selection method."
      }
    },
    {
      "input_index": 728,
      "record_key": "SWRD:37454",
      "source_database": "SWRD",
      "record_id": 37454,
      "year": 2016,
      "title": "Exploring the relationship between transgender-inclusive providers and mental health outcomes among transgender/gender variant people",
      "abstract": "Using a statewide survey of transgender and gender variant individuals (N=417), this study examines the association between having a transgender-inclusive provider and three mental health concerns: current experience of depression, lifetime experience of anxiety disorder, and suicidality within the last year. Findings suggest that having a transgender-inclusive provider is associated with decreased rates of depression and suicidality, but not with lifetime experience of having anxiety. Implications for future research and education of providers are discussed.",
      "authors": "Kattari, Shanna K.; Walls, N. Eugene; Speer, Stephanie Rachel; Kattari, Leonardo",
      "author_ids": "",
      "journal_or_venue": "Social Work in Health Care",
      "doi": "10.1080/00981389.2016.1193099",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:58:24.391628+00:00"
    },
    {
      "input_index": 729,
      "record_key": "SWRD:38080",
      "source_database": "SWRD",
      "record_id": 38080,
      "year": 2016,
      "title": "Factor Structure and Validity of the K6 Scale for Adults With Suicidal Ideation",
      "abstract": "Objective: This study examines the factor structure and utility of the K6 psychological distress scale for adults with suicidal ideation. Method: The sample, drawn from the 2011 National Survey on Drug Use and Health, consists of 2,098 adults age 18 years or older who reported suicidal ideation. Confirmatory factor analyses (CFA) were conducted to test the single-factor (psychological distress), 2-factor (depression and anxiety), and second-order 2-factor models. Structural equational modeling (SEM) was used to test whether the K6 scores have concurrent validity with suicidal behaviors. Results: The results from the CFA indicate the single-factor model, the 2-factor model, and the second-order 2-factor model all fit the data well, with all items loading significantly, as expected. However, the results from the SEM analyses suggest that only the singlefactor model has concurrent validity for suicide plan and attempt. Chi-square analysis suggests the K6 cutoff point for serious psychological distress is associated with increased probability of suicidal behaviors. Conclusions: Results suggest the K6 has utility as a short screening measure to assess the level of psychological distress and the risk of suicidal behaviors of adults with suicidal ideation. The K6 can be used as a single-factor measure of psychological distress among adults with suicidal ideation in clinical studies. Social workers can use the K6 as a brief screening tool for the level of psychological distress experienced by adults with suicidal ideation to inform further suicide risk assessment.",
      "authors": "Ko, Jungyai; Harrington, Donna",
      "author_ids": "",
      "journal_or_venue": "Journal of the Society for Social Work and Research",
      "doi": "10.1086/685033",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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        "eval_count": 24
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      "screened_at": "2026-08-02T17:58:27.010298+00:00"
    },
    {
      "input_index": 730,
      "record_key": "SWRD:39073",
      "source_database": "SWRD",
      "record_id": 39073,
      "year": 2016,
      "title": "Geriatric Case Managers' Perspectives on Suicide Among Community-Dwelling Older Adults",
      "abstract": "It has been suggested that clinical screening for suicide, along with firearm assessment and safety counseling, are important in service provision to older adults. It is unclear, however, how geriatric case managers respond to these issues. This study surveyed geriatric case managers (n=161) from Area Agencies on Aging in Ohio on their knowledge, attitudes, and behaviors related to suicide, firearm assessment, and safety counseling. Results indicated that the majority of respondents (70%) agree their clients are at risk for suicide. However, few (30%) in this study reported that they assess for firearms and less than half (48%) discuss firearms with their clients/family members when specifically assessing for suicide. Analyses identified barriers that contribute to the decreased likelihood that routine firearm assessment and safety counseling would occur, such as lack of training and time. Implications include the need for training with geriatric case managers that addresses barriers to suicide, firearm assessment and safety counseling as a means to decrease these population risks.",
      "authors": "Slovak, Karen; Pope, Natalie D.; Brewer, Thomas W.",
      "author_ids": "",
      "journal_or_venue": "Journal of Gerontological Social Work",
      "doi": "10.1080/01634372.2015.1111966",
      "record_type": "Article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2326488083,
        "prompt_eval_count": 1124,
        "eval_count": 24
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      "screened_at": "2026-08-02T17:58:29.338924+00:00"
    },
    {
      "input_index": 731,
      "record_key": "SWRD:37526",
      "source_database": "SWRD",
      "record_id": 37526,
      "year": 2016,
      "title": "Identifying Risk for Suicide",
      "abstract": null,
      "authors": "Doherty, Tracie; DeVylder, Jordan",
      "author_ids": "",
      "journal_or_venue": "Health & Social Work",
      "doi": "10.1093/hsw/hlw033",
      "record_type": "journal-article",
      "database_method": null,
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_only",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2036789208,
        "prompt_eval_count": 923,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:58:31.377155+00:00"
    },
    {
      "input_index": 732,
      "record_key": "SWRD:38910",
      "source_database": "SWRD",
      "record_id": 38910,
      "year": 2016,
      "title": "Military Culture and the Transition to Civilian Life: Suicide Risk and Other Considerations",
      "abstract": null,
      "authors": "Pease, James L.; Billera, Melodi; Gerard, Georgia",
      "author_ids": "",
      "journal_or_venue": "Social Work",
      "doi": "10.1093/sw/swv050",
      "record_type": "journal-article",
      "database_method": null,
      "database_is_scientific": null,
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      "screening_basis": "title_only",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2056995417,
        "prompt_eval_count": 934,
        "eval_count": 24
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      "screened_at": "2026-08-02T17:58:33.435491+00:00"
    },
    {
      "input_index": 733,
      "record_key": "SWRD:94012",
      "source_database": "SWRD",
      "record_id": 94012,
      "year": 2016,
      "title": "Pediatric Emergency Department Visits for Mental Health Crisis: Prevalence of Cyber-Bullying in Suicidal Youth",
      "abstract": "The objective of this work is to (1) study the prevalence of cyber-bullying amongst adolescents referred by Pediatric Emergency Department (PED) for urgent psychiatric assessment and (2) to examine the association between cyber-bullying and suicidal behavior to assist emergency department professionals in screening for risk and triage. This is a retrospective study of patients referred by PED to an urgent psychiatric clinic. Data was extracted for those with bullying victimization. Clinical variables included demographics, reason for referral, type of bullying, substance use, abuse, past psychiatric history, diagnosis and outcome. The cyber-bullying group was compared to those with traditional bullying and a group with no-bullying. Data analysis was conducted using Chi squares, multinomial and bimodal logistic regression. The urgent psychiatric clinic assessed 805 patients in 24 months, the prevalence of bullying was 26.9 % (n = 217). The prevalence of Cyber-bullying was 13.5 % (n = 109) and traditional bullying was 13.4 % (n = 108). Cyber-bullying victims have more suicidal ideation (chi(2) = 7.82, p = .005; 85.3 vs. 69.4 %), more sexual abuse (chi(2) = 5.75, p = .02; 29.4 vs. 15.7 %), more emotional abuse (chi(2) = 10.8, p = .01; 30.3 vs. 12.0 %) and physical abuse (chi(2) = 6.13, p = .01; 27.5 vs. 13.9 %) and a higher inpatient admission rate. Suicidal ideation is the presenting problem in more than two-thirds of patients, especially females, with history of cyber-bullying who present to the PED. Screening questions about cyber-bullying could assist emergency room professionals in establishing risk and making triage decisions.",
      "authors": "Roberts, Nasreen; Axas, Nicholas; Nesdole, Robert; Repetti, Leanne",
      "author_ids": "",
      "journal_or_venue": "Child & Adolescent Social Work Journal",
      "doi": "10.1007/s10560-016-0442-8",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2952313459,
        "prompt_eval_count": 1366,
        "eval_count": 24
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      "screened_at": "2026-08-02T17:58:36.389496+00:00"
    },
    {
      "input_index": 734,
      "record_key": "SWRD:38085",
      "source_database": "SWRD",
      "record_id": 38085,
      "year": 2016,
      "title": "Predicting Changes in Behavioral Health Professionals' Clinical Practice Skills for Recognizing and Responding to Suicide Risk",
      "abstract": "Objective: Behavioral health professionals who have primary contact with people at risk for suicide play a critical role in suicide prevention. Previous studies suggest that training helps professionals build clinical practice skills to identify and assess suicide risk, but only limited research is available regarding which factors influence changes in clinical practice skills. This study aims to identify those factors, as measured by written responses to 3 vignettes, over time. Social cognitive theory is used as the conceptual framework to develop models of changes in clinical practice skills. Method: Secondary data (n = 314) from the Recognizing and Responding to Suicide Risk (RRSR) training are analyzed using multilevel modeling analyses. Results: Model 1 shows higher levels of self-efficacy and more positive attitudes toward suicide prevention significantly predict improvement in clinical practice skills over time. Model 2 shows other significant predictors of changes in behavioral health professionals' clinical practice skills include self-efficacy, gender, age, and educational degree. Conclusions: Findings from the analyses suggest those designing trainings or interventions intended to increase professionals' skills in suicide prevention should account for individual characteristics, differing levels of self-efficacy, and variability in attitudes toward suicide prevention among behavioral health professionals.",
      "authors": "Lee, Sang Jung; Osteen, Philip J.; Frey, Jodi Jacobson",
      "author_ids": "",
      "journal_or_venue": "Journal of the Society for Social Work and Research",
      "doi": "10.1086/685037",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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      "screened_at": "2026-08-02T17:58:38.933405+00:00"
    },
    {
      "input_index": 735,
      "record_key": "SWRD:38306",
      "source_database": "SWRD",
      "record_id": 38306,
      "year": 2016,
      "title": "PTSD symptoms, suicidality and non-suicidal risk to life behavior in a mixed sample of pre-and post-9/11 veterans",
      "abstract": "This study investigated relationships between symptom clusters of posttraumatic stress disorder (PTSD), suicidal ideation, suicide plan, and non-suicidal risk to life behavior (NSRB) behavior in a sample of 1,356 pre- and post-9/11-era military veterans. After controlling for a positive PTSD screen, results indicated that suicidal ideation was significantly associated with re-experiencing symptoms (OR=1.12), White race (OR=1.82) and use of pain medication (COR=1.62). Suicide plan was associated with avoidance symptoms (OR=1.08), and NSRB with hyperarousal symptoms (OR=1.11) and severe alcohol use (OR=2.10). Standardized coefficients indicated that re-experiencing symptoms (b=.38) were a stronger predictor of suicidal ideation than White race (b=.16) or pain medication (b=.12) and that hyperarousal symptoms (b=.36) were a stronger predictor of NSRB than severe alcohol use (b=.15). The interpersonal-psychological theory of suicide was used to frame a discussion of military specific suicide risk as well as the risk of premature death among veterans who endorse NSRB but not suicidality. We suggest that this subset of veterans may be overlooked by traditional screening methods while nonetheless presenting with great risk for premature death.",
      "authors": "Barr, Nicholas Upton; Sullivan, Kathrine; Kintzle, Sara; Castro, Carl Andrew",
      "author_ids": "",
      "journal_or_venue": "Social Work in Mental Health",
      "doi": "10.1080/15332985.2015.1081666",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:58:41.521048+00:00"
    },
    {
      "input_index": 736,
      "record_key": "SWRD:37742",
      "source_database": "SWRD",
      "record_id": 37742,
      "year": 2016,
      "title": "Sense of Community: Is it a Protective Factor for Military Veterans?",
      "abstract": "Veteran community reintegration (VCR) difficulties impact personal, interpersonal, educational/occupational, and community aspects of returning military service members. Sense of community (SOC), an individual's feeling of membership, influence, need fulfillment, and emotional connection, is the theoretical underpinnings for community-based practice interventions used with this population. This study investigates the mediating role of SOC on the relationship between mental health risk factors (PTSD, depression, and suicidal ideation), employment status, and VCR difficulties among military veterans. Data used in this study (N = 131) were collected by the authors for an outcome evaluation study in 2013. Results found a statistically significant path from depression to SOC and a significant and direct path from SOC to VCR difficulties, suggesting that veterans who are connected to their local communities may be more at risk for depression and VCR difficulties. Practice implications suggest social workers should look beyond the local community as a resilience factor for military veterans and explore more culturally relevant responses (such as veteran support at public universities, individual social support, and local/virtual military support groups). Future research should continue the search for resilient factors among this millennial generation of returning military veterans.",
      "authors": "Thomas, Veliska J.; Bowie, Stan L.",
      "author_ids": "",
      "journal_or_venue": "Journal of Social Service Research",
      "doi": "10.1080/01488376.2015.1109575",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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        "eval_count": 27
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      "screened_at": "2026-08-02T17:58:44.236962+00:00"
    },
    {
      "input_index": 737,
      "record_key": "SWRD:37525",
      "source_database": "SWRD",
      "record_id": 37525,
      "year": 2016,
      "title": "Sleep as an Underused Target for Rapid Response in the Treatment of Depression and Suicidal Ideation",
      "abstract": null,
      "authors": "DeVylder, Jordan",
      "author_ids": "",
      "journal_or_venue": "Health & Social Work",
      "doi": "10.1093/hsw/hlw031",
      "record_type": "journal-article",
      "database_method": null,
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_only",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2094741333,
        "prompt_eval_count": 938,
        "eval_count": 24
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      "screened_at": "2026-08-02T17:58:46.333481+00:00"
    },
    {
      "input_index": 738,
      "record_key": "SWRD:37803",
      "source_database": "SWRD",
      "record_id": 37803,
      "year": 2016,
      "title": "Suicidal ideation and self-harm among youths in Norway: associations with verbal, physical and sexual abuse",
      "abstract": "Using data from a national survey (n=6979) of young people in their last year in Norwegian secondary schools in 2007 (aged 18-19), this paper explores the relationship between sexual abuse and experiences of violence among young people in Norway and their reporting of suicidal ideation and self-harm. This investigation includes three types of abuse experienced by young people: non-physical, physical and sexual. We investigate suicidal ideation and two types of self-harming behaviour: non-suicidal self-injury and suicidal self-injury. The analyses that are reported involve descriptive analysis, chi-square and t-tests, and logistic regression. The hypothesis that was confirmed by the analysis was that being subject to sexual abuse or other violence was associated with increased risk of self-harm. The hypothesis that was partially supported by the analysis was that violence experienced during childhood would have more effect on suicidal ideation and self-harm than violence experienced at a later age. Contrary to our expectations, it was found that peer bullying has a stronger effect on young people's suicidal ideation and self-harming behaviours than sexual abuse or physical violence. The implications of these findings for practitioners working with children and youth involve raising awareness about the long-term effects of verbal, physical, sexual and witnessed abuse.",
      "authors": "Mossige, Svein; Huang, Lihong; Straiton, Malanie; Roen, Katrina",
      "author_ids": "",
      "journal_or_venue": "Child & Family Social Work",
      "doi": "10.1111/cfs.12126",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2593959541,
        "prompt_eval_count": 1193,
        "eval_count": 24
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      "screened_at": "2026-08-02T17:58:48.929041+00:00"
    },
    {
      "input_index": 739,
      "record_key": "SWRD:38347",
      "source_database": "SWRD",
      "record_id": 38347,
      "year": 2016,
      "title": "Suicide among individuals with schizophrenia: A risk factor model",
      "abstract": "Suicide is the tenth leading cause of death in the United States and is the leading cause of death among individuals with schizophrenia. In order to prevent premature suicidal death and improve the quality of life among individuals with schizophrenia, conceptual models are needed to understand the mechanisms of suicide risk. This article reviews the theoretical perspectives of schizophrenia, suicide, and the intersection of schizophrenia and suicide to develop a conceptual basis for future prevention and intervention efforts by health and mental health practitioners and researchers. A better explanation and understanding of risk factors for suicide has the potential to play a larger role in treatment and recovery of schizophrenia, and prevent premature suicidal death. As a result of the absence to date of theoretically driven and empirically testable models of suicidal behaviors tailored for individuals with schizophrenia, the current article proposes a model of suicide risk specific to individuals with schizophrenia to increase understanding of risk and to inform prevention efforts.",
      "authors": "Bornheimer, Lindsay A.; Duy Nguyen",
      "author_ids": "",
      "journal_or_venue": "Social Work in Mental Health",
      "doi": "10.1080/15332985.2014.946549",
      "record_type": "journal-article",
      "database_method": null,
      "database_is_scientific": true,
      "database_is_empirical": false,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2337760875,
        "prompt_eval_count": 1094,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T17:58:51.268736+00:00",
      "independent_manual_spot_check": {
        "random_seed": 20260803,
        "agreement": true,
        "manual_screening": {
          "is_relevant": true,
          "evidence_class": "Non-empirical",
          "empirical_method": "Not applicable"
        },
        "rationale": "The paper centrally develops a conceptual suicide-risk model without analyzing new observations or conducting a systematic review."
      }
    },
    {
      "input_index": 740,
      "record_key": "SWRD:37690",
      "source_database": "SWRD",
      "record_id": 37690,
      "year": 2016,
      "title": "Suicide Attempt Status and Quality of Life Disparity Among Individuals with Schizophrenia: A Longitudinal Analysis",
      "abstract": "Objective: Survivors of a suicide attempt are at greater risk for future suicide than those who have no history of such attempts (i.e., non-attempters), particularly in the context of schizophrenia. Although disparity between attempt survivors and non-attempters in quality of life (QoL) can potentially influence suicide risk disparity over time, no known longitudinal work has focused on QoL disparities between these groups. This study examined 2 types of QoL differences between attempt survivors and non-attempters over a 3-year period: (a) differences in levels of QoL (i.e., chronic disparity), and (b) differences in QoL change (i.e., change disparity). Method: In a sample of 166 adults with schizophrenia entering community-based psychosocial rehabilitation, 2-level hierarchical linear models were used to compare attempt survivors and non-attempters on objective and subjective QoL domains over 7 waves. Results: Chronic disparity in subjective QoL between groups was observed in work (b = -0.51; 95% CI [-0.95, -0.06]), relationship (b = -1.53; 95% CI [-2.68, -0.37]) and self-present life (b = -2.04; 95% CI [-3.12, -0.95]) domains, with attempt survivors having lower QoL levels than non-attempters over time. Change disparity in objective QoL between groups was observed in the relationship domain (b = -0.23; 95% CI [-0.40, -0.07]), with attempt survivors having a lower rate of QoL change. Conclusions: Finding chronic and change disparities between attempt survivors and non-attempters suggests that QoL disparity could reflect a distinct clinical profile for attempt survivors over time, that service delivery efforts should account for attempt status to address enduring and emerging QoL gaps, and that suicide attempt status deserves more attention in schizophrenia research.",
      "authors": "Fulginiti, Anthony; Brekke, John S.",
      "author_ids": "",
      "journal_or_venue": "Journal of the Society for Social Work and Research",
      "doi": "10.1086/686645",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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        "total_duration_ns": 2873104875,
        "prompt_eval_count": 1360,
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      "screened_at": "2026-08-02T17:58:54.143984+00:00"
    },
    {
      "input_index": 742,
      "record_key": "SWRD:37288",
      "source_database": "SWRD",
      "record_id": 37288,
      "year": 2016,
      "title": "The last and greatest battle: finding the will, commitment, and strategy to end military suicides",
      "abstract": null,
      "authors": "Stephens, Paul",
      "author_ids": "",
      "journal_or_venue": "European Journal of Social Work",
      "doi": "10.1080/13691457.2015.1092226",
      "record_type": "journal-article",
      "database_method": null,
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_only",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
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      "model": "qwen3.6:27b",
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      "input_index": 743,
      "record_key": "SWRD:38630",
      "source_database": "SWRD",
      "record_id": 38630,
      "year": 2016,
      "title": "The Wish to Die: Assisted Suicide and Mental Illness",
      "abstract": null,
      "authors": "Hirsch, Jennifer",
      "author_ids": "",
      "journal_or_venue": "Journal of Social Work in End-Of-Life & Palliative Care",
      "doi": "10.1080/15524256.2016.1200516",
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        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T17:59:00.558359+00:00",
      "screening_source": "Primary screen; blind audit agreement",
      "accuracy_audit": {
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          "is_relevant": true,
          "relevance_rationale": "The title explicitly addresses assisted suicide in the context of mental illness, which falls under the scope of suicide-specific policy, practice, and risk factors.",
          "evidence_class": "Non-empirical",
          "empirical_method": "Not applicable",
          "classification_rationale": "As a title-only record with no abstract to indicate data analysis or systematic methods, the conservative fallback is Non-empirical.",
          "confidence": "High"
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    {
      "input_index": 744,
      "record_key": "SWRD:37361",
      "source_database": "SWRD",
      "record_id": 37361,
      "year": 2016,
      "title": "Trust and the dilemmas of suicide risk assessment in non-government mental health services (vol 69, pg 145, 2016)",
      "abstract": null,
      "authors": "Lemon, G.; Stanford, S.; Sawyer, A-M",
      "author_ids": "",
      "journal_or_venue": "Australian Social Work",
      "doi": "10.1080/0312407x.2016.1169573",
      "record_type": "journal-article",
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      "screening_basis": "title_only",
      "screening": {
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        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T17:59:02.630474+00:00"
    },
    {
      "input_index": 746,
      "record_key": "SSWR:2017-P-0463",
      "source_database": "SSWR",
      "record_id": "2017-P-0463",
      "year": 2017,
      "title": ": Implementation of Dialectical Behavior Therapy in a Residential Setting: Dissemination and Evaluation",
      "abstract": "Background : The use of evidence-based practices (EBPs) in social services is gaining momentum as the standard of care. However, many residential settings employ individuals without advanced formal education and training as Direct Service Professionals (DSPs). Typically, these lower-level workers provide the majority of daily care to the more challenged clients, often leading to poorer quality of client care, staff burnout, and high staff turnover rates. The use of EBPs has the potential to mitigate poor client and staff outcomes in such settings when appropriate training can support fidelity to the intervention model. A promising intervention is Dialectical Behavior Therapy (DBT), an EBP that reduces suicidality, psychiatric hospitalization, and substance use, while improving treatment retention. However, training is required to successfully implement DBT as a therapeutic intervention, and maintenance relies on reinforcement by the program milieu in which it is delivered. Provision of training on EBPs, such as DBT, is important for both quality of client care and workforce development. This paper presents a DBT training delivery model and a process evaluation designed to provide feedback on the implementation of the model. Objectives: The DBT training initiative sought to create a “DBT-informed program culture” through staff training and program-level consultation in four phases. The evaluation designed sought to 1) assess individual staff knowledge and retention following DBT training, 2) evaluate the impact of organizational culture, and 3) assess fidelity of DBT service delivery. Methods: Five residential programs of Resources for Human Development serving individuals with severe mental illness, chemical dependency, and/or forensic involvement in the greater Philadelphia area volunteered to participate in the training initiative from 2013-2015. Staff knowledge retention was measured through administration of an 18 question assessment of principles and skills associated with the four DBT modules: emotional regulation, distress tolerance, interpersonal skills, and mindfulness at 3 months post-training. Organizational culture was assessed using the Organizational Readiness for Change Part D (ORC-D4) (TCU Institute of Behavioral Research, 2009) measure at conclusion of training Phase 2. Fidelity of DBT service implementation was measured during Phase 3 and 3 months post-completion using the DBT Skills Group Observation tool (2009, DBT Center of Michigan) and client completion of the Session Rating Scales (SRS v3.0; Miller & Duncan, 2000). Results: Thirty-four staff completed a knowledge retention quiz. Staff were predominantly female (76.5%), African-American (79.4%), and with a mean age of 34.2 ( SD =8.4). Most had completed some college (58.8%), with a total of 79.4% of the sample attaining less than a four year degree at the time of training. Mean score on the 3 month post-training knowledge assessment was 83.3% with 61.8% of the sample scoring 83.3% or higher. Conclusions: Results of the first phase of the training initiative suggest that it is feasible to train DSPs in the principles of DBT in a cost-effective manner, but attention is required to uneven knowledge retention. Future directions should include examination of the relationship of knowledge retention to measures of fidelity and organizational culture.",
      "authors": "Amber M. Holbrook; Susan R. Hunt; Mary Renata See",
      "author_ids": "113602; 115146; 116426",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:59:08.514341+00:00"
    },
    {
      "input_index": 747,
      "record_key": "SSWR:2017-U-0507",
      "source_database": "SSWR",
      "record_id": "2017-U-0507",
      "year": 2017,
      "title": "A Social-Ecological Approach to Understanding Urban American Indian Youth Suicide Prevention",
      "abstract": "Background and Purpose: American Indian (AI) youth have the highest rates of suicide among all ethnic groups in the United States, with rates 62% above the national average for youth ages 10-25 (Centers for Disease Control and Prevention, 2014). Prior research suggests that most AI communities view suicide as a social or even societal phenomenon, rooted in historical injustices and contemporary inequities. This study uses a social-ecological framework to examine existing barriers and resources for addressing AI youth suicide in an urban setting.  In addition, this presentation highlights the importance of understanding the cultural and historical context that frames AI youth suicide prevention efforts. Methods: Face-to-face interviews ranging from 45 minutes to two hours were conducted with 15 American Indian respondents age 13 to 79, with an average age of 39.33, including eight men and seven women.  Twelve respondents had completed high school, four of which reported some college.  Nine participants had personally known someone who had attempted suicide. Respondents were identified by staff at an Urban Indian Health Organization (UIHO). The UIHO has a longstanding research partnership with a Midwestern university.  Inductive thematic analysis was used to identify themes in the data and limited the analysis to participants’ explicitly stated understandings. Findings: Thematic analysis resulted in twenty-two themes, which can be categorized by level of analysis: intrapersonal, community, cultural, and historical.  Intrapersonal sources of support, such as friends or family members, were identified as a central resource for youth suicide prevention.  Participants framed the importance of these resources in terms of cultural values related to mutual support, important characteristics of helpers, and traditional ways of sharing knowledge.  Challenges at this level included a lack of knowledge about suicide among community members, the potential for stressful home environments to contribute to youth’s problems, and reluctance in the community to talk about suicide or personal problems generally. Participants indicated the presence of some formal mental health services in the community, but noted that these were largely undesirable.  This was seen as a consequence of invisibility of AI’s within the broader cultural context, inadequate government support, and a long history of negative institutional experiences.  Additionally, characteristics of the urban environment, such as inadequate public transportation, reduced access to these services.  At the same time, values and beliefs in the AI community were seen as conflicting with the requirements of professional services and formal interventions.  For example, life experience and trust were seen as the most important characteristics for potential helpers, rather than formal mental health training. Conclusion and Implications: Findings suggest that urban AI youth can more easily access intrapersonal resources for suicide prevention. Community members also face a number of challenges that make formal resources inaccessible.  These resources and challenges can best be understood by examining cultural and historical contexts that frame the current community and intrapersonal environment. It is thus imperative that those who wish to conduct suicide prevention activities in AI communities strive to understand existing values and beliefs as well as historical experiences related to this topic.",
      "authors": "Rachel L. Burrage; Sandra L. Momper",
      "author_ids": "116536; 108890",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:59:11.930912+00:00"
    },
    {
      "input_index": 751,
      "record_key": "SSWR:2017-U-0098",
      "source_database": "SSWR",
      "record_id": "2017-U-0098",
      "year": 2017,
      "title": "Adapting ACEs Assessment Toward Explaining Adolescent Mental Health Outcomes in Population Data",
      "abstract": "Background/Purpose :  In addition to physical health disparities, mental health disorders have been consistently identified as risk outcomes for adverse childhood experiences (ACEs) (McLaughlin et al., 2012). Extending epidemiologic research, we address a gap in testing childhood adversity effects in relation to risk and protective factors that may compound or buffer these effects (Nurius et al., 2012 ). Consistent with social work approaches, we incorporate social disadvantage (income, racial identity) as co-occurring risk factors, as well as inclusion of socioemotional contexts (family, school), and health behaviors (sleep) linked to the neurobiology of stress, and to the value of testing for both cumulative and unique explanatory effects. Methods :  Data derive from the Washington State 2010 Healthy Youth Survey (HYS) applying a cluster sampling design to yield a population sample 76,758 students from 8th, 10th, and 12th grades; 51.74% females, with racial/ethnic composition representative of the state. Childhood adversity was assessed through low income and an interpersonal maltreatment index (summing 4 subscales: physical abuse, peer bullied, dating aggression, unsafe at school), with protective factors assessed through sleep, family support and school engagement. Using theory-guided hierarchical regressions, we sequentially regressed each of three measure of mental health (depression, suicidality, and psychological well-being), controlling for demographics, onto the two explanatory variable sets: childhood adversity and protective factors. Component analysis comparing the maltreatment indexed effects to those of its four constituent subscales was also examined through a parallel set of regressions (linear and logistic regressions). Results :  For each of the mental health outcomes, the full regression models achieved significance, and each of the predictor blocks added significantly to the R 2 change (and likelihood ratio test, X 2 ) in each model. As hypothesized, both maltreatment and socioeconomic factors significantly explained poorer mental health. Although racial minority students reported significantly higher levels of interpersonal maltreatment than white students, race was not consistently patterned in the regression models, although females were more adversely affected than males Each of the three protective factors contributed to better mental health and attenuated the effects of maltreatment and low income. Component analysis revealed that each maltreatment subscale sustained independent significance, but that the cumulative index was far more robust in effect size. Conclusions/Implications :  The findings demonstrate the value of using routinely collected surveillance and system data to assess not only the prevalence of youth adversities such as maltreatment, but to embed this analysis within risk and protective factor frameworks that allow testing of unique and cumulative factor effects. Measured as a cumulative index, youth maltreatment was nearly exclusively the single strongest predictor—a finding not yet reported within these surveillance data. Three of the 4 indicators reflected peer maltreatment forms, accentuating the importance of ACEs-related assessment to tap peer interactions within childhood and adolescence. We elaborate the theoretical basis for interpreting findings within ecobiodevelopment models attentive to stress embodiment (Shonkoff et al, 2012), and the resilience potential of protective factors. Implications for preventive and remedial interventions among family, school, and community levels are discussed.",
      "authors": "Moo-Hyun Kim; Paula S. Nurius",
      "author_ids": "115886; 108293",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:59:25.166357+00:00"
    },
    {
      "input_index": 752,
      "record_key": "SSWR:2017-U-0475",
      "source_database": "SSWR",
      "record_id": "2017-U-0475",
      "year": 2017,
      "title": "Adolescent Suicide Ideation: Schools Make a Difference",
      "abstract": "Background Suicide is a primary cause of death in adolescents and young adults. Suicide mortality rates increase from .7 in 100,000 among children 5-14 years old to 7.5 among adolescents 15-19 year olds. Suicide ideation increases dramatically from the age of 12,  until the age of 18, reaching a lifetime prevalence rate of more than 16%. Despite the importance of school experiences for adolescents, only a few studies attempted to conceptualize and investigate empirically the relationships between school context characteristics and suicide ideation. These studies did not address fully the multilevel nature of student experiences embedded within schools. The present study employs a multi-level perspective and investigates the contribution of both school-level attributes and individual student attributes to student suicide-ideation. Methods School-level data for this study were drawn from the school database of California Department of Education (Enrollment, Percentage of students eligible for Free and Reduced Lunch, Racial composition, and Academic Performance Index (API)). Student-level data were taken from the California Healthy Kids Survey (CHKS), a bi-annual survey conducted in all school districts in California. Analyses were first conducted on surveys administered in 2011-2012 to 790 schools with 345,203 9 th and 11th graders.  Analyses were then replicated on surveys administered in 2009-2010 to 860 schools with 406,313 students . The CHKS self-report questionnaire consists of a series of structured scales with acceptable to high internal consistencies. The following variables were measured: Victimization, Discrimination-based harassment or bullying, Involvement with guns and gangs, and school climate (Adult Support and Belongingness), and academic behaviors and achievement (cutting classes and grades). Suicide-ideation was assessed using the item- During the past 12 months, did you ever seriously consider suicide? Findings About 20% of the students reported suicide ideation. In the analytical sample, suicide ideation was predicted by both individual- (R 2 = .20) and school-level predictors (R 2 = .55). Strongest individual predictors were being a female (OR=0.48 for males), school belongingness (OR=.76), moderate victimization (OR=2.12), gang membership (OR=1.47) and discrimination-based victimization (OR=1.42). African American students had lower rates compared with Whites (OR=0.86), whereas Asians (OR=1.13) had higher rates. Strongest school-level predictors were low proportion of male students (beta=-.31), high proportion of Hispanic students (beta=0.25), high school-level of discrimination-based victimization (beta=.35) and high school-level moderate victimization (beta=.30). SES, school academic achievements, and school size were not associated with ideation. School climate was also not predictive of ideation. The findings in the replication sample were essentially the same. Conclusions and discussion The findings indicate that suicide ideation levels among high schoolers is high. This is of special concern given the association between ideation and suicide attempts. Further, there is clear evidence that schools are contexts that are associated with ideation. Prevention efforts targeting individual students need to expand their focus and identify schools with potentially high number of students with suicide ideation, such as schools with high levels of moderate victimization and  discrimination-based  victimization. Prevention efforts should also aim at changing the contexts of schools. Violence prevention efforts may have added benefit in reducing suicide-ideation.",
      "authors": "Rami Benbenishty, PhD; Ron Avi Astor; Ilan Roziner",
      "author_ids": "109814; 109262; 116495",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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    },
    {
      "input_index": 757,
      "record_key": "SSWR:2017-P-0147",
      "source_database": "SSWR",
      "record_id": "2017-P-0147",
      "year": 2017,
      "title": "All Youth Are Not Created Equal: Research & Lessons Learned on the Front Lines of Triaging the Trauma and Acute Needs of Homeless Ethnic Minority Lgbtq Youth",
      "abstract": "Background: This study examined quantitative intake survey data from ethnic minority, homeless lesbian, gay, bisexual, transgender and queer (LGBTQ) youth residing at Trinity Place, a long-term transitional shelter in New York City (NYC). There is an estimated 8,000 homeless LGBTQ youth in NYC yet fewer than 250 shelter beds for such a population. Rates of experiencing trauma, mental health, substance abuse and sexual risk remain disproportionately high. Social workers must provide immediate shelter while simultaneously determining where to target additional interventions. Consequently, an exploration of where to focus intervention efforts is warranted. Building on the shelter’s 10 years of serving this population, researcher/practitioners investigated such questions to “ensure healthy development” for some of the most marginalized youth. Methods: Data were collected from May 1, 2012 through April 1, 2016 using a cross-sectional survey design. The survey was administered by shelter social work staff in English. The sample consisted of all homeless LGBTQ youth admitted during the data collection period (N = 78). Most were African American (46.2%) and Latino (20.5%). 19.2% identified as transgender. The mean age was 21. All data was entered, cleaned, and some variable transformations were completed in SPSS. Data analyses completed include: frequencies, descriptive statistics, t-tests and examining associations between key variables including demographics and individual behavior. Due to the sample size, the Fisher’s Exact Test was selected when examining significant relationships using the Chi-Square Test. Results: The analysis revealed the most commonly reported acute health and social needs were related to mental health, trauma and sexual risk. More transgender youth reported ‘ever being depressed’ (92.9% vs 58.1%, p≤.01) and anxious (57.1% vs 29.0%, p≤.06) compared to cisgender youth. Approximately one third (31.3%) of ethnic minority youth reported suicide attempts and were more likely than whites to report depression as a ‘very serious’ or ‘extreme’ problem compared to white youth (p≤.01). However, only 19.0% (p≤.03) reported prior psychiatric hospitalization compared to 55.6% of whites. Ethnic minority youth also reported high rates of verbal (79.1%) and physical (60.9%) abuse by a parent or direct caregiver and a quarter (25.0%) reported sexual abuse by a family member. 26.6% reported participation in sex work. Of those, 53.3% reported using a condom ‘less than always’ during sex work. Additionally, when engaging in sexual activity, they reported using a condom or other barrier ‘less than always’ 58.8% of the time while drunk or high, and two-thirds (66.7%) with a partner they thought was cheating on them. Implications: The findings suggest shelter staff should direct intervention efforts toward mental health, trauma and sexual risk. Despite disproportionate risk, homeless ethnic minority LGBTQ youth remain under-researched and little is known about those entering transitional shelters. Considering high demands social workers face to provide shelter, targeting interventions and future studies toward specific risk areas is essential in both clinical and research contexts.",
      "authors": "Kevin V. Lotz; Nicholas R. Forge",
      "author_ids": "115907; 115908",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:59:45.618697+00:00"
    },
    {
      "input_index": 758,
      "record_key": "SSWR:2017-U-0552",
      "source_database": "SSWR",
      "record_id": "2017-U-0552",
      "year": 2017,
      "title": "American Indian Rural Youth and Mental Health: Community Knowledge and Methods for Help-Seeking",
      "abstract": "Background and Purpose: There has been limited research with American Indian/Alaskan Native (AIAN) youth on their knowledge and preferred methods of help-seeking for mental health concerns (depression, suicidal ideation, surviving trauma, etc.). Much of what we know about AIAN mental health comes from adult perspectives, though prevalence of mental health issues among youth in this population is particularly high.  The purpose of this paper is to identify support for mental health help-seeking among AIAN youth that is contextually and culturally relevant by investigating how social work researchers and practitioners can use community strengths and knowledge in designing mental health programs. Methods : As part of a larger study, seven semi-structured focus groups were conducted with self-identified AIAN youth (14-17; n = 6) and young adults (18-25; n= 14) in a rural community in the Pacific Northwest.  Participants were recruited via fliers and a community liaison that lived in the community.  Focus groups were conducted in local community centers.  Group participants (n=3-6) were separated by gender and age: male participants, 14-17 and 18-25 (n=9); female participants 14-17 and 18-25 (n=11).  Groups were asked questions related to their current knowledge of mental health, supports and resources in the community, and how they would prefer to tailor a program specific to their needs.  Thematic coding of verbatim transcripts was completed using Dedoose software by two independent coders using inductive content analysis and grounded theory. Results : Youth exhibited substantial knowledge of mental health such as barriers to help-seeking (shame, money, transportation, availability of resources) and people or places they could go to for help (counselors, friends, family, spiritual support).  Youth expressed concerns about professional help because they value their privacy and were aware that reporting mental health crises could lead to professionals telling family or outsiders—which they noted may be unique to rural living in small communities where friends/family may work at service locations. Youth were able to identify friends, family, or service providers as resources for help; however, the individual the youth contacted was dependent upon the type of mental health need (e.g. suicidal ideation versus the loss of a loved one). Youth mentioned traditional practices such as “sweating” and “smudging” as methods of healing; however, some participants noted the importance of culture in healing depends on the individual.  Females were more likely than males to describe social services and cultural influences that have been useful in their healing. Conclusions and Implications: From this study we learned that youth seek out resources that provide them a sense of safety and confidentiality in addition to having the option to either participate in cultural practices or not, depending on need and preference.  Social work interventions could benefit from understanding that a combination of cultural openness, family supports, and confidentiality can create a positive space for mental health healing.  Additionally, recognizing community strengths prior to implementing programs may support community participation.  Understanding the community context, from the perspective of stakeholders, can support social workers to effectively work with this population and their help-seeking preferences.",
      "authors": "Bianca N. Altamirano; Cynthia Pearson; Lucy Smartlowit-Briggs",
      "author_ids": "111040; 113016; 116590",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T17:59:48.976581+00:00"
    },
    {
      "input_index": 762,
      "record_key": "SSWR:2017-U-0435",
      "source_database": "SSWR",
      "record_id": "2017-U-0435",
      "year": 2017,
      "title": "Client's Suicide and Its Relation to Drinking and Depression in Mental Health Social Workers in Korea",
      "abstract": "Background : The mental health social workers in Korea have a significant role in providing clinical social work services and mental health services in the social work fields. While they are providing social work services to the clients, they often experience clients commit or attempt suicide. These experiences can become traumatic and affect their mental health. The purpose of this study is to explore their experience in clients committing or attempting suicide and its relation to their depression and drinking traits. Methods : The participants of this study are 277 mental health social workers in Korea. The participants were recruited for this study when they attended continuing education training. The Korean version of CES-D (Center for Epidemiologic Studies Depression Scale) was administered to measure the level of depression in mental health social workers. The frequency and amount of drinking, and frequency of binge drinking were evaluated by using the questions in AUDIT-K (Alcohol Use Disorder Identification Test Korean version) to measure participants’ traits of drinking. The participants were asked whether they had experienced clients committing suicide or attempting suicide. Then they were divided into three groups: no experience of clients’ suicide, experienced clients attempting suicide, and experienced clients committing suicide. The depression and traits of drinking of participants were compared among these three groups by ANOVA and t-Test analysis. Results : The participants’ mean age was 31.9 (SD=6.59), most of them were female social workers (79%), 62% were married, and their mean years of working experience in the mental health field was 5.17 (SD=4.07). 39.7% of participants had not experienced clients suicide at all, 25.3% experienced clients attempting suicide, and 35.0% experienced clients committing suicide. The mean score of depression was 35.1 (SD=9.22) and ranged from 20 to 65. The mean of frequency of drinking was 1.41 (SD=0.93) and ranged from 0 to 4, amount of drinking was 1.79 (SD=1.38) and ranged from 0 to 4, and frequency of binge drinking was 0.88 (SD=1.02) and ranged from 0 to 4. In the results of the t-Test and ANOVA, the traits of drinking in mental health social workers were significantly different by experience of their clients’ suicide, but depression was not significantly different. The social workers who experienced clients suicide attempts had a higher frequency of drinking (F=7.291, p<.001) and a higher amount of drinking (F=4.141, p<.05) than social workers who experienced committing suicide. The social workers who experienced clients suicide attempts had a higher frequency of binge drinking than social workers who experienced clients no suicide attempts (F=7.344, p<.001). The level of depression was not significantly different among three groups. Implications: The results from this study revealed that mental health social workers who experienced clients commit or attempt suicide had higher level of drinking: frequency, amount, and binge drinking, especially when they experienced clients attempt suicide. The effective coping strategies need to be established for social workers who were traumatized by their clients. When the organizations establish trauma informed care, these mental health issues need to be considered.",
      "authors": "Jinhee Hyun; Heeguk Kim",
      "author_ids": "116423; 116424",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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    {
      "input_index": 763,
      "record_key": "SSWR:2017-U-0457",
      "source_database": "SSWR",
      "record_id": "2017-U-0457",
      "year": 2017,
      "title": "Consequences of Non-Metropolitan Adolescent Gang Association for Young Adults",
      "abstract": "Background and Purpose: Studies have consistently shown that gang-involvement is associated with high levels of multiple negative outcomes, such as delinquency and substance use, and that these effects extend into young adulthood.  However, most studies have used dichotomous indicators of gang membership and very few have examined these consequences for non-metropolitan youth.  Research suggests that the consequences of gang membership are similar among non-metropolitan youth and that these effects vary by degree of involvement.  The purpose of the current study is thus to establish the broad consequences of different levels of adolescent gang-involvement for rural and small town young adults. Methods: L ongitudinal cohort data (n=2205) come from respondents from twelve rural and small town control communities (mean population = 13,996) of the Community Youth Development Study, a community-randomized trial assessing the impact of the Communities That Care prevention system on problematic youth outcomes and associated risk and protective factors.  Survey data were collected over eight waves, beginning in 2004, when participants were in fifth grade, through 2012 when they were approximately 19 years old. Following multiple imputation, a mixture model approach was used to derive classes of adolescent gang-involvement.  Included in the model were five waves (Grades 7, 8, 9, 10, and 12) of two gang measures: a self-nomination item and the number of close friends in a gang.  The resulting classes were then included as predictors in multivariate logistic regression models to compare the different levels of gang association on fifteen outcomes at age 19, while controlling for multiple baseline predictors.  Outcomes include multiple forms of delinquency (violence, drug-selling, etc.) and substance use (alcohol, marijuana, etc.,) as well as receiving government assistance, completing secondary education, teen parenthood, and suicidal ideation.  Analyses were further conducted within gender groups to identify any level differences among outcomes. Results: Mixture model analyses identified three distinct classes of gang affiliation during adolescence: non-affiliated (71.3%,) gang-associated (21.2%,) and gang members (7.5%.)  Compared to non-affiliated youth, gang members at age 19 were more than twice as likely to engage in most forms of delinquency and substance use and were significantly more likely to receive government assistance, to have not completed secondary education, to be teen parents, and to have suicidal thoughts.  Gang-associated youth had consistently greater odds of most outcomes compared to non-affiliated youth, although the magnitude of these effects was not as strong as those for gang members.  Only slight variation among these outcomes was observed between gender groups. Conclusions and Implications: Similar to studies with urban samples, gang membership among rural and small town youth is associated with significantly greater odds of multiple problematic outcomes. Youth who are associated with gangs, but unlikely to be members, also had higher odds of these outcomes, further establishing the pervasive social effects of gangs on youth.  The results emphasize that gang membership presents a consistent threat to youth outcomes, regardless of locale, and thus constitutes an important target for service providers and prevention and intervention programs in many non-metropolitan schools and communities.",
      "authors": "Christopher M. Fleming",
      "author_ids": "116468",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:00:05.830493+00:00"
    },
    {
      "input_index": 764,
      "record_key": "SSWR:2017-U-0348",
      "source_database": "SSWR",
      "record_id": "2017-U-0348",
      "year": 2017,
      "title": "Depression and Attempted Suicide Among Lgbtq College Students: Fostering Resilience to the Effects of Heterosexism and Cisgenderism on Campus",
      "abstract": "Background and Purpose: Mental health problems are more prevalent among lesbian, gay, bisexual, trans*, and queer (LGBTQ) collegians than their cisgender and/or heterosexual peers. Minority stress theory posits that heterosexism/cisgenderism underpins these disparities. Studies indicate that LGBTQ students experience discrimination, including covert microaggressions and blatant victimization. Although microaggressions are more prevalent, little is known about their effects, especially among trans* collegians. Minority stress theory also emphasizes resilience to minority-­stressors: personal assets and external resources can promote strength in the context of adversity. Researchers have examined resilience among gender and sexual minority collegians; however, more research is needed, especially studies comparing both groups, since protective factors may function differently among each group. It is also important to understand how such factors might have differential buffering affects depending on the type of discrimination experienced (i.e., covert versus overt). In this study, we examined (1) the associations between mental health (depression; attempted suicide) and various forms of discrimination on campus (environmental and interpersonal microaggressions; victimization); and (2) potential individual­-level (psychological resilience; LGBTQ pride; LGBTQ disclosure) moderators of the discrimination-­mental health relationship. Methods: Data were drawn from a national convenience sample of cisgender LGBQ ( n =574, 24.9% POC, M =22.74 y/o) and trans* ( n =214, 18.7% POC, M =22.83 y/o) collegians who completed a web-­based survey. PHQ­-9 assessed depression (theoretical range 0–27). Participants indicated attempted suicide (past year; no/yes). Sexual-orientation­ and trans*­specific scales measured the frequency of microaggressions; parallel scales assessed victimization among each group. Psychological resilience (ability to bounce back) was measured using the Brief Resilience Scale. Pride consisted of 2­ items and disclosure 6­ items. We used multivariable linear and logistic regressions (controls: race, age, gender, sexual orientation) and examined protective factors using moderation. All analyses were group specific (cisgender LGBQ; trans*). Results: Among the cisgender LGBQ sample, overall depression was M =7.72 ( SD =5.83) and nearly 4% reported attempted suicide. In comparison, depression ( M =9.20, SD =6.94) and attempted suicide (9.3%) were significantly higher among trans* students. For both groups, environmental microaggressions were most common, followed by interpersonal microaggressions and then victimization. Among cisgender LGBQ students, when entered in separate models, each discrimination measure was significantly positively associated with depression. Controlling for each type of discrimination, interpersonal microaggressions remained statistically significant. Similar results were observed for attempted suicide. For trans* students, victimization was significantly associated with both outcomes, including in models inclusive of microaggression measures. Neither trans* microaggression measure demonstrated significance in any model. Psychological resilience demonstrated a main effect with each outcome for both groups, but did not moderate the discrimination­-outcome relationship. Pride moderated the victimization­-depression relationship among trans* students. No other significant moderations were observed. Conclusions and Implications: This study extends minority stress theory research by investigating subtle and blatant discrimination, and intrapersonal assets among sexual and gender minority students as separate groups. Results highlight important differences between cisgender LGBQ students and trans* students in terms of risks and protective factors for mental health problems. The findings suggest that interventions must consider differential factors among each population. Implications for research, practice, and policy will be discussed.",
      "authors": "Michael R. Woodford; Genevieve Weber; Z. Nicolazzo; Renee Hunt; Alex Kulick; Kristen Renn",
      "author_ids": "109526; 116261; 116262; 116263; 113047; 113405",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:00:09.526508+00:00"
    },
    {
      "input_index": 765,
      "record_key": "SSWR:2017-P-0587",
      "source_database": "SSWR",
      "record_id": "2017-P-0587",
      "year": 2017,
      "title": "Depression and Suicidal Ideation Among Korean American Youth",
      "abstract": "In 2013, there were14,247 suicide in South Korea an average of 40 suicide each day out of 40 million population of the country. Suicide rate is 33.3 suicides per 100,000 that ranked the highest suicide rate among OECD countries. That is, more than 2 times of the average OECD countries suicide rate which is 12.4 per 100,000.Regrettably South Korea has been ranked the highest suicide rates of consecutive 10 years. Suicide is the first leading cause of death between the ages of 10 to 24. In 2001, suicide rate among Korean youth aged 10 to 19 was 3.19 per 100,000. After a decade in 2011, it rose to 5.58 per 100,000 which is 57.2% increase. This number is significant since suicide rate from 20 to 64 in 2001 was 16.96 to 33.58 in 2011 which is 50.5% increase. This indicates that increase of Korean youth suicide rate is much faster than that of adults. Various sources of media reported on suicides soaring among Korean American immigrants in US. For example, one article shed a light on increasing number of suicide rate among Korean immigrant reside in New York on contrary to decreasing suicides in New York City in general. It wrote this extraordinary phenomenon actually mirrors suicide increase in South Korea. It reported reasons for suicide among Korean immigrants include low satisfactions of immigrant life, economic difficulty, lack of social network. For Korean immigrant youth, academic pressure and failure to get into top schools were also huge part of reasons for suicides. In this sense, Korean immigrant youth are in extremely vulnerable state to be easily exposed to suicide ideation and many mental health problems. Twelve, semi-structured interviews were conducted with Korean American youth (ages 10 to 24) who were diagnosed with major depressive disorder history of with or without suicidal ideation. Participants were recruited via posted fliers and email recruitments at two agencies that is particularly serving Asian American population. Interviews revealed that most of Korean American youth expressed their depressive symptoms and suicidal ideation resulting from failing to deal with their parent’s various parenting styles. Also, Korean parents’ common rhetorical usage of “Juk-Go-Sip-da (I want to kill myself)” leaves Korean American youth with feeling of trauma and further deepen disconnection between parents and youth. lack of help seeking behavior caused by stigma among Korean immigrant population is huge problem. most of Korean immigrant parents refuse for seek help for mental illness but to turn to pastors because of the beliefs that mental health treatment record will leave negative records on their school reports which will hinder them going into prestige university. Family engagement intervention should be implemented to educate warm, consistent and supportive parenting style will provide strong support for depressed and suicidal youth. Also, gatekeeper training is important which can stop depressed adolescents from pursuing further negative action. For Korean American youth, gatekeeper trainings for pastors at church, peer groups at school and after school programs and institutes, teachers at school and after school programs and institutes are strongly needed.",
      "authors": "In Young Lee",
      "author_ids": "116125",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:00:12.907195+00:00"
    },
    {
      "input_index": 770,
      "record_key": "SSWR:2017-U-0014",
      "source_database": "SSWR",
      "record_id": "2017-U-0014",
      "year": 2017,
      "title": "Exploring the Relationship Between Transgender Inclusive Providers and Mental Health Outcomes Among Transgender/Gender Variant People",
      "abstract": "Background and Purpose: An estimated 0.3 – 5.0% of adults identify with a gender identity that falls somewhere within the transgender/gender variant umbrella, where their gender identity does not match the sex they were assigned at birth. These individuals experience higher rates of discrimination across multiple contexts than cisgender (non-transgender) individuals, including in health care settings. This study examines the mental health differences of transgender/gender variant people comparing those who report having transgender inclusive providers and those who do not. Specifically, it explores whether transgender/gender variant individuals who have transgender inclusive providers have different rates of current depression, lifetime anxiety, or suicidality within the past year compared with transgender/gender variant individual whose providers are not perceived to be transgender inclusive. Secondly, we examine how various socio-demographic variables further impact these relationships. Methods: Using the 2014 Colorado Transgender Health Survey ( N =417) which collected health information and experiences regarding accessing health care from transgender/gender variant Coloradans, researchers compared rates of current depression, lifetime experience of anxiety, and suicidal thoughts within the past year between transgender/gender variant individuals who report having trans inclusive health providers and those who do not using Chi-Square tests of independence. Logistic regressions are then used to examine the relationship between having a trans inclusive health provider and likelihood of experiencing current depression, lifetime anxiety or suicidal thoughts in the past year, controlling for a number of correlates including access to health insurance, age, race/ethnicity, gender identity, and education level. Results : Data indicate that while many transgender/gender variant individuals experience current depression, lifetime anxiety, or suicidal thoughts in the past year, those who did not have trans inclusive providers were significantly more likely to experience current depression (X 2 (1, n = 351) = 8.552, p < .05) and suicidal thoughts (X 2 (1, n = 383) = 13.898, p < .001) in the past year. No differences were found in likelihood of lifetime anxiety. Having a trans inclusive provider was also significant when regressed for both current depression (OR = 0.56, 95% CI =[0.33, 0.96]) and suicidal thoughts (OR = 0.49, 95% CI =[0.29, 0.82]).  Gender was significant regarding suicidal thoughts in the past year, and educational levels were also significant across all three mental health outcomes. Conclusion and Implications: The findings suggest that increasing provider competence and inclusivity in working with the transgender community may be an important contributor to improving mental health outcomes for transgender/gender variant individuals. This might occur at the level of incorporating transgender cultural competence in the initial educational process for providers within their discipline, within the context of in-service trainings at provider institutions, or as continuing education opportunities. Educating health providers around transgender/gender variant cultural responsivity will prepare them to better serve their patients, and support the mental health of the transgender/gender variant individuals they interact with in their practice.",
      "authors": "Shanna K. Kattari; N. Eugene Walls; Stephanie Rachel Speer; Leonardo Kattari",
      "author_ids": "113608; 108751; 115715; 115716",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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        "prompt_eval_count": 1575,
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      "screened_at": "2026-08-02T18:00:29.470638+00:00"
    },
    {
      "input_index": 773,
      "record_key": "SSWR:2017-P-0741",
      "source_database": "SSWR",
      "record_id": "2017-P-0741",
      "year": 2017,
      "title": "Helping College Students in Significant Emotional Distress: What Factors Predict Whether Peers Will Intervene?",
      "abstract": "Background and Purpose : Suicide is the second leading cause of death for college students.  While several studies have shown that less than a third of college students experiencing suicidal thoughts seek professional help, many studies have shown that students are more likely to seek help from their social support networks.  Suicide prevention programs on college campuses depend on individuals in the school community to intervene; however, what factors influence whether an individual intervenes to help another student remains unclear.  Attitudes about mental health treatment as well as help received from informal supports have been associated with help-seeking behavior.  In the current study, we sought to determine whether stigma and prior history of seeking help from informal or academic supports would influence the likelihood of intervening. Methods : Data was obtained from the Healthy Minds Study (2012; n= 23,763), an annual web-based survey of randomly selected college student.  Stigma (personal and perceived) was assessed with six different items from the devaluation-discrimination scale.  Prior history of help-seeking was measured by whether or not individuals previously sought help.  Using multivariate logistic regression, we calculated Adjusted Odds Ratios (AOR, adjusting for demographics) for personal stigma, perceived stigma, informal supports, and academic supports and their relation to whether an individual would intervene. Results: Important factors associated with intervening were observed.  The majority of students (66%) reported that they would not intervene if someone was experiencing significant distress or suicidal thoughts.  Those who did not intervene cited the following reasons: felt it was none of their business (60%), did not know what to do (37%), did not feel confident (26%), and 16% assumed someone else would do something.   Seeking help from academic supports (r = .11) and informal supports (r= .18) were positively correlated with intervening, while personal stigma was negatively correlated with intervening (r= -.13); all correlations were significant (p< .001). Students who sought help from informal supports were over two times more likely to intervene (AOR 2.1, p< .0001), and students who sought help from academic supports were one and a half times more likely to intervene (AOR 1.7, P< .001).  While students reporting higher levels of perceived public stigma were more likely to intervene, students experiencing higher levels of personal stigma were less likely to intervene (AOR 1.2 and .68, respectively, p< .0001). Conclusion and Implications : Our findings have implications for increasing service utilization through preventive psychoeducation and targeted interventions that consider the pivotal role of informal and academic supports.  Targeted interventions need to consider equipping students as well as academic personnel with tools that not only provide resources for appropriate help (to give to students in distress).  Such interventions need to address the continued high rates of personal stigma among college students.  More so, it is imperative for suicide prevention programs that depend on training individuals as gate-keepers, to take into account the high rates of students feeling as if another student’s emotional distress is none of their business, as well as address students’ lack of self-confidence and feeling ill-equipped to intervene. Back to: ePoster Presentations III << Previous Abstract | Next Abstract >>",
      "authors": "Sapna J. Mendon; Amy S. Kapadia",
      "author_ids": "114489; 110671",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:00:39.765248+00:00"
    },
    {
      "input_index": 775,
      "record_key": "SSWR:2017-P-0055",
      "source_database": "SSWR",
      "record_id": "2017-P-0055",
      "year": 2017,
      "title": "I Wanted My Father in the Picture! Exploring the Experiences of Black Men Living with Depression",
      "abstract": "Rationale: Sparse research have explored the experiences of Black men living with diagnosed, or undiagnosed, depression. Background and Purpose: 15% of the U.S. male population identifies as Black or of African descent. While research findings have indicated that Black men when compared to Whites, Hispanics, or other racial identities had significantly higher rates of depression, few research articles have directly explored, or addressed, explicitly the experiences of Black men living with depression. Of these identified articles, four have proposed techniques that social workers should embrace when working with Black men living with depression.  This study attempted to examine two specific research questions: “ What are the experiences of Black males with diagnosed, or undiagnosed, depression?, and “What perspectives do Black males have regarding the underlying causes or assumptions on depression?” Method: Secondary data analysis was conducted on in-depth interviews with males (N=4) from a larger dissertation study conducted in 2012.  The iterative processes associated with grounded theory methods and thematic analysis were used to obtain a cogent and comprehensive understanding of the transcribed data.  Identified themes were cross referenced with the team, and where there were differences, they were resolved by a discussion. Major Findings: Participants identified issues with family, barriers to care, and the lack of effective coping skills as key contributors to their depression.  In an effort to deal with their depression, participants identified substances (pills, marijuana, alcohol), suicide, homicide, and sleeping as viable ways to quell their depressive feelings.  All participants identified the role of family dynamics as playing a critical and significant role in how, and when, they decided to initiate treatment.  Interestingly, while the men were extremely appreciative of the role of women in their lives, all participants voiced concerns about their relationship, or lack thereof, with their fathers.  Fathers were seen as elusive figures that failed to shape, and help with, identity, and gender socialization.  The observed lack of healthy relationships with their fathers resulted in these men having lower self-esteem, and higher instances and feelings of detachment, and abandonment, issues.  Ultimately, it appears that when discussing issues with depression, Black men are conscious of the relevant issues that are affecting their lives, specifically as it pertains to their relationship, or lack thereof, with their father. Implications: This study, to our knowledge, was the first to use qualitative data methods to specifically explore the lived experiences of Black men with clinically, and self, diagnosed depression.  While a strict attention to depression was provided by the participants, they also addressed their unique, and unmet, needs.  These men highlighted the unhealthy relationships and examples that their fathers showed which in turn appeared to be the cause of their depression.  Additionally, the findings suggested that being Black, male, and depressed, often went unnoticed and under researched, resulting in untreated depressed Black males who are attempting to normalize their behaviors without adequate treatment and/or help.",
      "authors": "Rosalyn Denise Campbell; J. Lloyd Allen",
      "author_ids": "112440; 114085",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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        "eval_count": 24
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      "screened_at": "2026-08-02T18:00:46.620811+00:00"
    },
    {
      "input_index": 776,
      "record_key": "SSWR:2017-P-0391",
      "source_database": "SSWR",
      "record_id": "2017-P-0391",
      "year": 2017,
      "title": "Keep Safe: Evaluation of a Peer-Informed Suicide Prevention Program",
      "abstract": "Background and Purpose : Suicide in the United States rose at alarming rates during the last 15 years and is a major public health issue.  Serious mental illness (SMI) is a prime risk factor associated with suicidal ideation.  Although there is considerable research and study on mental illness and treatments, there are few evidence-based practices for suicide prevention among adults with SMI. In addition to the cost and training needed for existing EBPs, they do not address how clinicians should discuss suicide with clients or the types of skills necessary to facilitate these discussions among themselves. Consumers or clients, in addition to other important stakeholders, were not included in a systematic way in the process of creating these suicide prevention programs.  The purpose of this study was to assess the efficacy of KeepSafe a commnunity-informed intervention that promotes psychoeducation about suicide among clinicians and consumers. Methods: The KeepSafe curriculum was a unique collaboration between peer consumers, non-peer staff and consumers.  It consisted of four 90 minute sessions with an objective of creating a safe space to encourage conversation and awareness about suicide in order to prevent it. Researchers evaluated the pilot implementation of KeepSafe. Two 45 minute sessions were held weekly for one month at two different PROS sites. Implementation was facilitated by a peer specialist and a non-peer PROS staff member. Pre- and post- surveys were administered to measure socio-emotional outcomes of participating consumers and knowledge for the intervention. Feedback from participants and staff was also collected through surveys. Results: Forty-two consumers participated in the KeepSafe pilot study and most (55%) were female.  Bivariate analyses from pre- and post-survey data indicated participants increased their knowledge of relapse prevention and suicide awareness. They showed improvement on measures of self-esteem and social support. Statistically significant changes were noted in the Brief Cope Scale. In open-ended feedback about the program, participants and staff described the positive impact of the program and gains in knowledge and skills. Conclusions: KeepSafe was created through a successful collaboration between consumers and clinical staff to reduce stigma and increase awareness around suicide. KeepSafe is a promising prevention program that can be further tested to address the suicide epidemic among community members that are highly vulnerable for suicide, specifically adults with SMI.",
      "authors": "Micaela Mercado; Priya Gopalan; Kyle McGee II; Ellen Stoller",
      "author_ids": "111069; 115186; 116339; 116340",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "eval_count": 24
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      "screened_at": "2026-08-02T18:00:49.451588+00:00"
    },
    {
      "input_index": 777,
      "record_key": "SSWR:2017-P-0156",
      "source_database": "SSWR",
      "record_id": "2017-P-0156",
      "year": 2017,
      "title": "Law Enforcement Officers Responses to Suicide-Related Community Encounters",
      "abstract": "Background: Law enforcement officers (LEOs) routinely respond to calls involving individuals with mental illness and act as gatekeepers to mental health services (Watson et al, 2014). Clear links have been established between suicide intervention training components for knowledge, attitudes, and self-efficacy and subsequent engagement in suicide intervention skills (Osteen et al., 2014); research supports the effective use of officer training in increasing community-based gatekeeper intervention practices (Compton et al, 2014). The research question answered here is: “Do LEOs’ knowledge, attitudes, and self-efficacy predict engagement in community-based interventions to (a) ask about suicide thoughts, (2) ask about a suicide plan, and (3) ask about access to lethal means.” Method: This study utilized a cross-sectional, online anonymous national survey of law enforcement officers completing the Notional Toolkit on Officer-Involved Domestic Violence. Sample: The survey had a 56% response rate ( N =476). Most law enforcement officers (82%) had encountered a suicidal individual at some point in their career, with a median of 20 individuals. Approximately 75% of respondents reported previous on-the-job suicide intervention training. Measures: •Community-based intervention (scored 0-100%) •Knowledge of Suicide Warning Signs and Intervention Behaviors (scored 0-100%) (Wyman et al., 2008) •Attitudes toward Suicide Prevention (Herron et al., 2001) (scored 1-5 with lowers scores more positive) •Perceived Preparedness for Gatekeeper Role (Wyman et al, 2008) (scored 1-7 with higher scores more positive) Results (Predictors):  On average officers scored 53% ( SD =10%) on a suicide knowledge quiz. Attitudes were neutral-positive ( M =2.0, SD =.61). Self-efficacy scores were high ( M =5.0, SD =1.3). Results (Outcomes): LEOs were asked to indicated the % of time they engaged in specific intervention skills when encountering an individual in the community at risk for suicide. On average, LEOs asked about suicidal thoughts 68% of the time, about suicide plans 60% of the time, and about access to lethal means 57% of the time. Results (Regression analyses): Three linear regression analyses were conducted to determine if model IVs predicted suicide intervention outcomes. Training, Attitudes, and Self-Efficacy were found to be significant predictors of all three intervention behaviors and Knowledge was not significant in any model. The overall model for asking about suicide thoughts had a moderate effect size (R 2 =.11,p<.001); parameter estimates were Training (b=8.93,95%CI:-1.05,18.91), Attitudes (b=-10.01,95%CI:-16.98,-3.03), and Self-Efficacy (b=6.03,95%CI:2.41,9.65). The overall model for asking about a suicide plan had a moderate effect size (R 2 =.10,p<.001); parameter estimates were Training (b=10.09,95%CI:-.26,20.46), Attitudes (b=-8.28,95%CI:-15.62,-.95), and Self-Efficacy (b=6.79,95%CI:2.97,10.60). The overall model for asking about access to lethal means had a small-moderate effect size (R 2 =.08,p<.001); parameter estimates were Training (b=10.72,95%CI:-.06,21.52), Attitudes (b=-7.46,95%CI:-14.98,.06), and Self-Efficacy (b=4.87,95%CI:.87,8.87). Discussion: Findings from this study are congruent with a large body of research linking training, knowledge, attitudes, and self-efficacy to intervention behaviors. The importance of knowledge and attitudes to intervention behaviors is inconsistent across studies, and although attitudes seem to play and important role in this study, knowledge did not. Self-efficacy was the strongest predictor in the current study and has been found to be an integral part of suicide intervention behaviors. Providing LEOs with high-quality training may support their intervention efforts in the community. Back to: ePoster Presentations VII << Previous Abstract | Next Abstract >>",
      "authors": "Phillip Osteen; Karen Oehme; MaKenna N. Woods",
      "author_ids": "110912; 115812; 115924",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 4114697459,
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      "screened_at": "2026-08-02T18:00:53.568179+00:00"
    },
    {
      "input_index": 778,
      "record_key": "SSWR:2017-P-0457",
      "source_database": "SSWR",
      "record_id": "2017-P-0457",
      "year": 2017,
      "title": "Material Hardship and Suicidal Ideation Among Adults in South Korea: Mediating Effect of Future Expectation",
      "abstract": "Background: For a decade, South Korea has been the first country with the highest suicide rate among 35 OECD countries. As of 2012, the number of death by way of suicide is 29.1 persons out of 100,000, while 12.1 commit suicide in OECD countries. Although reasons for suicide vary considerably, it has been ascertained that economical problems are most responsible for the suicide death of people over their twenties in Korea. We have a great number of studies on the relationship between poverty and suicide, but the influence of material hardship or deficiency of resources for life on suicide has been remarkably neglected. Besides, it has not been fully examined through which path economical problems lead to suicide cases. According to some studies, economic difficulties let individuals have a negative prospect on their future (Graham,  Pettinato, 1999), and the hopelessness which is derived from it, has negative influences on mental health outcomes(Beck, Steer, Kovas, & Garrison, 1985; Goldney, 1981; Beck & Weishaar, 1990; Haney et al., 2012). In this context, this study aims to find out whether material hardship is associated with suicidal ideation and to examine the mediating effect of future expectation. Methods: Data and Samples: This study used data from the Korea Welfare Panel Study (KOWEPS), which is an annual panel survey that contains detailed information about household resources, welfare program participation, and individual well-being. We used Wave 7 in 2012 as it is the latest one that contains the items related to future expectation. Sample consists of 10,138 adults . Measures: Indicators of material hardship are made up of eleven items about their experience of material deprivation in four categories: food, health, utility, and housing. We created a dichotomous indicator with value of 1 if a household reported experience any material hardship in the previous year. Suicidal ideation was estimated by a binary item (0=never, 1=yes). Future expectation was measured using 10 items related to their outlook of the next year in their various areas of life. Mediation effect was evaluated utilizing regression techniques. Based on the previous studies, we controlled the variables of gender, age, household equivalent income, living with family, self-rated health, and depression. Results: The results showed that; 1) experiencing material hardship was associated with a higher likelihood of suicidal ideation (OR=1.296, p <.001), 2) experiencing material hardship  was negatively associated with future expectation(β=-.027, p <.001), 3) future expectation  mediated the association between experience of material hardship and suicidal ideation (OR=.509, P <.01), and 4) future expectation had a partial mediating effect on this relationship (Z=2.635, p <.001). Implications: This study found that material hardship has significant impact on suicidal ideation and mediating effect of future expectation among adults in South Korea. These findings suggest that material well-being and optimistic outlook should be considered in building social policies and programs to prevent suicide.",
      "authors": "Eun Jeong Lee; Jung-Won You",
      "author_ids": "110780; 116416",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3390384125,
        "prompt_eval_count": 1623,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:00:56.960114+00:00"
    },
    {
      "input_index": 779,
      "record_key": "SSWR:2017-U-0024",
      "source_database": "SSWR",
      "record_id": "2017-U-0024",
      "year": 2017,
      "title": "Mental Health Treatment Narratives of Suicidal Latina Teens",
      "abstract": "BACKGROUND AND PURPOSE. About one in six Latina teens attempts suicide, and one-third of suicidal Latinas need medical treatment after an attempt. In this presentation we describe Latina teens’ experiences of mental health treatments, including the participants’ histories of service use prior to attempting suicide; the paths leading them to treatment after an attempt; and the services following a suicide attempt. METHODS .  The data presented are drawn from a mixed-method study that examined the sociocultural processes of Latina adolescent suicide attempters.  Participants (n = 68) were recruited from mental health services associated with community base agencies and hospitals. The adolescents were between the ages of 11 and 19 years. Girls were, on average, 15 years old, and predominantly self-identified as Puerto Rican, Dominican, and Mexican (32.4%, 29.4 %, 13.2% respectively). On average, the participants had attempted suicide 3.8 times in their lifetime (SD = 4.5). Forty-seven participants (69.1%) reported that they had required medical care for their latest suicide attempt. All participants were receiving care: outpatient mental health treatment (n = 47; 69.1%); inpatient psychiatric services (n = 17; 25%); inpatient medical (n = 2; 2.9%) and outpatient pediatric care (n = 2; 2.9%). Qualitative data were analyzed using a combination of content and thematic analysis. The analysis was divided into three steps: (a) data coding, (b) univariate statistics with quantified qualitative data, and (c) development and analysis of a matrix of coded text. The data coding and quantification was performed using digital spreadsheet software. Coded data included short segments of text, phrases, or quotes. RESULTS . Most participants had been or were engaged in mental health treatment when they attempted suicide. In general, the teens described feeling disempowered and alienated while receiving mental health services prior to their latest suicide attempt (n = 23; 48.9%). The teens’ feelings of disempowerment resulted from the mandated nature of previous treatments, as most were initiated by child protective services.  Adults, including relatives, school and medical staff, initiated most of the requests for services (n = 49; 72.1%). Nearly half of participants in our sample were referred to psychiatric inpatient units after receiving services at emergency rooms (n = 33; 48.5%). These teens described experiencing a great deal of anxiety because psychiatric in-patient units conjured up popular images associated with state asylums. “ They’re going to send me to a crazy hospital. I’m not crazy… you are going to put me in a straightjacket ” (18 years old).  Overall, inpatient and outpatient providers failed to account for the family dynamics at the core of the girls’ suicide attempts. Latinas felt that providers who fostered their autonomy and connectedness helped them become active agents in their recovery. Improved communication with family members was a critical focus of their recovery. CONCLUSIONS AND IMPLICATIONS . Providers serving suicidal Latinas must allow the teens to exercise agency while feeling emotionally connected. To succeed in reducing suicidal behaviors among Latinas, treatment needs to address the interpersonal tensions that the teens experience with their families.",
      "authors": "Carolina M. Hausmann-Stabile; Lauren E. Gulbas; Luis H. Zayas",
      "author_ids": "112385; 111719; 110995",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "mixed_methods",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "prompt_eval_count": 1618,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:01:00.312992+00:00"
    },
    {
      "input_index": 780,
      "record_key": "SSWR:2017-P-0223",
      "source_database": "SSWR",
      "record_id": "2017-P-0223",
      "year": 2017,
      "title": "Military Identity, Social Connectedness and Risk for Suicide in Chicagoland Veterans",
      "abstract": "Suicides in the military have increased over the last ten years. Much effort has been focused on suicide prevention and treatment, as well as understanding the reasons for the sharp increase in military suicides. Some literature on suicide prevention has focused on connectedness, the degree to which a person or group is socially close, interrelated or shares resources with other persons or groups. For individuals who have served in the military, the strong sense of social connectedness felt during military service is often lost during the transition out of the military. A strong sense of military identity, which can often be difficult to navigate in civilian culture, may also contribute to such difficulties. The purpose of this study was to explore the relationships between military identity and social connectedness as well as each as possible predictors of suicidal behavior in veterans. Data were collected on 1295 veterans living in the Chicago area using an online and in person survey. Participants were identified through a social media campaign, organizations and agencies that serve veterans as well as college veteran groups. Suicidal behavior was measured by the Suicide Behavior Questionnaire-Revised (Osman et al., 2001) with a score of at least 7 indicating high risk suicidal behavior. Social Connectedness was measured by the Social Connectedness Scale (Lee and Robbins, 1995). The six subscales of the Warrior Identity Scale measured military identity – these include Exploration and Commitment (learning and commitment to military), Public Regard (how you think the public view the military), Private Regard (how you view your actions/place in the military), Centrality (importance of military to self), Interdependence (dependence on/connectedness to military) and Identity Scale (Lancaster and Hart, 2015). Veterans who indicated low levels of social connectedness were 7.417 times more likely to score above the clinically significant cut off of the SBQ-R, indicating a clear association between social connectedness and suicidal behavior. When looking at military identity and social connectedness, Military Public Regard, Military Private Regard, and Military Dependence significantly predicted challenges to social connectedness when controlling for age, marital status and gender. This indicated that participants who felt less positive about how they were viewed as veterans, less positive about their participation in the military, and were more dependent on the military for connectedness were more likely to report low levels of social connectedness. When looking at social connectedness and military identity as a predicator of suicide risk, social connectedness, military private regard and military dependence were significant predictors of suicide risk when controlling for age, gender and marital status. Therefore participants who reported low levels of social connectedness, were less positive about their participation in the military and more dependent on the military for connectedness were more likely to report significant levels of risky suicidal behavior. Results suggest intervention should be aimed at guiding veterans through transition regarding building social networks/connectedness and navigating their military identity in the civilian culture.",
      "authors": "Sarah Kintzle",
      "author_ids": "110041",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3135470250,
        "prompt_eval_count": 1522,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:01:03.450251+00:00"
    },
    {
      "input_index": 783,
      "record_key": "SSWR:2017-P-0269",
      "source_database": "SSWR",
      "record_id": "2017-P-0269",
      "year": 2017,
      "title": "Predicting Suicide Action: Secondary Analysis of ADD Health Data",
      "abstract": "Background According to the CDC the incidence of suicide has increased 24% since 1999, most significantly for girls aged 10-14 (CDC, 2015). Despite comprehensive research strategies and significant resources, over 47,770 people every year die by suicide. This translates to 117 deaths per day; additionally, someone attempts to take their own life every 30 seconds (Drapeau & McIntosh, 2015). Research on suicide includes risk and protective factors, childhood antecedents, and predictors of suicide behavior; however, research has not improved our ability to differentiate between those who only think about suicide from those who actually attempt to take their own life. The purpose of this study was to analyze commonly known risk factors of suicidality in a predictive model to assess whether or not it is possible to distinguish between those who ideate about and those who attempt suicide. Methods Using the National Longitudinal Study of Adolescent to Adult Health wave IV data, a binomial logistic regression was performed to assess the following research question: What factors most strongly predict whether or not an individual will engage in suicidal action compared to only ideating about suicide? Predictors included gender, mental health symptoms (e.g., anxiety, isolation, overwhelmed), and relationship with parents. Results are presented at α=.10 with 95% confidence intervals. Results Results of the analysis indicate that the model was a better fit to the data than the null model (x 2 (19) =28.34; p<.1). Pseudo R 2 indicates that the model is useful in explaining group membership (Cox & Snell=.13; Nagelkerke=.23). The Hosmer and Lemeshow goodness of fit test indicates a good fit between the model and the data (x 2 (8) =12.42; p=.13). Parameter estimates showed that feeling overwhelmed (OR=;.52;95% CI:.29,.92), are unable to shake off the ‘blues’ (OR=2.54;95% CI:.1.35,4.77), having trouble staying asleep (OR=1.36;95% CI:.95,1.94), and having a family member or  friend attempt to kill themselves (OR=2.78;95% CI:.87,8.91), are significantly predictors of attempting suicide. The results indicate that the odds of making a suicide attempt, compared to persons just thinking (ideating) about suicide, are 2.78 times higher for those with family/friends who had previously attempted suicide; 2.54 times higher for those who felt like they were unable to shake off the ‘blues’ in the 7 days prior their interview; 1.36 times higher for those who are often unable to stay asleep; and .521 higher for those who felt overwhelmed in the 7 days prior to their interview. The overall success rate of the model to predict suicide action is 86.7%. Implications Being able to differentiate between those who think about suicide from those who attempt would directly influence practice in regards to the ways in which individuals are approached, assessed, and subsequently referred to for services in the midst of a suicidal crisis.",
      "authors": "MaKenna N. Woods; Phillip Osteen",
      "author_ids": "115924; 110912",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3389778833,
        "prompt_eval_count": 1619,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:01:13.714214+00:00"
    },
    {
      "input_index": 785,
      "record_key": "SSWR:2017-U-0635",
      "source_database": "SSWR",
      "record_id": "2017-U-0635",
      "year": 2017,
      "title": "Predictors of Help-Seeking Among College Students with Mental Health Issues: Do Attitudes about Health and Social Supports Influence Seeking Professional Treatment?",
      "abstract": "Background and Purpose : While previous studies have identified barriers to mental health help-seeking among college students, little is known about whether support received from academic supports or informal supports influence seeking help from healthcare professionals.  For students with depression and/or suicidal ideation (SI), we seek to understand a) whether seeking help from academic supports or informal supports influences seeking professional help, and b) does the perceived quality of such supports predict seeking professional help.  Furthermore, we sought to identify which key features of health beliefs, such as, stigma and perceived need, were associated with seeking help from healthcare professionals. Methods : This study used data from the Healthy Minds Study (2010-2013), an annual web-based survey of college students that examines mental health related issues. Depression was screened with the PHQ-9, and suicidal ideation was self-reported.  Using logistic regression, we first calculated Adjusted Odds Ratios (AOR, adjusting for demographics) perceived need, personal stigma, perceived stigma, informal support, and academic support for students who screened positive for depression and/or suicidal ideation (n= 14,893).  Thereafter, we calculated AOR’s for perceived quality of support received from informal supports, controlling for perceived need and stigma. Results: Important help-seeking behaviors were observed.  While only one-third of students experiencing depression or suicidal thoughts only sought help from healthcare professionals, nearly 80% of these students sought help from informal supports (peers, family, roommates, significant others, etc.), and about three-fourths of students saw a need for seeking help for their emotional distress.  Seeking help from academic supports (r = .27) and informal supports (r= .19) were positively correlated with seeking healthcare professionals, as was a presence of perceived need (r= .36); all correlations were significant (p< .001). Perceived need was the strongest predictor of seeking help from healthcare professionals (AOR= 13.2, p< .0001) Students who sought help from academic supports as well as informal supports were more likely to seek help from healthcare professionals, (AOR 3.2 and 1.8, respectively, p< .0001).  Students experiencing personal stigma were less likely to seek help (AOR .88, p< .001); however, students with perceived stigma were more likely to seek help (AOR 1.04, p< .001) compared to their counterparts with no perceived stigma.  Lastly, while controlling for stigma and perceived need, we found that out of students who sought help from informal supports, those reporting receiving support that was helpful from friends were more likely to seek professional help (AOR 1.06).  Perceived quality of support from family was not significant. Conclusion and Implications : Our findings highlight two themes central to prevention: campus-based education and the development of targeted tools.  Education campaigns designed to build mental health literacy to reduce stigma, and more so, education materials that will increase one’s awareness of their own mental health problems is imperative.  Lastly, our findings indicate the need for the development of interventions designed to equip the campus community with the tools they need to be able to identify one’s need for help, appropriately respond to a peer’s emotional distress, and facilitate a connection to mental health services.",
      "authors": "Sapna J. Mendon; Eric Rice",
      "author_ids": "114489; 111415",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3433888458,
        "prompt_eval_count": 1633,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:01:19.757179+00:00"
    },
    {
      "input_index": 786,
      "record_key": "SSWR:2017-O-0029",
      "source_database": "SSWR",
      "record_id": "2017-O-0029",
      "year": 2017,
      "title": "Preventing Suicide Attempts in Diverse Groups of Adolescents: A System Dynamics Approach",
      "abstract": "Background and Purpose: Though the reduction of suicide-related deaths have been a national priority for over a decade (U.S. Department of Health and Human Services, 2001) and over $22 million dollars per year (National Institutes of Health, 2015) have been invested in the prevention of suicide, rates of suicide have not declined (CDC, 2012). In fact, these rates have increased for adolescents (Wasserman, Cheng, & Jiang, 2005), especially for those from various racial minority groups (Range et al., 1999). This study uses computer simulation modeling to expand current social work research on suicide during adolescence for racial minority groups and answers the following research questions: 1. Is the interpersonal theory of suicide adequate in predicting suicide attempts for adolescents across development? 2. How do suicide attempts differ for adolescents from various racial and ethnic backgrounds? Methods: Joiner’s (2005) interpersonal theory of suicide (IPTS) and a cultural model of suicide (Chu, Goldblum, Floyd, & Bongar, 2010) were used to build a system dynamics model of suicidality for adolescents who identified as either Latino, Black, White, Asian, or Native American. Race was used as a proxy for the experiences and/or values that may be held by various racial groups, rather than an indicator of biological difference. Weighted data from four waves of the National Longitudinal Survey of Adolescent to Adult Health (Add Health) (N=~9,500) informed the suicidal behaviors adolescents from the age of 12 into their 30s. System dynamics models were formulated to mathematically simulate a model of suicide based in IPTS. Modifications to the theory are made and tested for accuracy in predicting suicide attempts using the Theil Inequality Statistic. Findings: The system dynamics model of the interpersonal theory of suicide was not adequate in predicting suicide attempts for both the general population and by racial subgroups. However, a modified version of the model, the developmental systems model of the interpersonal theory of suicide, was sensitive and helpful in predicting suicide attempts across early adolescence and into young adulthood. Using this model to simulate policies on suicide attempts indicate that shortening the duration of depression by improving access to treatment was more effective at reducing suicide attempts across adolescence than simply restricting one’s capability to die by suicide. Conclusion and Implications: There are two major findings from this study. First, the most utilized theory of suicide, Joiner’s (2005) Interpersonal Theory of Suicide, was not adequate in predicting a developmental trajectory of suicide attempts from early adolescence (age 12) to early adulthood (age 30). The model, however, when modified with the plausible balancing feedback loops that occur after an attempt (e.g., counseling or intervention), could generally reproduce trends in suicide attempts for the general population. When tested for applicability to racial subgroups (e.g., Latino, White, Black, Asian, and Native American), the developmental model of IPTS did not accurately predict trends in suicide attempts. This study suggests there are processes, values, and/or experiences in suicidality that may differ for adolescents from various racial groups. Disentangling these differences is necessary for future research and prevention.",
      "authors": "Saras Y. Chung; Peter S. Hovmand",
      "author_ids": "113684; 108423",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
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      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3372134791,
        "prompt_eval_count": 1601,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:01:23.131105+00:00"
    },
    {
      "input_index": 787,
      "record_key": "SSWR:2017-U-0369",
      "source_database": "SSWR",
      "record_id": "2017-U-0369",
      "year": 2017,
      "title": "Racial and Ethnic Differences in Non-Lethal Suicide Behavior and Screening Services of Justice-Involved Youth",
      "abstract": "Background and purpose. Suicide is the third leading cause of death in adolescence (CDC, 2015).  Previous studies have found justice-involved youth to be more than two times more likely to report a history of suicide attempts and to take their own life while in custody than youth in the general population (Gallagher  & Dobrin, 2006; Nock et al., 2012; Sedlak & McPherson, 2010).  Certain demographic characteristics are associated with greater risk.  Females report much higher levels of ideation and attempts compared to males in national estimates regardless if they are justice-involved or general population. Significant racial/ethnic differences are evident in nationally representative general population studies, (Nock et al, 2012; CDC), but less is known about the racial/ethnic differences and suicide behavior of equivalent studies of justice-involved youth. The objectives of this study were to 1) to demonstrate race/ethnic differences in non-lethal suicide behavior between youth in the general population and justice-involved youth, and 2) examine facility screening practices by youth race/ethnicity to identify disparities in screening services relative to need.  It is hypothesized that racial and ethnic differences will be apparent in both suicide behavior and available screening practices. Methods. Existing data from two nationally representative samples-the National Comorbidity Survey Replication – Adolescent Supplement (NCS-A) and the Survey of Youth in Residential Placement (SYRP)- were analyzed including only self-reports of youth ages 13-18 in  order to make comparisons of suicide behavior between the two populations.  Using only the SYRP data, information about facility screening practices was analyzed to determine if there were significant differences in the availability of screening services by youth race/ethnicity. Results. Comparisons between the samples demonstrated that justice-involved youth had elevated levels of ideations and were six times more likely to attempt suicide compared to the general population.  White youth reported the highest rates of suicide attempts in the justice sample while Hispanic youth reported the highest numbers in the general population. African-American youth had the lowest rates of suicide attempts in both samples.  White and African-American youth (25.4%, 20.4%) were significantly less likely to be in a facility that did not provide any screening or only provided screening to some youth. Conversely, Hispanic and American Indian or Alaska Native/Native Hawaiian or other Pacific Islander (AIAN/NHPI) youth were significantly more likely to be in facilities that did not provide screening or only provided screening to some youth (34.7%, 34.0%). Conclusions and implications. Justice-involved youth are at much higher risk for attempted and completed suicides compared to the general population; however, 20% - 35% of justice involved youth in this study were housed in facilities that did not screen for suicide risk or only screened a select number of youth.  White youth reported the highest rates of previous suicide attempts and they were more likely to be in facilities that screened all youth compared to Hispanic and AIAN/NHPI populations.",
      "authors": "Leanne Heaton",
      "author_ids": "116307",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3381829542,
        "prompt_eval_count": 1578,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:01:26.514725+00:00"
    },
    {
      "input_index": 788,
      "record_key": "SSWR:2017-U-0571",
      "source_database": "SSWR",
      "record_id": "2017-U-0571",
      "year": 2017,
      "title": "Rates and Correlates of Polyvictimization, Depression, and Suicide Attempts for Cisgender, Transgender, and Genderqueer Youth",
      "abstract": "Background and Purpose: Sexual and gender minority youth (SGMY) are at greater risk for polyvictimization (≥10 victimization experiences in the last year), depression, and suicide. Little research exists on the rates of these social problems for transgender and genderqueer youth. Utilizing a national sample of sexual minority youth ( N =1179), the study aims to (a) generate estimates of polyvictimization, depression, and suicide attempts for cisgender, transgender, and genderqueer youth and (b) identify individual-, family-, peer-, and school-level factors that are significantly associated with depression and suicide attempts for cisgender, transgender, and genderqueer youth, controlling for polyvictimization. Methods: The study utilized an Internet-based, quota sample of SMGY. Inclusion criteria included non-heterosexual and/or non-cisgender identity, ages 14-19, middle or high school enrollment, U.S. residency, and English literacy. Using a cross-sectional, quantitative design, the sample was recruited through Facebook advertisements and promotional materials at 12 SGMY organizations. Adapted versions of the Juvenile Victimization Questionnaire and Swearer Bullying Survey were used to assess polyvictimization. A measure of family-level homo/transnegative microaggressions and homo/transpositive microaffirmations was developed for the study. Depression was measured with the CESD-10 and suicide attempts with a binary indicator of an attempt within the last 12-months. Gender-role nonconformity, family religiosity and poverty, peer rejection, and school climate were assessed with existing and adapted measures. Descriptive analysis identified rates of polyvictimization, depression, and suicide stratified by gender identity. Multiple ordinal and logistic regression were used to identify factors associated with depression and suicide. Results: Lifetime and last year rates of polyvictimization were highest for genderqueer (82.3%; 59.1%), followed by transgender (78.9%; 58.5%), cisgender female (68.6%; 38.8%), and cisgender male (66.6%; 36.7%). Depression and suicide rates were highest for transgender [M=17.7 (SE=0.8); 43.6%], followed by genderqueer [M=16.1 (SE=0.4); 30.8%], cisgender female [M=14.2 (SE=0.3); 24.3%], and cisgender male [M=11.4 (SE=0.3); 16.9%]. In regards to depression, sexual orientation, gender identity, gender-role nonconformity, polyvictimization, family-level poverty and microaggressions, peer rejection, and school climate were significant predictors. Specifically, cisgender female ( b =1.80, p <0.01), transgender ( b =2.53, p <0.01), and genderqueer ( b =1.81, p <0.05) participants reported significantly higher depression than cisgender males, controlling for the other variables. In regards to suicide, gender identity, polyvictimization, family-level microaggression, and peer rejection were significant predictors. Transgender youth had a significantly higher adjusted odds ratio (AOR=2.49, p <.05) of attempting suicide in comparison to cisgender males. Conclusion: Transgender and genderqueer youth had the highest rates of polyvictimization, depression, and suicide attempts in comparison to their cisgender counterparts. This study identified modifiable risk and protective factors for depression and suicide, including polyvictimization, family-level poverty and microaggressions, peer rejection, and school climate that may have important practice implications. Future research is needed to explore other unique individual, family, peer, and environmental factors as gender identity still remained a significant predictor for depression and suicide attempts even after controlling for all the other risk and protective factors. Future prevention and intervention efforts should recognize the impact of family, peer, and school environments on mental health and suicide attempts for transgender and genderqueer youth.",
      "authors": "G. Allen Ratliff; Paul Sterzing",
      "author_ids": "116607; 110433",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3872545292,
        "prompt_eval_count": 1799,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:01:30.389091+00:00"
    },
    {
      "input_index": 792,
      "record_key": "SSWR:2017-U-0215",
      "source_database": "SSWR",
      "record_id": "2017-U-0215",
      "year": 2017,
      "title": "Sense of Belonging and Youth Suicidal Behaviors: What Community and School Got to Do with It?",
      "abstract": "Background and Purpose: Suicide is the third leading cause of death among young people ages 10-24 in the United States. Nationwide 16% of high school students seriously considered suicide and 8% attempted suicide. The literature tends to focus on individual and family-level explanations, such as depressive symptoms and/or strained parent-child relations. There has been a gradual shift, however, towards considering the impact of school and community environment on youth suicidal behaviors. For example, the CDC encourages youth suicide prevention strategies to incorporate issues related to school safety and connectedness. Nevertheless, few studies have investigated the impact of school and community factors on youth suicidal behaviors. Guided by the concept of belonging in Thomas Joiner’s interpersonal theory of suicide, the current study examined the effect of school and community belonging on youth suicide ideation and attempts. Methods: This study used cross-sectional data from the Texas 2013 Youth Risk Behavior Survey (YRBS). Texas YRBS was selected for the analysis given its inclusion of questions about protective factors on the 96-question, self-administered survey that assessed a variety of health and mental health-related behaviors. The sample consisted of 3,181 high school students. The independent variables included feeling unsafe at school, being bullied at school, feeling threatened at school, school involvement (“students help decide what goes on in your school”), participating in community activities, and community belonging (“feeling like you matter to people in your community”). Statistical analyses were conducted on weighted data using SPSS Complex Samples software to account for the complex sampling designs. Logistic regressions were run to calculate odds ratios (OR) for each of the two dependent variables: suicide ideation, and suicide attempt. Results: 17% of Texas high school youth considered suicide and 9% attempted suicide within the 12-month period prior to the survey. The first model (χ 2 =3,747 [ df =16], p < .001) showed that students who experienced school bullying (OR=3.39, p <.001), felt unsafe at school (OR=1.75, p <.05), felt threatened at school (OR=1.31, p <.001), and had lower levels of community belonging (OR=.66, p <.001) were more likely to ideate about suicide. Similarly, in the model on suicide attempts (χ 2 =740 [ df =16], p < .001), school bullying (OR=2.64., p <.001), feeling unsafe at school (OR=3.03, p <.001), being threatened at school (OR=1.43, p <.001), and community belonging (OR=.79, p <.01) emerged as significant factors. In particular, lack of school safety was found to be the strongest correlate of suicide attempt among Texas youth. Conclusions and Implications: This study confirmed the importance of school and community belonging in youth suicidal behaviors. School bullying, feeing unsafe at school, and being threatened at a school increased the odds of suicide ideation and attempts, and community belonging reduced the odds of suicide ideation and attempts. Our results point to the importance of engaging schools and communities in suicide prevention efforts. Ultimately, schools and communities can play an active role in suicide prevention by fostering safe and inclusive environments and helping youth to strengthen their experiences of belonging among peers and adults.",
      "authors": "Katarzyna Olcon; Yeonwoo Kim; Lauren E. Gulbas",
      "author_ids": "116098; 114917; 111719",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3469138792,
        "prompt_eval_count": 1656,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:01:44.008323+00:00"
    },
    {
      "input_index": 793,
      "record_key": "SSWR:2017-U-0059",
      "source_database": "SSWR",
      "record_id": "2017-U-0059",
      "year": 2017,
      "title": "Social Exclusion and Mental Health Among Trans-Identified Adolescents: Results from a Representative Sample",
      "abstract": "Background/Purpose: A growing number of studies indicate trans-identified individuals experience various forms of discrimination and victimization due to their gender minority status, and that these experiences are correlated with psychological distress. Trans-identified youth are significantly more likely than their cisgender peers to experience mistreatment in their homes, schools, and communities, and are more likely to report associated mental health problems such as depressive symptoms and suicidality. Despite this knowledge, little is known about how other contextual factors related to social exclusion, such as gaps in resources/supports and disconnectedness, may be linked to the mental health challenges of trans-identified youth, or how these experiences compare to their cisgender peers. This study compares the self-reported experiences of mental health problems between trans-identified and cisgender adolescents, and identifies the degree to which various indicators of social exclusion are associated with these experiences. Methods: Our study used data from the Dane County Youth Assessment, a county representative sample of approximately 12,000 high school students surveyed in a Midwestern state at regular 5-year intervals. Exploratory analyses were conducted using descriptive statistics, correlations, mean differences tests, and a series of ordinary least squares (OLS) and logistic regressions to assess differences in the social exclusion experiences (e.g. parental support, school connection, neighborhood connection, experiences of harassment, and social activity involvement) and mental health problems (e.g. self-reported long-term mental health problems, current anxiety symptoms, depressive symptoms, suicidality and self-harm, self-esteem, and current mental health treatment) of transgender and cisgender youth. Results: Trans-identified adolescents reported multiple forms of social exclusion, including lower levels of parental, school, and neighborhood support and greater experiences of harassment. High levels of long-term mental health problems (depression, anxiety, eating disorders) were indicated, as trans youth were nearly twice as likely to report past-month suicidal ideation, five times more likely to report a past-year suicide attempt, and four times more likely to report past-year self-harm than cisgender adolescents. Results also revealed that transgender status was positively associated with current anxiety symptoms and negatively associated with self-esteem, controlling for all covariates. In addition, while experiences with social exclusion accounted for differences in anxiety and self-esteem symptoms between trans and cisgender adolescents, they did not fully account for differences in mental health problems that suggest more severe concerns. Specifically, trans-identified adolescents remained twice as likely to report a long-term eating disorder, past-year suicide attempt or past-year self-harm, and three times more likely to report past-month suicidal ideation than their cisgender peers, accounting for all variables related to social exclusion. Conclusions/Implications: This study reiterates prior research findings linking transgender identity and psychological distress, and provides new information about trans-identified adolescents experiences with social exclusion across a variety of domains. Results indicate that while mental health disparities between transgender and cisgender adolescents may be partially explained by experiences of social exclusion, disparities related to more severe mental health outcomes remain. Findings also suggest the need to develop social protection and inclusion policies/practices that help to support trans-identified youth, and to ensure access to high-quality, trans-informed adolescent mental health care.",
      "authors": "June C. Paul; Andrea M. Larson; Maurice N. Gattis",
      "author_ids": "113596; 113659; 110389",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3388885208,
        "prompt_eval_count": 1581,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:01:47.400268+00:00"
    },
    {
      "input_index": 794,
      "record_key": "SSWR:2017-P-0620",
      "source_database": "SSWR",
      "record_id": "2017-P-0620",
      "year": 2017,
      "title": "Social Mistrust and Gun Ownership in the Obama Era: A Gender-Stratified Analysis of the General Social Survey",
      "abstract": "Background and Purpose : The United States has one of the highest gun violence rates compared to other developed countries. The gun control debate has typically focused on gun violence as a criminal justice problem, but not as a public health issue. Additionally, the media has focused much of its attention on mass shootings and have overlooked that more than 96% of intentional gun deaths are suicides and homicides. Social work advocates and policy makers must recognize the salient role firearm access may play in reducing such devastating events. Given that social trust and community development is part of the social work’s mission, examining the association between social mistrust and gun ownership during the Obama administration may provides us with intervention plans to reduce gun violence in the United States. A discussion about building research strategies in gun control laws, gun ownership and social trust among adults in the United States will be addressed. Methods: First, a systematic review was conducted to address the relationship between social mistrust and firearm ownership across the United States. Second, evidence was demonstrated via secondary statistical analysis using the data from Centers for Disease Control and Prevention’s Web-based Injury Statistics Query and Reporting System 2008 to 2014 to report intentional firearm-related deaths.  Quantitative evidence from the General Social Survey 2008-2014 will connect how social mistrust plays a role in gun access among adults 18 and over in the United States. Third, a trend analysis and multiple regression was conducted to compare the patterns of gun ownership and social mistrust among males and females during the Obama administration. Presentation on these data aim to provide evidence-based policy recommendations. Results : Firearm-related suicides comprise nearly two-thirds (63.5%) of all intentional firearm-related deaths in the United States, whereas one third (32.6%) are firearm-related homicides. Approximately, 56.5% of males and 61.6% of females agree that “most people cannot be trusted” from 2008 to 2014. Since 1972, there has been a steady increase in mistrust for both males and females. Moreover, there was a significant change between the Obama and Bush administration among gun ownership among white males. The rise of mistrust since 1972 has steadily increased for females and has been at its peak under the Bush and Obama administration. A regression analysis shows that there is a significant relationship between gun ownership and social mistrust in the overall population (t=6.05, p =.001, R 2 =.044). Conclusions and Implication : The current trend in gun ownership highlights the critical problem related to the rising mistrust trend under the Obama administration among males and females. Examining firearm policies, specifically gun ownership, can provide people with feeling safer in their environment. Even though there are firearm policies that prevent firearm-related deaths, the needs between females and males may be different. Given that females have a higher mistrust compared to males, future research should examine factors associated with mistrust among females in the upcoming election.",
      "authors": "Carol A. Leung; Donte T. Boyd; Mark S. Kaplan",
      "author_ids": "115291; 115665; 115292",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "mixed_methods",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3310328083,
        "prompt_eval_count": 1557,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:01:50.712432+00:00"
    },
    {
      "input_index": 795,
      "record_key": "SSWR:2017-P-0369",
      "source_database": "SSWR",
      "record_id": "2017-P-0369",
      "year": 2017,
      "title": "Suicidal Attempts Among Young Latinos in the Americas: A Review of the Research",
      "abstract": "BACKGROUND AND PURPOSE . Suicide attempts are in the rise among youth living in Latin American countries. Social workers working to reduce the prevalence of suicidal behaviors in this population need to understand the magnitude of this phenomenon and its causes. We examined the literature on suicide attempt among youth ages 10 to 24 in selected countries in Latin America and the Caribbean. We describe (a) the reported suicide attempts prevalence across several Latin American and Caribbean countries; (b) the approaches used by researchers to explore and explain this phenomenon; and (c) the overall quality of this literature. METHODS . This study critically reviewed the research describing the epidemiology and factors associated to suicidal behaviors among Latino youth in Argentina, Bolivia, Brazil, Chile, Colombia, Cuba, Dominican Republic, Ecuador, Mexico, Peru, and Uruguay. These data were published between 2000 and 2016. The search terms included: suicide, suicide attempts, causality, risk factors among others. Articles were identified through EBSCO, Google Scholar, Medline, and PsychInfo searches. In addition, reference lists of relevant articles were reviewed. Only empirical papers were considered (N = 51). Publications in English, Spanish, and Portuguese were included. RESULTS . Suicide attempts prevalence rates varied greatly across the countries of interest. For example, 3.6%, 10.1%, and 19% of adolescents in community samples in Peru, Uruguay, Chile, respectively, reported attempting suicide. In general, research reported higher rates of suicide attempts among females than among males. For instance, 7.2% of Colombia adolescent females disclosed attempting suicide at least once in their lives, compared to 1.6% of male counterparts. The leading risk factors for suicide attempts among Latin American youth were: cigarette smoking, depression, sexual behaviors, and experiences of victimization. The effects of these risk factors on suicide attempts varied greatly across studies. For example, smoking was significantly associated with higher odds of suicidal attempts in several studies (n = 14). Among Brazilians, the statistically significant risk increase associated with smoking was much smaller (OR = 2.35) than that observed among Argentinean youth (OR = 22.2). The quality of this literature varies greatly. Most of the research reviewed here collected data using questions modeled after the U.S. CDC Youth Risk Behaviors Survey. Most research collected data from clinical samples, and almost exclusive focused on testing risk models. CONCLUSIONS AND IMPLICATIONS . The literature on Latin American youth suicide attempts described great country and gender prevalence disparities. This literature is plagued by conceptual and methodological limitations.  Conceptually, the focus on risk models testing highly prevalent individual-level factors (e.g., smoking) did not built causal understandings of suicidal behaviors in this population. In addition, the research mostly explored the link between depression and suicidal behaviors in detriment of describing the relationship between externalizing behaviors and youth suicide attempts. Improving the quality of the research on suicidal behaviors among Latin American youth should be a priority for social workers and public policy makers across the continent.",
      "authors": "Liz Calderon; Carolina M. Hausmann-Stabile",
      "author_ids": "116304; 112385",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "review",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Review"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3360494042,
        "prompt_eval_count": 1551,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:01:54.075187+00:00"
    },
    {
      "input_index": 796,
      "record_key": "SSWR:2017-U-0023",
      "source_database": "SSWR",
      "record_id": "2017-U-0023",
      "year": 2017,
      "title": "Suicidal Behaviors Among Sexual and Racial/Ethnic Minority Female and Male Adolescents in the United States",
      "abstract": "BACKGROUND AND PURPOSE : Trends in suicidal behaviors during adolescence mimic larger health disparities in society, with sexual and racial/ethnic minority youth burdened with higher rates of suicidal behaviors than their non-minority peers. In addition to disparities by minority status, there are widely known gender variances in non-lethal and lethal suicidal behaviors. Less is known, however, about how sexual orientation intersects with other dimensions of identity to increase suicide risk. Specifically, the aim of this presentation is to examine the intersections of sexual, gender and racial/ethnic identities to increase adolescents' risks to ideate, plan, and attempt suicide. METHODS : Data are from the 2013 CDC Youth Risk Behavior Survey. We used multivariate logistic regression to assess adjusted odds ratios and 95% confidence intervals. We analyzed data from adolescents between the ages of 14 and 17 separately by gender (N = 22,256; females, n = 11,743, males, n = 10,513). RESULTS : More females self-identified as either gay, bisexual, or not sure than males (13.3% vs 7.2% respectively). Participants who identified themselves as sexual minority were more likely to be Hispanic. The models run after controlling for gender demonstrated that females were more likely to report suicidal ideation (aOR=1.645, 95% CI = 1.465-1.846), suicidal planning (aOR=1.377, 95% CI= 1.219-1.556) and suicidal attempts (aOR=1.173, 95% CI=1.016-1.355) than their male peers. Almost half sexual minority adolescent females reported suicidal ideation (47.8%), 41% reported suicide planning, and about a third reported suicidal attempts (30.1%). About a third of sexual minority adolescent males reported suicidal ideation and planning (30.9% and 30.6% respectively) and about a fourth reported suicidal attempts (23.4%). Being a sexual minority posed greater risks for suicidal behaviors for adolescent males than females. Among the female and male sub-samples, analyses revealed that being a sexual minority was significantly associated with higher odds of suicidal ideation (aOR = 3.13 and aOR = 4.09 respectively), suicidal planning (aOR = 3.17 and aOR = 3.95 respectively), and suicidal attempts (aOR = 3.49 and aOR = 4.69). In these analyses race/ethnicity were not a significant predictor of suicidal behaviors. However, we ran post-hoc tests by gender and found that there were significant differences in the prevalence of suicidal behaviors between the race/ethnic subgroups of sexual majority/minority adolescent. Sexual minority Latinas reported more suicide attempts than their black and white sexual minority peers (33.6% vs 27.1% vs 28.3% respectively), and almost five times more attempts than their white sexual majority counterparts (33.6% vs 7.1%). Among males, sexual minority Latinos reported more suicide attempts than their black and white sexual minority peers (33.2% vs 25.9% vs 16.8% respectively). The rate of suicide attempts among Latino sexual minority males was more than six times greater than that of white sexual majority whites (33.2% vs 5.4%). CONCLUSIONS AND IMPLICATIONS : Our findings show the importance of capturing a nuanced description of risk disparities among sexual minority youth by race and ethnicity. Suicide researchers must go beyond identifying universal risk factors to understanding how these contribute to the suicidal behaviors of distinct groups of teens.",
      "authors": "Carolina M. Hausmann-Stabile; Rasmi Nair; Cortney Bruno; Omar Martinez; Miguel A. Munoz-Laboy",
      "author_ids": "112385; 115738; 115739; 115740; 113010",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3662148917,
        "prompt_eval_count": 1736,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:01:57.738844+00:00"
    },
    {
      "input_index": 798,
      "record_key": "SSWR:2017-U-0206",
      "source_database": "SSWR",
      "record_id": "2017-U-0206",
      "year": 2017,
      "title": "Testing the Association Between General Bullying, Ethnic-Based Bullying, Suicidal Ideation and Substance Use in Hispanic Youth",
      "abstract": "Background . Hispanic youth experience disproportionate risks of substance use, depression and suicidal ideation compared to their non-Hispanic peers. Further, each of these is empirically related to bullying. However, there is little attention on the relation between ethnic-based bullying and behavioral health outcomes in this population. Thus, the current study tested: (a) the direct relation of ethnic-based based bullying, general bullying, and generational status to suicidal ideation and alcohol, marijuana, and illicit drug use, and (b) the indirect path of ethnic-based bulling through clinical depression to these outcomes in Hispanic youth. Methods . A random sample of 6 th , 8 th , 10 th , and 12 th grades in all public middle and high schools was collected from one large North Carolina county (N=3,012). The current study included data collected only from Hispanic students (n=594). The sample was majority female (55.4%). Thirty-three percent of Hispanic youth were immigrants and 93.3% of the Hispanic sample had at least one immigrant parent. Measures of behavioral health included suicidal ideation (e.g. think about suicide, think about a plan), clinical depression (Center for Epidemiologic Studies Depression Scale), and lifetime alcohol, marijuana, and illicit drug use (e.g. cocaine, methamphetamines, etc.). The independent variables were two separate constructs of victimization: ethnic-based bullying (e.g. bullied because of ethnicity, language) and general bullying (e.g. made fun of me, threatened). Covariates included age, gender, and generational status. A path analysis using an IRT-based model to estimate the direct and indirect effects of categorical and ordinal variables was tested in MPLUS. Results . The statistics indicated a good model fit ( X 2 (6) = 2.74, p = .84; RMSEA = .00; CFI/TLI = 1.00/1.01). General bullying is associated with a greater likelihood of depression (p <.001); ethnic-based bulling predicted a higher likelihood of clinical depression over and above general bullying (p <.001). U.S.-born children experienced greater clinical depression than did foreign-born students (p=.008). Depression is associated with greater suicidal ideation (p <.001). In addition, general bullying was associated with suicidal ideation (p=.011) over and above depression; ethnic-based bulling was not. In terms of the mediation model, the indirect effects of ethnic-based bullying through depression was significant for all the outcomes except marijuana, as was the indirect effects of general bullying and generational status. The only significant direct effect of bullying after controlling for depression was for general bullying on suicide and the direct effect was greater than the indirect effects. For alcohol and illicit drug use, most of the effects of general and ethnic-based bullying and child nativity were through its effect on depression. Conclusions. Hispanic youth in immigrant families may be at an elevated risk of bullying related to their race, ethnicity and language, especially in states where the Hispanic immigrant population is emerging and growing at exponential rates. Ensuring the healthy development of youth needs to include prevention strategies for bullying and ethnic-based bullying in particular in order to prevent depression, which ultimately contributes to suicidal ideation and substance use. Studies like this are needed to influence the development of community-based efforts for this at-risk youth group.",
      "authors": "Jodi Berger Cardoso; Hannah Szlyk; Jeremy Goldbach; Paul Swank",
      "author_ids": "110765; 115769; 110332; 114174",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "prompt_eval_count": 1647,
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      "screened_at": "2026-08-02T18:02:04.473834+00:00"
    },
    {
      "input_index": 799,
      "record_key": "SSWR:2017-U-0539",
      "source_database": "SSWR",
      "record_id": "2017-U-0539",
      "year": 2017,
      "title": "The Concise Health Risk Tracking Self-Report (CHRT-SR): Psychometric Properties of a Measure to Identify Suicidality in a Treatment Seeking Population with Stimulant Use Disorder",
      "abstract": "Purpose Stimulant use disorders are prevalent and often co-occur with other psychiatric disorders, and long tern use is associated with hopelessness, depression and suicidality. It has been suggested that stimulant users should be monitored for suicidal behavior, yet, to date, no comprehensive suicide risk scale has been validated for use with a stimulant using population. The Concise Health Risk Tracking Scale Self-Report (CHRT-SR; Trivedi et al., 2011) was developed as a self-report measure to assess suicidal propensity and risk in patients with major depressive disorder. The current project seeks to test the test-retest reliability as well as the construct and criterion-related validity of the CHRT-SR. Methods The current study examined baseline and subsequent assessment from the Stimulant Reduction Intervention using Dosed Exercise (STRIDE) study, a multicenter randomized control trial of treatment-seeking stimulant users recruited from residential treatment centers. In order to be enrolled in STRIDE, participants met DSM-IV criteria for stimulant abuse or dependence within the last 12 months, reported illicit stimulant drug use within the 30 days prior to admission and had to be medically cleared to exercise via a protocol-defined stress test. Participants were assessed with the 7-item CHRT-SR, which includes subscales of Hopelessness, Social Support, and Risk. The MINI International Neuropsychiatric Interview was used to obtain diagnostic information for other DSM-IV Axis I disorders and suicidal risk. Symptoms of depression were assessed with the 16-item Quick Inventory of Depressive Symptomatology-Clinician Rated version (QIDS-C16). Cronbach 𝛼 (internal consistency reliability) was calculated for the total CHRT and three subscales. Intraclass correlation coefficients (ICC) were used to examine for test-retest reliability. Tests of construct and criterion-related validity of the CHRT included Spearman’s rho, Kruskal-Wallis ANOVA, and Mann-Whitney U tests. Results Participants were adult stimulant users (N=302), aged 18-65, with a mean age of 39 years (SD=10.8). The sample was 40% (n=121) female, 50% (n=148) White and 46% (n=138) Black. The mean education level was 12.4 years (SD=2.0), with 53.3% never married, and 31.5% currently employed. CHRT-SR subscales and total scores demonstrated good to very good internal consistency reliability with Cronbach’s coefficient 𝛼 for each dimension greater than .7, and Hopelessness subscale 𝛼 = .869 and Risk 𝛼 = .892. The CHRT-SR total had an obtained 𝛼 = .775. Acceptable test-retest reliability between the baseline and subsequent time point was found (ICC = .705). Significant differences on the CHRT-SR were found between groups on participants diagnosed with depression, anxiety, suicidality and related disorders. Those participants assessed as currently suicidal reported significantly higher scores on the CHRT-SR total (U = 11382.0, p = .034). Conclusion This study furthers the findings of the previously established strong psychometric properties of the CHRT-SR, and supports its clinical utility as a measure of suicidal thoughts and associated symptoms for people with stimulant use disorder. The 7-item CHRT-SR offers particular utility as simple and quick assessment of hopelessness and pessimism, symptoms common among people with chronic stimulant use, and might add predictive value for a population who should be closely monitored for suicide risk.",
      "authors": "Katherine Sanchez; Michael Killian",
      "author_ids": "113304; 109861",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "prompt_eval_count": 1723,
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      },
      "screened_at": "2026-08-02T18:02:08.141678+00:00"
    },
    {
      "input_index": 800,
      "record_key": "SSWR:2017-P-0648",
      "source_database": "SSWR",
      "record_id": "2017-P-0648",
      "year": 2017,
      "title": "The Cultural Adaptation of Dialectical Behavior Therapy: A Case Study from Clinical Practice",
      "abstract": "Background and Purpose: Mental health clinicians often service their clients with a therapeutic modality chosen to best target the chief diagnosis.  These therapeutic modalities have been researched extensively and have evidence to support the effectiveness of reducing the presenting symptoms of the client. However, there are treatment modalities that have not been researched specifically for its effectiveness on diverse client populations. There is a significant lack of literature that specifically focuses on using standard Dialectical Behavior Therapy (DBT) with the monolingual Spanish speaking Latino population. The purpose of this project is to investigate different approaches and techniques clinicians can use in order to meet the specific needs of diverse client populations to make the treatment modality culturally adherent.  This project will highlight the use of a culturally enhanced DBT program on a 45-year-old Latina female client diagnosed with Major Depressive Disorder and Borderline Personality Disorder. Methods: Qualitative data was collected using direct observations via clinical practice of a Spanish enhanced DBT program in an outpatient mental health clinic. The client of this project is “Emma”, a 45-year-old, Latina female who was self referred to the clinic in order to receive mental health services due to presenting symptoms of depression. She initially began treatment by receiving a Cognitive Behavioral Therapy (CBT) treatment modality in order to reduce symptoms of depression.  However, Emma’s functioning throughout treatment included pervasive mood dependence, suicidal ideation and parasuicidal behavior that warrant a change in treatment modalities to DBT. Once in DBT treatment, client had difficulty committing to the new treatment modality due to its structure. This prompted the therapist to use different approaches in order to make the treatment more culturally adherent for the client. The specific approaches used with the client included: using a “Loteria” system approach, using pictures on the client’s diary to meet her literally competence, and having the client participate in the Spanish speaking DBT skills group. Results: The approaches used by the therapist were successful in having the client eventually commit to DBT treatment. Client reported that the “Loteria” approach was an incentive due to the points that she received by completing her homework. The decision of adapting the client’s dairy card by using pictures was a successful approach as the client reported that initially the requirement of completing the diary card was a reason why she did not want to commit to treatment. Lastly, the client participated in a monolingual Spanish speaking skills group, which translated the DBT skills in a culturally appropriate and sensitive way. Conclusion and Implications: This project highlights effective approaches for therapists to use with their monolingual Spanish-speaking clients who are receiving DBT as their treatment modality. Due to the effectiveness that is known of DBT as the treatment modality for clients with borderline personality disorder, this case study highlights how different approaches can be made in order for DBT to be culturally enhanced and appropriate.",
      "authors": "Ivan Gonzalez; Lizbeth Gaona; Ulises Ramirez",
      "author_ids": "116577; 116571; 116676",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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        "prompt_eval_count": 1508,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:02:11.294129+00:00"
    },
    {
      "input_index": 801,
      "record_key": "SSWR:2017-U-0612",
      "source_database": "SSWR",
      "record_id": "2017-U-0612",
      "year": 2017,
      "title": "The Hazardous Unknown of Differential Disclosure: Investigating Patterns and Correlates of Disclosing Different Kinds of Suicidal Cognition",
      "abstract": "Background/Purpose: Revealing suicidal thinking is pivotal to getting help but revelation is not an all-or-nothing practice. Recognizing that different kinds of suicidal cognition (i.e., active thoughts, plan, intent) confer different levels of suicide risk raises the importance of understanding disclosure practices across cognition types. Despite that differential disclosure across cognition type can affect suicide risk assessment and management, prior work has largely neglected this topic. This study’s aims were to (1) describe disclosure prevalence of active suicidal thoughts, intent, and plan (2) examine the association between individual and relationship factors and intended disclosure of each kind of cognition. Methods: Egocentric network and survey data were collected from 45 young adults/adults (Level 2 sample size) with a serious mental illness and a history of suicidal crisis who nominated 347 social network members (Level 1 sample size). Participants were asked about their intended disclosure of 3 suicidal cognition types (i.e., active thoughts, plan, intent) to their social network members. These outcome variables were dichotomized into “likely” or “unlikely” disclosure. Information was gathered about individual participants (e.g., psychiatric symptoms, stigma) and their social networks. Proportions were calculated to determine disclosure prevalence of suicidal cognition at the individual- (i.e., proportion of participants disclosing) and relational-level (i.e., proportion of network members as confidants). Two-level hierarchical logistic models (HLM) were used to examine associations between individual and relational factors and intended disclosure; univariable and multivariable analyses were employed for each cognition type. Results: Intended disclosure varied by cognition type, with a higher proportion of people disclosing less serious (i.e., active thoughts) than more serious (i.e., intent/plan) types of suicidal cognition (96% vs. 82%) and a higher proportion of network members viewed as confidants for less serious than more serious cognition (43% vs. 30%). Multivariable HLM analyses revealed similar correlates for disclosure across cognition type. No individual factors were associated with disclosure.  For relationship factors, network member social support and stigma were associated with intended disclosure. For social support, the odds ratios by cognition type were as follows: active thoughts (OR=2.22; 95% CI: 1.68, 2.94); intent (OR=2.00; 95% CI: 1.43, 2.80); and plan (OR=2.08; 95% CI: 1.48, 2.93).  For stigma, the odds ratios by cognition type were as follows: active thoughts (OR=2.04; 95% CI: 1.49, 2.79); intent (OR=3.70; 95% CI: 2.14, 6.38); and plan (OR=4.07; 95% CI: 2.35, 7.05).  Having more social network members was associated with less disclosure for suicide plan (OR=0.81; 95% CI: 0.70, 0.93) but not active thoughts or intent. Conclusions/Implications: These findings suggest that participants adopt a more restrictive approach to disclosure for more serious types of suicidal cognition. This is concerning given that it can lead to an underestimation of risk in riskier clinical situations.  Clinicians should conduct more comprehensive assessments (e.g., multi-method approaches) of suicidal plan/intent to capture underreporting.  Programming targeting social support and stigma within networks can help to develop more confidants for disclosure. The paradoxical finding that more social network members meant less intended disclosure of suicide plan is a reminder not to equate greater network size with safety.",
      "authors": "Anthony Fulginiti",
      "author_ids": "112190",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "prompt_eval_count": 1745,
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      "screened_at": "2026-08-02T18:02:14.965791+00:00"
    },
    {
      "input_index": 804,
      "record_key": "SSWR:2017-P-0378",
      "source_database": "SSWR",
      "record_id": "2017-P-0378",
      "year": 2017,
      "title": "The Impact of Military Service and Substance Abuse on Suicidality: A Comparison Between Male Military Service Members and Civilians",
      "abstract": "Background/Purpose: The US military continues to search for answers in the battle against ever increasing suicide-related casualties. A spate of recent studies has contrasted suicide risk among military veterans with that of the non-military general population, yielding mixed and often conflicting results. Notably, however, this body of research is limited by the lack of interaction effects between substance abuse and military service in predicting suicidality. The present study aims to rectify this gap by systematically examining the interrelatedness of substance abuse and military status, and elucidating the contributions of these factors to the problem at hand. Methods: Data were derived from a population-based study (National Survey on Drug Use and Health, 2013 [NSDUH]) of the civilian, non-institutionalized population ages 12 years and older in the United States (N = 55,160). Military status was determined by asking respondents: “Are you currently on active duty in the armed forces, in a reserve component, or now separated or retired from either reserves or active-duty?” Notably, any respondents reporting active-duty status were terminated from the interview per NSDUH guidelines; however, reservists and separated/retired respondents were included. Due to the relatively low proportion (< 10%) of female respondents reporting military service, we limited our sample to only male respondents who were at least 18 years old at the time of interview ( n = 17,098). Suicidality was measured based on a single-item (no = 0, yes = 1): “At any time in the past 12 months, did you seriously think about trying to kill yourself?’’ Past 12-month substance abuse (0 = no, 1 = yes) was determined based on criteria from the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition. Binary logistic regression analyses were conducting using suicidality as the dependent variable with military status, substance abuse, and an interaction term of military*substance abuse as primary independent variables. All multivariate analyses were conducted while controlling for age, race/ethnicity, income, education level, marital status, and self-reported health. Results: Bivariate analyses indicate military status is associated with a decreased likelihood of suicidality (OR = 0.70, 95% CI = 0.55-0.90) and that past-12 month substance abuse is linked with increased risk of suicidality (OR = 1.54, 95% CI = 1.25-1.90). However, when controlling for sociodemographic factors, military status ceased to be significantly associated with suicidality and the magnitude of the relationship between substance abuse and suicidality was attenuated (AOR = 1.28, 95% CI = 1.04-1.58). Finally, controlling for sociodemographic confounds, we identified a significant interaction effect between military status and substance abuse (AOR = 2.47, 95% CI = 1.12-5.41) as related to risk for suicidality. Conclusions and Implications: We found that those who have served in our Armed Forces do not, as a whole, seem to face greater risk of suicidality compared to the US civilian population. However, reservists and veterans with substance abuse problems seem to be at substantial elevated risk of suicidality. This suggests that future policy and practice focused on substance abuse prevention and treatment may be warranted especially helpful to former US military personnel.",
      "authors": "David Snowden; Christopher P. Salas-Wright; Catherine Cubbin; Michael G. Vaughn; Erika King",
      "author_ids": "116306; 112955; 114588; 108089; 115373",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "prompt_eval_count": 1674,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:02:25.609696+00:00"
    },
    {
      "input_index": 808,
      "record_key": "SSWR:2017-P-0466",
      "source_database": "SSWR",
      "record_id": "2017-P-0466",
      "year": 2017,
      "title": "The Syndemic Effect of Intimate Partner Violence, HIV, and Substance Use on Depression and Suicidal Thoughts Among a Sample of Drug-Involved Women in Kazakhstan",
      "abstract": "Background and Purpose: Accumulating evidence over the past decade has demonstrated that the effect of co-occurring substance use, violence, and HIV, dubbed the “SAVA syndemic,” on health outcomes, such as depression and mortality, are more deleterious than any one of these individual conditions alone. Despite growing attention, no studies have examined the effect of the SAVA syndemic on depression and suicidal ideation among high-risk women in Kazakhstan, a country that, not only has a notably high prevalence of suicide, but is also experiencing a concentrated epidemic of HIV, and high rates of substance use and violence against women. This paper examines the relationship between the SAVA syndemic and mental health (depression and suicidal ideation) among a sample of high-risk women in Kazakhstan, and identifies risk and protective factors associated with depression/suicidal thoughts. Methods: 364 drug-involved women and their main partners were enrolled into an intervention study in  Almaty, Kazakhstan. Data reported here are from the baseline survey. Participants were asked a range of questions pertaining to their socio-demographics, mental health, history of IPV, drug and alcohol use, partner risk behaviors, housing status, and food insecurity, among others. Biological assays were used to determine HIV status. A single SAVA syndemic variable was created, coded from zero to three, with zero representing participants with none of the three SAVA conditions (operationalized as co-occurring recent injection drug use, recent IPV, and positive HIV-status) and three representing women who reported all three of the syndemic conditions. Descriptive statistics were used to examine the prevalence of depression and suicidal ideation by the SAVA syndemic continuum, and multivariate logistic regression analyses were used to examine the relationship between the SAVA syndemic variable, other risk and protective factors, and mental health outcomes (depression and suicidal ideation). Results: Findings indicated increasing/rising prevalence of both depression and suicidal ideation by the SAVA syndemic continuum. Consistent with the main hypothesis that women who experience the full range of the SAVA syndemic continuum, compared to none, would be disproportionately more likely to have poor mental health outcomes, multivariate analyses showed a 15.5-fold odds ( p < .05) of reporting depression, and a 6-fold odds ( p < .05) in reporting suicidal ideation disturbances. Findings also indicated that women who experience individual, interpersonal, and socio-structural risks are more likely to report poor mental health outcomes than those who did not; specifically, analyses indicated that social support, education, and food insecurity are associated with depression and suicidal ideation, controlling for the syndemic variable. Conclusions and Implications: Findings support previous research from other regions on the synergistic effects of the SAVA syndemic on poor mental health outcomes, as well as the importance of strengthening social support networks and access to basic resources. Findings also point to the value of integrated screening assessments and interventions designed to address multiple, commonly co-occurring conditions.",
      "authors": "Tina Jiwatram-Negron; Nabila El-Bassel, PhD",
      "author_ids": "114175; 108369",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3368578375,
        "prompt_eval_count": 1562,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:02:39.417212+00:00"
    },
    {
      "input_index": 809,
      "record_key": "SSWR:2017-P-0301",
      "source_database": "SSWR",
      "record_id": "2017-P-0301",
      "year": 2017,
      "title": "The Use of Peer Support Interventions for Veterans Facing Community Reintegration Challenges",
      "abstract": "Background and Purpose Veterans often struggle with community reintegration after military life, facing challenges including job insecurity, relationship difficulties, anxiety, social isolation and depression.  Post-traumatic stress rates for Veterans are as high as 60%, and approximately 22 U.S. Veterans per day die by suicide.  Innovative service programming is required to help Veterans forge pathways out of isolation.  Peer support interventions, delivered by and for Veterans, can improve reintegration outcomes, improve outreach and reduce Veteran suicides.  This paper presents data from a multi-site program evaluation, offering insight into the lived experience of Veterans receiving peer support. Methods A phenomenological qualitative design was used to examine the experience of reintegration and use of non-clinical peer support services for Veterans spanning multiple eras.  In-depth, semi-structured interviews were conducted with 100 Veterans providing or receiving peer mentorship services from ten distinct programs.  Audio recordings were transcribed, coded and analyzed for themes with Atlas TI software.  Template Analysis was used to analyze data in partnership with a team of Veteran research consultants. Results Data analysis yielded 110 codes, clustered into 6 primary categories, then classified into secondary and tertiary codes, and organized into themes.  Participants faced a highly complex set of reintegration challenges, with significant negative impact upon functionality and community living.  Participants described multiple losses (of structure, camaraderie, perceived life value, military culture, and mission/purpose), lack of preparation for reintegration, survivor’s guilt, emotional and physical isolation, and feeling misunderstood by civilians.  Stigma regarding mental health services was a universal theme, with tremendous distrust of traditional providers.  Participants instead sought to engage in non-clinical interactions with peers/other veterans.  The resulting peer mentorship relationships were described as more genuine, mutual, and meaningful than those with professional providers.  Many characterized their peer support experiences as life-saving, preventing social isolation, and offering positive role modeling opportunities.  Peer mentor relationships were conceptualized by Veterans as “battle buddies”, replicating the intensity and intimacy of close military relationships within combat units.  The recreation of unit-like dynamics and social camaraderie appears to have significant benefits for Veterans.  The positive impacts of social connections and peer support are essential to overcoming reintegration challenges, and can lead to life-changing personal growth following military service. Conclusion This study has implications for social work practice, education, research, and social policy related to Veterans.  Consistent with the profession’s Grand Challenge of reducing social isolation, peer support interventions meaningfully engage Veterans in prosocial activity, offer valuable meaning, and provide positive hopeful relationships.  The shared experience and identification found in peer support replicates military social bonds, and eases resistance to help-seeking.  Programs and social workers serving Veterans must incorporate better knowledge of reintegration challenges and assist in the development of peer support interventions.",
      "authors": "Eric R. Hardiman; Samantha S. Fletcher; Amanda Matteson",
      "author_ids": "109673; 115294; 116173",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "prompt_eval_count": 1512,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:02:42.520918+00:00"
    },
    {
      "input_index": 810,
      "record_key": "SSWR:2017-U-0180",
      "source_database": "SSWR",
      "record_id": "2017-U-0180",
      "year": 2017,
      "title": "Transgender-Inclusive Health Care and Delaying Care Due to Fear: Connections to Mental Health and General Health Among Trans* Adults",
      "abstract": "Background/purpose Transgender and gender non-conforming individuals face a variety of risks for discrimination, harassment, and violence that impact their psychosocial well-being. Discrimination occurs even at the hands of healthcare professionals who are supposed to improve patients’ well-being. Fear of discrimination can prevent transgender people from pursuing the health care that they need. However, few studies have assessed how access to transgender-inclusive healthcare and fear of provider discrimination relate to mental health and general health. With this background in mind, the present study utilizes statewide health data from 417 transgender adults to explore: Do lack of access to transgender-inclusive health care and delaying medical care due to fear of discrimination predict poorer mental health and general health among transgender adults? Methods This project involved secondary data analysis of a statewide community-based survey of 417 transgender adults in the Rocky Mountain region. Survey questions were modeled on the CDC's Behavioral Risk Factor Surveillance System, with input from community organizations and transgender individuals. The sample was recruited in 2014 through advertisement by LGBT organizations, health providers, universities, and religious communities. Predictor variables of interest included delaying care due to fear of discrimination, as well as measures of health care provider inclusivity—such as comfort with transgender patients, ability to address transgender-specific health needs, and inclusive policies and forms—as reported by transgender respondents. Dependent variables included current depression, being told by a provider that one has depression, lifetime suicide attempt, suicidal ideation, being told by a provider that one has anxiety, poor mental health, and general health. We utilized multiple linear regression and logistic regression to examine the research question of interest. Results Almost half (45.3%, n=178) of this sample identified as women/transgender women, 30.5% (n=120) as men/transgender men, and 18.3% (n=72) as gender queer/gender fluid. The majority (88.4%, n=352) were White, and 8.8% (n=35) were multiracial; 6.8% (n=28) were Hispanic. Compared to CDC data for the state, the sample had high rates of depression (63.4% to 18.2%) and a physical, mental or emotional problem that limits activities (47.3% to 18.8%). Multiple and logistic regression results suggest that delaying health care due to fear of discrimination is significantly predictive ( p < .05) of poorer health for each outcome examined. Additionally, having a health care provider who did not address transgender-specific health needs predicted greater likelihood of being told one has depression (B=0.93, AOR=2.52, p < .05) or anxiety (B=0.72, AOR=2.06, p <.05). Conclusions and Implications This study highlights the ways that transgender-inclusive health care and delaying care due to fear of discrimination are associated with mental health and general health among transgender adults. Delaying care due to fear of discrimination was an over-arching risk factor associated with poorer health outcomes in this population, highlighting the importance of enacting transgender-affirming health care practice. Further, results suggest that providers’ inability to respond to transgender-specific health care needs, such as hormone therapy, relates to poorer mental health among transgender patients. This presentation will highlight key implications for social work practice in health and mental health settings.",
      "authors": "Kristie L. Seelman; Rebecca H. LeCroix; Matthew J. Colon-Diaz; Marik Xavier-Brier; Leonardo Kattari",
      "author_ids": "111253; 116058; 116059; 116060; 115716",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "eval_count": 24
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      "screened_at": "2026-08-02T18:02:45.983673+00:00"
    },
    {
      "input_index": 812,
      "record_key": "SSWR:2017-P-0151",
      "source_database": "SSWR",
      "record_id": "2017-P-0151",
      "year": 2017,
      "title": "Use of College Mental Health Services Among Gender Minority Service Member and Student Veterans",
      "abstract": "Background/Purpose: Individuals who identify as a gender minority are among the most socially stigmatized of minorities. These individuals experience discrimination in a variety of settings, including employment, housing, public, health care, and postsecondary educational settings. Gender minority individuals have a distinctive set of mental health needs; and yet, these needs are often not met due to prejudices against them or lack of appropriate services. Gender minority is defined as people whose gender identity does not conform to their birth sex or falls outside of conventional gender constructions. It is estimated that that there are 150,000 gender minority individuals in the active military or veteran populations. Gender minority veterans account for five times the number of gender minority individuals within the general population, and have a higher likelihood to go to college/university than the general population. The purpose of this study was to explore the association between mental health symptoms and mental health service use in a national sample of gender minority service member and veteran students. Methods: Data came from the fall 2013 National College Health Assessment II, conducted by the American College Health Association. Administered twice yearly, the sample comprised over 30,000 volunteer students from 44 post-secondary institutions across the United States. For the current study, our sample comprised 833 students who reported membership in the United States Armed Services. Logistic regression with a clustered sandwich estimator was used to model the associations. All statistical analyses were performed with Stata 13 for Windows. Results: There were 11 service member and student veterans (1%) that identified as gender minority individuals. Most were white, identify as heterosexual or unsure, and reported problematic reactions to stressors and mental health symptoms, including 55% having seriously considered suicide and four percent having attempted suicide. Less than one percent reported ever receiving psychological or mental health services from their college/university’s Counseling or Health Service. Conclusions/Implications: Findings highlight the low prevalence of campus mental health service use among gender minority service member and veteran students on college/university campuses. Findings also reveal that the majority of these students reported a myriad of negative mental health symptoms. Previous studies have shown that service member and veteran students utilize mental health services on their college/university campuses at high rates. Even though gender minority service member and veteran students are experiencing a high level of mental health symptoms, they are not accessing mental health services on their college/university campuses. Understanding the relationship between mental health symptoms and use of campus mental health services will be important to appropriately serve this population of students whose mental health needs differ from the general student body and differ from the service member and veteran student population.",
      "authors": "David L. Albright; Michael D. Pelts; Jessica Bertram",
      "author_ids": "111025; 113904; 115921",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3134837209,
        "prompt_eval_count": 1462,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:02:52.474506+00:00"
    },
    {
      "input_index": 813,
      "record_key": "SSWR:2017-U-0605",
      "source_database": "SSWR",
      "record_id": "2017-U-0605",
      "year": 2017,
      "title": "Validating Measurements of Veteran Community Reintegration (VCR) Risk & Resilience Factors to Empower Veterans, Their Children, Families and Our Communities",
      "abstract": "Background and Purpose: As the wars in Iraq and Afghanistan wind down, veterans returning to their communities face increased risk factors for Veteran Community Reintegration (VCR) difficulties due to multiple deployments. This study aims to validate measurements commonly used in practice settings to assess VCR difficulties among a sample of participants (N=131) outside the VA setting. The following research questions are addressed: (1) What is the reliability coefficient for the following scales: Military to Civilian Questionnaire (M2CQ); Primary Care PTSD scale (PC-PTSD); Center for Epidemiological Studies Depression Scale-Short Version (CESD-10); Suicide Behavioral Questionnaire-Revised (SBQ-R) & Ultra-Short Form Suicide Measure (USSTM); Brief Sense of Community Scale (BSCS); (2) What is the construct validity of the scales among the sample. Methods: Primary data were collected from a purposive sample at a career fair, using a 77-item Veteran Community Reintegration Survey (VCRS). Data screening revealed a large amount of missing data (46.6%) and violated multivariate normality assumptions. Reliability was established (Cronbach’s alpha) and construct validity tested using CFA. Maximum Likelihood (ML) estimation was used, and the following model fit indices were used to analyze data in AMOS: Root Mean Square Error of Approximation (RMSEA); Tucker Lewis Index (TLI); Comparative Fit Index (CFI). Results: Reliability analyses indicated good internal consistency of scores on the following scales among the sample: M2C-Q (a = .90); PC-PTSD (a = .88); USSTM & SBQ-R (modified to 1 item each per IRB) (a = .75); CESD -10 (a = .85); BSCS (a = .91). Results of the CFA indicate that the model does not fit the data very well χ² (761 df N =131) = 1480.072, p =.000 RMSEA = .085, PCLOSE =.000 TLI= .721, and CFI =.754. However, all the loadings of the observed variables on the latent variables were statistically significant (p < .001). The factor loading between the construct of depression symptoms and the construct of SOC was statistically significant ( r = .215, p < .001) as was the factor loading between the construct of depression symptoms and the construct of VCR difficulties ( r = .315, p < .001). Additionally, the factor loading between the construct of PTSD symptoms and the construct of SOC was statistically significant ( r = -.100, p < .001) and the factor correlation between the constructs of PTSD symptoms and VCR difficulties ( r = -.129, p < .001). The factor loading between suicidal ideation and VCR difficulties was also statistically significant ( r = .064, p < .001). Lastly, a zero-order factor correlation between SOC and VCR difficulties was statistically significant ( r = .296, p < .001). Results from the CFA indicate good convergent and divergent validity. Conclusions and Implications: Good internal consistency was found on scales used in the VCRS scales. Regarding construct validity, results indicated good convergent and divergent validity, and Model fit indices met the cut off scores. Results suggest the continued use of scales on VCRS to measure risk and resilience factors among veterans.  Future research should expand validation efforts of practice measures used with veterans and other diverse populations.",
      "authors": "Veliska Thomas; David L. Albright; Stan L. Bowie; Ayat Nashwan; Richard L. Johnson",
      "author_ids": "116651; 111025; 111793; 116650; 116652",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3631123375,
        "prompt_eval_count": 1715,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:02:56.107269+00:00"
    },
    {
      "input_index": 814,
      "record_key": "SSWR:2017-X-0019",
      "source_database": "SSWR",
      "record_id": "2017-X-0019",
      "year": 2017,
      "title": "What Is the Difference in Mothers' Experience When Adolescents Are Psychiatrically Hospitalized for a Suicide Attempt or Other Reasons? �Why You Are Whispering All of a Sudden?�",
      "abstract": "Purpose: The trend toward brief psychiatric hospitalizations may place increased demands on mothers after their adolescent is psychiatrically hospitalized. Short inpatient stays may increase mothers’ need to adjust and resolve seemingly insurmountable circumstances with little-to-no external support. Few studies have yet to examine mothers’ experiences after their adolescent is psychiatrically hospitalized, and even fewer studies examine whether their experiences differ because of the reason for the hospitalization (i.e., adolescents hospitalized for a suicide attempt versus adolescents hospitalized for other reasons).  Such research has direct implications for addressing the mental health needs of mothers and the ways in which mothers can be most effectively involved in the treatment of adolescents.  The purpose of this study was to address this gap in the literature by exploring the difference in mothers’ experience when adolescents are psychiatrically hospitalized for a suicide attempt or other reasons. Methods: This study used data collected for a NIMH-funded research study designed to examine the reactions of 288 mothers of hospitalized adolescents that made recent suicide attempts and mothers of adolescents who were hospitalized for other reasons.  The mothers are assessed at 1, 3, 6, and 12 months following youths’ discharge from the hospital. The current analysis focused on qualitative data collected during the first assessment from 32 randomly selected mothers of adolescents who were psychiatrically hospitalized (16 suicide, 16 other reasons).  Semi-structured interviews were conducted by trained Master- or Doctoral-level staff.  Interviews lasted between 20 and 40 minutes and were digitally recorded and transcribed.  Nvivo 11 qualitative software was used for data management and as a tool for data analysis.  Using an iterative process, six individuals collaborated to develop a codebook.  Emergent themes were systematically identified via grounded theory methods.  Inter-rater reliability was achieved when coding reached 67% agreement. Results: Although mothers varied in their experiences after their adolescent was psychiatrically hospitalized, several themes emerged.  In particular, regardless of the reason for the psychiatric hospitalization, mothers felt guilty, stressed, afraid, confused, and optimistic. Nonetheless, mothers of youth hospitalized for other reasons differed from mothers of youth hospitalized for a suicide attempt in three ways.  First, they felt angry. Second, they described seeking treatment prior to the hospitalization and being unable to receive it. Lastly, they felt stigmatized.  For example, one mother stated, “My daughter is in the hospital…no one sent prayers and cards or phone calls or food.  Nothing…it wasn’t fair, cause [daughter’s name] didn’t do this to herself.  And that is where the stigma comes from.” Conclusions and Implications: This study provides practice implications for development of interventions that support mothers of adolescents who have been psychiatrically hospitalized.  For example, mothers may benefit from psychoeducation about possible experiences they may encounter, which could validate their emotions.  Further, clinicians should be aware of differences in mothers’ experiences based on reasons for the adolescent’s hospitalization and consider these experiences in treatment planning and implementation.",
      "authors": "Bridget E. Weller; Katelyn Ripple; Jada Gibbs; Otima Doyle; David Goldston",
      "author_ids": "109228; 116446; 116447; 110149; 108677",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3322548209,
        "prompt_eval_count": 1569,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:02:59.431162+00:00",
      "screening_source": "Primary screen; blind audit agreement",
      "accuracy_audit": {
        "sample_group": "Qualitative",
        "random_seed": 20260802,
        "blind_screening": {
          "is_relevant": true,
          "relevance_rationale": "The study explicitly compares maternal experiences when adolescents are hospitalized specifically for a suicide attempt versus other reasons, making suicide a central exposure and focus of the analysis.",
          "evidence_class": "Empirical",
          "empirical_method": "Qualitative",
          "classification_rationale": "The abstract describes the collection and thematic analysis of semi-structured interview data using grounded theory methods to identify emergent themes, which constitutes a qualitative empirical design.",
          "confidence": "High"
        },
        "full_label_agreement": true
      }
    },
    {
      "input_index": 815,
      "record_key": "SSWR:2017-P-0075",
      "source_database": "SSWR",
      "record_id": "2017-P-0075",
      "year": 2017,
      "title": "Why Reveal or Conceal Suicidal Thoughts? an Exploratory Study of Motivation for Disclosure and Non-Disclosure Among People with Serious Mental Illness",
      "abstract": "Background/Purpose: Although the disclosure of suicidal thoughts is integral to suicide risk management, such disclosure is poorly understood. A major deficit centers on disclosure motives , which are featured in theoretical models of disclosure for other concealable stigmatized statuses (e.g., HIV/AIDS) but have been neglected in suicide research. No known studies have explored reasons for disclosure and few studies have explored reasons for non-disclosure—none involving groups at particularly high risk for suicide. Informed by a functional disclosure model and multiple goal theory, the aims of this exploratory study were to (1) describe reasons for disclosing and not disclosing suicidal thoughts (2) determine the number of reasons for disclosing and not disclosing and (3) examine the association between the number of disclosure reasons, non-disclosure reasons, and the likelihood of NOT disclosing suicidal thoughts to anyone. Methods: Data was collected from 45 young adults and adults with serious mental illness and a previous suicidal crisis in mental health treatment. Participants were presented with a list of 15 possible reasons for disclosure and non-disclosure drawn from prior research and were asked to rate each reason on a Likert scale from “not at all a reason” (coded 1) to “very likely a reason” (coded 5). Means and standard deviations were used to summarize them. Each reason was then dichotomized as an “unlikely reason” or “likely reason”, which were subsequently summed to create variables for the number of likely reasons for disclosure and non-disclosure. Bivariate analyses were used to evaluate associations between the number of disclosure reasons, non-disclosure reasons, and the likelihood of NOT disclosing suicidal thoughts; a standard exploratory study p-value threshold of less than .10 was considered meaningful. Results: Eleven out of 15 possible reasons were approximately rated as “likely a reason”. The highest rated reasons for disclosure were getting support [M(SD): 4.35(0.77)] and peer status [M(SD): 4.09(1.01)]. The lowest rated reasons were the obligation to tell others [M(SD): 1.91(0.91)] and testing others’ reactions [M(SD): 2.41(1.13)].  The highest rated reasons for non-disclosure were fear of rejection [M(SD): 4.63(0.75)] and shame [M(SD): 4.61(0.62)]. The lowest rated reasons were believing that suicidal thoughts aren’t serious [M(SD): 2.61(1.17)] and that one can cope without help [M(SD): 3.70(1.13)]. The number of reasons for disclosure and non-disclosure were positively associated (r=.27; p=.08) and a negative association was found between the number of reasons for disclosure and the likelihood of not disclosing to anyone (r= -.28; p=.07)—these represent moderate effect sizes. Conclusions/Implications: Consistent with multiple goal theory, which assumes multiple goal pursuit, we found that many reasons for disclosure and non-disclosure were highly rated. Contrary to theory-based expectations that possessing multiple goals can have adverse effects (e.g. more stress), we found that a greater number of reasons for disclosure had favorable implications (i.e., less non-disclosure). These results provide clinical targets for promoting disclosure (e.g., building peer networks) and minimizing concealment (e.g., reducing shame). It also suggests that a simple assessment of the number of reasons for disclosure may help to determine if someone will share their suicidal thoughts.",
      "authors": "Anthony Fulginiti; Laura Frey",
      "author_ids": "112190; 114862",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3638245916,
        "prompt_eval_count": 1690,
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      },
      "screened_at": "2026-08-02T18:03:03.071788+00:00"
    },
    {
      "input_index": 817,
      "record_key": "SSWR:2017-U-0008",
      "source_database": "SSWR",
      "record_id": "2017-U-0008",
      "year": 2017,
      "title": "�I'm Learning How to Live�: Coping Strategies for Incarcerated Women with Life Sentences",
      "abstract": "Background/Purpose : Incarcerated women with life sentences are a growing sub-population and face uncertain futures of either death in prison or potential, but rare, release from prison. Given the depression and suicide ideation reported by this sub-population, research is needed to understand how women cope with a life sentence and factors influencing their coping. Thus, this study incorporates a foundation of importation and deprivation theories that are used for studying psychological health in prisons, and seeks to expand the understanding of how women with life sentences cope with prison. Specifically, the research questions are: (1) How do women with life sentences cope in prison?  (2) What importation/individual-level and deprivation/institutional-level factors influence how they cope? Methods : A purposeful sample of 23 women participated in this study. Women had served a range of 1 to 39 years in prison, with an average of 15 years. A majority had sentences of life with the possibility of parole. Half of the sample identified as white/Caucasian and half identified as black/African-American. Semi-structured interviews were conducted with the women, lasting 30 to 90 minutes. Open and fixed coding were conducted to explore both how women cope and influences on coping related to importation theory and deprivation theory. Iterative coding and constant comparative analysis were followed by a checklist matrix of the patterns emerging from the data. This matrix guided reviewing the data, codes, and themes to confirm the main patterns. Results: The main finding was that how women perceived their life sentence in terms of its duration shaped how women coped on a daily basis. This perception ranged from a view of never leaving prison (“ Life means life ”) to uncertainty (“ If I get out ”) to definitely being released from prison (“ When I get out ”). Distinct coping strategies were linked to each type of the perception of a life sentence: for “ Life means life ”, women focused on avoidance-related behaviors; with “ If I get out ”, women mainly focused on internal improvement such as mental freedom; and with “ When I get out ”, they engaged in internal and externally focused activities, such as legal advocacy and maintaining outside relationships. Suicide ideation was common for women viewing their life sentence as a truly life sentence and described as the norm for women early in their sentence.  Deprivation factors uniquely related to having a life sentence influenced women’s coping and contributed to their perceptions, especially a sense of worthlessness and hopelessness due to staff treatment. A life sentence was not only a deprivation of release, but also a deprivation of rehabilitative services as these services were reserved only for women leaving prison. Conclusion/Implications : Incarcerated women with life sentences have distinct coping strategies based on their perceptions of their sentence. Both their perceptions and strategies are shaped by how the deprivations of a life sentence are enacted within the prison and as embodiment of the ramifications of state and national sentencing practices. Social work theory expansion, practice, policy advocacy, and future research are needed to guide ethical change for this under-served group of women.",
      "authors": "Gina Fedock",
      "author_ids": "112570",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3346762917,
        "prompt_eval_count": 1558,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:03:09.560506+00:00"
    },
    {
      "input_index": 818,
      "record_key": "SSWR:2017-X-0012",
      "source_database": "SSWR",
      "record_id": "2017-X-0012",
      "year": 2017,
      "title": "�Why Didn't He Come to Us?� Fathers' and Mothers' Reactions to Youths' Suicidal Behavior",
      "abstract": "Background Youths’ suicidal behaviors likely have major impacts on both mothers’ and fathers’ mental health and parenting practices, which may in turn affect parents’ capacity to support their adolescents’ treatment. Yet, little is known about the impact of youths’ suicidal behaviors on parents, particularly on fathers. Therefore, our objective is to examine mothers’ and fathers’ reactions to youths’ hospitalizations due to suicidal behavior. Method Data were collected for a larger NIMH-funded, longitudinal, mixed method, multi-site study examining the impact of a youths’ hospitalizations on parents of adolescents hospitalized for suicidal behaviors and other reasons. Semi-structured interviews were conducted by trained Master- or Doctoral-level staff, digitally recorded, and transcribed. Using an iterative process, six individuals collaborated to develop the codebook. Inter-rater reliability was set at two-thirds agreement. Nvivo 10 was used to sort the data. Informed by grounded theory, emergent themes were systematically identified. The current analysis focuses on qualitative data collected at one month post youths’ hospitalizations for 29 father/mother dyads. Fathers and mothers were primarily Caucasian (86% and 83%, respectively), biological (75% and 90%, respectively), and married (though sometimes not to each other; 90% and 91%, respectively).  Fathers and mothers were similar in terms of age (X = 45.5 years [SD = 7.5], and 44.5 years [SD = 8], respectively). Over half (57%) of mothers and fathers reported annual household incomes of $75,000 or more. On average, adolescents were 15.5 years old (SD = 2), primarily female (62%) and most (82%) had not been previously hospitalized for suicidal behaviors. Results Both mothers and fathers reported experiencing distress, the need to increase monitoring of their adolescents, their coping strategies, and improved relationships with their adolescents post-hospitalization. Gender differences, sometimes subtle, were also noted. For example, mothers often described distress in emotional terms (e.g., fear, guilt); whereas, fathers often discussed “stress,” and the need to “just deal with it.” When reported, fathers’ emotional terms were often qualified by time or extent (e.g., “crying…for…half an hour;” or “…a little angry”). Some fathers reported wanting to “fix” the circumstances. Mothers reported coping through supportive relationships; whereas, fathers often discussed coping by “keeping busy” with activities (e.g., work, exercise). Regarding monitoring, some fathers reported a focus on providing structure and clearly stated expectations for youths’ behaviors. Fathers often described mothers as permissive or lenient. Most fathers reported improvements in the father-child relationship (e.g., improved communication and spending more time together), including some step- and divorced, biological fathers. Somewhat more variation was reported regarding the quality of mother-child relationships. Although many mothers reported improvement in mother-child relationships, some mothers and fathers reported frequent conflict, tension, and/or arguing in mother-child relationships. Implications Both mothers and fathers are impacted by their children’s suicidal behaviors; therefore, youths’ discharge planning, post hospitalization should include support and resources for both parents. Clinicians need to be attuned to differences in how mothers and fathers may respond to youths’ suicidal behaviors, and the strengths each bring to follow-up treatment for, and monitoring of their children.",
      "authors": "Otima Doyle; Susanny Beltran; Bridget E. Weller; Anthony C. Goldson",
      "author_ids": "110149; 116318; 109228; 110237",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3343650125,
        "prompt_eval_count": 1641,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:03:12.906210+00:00"
    },
    {
      "input_index": 819,
      "record_key": "SWRD:35052",
      "source_database": "SWRD",
      "record_id": 35052,
      "year": 2017,
      "title": "\"Suicide stigma' renegotiated: Storytelling, social support and resistance in an Internet-based community for the young suicide-bereaved",
      "abstract": "From a social constructionist and narrative perspective on grief, which emphasizes the connection between situated storytelling, meaning-making and self-formation, this article explores the power of collective storytelling in an Internet-based community of the suicide-bereaved. This is a context where young mourners who have lost a parent to suicide, among others, turn for social support, which is another main focus of the article. Using Scott and Lyman's taxonomy of accounting practices' to explain unanticipated' or untoward behavior', the approaches to meaning-making of suicide applied in this context for support exchange are analyzed, in the accounts of the parentally bereaved participants and in a co-produced bereavement story. The results showcase how the narrative framing for the interpretation and organization of the suicide experience provided by the website editors as a resistance to the suicide stigma', together with the power of the experience accumulated by many, can potentially work to destigmatize and empower the parentally bereaved participants' grief. In addition, this public storytelling is acting to spread lived knowledge' and thereby to counteract suicide stigma in society. Ultimately, the results constitute a call for a return to a narrative orientation in social work practice. By adopting a teller-focused approach as part of assessment and treatment, social workers could inspire the often traumatized and stigmatized individuals they encounter to become narrators of their own life- and self-narratives, and to assist in the construction of a more tolerable meaning and identity from their experiences.",
      "authors": "Hagstrom, Anneli Silven",
      "author_ids": "",
      "journal_or_venue": "Qualitative Social Work",
      "doi": "10.1177/1473325016644039",
      "record_type": "Article",
      "database_method": "Qualitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2742536917,
        "prompt_eval_count": 1234,
        "eval_count": 27
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      "screened_at": "2026-08-02T18:03:15.650461+00:00"
    },
    {
      "input_index": 824,
      "record_key": "SWRD:35008",
      "source_database": "SWRD",
      "record_id": 35008,
      "year": 2017,
      "title": "Depressive Symptoms and Suicidal Ideation from Adolescence to Young Adulthood in Chinese American and Filipino American Youth",
      "abstract": "Objective: This study examines differences in the longitudinal relationships between depressive symptoms and suicidal ideation in Asian American subgroups across three developmental stages. Method: Data were obtained from three waves of the National Longitudinal Study of Adolescent to Adult Health for a subsample of Chinese American and Filipino American youth. The data were analyzed using multigroup structural equation modeling. Results: The structural model with complex mediational chains showed longitudinal differences in depressive symptoms and suicidal ideation between Chinese American and Filipino American youth. Although the magnitudes of these effects differed, early depression and suicidal ideation were associated with later depression and suicidal ideation in both Asian American subgroups. Group differences in the mean scores of depressive symptoms were observed during adolescence and young adulthood. Filipino American youth were at higher risk of depressive symptoms during adolescence and young adulthood than their Chinese American counterparts. Conclusions: The results suggest that the developmental associations between depressive symptoms and suicidal ideation differ between Chinese American and Filipino American youth over time. Implications for understanding mental health disparities among Asian Americans and providing culturally competent mental health interventions are discussed.",
      "authors": "Park, So-Young",
      "author_ids": "",
      "journal_or_venue": "Journal of the Society for Social Work and Research",
      "doi": "10.1086/694790",
      "record_type": "Article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:03:28.188677+00:00"
    },
    {
      "input_index": 825,
      "record_key": "SWRD:35963",
      "source_database": "SWRD",
      "record_id": 35963,
      "year": 2017,
      "title": "Development, Implementation, and Evaluation of a Comprehensive Course on Suicide in a Master's of Social Work Program",
      "abstract": "Most master of social work (MSW) programs provide minimal education or training on suicide prevention, intervention, and postvention despite that the majority of social workers encounter suicidal clients during their professional careers. This study describes the development, implementation, and evaluation of a course on suicide in an MSW program. Changes in student suiciderelated knowledge, confidence, and preparedness were evaluated using a pre/post design. We found statistically significant increases in knowledge (t [df = 21] = 4.79; p < .001), confidence (t [df = 17] = 8.55; p < .001), and preparedness (t [df = 20] = 7.28; p < .001) from pretest to posttest. Knowledge, confidence, and preparedness were significantly positively correlated, indicating that confidence and preparedness did not increase without a corresponding increase in knowledge. Given the prevalence of suicide and the frequency with which social workers serve populations affected by suicide, it is critical that MSW programs provide effective training on understanding suicide.",
      "authors": "Almeida, Joanna; O'Brien, Kimberly H. M.; Gironda, Christina M.; Gross, Emma B.",
      "author_ids": "",
      "journal_or_venue": "Journal of Social Work Education",
      "doi": "10.1080/10437797.2017.1302856",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:03:30.775798+00:00"
    },
    {
      "input_index": 827,
      "record_key": "SWRD:36153",
      "source_database": "SWRD",
      "record_id": 36153,
      "year": 2017,
      "title": "Fighting for survival: The experiences of lesbian, gay, bisexual, transgender, and questioning students in religious colleges and universities",
      "abstract": "Little is known about the experiences of lesbian, gay, bisexual, transgender, and questioning (LGBTQ) students attending religious colleges and universities. This study used grounded theory to analyze the narratives (N = 271) of LGBTQ former and current students. The central theme described by LGBTQ students was a fight for survival with five subthemes: (a) institutionalized homo/transphobia (strict school policies, enforcement of heterosexuality and gender conformity through discipline, conversion therapy); (b) a culture of fear (fear of exposure, homophobic panic and code words, seeking cover); (c) marginalization and isolation; (d) struggle (suffering and suicide, reconciling faith and LGBTQ identity); and (e) coping and resilience (surviving through critical thinking and strategic activism). Implications for practice are provided.",
      "authors": "Craig, Shelley L.; Austin, Ashley; Rashidi, Mariam; Adams, Andmarc",
      "author_ids": "",
      "journal_or_venue": "Sexual and Gender Diversity in Social Services",
      "doi": "10.1080/10538720.2016.1260512",
      "record_type": "journal-article",
      "database_method": "Qualitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:03:35.965683+00:00"
    },
    {
      "input_index": 828,
      "record_key": "SWRD:36431",
      "source_database": "SWRD",
      "record_id": 36431,
      "year": 2017,
      "title": "Firearm presence and storage practices in North Carolina homes",
      "abstract": "Firearms injuries are a leading cause of injury and death in North Carolina, including suicide, homicide, intentional assault, and unintentional injuries. Research has demonstrated that the presence of a firearm in a household increases the risk for homicide and suicide. This study examined two firearms-related risk factors, the presence of a firearm in the household and risky storage practices (loaded and unlocked), using the 2011 North Carolina Behavioral Risk Factor Surveillance System (BRFSS). We hypothesized that among household firearm owners, those who keep unlocked loaded firearms would be varied by demographic variables and also by tendencies for more risk-taking behaviors such as smoking and drinking. Results showed that those who were more likely to keep firearms in or around the home were male, older age, White race, married, with some post high school education, and with higher income. There were no differences by region, age, race, education, or income among those who kept firearms loaded and unlocked. Risky storage practices were related to social conditions such as marital status and number of adults and children in the household. The presence of firearms was lower among those who lived alone; however, among those with a firearm in the household, 42% of single adult households keep a loaded and/or unlocked firearm in the house, and up to 30% of households with children do as well. Behavioral risk factors such as smoking, binge drinking, and not using a seatbelt when driving a car were also related to firearms possession and storage conditions.",
      "authors": "Imai, Satomi; Rafferty, Ann; Jones, Katherine; Mansfield, Chris; Proescholdbell, Scott",
      "author_ids": "",
      "journal_or_venue": "Journal of Human Behavior in the Social Environment",
      "doi": "10.1080/10911359.2017.1319779",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:03:38.614896+00:00"
    },
    {
      "input_index": 830,
      "record_key": "SWRD:35302",
      "source_database": "SWRD",
      "record_id": 35302,
      "year": 2017,
      "title": "Invisible Illness Increases Risk of Suicidal Ideation: The Role of Social Workers in Preventing Suicide",
      "abstract": null,
      "authors": "Pederson, Cathy L.; Gorman-Ezell, Kathleen; Hochstetler-Mayer, Greta",
      "author_ids": "",
      "journal_or_venue": "Health & Social Work",
      "doi": "10.1093/hsw/hlx029",
      "record_type": "Editorial Material",
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      "screening_basis": "title_only",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:03:43.130854+00:00"
    },
    {
      "input_index": 833,
      "record_key": "SWRD:86681",
      "source_database": "SWRD",
      "record_id": 86681,
      "year": 2017,
      "title": "Parental employment status in the relationship between traumatic exposure and adolescent suicide risk",
      "abstract": "Parent's socio-economic status is considered a protective factor in families, if it enables family members to access resources and to escape from environmental hardships, and if it acts as a buffer against suicidal behaviours. This study aimed to investigate what effect the parental employment status has on traumatised adolescents and their suicide risk. Using a cross-sectional and correlational design, 989 grade 10 learners from nine schools in the Free State province were selected. A self-compiled biographical questionnaire, the suicidal ideation questionnaire for adolescents, and the stressful life events questionnaire were used to gather information. A hierarchical multiple regression analysis investigated whether parental employment status moderates or mediates the relationship between stressful life exposure and suicide risk. Results indicated a significant relationship (p = 0.000) between stressful life exposure and suicide risk. However, the parental employment status does not moderate the relationship between stressful life exposure and suicide risk. Future studies should explore employment differences, as career choices may create different contexts for support and development of adolescents.",
      "authors": "George A.A.; Mbhele P.E.",
      "author_ids": "",
      "journal_or_venue": "Southern African Journal of Social Work and Social Development",
      "doi": "10.25159/2415-5829/2576",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:03:50.553314+00:00"
    },
    {
      "input_index": 834,
      "record_key": "SWRD:35758",
      "source_database": "SWRD",
      "record_id": 35758,
      "year": 2017,
      "title": "Perceived Microaggressions and Mental Health in a Sample of Black Youths Experiencing Homelessness",
      "abstract": "The effects of microaggressions targeted at sexual minorities and racial minorities have been well documented. Lesbian, gay, bisexual, and transgender (LGBT) youths and black youths are more likely to experience homelessness than their heterosexual, cisgender, and white peers, and yet little is known about how microaggressions may affect youths during instances of homelessness. This study examines whether perceived LGBT racial microaggressions and perceived racial microaggressions are associated with depressive symptoms and suicidality in a sample of black youths experiencing homelessness. This study uses a cross-sectional design with structured face-to-face interviews of a convenience sample of 89 black youths (ages 16 to 24 years) experiencing homelessness. Results show that whereas both types of perceived microaggressions are positively associated with depressive symptoms, neither form of microaggression is independently associated with suicidality. Depressive symptoms and suicidality are common experiences among black youths dealing with homelessness, and the perception of microaggressions targeted at sexual or racial minority statuses is associated with depressive symptomology. Results underscore the importance of social workers comprehensively addressing how subtle, pervasive forms of heterosexism, gender normativity, and racism affect mental health outcomes among homeless youths.",
      "authors": "Gattis, Maurice N.; Larson, Andrea",
      "author_ids": "",
      "journal_or_venue": "Social Work Research",
      "doi": "10.1093/swr/svw030",
      "record_type": "Article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:03:53.136521+00:00"
    },
    {
      "input_index": 835,
      "record_key": "SWRD:35523",
      "source_database": "SWRD",
      "record_id": 35523,
      "year": 2017,
      "title": "Physical and Mental Health Disparities for Young Women with Arrest Histories",
      "abstract": "Young women ages 18 to 25 make up approximately 30 percent of women arrested in the United States. Although health disparities have been found for incarcerated adults, health concerns for this subpopulation of women have not been as closely examined. Aiming to fill this gap in the literature, this study examined national data for young women ages 18 to 25 who participated in the National Survey of Drug Use and Health. Physical and mental health concerns were compared for young women with and without arrest histories. Young women with arrest histories had significantly higher odds ratios of multiple physical health concerns and all forms of mental health concerns, including recent suicide attempts. This study indicates that history of arrest is significantly associated with health disparities for young women and thus expands and builds gender-specific knowledge for the field of criminal justice epidemiology. Given the intersecting needs of physical health, mental health, and criminal justice involvement, the fields of public health and social work may contribute to gender-responsive interventions that incorporate health promotion specifically for this population of women.",
      "authors": "Fedock, Gina; Sarantakos, Sophia",
      "author_ids": "",
      "journal_or_venue": "Health & Social Work",
      "doi": "10.1093/hsw/hlx015",
      "record_type": "Article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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        "eval_count": 24
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      "screened_at": "2026-08-02T18:03:55.483533+00:00",
      "screening_source": "Primary screen; blind audit agreement",
      "accuracy_audit": {
        "sample_group": "Quantitative",
        "random_seed": 20260802,
        "blind_screening": {
          "is_relevant": true,
          "relevance_rationale": "The study explicitly reports recent suicide attempts as a distinct mental health outcome analyzed in the comparison of young women with and without arrest histories.",
          "evidence_class": "Empirical",
          "empirical_method": "Quantitative",
          "classification_rationale": "The abstract describes an analysis of national survey data using statistical methods (odds ratios) to compare health outcomes between groups.",
          "confidence": "High"
        },
        "full_label_agreement": true
      }
    },
    {
      "input_index": 838,
      "record_key": "SWRD:36644",
      "source_database": "SWRD",
      "record_id": 36644,
      "year": 2017,
      "title": "Research with Older Adult Methadone Clients: The Importance of Monitoring Suicide Ideation",
      "abstract": "This study reports on the importance of monitoring suicide ideation among older adult research participants. A recently completed randomized controlled trial of older adults who are current clients in methadone maintenance treatment (MMT) served as a case study to elucidate a suicide protocol that was designed to account for the potential instances of suicide ideation within the research project structure. As the numbers of older adult heroin users increases, this study's findings seek to influence research protocols that involve older adults with addictions who may be particularly vulnerable to suicide risk due to comorbid psychiatric conditions and psychosocial adversities.",
      "authors": "McCall, Janice; Brusoski, Melissa; Rosen, Daniel",
      "author_ids": "",
      "journal_or_venue": "Journal of Gerontological Social Work",
      "doi": "10.1080/01634372.2017.1328479",
      "record_type": "journal-article",
      "database_method": null,
      "database_is_scientific": true,
      "database_is_empirical": false,
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        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:04:02.848418+00:00"
    },
    {
      "input_index": 839,
      "record_key": "SWRD:81184",
      "source_database": "SWRD",
      "record_id": 81184,
      "year": 2017,
      "title": "Resolution of Delusional Parasitosis within Complicated Grief Group Therapy: A Case Analysis",
      "abstract": "In this article, the authors present the case of a 71-year-old female suicide survivor in our Complicated Grief Group Therapy research study who presented with delusional parasitosis (DP) that resolved over the course of treatment. The authors describe Complicated Grief Group Therapy for survivors of suicide and the effect of therapy on her DP symptoms. The unique treatment elements of Complicated Grief Group Therapy addressed the trauma features of her grief, her relationship with her deceased son, her social isolation, health care adherence, and progression to a healthy grief process.",
      "authors": "Supiano K.P.; Haynes L.B.; Larsen P.A.",
      "author_ids": "",
      "journal_or_venue": "Social Work with Groups",
      "doi": "10.1080/01609513.2016.1218814",
      "record_type": "journal-article",
      "database_method": "Qualitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T18:04:05.142823+00:00",
      "screening_initial": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "screening_source": "Accuracy-audit adjudication",
      "accuracy_audit": {
        "sample_group": "Qualitative",
        "random_seed": 20260802,
        "blind_screening": {
          "is_relevant": true,
          "relevance_rationale": "The study focuses on a suicide survivor receiving Complicated Grief Group Therapy, making suicide bereavement and its treatment the central substantive focus.",
          "evidence_class": "Non-empirical",
          "empirical_method": "Not applicable",
          "classification_rationale": "The abstract describes a single illustrative clinical vignette or case analysis without detailing a systematic empirical design, statistical analysis, or reproducible methodology, fitting the definition of a non-empirical illustrative case study.",
          "confidence": "High"
        },
        "full_label_agreement": false,
        "adjudicated_screening": {
          "is_relevant": true,
          "relevance_rationale": "The record explicitly focuses on a suicide bereavement survivor undergoing specialized grief therapy, making suicide loss and its treatment the central substantive focus, which meets the inclusion criteria for suicide bereavement research.",
          "evidence_class": "Non-empirical",
          "empirical_method": "Not applicable",
          "classification_rationale": "The abstract presents a single clinical case/vignette describing therapeutic progress without detailing a systematic research design, data collection protocol, or analytical methodology. Per the rubric, illustrative clinical vignettes and case analyses lacking empirical design details are classified as Non-empirical.",
          "confidence": "High"
        }
      }
    },
    {
      "input_index": 840,
      "record_key": "SWRD:36751",
      "source_database": "SWRD",
      "record_id": 36751,
      "year": 2017,
      "title": "Sense of Belonging and Youth Suicidal Behaviors: What Do Communities and Schools Have to Do with It?",
      "abstract": "Situating Thomas Joiner's concept of belonging within an ecological perspective, this study examined the associations between school and community belonging and suicidal ideation and attempts among high school students. The study used data from the 2013 Texas Youth Risk Behavior Survey (N=2,560). Results demonstrated that community belonging reduced the odds of youth suicidal behaviors. School bullying, feeling unsafe at school, and being threatened or injured at a school increased the odds of suicidal behaviors. Findings suggest that fostering safe and inclusive environments and strengthening youth's experiences of school and community belonging may reduce suicidal behaviors in high school youth.",
      "authors": "Olcon, Katarzyna; Kim, Yeonwoo; Gulbas, Lauren E.",
      "author_ids": "",
      "journal_or_venue": "Social Work in Public Health",
      "doi": "10.1080/19371918.2017.1344602",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:04:07.515534+00:00"
    },
    {
      "input_index": 841,
      "record_key": "SWRD:35630",
      "source_database": "SWRD",
      "record_id": 35630,
      "year": 2017,
      "title": "Social Work's Ethical Responsibility to Train MSW Students to Work with Suicidal Clients",
      "abstract": null,
      "authors": "Almeida, Joanna; O'Brien, Kimberly H. McManama; Norton, Ken",
      "author_ids": "",
      "journal_or_venue": "Social Work",
      "doi": "10.1093/sw/swx011",
      "record_type": "Editorial Material",
      "database_method": null,
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      "screening_basis": "title_only",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:04:09.510218+00:00"
    },
    {
      "input_index": 842,
      "record_key": "SWRD:37075",
      "source_database": "SWRD",
      "record_id": 37075,
      "year": 2017,
      "title": "Suicide ideation, anxiety, and depression: Are children a protective factor for male Veterans?",
      "abstract": "Numerous mental health disorders plague our veterans when they return from deployment including anxiety and depressive disorders, which have been linked to elevated suicide risk when left untreated. Family factors, such as parenthood status, may serve as a protective factor against these mental health issues. This study examined the role of parenthood status of male veterans (N = 234) based on age of the child in order to determine whether a child's age (minor children v. adult children) affects the likelihood of meeting diagnosis criteria for anxiety, depression, and suicide ideation after controlling for marital status. Three hierarchical binary logistic regression models were constructed to assess the predictive influence of children 18 years old and younger, children older than 18, and no children with the results indicating that parenthood status did meaningfully enhance the prediction of suicide ideation. Complete findings, clinical implications, and future considerations are discussed.",
      "authors": "Weisenhorn, David A.; Frey, Laura M.; Hans, Jason D.; Cerel, Julie",
      "author_ids": "",
      "journal_or_venue": "Journal of Family Social Work",
      "doi": "10.1080/10522158.2017.1286278",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:04:11.894361+00:00"
    },
    {
      "input_index": 843,
      "record_key": "SWRD:35243",
      "source_database": "SWRD",
      "record_id": 35243,
      "year": 2017,
      "title": "Symptom Profiles of Major Depressive Disorder and Their Correlates among a Nationally Representative Sample",
      "abstract": "Previous research suggests a need for improved matching of treatment delivery to specificity of depressive symptoms. Social work practitioners in mental health treatment settings may begin to meet this need through improved classification of symptoms associated with major depressive disorder (MDD). This study seeks to establish empirically derived MDD symptom profiles among individuals who experience major depressive episodes (MDEs). Data from the National Institute of Mental Health Collaborative Psychiatric Epidemiology Surveys examined symptoms of MDD among respondents with a past-year MDE (N = 1,543). Latent class analysis established symptom profiles, and multinomial regression models examined social and clinical correlates of symptom profiles. Four symptom profiles emerged: high cognitive functioning (3.8%), absolute depression (63.7%), diminished cognitive functioning and low suicidal ideation (24.7%), and diminished cognitive functioning and high suicidal ideation (7.7%). Regression models showed that race or ethnicity, age, and histories of posttraumatic stress disorder were correlates of class membership. MDD profiles may assist social work research and practice through improved assessment of cognition and suicidality and improved recognition of how clinical factors, including co-occurring mental health problems, relate to specific MDD profiles.",
      "authors": "O'Shields, Jay; Purser, Greg; Mowbray, Orion",
      "author_ids": "",
      "journal_or_venue": "Social Work Research",
      "doi": "10.1093/swr/svx013",
      "record_type": "Article",
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      "database_is_scientific": true,
      "database_is_empirical": true,
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:04:14.489064+00:00"
    },
    {
      "input_index": 844,
      "record_key": "SWRD:105304",
      "source_database": "SWRD",
      "record_id": 105304,
      "year": 2017,
      "title": "The Impact of Family Rejection or Acceptance among LGBT+ Millennials in the Seventh-day Adventist Church.",
      "abstract": "Coming to terms with one's sexual identity is a particularly complex process for Christian LGBT+ youth, many of whom are at high risk for negative outcomes such as depression, substance abuse and suicide. Many Christian families are just beginning to actively wrestle with how to view and treat their LGBT+ children. This survey of 310 Seventh-day Adventist adult Millennials explored perceived levels of their families' acceptance or rejection of their sexual orientation or gender identity during their teen years. Other variables included recent levels of self-esteem, social support, depression, substance abuse, high-risk sexual activity, and suicidal thinking or attempts. Findings showed generally low levels of family acceptance and support, as well as elevated rates of depression and at-risk thoughts and behaviors. A high proportion of respondents have retained strong spiritual commitment and moderate church involvement. We include recommendations for social workers who work with Christian families who have LGBT+ children.",
      "authors": "VanderWaal, Curtis; VanderWaal, Curtis; VanderWaal, Curtis J.; Sedlacek, David; Lane, Lauren",
      "author_ids": "",
      "journal_or_venue": "Journal of Technology in Human Services",
      "doi": null,
      "record_type": null,
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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    },
    {
      "input_index": 846,
      "record_key": "SWRD:36621",
      "source_database": "SWRD",
      "record_id": 36621,
      "year": 2017,
      "title": "The Role of Social Work in Suicide Prevention, Intervention, and Postvention: A Scoping Review",
      "abstract": "Social workers frequently encounter those affected by suicide. However, the social work voice on suicide has been relatively absent from the literature. This scoping review aimed to map the contribution social work research has made to suicide prevention, intervention, and postvention. Two hundred and forty-one papers on suicide authored by social workers were identified. Results demonstrate that explanatory research remains the primary mode of scientific inquiry in suicide research undertaken by social workers, with fewer descriptive and control articles. There remains a dearth of social work research dedicated to suicide in indigenous populations, postvention knowledge, and suicide and stigma. Future social work research should pursue a greater contribution to the primary prevention literature by evaluating programs and interventions. Working with those who are suicidal or the bereaved by suicide is important for informing social work practice in this area.",
      "authors": "Maple, Myfanwy; Pearce, Tania; Sanford, Rebecca L.; Cerel, Julie",
      "author_ids": "",
      "journal_or_venue": "Australian Social Work",
      "doi": "10.1080/0312407x.2016.1213871",
      "record_type": "journal-article",
      "database_method": null,
      "database_is_scientific": true,
      "database_is_empirical": false,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Review"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:04:21.437515+00:00"
    },
    {
      "input_index": 847,
      "record_key": "SWRD:94493",
      "source_database": "SWRD",
      "record_id": 94493,
      "year": 2017,
      "title": "Three Psychotherapies for Suicidal Adolescents: Overview of Conceptual Frameworks and Intervention Techniques",
      "abstract": "Suicide is the second leading cause of death among youth, and as many as one in five youth report having had at least one serious thought of suicide in the past year. Despite the enormous emotional pain and suffering associated with suicidal thoughts and behaviors, up to 40 % of suicidal youth never receive treatment. Given that social workers are employed in multiple settings where suicidal children and adolescents are encountered (e.g. schools, homeless shelters, emergency departments, outpatient mental health agencies, private practice), they play a critical role in the identification and treatment of suicidal youth. In the past decade, evidence has emerged that attachment-based family therapy, integrated cognitive behavioral therapy, and dialectical behavior therapy can reduce suicidal ideation and/or suicide attempt in youth. The purpose of this article is to review the theoretical assumptions, conceptual frameworks and key intervention techniques for these three interventions so that clinicians can integrate these approaches into their practice with suicidal youth and families. Implications for practice are integrated throughout the review.",
      "authors": "Singer, Jonathan B.; O'Brien, Kimberly H. McManama; LeCloux, Mary",
      "author_ids": "",
      "journal_or_venue": "Child & Adolescent Social Work Journal",
      "doi": "10.1007/s10560-016-0453-5",
      "record_type": "journal-article",
      "database_method": null,
      "database_is_scientific": true,
      "database_is_empirical": false,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2342135208,
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      "screened_at": "2026-08-02T18:04:23.781866+00:00"
    },
    {
      "input_index": 849,
      "record_key": "SSWR:2018-P-0262",
      "source_database": "SSWR",
      "record_id": "2018-P-0262",
      "year": 2018,
      "title": "A Differential Item Functioning (DIF) Study of the Ulta-Short Suicidal Ideation Scale",
      "abstract": "Background and Purpose:  Depression and suicide are prevalent in older adults.  The assessment of suicide risk is a critically important responsibility for social work practitioners.  The use of standardized scales is recognized as a key component of a state-of-the-art suicide risk assessment.  The Ultra-Short Suicide Ideation Scale (USSIS) is a 4-item measure developed for use by social workers for measuring the magnitude and severity of suicidal thinking.  Recent research has provided several forms of evidence for validity of scores from this measure, including evidence for measurement equivalence across different age groups of older adults.  The purpose of the current study is to investigate the possibility of differential item functioning (DIF) of the items on the USSIS as a function of magnitude of depression.  The presence of DIF as a function of level of depression would indicate that USSIS items function differently for older adults who are more depressed than for those who are less depressed. Methods:  Multi-group confirmatory factor analysis (CFA) methods are used to test whether the items on the USSIS function differently for older adults with: (1) moderate or lower levels of depression than those with (2) moderate to severe levels of depression as measured by the Geriatric Depression Scale (GDS).  The data from 222 older adults are used to fit a hypothesized measurement model testing for full measurement equivalence, hence the absence of DIF, using SPSS AMOS version 24. Results:  The CFA results suggest DIF is exhibited by all four USSIS items in the form of differential factor loadings and intercepts.  The fit indices for the final CFA model are consistent with a close fitting model, χ 2 (2) = 2.23, p > .05; CFI = 1.0, TLI = .99; RMSEA = .02, 90% CI [< .001, .14], PCLOSE = .50; SRMR = .01.  These results suggest all four USSIS items function differently for older adults with moderate or higher depression levels than for those with lower depression levels.  The factor loadings of all four USSIS items on the construct “suicidal thinking” are higher for the moderate to severely depressed group; and all intercepts are higher for the moderately to severely depressed group.  These results suggest the presence of differential test functioning for USSIS scores with respect to depression, specifically that the slope of the relationship between depression and suicidal thinking is steeper for the moderately to severely depressed group, a conjecture consistent with results of a multi-level analysis. Discussion and Implications:  These results suggest scores on the USSIS must be interpreted in context of the magnitude of level of depression in older adults.  A depression context-dependent inferential strategy for interpreting USSIS scores when assessing suicidal risk suggested by these results is described.  This conditional interpretation of scores on the USSIS may help improve the validity of clinical inferences concerning the risk of suicide in older adult clients.  These results also suggest that research is needed investigating the possible DIF of items on other measures of suicidal ideation as a function of level of depression with older adults.",
      "authors": "William R. Nugent",
      "author_ids": "108960",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:04:30.544717+00:00"
    },
    {
      "input_index": 850,
      "record_key": "SSWR:2018-O-0020",
      "source_database": "SSWR",
      "record_id": "2018-O-0020",
      "year": 2018,
      "title": "A Latent Class Analysis of Unhealthy Lifestyle Behaviors and Suicide Among Adolescents",
      "abstract": "Background & Purpose: Suicide has emerged as a significant public health concern, ranking as the second leading cause of death among adolescents from 15 to 19 year olds. Previous studies have focused on the identification of psychological, psychiatric, demographic, and environmental risk factors of adolescent suicide, however, relatively little is known about health-related lifestyle behaviors preceding or concurrent with suicide. Although some existing studies examined the independent associations of diet, sleep, exercise, media use, and weight status with adolescent suicidal behavior, very few analyzed a comprehensive range of lifestyle patterns simultaneously. The extent to which different lifestyles can be similarly clustered, and impact suicide attempts has not yet been reported, and can have important implications for practice and prevention. This study aims to identify and characterize the typologies of lifestyle behaviors related to suicidal behaviors, and explore the demographic profiles across the identified classes among a nationally representative sample of high school students. Methods : Data were obtained from the 2015 National Youth Risk Behavior Survey (YRBS). Thirteen risky lifestyle behaviors are included based on previous literature: reduced sleep, overweight, underweight, sedentary behavior, high use of Internet/TV, no sports team participation, no physical education (PE) class, not eating breakfast, and unhealthy dietary patterns including limited fruit, vegetable, water intake, and excessive soda drinking. Suicide measures included suicidal ideation, plan, and attempt. All variables were dichotomized. Latent class analysis was performed without any a priori assumption to identify latent subgroups with varying combined levels of risky lifestyle behaviors among 15,617 adolescents. A 3-step approach to modeling was utilized so that the measurement model remained fixed when adding the covariates and outcome variables. Final class model was determinate after estimating two to four latent class models. A multivariate multinomial logistic regression model was developed to explore the relationship between latent classes, demographic profiles (age, gender, race/ethnicity), and suicidal behaviors. Results : Analyses identified a three-class model with best fit: class one (“low risk”, n = 8,474; 54%) with no or very low frequency of risk behaviors; class two (“moderate risk, n = 5,146; 33%) with low probability of risk behaviors but highest in no fruit/vegetable intake and PE class taking; and class three (“high risk”, n = 1,997; 13%) included adolescents who scored high on all risk behaviors except fruit/vegetable and PE class indicators. Compared with the “low risk” class, the “high risk” class contains older (OR=1.059), male (OR=1.644), African American (OR=1.644), and Hispanic/Latinos individuals (OR=1.621). Adolescents in “high risk” class are more likely to have suicide attempt (OR=1.613) compared to the “low risk” class. There is no statistically significant association of suicide and lifestyle between “low” and “moderate” class. Conclusion & Implications : Suicide is one of the most perplexing and devastating behaviors. Identifying non-psychiatric risks of suicide provides additional information and promising step for early prediction and treatment. This study indicates that youth engaging in unhealthy lifestyle behaviors represent a unique group at risk for suicidality. The findings also highlight the gender and race/ethnicity disparity with regards to unhealthy lifestyles, and their association with suicide attempt.",
      "authors": "Yunyu Xiao; Michael A. Lindsey; Meghan Romanelli",
      "author_ids": "117116; 109175; 117067",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:04:33.848873+00:00"
    },
    {
      "input_index": 851,
      "record_key": "SSWR:2018-P-0726",
      "source_database": "SSWR",
      "record_id": "2018-P-0726",
      "year": 2018,
      "title": "A Suicide Prevention Approach in an Urban American Indian Community: Gatekeeper Trainings for Community Members and Providers of Service",
      "abstract": "Background: American Indian (AI) youth have suicide rates that are 62% above the national average for youth ages 10-25 in the United States. A comprehensive suicide prevention approach to this critical issue is needed. The SAMHSA funded “Manidookewigashkibjigan Sacred Bundle: R.E.S.P.E.C.T. Project,” is a collaboration, since 2011, between American Indian Health and Family Services in Detroit, MI, and the University of Michigan School of Social Work. One aim of the project is the provision of suicide gatekeeper trainings for community members and service providers to improve their ability to identify, manage and treat American Indian/Alaska Native (AI/AN) youth aged 10-24. Methods: A total of 246 community members and service providers were trained from 2011 to 2014 in Applied Suicide Intervention Skills Training (ASIST) (N = 132); Question, Persuade, and Refer (QPR) (N =75); and Suicide Alertness for Everyone, Tell, Ask, Listen and Keepsafe (SafeTalk) (N = 39). In addition to the training we collected demographic data, job description and job role data. Also, pre and post surveys to assess suicide knowledge were completed. SPSS 24 was used to report on descriptives and frequencies of demographic data, and pre and post-test paired-samples t-tests to assess suicide knowledge. Results: We report on select demographic as well as job and role description data on participants. Of the gatekeepers 45 ASIST trainees were community members; of the QPR and ASIST trainees 49 were social workers, and 52 were students and youth. More detailed demographic information will be presented. We then present data on a subset of ASIST participants (n =32) who completed pre and post surveys. Preliminary subset data reveals that of the ASIST participants significant differences were found in the number of correct answers about suicide before (M = 5.37, SD = 1.04) and after the training (M = 6.63, SD = .84); t (26) = -4.46, p < .001; participants’ comfort discussing suicide with others before (M = 3.66, SD = .97) and after training (M = 4.5, SD = .57); t (31) = -5.91, p < .001; and participants’ sense of preparedness for intervening with suicidal youth before (M = 2.69, SD = 1.0) and after training (M = 4.375, SD = .71); t (31) = -9.27, p <.001. Results of all pre and post gatekeeper trainings will be presented. Conclusions and Implications: Suicide gatekeeper trainings with both community members and providers of service for AI/AN populations do have an impact on the participants’ sense of comfort level when discussing suicide with others, and participants report feeling better prepared to intervene with at risk youth. Since 2014 additional SAMHSA funds have been awarded to provide additional gatekeeper trainings for both urban and tribal communities in Michigan as a prevention measure to reduce the rates of AI/AN suicide. This project was funded by the Substance Abuse and Mental Health Services Administration (Grant # 5U79SM060395-03), the Garrett Lee Smith State and Tribal Youth Suicide Prevention Grant.",
      "authors": "Sandra L. Momper; Rachel L. Burrage",
      "author_ids": "108890; 116536",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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        "total_duration_ns": 3647712791,
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      "screened_at": "2026-08-02T18:04:37.498467+00:00"
    },
    {
      "input_index": 852,
      "record_key": "SSWR:2018-U-0665",
      "source_database": "SSWR",
      "record_id": "2018-U-0665",
      "year": 2018,
      "title": "Advancing Global Mental Health: Lessons from an International Research Project on Adolescent Suicide Attempts",
      "abstract": "Background and purpose . Interest in global mental health research has increased in the past decades. Pediatric female suicidal behaviors have been identified by the WHO, the U.S. NIMH, and Canada’s Grand Challenges as priority research areas in global mental health. This is in part because suicide attempts are on the rise among adolescent girls living in developing countries. This study describes the challenges faced by an international team conducting research on adolescent girls’ suicidal behaviors across five Latin American countries. Methods . Our pilot, mixed-method study examined the sociocultural, developmental, and familial dynamics that shape adolescent females suicide attempts in Argentina, Chile, Colombia, Mexico, and Peru. In each country, we proposed to interview fifteen adolescents receiving medical and mental health services in the aftermath of a suicide attempt (N = 75). Girls were between the ages of 13 and 17. This study was coordinated by a Latina U.S.-based investigator in collaboration with local researchers and institutions in the participating countries. The team included at least two members in each country, all of them licensed mental health providers with varied levels of experience conducting research.  A diverse selection of medical and mental health services was identified as potential recruitment sites (i.e., private in-patient psychiatric clinics, outpatient psychiatric services, large public hospitals). Six institutional review committees oversaw the participating academic and clinical sites, totaling eight individual sites across five countries. Parallel to designing and implementing the study, all research team members kept systematic records documenting the study development and implementation process. These data were complemented by documents issued by the participating institutions, and emails exchanged among team members and others involved in the project (e.g., IRB members). The data was analyzed in three primary steps: data reduction (i.e., identifying themes), data display (i.e., creating a code book), and conclusion drawing. Results . The research team faced several development and implementation challenges during the first 24 months of the project. We grouped challenges into categories associated with the initial start-up of the project (e.g., consensus of critical variables, identification of institutional partners); working with multiple agencies and providers transnationally (e.g., collaborating remotely); human subject protections in the United States and across participating countries (e.g., meeting research guidelines); and recruiting suicidal adolescents (e.g., tensions with local providers and researchers). Local cultural constructs modeled research and management practices (e.g., time management), and professional networks were vital for research implementation. Conclusion and implications . From this experience, we learned several lessons that may be helpful to other social workers interested in international suicide research. We applied a democratic research implementation model that cultivated true collaboration among researchers from different national settings. Although the U.S.-based principal investigator designed the study and provided the funds to conduct it, critical input from the research team members improved the protocol and made possible its successful implementation.",
      "authors": "Carolina M. Hausmann-Stabile",
      "author_ids": "112385",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "mixed_methods",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:04:40.632461+00:00"
    },
    {
      "input_index": 853,
      "record_key": "SSWR:2018-P-0055",
      "source_database": "SSWR",
      "record_id": "2018-P-0055",
      "year": 2018,
      "title": "Adverse Childhood Experiences and Suicide Attempts Among Those with Mental and Substance Use Disorders",
      "abstract": "Abstract Background and Purpose: Reducing suicide is a major public health challenge. Using data from the 2012-2013 National Epidemiologic Survey on Alcohol and Related Conditions, we examined the associations of ten types of adverse childhood experiences (ACEs) with (1) lifetime suicide attempts and (2) number and age of attempts among U.S. adults aged 18+. Methods: Using a case-control design, we matched suicide attempters (5.14% of the full sample) with never attempters (matched sample N=3,912) on nine mental and substance use disorders, and we conducted multivariable logistic regression analyses. Results: ACE rates were higher among attempters (3.30 [SE=0.07]) than their matched controls (2.19 [SE=0.06]). Results from multivariable logistic regression analyses showed that sexual abuse and parental/other family member’s mental illness were associated with increased odds of having attempted suicide among both genders, and emotional neglect was also a factor for men. Population attributable risk fractions for sexual abuse were 25.75% for women and 8.56% for men. Sexual abuse and a higher number of ACEs were also related to repeated suicide attempts. A higher number of ACEs was associated with a younger first attempt age. Gay/bisexual orientation in men and the lack of college education in both genders were significant covariates. Conclusions and Implications: This study underscores that ACEs are significantly associated with lifetime suicide attempts even when mental and substance use disorders are controlled. It also indicates that ACEs may have affects throughout the life course, further emphasizing the need for prevention and early detection of ACEs. In particular, victims of childhood sexual abuse need interventions to prevent repeated suicidal behaviors. Accepting environments and support services may also reduce suicidal behaviors among gay/bisexual adolescents and young adults. Helping children who experience adversities do well in K-12 education and pursue higher education may also be powerful antidotes to suicidal behavior.",
      "authors": "Namkee G. Choi; Diana M. DiNitto; Steven P. Segal",
      "author_ids": "108057; 109441; 108239",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2854322708,
        "prompt_eval_count": 1346,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:04:43.488570+00:00"
    },
    {
      "input_index": 858,
      "record_key": "SSWR:2018-U-0617",
      "source_database": "SSWR",
      "record_id": "2018-U-0617",
      "year": 2018,
      "title": "Bullying and Suicide in High School Students: Findings from the 2015 California Youth Risk Behavior Survey",
      "abstract": "Background and Purpose: School bullying and cyberbullying have been linked to suicidal behaviors among victimized students. Researchers have also found that bullying may have an indirect effect on suicide through depressive symptoms, alcohol and tobacco use, and illicit drug use (e.g., Lardier et al., 2016). However, how these effects may differ across racial and ethnic groups remains relatively unknown. This study aims to answer the following questions: (1) Does bullying (including school bullying and cyberbullying) affect suicide? And (2) Does bullying have an indirect effect on suicide through sadness, use of alcohol, tobacco, and marijuana (UATM), and use of other illicit drugs (UOID)? In order to address racial/ethnic differences, the study examines the two questions using different racial/ethnic groups. Methods: Data are from the 2015 California Youth Risk Behavior Survey (CYRBS), which was representative of all high school students in California. The analytic sample consisted of 1,765 Californian youth attending grades 9-12. The largest racial/ethnic group was Hispanic (30%), followed by White (27%), mixed-race (27%), and Asian and Pacific Islanders (15%). A slight majority were male students (51%). In the youth self-report questionnaire, suicide was assessed by three yes/no questions about youth’s suicidal thoughts, planning, and attempts in the past 12 months. Bullying was measured by whether youth reported being bullied on school property or being electronically bullied during the past 12 months. Sadness was gauged by youth’s feelings about sadness or hopelessness in the past 12 months. Youth also reported UATM in the past 30 days and life-time UOID (e.g., cocaine and heroin). All major variables were dummy coded. Sex, age, and grade level were included as covariates. Logistic regression with sampling weights was used to analyze the CYRBS data in Stata 13. Results: Being bullied was associated with increased odds of suicide across all racial/ethnic groups (OR = 7.37, 3.67, 5.07, 3.50 for white, Hispanic, Asian and mixed-race youth, respectively; p < .01 for all groups). In addition, sadness mediated the relationship between bullying and suicide in youth of all groups (Sobel z ranging from 3.20 to 4.83, p < .01; percentage of the effect mediated ranging from 38.7% to 55.1%). However, UATM and UOID did not mediate the relationship between bullying and suicide among any youth group. Nevertheless, UATM predicted suicide among Hispanic youth (OR = 2.12, p = .001) but not other groups; and UOID predicted suicide among White (OR = 2.75, p = . 01) and Hispanic youth (OR = 1.88, p < .05) but not the other two groups. Conclusions and Implications: These findings suggest that bullying poses a major threat to the mental health and well-being of high school students. Current school-based prevention and intervention efforts may not be adequate in meeting the needs of bullied youth. Social work professionals who work with bullied youth need to consider the effect of sadness in service planning and provision by treating depression more effectively. They also need to develop and implement services that address the racial/ethnic differences in alcohol, tobacco, marijuana, and other drug use.",
      "authors": "Yong Li; Junrong Shi",
      "author_ids": "111903; 113761",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3717768375,
        "prompt_eval_count": 1678,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:05:00.610713+00:00"
    },
    {
      "input_index": 860,
      "record_key": "SSWR:2018-P-0132",
      "source_database": "SSWR",
      "record_id": "2018-P-0132",
      "year": 2018,
      "title": "Comparing Precipitating Circumstances Among Military and Non-Military Men Who Died By Suicide",
      "abstract": "Background and Purpose: Suicide is among the top 10 leading causes of death in the United States and, according to the National Center For Health Statistics 2016 report, suicide is increasing for all U.S. populations. Age-adjusted suicide rates have increased 24% from 1999 to 2014. This issue is particularly concerning among military service members and veterans (SM-V), as research shows elevated risk within this population. Suicide is the second leading cause of death among the armed forces. Furthermore, suicide rates in the state of Utah far exceed those of other states, ranking fifth highest in the nation in 2014.  Little research examines suicide deaths in the state of Utah, especially with Utah’s SM-V population.  In addition, no research we are aware of has studied Utah SM-Vs using data from the National Violent Death Reporting System (NVDRS).  The present study was exploratory in nature and aimed to fill this gap by examining risk factors and other NVDRS precipitating circumstance variables among SM-V suicide decedents compared to non-military suicide decedents in Utah. Methods: This study used the publically available NVDRS data set, which acts as a census of all suicide deaths and reports the total number of decedents who experienced each risk factor or other precipitating circumstance variable prior to death (e.g., mental health diagnosis, history of suicide attempts, relationship problems, etc.). We examined all Utah males who died by suicide from 2005 to 2014, both SM-V (N= 678) and non-military (N= 2,762). Twenty variables were examined to determine, of the decedents who experienced each variable, the proportion who were military vs. non-military. We meta-analyzed proportions across 10 years. The obtained proportions were then compared against expected proportions (SM-V 20% non-military 80%; obtained from a meta-analysis of total suicide deaths) using binomial z tests of proportions. Results: Binomial z tests that showed significantly different proportions than expected revealed which risk factors may be particularly more or less salient for SM-Vs. Military males who died by suicide were significantly more likely to have experienced physical health problems compared to non-military males. Risk factors and other precipitating circumstances that were significantly lower than expected in military men included a history of suicide attempts, experiencing a crisis in the past 2 weeks, an intimate partner problem, other relationship problems, alcohol dependence, other substance problems, recent criminal legal problems, and job problems. Conclusions and Implications: The elevated risk in SM-Vs of experiencing physical health problems prior to suicide death may warrant added attention given that combat exposure is associated with lower physical health functioning among veterans of the recent Iraq and Afghanistan conflicts. The risk factors identified as less or equally prevalent in military males compared to non-military males still require attention when assessing for suicide risk.  The present findings encourage clinicians to recognize that many military men may not fit the typical risk profile of non-military men.  This increased understanding can improve prevention efforts of social workers, psychologist and other professionals working with this vulnerable population.",
      "authors": "Helena Haueter; David S. Wood",
      "author_ids": "116760; 114455",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3344624333,
        "prompt_eval_count": 1586,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:05:07.651164+00:00"
    },
    {
      "input_index": 862,
      "record_key": "SSWR:2018-U-0164",
      "source_database": "SSWR",
      "record_id": "2018-U-0164",
      "year": 2018,
      "title": "Dead inside: A Systematic Review of the Psychosocial Effects of Combat-Related Emotional Numbing",
      "abstract": "Background and Purpose: In the Diagnostic and Statistical Manual of Mental Disorders (5th ed.; American Psychiatric Association, 2013) posttraumatic stress disorder (PTSD) symptoms of emotional numbing (EN) include markedly diminished interest in significant activities, feelings of detachment or estrangement, and blunted positive affect, despite an intact ability to access negative emotional states.  Of the PTSD symptoms, the EN cluster is associated with especially poor psychosocial outcomes for combat veterans, including suicide (Kerig et al., 2016).  The two-fold purpose of this review was to systematically examine the recent published evidence on the psychosocial effects of EN in combat veterans compared to other PTSD symptom clusters, and to investigate emerging evidence of the differential impact by race/ethnicity and gender. Methods: This review was conducted using procedures outlined by Littell, Corcoran, and Pillai (2008) and the PRISMA guidelines.  It covered the period from January 2012 to January 2017 and updated a previous narrative review more limited in scope (Hassija, Jakupcak, & Gray, 2012).  Studies were identified by inputting targeted search terms into nine databases ( PubMed, PsycINFO, PILOTS, Clinicaltrials.gov, Web of Knowledge, CINAHL, Cochrane Reviews , Social Work Abstracts, and Google Scholar ), hand-searching relevant reference lists, and using a customized Google search to identify grey literature.  Two trained reviewers independently applied prespecified criteria for rigor, and a third adjudicated inconsistencies.  Risk of bias was independently assessed using the 14-item National Institutes of Health (NIH) Quality Assessment Tool for Observational Cohort and Cross-sectional Studies (NIH, 2014). Results: The reviewers identified 19 studies for inclusion and assessed most studies as having a fair risk of bias.  Interrater agreement was substantial (k = 0.80).  The total sample included 88,824 combat veterans from different war eras, aged 18-94 ( M = 39.01, SD = 8.61), 11.25% women ( n = 9,997), and 32.54% non-White ( n = 28,912).  All studies were observational.  Most were cross-sectional (n = 15).  Studies varied in how broadly they defined EN.  Most conceptualized PTSD using a popular 4-factor analytic model, though 5- and 6- factor models have demonstrated superior fit.  Just over half ( n = 10) relied solely on limited self-report measures to assess PTSD.  Compared to other PTSD symptoms, results showed EN exerted independent and unique psychosocial effects for combat veterans in the following domains: relationship functioning; mental health and negative cognitions; health service utilization; physical and mental health quality of life; substance use disorders; aggression; and suicidality.  Also, EN was shown to affect diverse groups differently, and interactions between gender and culture influenced reporting. Conclusions and Implications: Effectively treating EN could improve critical health- and mental health-related outcomes in combat veterans, yet the psychosocial impact of EN is understudied.  Longitudinal studies and randomized controlled trials are needed to better understand the association between EN and adverse psychosocial outcomes, particularly in women and non-White veterans.  Future studies should operationalize EN using models that show superior fit with nationally representative veteran samples, and combine diagnostic and self-report measures with collateral data.  Further exploration of EN and suicidality in the veteran population is of chief importance.",
      "authors": "Donna L. Schuman",
      "author_ids": "113713",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "review",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Review"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3715423083,
        "prompt_eval_count": 1707,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:05:15.088301+00:00",
      "independent_manual_spot_check": {
        "random_seed": 20260803,
        "agreement": true,
        "manual_screening": {
          "is_relevant": true,
          "evidence_class": "Empirical",
          "empirical_method": "Review"
        },
        "rationale": "This PRISMA-guided systematic review distinctly reports suicidality as one psychosocial outcome domain."
      }
    },
    {
      "input_index": 863,
      "record_key": "SSWR:2018-U-0046",
      "source_database": "SSWR",
      "record_id": "2018-U-0046",
      "year": 2018,
      "title": "Depression and Suicidal Ideation Among Adults Diagnosed with Schizophrenia: Moderating Effects of Emotional Social Support",
      "abstract": "Background and Purpose: Suicide is among the leading causes of death for adults diagnosed with schizophrenia. The general health of individuals is affected by social support, with a lack of support being linked to worsened overall health.  Research indicates that social support plays a large role in prognosis, engagement in treatment, and mental health outcomes. Findings also demonstrate that both positive and negative symptoms of psychosis can weaken social skills, increase avoidance of social contact resulting in social isolation, and negatively impact the development and maintenance of positive relationships.  Social support as a protective factor for suicide is supported in the literature, however, social support is commonly discussed and evaluated for as a global construct while unique domains of social support (emotional and tangible support) may function differently with suicidal outcomes. This study aimed to identify the potential pathways of influence between symptoms of depression, hopelessness, domains of social support, and suicidal ideation among a population of adults diagnosed with schizophrenia. Methods: Data were obtained from the Clinical Antipsychotic Trials of Intervention Effectiveness (CATIE; n= 1,460).  Suicidal ideation, hopelessness, and symptoms of depression were measured by the Calgary Depression Rating Scale (CDRS), and domains of social support by items of two Quality of Life Scales and a Family Experiences Interview Schedule.  Data were analyzed using Structural Equation Modeling (SEM) with Mplus 7. Results: Participants who endorsed having suicidal ideation reported significantly greater levels of hopelessness (t(66) = -4.24, p < .001) and symptoms of depression (t(766) = -12.59, p < .01) as compared to participants who did not report suicidal ideation.  SEM findings indicated: 1) symptoms of depression and hopelessness independently predicted suicidal ideation and symptoms of depression and global social support independently predicted hopelessness; 2) hopelessness mediated the relationship between symptoms of depression and suicidal ideation; and, 3) emotional social support moderated the relationship between symptoms of depression and hopelessness.  Thus, emotional support served as a protective factor in the total effect of depression on suicide, as the relationship between depression and hopelessness fluctuated based upon emotional social support (b = -.031, MOE ± .03, CR = -2.10, p < .05). Conclusions and Implications: The results emphasize the importance of emotional support among adults diagnosed with schizophrenia as a protective factor for suicide.  These findings point towards the implication that emotional support plays a significant role in hopelessness and the subsequent relationship between hopelessness and suicidal ideation cannot be ignored in practice.  As a result, is important that social workers assess for and encourage social support within treatment and intervention efforts.  Some potential ways to focus on social support within treatment are to utilize Social Skills Training Programs (SSTs) and peer support. Future prospective longitudinal study designs are needed to further increase understandings of social support facets as protective factors within this population to ultimately inform evidence-based interventions aiming to reduce premature suicidal death.",
      "authors": "Lindsay A. Bornheimer; James J. Jaccard, PhD",
      "author_ids": "114170; 113134",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3344485417,
        "prompt_eval_count": 1562,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:05:18.434157+00:00"
    },
    {
      "input_index": 867,
      "record_key": "SSWR:2018-P-0110",
      "source_database": "SSWR",
      "record_id": "2018-P-0110",
      "year": 2018,
      "title": "Elevated Risk of Suicidal Behavior Among Incarcerated Adults While in Solitary Confinement",
      "abstract": "BACKGROUND AND PURPOSE: People who are incarcerated in the United States frequently describe solitary confinement as being highly psychologically distressing. However, empirical data on the mental health correlates of solitary confinement has been severely lacking. One longitudinal study found an elevated incidence of adjustment and depressive disorders corresponding to the period of solitary confinement. More recently, two studies have shown an elevated risk of suicide and self-harm among inmates placed special housing units in New York facilities. However, both of these studies used official health records rather than self-report, and therefore could not assess suicidal ideation, plans, or self-identified attempts that may not have triggered documentation as self-harm in the medical records (i.e., of insufficient severity to warrant medical attention, or self-harm not recorded as the cause of the injury). The aims of this study were to assess the association between placement in solitary confinement and suicidal ideation, plans, and attempts, among a sample of previously incarcerated adults. METHODS: Formerly-incarcerated adults residing in the United States (N=201) were sampled using Qualtrics Panels, an internet-based survey administration service. Respondents were included if they self-reported a past history of incarceration greater than two weeks in duration. Participants self-reported sociodemographic factors, solitary confinement history, and suicidal thoughts, plans, and attempts. Respondents with a history of solitary confinement were asked to recall a two-week period during their solitary sentence and report whether they had experienced any of the suicide-related thoughts or behaviors during that time. Those without a history of solitary confinement were asked to consider a typical two-week period while incarcerated, and to report suicidal behaviors during that period. Separate logistic regression analyses were used to test for the association between solitary confinement history and each suicide-related outcome, with adjustment for potential demographic confounder variables. RESULTS: Respondents with a history of incarceration in solitary confinement were significantly more likely to report suicidal ideation (49.4% vs. 19.3%), suicide plans (32.2% vs. 10.5%), and suicide attempts (26.4% vs. 4.4%), compared to those without a history of solitary confinement. All associations were significant in adjusted analyses. Specifically, solitary confinement was associated with increased odds of suicidal ideation, adjusted odds ratio=5.0 (95% CI=2.4-10.7), plans, adjusted odds ratio=5.0 (95% CI=2.2-11.0), and attempts, adjusted odds ratio= 9.7 (95% CI=3.3-28.8). CONCLUSIONS AND IMPLICATIONS: Incarcerated adults in the U.S. are at drastically elevated risk for suicidal thoughts and behavior. The significant associations with attempts are particularly concerning, as this indicates that individuals are able to act on these thoughts and attempt suicide while in solitary units. It is unclear based on these cross-sectional data whether this is a causal relationship, particularly given that people may be placed in solitary confinement due to mental health reasons, including suicidal thoughts or behaviors. However, questions of causality do not detract from the clinical implications of this substantially increased risk for suicidal behavior, which suggest the need for greater suicide prevention efforts within this setting or, ideally, a reduction in the use solitary confinement or other punitive approaches that may contribute to suicidal thoughts.",
      "authors": "Jordan E. DeVylder; Boyoung Nam",
      "author_ids": "112063; 115613",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3466068167,
        "prompt_eval_count": 1614,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:05:32.706644+00:00"
    },
    {
      "input_index": 871,
      "record_key": "SSWR:2018-U-0520",
      "source_database": "SSWR",
      "record_id": "2018-U-0520",
      "year": 2018,
      "title": "Experiences of Discrimination Among Homeless Young Adults: Relationship to Mental Health Outcomes",
      "abstract": "Background : Homeless youth (HY) experience discrimination in their day to day lives for multiple reasons.  Not only is homelessness itself a stigmatized status, but HY also disproportionally come from marginalized groups, including overrepresentation of LGBT youth and youth of color. Minority stress theory posits that marginalized status and experiences of discrimination adversely impact mental health outcomes.  This study sought to 1) document experiences of discrimination among homeless youth and 2) understand the mental health outcomes associated with perceived discrimination using a large, multi-city sample. Methods : This study used data from the Homeless Youth Risk and Resilience Survey (HYRRS), a self-report survey administered in 4 cities (Houston, LA, Denver, and Phoenix; N=834). Data were collected via tablet-administered surveys using standardized instruments. Discrimination was measured with the short version of the Everyday Discrimination Scale (Williams et al, 1997) which assessed how often youth experienced five forms of discrimination (e.g., being treated with less courtesy than other people, people acting as if you are not as smart as others, and being threatened or harassed). A follow-up question asked those with reported discrimination to report the perceived reason(s) for those experiences from a list of 12 potential reasons (e.g., homelessness status, race).  Mental health measures included depression (PHQ-9; Kroenke et al, 2001), psychological distress (K-6; WHO, 2003), PTSD (PC-PTSD; Prins et al, 2003), and suicidal thoughts/attempts (NSDUH, 2015).  Analyses examined frequencies of discrimination experiences and perceived causes, then used ANOVA tests to assess whether overall discrimination varied by race, gender, LGBT, or housing status.  Multivariable models were then analyzed to assess associations between discrimination and each mental health variable, controlling for demographic variables. Results : Three quarters of participants (76%) reported having at least one of the five experiences of discrimination several times a year or more.  Most common perceived reasons for discrimination were homelessness (51%), physical appearance (43%), race (41%), and age (35%). HY who had spent the previous night on the streets (F=4.83, p<.01) and those who identified as LGBT (F=8.58, p<.001) were more likely to report discrimination than their temporarily housed and straight/cisgender counterparts. Discrimination was a significant predictor of each of the mental health outcomes after controlling for demographic variables (PHQ-9, B=.57, SE=.04; K-6, B=.49, SE=.04; PTSD, B=.10, SE=.01; Suicide Attempt, B=.05, SE=.02). Conclusions : Findings underscore that most HY experience discrimination for multiple reasons.  And, these experiences contribute to increased mental health symptoms.  Providers working with HY should validate these experiences, acknowledging that homelessness itself is a prevalent reason for experiences of discrimination. Mental health service providers working with HY may need to explicitly assess and process experiences of discrimination. In addition, the pervasiveness of these experiences across multiple cities underscores the need for community-wide interventions to increase education, promote tolerance, and reduce the stigma that may be fueling these experiences of discrimination. Finally, critical consciousness-raising projects, such as youth participatory action research, may help HY make sense of experienced discrimination and resist it as a group rather than internalizing these oppressive messages.",
      "authors": "Sarah C. Narendorf; Kimberly A. Bender; Kenya Minott; Jama Shelton; Diane Santa Maria",
      "author_ids": "110963; 109018; 117225; 112631; 113823",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3637941375,
        "prompt_eval_count": 1666,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:05:47.135836+00:00"
    },
    {
      "input_index": 874,
      "record_key": "SSWR:2018-U-0638",
      "source_database": "SSWR",
      "record_id": "2018-U-0638",
      "year": 2018,
      "title": "Factors Associated with Access to Permanent Supportive Housing Among People with Serious Mental Illness",
      "abstract": "Background/Purpose: According to the World Health Organization, access to safe and affordable housing is one of the most basic and influential social determinants of health. Permanent Supportive Housing (PSH) is an evidence-based practice that combines permanent affordable housing with comprehensive and flexible support services. It is recognized as a cost-effective intervention for homeless individuals who have a serious mental illness or substance use problem. Delayed access to supportive housing has been found to negatively affect housing stability. However, there is a relative dearth of research detailing the factors associated with accessing PSH among persons with a serious mental illness. Specifically, little is known about the characteristics of applicants for PSH who are declined service by housing providers. Consequently, this study aimed to address the following research question: What individual-level factors are associated with being declined mental health supportive housing by supportive housing providers? Methods: An analysis of waitlist data for PSH from a coordinated access service (CAS) in Toronto, Canada (population 2.7 million) was undertaken to examine the relationship between applicant characteristics, needs and service request outcomes. The CAS provides access to PSH operated by 29 non-profit supportive housing providers. Application and placement outcome data for applicants’ first service request for supportive housing collected by the CAS were used for analyses. Between August 2013 and October 2015, 1,870 applicants had at least one outcome related to a service request for supportive housing: 252 (14%) had a service provider decline service, 972 (52%) refused a housing offer by a housing provider, and 646 (35%) were successfully placed in supportive housing. Chi-square analyses were used to compare the demographic, clinical, service preference and need profile of applicants who had a housing provider decline service to applicants who were successfully placed in PSH. Results: Compared to applicants who were successfully placed in PSH, those whose first service request was declined were more likely to be homeless at referral (73% versus 62%), have a secondary mental health diagnosis (40% versus 26%), and to report having a substance use problem (55% versus 39%). Applicants who were declined also had some distinct support needs and past risk behaviors. Compared to applicants who were successfully placed, they were more likely to endorse support needs related to avoiding crises (52% versus 39%) and managing drug and alcohol misuse (50% versus 36%). They were also more likely to report past suicidal ideation (48% versus 35%), suicidal attempts (28% versus 16%) and violence towards others (32% versus 21%). Conclusion and Implications: Supportive housing providers may not feel that they have adequate capacity to successfully house and serve homeless applicants with criminogenic needs, substance use and behavioral challenges. Provision of training on evidence-based interventions targeting these issues may increase service providers’ confidence in supporting applicants with this clinical profile. Moreover, a Housing First approach toward admissions which features a low barrier assessment process and eligibility criteria ought to be adopted to minimize the unintentional exclusion of some of the most vulnerable homeless populations.",
      "authors": "Frank Sirotich; Anna Durbin; Lin Fang; Melissa Redmond",
      "author_ids": "113150; 117760; 108359; 109472",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3361686166,
        "prompt_eval_count": 1570,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:05:57.193689+00:00"
    },
    {
      "input_index": 878,
      "record_key": "SSWR:2018-P-0206",
      "source_database": "SSWR",
      "record_id": "2018-P-0206",
      "year": 2018,
      "title": "Gender Differences in Predictors of Suicidality Among United States Veterans",
      "abstract": "Background and Purpose: An unfortunate collateral effect of the recent conflicts in Iraq and Afghanistan is the ongoing impact on the mental health of military members.  Suicide within the US military has been on the rise since 2004 and peaked in 2012, when it became the leading cause of death among active duty military personnel, yet research is scarce in the area of suicidality in female veterans.  As  women continue to serve in increasingly dangerous and stressful combat roles, and it is essential to know what factors influence suicidality and how gender differences impact suicide among military members.    To address this need, this study focuses specifically on the military population within a large nationwide sample and how suicidality varies between males and females and between veterans and non-veterans. Methods: This study utilizes secondary data from the 2014 National Survey on Drug Use and Health, an annual survey conducted by SAMHSA and The Department of Health and Human Services.  For this current inquiry, only adult respondents are included in the analyses (N=41,671). The dependent variables of interest are reported suicidal thoughts and suicide attempts. The independent variables of interest are demographic measures as well as alcohol abuse and major depression. Binary logistic regression was utilized to ascertain the effects of age, gender, marital status, race/ethnicity, education level, veteran status, alcohol abuse, and major depression on the likelihood that respondents report having suicidal ideation in the past year. Results: The logistic regression model was significant and found that non-veterans were 24% more likely to report having suicidal thoughts than veterans.  Divorced individuals were 81% more likely and individuals who have never been married were 73% more likely to report suicidal thoughts than married individuals.  Individuals who reported alcohol abuse in the past year were 55% more likely to report suicidal thoughts than those who did not report alcohol abuse.  Those who reported a lifetime history of major depression were 11 times more likely to report suicidal thoughts than those with no reported history of major depression. Within the veteran population, there were surprising findings that contradicted what would be expected based on the literature.  There were no statistically significant differences in the reporting of suicidal thoughts based on gender, race, marital status, or alcohol abuse.  There were statistically significant differences in suicidal thoughts based on age, education level, and major depression.  Those veterans who had major depression in the past year were 12 times more likely to report suicidal thoughts than those veterans with no major depression.  Although this finding is significant, it is not dissimilar from what is found in the non-veteran sample. Conclusions: The findings suggest that depression and substance abuse are more significant factors in predicting suicide than are gender or veteran status.  Future studies could examine possible differences in suicidality between active duty and veteran populations, between males and females in a different sample, and could also examine other complex variables such as military sexual trauma, combat trauma, and pre-military trauma.",
      "authors": "Monica Himes",
      "author_ids": "117093",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3395434500,
        "prompt_eval_count": 1543,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:06:10.489039+00:00"
    },
    {
      "input_index": 879,
      "record_key": "SSWR:2018-P-0690",
      "source_database": "SSWR",
      "record_id": "2018-P-0690",
      "year": 2018,
      "title": "Gender Differences in Sexual Risk Practices and Suicidal Tendencies Among U.S. High School Students: Examining the Mediating Role of Teen Dating Violence",
      "abstract": "Background and Purpose: Sexual risk behaviors, teen dating violence (TDV), depression, and suicide are social and public health concerns that negatively impact the U.S. high school students. Research is unclear whether these syndemic factors are interrelated. Also, there is a need to understand gender differences among these syndemic factors to inform the development of gender-specific prevention and intervention programs. Drawing on the extant literature and syndemic theory, we examined the nuanced mechanism through which sexual risk practices influences suicidal tendencies and whether this relationship differ by gender. Methods : Data for this study was drawn from 2015 Youth Risk Behavior Surveillance System (YRBSS), a national survey on health-risk behaviors among high school students across the United States. Adolescents between 14-18 years were included in the analysis (N=15,455). About half (50.03%) of them were female. The outcome variable for this study was suicidal tendencies which was conceptualized as adolescents’ propensity to have suicidal ideation or to make suicide attempts. We used the linear combination method to create a suicidal tendencies index. The exogenous variable, multiple sex partners (MSP), was conceptualized as adolescents’ engagement in sex with more than four partners. Teen dating violence was the mediating variable and was conceptualized as sexual and physical violence experiences. Data analysis was conducted using path analysis (Mplus 7.4) to assess the direct paths through which sexual risk practices relates to suicidal tendencies and whether this link is mediated by teen dating violence. In this model, we also examined a possible link between depression symptomologies and suicidal tendencies. Results: Findings show that regardless of the adolescent’s gender, multiple sex partners would directly lead to suicidal tendencies (full sample: β = .017, p < .001; boys-only (β = .058, p < .001) and girls-only samples (β = .027, p < .001). Second, sexual violence partially mediated the negative effect of multiple sex partners on suicidal tendencies for both males and females. Third, students’ experience with physical dating violence partially mediated the positive effect of multiple sex partners on suicidal tendencies only the full sample, but no gender differences. Finally, having depression symptomologies would directly lead to higher suicidal tendencies for both males and females. Conclusions and Implications: Findings from this study revealed that adolescent boys and girls engaging in sexual risk behaviors are at increased risk for suicide. The study also found that experiencing teen dating violence is a major concern in this population as it is likely to magnify the influence of sexual risk practices on suicide tendencies. Future research and practice with adolescents should take into consideration prevention and intervention strategies that particularly target adolescents exhibiting risk factors discussed in this study. Practitioners should also work with adolescents in enhancing their coping strategies and stress management skills to reduce depression and suicidal tendencies.",
      "authors": "Bernadette K. Ombayo; Betty Tonui; Moses Okumu; Cecilia W. Mengo",
      "author_ids": "116213; 117483; 116117; 113722",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3310540584,
        "prompt_eval_count": 1529,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:06:13.801420+00:00"
    },
    {
      "input_index": 880,
      "record_key": "SSWR:2018-P-0168",
      "source_database": "SSWR",
      "record_id": "2018-P-0168",
      "year": 2018,
      "title": "Gender/Sexual Minority Young Adults in the Southwest: Experiences of Violence and Mental Health",
      "abstract": "Background : Research related to gender/sexual minority (GSM) young adults is growing, but remains limited, in the field of social welfare. Current literature reflects higher rates of depression, anxiety, homelessness, trauma, and other unmet needs. Familial support and a sense of belonging to a community act as protective factors. As research progresses, it is necessary to investigate experiential differences within this heterogeneous community. Methods : Data were gathered the Spring of 2015 in collaboration between ASU master's level Social Work students and a GSM young adult serving organization. Groups within the total sample (N=102) included gender minorities (GM) (n=50) and people of color (POC) (n=44). The purpose of this secondary analysis was to study the experiences of physical, sexual, and self-inflicted violence, as well as rates of  mental illness diagnosis and suicidal ideation of GSM young adults ages 14-30. Analysis of the data included descriptive and bivariate statistics with variables related to violence and mental health. Logistic regression tested associations between comparison groups and violence/mental health variables. Results : Mean age was 22.35. Individuals in the sample reported 26 sexual orientations and 28 genders. The sample expressed high rates of sexual violence, physical violence, diagnosis of a mental illness, self-harm, and suicidality. Overall, the majority of respondents reported having been “gay-bashed”, physically assaulted, sexually assaulted, diagnosed with a mental illness, and/or having self-harmed. Many also reported having been assaulted because of their gender identity/expression and 23.5% reported having been in a physically abusive relationship. An astounding 81.4% reported ever experiencing suicidal ideation (47.1% of the total sample reported never having attempted suicide and 34.3% reported having attempted suicide one or more times). Significant associations were found between gender minority POC and self-harm (.94, p<.01). Significant associations were also found between non-GM POC and having been sexually assaulted (.017, p<.05) and self-harm (-.672, p<.05). No significant associations were found between GM and non-GM whites and the variables of interest. The sample was too small to discern relationships between familial support and suicidality among sub-groups in the sample (e.g., GM people of color). However, non-GM POC in the sample reported the highest rate of a positive family reaction to coming out and report the lowest rate of having a suicide attempt. Gender minority people of color reported lowest rates of positive family reaction and reported highest rates of both suicidal ideation and at least one suicide attempt. Implications : While the small sample size is a limitation, research is scarce regarding GSM young adults in the southwest. This study indicates GSM young adults are in need of increased services regarding the differences of experiences in violence and mental health--particularly for GSM people and communities of color who continue to report disparate experiences. These results provide evidence indicating that more investigation into the interaction between protective factors, experiences of violence and suicidal ideation, and race/ethnicity is needed.",
      "authors": "Vern Harner",
      "author_ids": "116949",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3384072417,
        "prompt_eval_count": 1588,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:06:17.187818+00:00"
    },
    {
      "input_index": 881,
      "record_key": "SSWR:2018-U-0333",
      "source_database": "SSWR",
      "record_id": "2018-U-0333",
      "year": 2018,
      "title": "Help Seeking Behaviors of Youth with Suicidal Ideation: Who Perceives Need for Care and Seeks Actual Service?",
      "abstract": "B ACKGROUND AND PURPOSE : Suicide prevention approaches often rely on identifying at-risk individuals and connecting them with mental health services. However, it is an ongoing challenge in suicide prevention to connect individuals who are at higher risk for suicide attempts with appropriate mental health care services. For example, only about 29% of individuals with suicidal ideation either sought or initiated mental health service (Hom, Stanley, & Joiner, 2015). Andersen’s Behavioral Model proposes that predisposing factors (e.g., age, gender), enabling factors (e.g., income, health insurance), and need factors (e.g., perceived and evaluated needs) are associated with one’s decision to use services. The Three-stage Model (Cauce et al., 2002) suggests that help-seeking is a process that moves from recognizing needs to actually seeking treatment. This study aimed to examine which factors of Andersen’s Model can explain behaviors of individuals with suicidal ideation in different stages of help-seeking: perceived needs for mental service and actual use of services. METHODS : Participants with suicidal ideation (N=191) were drawn from a non-probability sample of undergraduate college students (N=799). Past-year service utilization, past-year need for mental health treatment (as perceived by themselves and by friends or family), and demographic and clinical constructs identified based on Andersen’s Behavioral Model of Health Service Use were assessed. A multiple logistic regression analysis was used to identify independent correlates of (1) mental health service utilization, and multiple regression analyses examined (2) self-perceived need for mental health services, and (3) other-perceived need for mental health services. RESULTS : Within the sample with suicidal ideation, 10.5% reported suicide attempt history. Only 39.5% used mental health services over the past year. Results showed that being encouraged to seek help by others was a strong and uniquely significant correlate of actual mental health service utilization (OR = 2.99, p < 0.001). Further, friends or family were significantly more likely to encourage them to seek help when respondents had more intense suicidal ideation ( β = 0.285, p < 0.01) and suicide attempt history ( β = 0.199, p < 0.05). Depression severity, female gender, and White race were associated with increased self-perceived need for mental health services, but self-perceived need for mental health service was not independently associated with actual service utilization. CONCLUSIONS AND IMPLICATIONS : Interestingly, perceived need for help by individuals with suicidal ideation themselves did not lead them to actually seek help. Instead, perceived need by others was the sole significant correlate of service utilization. For individuals with suicidal ideation, the ambiguity in determining need for help may transform into certainty when someone tells them they are in need. It is an important target for public health interventions aimed at facilitating pathways into mental health treatment for college students, and potentially other young adults. Educating people to recognize signs of suicide and to encourage peers and family members to use proper mental health services may increase utilization of mental health services among individuals at risk for suicide.",
      "authors": "Boyoung Nam; Jordan E. DeVylder; Holly Wilcox; Matthew Hilimire",
      "author_ids": "115613; 112063; 117341; 115077",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3388015333,
        "prompt_eval_count": 1584,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:06:20.577640+00:00"
    },
    {
      "input_index": 882,
      "record_key": "SSWR:2018-P-0261",
      "source_database": "SSWR",
      "record_id": "2018-P-0261",
      "year": 2018,
      "title": "History of Maltreatment, Positive Coping, and Current Suicidal Ideation in Adolescents",
      "abstract": "Background and Purpose: Suicidal ideation is a warning indicator of more serious suicidal behavior. While there is an extant research base on the relationship between suicidal ideation and maltreatment history, protective factors that might buffer suicidality in this high-risk group are less clear. Adolescents’ intrinsic qualities, including positive mental health and coping skills, can enable successful adaptation after adversity. The present study sought to examine whether adolescents with maltreatment histories are at heightened risk for suicidal ideation. In addition, we examined the impact of positive mental health and coping skills as buffers to suicidal ideation. Methods: We analyzed data from 224 youth from San Diego and Seattle at Wave 7 of the Longitudinal Studies of Child Abuse and Neglect (LONGSCAN) study. Recruitment at both sites included children reported to the child protection systems for alleged maltreatment. Data on suicidal ideation was collected at ages 16 and 18; discrete reports at both time points were combined resulting in ideation being reported by 17.6% of adolescents. A project developed single item measure assessed positive mental health asking ‘In the last 12 months, have you had any mental health or emotional illness or problems?’ (yes/no). The Adolescent-Coping Orientation for Problem Experiences assessed coping skills (at age 18). Items related to physical (parental abuse and harsh punishment) and sexual abuse measured two types of maltreatment (ever/never). Hierarchical logistic regression was conducted to determine whether maltreatment history would significantly predict past 12-month reported suicidal ideation, controlling for positive mental health and coping skills. Results: The suicidal ideation rate for female adolescents were significantly higher than for male adolescents (χ 2 1 = 10.53, p < .01). Male adolescents had significantly higher prior mental health problems compared to female (χ 2 1 = 3.90, p < .05). While there were no gender differences for physical abuse difference, female adolescents had higher rates of experiencing sexual abuse (χ 2 1 = 13.34, p < .001). Individuals who report positive mental health [OR=0.14, CI 0.05-0.38, p<. 001] and better coping skills [OR=0.98, CI 0.96-1.00, p<. 10] were less likely to report suicidal ideation. However, adolescents with sexual abuse histories were 4.9 times more likely to report suicidal ideation compared to those with no sexual abuse [CI 1.53-15.65, p<. 01], even controlling for positive mental health and coping skills. Implications: Our findings indicate that positive mental health and coping skills work to reduce suicidal risk; this has implications for early intervention efforts. Building youth assets through promotion of positive youth development may serve as an important buffer to reduce negative outcomes in youth who have experienced maltreatment. However, while positive mental health and coping skills were statistically significant, the clinical significance is limited. Thus, trauma-focused interventions remain critical for youth who have experienced maltreatment.",
      "authors": "Yoewon Yoon; Julie A. Cederbaum, PhD",
      "author_ids": "117188; 110863",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3356546000,
        "prompt_eval_count": 1587,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:06:23.935992+00:00"
    },
    {
      "input_index": 884,
      "record_key": "SSWR:2018-P-0036",
      "source_database": "SSWR",
      "record_id": "2018-P-0036",
      "year": 2018,
      "title": "How Are They Doing? Mapping Female Survivors of Trafficking to Prevent Re-Trafficking",
      "abstract": "Background: This is among the first studies to assess the status and well-being of female survivors of trafficking who received psychosocial interventions in a residential shelter in Accra, Ghana. The study is part of overall research whose goal is to develop efficacious reintegration services for survivors of trafficking in West Africa that will serve as model for communities across the world. Our aims are to (1) develop a theoretical model of the factors that facilitate successful integration of human trafficking variables, examining personal, family, community, and local governmental levels of influence and (2) develop an intervention manual based on this theoretical model that specifies protocols for implementing multilevel programming for survivors. In this study, we present the overall health, social, psychological, and economic outcomes of the survivors. Methods: Retrospective cross-sectional data were collected in April 2016 from a sample of n =144 female victims of trafficking. Participants had received psychosocial and human capital development services in a local residential facility between 2010 and 2015. Research participants were recruited through the service provider’s contacts. Study Participants: The age range of the participants was 23-34, Mn =23 ( SD =2.89). In terms of education, 86(60%) had secondary school education, 43(30%) elementary, 11(7.6%) no formal education, and just one participant had some post-secondary education. Seven (5%) participants already had one or more children at the time of admission into the facility and this number increased to 42(29%) at the time of the study. Exactly 127 (88%) of the participants were not married. Participants reported being victims of victims of labor trafficking (89%) while 25% were victims of sex trafficking. In terms of time spent under trafficking pre-intervention: over two years (31%), 7-12 months (24%), 1-6 months (16%), and 19-24 months (14%) were the most reported periods. Five percent of the participants had children pre-intervention and this number grew to 29% at the time of the interviews. Results: Using various multidimensional measures that were culturally validated and adapted with high reliability (Cronbach’s α .78-.93), participants reported lower levels of social inclusion (Community Reintegration Scale), medium-high levels of PTSD (PSS-I scale), lower levels of coping (Brief Cope scale), medium levels of suicide ideation (USSIS scale), medium-high levels of symptoms configuration (HSCL), and lower levels of financial capability (Financial Capability Scale). In summary, participants continued to experience some of the social, psychological, emotional, and economic factors that put them at risk to trafficking in the first place. The priority for many participants at the time of the study was to be able to be economically independent and to be connected to their communities. Implications : It is important for researchers and practitioners to map conditions that facilitate trafficking. More important though is the provision of interventions that are holistic, dealing with the long-term impacts of trafficking, and ensuring continued supports for survivors. It is important to focus on evidence-informed psychosocial services as well as human capital and community reintegration programs that can provide stability and a new start for trafficking survivors. Reducing re-trafficking risks is key to anti-trafficking efforts.",
      "authors": "David Okech; Nathan Hansen; John Anarfi",
      "author_ids": "109558; 116812; 116813",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3394317209,
        "prompt_eval_count": 1636,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:06:30.714314+00:00"
    },
    {
      "input_index": 885,
      "record_key": "SSWR:2018-P-0285",
      "source_database": "SSWR",
      "record_id": "2018-P-0285",
      "year": 2018,
      "title": "How Does Discharge Status Affect Military Veterans' Mental and Physical Health and Suicide Risk?",
      "abstract": "Background: Considerable resources have been devoted to investigating and preventing suicide among military veterans, but rates remain high. In addition, most veteran suicide research has been conducted with veterans who are eligible for and seek services at the Veterans’ Health Administration (VHA). Little is known regarding suicide risk for veterans who do not seek VHA services. Even less is known about over 125,000 veterans who received non-honorable military discharges since 2001 even though these underserved veterans face substantial barriers to medical and mental health services and are likely to be at higher risk for negative mental and behavioral health outcomes including suicide. Methods: We employed a purposive sampling strategy which included partnering with local institutions of higher learning and veterans’ service agencies to recruit 722 veterans living the in the San Francisco Bay Area. The sample comprised honorably discharged veterans (n=508) and non-honorably discharged veterans (n=214). We used t­- tests of independent samples to compare mean scores for these groups on constructs with known links to suicidality in veterans, including PTSD, depression, alcohol use, somatic symptoms, and physical functioning and disability. In addition, we employed a series of linear regression models to test relationships between predictors, discharge status, and suicide risk. Results: Non-honorably discharged veterans demonstrated significantly higher mean scores than honorably discharged veterans on all suicide risk indicators. In the regression models, only somatic symptoms (β=.20, p­ <.001) were significantly associated with suicide risk once discharge status was included (β=.33, p­ <.001). In the final model, we detected a significant interaction effect for discharge status on the relationship between somatic symptoms and suicide F (3, 416), p <.001. The final model accounted for 31% of the variance in suicide risk. Conclusions: To our knowledge, this is the first study to investigate differences in known suicide risk factors in honorably and non-honorably discharged military veterans. Study findings suggest that non-honorably discharged veterans, who face more barriers to mental and physical health care, endorse higher rates of mental and physical health problems as well as elevated risk for suicide compared to honorably discharged veterans. The magnitude of relationship between somatic symptoms and suicide risk was substantially greater in non-honorably than honorably discharged veterans, which suggests that somatic symptoms may warrant special clinical attention in this population. Additional research is required to improve understanding of the mental and behavioral health risks faced by this population.",
      "authors": "Nicholas U. Barr; Sarah Kintzle; Carl A. Castro",
      "author_ids": "114068; 110041; 114665",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3122528959,
        "prompt_eval_count": 1455,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:06:33.839391+00:00"
    },
    {
      "input_index": 888,
      "record_key": "SSWR:2018-U-0679",
      "source_database": "SSWR",
      "record_id": "2018-U-0679",
      "year": 2018,
      "title": "Impact of Parental Incarceration and Substance Use on Suicidal Planning of African American Youth Living in Urban Public Housing",
      "abstract": "Background : This study examined the impact of parental incarceration and substance use on suicidal planning of African American youth living in public housing. In addition to increased suicide rates, urban African American youth are also disproportionately impacted by parental incarceration (Johnson, 2009) and parental substance abuse (Repetti et al., 2002; Donenberg et al., 2006). Many youth adapt to the loss of their parents to prison or addiction by engaging in health-risk behaviors while others may contemplate suicide. Given the health-risk behaviors commonly associated with the loss of a parent to incarceration or substance abuse, understanding their impact on suicidal behavior may have important implications for the well-being of African American youth. We hypothesize when youth are unable to cope with or meet the demands placed on them by the loss of their parents (e.g., parental incarceration or substance abuse) they may feel hopeless, which leads to plans to commit suicide. Methods : Guided by Family Stress Theory to help understand the impact of family stressors (i.e., parental incarceration and parental substance use) on a sample of 190 African American (mean age 19.9) youth living in public housing. This study is cross-sectional and comprises African American adolescents living in public housing located in a large Mid-Atlantic city.  Primary analyses included univariate descriptive statistics, Chi-square comparisons by gender and a Kendall's tau_b Non-parametric Correlation. The primary analytic procedure included a two-step Sequential Logistic Regression analysis. Results : Significantly more males (19.2%) than females (6.0%) reported they made a plan to commit suicide. Males reported significantly more mothers with drug (39.7%) and alcohol problems (37.0%) compared to females (19.7%) and (12.0%), respectively. Males (38.4%) also reported more fathers with alcohol problems compared to females (21.4%). Males also reported a higher (19.2%) maternal incarceration rates compared to females (1.7%). At the bivariate level having made a plan to commit suicide in the last 12 months was positively related to gender (r=.205) and having a mother currently in prison (r=.377). The overall Logistic Regression model significantly distinguished youth who reported having made a plan to commit suicide in the last 12-months from those who did not devise a plan [-2 Log likelihood = 105.68; χ 2 ( df= 6) = 17.05; p<.01]. Conclusions : In this sample of youth, African American males are at increased risk of suicidal planning so there is needs to both critically assess their suicidal thoughts and ideations, especially when their parents have histories of incarceration and substance use. This is critical to developing approaches for treatment and intervention development for youth living in public housing.",
      "authors": "Camille R. Quinn; Von E. Nebbitt; Taqi Tirmazi; Sean Joe; Oliver Beer",
      "author_ids": "113009; 108805; 117813; 109205; 117814",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3371488791,
        "prompt_eval_count": 1531,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:06:43.695320+00:00"
    },
    {
      "input_index": 891,
      "record_key": "SSWR:2018-P-0091",
      "source_database": "SSWR",
      "record_id": "2018-P-0091",
      "year": 2018,
      "title": "Mapping Suicide Mortality in Ohio: A Spatial Epidemiological Analysis of Suicide Clusters and Area Level Correlates",
      "abstract": "Background : Suicide is a major public health problem. In 2014, suicide was the 10th leading cause of death for all ages, the 2nd leading cause of death for ages 10-34, and the 4th leading cause of death for ages 34-54 years. From 1999 through 2014, the US suicide rate rose from 10.5 per to 13.0 per 100,000 persons, increasing 24% across every age group except the elderly. Previous studies have investigated spatial patterning and associations of area characteristics with suicide rates in Western and Asian countries, but few have been conducted in the United States. This study aims to: 1) identify spatial and spatio-temporal clusters of high suicide rates in Ohio; and 2) assess the relationship between demographic and socioeconomic contextual factors and suicide clusters. Understanding the spatial distribution of suicide can inform the planning, implementation, and evaluation of suicide prevention efforts. Methods :  This ecological study included all people who died by suicide in Ohio between January 1, 2004 to December 31, 2013. Suicide decedents were identified from death certificate data obtained from the Ohio Department of Health. Deaths by suicide were identified based on the International Classification of Diseases, 10th revision (ICD-10) external cause of death codes (X60-X84, Y87.0, *U03).  The unit of analysis in defining a suicide cluster was the census tract (N= 2, 952). To identify suicide clusters, each suicide case was assigned to a census tract based on the residential address before death recorded in the death certificates. Census data were used to obtain measures of census level neighborhood characteristics. Because these variables were highly correlated, principal component analysis with Varimax rotation was used to create latent variables. Using the 16 variables obtained from the 2008-2012 American Community Survey and the 2010 Area Resource File resulted in three area-level latent variables: economic deprivation, density of providers, and social fragmentation. Logistic regression was then used to examine the association between the three latent variables and being in a high-risk suicide cluster. To identify the spatial distribution of suicide and test for clustering, spatial and spatio-temporal scan statistics were used to detect high-risk clusters of suicide at the census tract level. Results : Nine statistically significant (p <0.05) high-risk spatial clusters and two space-time clusters were identified. The risk of suicide was up to 2.1 times higher in high-risk clusters than in areas outside these clusters (relative risk ranged from 1.22 to 2.14, p<0.01).  In the multivariate model, factors strongly associated with area suicide rates were socio-economic deprivation (Odds ratio [OR] = 3.4, 94% CI = 2.6-4.5) and density of providers (OR = 0.35, 95% CI= 0.27-0.46). Conclusions and Implications : Statistically significant high-risk spatial clusters were identified; most were in major cities and rural counties located in the Appalachian regions of Ohio. Heightened community wide suicide risk is associated with socioeconomic deprivation and lower levels of provider density relative to other communities. Efforts to reduce poverty and improve access to health and mental health services on the community level represent potentially important strategies to prevent suicide.",
      "authors": "Cynthia A. Fontanella; Daniel Saman; Danielle Hiance-Steelesmith; John V. Campo; Jeffrey Bridge; HelenAnne Sweeney; Elisabeth Root",
      "author_ids": "108340; 116901; 116902; 113457; 116903; 116904; 116905",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3640885208,
        "prompt_eval_count": 1673,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:06:54.077458+00:00",
      "independent_manual_spot_check": {
        "random_seed": 20260803,
        "agreement": true,
        "manual_screening": {
          "is_relevant": true,
          "evidence_class": "Empirical",
          "empirical_method": "Quantitative"
        },
        "rationale": "The study uses death records, spatial statistics, principal components, and regression to analyze suicide clusters."
      }
    },
    {
      "input_index": 895,
      "record_key": "SSWR:2018-P-0022",
      "source_database": "SSWR",
      "record_id": "2018-P-0022",
      "year": 2018,
      "title": "Nativity, Primary Language Spoken in the Home, and Mental Health Outcomes Among Asian-American Youth",
      "abstract": "Background and Purpose: Research has documented that nativity and language are associated with mental health outcomes among Asian-American youth (Romero et al., 2007; Liu et al., 2009; Delgado et al., 2011). However, there is little research on the group differences in depressive symptoms and suicidal ideation by ethnic segments differentiated on nativity and primary language spoken in the home. The purpose of this study was to compare 1) four Asian-American subgroups categorized by nativity and primary language spoken in the home based on the mean scores of depressive symptoms and suicidal ideation during adolescence, early young adulthood, and young adulthood and 2) ethnic differences in the mean scores of depressive symptoms and suicidal ideation among Asian- and European-American youth. Methods: The data for this study came from the National Longitudinal Study of Adolescent to Adult Health (Add health). The current study used three waves (Waves I, III, and IV) of the Add Health data with a subsample of Asian- and European-American youth who completed the in-home interviews. European-American youth were used as the reference group. A total of 1,418 Asian- and 8,369 European-American youth were analyzed. Constructs were measured by: 1) a short version of 9-item CES-D scale for depressive symptoms; 2) one item on suicidal ideation; 3) nativity (U.S. born or Foreign born); 4) primary language spoken in the home (English or Other language). Linear regression and modified linear probability models were used for data analyses. Results: Analyses suggested that group mean differences in depressive symptoms and suicidal ideation were trivial among three of the four Asian-American subgroups. Therefore, these subgroups were merged into one group and the following three groups were compared: 1) Asian-American youth who were born in the U.S. and who spoke English in the home (AA1); 2) all other three Asian-American groups (AA2); 3) European-American youth (EA). There were three statistically significant group differences in the mean of adolescent depressive symptoms between AA1 and EA (means=0.74 and 0.62; t = 2.93, p < .01) and the means of early young adulthood depressive symptoms between AA1 and EA (means=0.61 and 0.47; t = 3.12, p < .01) and between AA2 and EA (means= 0.57 and 0.47; t = 2.18, p < .05). For suicidal ideation, there were three statistically significant group differences in the means of adolescent suicidal ideation between AA2 and EA (means= 0.10 and 0.14; t = 2.31, p < .05) and between AA1 and AA2 (means= 0.18 and 0.10; t = 3.10, p < .01) and the mean of young adulthood suicidal ideation between AA2 and EA (means= 0.02 and 0.08; t = 3.47, p < .01). Conclusions and Implications: Findings of this study suggest that Asian-American youth who were born in the U.S. and who spoke English in the home had higher mental health problems than other three Asian-American youth and European-American youth at each developmental stage. These results emphasize the importance of identifying risk factors leading to mental health disparities in Asian-American youth for social work practice and policy.",
      "authors": "So-Young Park; Yeddi Park; In Young Lee; So-Youn Park",
      "author_ids": "113133; 111764; 116125; 111128",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3620523792,
        "prompt_eval_count": 1686,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:07:07.734504+00:00"
    },
    {
      "input_index": 896,
      "record_key": "SSWR:2018-P-0762",
      "source_database": "SSWR",
      "record_id": "2018-P-0762",
      "year": 2018,
      "title": "Now I Am Ready to Die: A Look at Substance Use, Suicidality and Acquired Capability in Adolescents",
      "abstract": "Background: Although a lot of media attention focuses on adolescent homicide, suicide deaths should be of equal or greater concern to society.  Suicide deaths are more prevalent in adolescents than homicide.  It is reported that 17.0% of students in Grades 9th -12th seriously considered attempting suicide in the previous 12 months.  However only a percentage of those who consider attempting suicide go on to attempt suicide.  Joiner Interpersonal Theory of Suicide theorized that for an individual to move from thinking about suicide to trying to die by suicide, acquired capability for suicide (ACS) is necessary. Literature has commonly identified substance use as a risk factor for suicide.  Marijuana, alcohol and prescription drug use were most prevalent among adolescent substance uses.  The purpose of this study is to examine the role of substance use (alcohol, prescription drugs and marijuana) as a proxy to ACS in adolescents who reported suicide ideation. Methods: A cross-sectional design, using secondary data gathered from the 2015 Youth Risk Behavior Survey (YRBS) were used for this study.  The YRBS is a national, representative school-based survey was developed in 1990 to monitor priority health risk behaviors that contribute markedly to the leading causes of death, disability, and social problems among students in Grades 9 through 12 in the United States.  Because this study was looking at adolescents who reported suicide ideation, the sample for this study was the 2,808 students who reported suicide ideation. Results: A multiple logistic regression was performed to measures the likelihood of the substance use increasing ACS.  Results show substance use was significantly associated with greater odds of attempting suicide; adolescent who use alcohol had 49% greater odds, marijuana 47% greater odds, and prescription drugs 55% greater odds of attempting suicide. Being females had 67% greater odds of attempting suicide. Race significantly contributes to the probability of attempting suicide, being black or Hispanic had 56% greater odds of attempting suicide, reporting race as Other had 64% greater odds of attempting suicide compared to those who reported race as White. Conclusion and Implications: In conclusion, substance use, was identified as a proxy to ACS, these findings help shape the framework to explain how adolescents who have suicide ideation transitions to attempting suicide.  Suicide is a preventable death, with further investigation into the role of substance use and its impact on ACS can inform prevention, treatment methods and better assess the risk associated with suicidality and the co-occurrence of substance use. se.",
      "authors": "Cashell Lewis",
      "author_ids": "117928",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3118185916,
        "prompt_eval_count": 1467,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:07:10.854396+00:00"
    },
    {
      "input_index": 898,
      "record_key": "SSWR:2018-P-0547",
      "source_database": "SSWR",
      "record_id": "2018-P-0547",
      "year": 2018,
      "title": "Peer Victimization, Depression, and Suicide Attempts: A Gender-Based Approach",
      "abstract": "Background: Adolescents in the United States are at the greatest risk for suicide. Peer victimization, including school bullying, cyberbullying, physical dating violence, and sexual dating violence, is a significant risk factor of suicide among adolescents. However, relatively little research has examined which specific types of peer victimization are most closely linked to suicide attempts to develop prevention and intervention methods for male and female high school students. In addition, it is important to examine the gender differences in the relationships between specific types of peer victimization and suicide attempts. This study also hypothesized from prior research that depression would mediate the relationships between specific types of peer victimization and suicide attempts among male and female high school students. Methods: Data were drawn from the 2015 Youth Risk Behavior System Survey (YRBSS), a national survey with a representative sample of 15,624 high school students in grades 9–12. Independent variables are victimization through school bullying, cyberbullying, physical dating violence, and sexual dating violence; depression was a mediator; and the number of suicide attempts was a dependent variable. These were single observed variables, so a path analysis was used to test the structural path model using Mplus 7.0. In addition, a multiple groups approach was used to test the group invariance of the path model across male and female high school students. Results: The results showed that all four types of peer victimization were significantly associated with higher levels of depression, which in turn led to higher levels of suicide attempts for both male and female students. Specifically, the effect size of “victim of school bullying” on suicide attempts among females was greater than it was among males, but the effect size of “victim of sexual dating violence” on suicide attempts among males was greater than among females. In addition, depression partially mediated the relationship between each type of peer victimization and suicide attempts for females and males. The indirect effects of \"victim of school bullying\" and \"victim of sexual dating violence\" on suicide attempts through the mediation of depression were greater among females than they were among males. Implications/Conclusions: The findings have larger implications for early intervention programs in school and mental health settings. The awareness of specific types of peer victimization can help service providers or school social workers choose strategies that are more effective in reducing or preventing negative mental health consequences and suicide attempts for male and female adolescents. For instance, female adolescents who were victims of school bullying and male adolescents who were victims of sexual dating violence should be considered at high risk of suicide attempts.",
      "authors": "Youn Kyoung (Lily) KIM; Mi-Youn Yang; Juan J. Barthelemy",
      "author_ids": "113286; 112035; 110392",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3073443083,
        "prompt_eval_count": 1448,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:07:17.324280+00:00"
    },
    {
      "input_index": 900,
      "record_key": "SSWR:2018-U-0078",
      "source_database": "SSWR",
      "record_id": "2018-U-0078",
      "year": 2018,
      "title": "Police Abuse and Mental Health in a Nationally Representative Sample of African-Americans",
      "abstract": "Background: Media reports over the past several years have captured the problem of police abuse coming to a head in the United States, drawing national and even global attention to this long-standing problem that disproportionally harms African-Americans. In response, the American Public Health Association released a statement declaring law enforcement violence to be a critical but direly under-examined public health issue. Limited research has shown that police abuse is associated with distress, depression, anxiety, and trauma symptoms in U.S. samples; however, no prior study has examined this topic using nationally representative survey data of African-American households –the demographic group purported to be at highest risk for this exposure. Thus, we analyzed the National Survey of American Life (NSAL) to explore the psychiatric significance of police abuse among African-American adults. Methods: Sample and procedures Data were drawn from the NSAL, a national household probability sub-sample of African-American adults (N=3570), who were assessed using the World Health Organization Composite International Diagnostic Interview (WHO CIDI). Measures Police discrimination was measured using a dichotomous item: “Have you ever been unfairly stopped, searched, questioned, physically threatened or abused by the police?” Respondents were assessed for 12-month DSM-IV Axis I disorders using the WHO-CIDI. Diagnostic categories included mood disorders; anxiety disorders; and Post-traumatic stress disorder (PTSD). Lifetime suicidality was assessed in terms of ideation, plan, and attempt. Self-reported demographic covariates included age, sex, marital status, education, employment, and income. DSM-IV diagnoses of alcohol or substance use disorders were included as confounders, given that substance use frequently co-occurs with mental health issues and may draw police attention. Analyses Wald X2 tests were used to test for differences in prevalence of psychiatric outcomes among people with and without history of police abuse. Multivariable logistic regression was used to test for associations between police abuse and 12-month psychiatric disorders while adjusting for sociodemographic variables and 12-month alcohol/substance use. Multivariable logistic regression was used to test for associations between police abuse and lifetime suicidality after adjusting for sociodemographic variables and lifetime psychiatric disorders (mood, anxiety, PTSD, alcohol/substance). Results: Police abuse was more prevalent among respondents with psychiatric disorders, and was associated with greater odds of endorsing 12-month psychiatric disorders after adjusting for sociodemographic covariates and alcohol/substance use disorders, compared with those who did not report any police abuse. Police abuse was also associated with greater odds of reporting lifetime suicidal ideation, plans, and attempts, after adjusting for sociodemographic covariates and lifetime psychiatric disorders. Conclusion/Implications: This is the first study to our knowledge to show that police victimization is associated with major psychiatric disorders and suicidality in a nationally representative sample of African-American households. Police abuse is an alarmingly common occurrence among African-Americans, with measurable mental health correlates. Police abuse can be stressful and traumatizing, injuring the mind by way of the stress-response system. Future studies can use longitudinal designs to establish causal direction. Findings call for proper police officer training and accountability, community-based restorative justice approaches, as well as targeted mental health screenings for African-Americans.",
      "authors": "Hans Y. Oh",
      "author_ids": "116130",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3394346208,
        "prompt_eval_count": 1586,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:07:24.127494+00:00"
    },
    {
      "input_index": 901,
      "record_key": "SSWR:2018-G-0003",
      "source_database": "SSWR",
      "record_id": "2018-G-0003",
      "year": 2018,
      "title": "Police Victimization in the U.S.: Measurement, Estimates of Prevalence, and Mental Health Significance",
      "abstract": "Background: The widespread adaptation of smartphone technology and consequent availability of real-time footage of police-public interactions has greatly increased public awareness of police violence. This awareness has contributed to interest in policy change around police accountability. However, such efforts have been impeded by (1) significantly limited data regarding police violence in the United States and (2) a lack of validated measures of police violence. Further, there has been little data on, or attention to, health and mental health consequences of violent interactions other than death or severe physical injury. This oral presentation will provide an overview of efforts to address these gaps in the Survey of Police-Public Encounters, a general population survey conducted in Baltimore, New York City, Philadelphia, and Washington D.C. Methods: Adult residents (N=1615) of four Eastern U.S. cities were sampled through Qualtrics Panels, an internet-based survey administration service. Quota sampling was used to create a sample that was within +/-10% of census distributions for each city in terms of race, gender, and age. Respondents were assessed with two novel measures of police violence: the Police Practices Inventory, which assesses past history of exposure, and the Expectations of Police Practices Scale, which assesses anticipated exposures over the subsequent year. Mental health constructs included psychological distress (K-6 scale), depression (PHQ-9), psychosis (WHO-CIDI screen), and suicidal ideation and attempts (WHO-CIDI screen). Both novel measures of police violence were assessed for psychometric properties. The Police Practices Inventory was used to calculate estimated prevalence of police violence among the entire sample and within specific demographic sub-groups. Finally, regression analyses were used to examine associations between police violence exposures and mental health outcomes. Results: Prevalence of specific sub-types of police victimization ranged from 2.8% for sexual violence up to 18.6% for psychological violence (e.g., threatening, discriminatory slurs). All types of victimization were more common among Black and Latino respondents, male and transgender respondents, and younger adults. Test-retest reliability data and internal consistency data showed the novel measures of police violence to be reliable and valid. All forms of police violence were associated with psychological distress, depression, and psychosis-like symptoms, whereas only assaultive forms of victimization (i.e., physical violence and sexual violence) were associated with suicide attempts. Experiences of positive policing were more common among white respondents and generally did not bestow a protective effect for mental health. Discussion: Recent media and community reports of widespread and inequitably distributed police violence appear to be supported by study data. While these cross-sectional data should be replicated using a prospective design in order to better understand causality, recommendations to improve police-community interactions are likely to be beneficial regardless of the direction of these relationships. Potential pathways to addressing this issue include improved training and screening of police officers, greater police accountability, community policing approaches that enhance relationships between the police and members of the community, and development of community-based restorative justice alternatives to policing.",
      "authors": "Jordan E. DeVylder; Boyoung Nam; Hans Y. Oh; Bruce Link",
      "author_ids": "112063; 115613; 116130; 110510",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Sig",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3390637375,
        "prompt_eval_count": 1544,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:07:27.519626+00:00",
      "screening_source": "Primary screen; blind audit agreement",
      "accuracy_audit": {
        "sample_group": "Quantitative",
        "random_seed": 20260802,
        "blind_screening": {
          "is_relevant": true,
          "relevance_rationale": "The study explicitly analyzes suicide attempts as a distinct mental health outcome associated with police victimization using validated screening tools.",
          "evidence_class": "Empirical",
          "empirical_method": "Quantitative",
          "classification_rationale": "The abstract describes a primary data collection effort involving a large-scale survey (N=1615) and statistical analyses including prevalence estimation and regression modeling.",
          "confidence": "High"
        },
        "full_label_agreement": true
      }
    },
    {
      "input_index": 902,
      "record_key": "SSWR:2018-P-0562",
      "source_database": "SSWR",
      "record_id": "2018-P-0562",
      "year": 2018,
      "title": "Polyvictimization and Mental Health Consequences of Female Genital Mutilation (FGM) Among Somali Refugees in Kenya",
      "abstract": "Background & Purpose : Female Genital Mutilation (FGM), or female circumcision, is an internationally recognized human rights violation and form of extreme child abuse that impacts approximately 200 million women and girls worldwide. Despite being outlawed in many countries, FGM continues for a plethora of social and cultural reasons, which are often rooted in traditional norms and beliefs. Well-documented consequences of FGM include devastating repercussions on victims’ physical and sexual health. Emerging data also suggests a troubling impact on mental and psychological well-being, such as post-traumatic stress disorder (PTSD), affective and anxiety disorders, and somatization. This study seeks to further explore the impacts of FGM on mental health and psychosocial factors by placing FGM in the context of childhood adversity and polyvictimization. Methods : It is estimated that between 80 and 98 percent of all Somali women have undergone FGM. Using a snowball sampling method, this study recruited 143 Somali refugee females, aged 14 to 35 ( M =20.33, SD =3.24), who reside in Eastleigh, Kenya. A cross-sectional survey was conducted and 57 reported FGM (40%). Based on the Childhood War Trauma Questionnaire, a 19-item trauma checklist was developed locally to investigate polyvictimization experiences commonly reported and experienced by females in the Somali refugee community. To assess FGM’s association with mental health problems as well as other psychological and resilience factors, this study adopted measures on PTSD, depression, culturally grounded somatic symptoms, a sense of community, social support systems, mental health awareness and others. Results : Bivariate analyses revealed that those who experienced FGM reported significantly higher incidences of multiple traumas, such as child abuse, sexual abuse, harsh physical punishment, exposure to community violence, and police harassment. Compared to the non-FGM respondents, FGM victims presented much higher incidences of trauma exposure (3.44 vs. 7.72, t = -6.546, p =.000). Additionally, a comparison of FGM and non-FGM groups indicated significantly higher mental health and psychological issues among the FGM victims, such as PTSD ( t = -2.774, p =.006), depression ( t = -4.214, p =.000), anxiety ( t = -3.314, p =.001), somatization ( t = -2.647, p =.009), suicidal ideation ( t = -2.419, p =.018), and substance abuse ( t = -3.398, p =.001). There were, however, no significant differences in resilience factors, such as perceived social support, sense of community, awareness around mental health symptoms, and empathy. FGM was also found to be highly associated with poor physical health and certain living arrangements (i.e. living with the mother). Discussion : This study reveals the prevalent risks for polyvictimization and associated mental health sequelae among Somali refugees who had experienced FGM. This demonstrates high vulnerability and frailty of Somali females with FGM, indicating the detrimental impact of multiple childhood adversities in addition to war trauma among refugees. This study highlights the need for a specialized intervention to FGM victims, considering the contextual hardships and challenges associated with the societal conditions of FGM and the vulnerability of affected individuals. Implications for future research will be also discussed to understand how FGM is practiced in the context of other childhood adversities as well as family support and gender roles.",
      "authors": "Hyojin Im; Lindsay Heaton",
      "author_ids": "111536; 117674",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3653921708,
        "prompt_eval_count": 1689,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:07:31.175163+00:00"
    },
    {
      "input_index": 903,
      "record_key": "SSWR:2018-U-0399",
      "source_database": "SSWR",
      "record_id": "2018-U-0399",
      "year": 2018,
      "title": "Risk Factors for Suicidal Ideation and Attempts Among Adolescents in Foster Care",
      "abstract": "Background and Purpose . Adolescents in the foster care system exhibit significant mental health difficulties, including anxiety, depression, and disruptive and posttraumatic stress disorders. However, few studies examined suicidal ideation and suicide attempts among this population. The purpose of the present study is to (1) examine the rates of suicidal ideation and attempts among youths aged 12-18 involved with the foster care system; and (2) evaluate the risk factors associated with both considering and attempting suicide. Methods. Data and Samples: This study used a cross-sectional analysis of baseline data from the Multi-Site Evaluation of Foster Youth Programs. The sample consisted of 860 youths (56% females; 44% males) residing in several counties in California. The average age of the youth was 15.7 years. Measurement: Participants reported on whether they seriously considered suicide in the past year (i.e., suicide ideation), and whether they actually attempted suicide during this time period. Participants also reported on their demographics (age, race/ethnicity, sexual orientation), and a range of risk factors, such as prior victimization and involvement in delinquent behaviors. Data Analysis: First, we examined the frequency of suicidal ideation and attempts in the current sample, and identified subgroups of youth who exhibited the highest rates of these behaviors. Then, we conducted binary logistic regression analyses to identify the risk factors which presented the strongest contribution to suicidal ideation and attempts. Results. About 7% of youths seriously considered suicide in the past year, and within those who considered suicide, more than 65% had attempted suicide. Females were more likely to consider and attempt suicide, while African-Americans were less likely to report both behaviors. A subgroup examination highlighted that sexual minority females were especially likely to report suicidal ideation and attempts (16% and 13% respectively). In logistic regression analyses, female gender emerged as a strong predictor of both considering (OR=2.93, p<.01) and attempting (OR=5.40, p<.01) suicide. A history of sexual abuse was also strongly associated with suicidal ideation and attempts (OR=2.41 and OR=3.06 respectively, p<.01). Finally, youths who reported any delinquent behaviors in the past year were substantially more likely to both consider (OR=3.14, p<.01) and attempt (OR=4.04, p<.01) suicide. Noteworthy, the impact of sexual orientation became non-significant once past-year delinquency was accounted for. Conclusions and Implications: Findings from this study shed light on the prevalence of suicidal ideation and attempts among youths in the foster care system. Our findings indicate that once a youth seriously considers suicide, an actual attempt is highly likely. Youths with a history of sexual abuse and those who engage in delinquent behaviors are especially vulnerable for both considering and attempting suicide. Provision of targeted services to identify and address suicidal ideation among adolescents involved with the foster care system is sorely needed.",
      "authors": "Svetlana Shpiegel; Jamey Lister; Michael Kral; Rachel Ludeke",
      "author_ids": "111817; 114714; 114318; 117415",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3377484916,
        "prompt_eval_count": 1563,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:07:34.554589+00:00"
    },
    {
      "input_index": 904,
      "record_key": "SSWR:2018-U-0326",
      "source_database": "SSWR",
      "record_id": "2018-U-0326",
      "year": 2018,
      "title": "Running to Stand Still: Trauma, Stress and Substance Use Among Unaccompanied Migrant Youth in Texas",
      "abstract": "Introduction. Experiences of state-sponsored violence and structural inequalities in Central America, high numbers of homicide and extortion, and a desire to reunify with family, were critical factors in the more than 65,000 unaccompanied migrant youth (UMY) traveling to the U.S. without a parent in 2014. UMY from Mexico and Central America often face stressful and traumatic experiences in their country of origin, during the migration journey, and in the post-migration context. These stressors may increase youths’ vulnerability to internalizing and externalizing symptoms. The current study implemented a concurrent, parallel mixed methods research design, whereby we collected quantitative (survey) and qualitative (focus groups) data simultaneously to explore: (a) the frequency of posttraumatic stress disorder, depression, suicidal ideation, and substance use, (b) their exposure to trauma at pre-migration, migration, and post-migration, and (c) how youth may cope with these adversities. Methods. UMY (N = 30) were recruited from two middle and three high schools in the summer, 2016. There were an equal proportion of female (n=15) and male (n=15) participants. Participants’ were from Honduras (n=10), Guatemala (n=8), M�xico (n=6), and El Salvador (n=6). In the survey, youth were assessed on traumatic exposure (Life Events Scale), posttraumatic stress disorder (Child PTSD symptom scale), clinical depression (Patient Health Questionnaire Youth form), and substance use (Youth Behavior Risk Survey). Additionally, 10 focus groups were conducted with youth to probe about trauma experiences and stressful life events at pre-migration, migration and post-migration. The focus groups were analyzed in Spanish using thematic analysis. Results . On average, youth experienced 8.27 (SD 4.55) traumatic exposures. Over one-half of the sample met the criteria for posttraumatic stress disorder (56.7%), 30% for major depressive disorder, and 30% reported suicidal ideation in the past year. While most youth reported no or infrequent substance use, they indicated having easy access to nearly all substances. Qualitative data revealed that youth faced persistent trauma exposure, including family separation, family and community violence, a lack of institutional protection, and pervasive poverty. One student said, “The gangs, they give…a death sentence, if you don’t join them then they will kill you.” There were gender differences in trauma narratives, with females emphasizing sexual violence and males describing gang related violence; “the gangs will follow people…there were several occasions that they followed me because they wanted to rape me.” Some youth described coping with these experiences in a variety of ways, including religion, sports, and talking about their problems. Yet, although schools are often supportive environments for youth, only 27% of youth reported they could depend on an adult at school. Conclusion. The identification and recruitment of UMY have made it challenging to ascertain their needs. The current study found that UMY flee their counties of origin to escape extreme violence and reunite with family. In the U.S., they report unresolved trauma and grief. If left untreated, these can be risk factors for mental illness and disability in adulthood. Reinforcing healthy coping is an area where school and community providers can intervene to improve these youths’ well-being.",
      "authors": "Jodi Berger Cardoso; Liza Barros Lane",
      "author_ids": "110765; 116458",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "mixed_methods",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3304679292,
        "prompt_eval_count": 1636,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:07:37.860974+00:00"
    },
    {
      "input_index": 905,
      "record_key": "SSWR:2018-P-0367",
      "source_database": "SSWR",
      "record_id": "2018-P-0367",
      "year": 2018,
      "title": "Sexual Abuse and Mental Health Outcomes in Women Incarcerated in State Prisons",
      "abstract": "Background and purpose . In 2015, there were 105,000 women incarcerated in federal and state prisons, 4% of the U.S. inmate population (Carson & Anderson, 2016). Female inmates face unique challenges to rehabilitation and report higher rates of child abuse, rape, and intimate partner violence than incarcerated men (Bloom et al., 2003; Carson & Anderson, 2016; James & Glaze, 2006). In particular, women of color are incarcerated at a disproportionate rate compared to their White counterparts. This study examines the effects of sexual abuse on symptoms of mental illness in White, African American, and Hispanic female state prison inmates and furthers the body of research on the necessity of trauma-informed, gender-specific treatment. Method . Data are from the Surveys of Inmates in State Correctional Facilities (SISCF), 2004. Surveys of 14,499 inmates from 287 state prisons were conducted by the United States Department of Justice in order to provide nationally representative data on the incarcerated population in state-operated prisons (US Department of Justice, 2004, p. 3). A total of 2,930 incarcerated women from 62 state prisons participated in the survey and were selected for this study’s sample. Surveys were conducted through computer-administered self-report. The study was a cross-sectional survey design that obtained information such as personal characteristics, criminal history, family background, and mental illness. Sexual abuse was measured with two survey questions about sexual abuse occurrence and frequency of abuse. Based on their response to these questions, participants were divided into three groups: Participants with no history of sexual abuse, participants with one instance of sexual abuse, and participants with multiple instances of sexual abuse. Mental illness was assessed by 23 questions regarding the presence of symptoms of mental illness in a yes/no format. Symptom questions were grouped into anger (4 items, α=.899), anxiety/depression (11 items, α=.946), and psychotic (6 items, α=.936) categories. Participants were also asked one yes/no question regarding previous attempted suicide. A series of Analysis of Variance and chi-square analyses were performed. Results . Sexual abuse was found to be significantly related to higher mean scores of mental illness across all ethnicities. Inmates with one or more instances of sexual abuse had significantly higher mean scores of mental illness than those with no history of mental illness. However, frequency of abuse was found to have an insignificant relationship to higher scores of mental illness. Participants who reported multiple instances of abuse did not have significantly higher scores of mental illness than those who reported one instance of abuse. The exception to this was anxiety/depression scores in African Americans. Attempted suicide was found to be significantly related to frequency of sexual abuse. Implications . The results of this study indicate the need for correctional environments that recognize inmates’ prior trauma histories and the interaction between trauma, mental health, and recovery. Correctional policy and programming should incorporate trauma-informed practices that recognize female inmates’ victimization experiences, minimize retraumatization, and provide optimal rehabilitation through women-centered services.",
      "authors": "Tabitha Walton; Juye Ji",
      "author_ids": "117370; 108489",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3392506584,
        "prompt_eval_count": 1591,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:07:41.255851+00:00"
    },
    {
      "input_index": 906,
      "record_key": "SSWR:2018-O-0019",
      "source_database": "SSWR",
      "record_id": "2018-O-0019",
      "year": 2018,
      "title": "Sexual Identity-Behavior Discordance and Suicidal Behaviors Among Sexually Active Adolescents",
      "abstract": "Background & Purpose: Suicide is a major public health concern among adolescents. In the United States, suicide is the second leading cause of death among all youth age 15-19. Sexual minority youth (SMY) experience elevated rates of psychological distress, depression, and hopelessness, increasing their risk for suicide. Although sexual orientation is a multi-dimensional construct, extant research frequently identifies SMY through a single question related to either behavior or identity. Reported sexual identity, however, might be discordant with sexual behavior assumed to align with this identity—or vice versa. Thus, the full scope of youth at risk for suicide might be misspecified. This study, grounded by Self Discrepancy Theory, examined the relationship between sexual identity-behavior discordance and suicidal thoughts, plans, and behaviors (i.e., attempted suicide) among a nationally representative sample of high school students. Methods : Data were obtained from the 2015 National Youth Risk Behavior Survey (YRBS). The analytic sample consisted of students who reported having sexual contact (N=7,957). Participants reported on their sexual identity (heterosexual, lesbian/gay, bisexual, not sure) and sex of sexual contacts (females, males, females and males). Along with participant gender, these variables were used to construct four groups of identity-behavior concordance/discordance: heterosexual concordant (heterosexual/opposite sex partners), heterosexual discordant (heterosexual/same-sex partners), lesbian/gay (LG) concordant (LG/same-sex partners), LG discordant (LG/opposite sex partners). Outcomes included suicide thoughts, plans, and attempts. Bivariate analyses were used to compare sexual concordance/discordance on suicide outcomes. Multivariate logistic regression analyses were used to evaluate the relationships between sexual concordance/discordance and suicide outcomes, controlling for demographic variables, sad/hopeless feelings, school bullying, and alcohol/drug use before sexual intercourse. A weight based on student sex, race/ethnicity, and grade was applied to adjust non-response and oversampling. Results : About 4.5% of youth were identified as discordant, among which 247 (3.52%) were heterosexual discordant, and 65 (1.0%) were LG discordant. Without controlling the demographic, behavioral, and psychological variables, students identified as LG discordant were 3 times more likely to have suicidal thoughts (OR adj = 3.03, 95% CI=[1.36, 6.75]), 4.7 times more likely to have a suicide plan (OR adj = 4.74, 95% CI=[1.98, 11.31]), and 9.6 times more likely to have a suicide attempt than the heterosexual concordant group (OR ad j= 3.03, 95% CI=[3.96, 23.50]). Students identified as heterosexual discordant were 2.3 times more likely to have suicidal thoughts (OR adj = 2.27 95% CI=[1.60, 3.23], 3.0 times more likely to have a suicide plan (OR adj = 2.99, 95% CI=[2.17, 4.11], and 2.8 times more likely to have a suicide attempt than the heterosexual concordant group (OR adj = 2.77, 95% CI=[1.70, 4.53]). Holding the controlled variables constant, students identified as LG discordant were still 3.4 times more likely to have a suicide plan (OR adj = 3.44, 95% CI=[1.20, 9.78], and 5.3 times more likely to attempt suicide (OR adj = 5.31, 95% CI=[1.70, 16.67]). Conclusions & Implications : Findings show that youth with identity-behavior discordance experience heightened distress as indicated by greater odds of suicide thoughts, plans and attempts. Health and mental health providers can expand the identification of youth at risk for suicide by asking multiple questions surrounding both identity and behavior.",
      "authors": "Meghan Romanelli; Yunyu Xiao; Michael A. Lindsey",
      "author_ids": "117067; 117116; 109175",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3868472041,
        "prompt_eval_count": 1819,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:07:45.126268+00:00"
    },
    {
      "input_index": 909,
      "record_key": "SSWR:2018-O-0018",
      "source_database": "SSWR",
      "record_id": "2018-O-0018",
      "year": 2018,
      "title": "Subtypes of Substance Users and Suicide Behaviors: An Adolescent Risk Profile",
      "abstract": "Background & Purpose : Suicide and substance use are pervasive problems for adolescents in the U.S. Among U.S. youth, suicide is the second leading cause of death for those age 15-19. Drugs and alcohol also pose a significant public health concern as 8% of all U.S. youth are diagnosed with a substance use disorder, and 78.2% have consumed alcohol by late adolescence. Substance use, in general, is a known risk factor related to suicide among adolescents. Past postmortem analyses, for example, have found that up to 70% of adolescents who completed suicide were drug and alcohol users and that adolescent completers were more likely to have been under the influence of alcohol. The adolescent substance use literature has proposed varying typologies of users, with the four most reported being experimentation, regular use, abuse, and dependence/addiction. We apply a similar typology to examine the risk and profile of adolescents, including their demographic characteristics, who engage in suicidal behaviors. Methods: Data were obtained from the 2015 National Youth Risk Behavior Survey (YRBS). The analytic sample includes 15,624 adolescents who reported a range of substance use behaviors. Marijuana, cigarette, and alcohol use were measured by both lifetime and current use (ever use, age at initiation, current frequency of use, and current intensity of use). We utilize the term “polysubstance use” to describe reported usage of all three substances (marijuana, cigarettes, and alcohol) by adolescents. Latent class analysis was used to identify homogeneous subgroups of adolescent substance use patterns. After determining the appropriate number of classes, a final model was run in which the associations between substance use class membership and suicidal behaviors were assessed while controlling for age, gender, and race/ethnicity effects on each through multinomial logistic regression. All analyses were conducted using Mplus 7.4 and incorporated sample weights, stratum, and cluster variables to account for the complex sample design of the YRBS. Results: A four-class model provided the best fit to the data, which was conceptualized as experimental polysubstance users, frequent polysubstance users, moderate polysubstance users, and nonusers. Using the nonusers’ class as the reference group, all the other three groups had a higher likelihood of engagement in suicidal behaviors, with adolescents in the frequent polysubstance users group, which included older males, exhibited the highest odds of suicidal ideation (OR=2.28), suicide plan (OR=2.25), and suicide attempt (OR=3.152). The moderate polysubstance users group contained more Black and Hispanic/Latino youth than the nonusers group. Conclusion & Implications: Adolescents who are frequent polysubstance users are at heightened risk for suicidal behaviors compared to nonusers, moderate users, and adolescents who use substances somewhat experimentally. Moderate and experimental polysubstance users are at even greater risk for suicidal thoughts, plans, and attempts when compared to nonusers. The findings provide important information regarding the profile of adolescents with high risk for engagement in suicidal behaviors. Practitioners and health professionals should consider screening for “polysubstance use” (and its frequency) in adolescents given the association with suicide risk.",
      "authors": "Michael A. Lindsey; Yunyu Xiao; Meghan Romanelli",
      "author_ids": "109175; 117116; 117067",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3335821833,
        "prompt_eval_count": 1593,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:07:55.251279+00:00",
      "screening_source": "Primary screen; blind audit agreement",
      "accuracy_audit": {
        "sample_group": "Quantitative",
        "random_seed": 20260802,
        "blind_screening": {
          "is_relevant": true,
          "relevance_rationale": "The study explicitly analyzes the association between substance use subtypes and specific suicidal behaviors (ideation, planning, and attempts) as primary outcomes.",
          "evidence_class": "Empirical",
          "empirical_method": "Quantitative",
          "classification_rationale": "The research utilizes secondary data from the National Youth Risk Behavior Survey and employs statistical methods including latent class analysis and multinomial logistic regression to assess risk factors.",
          "confidence": "High"
        },
        "full_label_agreement": true
      }
    },
    {
      "input_index": 910,
      "record_key": "SSWR:2018-P-0601",
      "source_database": "SSWR",
      "record_id": "2018-P-0601",
      "year": 2018,
      "title": "Suicidal Ideation Among North Korean Refugees in South Korea: Exploring the Influence of Social Network Compositions By Gender",
      "abstract": "Background and Purpose: Rates of completed suicide among North Korean (NK) refugees are 3 times higher than those among their host country counterparts in South Korea (SK), which in turn are twice the average rate of all OECD countries. However, factors predicting suicidality among NK refugees are not well known. Social isolation has been found to be the strongest predictor for suicidality across various populations; hence, interventions using social connectedness are a promising avenue for suicide prevention. However, previous studies generally have measured social connectedness merely by aggregating them into social support scales, precluding our understanding of who provides support and the nature of their relationships relevant to suicidal behavior. To fill these research gaps, we examined how different social network compositions affect suicidal ideation among NK refugees in SK using egocentric (personal) network data. Methods: 405 NK refugees living in SK and aged 19 or older were recruited during April-May 2014. Past-year suicidal ideation was assessed by a 5-item scale and was dichotomized. Social network compositions were operationalized as network diversity (number of different types of ties) and the intersection of types and functions of social ties. Intersections of types and functions of ties were created by intersecting these two characteristics (i.e., types and functions) and dichotomizing each variable to indicate the presence or absence of a tie. Kin, friend, and church ties were used for the types of ties and help-providing and trustworthy ties were used for the function of ties. Thus, social network variables used in this study were network diversity and kin-help, kin-trust, friend-help, friend-trust, church-help, and church-trust ties. Gender-stratified multivariable logistic regressions were performed. Results: During the previous year, 25.0% of men and 34.4% of women reported contemplating suicide. Network diversity ( OR =0.62; 95% CI=0.44, 0.88) decreased the odds of suicidal ideation among women only. Having at least one help-providing church-based tie ( OR =5.07; 95% CI=1.34, 19.23) and trustworthy church-based tie ( OR =4.84; 95% CI=1.23, 19.06) increased the odds of suicidal ideation among men. Having at least one help-providing kin tie ( OR =0.44; 95% CI=0.24, 0.80), trustworthy kin tie ( OR =0.47; 95% CI=0.26, 0.84), and trustworthy church tie ( OR =0.43; 95% CI=0.19, 0.96) decreased the odds of suicidal ideation among women. Conclusions and Implications: It is likely that women who had relationships with people in diverse social contexts and with kin ties received more resources and support to deal effectively with adversities in their lives. Because churches in SK provide tailored worship services and financial aid to NK refugees, women might receive emotional comfort through relationships with church ties who they can trust, whereas men might become distressed about being financially dependent on others, which contradicts cultural expectations of a traditional man’s role. Our findings have implications for practitioners serving vulnerable populations and also underscore the importance of paying particular attention to the cultural context of social networks and gender when conducting research on suicidal behavior. They also suggest that suicide intervention and prevention programs for NK refugees can be designed using their significant social networks.",
      "authors": "Mee Young Um; Eric Rice; Jungeun Olivia Lee; Hee Jin Kim; Lawrence A. Palinkas",
      "author_ids": "114086; 111415; 110524; 114087; 109932",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3665309542,
        "prompt_eval_count": 1689,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:07:58.919069+00:00"
    },
    {
      "input_index": 911,
      "record_key": "SSWR:2018-P-0065",
      "source_database": "SSWR",
      "record_id": "2018-P-0065",
      "year": 2018,
      "title": "Suicidal Ideation and First Episode of Psychosis: Secondary Analysis of the Recovery after an Initial Schizophrenia Episode (RAISE) Data",
      "abstract": "Background and Purpose: Psychotic disorders, including schizophrenia, are related to increased risk for suicide, with first-episode psychosis being a particularly high-risk period.  Lifetime risk for suicidal ideation in first-episode psychosis is estimated to be 22-40% with risk in the first year of treatment being elevated by 60% as compared to other stages of illness.  Literature consistently supports the relationship between symptoms of depression and suicide, with growing evidence for the role that positive symptoms of psychosis play in risk. While investigations of first-episode psychosis are increasing, there remains a need to increase understandings of risk factors for suicide among individuals in a first-episode of psychosis.  This study aimed to explore demographic and clinical characteristics among individuals experiencing suicidal ideation in a first-episode of psychosis. Methods: Data were obtained from National Institute of Mental Health's Recovery After an Initial Schizophrenia Episode (RAISE) project (n=404) that tested and compared two Early Treatment Programs (ETP) among adolescents and adults who were experiencing a first episode of psychosis. The outcome of suicidal ideation was measured post baseline by the Calgary Depression Scale (CDRS), symptoms of depression by the CDRS, and symptoms of psychosis by the Positive and Negative Syndrome Scale (PANSS).  Univariate and bivariate explorations of demographic and clinical characteristics were conducted along with Independent Samples T-Tests, Chi-Square tests, and Binary Logistic Regressions. Results: Participants were on average 23.6 years of age (SD=5.06) and identified as male (73%), White (54%), and non-Hispanic/Latino (82%). The majority had a diagnosis of schizophrenia (53%) and reported the experience of untreated psychosis for on average 6 months (SD=.72).  Throughout the study period, 26% of participants endorsed having suicidal ideation, 84% hallucinations, 99% delusions, 100% varying degrees of depressive symptoms, and 8.2% made a suicide attempt. PANSS total (t(180)= -4.66, p < .001), PANSS positive (t(194)= -3.85, p < .001), and CDRS (t(401)= -9.65, p < .001) scores at baseline were independently significantly greater among participants who experienced suicidal ideation during the study period as compared to participants who did not experience suicidal ideation.  Within the PANSS positive subscale, the incidence of hallucinations (t(187)= -4.32, p < .001) and delusions (t(401)= -3.37, p < .001) were independently significantly greater among participants who experienced suicidal ideation than those who did not experience suicidal ideation.  The odds of experiencing suicidal ideation was higher for participants with a diagnosis of schizophrenia and schizoaffective disorder than participants with a diagnosis of schizophreniform, brief psychotic disorder, or psychotic disorder NOS (OR: 2.15, SE: .288, CI: 1.22 – 3.78). Conclusions and Implications: These results emphasize the high-risk of individuals in a first-episode of psychosis experiencing suicidal ideation.  Findings point towards the implication that depression and positive symptoms (specifically hallucinations and delusions) contribute to risk factors for suicide and should be assessed for and treated in practice.  Future research is needed to further explore risk factors for suicide among individuals in a first-episode of psychosis to ultimately inform interventions aimed towards reducing premature suicidal death.",
      "authors": "Lindsay A. Bornheimer; Qiong Wu",
      "author_ids": "114170; 116858",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3663528791,
        "prompt_eval_count": 1708,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:08:02.584080+00:00"
    },
    {
      "input_index": 912,
      "record_key": "SSWR:2018-P-0524",
      "source_database": "SSWR",
      "record_id": "2018-P-0524",
      "year": 2018,
      "title": "Suicidal Ideation Severity and Attempt Frequency Prior to Inpatient Psychiatric Hospitalization Among Adolescents Presenting with Varying Levels of Alcohol and Marijuana Use",
      "abstract": "Background and Purpose: Suicide is the second leading cause of death for youth in the US. Although alcohol use elevates risk for suicide attempts among adolescents, there is mixed evidence for marijuana use as a risk factor for suicide. In addition, the nuanced relationship between suicidal ideation, suicide attempts, and varying levels of alcohol and marijuana use among adolescents is not well understood. The population with greatest acuity of these behaviors, and thus greatest risk for suicide death, are psychiatrically hospitalized adolescents following a suicidal event. This study examines whether the severity of suicidal ideation and number of suicide attempts three months prior to inpatient psychiatric hospitalization differed among adolescents with varying levels of alcohol and marijuana use. Methods: Participants were recruited from an inpatient psychiatric unit in the northeastern US. This study included 41 adolescents (80.95% female; M age =15.69) hospitalized following a suicide plan or attempt who endorsed past month alcohol use. Suicidal ideation severity was measured using the Suicide Ideation Questionnaire (SIQ), and past 90-day marijuana use, alcohol use, marijuana quantity, alcohol quantity, and number of suicide attempts were measured using the Timeline Follow Back Calendar (TLFB). Marijuana quantity (M=33.89, SD=80.19), alcohol quantity (M=35.82, SD=47.42), and suicide attempts (M= 2.58, SD=10.16; No Attempts=26.8%, One or more attempts=73.2%) were analyzed as continuous variables encompassing the total amount of alcohol consumed, total days marijuana was used, and total number of suicide attempts made in the previous 90 days. Groups for alcohol use were divided into low-moderate (1-3 days, n=15) and heavy (4-90 days, n=26). Groups for marijuana use were divided into no (0 days, n=9), low-moderate (1-14 days, n=24), or heavy (15-90 days, n=8). One-way between subjects ANOVAs were conducted to compare the effects alcohol and marijuana on baseline SIQ scores and suicide attempt totals. Results: No effects of alcohol use on SIQ scores for adolescents with low-moderate or heavy alcohol use were found [F(31.38, 6.67)=0.83, p =0.67]. There was a statistically significant effect of marijuana use on SIQ scores for the three conditions [F (34,6)=5.81, p <.05]. Post-hoc comparisons using the Tukey HSD test indicated the mean score for no marijuana use (M=88.78, SD=41.11) was significantly lower than low-moderate (M=100.08, SD=38.57) and heavy (M=119.13, SD=33.89). The low-moderate marijuana use group did not statistically significantly differ from the heavy group. Spearman’s correlations showed a statistically significant relationship between past 90-day quantity of alcohol use and past 90-day suicide attempt frequency (r s =0.32, p <.05). However, the relationship between past 90-day quantity of marijuana use was not related with past 90-day suicide attempt frequency. Conclusions and Implications: Findings suggest that for psychiatrically hospitalized suicidal adolescents who drink, more frequent marijuana use is associated with more severe suicide ideation. In addition, more frequent alcohol use is associated with increased risk for suicide attempts, but not suicide ideation severity. Given the significant role alcohol plays in subsequent suicide-related behaviors, and that alcohol and marijuana use commonly co-occur, there is a need to develop and test integrated alcohol, marijuana, and suicide interventions during inpatient psychiatric hospitalization for adolescents.",
      "authors": "Christina M. Sellers; Kimberly McManama O'Brien; Laika Aguinaldo; Anthony Spirito",
      "author_ids": "116177; 117195; 115179; 113789",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3682652125,
        "prompt_eval_count": 1766,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:08:06.268926+00:00"
    },
    {
      "input_index": 913,
      "record_key": "SSWR:2018-P-0528",
      "source_database": "SSWR",
      "record_id": "2018-P-0528",
      "year": 2018,
      "title": "Suicide in Central Asia: Prevalence Rates, Risk and Protective Factors, and Interventions",
      "abstract": "Background and Purpose: An estimated 1.5 million people die by suicide each year, increasingly in developing countries. While most research on suicide has been studied in the western countries, the majority of completed suicides occur in Asia. Within Asia, Central Asian area, comprised of Kazakhstan, Kyrgyzstan, Tajikistan, Turkmenistan, and Uzbekistan experience the phenomenon of suicide in large numbers, yet very little research exists on the area of suicide in Central Asia, including the identification of risk and protective factors associated with suicide and effective treatments for prevention and intervention of suicides. However, in order to develop and adapt culturally appropriate and effective treatments in this area, an examination of the current state of the literature is needed. Thus this study addresses this gap in the literature on suicide in Central Asia by investigating the following objectives: 1) identify prevalence data on suicides in the Central Asian region, 2) examine the risk and protective factors for suicide in these countries; and 3) explore available treatments for suicide prevention and intervention. Methods: PsycINFO and MEDLINE databases were searched over across 30 years (January 1987 to December 2016) to identify research on suicide in the region of Central Asia. A keyword search was conducted using the following Boolean/phrase terms: Central Asia or Kazakhstan or Kyrgyzstan or Tajikistan or Turkmenistan or Uzbekistan AND suicid* or \"self-immolation\" or aintihar (the Arabic word for suicide) or samoubiystvo (the Russian word for suicide). The search was limited to peer-review journal articles. The initial search identified 35 eligible studies. A review of these articles by the research team resulted in the exclusion of 14 articles, resulting in the inclusion of 22 articles in the systematic review. Results : Research on suicide in this region are underdeveloped and results are mixed. Specifically, findings identify inconsistencies in the reporting and the recording of suicides at the national level across countries in Central Asia, making it difficult to effectively quantify accurate prevalence data for these countries. However, existing research does identify a series of informative risk and protective factors, such as physical and sexual violence for women and girls, lack of psychosocial support for children and families, unmet basic needs and dependence on the Russian labor market for basic livelihood, dependence on illicit drug production and trafficking, and a defunct mental health care system that may inform the adaptation and development of future treatment interventions. Conclusions and Implications: Suicide rates in Central Asia are higher than in developed countries, yet interventions to address this phenomenon remain absent. Despite limited research, core risk and protective factors have emerged that can facilitate the adaptation and translation of evidence-based suicide interventions in this area. This abstract will present a series of practice, policy and research findings designed to guide and promote initial steps for effective intervention.",
      "authors": "Shahnaz Savani; Robin E. Gearing",
      "author_ids": "117598; 109445",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "review",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Review"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3147231292,
        "prompt_eval_count": 1507,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:08:09.418124+00:00",
      "screening_source": "Primary screen; blind audit agreement",
      "accuracy_audit": {
        "sample_group": "Review",
        "random_seed": 20260802,
        "blind_screening": {
          "is_relevant": true,
          "relevance_rationale": "The article focuses centrally on suicide prevalence, risk/protective factors, and interventions in Central Asia, making it highly relevant to the evidence corpus.",
          "evidence_class": "Empirical",
          "empirical_method": "Review",
          "classification_rationale": "The abstract explicitly describes a systematic search strategy across databases, inclusion/exclusion criteria, and synthesis of findings from 22 included studies, identifying it as a systematic review.",
          "confidence": "High"
        },
        "full_label_agreement": true
      }
    },
    {
      "input_index": 914,
      "record_key": "SSWR:2018-P-0235",
      "source_database": "SSWR",
      "record_id": "2018-P-0235",
      "year": 2018,
      "title": "Suicide Intervention Training for Adults Working with High-Risk Youth in the Child Welfare System",
      "abstract": "Background There are over 400,000 children in the Child Welfare(CW) system across the US. It is estimated that 27% of youth involved in the CW system experience suicidal thoughts and behaviors compared to 16% of non-CW youth (He et al.,2015). Higher rates of suicidal ideation are reported for youth with a history of foster care placement as compared to their counterparts in kinship, residential, or in-home care (26.5%vs11.4%) (Pilowsky&Wu,2006). The “Youth Depression and Suicide: Let’s Talk”(YDS) gatekeeper training was developed by the Massachusetts Society for the Prevention of Cruelty to Children (2010) and the Massachusetts Department of Children and Families. The goal of the training is to decrease suicide and suicidal behavior with youth through the use of evidence-based and sustainable suicide intervention practices.  The training was supplemented with a new module on adverse effects of medication (e.g.akathisia) related to suicidal behavior The aim of this study was to test the impact of the YDS training on: Knowledge about risk factors and warning signs Attitudes about suicide Self-efficacy for intervening with high-risk youth Reluctance to engage in intervention Use of intervention behaviors Method Training was conducted with 44 employees with direct contact with youth receiving services a local agency. Approximately 60% of youth were involved in the CW system. Data were collected at pre-training, post-training, and 3- and 6-months. Results Results indicate that providers are interacting regularly with suicidal youth. Nearly 86% of participants reported encounters in the previous 3 months ( M =6). At the 3-month follow-up 74% reported identifying youth with suicidal thoughts in the previous 3-months. At the 6-month follow-up 77% reported identifying youth with suicidal thoughts in the previous 3-months. Staff rated the likelihood of encountering a suicidal youth as part of their job as “likely”. Most participants reported previous on-the-job suicide training (76%). Approximately 79% reported they were aware of agency protocol regarding suicidal youth, with 85% having read the protocol. Large effects ( F (3,90) =15.16, p <.001;η 2 =.32) were observed for changes in participants’ knowledge about suicide and suicide intervention (declarative and self-perceived level of knowledge). No statistically significant longitudinal differences were observed in attitudes towards suicide/intervention or reluctance to engage with suicidal youth. Notably, results were very desirable even pre-training. Statistically significant differences ( F (3,90) =6.75, p <.001) in self-efficacy were found between pretest and all other observations with a moderate effect size(η 2 =.18). Similar results for perceived preparedness were also observed ( F (3,90) =13.82, p <.001;η 2 =.31). Very small increases were observed for global measures of assessment and intervention. Statistically significant improvements were observed for specific behaviors related to asking about suicide in response to warning signs. Spending time listening to youth was the only statistically significant intervention behavior, but it is considered the primary behavioral outcome of the training. Modest increases in behavioral outcomes show promise for the impact of the training. Discussion The project produced positive outcomes linked to services for youths’ mental health needs. YDS was developed specifically for use in CW systems but could be further developed to be more specific to this population of youth and providers. Recommendations for improvements will be provided.",
      "authors": "Phillip Osteen; Jeffrey R. Lacasse; MaKenna N. Woods; Rachel Greene; Jodi Jacobson Frey; R. Lane Forsman",
      "author_ids": "110912; 109266; 115924; 117137; 113662; 117138",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3674478209,
        "prompt_eval_count": 1691,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:08:13.094541+00:00"
    },
    {
      "input_index": 915,
      "record_key": "SSWR:2018-U-0258",
      "source_database": "SSWR",
      "record_id": "2018-U-0258",
      "year": 2018,
      "title": "Suicide Report Concordance Among Adolescents and Parents: Implications for Screening and Practice",
      "abstract": "Background and Purpose: In the U.S., approximately 18% of adolescents report seriously considering suicide within the previous year, 15% report having made a plan, and 9% report making an attempt. Current prevention and treatment programs rely heavily on youth suicide risk screening in order to address suicide in this population, and the majority of these screening protocols rely solely on youth self-report to assess suicidality. It may be beneficial to utilize parents as additional informants in suicide risk screening protocols, as parents of adolescents with externalizing symptomatology have been found to be more likely to report suicidality than their children. The aims of this study were to 1.) compare parent-adolescent suicide report concordance among adolescents with internalizing versus externalizing symptomatology and 2.) examine whether internalizing and externalizing adolescents were more or less likely than their parents to report suicidality. Methods: A secondary analysis was completed using data from a clinical subsample of adolescents (n = 64) recruited for a separate study. Adolescents were classified as having “externalizing” or “internalizing” symptomatology based on their t-scores on the internalizing and externalizing subscales of the Child Behavior Checklist (CBCL). To measure suicide report concordance, an item from the CBCL asking parents about their child’s suicidal talk was compared to an item from the Children’s Depression Inventory (CDI-2) asking adolescents about their suicidal thoughts. A one-sided z-test for proportions was used to compare parent-adolescent suicide report concordance. Two-sided z-tests for proportions were used to compare the proportions of adolescents and parents reporting suicidal ideation for discordant pairs in each subset. Results: No statistically significant differences were found between reports of suicidality among the internalizing and externalizing subsets of adolescents, nor were adolescents more likely than parents to report suicidal thoughts. There were higher rates of suicide report concordance among adolescents in the externalizing subset (73.0%) compared to the internalizing subset (59.3%), but this difference was not statistically significant. Among the discordant pairs in the subset of externalizing adolescents, more parents reported suicidality (60%) than adolescents (40%), but this difference was also not statistically significant. Among the discordant pairs of the subset of internalizing adolescents, significantly more adolescents (72.7%) reported suicidal thoughts than parents (26.3%; p < .05). Conclusions and Implications: These findings support other research showing that parents of internalizing youth are often unaware that their children are experiencing suicidal thoughts. While the results regarding externalizing adolescents were not statistically significant, they were in the hypothesized directions, with higher proportions of parents reporting suicidality than adolescents. Because of the small sample, there may have been limited power to detect results. Therefore, replication of these findings with a larger sample may be warranted.  While these findings did not provide direct support for the inclusion of parents in suicide risk screening protocols, they do support the importance of educating parents about how to recognize and inquire about suicidal ideation among youth with primarily internalizing symptomatology. Future adolescent suicide prevention and treatment efforts should be cognizant of the importance of including parents in their protocols.",
      "authors": "Mary LeCloux; Stacey Culp; Kimberly McManama O'Brien; Lucia Andrade; Jennifer Wolff",
      "author_ids": "113448; 117194; 117195; 117196; 117197",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3341619958,
        "prompt_eval_count": 1588,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:08:16.438463+00:00"
    },
    {
      "input_index": 916,
      "record_key": "SSWR:2018-U-0225",
      "source_database": "SSWR",
      "record_id": "2018-U-0225",
      "year": 2018,
      "title": "Suicide Screening in Rural Primary Care: The Reports of West Virginia Primary Care Providers",
      "abstract": "Background: Suicide is a significant public health problem in the U.S. and rural communities have disproportionately high rates of suicide. Primary care physicians are uniquely positioned to address suicide in these areas, as the majority of individuals who die from suicide have seen a primary care physician in the year and months prior to their death. Universal suicide risk screening can increase suicide detection rates, behavioral health referral rates, and decrease acute care utilization. However, only between 11-36% of primary care physicians routinely screen for suicide risk in their patients. The overall goal of the present study was to gather evidence to help inform future implementation of universal suicide risk screening protocols in rural primary care practices. Specifically, this study describes suicide risk screening practices in West Virginia primary care, providers’ opinions of the utility of universal suicide risk screening, barriers that impede suicide risk screening, and interventions that would facilitate the process. Methods: In-depth, semi-structured interviews were conducted with a sample of primary care providers (n = 15) whose practices were located throughout the state of West Virginia. Respondents were recruited by the West Virginia Practice Based Research Network (WVPBRN) and the principal investigator. The sample was 100% White, 53% male, and the majority (73%) were Doctors of Medicine (MDs). Interviews were tape-recorded and transcribed verbatim and then coded thematically by a team of three coders using a consensus coding methodology. Results: Only 3 out of the 15 providers (20%) reported that they conducted universal suicide risk screening with all their patients. 53% (n = 8) reported that they screened for suicide risk based on warning signs, such as depression, anxiety or other mood disorders. 40% of the providers (n = 6) reported that they completed universal depression screening, with follow-up questions about suicide only for those patients who screened positive for depression. Although all providers noted the importance of addressing suicide in primary care, 13 (87%) of the providers reported that universal suicide risk screening was not a feasible practice in their current settings. Multiple barriers to screening were reported including: lack of time/disruptions to clinic flow, high patient loads, lack of training in regards to suicide assessment and follow-up, lack of mental health and crisis support resources, cultural beliefs specific to Appalachia, and having multiple screening burdens in primary care. Favorable interventions suggested by providers included: standardized and streamlined protocols for suicide risk screening and follow-up, access to co-located behavioral health services, the use of technology for screening, integrating screening for medical and mental health issues, utilizing a team approach, and training. Conclusions and Implications: Primary care providers are motivated to address suicidal thoughts and behaviors through preventative patient screening, but lack the resources to do so effectively. Having streamlined, brief tools and follow-up protocols would make this process more feasible and effective. Future research should focus on developing brief, integrated suicide risk screening and follow-up protocols, integrating technology into screening methods, and examining the efficacy of having co-located behavioral health resources available for primary care practitioners.",
      "authors": "Mary LeCloux; Laika Aguinaldo; Elizabeth Lanzillo; Lisa Horowitz",
      "author_ids": "113448; 115179; 117147; 114076",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3340337458,
        "prompt_eval_count": 1558,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:08:19.780681+00:00"
    },
    {
      "input_index": 917,
      "record_key": "SSWR:2018-P-0252",
      "source_database": "SSWR",
      "record_id": "2018-P-0252",
      "year": 2018,
      "title": "Testing Joiner's Interpersonal Theory of Suicide Among Latina Adolescent Suicide Attempters",
      "abstract": "Background and Purpose . One out of seven Latina adolescents reports attempting suicide (CDC, 2016). Joiner’s Interpersonal Psychological Theory of Suicide (IPTS) is a well-known framework used to understand suicidal behaviors. IPTS suggests that suicide happens only if a person has both the desire to die by suicide and the ability to do so (Joiner et al., 2009). In this theory, the desire to die emerges from perceived burdensomeness and low belongingness or social isolation. The ability to die by suicide rests in the acquired capacity to self-injure (Joiner et al., 2009). Despite IPTS’ prominence in the suicide literature, to date, no study has explored its utility among suicidal Latina adolescents. This study seeks to examine if IPTS can help to understand the suicidal behaviors of Latina teens. Methods . The data for this project were drawn from individual qualitative interviews conducted with Latina adolescent suicide attempters (n = 32). Participants were recruited from hospitals and community-based agencies providing mental health services. The adolescents were between the ages of 11 and 19 years. Girls were, on average, 15 years old, and predominantly self-identified as Dominican (n = 11) and Puerto Rican (n = 11). We used a deductive thematic approach, a qualitative research method, to capture how perceived burdensomeness, low belongingness, and acquired ability to self-injure helped explain Latina teens’ suicidality. Qualitative comparative analysis (QCA) was then used to determine how themes patterned in different combinations across cases. Results. Participants reported several combinations of the three constructs advanced by IPTS. The most common combination was present among 18 teens (56%), who reported that their suicidal behaviors emerged from perceived burdensomeness, low belongingness, and acquired ability to self-injure. The combination of burdensomeness and capability for suicide was the second most prevalent among suicidal Latinas (n = 4, 13%). Lastly, three girls reported burdensomeness and low belongingness (9%) as driving their suicidality. Conclusions and Implications. This study tested the applicability of Joiner’s Interpersonal Psychological Theory of Suicide (IPTS) to explain the suicidal behaviors of Latina adolescents. Our findings suggest that IPTS is a useful theoretical framework to explain the suicide attempts of Latina teens. Specifically, for a large group of girls, their desire to die resulted from their feelings of being a burden to loved ones and their sense of social isolation. They became capable of attempting suicide through an acquired ability to self-injure, which occurred within a context of violent and painful experiences. Traditional Latino collectivist and gendered values may contribute to the importance of perceived burdensomeness in precipitating the suicidal behaviors of Latina adolescents. Yet, our findings also point to the importance of broader social and economic factors that put Latina teens at risk of low belongingness and experiences of violence. Understanding what drives Latina adolescents to attempt suicide provides insight into how to better help Latina teens. Specifically, culturally-competent suicide prevention and treatment models for Latinas should focus on addressing those circumstances that give rise to perceived burdensomeness, low belongingness, and acquired capability.",
      "authors": "Lauren E. Gulbas; Carolina M. Hausmann-Stabile; Hannah Szlyk; Luis H. Zayas",
      "author_ids": "111719; 112385; 115769; 110995",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3363444709,
        "prompt_eval_count": 1585,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:08:23.145986+00:00"
    },
    {
      "input_index": 919,
      "record_key": "SSWR:2018-X-0007",
      "source_database": "SSWR",
      "record_id": "2018-X-0007",
      "year": 2018,
      "title": "The Body Is Not the Enemy: Befriending the Body through Mindfulness Reduces Self-Harm Ideation in Chronic Pain Patients",
      "abstract": "Background and Purpose: Chronic pain patients on long-term opioid therapy often present with mental health concerns in addition to their general medical conditions. Prevalence studies suggest that 25% of chronic pain patients exhibit self-harming and suicidal behaviors; however, little is known about what drives these life-threatening behaviors in this population. When considered from a functional perspective, self-harm serves myriad purposes, including relieving negative affect and punishing one’s self. The salience of these functions for chronic pain patients may relate to feeling betrayed by their bodies or believing they deserve pain given its inevitability in their lives. Alternatively, the desire to escape suffering may lead chronic pain patients to have thoughts of self-harm and suicide, but this may be less about the intensity of pain they are experiencing and more about whether patients feel their bodies are safe, predictable, trustworthy, and acceptable. Dispositional mindfulness, or the tendency or disposition to be mindful in everyday life, is associated with greater acceptance of thoughts, feelings, sensations, and experiences—even those typically deemed “negative.” The present study sought to examine the relationship between dispositional mindfulness and self-harm ideation in a sample of chronic pain patients. We hypothesized that patients reporting higher levels of mindfulness would be more accepting and trusting of their body sensations irrespective of pain, which would subsequently explain decreased self-harm ideation. Methods: We collected self-report data from 111 chronic pain patients. Self-harm ideation was measured with an item on the Current Opioid Misuse Measure (COMM). Participants responded on a scale of 0 to 4 (“Never” to “Very often”) to the prompt, “In the past 30 days, how often have you seriously thought about hurting yourself?” Dispositional mindfulness was measured with the Five Facet Mindfulness Questionnaire (FFMQ). Experiencing one’s body as safe and trustworthy was measured with the “Trusting” subscale of the Multidimensional Assessment of Interoceptive Awareness (MAIA) scale. Results: We found that experiencing the body as safe and trustworthy mediates the association between trait mindfulness and self-harm ideation ( b = -.004, SE = .002, 95% CI [-.008, -.001]), such that relative to patients with lower levels of mindfulness, patients with higher levels of mindfulness reported greater acceptance and feelings of safety in their bodies, which partially accounted for their comparatively lower levels of self-harm ideation. This mediation effect remained significant after covarying pain intensity and pain interference. Conclusions and Implications: Findings suggest that social work interventions focused on increasing dispositional mindfulness may reduce self-harm ideation among chronic pain patients by increasing their capacity to experience their bodies as safe and acceptable despite their pain. Social workers are well-suited for treating the integrative needs of chronic pain patients given the importance of treating individuals from a biopsychosocial perspective. Mindfulness may buffer self-harm risk by increasing acceptance of one’s cognitive, emotional, and sensory experiences.",
      "authors": "Michael Riquino; Sarah Priddy; Anne Baker; Eric L. Garland",
      "author_ids": "114770; 114769; 116224; 110781",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3318030625,
        "prompt_eval_count": 1553,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:08:29.863158+00:00"
    },
    {
      "input_index": 922,
      "record_key": "SSWR:2018-P-0056",
      "source_database": "SSWR",
      "record_id": "2018-P-0056",
      "year": 2018,
      "title": "The Impact of Spousal Physical Abuse on Suicidal Ideation in Later Life",
      "abstract": "Background and Purpose Suicide is a serious public health issue in the United States (Han, McKeon, & Gfroerer, 2014). Older populations are more likely to have suicidal ideation than other populations due to physical, mental and material loss (Dong, Chen, Wong, & Simon, 2014; Pfaff & Almeida, 2005; Szanto et al., 2002). Support from a spouse/partner has a significant protective and buffering effect against stress, depression and impaired functional status among older adults (Santini, Koyanagi, Tyrovolas, & Haro, 2015). On the other hand, many studies have reported that spouse or partner physical abuse provokes serious negative mental and physical health outcomes (Ellsberg, Jansen, Heise, Watts, & Garcia-Moreno, 2008). Reported rates of physical and/or sexual spouse/partner violence vary from 15% to 71%  (Garcia-Moreno, Jansen, Ellsberg, Heise, & Watts, 2005).  Studies also report that positive relationships with others have a beneficial effect on mental health among distressed and vulnerable older adults. (Rushing, Corsentino, Hames, Sachs-Ericsson, & Steffens, 2013).  However, research about the association among spouse/ partner physical abuse, suicidal ideation, and positive relationships with others in later life is rare (Ailshire & Crimmins, 2011). The purposes of this study were to 1) investigate the prevalence and impact of suicidal ideation among older adults who have experienced spousal/partner physical abuse and 2) examine the influence of positive relationships with others on suicidal ideation among older adults. Methods : Data were obtained from the 2003–2005 wave of the Wisconsin Longitudinal Study. Logistic regression was used to investigate the impact of spouse/partner physical abuse, positive relationships with others and gender on suicidal ideation. The dependent variable, suicidal ideation, consisted of one item asking “Have you ever seriously thought about taking your own life?” (Yes/No). Spouse/partner physical abuse, was measured by a single item asking “Has your spouse or partner ever treated you in a way that some would think of as physical abuse?” (Yes/No). Positive Relations with Others consisted of a 5-item scale (α = .80, M: 23.5 SD: 5.1). Gender was a dichotomous item (female:0, male:1).  All binary variables were converted into dummy variables before analyzing. Results : The prevalence of suicidal ideation was 5.02% and the experience of spouse/ partner physical abuse was 7.3 %.  Findings indicated that physical abuse and suicidal ideation were significantly related, x2(1) = 156.5, p = 0.001. Logistic regression showed that spouse/partner physical abuse (OR= 4.2, 95% CI (3.2 - 5.6)), positive relationships with others (OR .93, CI (.91 - .95)), and gender (OR .64, CI (.50 - .82)) all had significant effects on suicidal ideation (p<0.001). Older adults with experience of spouse/partner physical abuse were 4 times more likely to have suicidal ideation than their counterparts. Those who were female and who had lower scores on positive relationship with others were also more likely to have suicidal ideation. Implications: It is crucial for social service providers and health professionals to both assess for spouse/partner abuse and offer tailored services to older adults who have experienced maltreatment in intimate relationships.",
      "authors": "Sukyoung Yoon; Sherry Cummings; Bill Nugent",
      "author_ids": "114823; 108072; 116841",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3662998666,
        "prompt_eval_count": 1732,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:08:40.577227+00:00"
    },
    {
      "input_index": 923,
      "record_key": "SSWR:2018-U-0138",
      "source_database": "SSWR",
      "record_id": "2018-U-0138",
      "year": 2018,
      "title": "The Role of Mental Health Symptomatology in Opioid Overdoses: Implications for Social Work Intervention",
      "abstract": "Background/Purpose: Drug overdose is the leading cause of accidental death in the US and most of these overdose deaths involve opioids such as heroin. The lethal epidemic is growing exponentially; the incidence of opioid overdose has quadrupled in the past decade and a half.  While medical interventions like Nalaxone are critical, a true harm reduction strategy should be informed by an understanding of the factors that increase the risk for overdose to begin with.  A limited body of literature identifies elevated psychiatric symptoms and particularly depression as risk factors for opioid overdose. Building on these prior findings, we employed a unique data set of substance dependent individuals enrolled in a treatment study where recent overdose history was systematically assessed.  We tested the following hypothesis: Heroin/opioid users who have recently overdosed are more likely to experience severe mental health symptoms than heroin/opioid users who have not recently overdosed. Methods: We performed secondary data analysis of the Addiction Health Evaluation and Disease (AHEAD) Management Study, which was a treatment study of 563 participants with alcohol and/or other drug dependence. The study occurred in Boston, Massachusetts and collected data from 2006 to 2010. For our analyses, we relied exclusively on the study’s baseline questionnaire data. We identified 283 participants (50.3% of the sample) who self-reported heroin or another opioid as their only, primary, or secondary substance problem at baseline. We performed descriptive analyses related to overdose, heroin/opioid use, depressive symptoms, and suicide. We employed logistic regression to compare heroin/opioid users who had experienced a recent overdose to heroin/opioid users who had not experienced a recent overdose. We investigated the relationship between PTSD (based on MINI scores), severe depression (based on the PHQ9, using a cutoff of 20 and above), psychosis (based on the BASIS 24), and overdose among heroin/opioid users controlling for age, education, race, and gender. Results: Descriptive analyses revealed that 45 (15.9%) of the 283 heroin/opioid users in the sample reported a recent (past 3-month) overdose experience. Among those 45 participants, five (11.1%) indicated that their most recent overdose was a suicide attempt. Adjusting for background covariates, the logistic regression model suggests that heroin/opioid users with PTSD (OR 2.6; 95% CI 1.2, 5.4), those with severe depression (OR 2.1; 95% CI 1.0, 4.4), and those with psychosis (OR 2.2; 95% CI 1.0, 4.7) had significantly increased risk for reporting a recent overdose.  Having a high school diploma also increased overdose risk (OR 4.96; 95%CI 1.60,15.36).  Follow-up analyses suggest that those reporting recent overdose were significantly more likely to report ongoing suicidal thoughts compared to other opioid users (X 2 = 12.42; p <.01). Conclusions and Implications: Whether the elevated and severe mental health symptoms we found are precursors, correlates or consequences of overdose, these data suggest that the immediate life-saving impact of medical overdose interventions such as Nalaxone may be short-lived without connections to essential behavioral health treatment services.  To effectively address longer-term mental health risk in overdose, social workers need to partner with medical providers to foster connections needed services.",
      "authors": "Michael Fendrich; Jessica M. Becker",
      "author_ids": "109153; 115903",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3667124959,
        "prompt_eval_count": 1670,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:08:44.245987+00:00"
    },
    {
      "input_index": 924,
      "record_key": "SSWR:2018-P-0410",
      "source_database": "SSWR",
      "record_id": "2018-P-0410",
      "year": 2018,
      "title": "Think Outside of the Maysi-2 Box and See Loneliness As a Red Flag",
      "abstract": "Background and Purpose: Suicide is the leading cause of death in juvenile justice facilities. In fact, each year approximately 11,000 juvenile offenders confined in juvenile justice facilities engage in suicidal behaviors. When compared to the general population, detained juvenile offenders are at a greater risk for and are more successful at suicide attempts. In response, facilities in 47 states use the mental health screening tool, the Massachusetts Youth Screening version 2 (MAYSI-2), to screen for suicide ideation. The MAYSI-2’s suicide ideation (SI) scale requires affirmative responses to at least two of five items designed to indicate whether in the past few months a youth had thoughts or intentions of self-harm or is currently at risk of a suicide attempt or gesture. The item “have you felt lonely too much of the time?” is used to identify feelings of loneliness. However, despite research showing that loneliness is one of the leading causes of suicide for adolescents, an affirmative response to the item is not weighed more heavily than the remaining four items. The aim of this study is to identify the prevalence of juvenile offenders endorsing the feeling lonely item alone and with a second item on the SI scale. Methods: MAYSI-2 data were collected from all youth detained in a Midwestern juvenile detention facility between May 2006 and March 2010 for a total of 1,992 occasions. The sample (N=1,348) was 86% male; 79% Black, 17% White, and 4% Other; and age 10-17. Chi-square analyses were conducted. Results: On the overall SI scale, univariate analyses revealed n=1,542 (78%) responses to zero items, n=205 (10%) to one item, n=245 (12%) to two or more items, and n=415 (21%) felt lonely. Chi-square analyses revealed n=84 felt lonely and had suicidal thoughts (χ2=150.41, p<.0001); n=91 felt lonely and wanted to hurt themselves (χ2=144.31, p<.0001); n=117 felt lonely and wished they were dead (χ2=168.11, p<.0001); and n=167 felt lonely and life was not worth living (χ2=194.92, p<.0001). Conclusions and Implications: Not only is suicide a major public health concern, but it is a tremendous issue for juvenile offenders and every effort should be made to identify suicide ideation. In this study, there were practical and statistically significant responses to items reflective of suicidal thoughts. By broadening how we identify those at risk, mental health practitioners can be more equipped to address suicidal thoughts, gestures, and attempts. Although it was not possible to explore the number of actual suicide gestures or attempts made by study participants, this study highlights the pervasiveness of feeling lonely. Prior or current feelings of loneliness, separation from one’s normal environment, and being detained, might exacerbate a juvenile’s loneliness and ultimately their suicidal thoughts, gestures, or attempts. These possibilities warrant concern and should be responded to; therefore, a new strategy should be used when identifying suicide ideation with the MAYSI-2. Instead of only noting when any two items are responded to affirmatively, addition al attention should be paid when a juvenile responds affirmatively to feeling lonely, coupled with another SI item.",
      "authors": "Henrika McCoy",
      "author_ids": "109529",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3599740000,
        "prompt_eval_count": 1675,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:08:47.847553+00:00"
    },
    {
      "input_index": 926,
      "record_key": "SSWR:2018-U-0388",
      "source_database": "SSWR",
      "record_id": "2018-U-0388",
      "year": 2018,
      "title": "Using GIS to Assess MH Hot Spots and Police Utilization of Crisis Centers: The Impact of Crisis Intervention Teams Training",
      "abstract": "Background: Preventing incarceration of persons with serious mental illness (SMI) requires a community response. Crisis Intervention Team (CIT) facilitates such a response with a 40-hour police officer training, community advisory boards, and development of a 24-hour mental health (MH) crisis center.  CIT research has shown increases in officer self-efficacy and enhanced recognition of SMI, as well as additional transports to hospital ER. However, ER can be expensive and lack linkage to long-term MH services.  Moreover, response might be better targeted if MH and law enforcement professionals knew where MH ‘hotspots’ were located or analyzed whether proximity to services impacted officer decision-making. The current study asks the following questions: 1) Where do MH crises cluster and does call location influence drop-off location? 2) After CIT implementation, do officers increase the drop-offs to the crisis center and decrease drop-offs to ER? Methods: A Midwestern county of 1.23 million people with a 24-hour MH crisis center implemented CIT officer training in 2015. All MH and suicide call reports from the county sheriff’s officers from 2014 through 2016 (N=1,617) were coded. Call reports included call time/date, drop-off location, demographics, necessity of physical health care, and if the responding officers were trained in CIT. Interrupted time series (ITS) was used to examine officer drop-offs (crisis center or hospital) pre and post CIT training. QGIS (Quantum Geographic Information System) was used to identify regions with high call volumes (hot spots) and calculated differences in proximity to the crisis center from the call location. Logistic regression (LR) was used to assess predictors associated with crisis center drop-offs. Predictor variables included: age, gender, race, type of call, and differences in distance. Results: QGIS illustrates that 50% of all calls occurred in 9% of the department’s jurisdiction (39% in just 3%) demonstrating distinct ‘hot spots’. ITS revealed an increase in drop-offs to the crisis center in the month after training (β=10.0, p<.003), which was sustained 5 months afterward (β=9.7, p<.016). Decreases in ER drop-offs immediately following training (β= -11.2, p<.037), were also sustained 5 months later (β= -13.5, p<.036). The LR predicted crisis center drop-offs post CIT training (χ 2 (8,N=723)=98.264), successfully classifying 73% of the calls and accounting for 18% of the  variance. After controlling for other variables, CIT officers were 2.5 more likely (Wald=20.736, p<.001) to transport to the crisis center than non-CIT officers. Finally, for every one-mile increase in the distance between the call location and the crisis center, officers were .96 times less likely (Wald=6.290, p<.05) to take the individual to the crisis center. Conclusions/Implications: Evidence suggests CIT training, in conjunction with a 24-hour MH drop-off location, leads to changes in a community’s response to MH crises.  Instead of the short-term, high-cost, revolving door of a hospital ER, CIT’s referrals to potentially long-term, low-cost, MH treatment may lead toward a more financially sustainable and socially just solution for people living with SMI.  The spatial clustering of MH calls could encourage data-driven deployment of MH professionals and CIT officers to targeted hot spots to support future problem-solving.",
      "authors": "Leonard Swanson; Erin Comartin; Sheryl Pimlott Kubiak; Edita Milanovic; Christina Callton; Emily Rau",
      "author_ids": "117396; 110945; 109093; 115105; 116716; 117397",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3634701708,
        "prompt_eval_count": 1714,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:08:54.643616+00:00"
    },
    {
      "input_index": 929,
      "record_key": "SSWR:2018-P-0741",
      "source_database": "SSWR",
      "record_id": "2018-P-0741",
      "year": 2018,
      "title": "Why Do Homeless People Commit Suicide?: Analysis of Mental Health and Substance Use As Risk Factors",
      "abstract": "Background: The impact of the economic recession has caused the number of homeless to increase dramatically. The rates of mental health and substance-related disorders of people experiencing homelessness were higher than in the general population. Also, mental health issues and substance use are significant risk determinants for suicide among homeless population. Based on the comprehensive literature review, this study tested two hypotheses. First, high levels of depressive symptoms and anxiety will be associated with an increase in suicidal ideation and attempts among homeless people. Second, high levels of drug abuse and alcohol abuse will be related to an increase in suicidal ideation and attempts among them. Methods: This cross-sectional study used purposive and convenience sampling methods to recruit 156 adults experiencing homelessness from seven homeless shelters in Kansas. Face-to-face interviews were conducted from April to May, 2009. Respondents ranged in age from 19 to 72, with a mean of 41 years; 66% were male. Regarding ethnicity, 61.9% of the respondents were Caucasian, while 17.4% were African American. Never-married respondents comprised 39.1%, and 30% of the respondents were divorced. This study used the following scales: Center for Epidemiologic Studies Depression scale to measure depressive symptoms; Generalized Anxiety Disorder scale to measure anxiety; Drug Abuse Screening Test to measure drug abuse; Short Michigan Alcoholism Screening Test to measure alcohol abuse. Three different analytic methods were used to test the hypotheses. First, to analyze the demographic variables, the study implemented univariate descriptive statistics. Second, to gain the information of the basic correlation among main variables, a correlation matrix was used. Third, a logistic regression analysis was conducted to understand relationships between independent variables (depressive symptoms, anxiety, and drug and alcohol abuse) and dependent variables (suicidal ideation and attempt). Results: The logistic regression results showed that people with anxiety were 1.17 times more likely than those without anxiety to have suicidal ideation (β = .15, p ≤ .05, OR = 1.17) and 1.32 times more likely have suicide attempts (β = .274, p ≤ .001, OR = 1.32). People with drug abuse were 1.24 times more likely than those without drug abuse to have suicidal ideation (β = .22, p ≤ .05, OR = 1.24). Implications: The current findings highlight the importance of anxiety and drug abuse as significant risk factors for suicidal ideation and suicide attempt among homeless population. Based on the findings, we suggest that case managers at homeless shelters need to provide screening and referrals for treatment to people experiencing homelessness with substance abuse and mental health issues, such as anxiety. In a future study, a probability sampling method will be necessary for obtaining generalized findings in various states. In addition, a future study is recommended to include people under the age of 18 experiencing homelessness along with mental health and substance abuse problems.",
      "authors": "Yi Jin Kim; Kyoung Hag Lee; Jung Sim Jun",
      "author_ids": "113445; 109620; 112546",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3375267000,
        "prompt_eval_count": 1549,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:09:04.745229+00:00"
    },
    {
      "input_index": 930,
      "record_key": "SSWR:2018-P-0600",
      "source_database": "SSWR",
      "record_id": "2018-P-0600",
      "year": 2018,
      "title": "Youth Suicide Prevention Efforts in Southwest Phoenix, Arizona",
      "abstract": "Background : Project Aware intended to improve the quantity and quality of life for adolescents between the age of 12 and 18 years through the deployment of a cadre of individuals trained in Youth Mental Health First Aid (YMHFA). The project geographic are (SouthWest Valley) included areas of West Phoenix, Tolleson, Avondale and Goodyear in Maricopa County, Arizona. Over 12% of the total population in the project area are 12-18, and 51% are Hispanic. This area was chosen because over 35% of youth living there felt sad or hopeless one or more times during the past 12 months (as compared to 30% in the U.S.), 14% have attempted suicide (compared to 8% in the U.S.) and 6% of the attempts resulted in serious injuries (compared to 3% in the U.S.) (YRBS 2014).  The program raised awareness about youth mental health and suicide prevention, and trained teachers, community members, school psychologists, counselors, social workers, and security resource officers to spot the signs of mental health issues and/or suicidal thoughts. The YMHFA program also provided Mental Health Aiders with the tools to refer youth to appropriate community resources, and mental health and behavioral health providers for follow up. The curriculum used was the Youth Mental Health Fist Aid USA from the National Mental Health First Aid Council. Methods : The Bruno Anthony survey was used pre- and post- training to evaluate Mental Health First Aiders knowledge, attitudes and expected behaviors changes. Paired sample t-test were used to analyze the results of the Bruno Anthony survey. First Aiders submitted youth referrals’ information to the evaluators for tracking. The Youth Risk Behavior Surveillance System was used to track suicide attempts, youth sad and hopeless feelings and other indicators of suicidal thoughts. Results : Over 700 Mental Health First Aiders were trained in the program. Only 44% of participants had previously participated in a mental health training of any kind (not First Aid). Results of analysis showed statistically significant increases across participant’s knowledge about mental health problems, positive changes in attitudes concerning providing mental health first aid, and confidence providing first aid services to youth. Most importantly, over 1100 youth were referred to community resources, and/or mental and behavioral health clinics for further assessment and follow up. Conclusions and Implications : The evaluation results indicate the high need for mental health services for youth in the project area, and the need for Mental Health First Aid training for professionals, paraprofessionals and community members. Policy changes concerning mandatory mental health first aid for all school personnel would increase the chances to provide more timely assistance to youth in need of mental health care, and specially to those who are considering suicide.",
      "authors": "Monica Parsai; Erica Chavez; Colin Dooner",
      "author_ids": "108794; 117725; 117726",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3176425833,
        "prompt_eval_count": 1499,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:09:07.923677+00:00"
    },
    {
      "input_index": 932,
      "record_key": "SWRD:69480",
      "source_database": "SWRD",
      "record_id": 69480,
      "year": 2018,
      "title": "Assessing Suicidal Risk in Practice: A Validation Study Initiated by Medical Social Workers",
      "abstract": "Medical social workers may often assess the suicide risk of patients. In addition to their professional assessment via clinical interviews, a valid scale may help provide a quick assessment of the risk of suicide. In Hong Kong, medical social workers wanted to initiate practice-based research with a social work scholar in the university. This research aimed to validate the Hong Kong Chinese version of the Scale for Suicide Ideation (HKC-SSI) and explore its factor structure among patients. Patients who revealed suicidal thoughts to medical social workers or were referred by other healthcare professionals for assessing suicidal risks were invited to join this study. They were asked to complete a set of questionnaires which included the HKC-SSI and other scales validating it. The reliability, validity and factor structure of the HKC-SSI were examined. A total of 157 patients completed the questionnaires. The HKC-SSI showed good reliability and demonstrated construct validity by indicating significant correlations with other scales that measure depression, anxiety, presence of meaning and search for meaning in the expected directions. A two-factor structure, 'motivation' and 'preparation', was found.",
      "authors": "Chan, Wallace Chi Ho",
      "author_ids": "",
      "journal_or_venue": "British Journal of Social Work",
      "doi": "10.1093/bjsw/bcx156",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2450280042,
        "prompt_eval_count": 1150,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:09:12.924302+00:00"
    },
    {
      "input_index": 933,
      "record_key": "SWRD:70939",
      "source_database": "SWRD",
      "record_id": 70939,
      "year": 2018,
      "title": "Bullying and suicide in high school students: Findings from the 2015 California youth risk behavior survey",
      "abstract": "School bullying and cyberbullying have been linked to suicidal behaviors through depression and alcohol, tobacco, marijuana, and other drug use. However, how these associations may differ across racial/ethnic groups remains relatively unknown. Using data from the 2015 California Youth Risk Behavior Survey, this study aims to examine two questions in different racial/ethnic subgroups: (1) Does bullying affect suicide? and (2) Does bullying have an indirect effect on suicide through depression and use of alcohol, tobacco, marijuana and other drugs? The sample consisted of 1,765 Californian youth attending grades 9-12. Logistic regression analyses indicate that being bullied is associated with increased odds of suicide across all racial/ ethnic groups; depression mediates the effect of bullying on suicide for all racial/ethnic groups; alcohol use mediates the effect only for Hispanic youth; other drug use mediates the effect only for White youth; marijuana and tobacco use have no mediating role. These findings suggest that bullying may lead to suicide through different risk behaviors for youths of different racial/ethnic groups. Professionals who work with bullied youths need to treat depression more effectively to prevent suicide in service planning and provision. They also need to be aware of the racial/ethnic differences in the risk behaviors intercorrelated with bullying and suicide and provide appropriate treatment to the youth of specific race/ethnicity.",
      "authors": "Li, Yong; Shi, Junrong",
      "author_ids": "",
      "journal_or_venue": "Journal of Human Behavior in the Social Environment",
      "doi": "10.1080/10911359.2018.1456389",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2608379375,
        "prompt_eval_count": 1209,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:09:15.534454+00:00"
    },
    {
      "input_index": 934,
      "record_key": "SWRD:70463",
      "source_database": "SWRD",
      "record_id": 70463,
      "year": 2018,
      "title": "Correlates of Mental Health Smartphone Application Use among Patients with Suicidal Ideation",
      "abstract": "Mental health applications (apps) can improve access to evidence-based, mental health strategies. This study evaluated predictors of use for the Virtual Hope Box (VHB), a smartphone app designed to enhance coping among high-risk mental health populations. We also explored the impact of usage on health outcomes. We analyzed data drawn from the treatment arm of a randomized clinical trial of the VHB (n = 58). Veterans at high risk of suicide used the app over 12 weeks and completed psychosocial assessments throughout the study. We received usage data from each participant's smartphone. We then used negative binomial regression to evaluate demographic and clinical predictors of usage and generalized estimating equations to explore the longitudinal association between usage and psychosocial outcomes. The most commonly used subcomponents were designed to provide distractions and reminders of sources of meaning. Lower levels of usage were associated with younger and having a 2-year college degree or higher. Exploratory findings suggested a possible relationship between usage and protective factors. Certain subgroups had lower VHB usage. The findings suggest usage may be associated with changes in health outcomes. Future studies should recruit larger, more diverse samples to further explore relationships between usage and demographic predictors.",
      "authors": "Chen, Jason, I; Smolenski, Derek J.; Dobscha, Steven K.; Bush, Nigel E.; Denneson, Lauren M.",
      "author_ids": "",
      "journal_or_venue": "Journal of Technology in Human Services",
      "doi": "10.1080/15228835.2018.1502119",
      "record_type": "journal-article",
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      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:09:18.124483+00:00"
    },
    {
      "input_index": 935,
      "record_key": "SWRD:70876",
      "source_database": "SWRD",
      "record_id": 70876,
      "year": 2018,
      "title": "Current Implementation of and Opinions and Concerns Regarding Suicide Education for Social Work Undergraduate Students in Japan: A Cross-Sectional Study",
      "abstract": "This study explored the current implementation status of and opinions and concerns regarding suicide education at schools of social work in Japan. We conducted a survey of faculty members who taught at least one of the social work subjects. About half the respondents had given a lecture of some kind on suicide, and more than 80% agreed that suicide is an important topic to include in social work program curricula. However, more than half indicated they did not have enough knowledge or skills to teach students about suicide, and more than 60% were concerned about adverse psychological effects of suicide education on students. Our findings highlight the importance of providing faculty members with guidelines for teaching students about suicide.",
      "authors": "Kodaka, Manami; Hikitsuchi, Emi; Takai, Michiko; Okada, Sumie; Watanabe, Yasue; Fukushima, Kiyoko; Yamada, Mitsuhiko; Inagaki, Masatoshi; Takeshima, Tadashi; Matsumoto, Toshihiko",
      "author_ids": "",
      "journal_or_venue": "Journal of Social Work Education",
      "doi": "10.1080/10437797.2017.1314837",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
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      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:09:20.460101+00:00"
    },
    {
      "input_index": 937,
      "record_key": "SWRD:101944",
      "source_database": "SWRD",
      "record_id": 101944,
      "year": 2018,
      "title": "Editorial: The Right for the Elderly to Commit Suicide",
      "abstract": null,
      "authors": "O'Neill; John H.; Lipton; Benjamin; Sears; Gillespie; James T.; Amadio; Dean M.; Chung",
      "author_ids": "",
      "journal_or_venue": "International Journal of Social Work Values and Ethics",
      "doi": "10.55521/10-015-201",
      "record_type": "fetch_failed",
      "database_method": null,
      "database_is_scientific": null,
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      "screening_basis": "title_only",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2023093875,
        "prompt_eval_count": 930,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:09:25.063630+00:00",
      "screening_source": "Primary screen; blind audit agreement",
      "accuracy_audit": {
        "sample_group": "Relevant Non-empirical",
        "random_seed": 20260802,
        "blind_screening": {
          "is_relevant": true,
          "relevance_rationale": "The title explicitly addresses suicide among the elderly as a central substantive focus regarding rights and policy.",
          "evidence_class": "Non-empirical",
          "empirical_method": "Not applicable",
          "classification_rationale": "The record is identified as an editorial, which is a commentary or opinion piece rather than an empirical study involving data analysis.",
          "confidence": "High"
        },
        "full_label_agreement": true
      }
    },
    {
      "input_index": 938,
      "record_key": "SWRD:70698",
      "source_database": "SWRD",
      "record_id": 70698,
      "year": 2018,
      "title": "Engaging families: a pilot evaluation to examine the utility of a health promotional resource on youth suicide prevention",
      "abstract": "Suicide is the third leading cause of death among youth. It's Time to Talk about It: A Family Guide for Youth Suicide Prevention is a consumer-driven, easy to read educational print resource to guide families in efforts to prevent suicide. This study utilized a retrospective, cross-sectional survey design to evaluate if this recently developed health promotion written resource increased perceived knowledge, attitudes, confidence, and intentions to engage in suicide prevention activities. Ninety community members participated in the study. After reading the guide, participants felt significantly more knowledgeable and had significantly greater intentions to participate in suicide prevention activities. Additionally, 71% of participants reported positive attitudes due to the guide, 80% reported feeling confident in their ability to help an at-risk youth, and, overall, 94% reported that the guide was a helpful resource. The results suggest that this family guide has potential to prepare families to be the first line of defense in helping to identify and connect at-risk youths to sources of help.",
      "authors": "Gryglewicz, Kim; Kutash, Krista; Elzy, Meredith B.; Hangartner, Renee R.; Karver, Marc S.",
      "author_ids": "",
      "journal_or_venue": "Journal of Family Social Work",
      "doi": "10.1080/10522158.2018.1469560",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2381454083,
        "prompt_eval_count": 1126,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:09:27.446454+00:00"
    },
    {
      "input_index": 940,
      "record_key": "SWRD:69535",
      "source_database": "SWRD",
      "record_id": 69535,
      "year": 2018,
      "title": "Help-seeking Pathway among Working-Age Adults with Suicidal Ideation: Testing the Integrated Model of Suicide Help-seeking",
      "abstract": "Despite a high suicide rate among working-age adults, there is a significant lack of empirical evidence on their help-seeking behavior. This study tested the integrated model of suicide help-seeking to examine help-seeking behavior as a continuous decision-making process. Data were drawn from the 2011 and 2012 National Survey on Drug Use and Health (N = 1,414). Results from structural equational modeling analyses demonstrated that the integrated model fit reasonably well among the sample. Suicide help-seeking behavior is characterized by an inequitable access, where enabling factors affect throughout the help-seeking pathway. The results provide a foundation for future help-seeking interventions.",
      "authors": "Ko, Jungyai",
      "author_ids": "",
      "journal_or_venue": "Social Work in Public Health",
      "doi": "10.1080/19371918.2018.1546251",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2301356791,
        "prompt_eval_count": 1064,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:09:32.361113+00:00"
    },
    {
      "input_index": 941,
      "record_key": "SWRD:89232",
      "source_database": "SWRD",
      "record_id": 89232,
      "year": 2018,
      "title": "Hope Squads: Peer-to-Peer Suicide Prevention in Schools",
      "abstract": null,
      "authors": "Wright-Berryman, Jennifer; Hudnall, Greg; Hopkins, Rodney; Bledsoe, Cathy",
      "author_ids": "",
      "journal_or_venue": "Children & Schools",
      "doi": "10.1093/cs/cdy005",
      "record_type": "journal-article",
      "database_method": null,
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_only",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2085472625,
        "prompt_eval_count": 930,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:09:34.448025+00:00"
    },
    {
      "input_index": 942,
      "record_key": "SWRD:34630",
      "source_database": "SWRD",
      "record_id": 34630,
      "year": 2018,
      "title": "Improving the Mental Health Outcomes of LGBTQ Youth and Young Adults: A Longitudinal Study",
      "abstract": "The purpose of this groundbreaking study was to evaluate outcomes of 482 LGBTQ (lesbian, gay, bisexual, transgender, or questioning) youth and young adults who received services and supports through the Comprehensive Community Mental Health Services for Children with Serious Emotional Disturbances Program (CMHI). This study was a secondary data analysis using data from a larger study of 3208 LGBTQ and non-LGBTQ youth ages 11 through 21 who had a serious emotional disturbance (SED). This study is significant in that it evaluates functional outcomes for young people identified as LGBTQ based on a specialized service framework (i.e., system of care approach). In essence, do LGBTQ youth with SED benefit from a specific approach to intervention? In addition, a comparison at intake on suicidality, bullying and victimization was conducted between the LGBTQ and non-LGBTQ identifying youth from the larger sample. The youth and a caregiver were interviewed face-to-face separately at intake, 6-months, and 12-months. Significant improvements were found across all of the dependent variables, supporting the viability of SOC for improving outcomes for LGBTQ youth. Future research should continue to build on this study by adding to the design a control group to improve internal validity of the findings.",
      "authors": "Painter, Kirstin R.; Scannapieco, Maria; Blau, Gary; Andre, Amy; Kohn, Kris",
      "author_ids": "",
      "journal_or_venue": "Journal of Social Service Research",
      "doi": "10.1080/01488376.2018.1441097",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2622129084,
        "prompt_eval_count": 1182,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:09:37.071940+00:00"
    },
    {
      "input_index": 943,
      "record_key": "SWRD:110689",
      "source_database": "SWRD",
      "record_id": 110689,
      "year": 2018,
      "title": "Lessons Learned from Ten Years of Using School-Based Screenings for Suicide Postvention",
      "abstract": "Adolescent suicide rates are rising, particularly for adolescent girls, and increasing numbers of adolescents experience the suicide of a classmate, peer, or friend. School social workers can play an important role in suicide prevention with this age group. This article will describe one agency's experiences conducting universal screenings in schools in thirteen communities in the Northeast United States as a component of an organized postvention plan following student suicide deaths. These communities ranged from urban areas to affluent suburban communities. Students (N = 9,984) were screened in middle schools, junior high schools, and high schools. Of the students screened, 12.6 percent screened positive. These students were more likely to be female (67.2%) and not currently receiving treatment (57.6%). The agency's experiences will be described, including barriers and strategies for working with school staff, administrators, teachers, and parents; lessons learned; and recommendations for school screenings.",
      "authors": "Poon, Maurice Kwong-Lai; Moffatt, Ken; Mirick, Rebecca G; Mirick, Rebecca G; Mirick, Rebecca G.; Berkowitz, Lawrence; Berkowitz, Lawrence; Anonymous; Pyne, Jake; Bridger, Joanna; Ford, Anne Rochon; Lee, Edward Ou Jin; Bridger, Joanna; McCauley, James; McCauley, James; McCauley, James; McGillicuddy, Patti; Brotman, Shari",
      "author_ids": "",
      "journal_or_venue": "School Social Work Journal",
      "doi": null,
      "record_type": "Article , Report",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2324345375,
        "prompt_eval_count": 1115,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:09:39.398019+00:00"
    },
    {
      "input_index": 944,
      "record_key": "SWRD:34604",
      "source_database": "SWRD",
      "record_id": 34604,
      "year": 2018,
      "title": "Lifetime trauma and suicide attempts in older clients with severe mental illness",
      "abstract": "Research examining links between lifetime trauma and suicide attempts in older clients with severe mental illness (SMI) is scarce. We examined associations among six common forms of lifetime trauma and lifetime suicide attempts while controlling for other known correlates of suicide attempts including gender, psychiatric symptoms, thoughts of self-harm/suicide, and lifetime self-injury in 174 community mental health clients with severe mental illness who were 50 years of age or older. Almost all clients reported at least one traumatic event with a mean of twelve, more than half had attempted suicide at least once, and about one-third had made multiple suicide attempts. Regression revealed that four factors were significantly associated with lifetime suicide attempts: lifetime self-injurious behaviors, lifetime physical abuse, lifetime frequency of having witnessed severe violence, and lifetime homelessness. Lifetime self-injury accounted for the most variance in suicide attempts, but having been physically abused accounted for the most variance in suicide attempts among the six trauma items. Lifetime trauma should be carefully screened in older clients with severe mental illness given preliminary evidence that it might be linked to suicide risk. Limitations of this study include the cross-sectional design.",
      "authors": "O'Hare, Thomas; Shen, Ce; Sherrer, Margaret",
      "author_ids": "",
      "journal_or_venue": "Social Work in Mental Health",
      "doi": "10.1080/15332985.2018.1444694",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2469030750,
        "prompt_eval_count": 1149,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:09:41.868133+00:00"
    },
    {
      "input_index": 946,
      "record_key": "SWRD:34582",
      "source_database": "SWRD",
      "record_id": 34582,
      "year": 2018,
      "title": "Predictors of suicidal ideation among college students: A prospective cohort study",
      "abstract": "This prospective cohort study investigated longitudinal predictors of suicidal ideation among college students. A non-clinical cohort of college students (N = 171) completed baseline and 3-month follow-up surveys. Depressive symptoms, worst-point suicidal ideation, and suicide attempt history significantly predicted follow-up suicidal ideation severity after adjusting covariates. Similarly, depressive symptoms and worst-point suicidal ideation (but not attempt history) were significant predictors of follow-up suicidal ideation intensity in an adjusted model. The results suggest that current depressive symptoms and lifetime worst-point suicidal ideation are independently valuable constructs that may provide relatively short-term predictive information when screening for suicidal ideation among college students.",
      "authors": "Nam, Boyoung; Hilimire, Matthew R.; Jahn, Danielle; Lehmann, Meshan; DeVylder, Jordan E.",
      "author_ids": "",
      "journal_or_venue": "Social Work in Mental Health",
      "doi": "10.1080/15332985.2017.1380742",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2296587875,
        "prompt_eval_count": 1059,
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      "screened_at": "2026-08-02T18:09:46.770460+00:00"
    },
    {
      "input_index": 948,
      "record_key": "SWRD:69776",
      "source_database": "SWRD",
      "record_id": 69776,
      "year": 2018,
      "title": "Shadows from the past: The mothering experience of women survivors of maternal suicide",
      "abstract": "Raising children, while challenging in the best of times, can be more complicated for a woman who lost her own mother during her childhood/adolescent years. This study examines the long-term impact of maternal suicide as evident in the mothering experiences of 12 Israeli women. Findings The participants' descriptions reveal a constant Sisyphean struggle to move away from their legacy only to be pulled backa fervent wish to be different from their mothers along with the simultaneous realization that they cannot escape their past. This continuing struggle is captured through four themes: (a) being a mother long before having children, (b) the past casting a pall over the present, (c) mothering as a means of fixing what is broken, and (d) the lack of a maternal model: an irrevocable absence. Applications The results of this study are discussed from an emotional socialization perspective which points to the relevance of two theoretical perspectives: the modeling and the compensation views of emotional socialization in the participants' mothering experiences. These views can help social workers both to understand and to attend to the distinctive difficulties of mothers who have survived the suicide of their own mothers.",
      "authors": "Leichtentritt, Ronit D.; Leichtentritt, Judy; Shamir, Michal Mahat",
      "author_ids": "",
      "journal_or_venue": "Journal of Social Work",
      "doi": "10.1177/1468017316656091",
      "record_type": "journal-article",
      "database_method": "Qualitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "eval_count": 24
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      "screened_at": "2026-08-02T18:09:51.955682+00:00",
      "screening_source": "Primary screen; blind audit agreement",
      "accuracy_audit": {
        "sample_group": "Qualitative",
        "random_seed": 20260802,
        "blind_screening": {
          "is_relevant": true,
          "relevance_rationale": "The study focuses on the mothering experiences of women bereaved by maternal suicide, which falls under the category of suicide bereavement/survivors.",
          "evidence_class": "Empirical",
          "empirical_method": "Qualitative",
          "classification_rationale": "The abstract describes a study examining the experiences of 12 participants and reports findings derived from themes identified in their descriptions, indicating a qualitative empirical design.",
          "confidence": "High"
        },
        "full_label_agreement": true
      }
    },
    {
      "input_index": 949,
      "record_key": "SWRD:70072",
      "source_database": "SWRD",
      "record_id": 70072,
      "year": 2018,
      "title": "Suicidal Ideation and Suicide Attempts among Women Seeking Treatment for Substance Use and Trauma Symptoms",
      "abstract": "Substance use disorders and posttraumatic stress disorder have been associated with suicide. Through secondary analysis of the screening data from the Women and Trauma Study conducted by the National Institute on Drug Abuse Clinical Trials Network, the present study examined rates and correlates of suicidal ideation and suicide attempts among women who sought treatment for substance use and trauma at seven outpatient substance use programs. The sample included women between the ages of 18 and 65 years (M = 39.2; SD = 9.3) and was 44 percent white, 33 percent African American, 8 percent Latina, and 15 percent other races or ethnicities. Logistic regression was used to examine factors associated with a lifetime history of recurrent suicidal ideation and a serious suicide attempt. Findings highlight the need for social workers to address elevated risk levels for suicidal thoughts and behaviors when working with women with histories of substance use and trauma.",
      "authors": "Resko, Stella M.; Mountain, Sarah Kruman; Browne, Suzanne; Kondrat, David C.; Kral, Michael",
      "author_ids": "",
      "journal_or_venue": "Health & Social Work",
      "doi": "10.1093/hsw/hly004",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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      "screened_at": "2026-08-02T18:09:54.254705+00:00"
    },
    {
      "input_index": 950,
      "record_key": "SWRD:70726",
      "source_database": "SWRD",
      "record_id": 70726,
      "year": 2018,
      "title": "Suicidality and Other Health Risk Behaviors among Female Youth in Juvenile Detention",
      "abstract": "This study investigates suicidality and health-risk behaviors among female juvenile detainees and identifies the extent to which suicidal behaviors are correlated with other risky activities. This study also explores 12 health risk behaviors, their prevalence, and relative associations to suicidal behaviors within the sample-population. Researchers collected data from 104 female adolescents, ages 12 to 20, residing in a long-term, detention center in the southeastern region of the United States. Descriptive statistics and regression analysis were utilized. Suicidal ideations (40%) and suicide attempts (34%) were highly prevalent among female juvenile detainees. Results also suggest that the persistence of suicidal ideations was significantly influenced by exposure to various forms of interpersonal violence. Despite increased exposure to psychosocial factors strongly correlated to suicidal and high risk behaviors, little attention has been given to this particular population. Research recommendations are also discussed.",
      "authors": "Hatcher, Schnavia Smith; King, Dione Moultrie; Nordberg, Anne; Bryant, Dante; Woolen, Christopher C.",
      "author_ids": "",
      "journal_or_venue": "Social Work in Public Health",
      "doi": "10.1080/19371918.2017.1415179",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2261520291,
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        "eval_count": 24
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      "screened_at": "2026-08-02T18:09:56.518382+00:00"
    },
    {
      "input_index": 951,
      "record_key": "SWRD:52450",
      "source_database": "SWRD",
      "record_id": 52450,
      "year": 2018,
      "title": "Suicide and the Making of a Public Health Crisis",
      "abstract": null,
      "authors": "Fogel, Sondra J.",
      "author_ids": "",
      "journal_or_venue": "Families in Society",
      "doi": "10.1177/1044389418790224",
      "record_type": "journal-article",
      "database_method": null,
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_only",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2155771959,
        "prompt_eval_count": 928,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:09:58.675811+00:00"
    },
    {
      "input_index": 952,
      "record_key": "SWRD:52451",
      "source_database": "SWRD",
      "record_id": 52451,
      "year": 2018,
      "title": "Suicide Attempt Survivorship and Designation as a Concealable Stigmatized Identity",
      "abstract": "Despite literature on unique challenges faced by people living with concealable stigmatized identities (CSIs), no research has explored this concept among suicide attempt survivors. Social network interviews with 26 attempt survivors about their family relationships were used to assess whether attempt-survivor status is consistent with CSI criteria. Participants concealed their attempt from 51% of family members and perceived that 46% of them held stigmatizing attitudes toward attempt survivors. Additionally, 42% agreed that being a survivor is central to who they are, and 46% indicated they commonly thought about being an attempt survivor. Applying the CSI concept to attempt survivors establishes conceptual linkages to resources and interventions developed for other CSIs, which could increase the field's ability to respond to attempt-survivor needs.",
      "authors": "Fulginiti, Anthony; Frey, Laura M.",
      "author_ids": "",
      "journal_or_venue": "Families in Society",
      "doi": "10.1177/1044389418781556",
      "record_type": "journal-article",
      "database_method": "Qualitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2313093750,
        "prompt_eval_count": 1085,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:10:00.990651+00:00"
    },
    {
      "input_index": 953,
      "record_key": "SWRD:69694",
      "source_database": "SWRD",
      "record_id": 69694,
      "year": 2018,
      "title": "Suicide Intervention Gatekeeper Training: Modeling Mediated Effects on Development and Use of Gatekeeper Behaviors",
      "abstract": "Objective: Suicide is a significant public and mental health crisis in the United States. Training providers in suicide assessment and response is designated as one of the primary strategies for reducing deaths by suicide. Research has established that suicide intervention training is effective, but little work has been published on potential mediators of skill development and use. Method: Secondary data analysis of a randomized trial of the Question, Persuade, and Refer gatekeeper training with master of social work students. Path analysis was used to estimate mediated effects of knowledge, attitudes, reluctance, and self-efficacy on behavior outcomes. Results: Results suggest improvements in posttraining measures for knowledge, attitudes, self-efficacy, reluctance, and the use of gatekeeper behaviors, but there was no supporting evidence for the presence of mediated effects on behavior. Only self-efficacy demonstrated a strong direct relationship with gatekeeper behaviors. Conclusions: Ongoing evaluation is needed with an added interest in self-efficacy and how it can be enhanced through training.",
      "authors": "Osteen, Philip J.",
      "author_ids": "",
      "journal_or_venue": "Research on Social Work Practice",
      "doi": "10.1177/1049731516680298",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2394864917,
        "prompt_eval_count": 1129,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:10:03.386925+00:00"
    },
    {
      "input_index": 954,
      "record_key": "SWRD:81157",
      "source_database": "SWRD",
      "record_id": 81157,
      "year": 2018,
      "title": "Survivor of Suicide Loss Support Group Facilitators: Do Peers and Professionals Differ?",
      "abstract": "Suicide is a major public health issue affecting countless people each year worldwide. Support groups are one of the few resources available to survivors of suicide loss to aid the healing journey. This study examined differences among support group facilitators based on status as a peer, professional, or peer/professional. Differences emerged among the facilitator types, particularly on attitudes of group effectiveness, the role of sharing stories in the group, when loss survivors should attend, and who should facilitate groups. The results provide important insights about group facilitation differences, though further research is necessary to understand effective approaches. A degree in social work was the most common educational background for facilitators who identified as professionals. As social workers often facilitate groups or work alongside peers in the provision of support groups across a variety of areas, the findings provide insights regarding facilitation differences to which social workers may need to attend.",
      "authors": "Sanford R.; Cerel J.; Frey L.",
      "author_ids": "",
      "journal_or_venue": "Social Work with Groups",
      "doi": "10.1080/01609513.2017.1351414",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2384963250,
        "prompt_eval_count": 1099,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:10:05.773226+00:00"
    },
    {
      "input_index": 955,
      "record_key": "SWRD:96305",
      "source_database": "SWRD",
      "record_id": 96305,
      "year": 2018,
      "title": "Toxic Masculinity and Mental Health in Young Women: An Analysis of 13 Reasons Why",
      "abstract": "The recent release of the Netflix series 13 Reasons Why, which focuses on the suicide of an adolescent girl, has been accompanied by a large amount of social commentary. However, most of this commentary focuses on the suicide itself and does not consider how the series constructs the root causes of suicide. In this brief article, we argue that from a feminist social work perspective, the series highlights a key root cause of mental health problems—sexual violence—and that the discussion of this violence has been woefully absent in the commentary on the series. To support this argument, we highlight relevant examples from the show and discuss three key themes: (1) the overwhelming presence of toxic masculinity, (2) slut-shaming as a form of devaluing the female body and female sexual expression, and (3) the failure of adult systems to adequately respond to youth. We then provide suggestions for adults who work with youth around how to better engage in critical discourse about series content.",
      "authors": "Jenney A.; Exner-Cortens D.",
      "author_ids": "",
      "journal_or_venue": "Social Work",
      "doi": "10.1177/0886109918762492",
      "record_type": "journal-article",
      "database_method": null,
      "database_is_scientific": true,
      "database_is_empirical": false,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2325791792,
        "prompt_eval_count": 1120,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:10:08.101253+00:00",
      "screening_source": "Primary screen; blind audit agreement",
      "accuracy_audit": {
        "sample_group": "Relevant Non-empirical",
        "random_seed": 20260802,
        "blind_screening": {
          "is_relevant": true,
          "relevance_rationale": "The article centrally analyzes the construction of root causes of suicide and mental health problems within the context of the Netflix series '13 Reasons Why', making suicide a primary substantive focus.",
          "evidence_class": "Non-empirical",
          "empirical_method": "Not applicable",
          "classification_rationale": "The abstract describes a theoretical argument and thematic discussion based on examples from a media text, without any systematic data collection, statistical analysis, or reproducible search process, classifying it as a conceptual/narrative commentary.",
          "confidence": "High"
        },
        "full_label_agreement": true
      }
    },
    {
      "input_index": 957,
      "record_key": "SWRD:70194",
      "source_database": "SWRD",
      "record_id": 70194,
      "year": 2018,
      "title": "What Works for Adolescent Black Males at Risk of Suicide: A Review",
      "abstract": "We reviewed the controlled studies that report outcome findings for Black adolescent males 24 years of age and younger at risk of suicide. Our review identified 48 articles published from 2000 to 2015, 33 that met our initial criteria for full-text articles review, resulting in 6 that met all inclusion criteria. We sought to understand what works for Black males experiencing suicide ideation or engaging in suicidal behaviors (e.g., attempts). We identified crossover effects for multisystemic therapy for reducing the risk for suicide ideation and attempts. Attachment-based family therapy was salient for use as a component of clinical practice for Black males being treated for suicide ideation. While remaining randomized control trials did involve Black youth, disaggregated data based on ethnicity and gender were not reported. Overall, the located studies are too few to provide unequivocal guidance for practice.",
      "authors": "Joe, Sean; Scott, Marquisha Lawrence; Banks, Andrae",
      "author_ids": "",
      "journal_or_venue": "Research on Social Work Practice",
      "doi": "10.1177/1049731517702745",
      "record_type": "journal-article",
      "database_method": null,
      "database_is_scientific": true,
      "database_is_empirical": false,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Review"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2455895250,
        "prompt_eval_count": 1100,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:10:12.904071+00:00"
    },
    {
      "input_index": 958,
      "record_key": "SWRD:71027",
      "source_database": "SWRD",
      "record_id": 71027,
      "year": 2018,
      "title": "Youth Experiences Survey (YES): Exploring the Scope and Complexity of Sex Trafficking in a Sample of Youth Experiencing Homelessness",
      "abstract": "In the United States, sex trafficking victims have been identified at ages across the lifespan but young persons (under age 25) have been found to have unique vulnerabilities. At-risk youth, such as those who run away from home or those experiencing homelessness, are also at an increased risk of sexual exploitation. To better understand the scope and complexity of sex trafficking among these at-risk youth, a convenience sample of 131 homeless youth aged 12 to 25years old experiencing homelessness recruited from Kentuckiana youth service providers completed an enhanced version of the Youth Experiences Survey (YES). Univariate and bivariate analyses were conducted. Results indicated that 41.2% of the homeless youth were victims of sex trafficking. The sex trafficked youth were more likely to report previous self-harm behaviors, suicide attempts, and substance use. This study not only provides support for improved service delivery, but also provides essential statistics that should inform internal policy and procedures for youth serving agencies in Kentucky and Indiana. Findings highlight a need for trauma-informed interventions designed to treat not only females but also males and LGBTQ youth. Additionally, service providers should consider partnering with victim providers and clinicians to offer therapeutic groups, individual therapy, and supportive services that increase prevention, education, and wraparound care for clients. In regards to future research, findings point towards a need to better understand the role that trauma and adverse childhood experiences may play in making young people vulnerable to sex trafficking, and encourage the need for testing prevention and early intervention practices among vulnerable youth.",
      "authors": "Middleton, Jennifer S.; Gattis, Maurice N.; Frey, Laura M.; Roe-Sepowitz, Dominique",
      "author_ids": "",
      "journal_or_venue": "Journal of Social Service Research",
      "doi": "10.1080/01488376.2018.1428924",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2775645375,
        "prompt_eval_count": 1246,
        "eval_count": 27
      },
      "screened_at": "2026-08-02T18:10:15.681445+00:00"
    },
    {
      "input_index": 959,
      "record_key": "SSWR:2019-U-0577",
      "source_database": "SSWR",
      "record_id": "2019-U-0577",
      "year": 2019,
      "title": "A Family-Based Intervention for Suicidal Adolescents and Their Families in the Emergency Department: Results of a Randomized Clinical Trial",
      "abstract": "Background and Purpose:  Suicide is a significant public health problem, recently ranked as the 2 nd leading cause of death in adolescents in the US.  The Emergency Department (ED) often serves as a portal to the mental health system for suicidal adolescents. The usual practice for suicidal adolescents in emergency psychiatry is evaluation, with little or no in-ED treatment; and disposition, usually to an inpatient psychiatry unit. Unfortunately, often there are not enough inpatient psychiatric beds throughout the system of care for all suicidal adolescents who need them, resulting in patients who “board” in the ED while awaiting appropriate care. Developed exclusively by social workers, the Family-Based Crisis Intervention (FBCI) is a single-session intervention that is designed to sufficiently stabilize patients within a single ED visit by reducing suicidality and increasing individual tools and familial supports, so that they may return home safely with their families. Previous open and pilot trials of FBCI demonstrated feasibility and safety of the intervention, with significant differences in hospitalization rates among a cohort of FBCI patients compared to a retrospectively matched comparison group (36% versus 55%, p<.001).  This paper reports efficacy outcomes, including suicidality, family communication, family empowerment, and client satisfaction, from a randomized clinical trial of FBCI. Methods:   A total of N=142 suicidal adolescents (ages 13-18) and their families presenting for a psychiatric evaluation to a large pediatric ED were randomized to be treated with FBCI or treatment as usual (TAU).  Patients and their caregivers completed demographic and validated self-report measures of suicidality, family communication, family empowerment, and client satisfaction which were collected at pretest, posttest, and 3 follow up time points over a one-month period. Data on disposition, psychiatric diagnoses and ED recidivism rates were collected through retrospective chart review. Linear and logistic regressions were used to examine continuous and categorical outcomes of interest, respectively. Results: Of 142 patients recruited, 76% were female.  The sample was 66% white, 18% mixed, 9% Latino, 6% Black, and 3% Asian, and average age of the adolescent participant was 15.4 years.  At posttest, adolescents randomized to FBCI were significantly more likely to be discharged home with outpatient follow-up care compared to their TAU counterparts (p<0.05); they also reported significant reductions in incendiary communication (p<0.01) and improvements in overall communication (p<0.05) compared to TAU counterparts. Family members of adolescents assigned to FBCI reported significantly higher levels of patient satisfaction (p<0.001) and empowerment (p<0.01) compared to TAU counterparts. Longitudinal outcomes related to psychiatric symptoms (including suicidality), and ED recidivism will also be reported. No completed suicides were reported during the study period by any participant. Conclusions and Implications:  There is an increasing reliance on the development and translation of evidence-based practices for many conditions in the ED, although the main focus has been on medical interventions.  A focus on evidence-based suicide prevention initiatives is critical to enhancing the long-term health and well-being of adolescents.  FBCI may be a viable alternative to usual care provided by psychiatry, and would reflect the treatment model already used for medical patients in the ED.",
      "authors": "Abigail Ross; Elizabeth A. Wharff",
      "author_ids": "118393; 112671",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3466503458,
        "prompt_eval_count": 1651,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:10:19.149692+00:00"
    },
    {
      "input_index": 961,
      "record_key": "SSWR:2019-U-0118",
      "source_database": "SSWR",
      "record_id": "2019-U-0118",
      "year": 2019,
      "title": "Alcohol and Marijuana Use Predict Suicide Attempts Among Adolescents Prior to Inpatient Hospitalization",
      "abstract": "Background/Purpose: Suicide is the second leading cause of death among adolescents, accounting for one in ten deaths in this age group. Although previous research demonstrates strong evidence for alcohol use and mixed evidence for marijuana use as risk factors for suicide attempts (SAs), little research has examined the relationship between alcohol and marijuana use and SAs on a daily level. These relationships are especially important to understand among adolescents psychiatrically hospitalized for a suicidal event, as they are at high risk for suicide attempts and death. Therefore, the purpose of this study was to examine how alcohol and marijuana use predict the odds of SAs over time, controlling for hospitalizations, the presence of a suicide plan, sexual orientation, race, and age. Methods: Participants were recruited from an inpatient psychiatric unit in the northeastern US. and included 50 adolescents (80% female; M age =15.8) hospitalized following a suicide plan or attempt who endorsed past month alcohol use. Past 90-day SAs, alcohol use, and marijuana use were measured using the Timeline Follow Back Calendar (TLFB). The TLFB collects alcohol and marijuana consumption information using a calendar format with temporal cues to assist in recall of days and quantity when alcohol and marijuana were used, and can be used to simultaneously recall suicide attempts. The Hausman test indicated differences in the between and within effects for alcohol use, marijuana use, hospitalizations, and suicide plans; thus, they were estimated separately in the model. Results: Of the participants, 70% endorsed at least one SA over the 90 days. There were 4,497 time-person observations nested within 50 participants. The random effect model demonstrated that the between effect of alcohol use (OR=7.39, p <.05) and the within effect of marijuana use (OR=1.06, p <.05) significantly increased the odds of a SA on any given day. However, the within effect of alcohol use and the between effect of marijuana use did not predict the odds of SA. Conclusions/Implications: This study found that alcohol and marijuana use both have an effect on the odds of attempting suicide over time. Specifically, when looking at the 90 days prior to inpatient psychiatric care, those who drank alcohol were 6.4 times more likely to attempt suicide compared those who did not drink, on any given day. In addition, there was a 6% increase in the odds of attempting suicide on a day when a participant used marijuana, compared to a day when they did not use marijuana. The effect of alcohol use on SAs was only significant when comparing adolescents against one another, while marijuana use had a more significant effect when comparing use within oneself. These findings support prior research on the deleterious effect of alcohol use on suicide attempts and adds to the dearth of research on the relationship between marijuana and suicide, which will become evermore critical to understand as marijuana use continues to increase among adolescents in the context of current US policy changes.",
      "authors": "Christina M. Sellers; Antonia Diaz-Valdes Iriarte; Addie Wyman Battalen; Kimberly H. McManama O'Brien",
      "author_ids": "116177; 118076; 116178; 110756",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3348867833,
        "prompt_eval_count": 1540,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:10:26.118793+00:00"
    },
    {
      "input_index": 962,
      "record_key": "SSWR:2019-P-0743",
      "source_database": "SSWR",
      "record_id": "2019-P-0743",
      "year": 2019,
      "title": "Alcohol Involvement in Firearm-Related Suicides Among Young, Middle-Aged and Older Men",
      "abstract": "Background: Suicide, a widely recognized problem for its ruinous impact over 44,000 lives each year, is the 10 th leading cause of death in the United States. According to the CDC (2016), among all gun violence cases involving males, 60 percent were gun-related suicides. At least a third of all men who died from suicide had also consumed alcohol preceding the suicide. However, few studies have investigated age-specific demographics as factors predicting firearm-related suicide among males, especially when alcohol involvement is a co-occurring mental health warning sign. This presentation will present evidence to heighten awareness for preventing alcohol use when signs of suicide are also present to reduce or eliminate fatal deaths caused by firearm violent acts. Method: The National Violent Death Reporting System (NVDRS) is a state-based surveillance system that provides detailed accounts of violent deaths in the United States. This study used the 2015 restricted NVDRS data with attention to male suicide decedents aged 18 years and older who used a gun to complete suicide. It aims to analyze patterns of alcohol use preceding the suicide in association to suicide method choices. The NVDRS data were used to investigate if there is a relationship between alcohol use preceding a suicide and the probability of fatal death caused by gun use. Results: Statistical analyses from the 2015 NVDRS compared male decedents choosing firearm vs. non-firearm methods, with evidence showing that alcohol involvement preceding suicide is related to the misuse of gun. Results show that, compared to other methods, age is a significant factor associated with firearm use prior to suicide. In particular concern is that 41 percent of 1,727 male suicide decedents with alcohol involvement used firearms. Multinomial logistic regression was conducted to find factors associated with the presence of alcohol involvement versus absence of alcohol use. Young and middle-aged males are more likely to use alcohol prior to firearm suicide compared to their counterparts in advanced age who use other methods (OR= 1.09, p < .03). Other demographic comparative data will also be reported between alcohol and no alcohol involvement to predict firearm suicide. Discussion and Conclusion: The National Alliance of Mental Illness (2017) reported that suicide prevention is a public health, mental health, as well as social justice issue. Social workers should evaluate clients of all age groups who have suicidal behaviors in terms of their co-occurring illnesses. Alcohol screening and probing for disclosure of owning/storing firearms in the home is an effective strategy to assess suicide risks. Since firearm use represents violent acts, if it is linked to alcohol involvement, it can activate gun misuse that causes violent deaths. Policy advocacy for program funding should consider gender and age differences so that prevention efforts can pay attention to the co-occurrence of alcohol and gun misuse. It will raise awareness that there is a greater opportunity to rescue and treat. Planning effective suicide prevention programs that are gender sensitive can also help gun users become more responsible in their behaviors, thus closing the mental health education gap.",
      "authors": "Carol A. Leung",
      "author_ids": "115291",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3278286417,
        "prompt_eval_count": 1555,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:10:29.398989+00:00"
    },
    {
      "input_index": 963,
      "record_key": "SSWR:2019-U-0108",
      "source_database": "SSWR",
      "record_id": "2019-U-0108",
      "year": 2019,
      "title": "Alcohol Use, Marijuana Use, and Suicidal Ideation Among Child Welfare Involved Youth: A Longitudinal Examination",
      "abstract": "Background and Purpose: Alcohol and marijuana misuse and suicide are pervasive public health problems among youth in the United States. It is estimated that over 190,000 youth go to the emergency department each year as a result of alcohol related injuries and over 5,000 youth are estimated to die each year from alcohol related incidents. Moreover, suicide is the second leading cause of death for adolescents, resulting in more than one in ten deaths among adolescents. Having a history of childhood abuse confers risk for suicidal ideation and alcohol and marijuana use, however, some significant gaps remain in the empirical literature. The purpose of this study was to examine the co-occurrence of alcohol and marijuana use and suicidal thoughts among maltreated youth over time and to investigate longitudinal predictors of alcohol use, marijuana use, and suicidal thoughts among maltreated youth. Methods: Data from this study come from the National Survey of Child and Adolescent Wellbeing II (NSCAW II), a three wave longitudinal survey of U.S. youth and their families who had child abuse or neglect investigations conducted by Child Protective Services. For this study, adolescents (N = 1,402) age 11-17.5 (M age = 14.13; 52.85% White; 55.43% female) were included in analyses. Variables included alcohol use; marijuana use; suicidal ideation; deviant peer affiliation; age; gender; race; maltreatment type; placement type; caregiver physical health, mental health, drug abuse, alcohol dependence; and time. Three random effect models were estimated for alcohol use, marijuana use, and suicidal ideation. Results: The first model was significant (Wald Chi 2 = 117.13, p < .001) with marijuana use, caregiver drug abuse, deviant peer affiliation, age, and race predicting alcohol use. The second model was significant (Wald Chi 2 = 70.57, p < .001) with alcohol use, deviant peer affiliation, age, and time predicting marijuana use. The third model was significant (Wald Chi 2 = 47.45, p < .001) with alcohol use, deviant peer affiliation, age, and gender predicting suicidal ideation. When controlling for all other variables, adolescents with suicidal ideation were 113% more likely to drink alcohol than those without, and adolescents who drank alcohol were 134% more likely to have suicidal ideation than those who did not. Conclusions and Implications: Results indicate a bidirectional relationship between alcohol use and suicidal ideation among child welfare involved youth. This relationship was not present between marijuana use and suicide ideation. Findings highlight the critical need for additional supports and interventions for youth involved with the child welfare system and suggest that the child welfare system may benefit from the implementation of integrated alcohol and suicide prevention services in an effort to ameliorate the public health problems of alcohol misuse and suicide.",
      "authors": "Christina M. Sellers; Antonia Diaz-Valdes Iriarte; Kimberly H. McManama O'Brien",
      "author_ids": "116177; 118076; 110756",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3355474792,
        "prompt_eval_count": 1557,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:10:32.756254+00:00"
    },
    {
      "input_index": 967,
      "record_key": "SSWR:2019-U-0707",
      "source_database": "SSWR",
      "record_id": "2019-U-0707",
      "year": 2019,
      "title": "Applied Social Theatre As Participatory Action Research: Experiences of Adolescent Depression",
      "abstract": "Introduction This participatory arts based action research project arose out of dialogues convened to address the need within the local school system on youth depression and adolescent suicide within a local school system.  Many of these questions explored included, what led to this tragedy? What are youth’s understandings and experiences of youth depression in the local community?  How can we work actively to amplify the voices of adolescents experiencing depression?  What can we do collaboratively to educate the community at large in partnership with youth, human services organizations, and academic institutions? Theory Base Three primary theoretical perspectives guide the project.  Ecological systems theory, critical theory, and narrative theory each holding distinct assumptions associated with social order, knowledge, youth development, and social consciousness raising guide the inquiry.  Bronfenbrenner (1979) the forerunner of ecological systems theory analyzes childhood development as the interplay of various systems that directly impact the development of children and youth spanning individual level experience, the family, the community, to broader level institutional influences.  Critical theory moves a step further positing that knowledge, power, history and culture link inextricably to social institutions.  Concerned with their role within capitalist societies, it critiques society in order to change it (Shimei, Krumer-Nevo, Saar-Heiman, Russo-Carmel, Mirmovitch, & Zaitoun-Aricha, 2016).  Narrative Theory also serves an essential role in informing the project design and methodology. Influenced by post-modernist assumptions rejecting universal truths, grand narratives, and generalizability, it emphasizes deconstructing and reconstructing the story of the data based on the subjective experiences of participants (Claine, Estefan, & Clandinin, 2013; Walsh, 2013).  Essentially, it honors participants as experts of their own social world. Project Design Adolescents aged 14 to 22 from local high school and university systems shared their stories in a series of interviews.  Concurrently, youth performers began conducting research on adolescent depression while learning techniques of documentary theatre, critical performance ethnography, and moment work facilitated by consultants from the Tectonic Theater Project and adult mentors.  Researchers shared interview transcripts with the youth ensemble, which they then analyzed in order to capture stories, identify emergent themes and develop a performance from the voices of youth experiencing depression.   It incorporated narrative play-building, action research methodologies, and social consciousness raising within the local community for the purpose of discovery, public education, and to build dialogue toward collective problem solving and social change . Results, Findings, and Discussion Findings situate the narrative in the lived experience of the youth themselves through four chapters.  The first defines depression through youth experiences.  The second chapter focuses on stigma in families, in the media, and in social systems.  The third chapter centers on unique implications of depression, and the final chapter hones in on treatment.  Split into three sub-episodes it covers treatment, support, and hope for the future.  This chapter discusses the project as an applied integrative participatory research project from inception to results, and as a dynamic social consciousness raising tool with various implications for practical knowledge building, therapeutic ends, and public education.",
      "authors": "Jason Michael Sawyer",
      "author_ids": "116255",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3371273208,
        "prompt_eval_count": 1592,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:10:45.812070+00:00"
    },
    {
      "input_index": 968,
      "record_key": "SSWR:2019-P-0623",
      "source_database": "SSWR",
      "record_id": "2019-P-0623",
      "year": 2019,
      "title": "Assisted Outpatient Treatment in Los Angeles County: Implications for Involuntary Outpatient Services",
      "abstract": "Background and Purpose. Assisted Outpatient Treatment (AOT), also known as involuntary outpatient treatment, involves the provision of intensive mental health services and case management to high-risk individuals with serious mental illness (SMI). However, a unique feature of California AOT programs is that individuals can agree to services voluntarily after 30 days of outreach and engagement. AOT program eligibility criteria vary by state, but generally include histories of violence and suicidality and frequent hospitalizations or incarcerations. The effectiveness of these specialized involuntary programs to effectively target and enroll those with violent histories is understudied, and yet is critically important to their planning and implementation. The goals of this presentation are the following: a) explore quantitative rates and qualitative experiences of violence among those referred to AOT and their families, and b) examine quantitatively what factors predict whether individuals meet criteria for AOT and if they enroll. Methods: Data were drawn from county program and administrative datasets, qualitative interviews with family members, and ethnographic observations. All 1302 referrals to Los Angeles County’s AOT from its inception in May 2015-January 2018 were evaluated. 64% (n = 830) were determined to meet criteria for AOT services and 377 enrolled in AOT. Twenty-four interviews with family members were completed. Descriptive analyses were completed of the rates of violence to self and others. Logistic regression was used to test whether risk factors associated with violence (being homeless, current substance use, age, gender, and race/ethnicity) were associated with whether participants met criteria for AOT and if participants enrolled in services. In the model where enrollment was the outcome, whether services were involuntary was also included as a predictor. Results: Quantitative and qualitative data suggest high rates of violence to self and others by those referred to AOT. Official records of acts of violence to self and others before enrollment were recorded only as of May 2016. Of the 514 persons for whom this data is available: 49% had at least one act of self-harm. For violence to others, among the 668 with data, 77% had least one instance of harm to others. Qualitative data suggest very high levels of violent victimization by both AOT referred persons and their families, including high rates of self-injury and interpersonal violence (especially against family members). Family members described safety concerns and reported several strategies employed to manage their safety, which interfered with their quality of life (locking bedroom doors at night, moving to an unknown location). Involuntary treatment was ordered for 61 individuals. In a logistic regression model of whether or not individuals met criteria for AOT, those who were younger (OR=.99), homeless (OR=.75), or whose race/ethnicity was other (OR=.20; reference group: Whites) were all less likely to meet criteria. Individuals currently using substances were more likely to meet criteria (OR= 1.40). In a logistic regression, among those assigned a provider, only involuntary status predicted enrollment in services (OR=2.31). Conclusions and Implications: Violence to self and others are central issues for individuals who are referred for involuntary outpatient mental health treatment.",
      "authors": "Erin L. Kelly; Ryan Dougherty; Charlotte Neary-Bremer; Rachel Ohman; Ronald Calderon; Enrico Castillo; Sarah Starks; Marcia Meldrum; Philippe Bourgois; Joel Braslow",
      "author_ids": "113239; 116558; 119003; 119004; 119005; 119006; 116211; 116212; 119007; 112611",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "mixed_methods",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3361325333,
        "prompt_eval_count": 1604,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:10:49.174967+00:00"
    },
    {
      "input_index": 970,
      "record_key": "SSWR:2019-P-0127",
      "source_database": "SSWR",
      "record_id": "2019-P-0127",
      "year": 2019,
      "title": "Behavioral Health Interventions for LGBTQ+ Youth: A Systematic Review",
      "abstract": "Study Aims: LGBTQ+-identified individuals are at elevated risk for suicidal attempts and ideation, self-harm, substance use, and mental illness; this risk is magnified amongst LGBTQ+ adolescents (Liu and Mustanski, 2012; Marshal et al., 2008). Evidence-based behavioral interventions use skill acquisition and generalization as treatment for these mental health concerns, albeit there is limited existing research examining the effectiveness of these interventions specifically among LGBTQ+ adolescents. Thus, it is critical to synthesize extant literature assessing the efficacy of such interventions within this population. Methods: This systematic review examines behavioral interventions for LGBTQ+ adolescents with mental illness and substance use. Following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) method, a screening process was used to assess eligibility for inclusion (Moher et al., 2009). Results:  Researchers consulted three electronic databases (Embase, PsycInfo, and Web of Science), yielding 621 results. Six additional references were identified through reference lists. During screening, 613 studies were excluded due to irrelevance. Fourteen articles were assessed via full text review. Three additional exclusions did not assess behavioral health outcomes in LGBTQ+ adolescents or were not delivered by a mental health professional. Eleven studies, ranging from a 3-session drug use prevention program to a 10-session school-counseling program, met inclusion criteria. Studies were evaluated for methodological quality and treatment outcomes. Outcomes included decreased suicidal behaviors, depressive symptoms, substance use, and social isolation. Significant design and methodological limitations were present across most included studies; five studies presented case reports and only one study used a randomized controlled trial design. Treatment models were evaluated to determine if they were implemented in standardized form, or if they were adapted for the specific needs of LGBTQ+ youth (e.g. minority stress). Conclusion: The review suggests limited and preliminary evidence supporting the use of interventions to reduce mental health problems specifically in LGBTQ+ adolescents. Given the methodological limitations of the studies, it is not yet possible to determine the effectiveness of specific adaptations addressing minority stress. More rigorous research is required to determine if interventions including minority stress of LGBTQ+ adolescents are more effective than standard treatment models. Despite the increased risk of suicide in the LGBTQ+ community, only two of the reviewed studies assessed changes in suicidal behavior. It is essential that future research examines the efficacy of interventions on mental health and self-harm within this demographic.",
      "authors": "Kelsey Reeder, LCSW; Lauren Bochicchio; Hunter Pope; Andre' Ivanoff",
      "author_ids": "118102; 116898; 118103; 108609",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "review",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Review"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3062020834,
        "prompt_eval_count": 1430,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:10:55.887647+00:00",
      "screening_source": "Primary screen; blind audit agreement",
      "accuracy_audit": {
        "sample_group": "Review",
        "random_seed": 20260802,
        "blind_screening": {
          "is_relevant": true,
          "relevance_rationale": "The abstract explicitly identifies elevated suicide risk in LGBTQ+ youth as a key context and reports that 'decreased suicidal behaviors' were among the outcomes assessed in the included studies, making suicide a distinctly analyzed component.",
          "evidence_class": "Empirical",
          "empirical_method": "Review",
          "classification_rationale": "The record is explicitly identified as a systematic review following PRISMA guidelines with a defined search strategy and inclusion/exclusion process.",
          "confidence": "High"
        },
        "full_label_agreement": true
      }
    },
    {
      "input_index": 971,
      "record_key": "SSWR:2019-P-0420",
      "source_database": "SSWR",
      "record_id": "2019-P-0420",
      "year": 2019,
      "title": "Changing Characteristics of Individuals Admitted to Residential Treatment for Opioid Use and Mental Health Disorders",
      "abstract": "BACKGROUND AND PURPOSE: Few studies have examined differences between baseline characteristics of opioid and nonopioid users with co-occurring disorders entering residential treatment. To date, no studies have explored how these baseline characteristics may have changed as the opioid epidemic worsened between 2013 and 2017. It is important to understand baseline characteristics because they highlight key risk and protective factors for individuals entering treatment, such as medical conditions, legal problems, employment status, and whether individuals in treatment have supportive family or social relationships. Such baseline characteristics can allow treatment to be tailored to individuals’ specific needs, and are predictive of retention or dropout from treatment. Being able to tailor treatment for individuals with co-occurring disorders is especially important because this population has greater risk of polysubstance use, suicide, illnesses, violence, victimization, and early death. Filling gaps in the literature that can help inform treatment protocols is critical as society grapples with an intensifying epidemic. In 2016, 11.8 million individuals misused opioids, and 2.1 million people had an opioid use disorder. Each day over 115 people in the United States overdose on opioids, a number that far exceeds annual car accident fatalities. In 2015 alone, the opioid epidemic cost $504 billion. Recognizing the mounting crisis, President Trump declared that opioid misuse is a public health emergency in 2017. METHODS: Data were drawn from 1535 individuals treated during 2013 and 2017 at one of three private residential treatment centers that provide integrated treatment for co-occurring substance use and mental disorders. The Addiction Severity Index (ASI) measured substance use behaviors, mental health indicators, and addiction severity across the following seven areas: (1) medical, (2) employment, (3) alcohol consumption, (4) drug use, (5) legal problems, (6) family or social support, and (7) psychiatric outcomes. Using t-tests for continuous variables and Chi-square tests for categorical variables, we compared ASI scores on each of the indices between 2013 and 2017 for both opioid and non-opioid users. Analyses were conducted in SPSS 25. RESULTS: Our study found that 2017 opioid users’ baseline ASI scores indicated a more severe clinical profile in the following areas: employment, alcohol, and drugs. Both opioid and non-opioid users had less severe medical and legal problems, and more severe psychiatric problems in 2017 than 2013. Non-opioid users only experienced less family support in 2017 than 2013. In 2017, opioid users had higher rates of alcohol consumption, alcohol intoxication, cocaine use, and other opiate use. Both opioid and non-opioid users had higher rates of polysubstance use, depression, anxiety, hallucinations, and suicidal ideation in 2017 compared to 2013. IMPLICATIONS: This study’s findings have important implications for treatment providers and policy makers alike. The more severe clinical presentation of opioid users in 2017 underscores the need for more substance use treatment programs to address both co-occurring disorders and polysubstance use.",
      "authors": "Brian E. Bride; Siobhan Morse; Susan M. Snyder",
      "author_ids": "108076; 115635; 112756",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3399315042,
        "prompt_eval_count": 1612,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:10:59.288771+00:00"
    },
    {
      "input_index": 972,
      "record_key": "SSWR:2019-U-0420",
      "source_database": "SSWR",
      "record_id": "2019-U-0420",
      "year": 2019,
      "title": "Charting Suicide Risk in Latina Adolescents",
      "abstract": "Background and Purpose: To date, theories of suicidality have fallen short of capturing the complexities and nuances of the lived experiences of Latinos in the United States. This limitation is particularly relevant given that Latina adolescents attempt suicide at a rate 1.5 times higher than their African-American and non-Hispanic White peers. The high prevalence of suicidal behaviors has significant—and sobering—implications for the future well-being of Latina youth, as attempted suicide is demonstrated to be a strong predictor of completed suicide. System dynamics holds great promise for advancing understandings of suicidal risk within a population that is subject to powerful challenges, including migration trauma, deportation, acculturation gaps, social isolation, and racism. This presentation applies qualitative system dynamics to map potential causal feedback mechanisms that shape suicide risk among Latina adolescents. Methods. We present qualitative data from a sample of 60 Latina adolescents between the ages of 11 and 19 years with (n = 30) and without (n = 30) histories of suicidal behaviors. The average age of the girls was 15 years. Most were born in the U.S. (68.7%). Participants identified with several different Hispanic subgroups, but the majority identified as Puerto Rican, Dominican, and Mexican. Data were analyzed following a grounded theory approach to develop a feedback theory that illustrates causal feedback loops likely to play a role in patterns of suicide risk among Latina adolescents. Results. The feedback theory suggests that the interaction of several factors shaped the development of suicidal behaviors. For example, self-perceptions of worthlessness often contributed to adolescents’ decisions to skip school, engage in drug use, and participate in risky sexual activities. These behaviors, in turn, increased the likelihood of interpersonal conflict within families, resulting in a feedback loop that reinforced cognitive vulnerabilities. Over time, the accumulation of negative experiences influenced adolescents’ decisions to attempt suicide. Additionally, the feedback theory identifies key protective factors that potentially offset suicide risk. For example, results suggest that cultural socialization could be an important factor in decreasing cognitive vulnerabilities and promoting resilience in the face of adverse experiences, including discrimination and trauma. Conclusions and Implications. For more than two decades, Latina adolescents have been shown to be at heightened risk for suicidal behaviors. Yet, few evidence-based prevention and intervention strategies have been developed that are tailored specifically to the experiences of Latina teens and their families. By examining trajectories of suicide risk, our findings point to important targets for prevention and treatment to mitigate poor mental health outcomes for Latina youth. We conclude our presentation with a discussion of potential policy and practice considerations when working with Latina teens and their families in the aftermath of a suicide attempt.",
      "authors": "Lauren E. Gulbas; Esther Calzada, PhD; Peter S. Hovmand; Carolina M. Hausmann-Stabile; Luis H. Zayas",
      "author_ids": "111719; 113849; 108423; 112385; 110995",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3141313709,
        "prompt_eval_count": 1452,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:11:02.431943+00:00"
    },
    {
      "input_index": 973,
      "record_key": "SSWR:2019-U-0419",
      "source_database": "SSWR",
      "record_id": "2019-U-0419",
      "year": 2019,
      "title": "Child Maltreatment, Discrimination and Suicide: Risk Pathways for Sexual and Gender Minority Youth",
      "abstract": "Background & Purpose Sexual and gender minority youth (SGMY) are one of the most vulnerable groups of children in the United States. SGMY experience child maltreatment at higher rates and are adversely and disproportionately impacted by discrimination relative to cisgender and heterosexual youth (CHY). In addition, research consistently indicates that SGMY experience suicidal thoughts and attempt suicide at higher rates than their CHY counterparts. The aim of this study is to test the associations between child maltreatment, discrimination, and suicide risk among SGMY. Methods Participants between the ages of 13-24 who identified as sexual and/or gender minority (N=94) were recruited from drop-in centers for LGBT youth (M=18, SD=2.87) in the northeast US. The Childhood Trauma Questionnaire (CTQ) was used to measure their experience with childhood abuse (e.g., neglect, physical, sexual, emotional). The Everyday Discrimination Scale (EDS) was used to measure their experience with discrimination (e.g., harassed, insulted, lack of respect). The Columbia-Suicide Severity Rating Scale (C-SSRS) was used to measure their level of suicide risk (e.g., suicide ideation, plan, intent, attempt). In order to test study hypotheses, three analyses were conducted: First, the relationship between child maltreatment and suicide risk was analyzed through correlation analyses, with an additional regression analysis examining this relationship by abuse type. Second, the relationship between discrimination and suicide risk was examined. Third, the relationship among maltreatment, discrimination, and suicide risk was tested. Results Results indicated a significant relationship between child maltreatment and suicide risk. Specifically, increases in maltreatment were associated with increases in suicide risk (r = 0.47, p <.001). Regression analyses of the four maltreatment types as predictors of suicide risk was statistically significant (R2 = 0.13, F(4, 87) = 4.33, p <.01). Of maltreatment subtypes, emotional abuse was the only significant predictor (Beta = 0.64, p <.01) of suicide risk. With regard to discrimination experiences and suicide risk, there was a statistically significant correlation, as increases in discrimination were associated with increases in suicide risk (r= 0.48, p <.0001). In examining child maltreatment, discrimination and suicide risk, regression analyses revealed that experience with child maltreatment (Beta = 0.03, p <.01) and discrimination (Beta = 0.05, p <.01) both significantly predicted suicide risk (R2 = 0.27, F(2, 114) = 21.37, p <.0001). Implications The study supports previous findings on the relationship between child maltreatment and suicide risk for SGMY. Of particular interest is the finding regarding EA, as it is the abuse type most likely to predict suicide risk. EA has been understudied to date, given low substantiation rates due to the evidence required for substantiation and this warrants further exploration. Child maltreatment (particularly EA) and discrimination represent an important area of assessment for SGMY service providers, as maltreatment and discrimination may be potential pathways to suicide. The findings also emphasize the need for school and community-level interventions and programs that focus on education and training regarding the adverse impact of discrimination on the safety and well-being of SGMY.",
      "authors": "Melinda Gushwa; Christina M. Sellers; Jennifer M. Putney; Kimberly H. McManama O'Brien",
      "author_ids": "111983; 116177; 116572; 110756",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3416524417,
        "prompt_eval_count": 1647,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:11:05.850244+00:00"
    },
    {
      "input_index": 974,
      "record_key": "SSWR:2019-P-0520",
      "source_database": "SSWR",
      "record_id": "2019-P-0520",
      "year": 2019,
      "title": "Correlates of Prescription Drug Misuse (PDM) Among Young Adults Experiencing Homelessness in 7 Cities across the United States",
      "abstract": "Background: Prescription Drug Misuse (PDM) among young adults aged 18-25 is an urgent public health concern facing the United States. Young adults experiencing homelessness are at a higher likelihood of experiencing a wide array of negative health outcomes including high substance use. However, community prevalence estimates of PDM engagement among young adults who experience homelessness are sparse. Extant data from smaller studies of homeless or street-involved youth in the United States have reported that approximately 25% of homeless youth engage in PDM (Al-Tayyib, Rice, Rhoades, & Riggs, 2014; Rhoades, Winetrobe, & Rice, 2014; Barman-Adhikari, Al-Tayyib, Begun, Bowen & Rice, 2017), which is several times the rate reported in the general population of young adults. Even though these studies provide us with important data regarding PDM engagement among this group of young people, they were all conducted in one geographical region (i.e. Los Angeles) and used data collected in 2013. It is important that we expand on this research and continue to document more recent patterns of PDM engagement across a more geographically diverse sample so that appropriate interventions can continue to be developed and tailored to reduce PDM engagement among this particularly vulnerable group of youth. Methods: This study used data from the Homeless Youth Risk and Resilience Survey (HYRRS), a survey administered to approximately 200 young adults (ages 18-26) in each of 7 cities (Houston, LA, Denver, Phoenix, NYC, St. Louis, San Jose; N=1424) from June 2016-July 2017. Participants provided information on substance use, mental health, trauma and sexual risk behaviors. Multivariate logistic regression was utilized to assess demographic, psychological and behavioral correlates of PDM engagement (categorized into stimulant, sedative and opioids). Results: Approximately 20% of participants reported past month PDM. 45.88% reported using opioids only, 43.37 % used sedatives only and 30.11 % used stimulants only. Youth reported that that they obtained prescriptions most commonly from friends or relatives for free (38.49%). Approximately 23% of youth said that they obtained it from a doctor. Multivariate logistic regressions revealed that perceived unmet mental health needs were associated with sedative (OR=2.88, CI=1.30-2.99) and stimulant use (OR=3.84; CI=1.62-4.27) but not with opioid use. Having suicidal thoughts was however associated with opioid use (OR=1.74; CI=1.08-2.79) but not with sedative or stimulant use. Hard drug use, pot use and injection drug use significantly correlated with all three types of PDM. While there no geographical differences for stimulant and sedative use, youth who were interviewed in Phoenix (OR=2.59; CI=1.29-6.54), Houston (OR=2.56; CI=1.28-6.38) and NYC (OR=2.25; CI=1.13-5.99) were more likely to engage in opioid use relative to youth interviewed in Los Angeles. Implications : These results provide significant information on a growing public health concern. These findings indicate that interventions designed to address PDM needs to be multifaceted and designed to address a range of other risk behaviors that are correlated with PDM. This could include acknowledging the clustering of substance use behaviors, unmet mental health needs, access to prescription drugs and geographical differences that contribute to disparate rates and types of PDM engagement.",
      "authors": "Anamika Barman-Adhikari; Hsun-Ta Hsu; Robin Petering; Diane Santa Maria; Kimberly A. Bender; Sarah C. Narendorf; Jama Shelton; Kristin M. Ferguson",
      "author_ids": "111343; 112266; 113367; 113823; 109018; 110963; 112631; 110755",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3681871875,
        "prompt_eval_count": 1751,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:11:09.533910+00:00"
    },
    {
      "input_index": 975,
      "record_key": "SSWR:2019-P-0314",
      "source_database": "SSWR",
      "record_id": "2019-P-0314",
      "year": 2019,
      "title": "Covariation Among Adolescent Problem Behaviors: Cross-Country Perspectives",
      "abstract": "Background/Purpose: To the extent adolescent problem behaviors (e.g. alcohol use, cigarette smoking, drug use) are impacted by common causes, they will be highly correlated with one another. To the extent they are impacted by unique, behavior-specific determinants, the correlations will be low. Documenting the degree of correlation among problem behaviors is important because the magnitude of the correlation provides information about the ceiling effects we can expect for different interventions, such as those emphasizing youth development (common causes) versus behavior-specific programs (unique causes). Adolescent problem behaviors are traditionally thought to be highly correlated. The present study documented the correlation among adolescent problem behaviors in each of 104 countries in youth ages 13-15. World systems theory was used to make predictions of country-level predictors of correlation magnitudes, including Gini Index, GNI per capita, and health expenditures (% of GDP). Methods: Data were analyzed on adolescent problem behaviors from the most recent Global School-based Student Health Survey and the Health Behavior in School-aged Children survey. Data on nation-wide indicators were obtained from the World Bank DataBank, Standardized World Income Inequality Database, and world system classifications. The study focused on recent problem behaviors (e.g., alcohol use, cigarette smoking, drug use, sexual behavior, physical fight, and suicidal attempt). Problem behaviors were quantified both as dichotomous variables and count variables. We used multiple effect size indices (e.g., phi coefficient) for dichotomous variables and Pearson correlation for count variables. Meta-regression for calculating across-country average correlations and analyzing country-level predictors were performed using robust variance estimation methods assuming a random effects model. Results: The sample included 358,141 adolescents (mean age 14.2, 52% female). The average correlation for engaging in any two problem behaviors among the six problem behaviors was 0.194, with the highest correlation of 0.365 between alcohol use and cigarette smoking and the lowest correlation of 0.082 between sexual behavior and suicidal attempt, and. The average correlation for counts between any two problem behaviors was 0.233 with the highest between alcohol use and cigarette smoking (0.376) and lowest between physical fight and suicidal attempt (0.154). Health expenditure and GNI per capita were positively associated with the magnitude of the correlations between problem behaviors. Periphery countries had lower correlations than core countries when evaluated in the context of world systems theory. Income inequality was negatively associated with the correlations, but the coefficient was non-significant when controlling for GNI per capita. Conclusions and Implications: Correlations between problem behaviors exist but the magnitude is modest in 104 countries across different cultural, economic, and political environments, suggesting that problem behaviors have far more unique than common variance. The correlation varies depending on the specific problem behavior pairs. GNI per capita and health expenditure are robust nation-level predictors of the magnitude of correlations. Programs that focus on broadly defined common causes likely have a somewhat low ceiling effect in terms of change potential. It is necessary to develop both general youth development and problem behavior-specific prevention programs to address the common and unique determinants of each problem behavior.",
      "authors": "Ai Bo; James J. Jaccard, PhD",
      "author_ids": "117323; 113134",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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      "screened_at": "2026-08-02T18:11:12.897478+00:00"
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    {
      "input_index": 976,
      "record_key": "SSWR:2019-U-0651",
      "source_database": "SSWR",
      "record_id": "2019-U-0651",
      "year": 2019,
      "title": "Cultural Connection and Mental Health Among Indigenous Peoples in Canada",
      "abstract": "Background and Purpose: Cultural connection and group identity may be a protective factor for marginalized racial and ethnic minority groups. However, little research has addressed this question among indigenous populations or with nationally representative data. We address this gap by considering whether cultural connectivity (as measured by Aboriginal language skills) may protect the mental health of Aboriginal individuals in Canada. The limited exigent literature provides some evidence that high rates of traditional language knowledge at the community level, are protective against indigenous youth suicide. We hypothesized that language knowledge measured nationally at the individual level would also prove protective. Methods: We used the 2012 Aboriginal Peoples Survey (APS), a nationally representative study of First Nations, Metis, and Inuit peoples in Canada. We used a subsample of respondents aged 15 or older that were asked questions about mental health (n= 15,329). Measures of cultural connectivity included: aboriginal language ability (none, understand, understand and speak), exposure (none, outside home only, in home only, both inside and outside home), and importance (low, average, high). We addressed three outcomes: anxiety diagnosis (yes/no), overall distress (K10 distress scale, ranging 0-52), and suicidal ideation (yes/no). Multiple imputation was used to preserve sample size (M= 20). Logistic regression was used for anxiety and suicidal ideation and OLS regression for distress. Control variables included: income, education, participation in traditional activities, reservation residence, language importance, Registered Indian status, indigenous identity, respondent’s sex, respondent’s marital status, and household size. Results: High aboriginal language ability (vs. no ability) significantly reduced anxiety (OR= 1.11, p< .001), and distress score (b= 1.02, p<.001). Suicidal ideation was significantly increased for individuals who reported only understanding an aboriginal language (vs. no ability) (OR=1.08, p<.01). Language exposure both inside and outside the home was negatively associated with all three outcomes, as well. Language importance had no effect on mental health. Conclusions and implications: The use of, and exposure to, aboriginal language is a protective factor for some mental health conditions. Our results contribute to the literature by illustrating that cultural factors may help marginalized individuals overcome adversity—improving their health and life chances. This study diverges from the current literature, which focuses on community-level language ability, in some ways—particularly as it relates to suicidal ideation. Such findings suggest that the mechanisms that may be protective for communities may not be equally protective for individuals. It is possible that individual cultural loss may be particularly negative and may not be clear at the mezzo- or macro-levels. These findings are relevant to practitioners as it provides more nuanced insights into the role that cultural connectedness plays in aboriginal mental health, including improving our ability to identify those at increased risk of suicide. From a policy perspective, this research suggests the importance of providing and supporting opportunities for aboriginal individuals to engage their language and culture both inside and outside the home. Finally, this research raises important questions about the significance of cultural connectivity for other marginalized groups in North America.",
      "authors": "Andrew Renick; Kevin Shafer",
      "author_ids": "118790; 112575",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:11:16.291067+00:00"
    },
    {
      "input_index": 978,
      "record_key": "SSWR:2019-U-0043",
      "source_database": "SSWR",
      "record_id": "2019-U-0043",
      "year": 2019,
      "title": "Cumulative Adversity Profiles Among Youth Experiencing Housing and Parental Care Instability",
      "abstract": "Background/Purpose: This study builds on growing recognition of the harmful impacts of instability in youths’ developmental ecologies on their health and psychosocial functioning (Sandstrom & Huerta, 2013). We draw upon cumulative adversity (Hatch, 2005) and stress proliferation (Pearlin et al. 2005) theorizing to examine  risk and protective resource profiles of general population youth with no, single form, or double form current  instability vis-à-vis housing and parental care. Extending cumulative adversity research, we conceptually integrate work on social determinants, adverse childhood experiences, and housing and parental care instability as these merge to form impediments to healthy psychosocial functioning. We hypothesize that these experiences of instability will be associated with a paucity of other family and school based supports as well as poorer functioning across multiple forms of psychosocial health. Methods: Data derive from the 2016 sample (n=27,087) of 8th, 10th, and 12th grade students in the Washington State Healthy Youth Survey (HYS), with demographic composition representative of the state. Youth were distinguished as experiencing/not experiencing housing and parental care instability in the past month: neither instability, one form, or both forms. Outcome variables were constructed along individual, family, and school domains, using well-established validated measures from national surveys. The Individual domain contains scales and indices assessing quality of life (5 items), self-regulation skills (4 items), mental health (internalizing and suicidality, 6 items), cumulative victimization (maltreatment, peer-victimization, and dating violence, 11 items), and grades. Family domain outcomes include two family-domain scales: family management (8 items) and family opportunities (3 items). School domain outcomes include three school-domain scales: school commitment (7 items), prosocial involvement (5 items), and prosocial reinforcement (4 items). Analysis of Covariance (ANCOVA) tests assessed mean level differences between instability groups across all outcome measures, controlling for the effects of gender and race/ethnicity. Bonferroni posthoc pairwise tests assessed statistically significant differences between each instability group across the psychosocial functioning measures. Results: Demographically, both single and double instability youth were more represented by males, sexual minorities, and youth of color, compared to neither instability youth, particularly marked for those with double instability. Analyses established significant ANCOVA results for each outcome measures with nearly each test of instability group contrast also achieving significance. These findings indicate stepped effect trends consistent with cumulative adversity theorizing across multi-level domains of youth health, functioning and resources. Conclusions and Implications: Our findings illuminate a broad band of risks to healthy development among school-based youth experiencing fundamental forms of instability.  Specifically, with increased instability, instances of victimization are elevated, grades, self-regulation capabilities and school engagement worsen, experiences of problematic psychological health increase, and family and peer relationships become more limited and strained. These dimensions of cumulative adversity and health erosion operate in tandem with poverty and other social marginalities. The paper discusses theorized mechanisms through which cumulative adversity conveys effects as well as implications for social work prevention and resilience-fostering strategies in schools and other youth-serving settings.",
      "authors": "H.J. Crume; Paula S. Nurius; Christopher M. Fleming",
      "author_ids": "118019; 108293; 116468",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:11:23.018922+00:00"
    },
    {
      "input_index": 979,
      "record_key": "SSWR:2019-P-0356",
      "source_database": "SSWR",
      "record_id": "2019-P-0356",
      "year": 2019,
      "title": "Cumulative Social Network Risks and Youth Suicidal Behaviors: The Role of Youth Resilience",
      "abstract": "Background/Purpose Suicide is the second leading cause of death among adolescents. Youth are at risk for suicide if their developmental trajectories are is accompanied by accumulative risks spanning multiple spheres of social networks. This evidence reinforced the importance of integrating social network risks from various domains. Alongside cumulative risks, a burgeoning literature addresses the need to consider youth resilience to understand the protective factors that mitigate the cumulative risks. Yet, few studies examined the cumulative risks and reliance on suicidal behaviors concurrently. This study aims to integrate ecological theory with resilience perspective to examine the relations among cumulative social network risks, youth resilience, and youth suicidal behaviors. Specifically, it hypothesizes that (a) network risks from different domains account for unique variation in suicidal behaviors; (b) cumulative risk is associated linearly with suicidal behaviors; and (c) youth resilience factors partially counteract cross-domain risks on suicidal behaviors. This study contributes to the literature through (a) the use of large-scale nationally-representative data and ecologically-based perspective; (b) more holistic examination of risk factors from a broader array of domains; and (c) investigating the impact of cumulative network risks and protective factors simultaneously. Such information could contribute to health promotion and suicide prevention among adolescents experiencing cumulative risks. Methods Data and sample: This study uses data from the National Longitudinal Study of Adolescent Health (Wave I-II), including a nationally-representative sample of 4,834 youth in grades 7 th -12 th . Measures: Cumulative risk index was constructed by a composite score of 15 dichotomized social network risk indicators across domains: family background (parents’ marital status, household size); family networks (closeness with mother/father, satisfied relationships with mother/father, family detachment, parental involvement), peer networks (peer support, peer rejection), school networks (school detachment, perceived prejudice), and neighborhood networks (neighborhood relationship). Resilience was assessed using academic performance, problem-solving ability, and self-esteem. Demographic variables included gender, race/ethnicity, and developmental stage. Psychological characteristics were measured by depressed mood. Analysis: Multivariate hierarchical logistic regression was used to evaluate the variance contributed by the cumulative risk factors and resilience, controlling for demographic and psychological characteristics and adjusting for complex survey design. Results Cumulative risk was significantly associated with suicidal ideation (OR= 1.18, 95% CI = 1.12-1.24) in Time 1 (T1) but not suicidal behaviors in Time (T2) after entering the resilience factors. A protective-reactive effect of self-esteem was found for T1 suicidal ideation (OR= 0.69), T1 suicide attempt (OR=0.43), and T2 suicidal ideation (OR=0.65). Specifically, family detachment was a persistent risk factor for suicidal ideation in both waves. Peer rejection was associated with higher suicide attempt in T1, while school support was related to increased risk of suicide attempt one year after. Conclusions Cumulative network risks were related to suicidal ideation, while youth resilience could buffer the negative impacts. Family detachment, peer rejection, and school support are notable network risks that need to be addressed. Self-esteem was the most salient protective factor of suicidal behaviors. Social workers, public health professionals, healthcare practitioners, and community members shall collaborate to promote resilience among adolescents experiencing risks across social network domains.",
      "authors": "Yunyu Xiao; Yichen Zhang",
      "author_ids": "117116; 118427",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3372197292,
        "prompt_eval_count": 1625,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:11:26.393154+00:00"
    },
    {
      "input_index": 980,
      "record_key": "SSWR:2019-P-0596",
      "source_database": "SSWR",
      "record_id": "2019-P-0596",
      "year": 2019,
      "title": "Diverse Well-Being Profiles of LGBTQ College Students and Multi-Level Covariates",
      "abstract": "Background & Purpose Research suggests that discrimination, including everyday microaggressions can contribute to poor psychological well-being among LGBTQ individuals, including college students. Though important research, these studies provide partial understanding of students’ experiences as they often only focus on negative outcomes, such as distress, and overlook positive ones, for example self-esteem. Additionally, these studies neglect multi-level factors that may produce differential well-being outcomes among students. Effective treatment and prevention interventions rely on a holistic understanding of the person and their context. Therefore, in this study we simultaneously examine indicators of positive and negative psychological well-being and microaggressions, and how together, they may produce diverse student profiles. Further, we examine the individual- and institutional-level factors associated with different well-being profiles. Methods A convenience sample of LGBTQ college students (n=406) completed an anonymous survey. Participants were recruited via online LGBTQ networks. Interpersonal and environmental microaggressions were measured using scales specific to sexual minority and transgender student populations. Well-being measures included suicidal ideation, anxiety (GAD-7; Spitzer et al., 2006), perceived stress (Cohen et al., 1983), internalized LGBTQ stigma, and self-esteem (Rosenberg, 1965). Individual-level factors included age, gender identity, and race. Participants reported their college’s name, from which the researchers assessed the existence of 11 LGBTQ policies (e.g., anti-discrimination policy, name of choice, gender transition health insurance), student resources (e.g., safe-space, ally training, support groups) and educational programming (e.g., for-credit LGBTQ courses) based on website review/contact with institutions. After exploratory analysis, we conducted latent profile analysis using Mplus and identified the factors associated with each profile using the BCH and DCAT subcommand. Results Three latent profiles were produced: 1) low microaggressions and high well-being (n=157); 2) moderate microaggressions and well-being, but high internalized stigma (n=168); and 3) high microaggression and low well-being (n=81). Examining the role of socio-demographic and LGBTQ institutional factors, we find that students in Profile 1, compared to those in Profile 3, were more likely to attend institutions with name of choice policy, insurance plans inclusive of gender transition, and LGBTQ for-credit courses. Students in Profile 3 compared to those in the other profiles were more likely to be younger, and they were more likely to be transgender or gender-queer compared to Profile 1. Race was not related to the profiles. Conclusions and Implications Informing social work practice, our findings suggest that interventions to promote LGBTQ students’ well-being need to attend to the specificities of different subgroups of students, such as the need for additional supports for transgender and gender-queer students given their profile was found to be the most vulnerable. The findings also highlight the value of particular LGBTQ-inclusive structural interventions at the campus-level in reducing microaggressions and fostering positive well-being among students. Specific recommendations for clinical and macro practice, as well as future research will be discussed.",
      "authors": "Michael R. Woodford; Simon Coulombe; Zack Marshall",
      "author_ids": "109526; 118934; 118935",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "prompt_eval_count": 1580,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:11:29.735793+00:00"
    },
    {
      "input_index": 985,
      "record_key": "SSWR:2019-U-0448",
      "source_database": "SSWR",
      "record_id": "2019-U-0448",
      "year": 2019,
      "title": "Examining the Effect of Teen Dating Violence on Suicidal Behaviors Among Adolescents: Findings from the 2015 Youth Risk Behavior Survey",
      "abstract": "Background and Purpose: Teen Dating violence (TDV) has been identified as a major public health concern. A recent study by Kann et al. (2016) found that about one in ten adolescent students who dated or went out with someone had been physically hurt on purpose. Teenagers who experience TDV are vulnerable to numerous risk behaviors such as eating disorders, poor academic performance, drug abuse, and poor psychosocial functioning (Vagi et al., 2015). The extant literature has also shown that suicide is the second leading cause of death among adolescents in the US and especially prevalent among LGBTQ adolescents (Centers for Disease Control and Prevention, 2015). Although studies have investigated and found strong association between child abuse subtypes effects and suicidal behaviors, little is known about the impact of TDV on different suicidal behaviors. The purpose of this study is to examine the prevalence of TDV, suicidal ideation, suicide plan, and suicide attempt among adolescents aged 14–18 years; and the association between TDV and these suicidal behaviors. Methods: Data for this study were obtained from the 2015 Youth Risk Behavior Survey. A sample of 9,693 adolescents aged 14-18 years (50.4% males) were analyzed. The outcome variables investigated were past year suicidal ideation, suicide plan, and suicide attempt. The main explanatory variable investigated was experience of TDV. Using binary logistic regression, we regressed suicidal ideation, suicide plan, and suicide attempt on TDV after controlling for demographic factors, bullying, and mental health factors. Results: Of the 9,693 adolescents examined, about one in six (16.6%) experienced suicidal ideation, 13.7% made a suicide plan, and 7.6% attempted suicide during the past 12 months. About 6.3% of the adolescents experienced TDV, 61.1% were dating but experienced no TDV, and 32.6% were not dating. In the multivariate logistic regression models, TDV was significantly associated with all three suicidal behaviors. Compared to adolescents who were dating but experienced no TDV, those who experienced TDV were 1.92 times more likely to have experienced suicidal ideation ( AOR =1.92, 95% CI=1.53-2.41), 1.67 times more likely to have made a suicide plan ( AOR =1.67, 95% CI=1.33-2.09), and 2.42 times more likely to have attempted suicide ( AOR =2.42, 95% CI=1.90-3.08). Adolescents who self-identified as lesbian, gay, or bisexual had higher odds of experiencing all three suicidal behaviors when compared to their heterosexual counterparts. Ever experiencing forced sex, feeling sad/hopeless, being bullied, being cyberbullied, binge drinking, and being overweight all significantly increased the odds of all three suicidal behaviors. Conclusion and Implications: Findings from this study revealed that adolescents who experienced TDV were at increased risk for suicidal behaviors. The study also found that students who self-identified as sexual minorities were likely to experience all three suicidal behaviors. Future research should take into consideration prevention and intervention strategies that particularly target adolescents experiencing TDV and those with different sexual orientation when addressing suicide prevention. Social work practitioners should pay attention to adolescents with a history of trauma and help them develop stress management skills in order to reduce the risk for these suicidal behaviors.",
      "authors": "Cecilia W. Mengo; Nibedita Shrestha; Phillip Baiden; Eusebius Small",
      "author_ids": "113722; 118657; 113715; 111390",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:11:47.338639+00:00"
    },
    {
      "input_index": 986,
      "record_key": "SSWR:2019-U-0692",
      "source_database": "SSWR",
      "record_id": "2019-U-0692",
      "year": 2019,
      "title": "Examining the Impact of Secondary Exposure to Gun Violence on Mental Health Outcomes, Suicidal Ideation and Psychotic Experiences in Four Urban Settings",
      "abstract": "Background and Purpose: Gun violence contributes to more than 32,000 deaths and 67,000 injuries annually. Given the high probability that U.S. residents will be exposed to gun violence and the mental health impact of losing a loved one to gun violence, it is important to understand the impact of secondary exposure to gun violence, on the mental health and psychological consequences (e.g. suicide ideation and psychotic experiences) of secondary victims. This study examined 1) differences in exposure to gun violence across multiple demographic characteristics and 2) the effect of secondary exposure to gun violence on mental health outcomes, suicidal ideation and psychotic experiences when controlling for significant demographic characteristics. Methods: Data were drawn from the Survey of Police-Public Encounters (SPPE), an online Qualtrics survey of adult community residents from Baltimore, New York, Philadelphia, and Washington, D.C.  Participants were at least 18 years old residing within target cities resulting in a sample of 1615 respondents. Data analyses were conducted using SPSS. Chi square analyses were used to test for associations between demographic variables and secondary exposure to gun violence. Demographic variables that were significantly associated with secondary exposure to gun violence in bivariate analyses were then modeled together in a logistic regression to determine their independent contributions. Linear regression was used to test for associations between secondary exposure to gun violence and psychological distress. Logistic regression was used to test for associations between secondary exposure to gun violence and suicidal ideation and psychotic experiences. Results: 23.8% of respondents positively endorsed having known someone who died due to gun violence. This varied across demographic groups, with secondary exposure to gun violence disproportionately experienced by individuals who were Black or Latino, younger, and of lower income and educational attainment. When modeling demographic characteristics together, the odds of secondary exposure to gun violence significantly varied by race/ethnicity. Blacks (O.R.=3.63, C.I. 2.75-4.81, p<.001) and Latinos (O.R.= 2.22, C.I. 1.52-3.25, p<.001) experienced significantly higher odds of secondary exposure to gun violence compared to Whites. Linear regression models indicated that secondary exposure to gun violence was significantly associated with greater severity of psychological distress (β=1.01, p<.001) and depression (β=1.25, p<.001). Logistic regression models indicated that the odds of endorsing suicidal ideation (O.R.= 1.95, C.I. 1.31 – 2.91, p < .01) or psychotic experiences (O.R.=  2.64 C.I. 1.99 – 3.51 p < .001) was significantly higher for participants exposed to gun violence. Implications: Findings suggest that there are varied mental health reactions to gun violence. A particular novel finding was the significant relationship between secondary exposure to gun violence and psychotic experiences. Implications for research include further examination of secondary exposure to gun violence and its relationship to psychotic experiences in clinical populations. In addition, given the disproportionate number of Black and Latinos exposed to gun violence a more extensive examination of depression, distress, suicidal ideation and their relationship to exposure to gun violence is warranted.",
      "authors": "Tanya L. Sharpe; Melissa Smith; Joseph Richardson; Rohini Pahwa; Dominique Smith; Jordan E. DeVylder",
      "author_ids": "110464; 118420; 119041; 111170; 119042; 112063",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:11:50.733272+00:00"
    },
    {
      "input_index": 987,
      "record_key": "SSWR:2019-P-0460",
      "source_database": "SSWR",
      "record_id": "2019-P-0460",
      "year": 2019,
      "title": "Examining the Relationship between Gender and Suicide in Hispanic Youth: Findings from the National Violent Death Reporting System",
      "abstract": "Background: According to the Center for Disease Control and Prevention (2016), suicide is the second leading cause of death for adolescents in the U.S. Rates of suicide vary by demographic characteristics including age and ethnicity. Hispanic adolescents face an increased risk of suicide in comparison to their non-Hispanic peers. Scholars attribute suicide in this population to a confluence of developmental, cultural, familial, and social problems. However, much of the findings on this topic are derived from female Hispanic participants only, thus limiting a holistic view of the phenomena and subsequent culturally sensitive interventions across genders. To address this gap, we examine factors associated with Hispanic youth suicide in both males and females, including whether demographic characteristics, mental health problems, alcohol use, and additional factors are associated with suicide. Method: Data is from the National Violent Death Reporting System (NVDRS), which includes all violent deaths from 27 states in the U.S., collected each year from 2003 to 2015. NVDRS data includes reports from death certificates, as well as coroner, law enforcement and toxicology reports. For our study, a subsample of Hispanic youth aged 13-18 were included (N = 302). To examine suicide, a binary dependent measure identified whether an individual’s cause of death was reported as suicide or not. Additional binary measures in the data included whether an individual had any suspected alcohol use, current mental health issues, family relationship problems, and peer problems. Demographic measures included age and gender. A multivariate logistic regression examined whether age, gender, suspected alcohol use, mental health, peer, and family relationship problems were associated with suicide-related death. Results: Among this sample, there were more males (76.21%) than females (29.79%). Most individuals in the sample were identified as having no current mental health problems (68.87%), no suspected alcohol use (74.50%), and no current family relationship (75.50%) or peer problems (72.19%). The multivariate logistic regression showed that Hispanic teens with family relationship problems showed higher odds of suicide as compared to those with no reported family relationship problems (OR = 7.41; p < .01). Also, Hispanic youth suspected of consuming alcohol showed an increased likelihood of committing suicide as compared to those with no reported alcohol use issues (OR = 1.04; p < .01). Additionally, mental health (OR = 22.48; p < .01) and problems with peers (OR = 13.12; p < .01) significantly increased the odds of suicide for Hispanic youth, as compared to those teenagers with no identified mental health or peer relationship problems. Age and gender were not significantly associated with suicide. Conclusions and Implications: Mental health, alcohol use, family, and peer problems were identified as factors associated with an increased likelihood of suicide in Hispanic youth. Contrary to previous research, our results showed no association between gender and suicide. These findings emphasize the importance of developing suicide interventions across all Hispanic youth and suggest that attention to both micro and macro level factors is necessary when engaging in suicide-related assessment and interventions with this population.",
      "authors": "Tatiana Villarreal-Otalora; Orion P. Mowbray; Porter Jennings",
      "author_ids": "118098; 110801; 116591",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3313396000,
        "prompt_eval_count": 1599,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:11:54.048433+00:00"
    },
    {
      "input_index": 988,
      "record_key": "SSWR:2019-P-0167",
      "source_database": "SSWR",
      "record_id": "2019-P-0167",
      "year": 2019,
      "title": "Examining the Usage of Supportive Programs Available to the National Guard",
      "abstract": "Background and Purpose: National Guard (NG) service members face many challenges with mental health and in transitioning back home after service. Fortunately, there are many supportive programs offered to the NG to assist with these challenges. This research examines how frequently these programs are used. Our hypothesis is that depression and suicidal ideation will be associated with mental health program usage and that number of deployments and number of negative experiences during deployment will be associated with transition support program usage. Methods: Data from a survey created and distributed online by the National Center for Veteran Studies (NCVS) at the University of Utah was used in this analysis. The sample contained 997 service members in the Army NG and Air NG in Utah and Idaho. Descriptive statistics were analyzed to determine the frequency of usage of each program. Two models of multivariate OLS regression were used, one to predict usage of mental health programs and one to predict usage of transition support programs. The measures used for the main variables were the Patient Health Questionnaire-9 (PHQ-9) for depression, one question from the Self-Injurious Thoughts and Behaviors Interview (SITBI) for suicidal ideation, and an adapted version of the Life Events Checklist (LEC) for number of negative experiences during deployment. Rank, NG branch, education level, mental health stigma, employment status, and unit cohesion were used as control variables in the regressions. Results: For mental health programs, it was most common for the soldiers to have used none of the programs (33.62%, n = 275) and the frequency drops greatly as the number of programs increases. For transition support programs, it was also most common for the soldiers to have used none of the programs (16.87%, n = 136); however, it was also very common for 1 (16.38%, n = 132) and 2 (15.88%, n = 128) programs to be used. There were several programs that were used by less than 10% of the participants. Depression, suicidal ideation, and negative experiences during deployment were all positively associated with mental health program usage. Rank, NG branch, and education were negatively associated with mental health program usage. For the model predicting transition support program usage, number of deployments and negative deployment experiences were positively associated with the outcome variable. NG branch was negatively associated with transition program usage. Conclusions and Implications: The results support both hypotheses. It seems as though both types of programs are being used by those with demonstrated need. Many of the programs that were used the least also had high rates of respondents saying that they had never heard of the programs. This implies that one major area for change should be increasing knowledge and awareness of the programs already available to the NG members. Further research could focus on what needs the NG service members perceive that they have and if those needs match the purposes of the programs offered.",
      "authors": "David S. Wood; Aislinn Watson",
      "author_ids": "114455; 118169",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3126464250,
        "prompt_eval_count": 1524,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:11:57.176269+00:00"
    },
    {
      "input_index": 990,
      "record_key": "SSWR:2019-U-0206",
      "source_database": "SSWR",
      "record_id": "2019-U-0206",
      "year": 2019,
      "title": "Exploration of Suicidal Ideation, Motivation, and Lethality of Suicide Plan Among Young Chinese, Korean, and Vietnamese Women",
      "abstract": "Background: Asian American women are at high risk for experiencing suicidal ideation; however, the motivation and severity of suicide risk are understudied. This mixed methods research examined the proportion of various subtypes of suicidal ideation/intent, risk factors and motivations for suicide, and the level of lethality of suicide plans among young Chinese, Korean, and Vietnamese women who sought to join the AWARE (Asian Women’s Action for Resilience and Empowerment) intervention study. Methods: AWARE is a culturally informed psychotherapy intervention designed to improve Asian American women’s mental and sexual health. The study sample consisted of 173 Asian American women who completed demographic and clinical screening for AWARE. The Columbia-Suicide Severity Rating Scale (C-SSRS) were used to examine levels, frequency, motivation, and lethality of suicidal ideation and behavior. Descriptive statistics were used to calculate the proportion of suicidal ideation and intent. Content analysis of open-ended survey questions were used to assess suicide risk factors, motivations, and plans. Finally, a lethality scale was developed to determine the level of severity in suicide plans. Results: Among 173 participants who volunteered to participate in AWARE, 110 (68.8%) reported having at least one episode of suicidal ideation in their lifetime, and 32 (18.5%) reported an intent to die by suicide. Content analysis identified six risk factors for suicidal ideation. Three of the risk factors were determined to be common risk factors in the literature for suicidal ideation: health and mental health issues, social isolation, and an inability to cope. The other three factors were identified by the participants as related to Asian American culture: pressures to achieve and perform, restrictive and controlling parents, and unhealthy romantic relationships. Of those participants who endorsed suicide plans, almost half (43.7%) reported plans of moderate to extremely high lethality. Conclusions and Implications: Participants demonstrated substantial proportions of suicidal ideation and intent and discussed risk factors related to Asian American culture. Findings have important clinical implications for identifying at-risk Asian American women and illustrate the need for culturally tailored mental health services. Asian American women are under extremely high pressure to achieve perfection in their lives. When participants struggled to meet parental expectations, internalized parental pressure can lead to negative perceptions, such as feelings of inadequacy, low self-esteem, and contemplation of dying by suicide. Intervention efforts must focus on decreasing internalized needs for perfectionism, promoting family and community support, and establishing healthy romantic relationships.",
      "authors": "Astraea Augsberger; Alexandra Rivera; Christian Hahm; Yerang Anna Lee; Yoonsun Choi; Hyeouk Chris Hahm",
      "author_ids": "110310; 118270; 118271; 118272; 110891; 108114",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "mixed_methods",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3167517000,
        "prompt_eval_count": 1454,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:12:03.699957+00:00"
    },
    {
      "input_index": 992,
      "record_key": "SSWR:2019-U-0447",
      "source_database": "SSWR",
      "record_id": "2019-U-0447",
      "year": 2019,
      "title": "Factors Associated with Suicide Attempts Among Transgender Patients across Integrated Health Systems",
      "abstract": "Background and Purpose: Transgender individuals, or those whose gender identity does not match their assigned sex at birth, have suicide attempt rates that are exponentially higher than rates among the general population. However, very little is known about the unique medical risk and other factors driving such high suicide attempt rates among this population, partially due to the invisibility of non-binary gender identities in electronic medical records and other data sources. The aim of this study was to examine medical factors associated with suicide attempts among a large cohort of transgender patients across three health systems. Methods: We examined patterns of suicide attempts among patients in the STRONG (Study of Transition, Outcomes & Gender) cohort, a unique study of transgender patients identified between 2006 and 2014 enrolled at three Kaiser Permanente health organizations (Georgia, Northern California, Southern California) (N=6367). Transgender patients were identified using a combination of ICD-9 and ICD-10 codes along with text string reviews of clinical notes and evidence of gender-affirming procedures or hormone therapy. Electronic medical record data included demographics, health system encounters, psychiatric diagnoses, substance use, and use of gender-affirming HT. We compared transgender patients with a suicide attempt to those without an attempt. Results: The cohort included 2892 transmasculine and 3475 transfeminine patients. Overall, 8.4% of transmasculine and 5.0% of transfeminine patients attempted suicide, as evidenced by an emergency room visit with a self-inflicted injury. The majority of suicide attempts in both transmasculine and transfeminine patients occurred between 11 to 40 years of age. Psychiatric diagnoses (including anxiety, bipolar disorder, schizophrenia, and ADHD) were higher among attempters than non-attempters. In particular, 97.4% of transmasculine and 96.4% of transfeminine patients who had a suicide attempt were diagnosed with depressive disorders vs. 60.3% and 55.6% of non-attempters, respectively. Alcohol use in transmasculine patients who attempted suicide was substantially more prevalent than it was for non-attempters (76.2% vs. 4.7%). Transfeminine patients who attempted suicide had higher rates of illicit drug use (41.8%) compared to those with no attempt (7.8%). Only 27.82% of transmasculine patients who attempted suicide had used hormone treatment, compared to 54% of transmasculine patients that did not have an attempt. Both transmasculine and transfeminine patients who attempted suicide had higher rates of inpatient, emergency room, and ambulatory encounters compared to those without attempts. Conclusions and Implications: Overall, suicide attempt rates among transgender patients are very high. Although some risk factors for suicide attempts mirror those of the general population (psychiatric diagnoses, substance use), others – such as hormone therapy use – are unique to transgender patients. Further research should explore the effect of access to hormone therapy on suicide attempt risk. In addition, the high rates of healthcare encounters of all types among those who have attempted suicide suggest that missed opportunities for prevention and intervention exist. Social workers employed in health care settings should advocate for routine depression and suicide risk screening as well as access to gender-affirming hormone therapy for transgender patients.",
      "authors": "Lucas Prieto; Deirdre A. Shires; Josephine Mak; Michael Goodman",
      "author_ids": "118651; 113208; 118652; 118653",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3372511959,
        "prompt_eval_count": 1627,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:12:10.454342+00:00"
    },
    {
      "input_index": 994,
      "record_key": "SSWR:2019-U-0192",
      "source_database": "SSWR",
      "record_id": "2019-U-0192",
      "year": 2019,
      "title": "Finding Escape, Belonging, and Hope Online: A Grounded Theory Study of Transgender Youths' Internet Engagement",
      "abstract": "Background: Transgender and gender diverse (TGD) youth experience pervasive stigma, discrimination and violence in their homes, schools, and communities (Goldblum et al., 2012), contributing to disproportionate rates of psychological distress. For example, half of all TGD youth experience elevated suicidality (Haas et al., 2014). Conversely social connection, a sense of belonging, and hope, as well as the ability to live authentically promote health and protect TGD individuals against suicide risks (Grossman et al., 2018). Emergent evidence suggests that access to the Internet, and a broad range of internet-enabled information and communication technologies (ICT), may offer TGD youth a sense of safety and community largely unavailable in their offline contexts (Cannon et al., 2017). This qualitative inquiry explores TGD youths’ perceptions of the impact of ICT involvement on their lives. Methods: Data were extracted from a mixed methods, online study of LGBTQ+ youth (N=6309) from across the United States and Canada (March–July 2016).  Participants for this study are the TGD sub-sample (n=260) who provided written responses to an optional survey item inquiring about the role of ICTs in their lives. Participants were 14–29 (x̄=18.30) and active online (92% spent 2+ hours online daily). Participants were most active on: YouTube (77%), Facebook (77%), Tumblr (67%), Snapchat (52%), and Instagram (48%). Nearly half of TGD participants (48%) selected multiple gender identity labels. Over 75% of this sub-sample identified with a non-binary or genderqueer identity. Data were analyzed using grounded theory strategies (Charmaz, 2014) including line-by-line and thematic coding, constant comparison and eventually focused coding. Theoretical sampling (Charmaz, 2014) was used to explore and refine emergent categories to develop more incisive concepts that were firmly rooted in the data. Findings: Data revealed that involvement with ICTs represented a highly important component of participants’ lives. Participant narratives consistently indicated that involvement with ICT’s served a life sustaining purpose during particularly difficult periods of adolescence and young adulthood. The following core concepts illustrate how youth engaged ICTs in a manner that enabled them to find safety in online spaces in a way they were not able to in their offline lives: (1) being affirmed as authentic self, (2) escaping stigma and violence, (3) experiencing a sense of belonging, (4) feeling hope, and (5) reciprocal support. Data explicitly revealed how these online experiences served to deter youth from taking their own lives. Conclusions and Implications: The Internet has revolutionized the experience of navigating a TGD identity during adolescence by creating access to identity affirming support and connection. Affirming online experiences and relationships appear to mitigate the impact of rejection, bullying and violence often experienced by TGD youth offline. Engaging and connecting with supportive others through ICTs were credited with saving participants from the depths of despair and suicidality. The unique and innovative ways in which participants used online spaces to create a sense of belonging and build mutual support offer important insights to inform social work prevention and intervention programs aimed at removing barriers to well-being for TGD youth.",
      "authors": "Ashley Austin; Shelley L. Craig; Lauren McInroy; Sandra D'Souza",
      "author_ids": "111000; 109193; 112726; 116823",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3373908375,
        "prompt_eval_count": 1638,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:12:17.186548+00:00"
    },
    {
      "input_index": 996,
      "record_key": "SSWR:2019-P-0236",
      "source_database": "SSWR",
      "record_id": "2019-P-0236",
      "year": 2019,
      "title": "Firearm-Related Suicide Among Youth and Young Adults",
      "abstract": "Background and Purpose There is an urgent need to focus on suicide by firearm among youth and young adults. During the past decade, the rate of firearm-related deaths (including suicide, homicide, and accidental death) of people aged 18 to 24 has increased by 8%. In particular, the rate of suicide by firearm has increased by 34.69%, highly contributing to this overall increase. Among this population, suicide by firearm ranks first out of all methods of suicide, in part because of its extreme lethality. Furthermore, young populations are more likely to be susceptible to circumstances facilitating suicide because of their impulsivity amid a period of biological, psychological, and social development. Understanding the risk factors in these circumstances can inform suicide prevention strategies. This study uses human ecological theory to identify the relationship between personal, familial, and social risk factors (e.g., adverse life events) and suicide by firearm. Methods The study uses a dataset from the National Violent Death Reporting System provided by the Center for Disease Control and Prevention, which reports all deaths caused by “intentional use of physical force or power” in the U.S. The dataset included firearm fatalities involving people aged 18 to 24 (2011~2014, N=6,556). The manner of firearm death is a dependent variable (suicide or other manner of death). Demographic characteristics include age, gender, and race. Physical and mental health characteristics include physical and mental health problems, depressed mood, and alcohol and substance abuse. Family characteristics and childhood experiences include relationship problems within the family, history of child abuse, and financial problems. School, job-related or legal problems, and death of family or friend are included as adverse life events. All variables are dichotomous except age (continuous) and race (categorical). A binary logistical regression model is used. Results The model predicted probabilities of suicide among youth and young adults (χ 2 =4538.23(17), p<.001). Females were less likely to die by firearm-suicide compared to males (OR=.54, p<.001). White people were more likely to commit suicide compared to black or Hispanic (OR=18.37 and 5.75, p<.001). Physical (OR=16.91) and mental health problems (OR=14.68), depressed mood (OR=46.28), and alcohol problems (OR=3.29) were significantly related to increased probabilities of suicide by firearm (p<.001). Family problems (OR=2.94) and financial problems (OR=15.72) were also related to increased probabilities of suicide, as well as adverse experiences related to school, job, and legal issues (OR=22.28, 27.75, 15.93, p<.001). It was noteworthy that the death of a family member or close friend highly increased the probability of suicide (OR=114.45, p<.001). Conclusions and Implications Findings identified the role of personal, familial, and social risk characteristics as predictors of suicide by firearm. These results could be utilized by providers in child protective services, family supportive services, and mental health services to intervene with those at high risk of suicide. Findings also provide empirical grounds for future research to evaluate the effectiveness of these services on suicide reduction among these populations, as well as policy recommendations for intervening upon societal risk factors.",
      "authors": "Mi Jin Choi",
      "author_ids": "113838",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3524932083,
        "prompt_eval_count": 1662,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:12:24.098834+00:00"
    },
    {
      "input_index": 997,
      "record_key": "SSWR:2019-U-0063",
      "source_database": "SSWR",
      "record_id": "2019-U-0063",
      "year": 2019,
      "title": "Gender Based Violence and Suicide in Central Asia: Research Findings and Clinical Recommendations",
      "abstract": "Background and purpose: Suicide is a major problem facing the world. About 1.5 million people die by suicide each year. Globally, most suicides occur in Asia, yet suicides are almost exclusively studied in the west. In Central Asian countries in particular, suicides are seen in large numbers. In low and middle income countries suicide is largely correlated with gender based violence and oppression of women in general. The present study is based on a systematic review of literature on suicide in Central Asia and its relation to gender based violence. The objectives of the study are to identify 1) risk and protective factors for suicide in the Central Asian countries 2) identify the relationship between suicide and gender based violence in these countries. Methods: In a systematic review four electronic databases (PsycINFO, MEDLINE, CINAHL, and SocINDEX) were searched across 30 years between 1987 and 2016 to identify studies that reported quantitative or qualitative data on suicide in Central Asia. The Boolean search strategy matched the following criteria: (1) Central Asia or Kazakhstan or Kyrgyzstan or Tajikistan or Turkmenistan or Uzbekistan; (2) suicid* or self-immolation or aintihar (Arabic for suicide) or samoubiystvo (Russian for suicide); (3) published in the English or Russian languages; and (4) published as peer-reviewed. The systematic search identified 44 eligible studies, resulting in a final inclusion of 15 articles in the systematic review according to established criteria. From the identified articles, risk and protective factors for suicide were investigated. Studies finding the risk factor of gender based violence for suicide were closely examined. Results: A slight majority, eight of 15 studies (53%) report on risk factors for suicide in Central Asia. A total of 31 distinct risk factors are identified. The category of Family and Community System factors and Socio-Economic factors captured gender specific data which were associated with suicidal behavior among women. The most researched risk factor identified for women suicides is marital abuse. A total of four studies (27%) report abuse by husband as a suicide risk factor and another four studies (27%) report abuse by family members as a risk factor. Abuse by mother-in-law is reported as an added risk factor for women. The other risk factors for women in this category are family conflict, forced marriage, and negative rumors with each being reported by one study (7%). Conclusions and Implications: A series of clinical, policy and research findings and implications are presented to guide the initial step for effective intervention. 11 specific risk factors center on martial and family violence and gender based oppression. Clinical recommendations suggested the development of victim support services, including specific medical care for abused women and training for medical care personnel regarding abused women, specific prevention and treatment methods developed to target females. Education and policy recommendations centered on improving awareness and education about marital violence as a contributor to suicide across healthcare providers, justice officials, and the public.",
      "authors": "Shahnaz Savani; Robin E. Gearing",
      "author_ids": "117598; 109445",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "review",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Review"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3349357291,
        "prompt_eval_count": 1534,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:12:27.449601+00:00",
      "screening_source": "Primary screen; blind audit agreement",
      "accuracy_audit": {
        "sample_group": "Review",
        "random_seed": 20260802,
        "blind_screening": {
          "is_relevant": true,
          "relevance_rationale": "The study explicitly focuses on suicide risk factors, specifically the relationship between gender-based violence and suicide in Central Asia, making suicide a central substantive focus.",
          "evidence_class": "Empirical",
          "empirical_method": "Review",
          "classification_rationale": "The abstract describes a systematic review methodology with defined search strategies, inclusion criteria, and synthesis of findings from identified studies.",
          "confidence": "High"
        },
        "full_label_agreement": true
      }
    },
    {
      "input_index": 998,
      "record_key": "SSWR:2019-P-0740",
      "source_database": "SSWR",
      "record_id": "2019-P-0740",
      "year": 2019,
      "title": "Good Family Functioning May Reduce Suicide Ideation Among Suicide Survivors: Analysis of the Moderating Effect of Family Functioning",
      "abstract": "Background and Purpose: The suicide rate of South Korea has been highest among the OECD(Organization for Economic Co-operation and Development) countries for the last 15 years, and suicide is a serious social problem in South Korea. As exposure to suicide in social relationships is known to increase suicidal ideation(Song et al., 2015), suicide is more socially influential in group-oriented societies such as South Korea. Despite the severity of mental health such as depression, suicidal thoughts experienced by suicide survivors (Jordan & MacIntosh, 2011; Pompili et al., 2008; Cerel et al., 2013), there is a lack of systematic research using large size community data and research about protective factors to reduce the risk of suicide. While Family functioning is known as a main protective factor to reduce suicidal ideation, little study has been conducted yet about family functioning as a protective factor to reduce suicidal risk among suicide survivors with a large dataset. The purpose of this study is to examine the relationships among exposure to suicide, family function, and suicidal ideation. Methods: In order to investigate the buffering effect of family functioning on the relationship between exposure to suicide and suicidal ideation, data of 2,000 adults was analyzed by using the 1 st year data from the LoSS (Longitudinal Study on Suicide Survivors’ Mental Health) which is the first nationwide large size longitudinal study using stratified sampling based on the Korean Census Data. Participants responded to questions about their experience of exposure to suicide in social relationships. Family function was measured by Family APGAR (Adaptability, Partnership, Growth, Affection, and Resolve) Scale(Smilkstein, 1978; Choi et al., 2000), and suicidal ideation was measured by Beck’s Scale(Beck, Kovacs, & Weissman, 1979; Lee, & Kwon, 2009) of Suicidal Ideation. Results: The main effects of exposure to suicide was positively associated with increased suicidal ideation at the level of p<.000. Good family function significantly reduced suicidal ideation. Statistically significant interaction effect was found between the two variables on suicidal ideation (t=-4.424, p=.000). When people experience suicide in their relationships, having good family functioning lessens the suicidal ideation than having poor family functioning. Conclusions and Implications: These findings support that family function has a protective effect on suicidal ideation when people are exposed to suicide. Based on the findings, the role of family functioning as a supportive resource for suicide survivors is discussed from formal and informal dimensions. Clinical intervention such as family education should be targeted especially for suicide survivors.",
      "authors": "Ji Eun Kim; In Han Song",
      "author_ids": "119153; 110608",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3124034667,
        "prompt_eval_count": 1497,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:12:30.575439+00:00"
    },
    {
      "input_index": 999,
      "record_key": "SSWR:2019-P-0110",
      "source_database": "SSWR",
      "record_id": "2019-P-0110",
      "year": 2019,
      "title": "Have We Been Looking in the Wrong Direction? the Effect of Suicidal Crises on Future Social Connectedness Among Child-Welfare-Engaged Youth",
      "abstract": "Background/Purpose: Suicide is a major public health problem among youth involved with the child welfare system. Social connectedness rests at the core of many suicide prevention approaches. However, research has almost exclusively focused on how social connectedness affects future suicidal crises and all but ignored the impact of suicidal crises on subsequent perceptions of social connectedness. This is highly concerning given the pervasive stigmatization of people who experience suicidal crises and the stress placed on social networks in the aftermath of such crises—both of which can seriously compromise connectedness. This oversight is especially worrisome for child-welfare-involved youth who already face immense challenges to social stability and fear social alienation due to their child welfare status. Although our study tested traditional assumptions that social connectedness predicts later suicide risk, our main study hypotheses were that the presence of suicidal ideation at baseline would predict lower perceptions of connectedness in three social domains (i.e., caregiver, peers, and school) 18 months later. Methods: The current study used baseline and 18-month follow-up data from 995 youth who participated in the National Survey of Child and Adolescent Well-Being (NSCAW II)—a nationally representative study of children and families investigated by a child welfare agency conducted from 2008 to 2011. A cross-lagged path model was used for the analysis of the relationships between suicidal ideation and social connectedness over time. A multi-group path analysis was also conducted to examine whether gender moderated the main effects from Time 1 to Time 2 variables. A wide range of sociodemographic and mental health variables (e.g., PTSD; depression; substance use) were controlled for in the analysis. Results: Consistent with our hypotheses, the path analysis found significant main effects of suicidal ideation at Time 1 on peer connectedness (β= -.17, p<.01) and caregiver connectedness (β= -.12, p<.05) at Time 2. There was no main effect of suicidal ideation at Time 1 on school connectedness at Time 2 (β= -.05, ns). Contrary to traditional assumptions, there was no main effect of any of the connectedness variables at Time 1 on suicidal ideation at Time 2. The multi-group path analyses did not reveal any moderating effect of gender on the relationships between suicidal ideation and connectedness variables. Conclusions/Implications: Screening child-welfare-engaged youth for suicidal ideation is important for managing immediate risk but our findings suggest that such ideation also foreshadows disconnectedness from their primary caregiver and peers in the future. Child welfare practitioners (like all clinical practitioners) who work with suicidal youth are naturally most concerned about preventing suicidal behavior but our results point to the relevance of conducting assessments and designing pilot programming that targets caregiver and peer connectedness in the aftermath of suicidal crises. For example, there are a great many stigma-reduction approaches that can be adapted to the child welfare context to target suicide-related stigma. The value in doing so lies beyond suicide prevention and extends to the robust body of evidence showing that social connectedness rivals other social determinants in impacting future health and premature mortality.",
      "authors": "Anthony Fulginiti; Amy He; Sonya Negriff",
      "author_ids": "112190; 112520; 113403",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3339459458,
        "prompt_eval_count": 1590,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:12:33.916726+00:00"
    },
    {
      "input_index": 1001,
      "record_key": "SSWR:2019-P-0141",
      "source_database": "SSWR",
      "record_id": "2019-P-0141",
      "year": 2019,
      "title": "How Do Opioid-Related Suicides and Homicides Compare over Time: Findings from the National Violent Death Reporting System",
      "abstract": "Background: Current research efforts in substance-use related problems have emphasized the association of opioid use and mortality, including unintentional/intentional overdose and suicide, showing there is an overall increase in these self-harm related events up to the present day. However, there is far less emphasis on how opioid-related problems are associated with other forms of mortality, including opioid-related homicides. In this study, we examine this phenomenon to assess whether the longitudinal trends of violent deaths are similar among opioid-related suicides and opioid-related homicides. Method: Data is from the National Violent Death Reporting System (NVDRS), which includes all violent deaths from 27 states in the U.S., collected each year from 2003 to 2015. Our sample included all violent deaths that were ruled homicides and suicides (N = 115,503), excluding deaths that were “undetermined” by local Chief Medical Examiners. NVDRS data includes reports from death certificates, as well as coroner, law enforcement, and toxicology reports. To establish opioid-related deaths, ICD-10 cause of death codes associated with opioid use were collapsed to form a binary variable. Additional measures in the NVDRS include race/ethnicity, age, gender, education, marital status, mental health problems, known history of substance use, the experience of interpersonal violence, history of suicide, and whether a firearm was involved in an injury that lead to death. To examine whether there are differences over time in the suicide/homicide rates in opioid-use related deaths, a mixed-effects multivariate logistic regression model examined whether a homicide/suicide by year interaction term was associated with opioid use related deaths, controlling for additional factors associated with violent death. Results: The multivariate logistic regression model showed that opioid-related deaths were more likely to be classified as suicide (opposed to homicide), to occur among White non-Hispanic individuals (compared to African American individuals), to occur among individuals older in age, individuals who were female, persons with higher education levels, those who were separated/divorced, persons with mental health issues, and persons with substance use problems. Opioid-related deaths were less likely to involve the use of a firearm. Additionally, there was a significant increase in opioid-related deaths among all individuals leading up to the year 2015, and a significant homicide/suicide by year interaction, suggesting that the rate of annual increase for opioid-related homicides was larger compared to opioid-related suicides such that by the year 2015, opioid-related homicides were only slightly lower in rate. Discussion: While current focus on substance use related deaths concerns overdose and suicide among opioid users, the current study underscores the role that opioids play in other forms of mortality, including homicide. Given the increasing annual trends in opioid-related homicide, social workers, especially those with a focus on addiction, may benefit from this work, by emphasizing through practice the increased risk that opioid-users face across all causes of mortality, including both suicide and homicide. Additionally, social work practitioners of all areas can build on this work to continue advocacy for increased effort to better advocate for resources to address the links between all causes of mortality and opioid use.",
      "authors": "Mariam Fatehi; Orion P. Mowbray; Porter Jennings; Jay D. O'Shields",
      "author_ids": "118122; 110801; 116591; 114959",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3391635750,
        "prompt_eval_count": 1588,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:12:41.082436+00:00"
    },
    {
      "input_index": 1003,
      "record_key": "SSWR:2019-U-0323",
      "source_database": "SSWR",
      "record_id": "2019-U-0323",
      "year": 2019,
      "title": "Impact of Negative Parenting on Mental Health Among Asian American Youth",
      "abstract": "Background: Asian American adolescents report higher mental health problems than their white counterparts (e.g., suicidal ideation 19% vs. 15.5%). Certain elements of Asian American parenting have been identified as a possible etiology. For example, via interviewing Asian American young women with a history of self-harming behaviors, Hahm and her colleagues conceptualized a disempowering parenting called ABCDG, i.e., Abusive, Burdening, Culturally disjointed, Disengaged and Gender prescriptive. This study established ABCDG parenting concepts among community samples of Filipino and Korean American youth. It further investigated how ABCDG parenting adversely influences mental health. This study sought to pinpoint specific aspects of ABCDG parenting that may lead to negative mental health and examined whether those relationships vary by gender and ethnicity. Methods: This study used a large scale longitudinal survey data from the Midwest Longitudinal Study of Asian American Families Project that includes 393 Filipino and 410 Korean parent-child dyads at Wave 1. Wave 2 data (80% retention) was also used. Dependent variables were suicide ideation, suicide attempt and depressive symptoms. To establish ABCDG parenting as a multiple set of scales, exploratory and confirmatory factor analyses were conducted. Psychometric properties of each subdomain were examined. Correlations among them were also examined to detect multicollinearity and confirm convergent and divergent construct validity. The revised scales were regressed on each mental health outcomes using logistic or OLS multivariate regressions depending on the level of measurement. The models were adjusted for control variables including several demographics. Finally, we examined two-way and three-way interactions to see whether any of the associations vary by gender, ethnicity or both of them together. Results: Factor analyses suggested a six factor model of ABCDG parenting that produced the best empirical as well as theoretical fit of the measures. The subdomains were Abusive/Disengaged parenting (A/D), Burdening 1 (Harmony & Sacrifice, B1), Burdening 2 (Pressured to Succeed – Conditional Affection, B2), Burdening 3 (Pressured to Succeed – Insatiable Expectation, B3) and Culturally Disjointed (CD), and Gender Prescriptive (GP). Each scale showed a good measurement fit. Regression results were: A/D and GP parenting were significant concurrent predictors of suicide ideation (OR=5.24, p <0.01; OR=1.7, p <0.05) and depression ( β =0.26, p <0.001; β =0.16 p <0.001). We found two statistically significant interactions in the depressive symptom model: A/D x gender ( β =0.27, p <0.05) and B1 x ethnicity ( β =0.69, p <0.05). In a longitudinal model, A/D remained significant in predicting depressive symptom and GP remained significant in suicide attempt but we did not find significant interactions. When Wave 1 outcome was adjusted, however, these significant longitudinal relations disappeared. Conclusion and Implications: This study demonstrates that abusive and disengaged parenting is an adverse element for Asian American youth and its impact does not vary by gender or ethnicity. This is likely universally true, regardless of one’s backgrounds. Culturally disjointed parenting, however, is a more salient issue among Asian American youth and may increase vulnerability as these youth straddle between their immigrant parents and the mainstream society, which make culturally different, often conflicting, demands. The study underscores a need for culturally tailored practice.",
      "authors": "Yoonsun Choi; Mina Lee; Michael Park; Soo Young Lee; Hyeouk Chris Hahm",
      "author_ids": "110891; 118465; 116205; 118466; 108114",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3705732292,
        "prompt_eval_count": 1674,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:12:48.145897+00:00"
    },
    {
      "input_index": 1004,
      "record_key": "SSWR:2019-P-0335",
      "source_database": "SSWR",
      "record_id": "2019-P-0335",
      "year": 2019,
      "title": "Intimate Partner Violence-Related Deaths in North Carolina: A Descriptive Study Using Data from the Violent Death Reporting System (2011-2015)",
      "abstract": "Background : Intimate partner violence (IPV) is an epidemic related to numerous detrimental outcomes. Of those individuals who experience IPV, some are at heightened risk of being killed by an intimate partner. Unfortunately, little is known about IPV-related deaths. Understanding who is most impacted by these deaths can inform focused prevention strategies. Accordingly, this study used data from the North Carolina (NC) Violent Death Reporting System (NC-VDRS) to assess the characteristics of IPV-related deaths in NC and describe the circumstances surrounding such deaths from 2011-2015. Methods : We conducted a cross-sectional study using NC-VDRS, a population-based surveillance system that compiles detailed information on violent deaths in NC. In NC-VDRS, an IPV-related violent death is defined as an intentional death (e.g., homicide, suicide) where a victim is killed by their current/former intimate partner, or where an immediate or ongoing intimate partner conflict contributed to the victim’s death, including deaths of children, parents, or others. We limited IPV cases to NC residents and used National Center for Health Statistics population estimates for rate calculations. We calculated the proportion of IPV-related deaths and determined the manner of these deaths. We stratified IPV-related death rates by sex. We also stratified the proportion of IPV-related homicides by various demographics, marital status, relationship between the perpetrator and the victim, and weapon used. Results : Of the 9,682 violent deaths that occurred among NC residents from 2011-2015, 8,976 (92.7%) contained some information on the circumstances of the incident. 529 (5.9%) of deaths with circumstance information were IPV-related. The overall rate of IPV-related death was 1.1 per 100,000 person-years for the study period. Of the 529 IPV-related violent deaths, 54.4% were female and 45.6% were male with a rate of 1.1 and 1.0 per 100,000 respectively. Homicide was the most common manner of death for IPV-related deaths (93.8%). Of all the female homicides ( n =543), about 52% ( n =282) were IPV-related. Of all male homicides ( n =1894), only 11.3% ( n =214) were IPV-related. The rate of IPV-related homicides was highest among females aged 25 to 34 (2.3 per 100,000). Most IPV-related homicide victims were non-Hispanic (NH) white (55.8%, n =277). However, the rate of IPV-related homicide was 2.2 times higher for NH American Indians compared to NH whites (1.9 and 0.9 per 100,000 respectively) and 2.0 times higher for NH Blacks (1.8 per 100,000). Thirty-nine percent of IPV-related homicide victims were married, 38.9% single, 18.1% divorced or separated, and 3.6% widowed. A firearm was the most common weapon used in IPV-related homicides (72.1%). Implications : IPV-related death is a significant issue affecting NC that warrants immediate attention. Prevention efforts focused on serving groups at especially high risk for experiencing IPV are needed, including women as well as NH Black and NH American Indian people. In addition to discussing implications of our findings for research and practice, we will highlight lessons learned from this research for social workers serving IPV survivors, as well as for researchers who are interested in conducting similar studies in their own communities and states.",
      "authors": "Shana Geary; Laurie M. Graham; Shabbar Ranapurwala; Kathryn E. Moracco; Rebecca J. Macy; Scott Proescholdbell",
      "author_ids": "118533; 114597; 118534; 116441; 108300; 118535",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3637407083,
        "prompt_eval_count": 1729,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:12:51.785377+00:00"
    },
    {
      "input_index": 1005,
      "record_key": "SSWR:2019-U-0751",
      "source_database": "SSWR",
      "record_id": "2019-U-0751",
      "year": 2019,
      "title": "Intimate Violence and Suicide Attempt Among Lesbian, Gay, Bisexual, and Questioning Adolescents in the United States",
      "abstract": "Background and Purpose: Suicide remains the third leading cause of death among US adolescents.  Furthermore, for individuals identifying as lesbian, gay, bisexual, and questioning (LGBQ), and for those who have experienced sexual assault or teenage dating violence victimization (TDVV), rates of suicide attempts are disproportionately higher.  While previous studies have found suicide attempts to be significantly associated with dating violence, and sexual assault, these experiences among LGBQ youth are understudied.  We sought to understand if experiencing sexual assault and/or TDVV placed LGBQ youth at higher odds of attempting suicide. Methods: The current study draws from the Youth Risk Behavior Survey (YRBS 2015), a nationally-representative survey of high school students in the US where 15,624 students were randomly sampled using a three-stage cluster design.  Self-reported data were collected using pen and paper, without skip patterns to obfuscate among those answering more or less questions.  Multiple regression analysis was used to examine associations between lifetime experience with forced sex, recent experience of TDVV, and recent suicide attempt (outcome). Results: LGBQ adolescents reported significantly higher odds of lifetime sexual assault (AOR=2.62, 95%CI: 2.00-3.43), recent physical TDVV (AOR=1.92, 95%CI: 1.50-2.47), recent sexual TDVV (AOR=2.00, 95%CI: 1.49-2.69), and recent suicide attempt (AOR=4.15, 95%CI: 3.36-5.13). In a comprehensive model including experiences of violence as covariates, elevated odds of recent suicide attempt were observed for LGBQ adolescents (AOR=3.74, 95%CI: 3.03-4.61), and those who reported ever experiencing sexual assault (AOR=2.60, 95%CI: 1.96-3.46), recent physical TDVV (AOR=3.54, 95%CI: 2.37-5.29), or recent sexual TDVV (AOR=2.03, 95%CI: 1.45-2.86). Interactions between sexual identity and experiences of violence were not significant. Conclusions and Implications: In populations where suicide risk is high, it is imperative to understand potential risk factors.  Findings confirm previously identified associations of victimization and suicide attempts, and enrich our understanding of these risk factors specific to LGBQ youth.  In the interest of suicide prevention, professionals working with LGBQ youth should assess for lifetime sexual assault and recent history of dating violence.",
      "authors": "Joshua A. Rusow; Sapna J. Mendon; Ankur Srivastava",
      "author_ids": "113876; 114489; 116373",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3321910708,
        "prompt_eval_count": 1530,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:12:55.109860+00:00"
    },
    {
      "input_index": 1006,
      "record_key": "SSWR:2019-P-0415",
      "source_database": "SSWR",
      "record_id": "2019-P-0415",
      "year": 2019,
      "title": "Is There a Need for LGBT-Specific Suicide Crisis Services?",
      "abstract": "Background. LGBT youth are more than twice as likely to make a suicide attempt than their peers.  Although LGBT-specific crisis services have been developed, little is known about the need for these services beyond that of general lifeline services. The present study sought to 1) describe the primary reasons for calling a specialized provider as opposed to another; and 2) examine socio-demographic differences in the primary reason across race, ethnicity, gender, age, and sexual orientation. Method. Data from 657 youth who sought crisis services from an LGBT-specific national service provider in the United States were assessed.  Logistic regression models assessed demographic differences. Thematic analysis of open-ended responses of reasons for choosing this LGBT-specific crisis service provider followed a consensus model. Results. Most respondents indicated they either would not have contacted another help line (26%) or are not sure (48%).  Nearly half (42%) indicated they called specifically because of LGBT-affirming counselors, and this was more commonly reported by gender minority (transgender and gender non-binary) and queer or pansexual youth than cisgender, gay or lesbian youth. Discussion. LGBT-specific crisis services appear to play an important role in suicide prevention, and further research is needed to understand the use of culturally tailored suicide prevention approaches. Specifically three findings help define the gaps that may be filled using LGBT-specific crisis services. 1) youth overwhelmingly reported that the primary reason they chose to call this provider was because it is LGBT-affirming; 2) there were differences across certain subpopulations of LGBT youth in their reasons for engaging with this provider, which offers insight into this population’s diversity. For example, transgender and gender non-binary individuals were more likely to endorse the LGBT-affirming nature of the provider as a major driving force in their engagement; 3) when callers were asked if they would have contacted another provider if the LGBT-specific crisis provider were not available, more than a quarter of them said no and nearly half were unsure. This is arguably the strongest evidence supporting the need for population-specific services for LGBT youth. This suggests that the choice for these struggling youth was not between different crisis services but between this LGBT crisis service and not getting any help, increasing their risk for a serious suicide event.",
      "authors": "Daniel Green; Jeremy Goldbach; Harmony Rhoades",
      "author_ids": "117280; 110332; 112528",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "mixed_methods",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2837024042,
        "prompt_eval_count": 1377,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:12:57.948561+00:00"
    },
    {
      "input_index": 1007,
      "record_key": "SSWR:2019-P-0749",
      "source_database": "SSWR",
      "record_id": "2019-P-0749",
      "year": 2019,
      "title": "Making Sense of Emotional Abuse within Asian Parent-Child Relationships: A Qualitative Study of Asian American Women with Immigrant Parents",
      "abstract": "Background and Purpose: Poor mental health outcomes of Asian American women have received attention in recent years in the fields of public health and social behavioral science. U.S.-born Asian American women are found to be at higher risk than their foreign-born female counterparts or their male counterparts. Given the collectivistic nature of the Asian cultural orientation, families and familial relationships play an integral role in the mental health of Asian Americans, warranting further efforts to study how familial factors, particularly those that are harmful, relate to negative mental health outcomes. Yet, little is known about the nature of parent-child relationships between immigrant parents and their adult offspring. This study examined the complex processes of how 1.5 and 2 nd generation Asian American women with a history of child maltreatment and self-reported psychological maladjustment—including self-harm and suicidal ideation—experience and navigate their relationship with their parents. Methods: Secondary data from a larger qualitative study of 1.5 and 2 nd generation Asian American women with a history of self-harming behavior and/or suicidal ideation (Hahm et al., 2014) was used for this study. Five semi-structured individual interviews, transcribed and cleaned, were analyzed to answer the following questions: 1) How do these women describe their relationship with their parents? 2) To what degree do emotionally abusive interactions occur in these parent-child relationships? 3) How are these relationships and interactions interpreted and processed by these women? A thematic analysis using an abductive approach was conducted, guided by the Asian childrearing practice framework (Zhai & Gao, 2009) and the parental acceptance-rejection theory (Rohner & Rohner, 1980). The final sample (mean age = 23.2±4.3 years) consisted of current college students or graduates who ethnically identified as Chinese (N=2), Chinese-Vietnamese (N=2), or Vietnamese (N=1). Results: Data analysis found that parental authority, child obedience, high parental expectations, and value clash due to intergenerational acculturation gap described the parent-child relationship of these women. All women reported high levels of distress and conflict with their parents. These relationships were also characterized as emotionally abusive, demonstrated through neglect and/or aggression from their parents. The data also suggested two different types of meaning-making processes: Emancipatory (development of self-autonomy and detachment from parental control) and Conflicted and Powerless (presence of unresolved resentment and internal conflict of feelings toward their parents, and denial and avoidance to cope with distress). Conclusions and Implications: This study offers insight into the complexity of the highly conflictual parent-child relationship experienced and interpreted by Asian American women who report a history of child maltreatment and self-harming behavior and/or suicidal ideation. Findings highlight the critical role of familial relationships and intergenerational conflict on the mental health of Asian American women and their internal processes of coping with distress. The study can inform culturally sensitive ways to better support Asian immigrant parents to foster relationships that respond to the mental health needs of their offspring.",
      "authors": "Mihoko Maru; Hyeouk Chris Hahm",
      "author_ids": "117141; 108114",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3374807791,
        "prompt_eval_count": 1566,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:13:01.325188+00:00"
    },
    {
      "input_index": 1008,
      "record_key": "SSWR:2019-U-0500",
      "source_database": "SSWR",
      "record_id": "2019-U-0500",
      "year": 2019,
      "title": "Maladaptive Copings Behaviors, Self-Compassion, and Suicide Ideation in Black College Students",
      "abstract": "BACKGROUND AND PURPOSE : Suicide is the second-leading cause of death for college students broadly and the third-leading cause of death for Black youth and young adults ages 15-24 (CDC, 2015). When considering the unique challenges experienced by Black college students (e.g. financial difficulties, academic concerns, racist encounters, etc.), it is important to examine how Black collegians cope with stress to prevent the onset of adverse mental health outcomes, like suicide ideation. However, reports that focus on suicidal behaviors among Black college students remain scant. Previous research has identified self-compassion as a potential buffer against suicide ideation for college students (Chang et al., 2017), though these relations have yet to be examined specifically among Black college students. The current study aims to (1) uncover which maladaptive coping behaviors are associated with suicide ideation; and (2) determine whether self-compassion mediates the relationship between maladaptive coping behaviors and suicide ideation among a nationally-representative sample of Black college students. METHODS : Data were collected from 713 Black college students who participated in the Healthy Minds Study— a nationally-representative survey administered annually to currently enrolled college students in the U.S. A random sample of students was selected from each partnering institution and the students were invited via email to complete the online survey. Compensation was offered to those who completed the survey in the form of a gift card raffle. Maladaptive coping behaviors were measured using 6 subscales from the Brief COPE Inventory: denial, self-distraction, disengagement, venting, substance use, and self-blame (Carver, 1997). Self-compassion was measured using the Self-Compassion Scale—Short Form (Raes, Pommier, Neff, & Van Gucht, 2011). Suicide ideation was captured using a single item that asked participants to indicate whether they had ever seriously considered ending their life in the past 12 months (yes/no). First, logistic regression tests were performed to uncover which of the 6 maladaptive coping behaviors were associated with suicide ideation. Next, a mediation analysis was used to examine whether self-compassion mediated the relationship between maladaptive coping behaviors and suicide ideation. Significance of an indirect (or mediated) effect was tested using bootstrapping methods for 1,000 resamples by providing empirically derived confidence intervals (Preacher & Hayes, 2004). All analyses were performed using Mplus version 8 (Muthen & Muthen, 2015). RESULTS : Logistic regression results revealed that self-blame (OR=2.27, CI=1.54-3.36) was the only maladaptive coping subscale that was significantly associated with suicide ideation. Additional tests revealed that self-compassion mediated the relationship between self-blame and suicide ideation, as the standardized effect size for the indirect effect was observed as ( ab = 0.26, CI=0.12-.39). These findings suggest that suicide ideation increases by 0.26 units for every one unit increase in feelings of self-blame via self-compassion. CONCLUSIONS AND IMPLICATIONS : Self-blame appears to be a harmful coping behavior that is positively associated with suicide ideation. Both clinical practice and suicide prevention interventions should be intentional in their efforts to equip Black college students with strategies for combating feelings of self-blame, while also encouraging Black college students to adopt practices that foster self-compassion.",
      "authors": "Janelle R. Goodwill; Daphne C. Watkins",
      "author_ids": "115600; 111543",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3631862875,
        "prompt_eval_count": 1668,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:13:04.958777+00:00"
    },
    {
      "input_index": 1009,
      "record_key": "SSWR:2019-U-0064",
      "source_database": "SSWR",
      "record_id": "2019-U-0064",
      "year": 2019,
      "title": "Mental Health Correlates of Police Violence Exposure in Baltimore and New York City",
      "abstract": "Background and Purpose: Following the widespread adaptation of smartphone technology and consequent rapid dissemination of real-time footage of encounters between police and civilians, police violence has increasingly been recognized as a public health concern in the United States. However, there has been minimal empirical research examining the health and mental health correlates of police violence among exposed civilians. Data from the first Survey of Police-Public Encounters (SPPE I) revealed notably high lifetime prevalence rates of physical, sexual, and psychological violence exposure, which was associated with mental health symptoms including depression, distress, suicidal behavior, and sub-clinical psychosis. However, this survey had notable methodological limitations including the use of lifetime rather than 12-month police violence exposure data and limited adjustments for potential confounding factors. The present study reexamines the mental health correlates of police violence in the second Survey of Police Public Encounters (SPPE II). Methods: One thousand adult residents of New York City and Baltimore provided data on exposure to police violence and self-reported experiences of mental health symptoms. Past-year police violence exposure was assessed using the Police Practices Inventory, a validated measure of police violence exposure based on the World Health Organization (WHO) conceptualization of violence. Specifically, separate variables indicated 12-month exposure to (1) physical violence, (2) physical violence with a weapon, (3) sexual violence, (4) psychological violence, and (5) police neglect. Validated measures were used to assess mental health outcomes, including psychological distress (K-6 scale), suicidal behavior (WHO suicide assessment), and sub-clinical psychotic experiences (WHO psychosis screen). Logistic regression analyses were used to test the associations between each police violence exposure and each mental health outcome, adjusted for intimate partner violence, adverse childhood experiences, and involvement in criminal activities and substance use. Results: Police violence was more commonly reported among racial/ethnic minorities, male or transgender respondents, and those with less income or education. Each domain of police violence exposure was significantly associated with each mental health outcome in unadjusted analyses. Following adjustment for potential confounding factors, physical violence was associated with suicidal ideation (OR adj =2.45) and psychotic experiences (OR adj =2.24). Physical violence with a weapon was associated with suicidal ideation (OR adj =2.72), suicide attempts (OR adj =7.30), and psychotic experiences (OR adj =4.34). Sexual violence was also associated with suicidal ideation (OR adj =3.76), suicide attempts (OR adj =6.63), and psychosis (OR adj =6.61). Psychological victimization was associated with psychotic experiences (OR adj =1.65), and neglectful policing was associated with both suicide ideation (OR adj =2.15) and psychotic experiences (OR adj =2.45). Conclusions and Implications: Findings from the SPPE I study were largely confirmed in the SPPE II data, using more rigorous methodology that is less susceptible to biases or the influence of confounding factors. Specifically, police violence is experienced by a notable minority of the population, is disproportionately reported by racial/ethnic minorities, and is associated with greater severity of a range of clinically notable mental health symptoms. The pattern of stronger associations with more assaultive forms of police violence is consistent with causal explanations in which violence exposure contributes to risk for mental health symptoms, although this cross-sectional finding should be further examined in future longitudinal studies.",
      "authors": "Jordan E. DeVylder; Hyun-Jin Jun; Lisa Fedina; Richard P. Barth",
      "author_ids": "112063; 112341; 114451; 108288",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3383986167,
        "prompt_eval_count": 1629,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:13:08.344614+00:00"
    },
    {
      "input_index": 1012,
      "record_key": "SSWR:2019-P-0625",
      "source_database": "SSWR",
      "record_id": "2019-P-0625",
      "year": 2019,
      "title": "Minority Stress and Health: Implications for Cisgender and Gender Non-Conforming Sexual Minority Youth Accessing Crisis Services",
      "abstract": "Background and Purpose: Behavioral health disparities exist for gender and sexual minority youth when compared to their cisgender heterosexual peers. For example, sexual minority youth are more likely to report higher rates of substance use, sexual risk taking (such as condomless sex and sex under the influence of alcohol or drugs), pregnancy involvement, homelessness, and suicidal ideation and attempt. Minority stress theory has been widely used to explain the health disparities found among both sexual minority and gender minority youth; however, minority stress research is often limited by lumping these groups together or ignoring gender minority identity. Furthermore, research suggests that increasing number of sexual minority youth are identifying with gender non-conforming (GNC) identities. Methods: This study examined minority stress and behavioral health outcomes among cis-gender and GNC sexual minority adolescents. The data come from a national sample of youth (aged 12–24) referred from a LGBTQ youth-focused suicide prevention crisis service provider during an 18-month period. Multivariable logistic and linear regression analyses were conducted to assess the association between minority stress and behavioral health outcomes of suicide attempt, PTSD, and depressive symptomology for cis-gendered and gender non-conforming sexual minority adolescents, adjusting for demographic characteristics, burdensomeness, and thwarted-belongingness. Results: Over one-quarter (29%) of sexual minority youth identified with GNC identities (e.g., transgender, nonbinary, genderqueer). GNC youth reported higher odds of lifetime suicide attempt (OR=2.33) and greater likelihood of endorsing a future suicide attempt as likely (OR=2.26), after accounting for age, race, burdensomeness and thwarted-belongingness, as compared to non-GNC youth. GNC sexual minority youth reported more symptoms of PTSD (β=0.12, t=5.3, p <.001) and depression (β=1.1, t=2.9, p <.001) after accounting for lifetime minority stress experiences and sexual orientation. In addition, lifetime sexual minority stress was a significant predictor of both PTSD (β=.23, t=5.9, p <.001) and depressive symptomology (β=.12, t=5.3, p <.001) in the sample. Conclusions and Implications: Sexual minority youth in our sample presented a range of gender identities (transman, transwoman, nonbinary, genderqueer). GNC sexual minority youth reported more suicidality and symptoms of mental health disorders that their peers. Social workers and crisis services organizations working to reduce suicidality among LGBTQ youth may want to be sensitive to the additional stressors and comorbid behavioral health disparities associated with multiple minority experiences. Helping professionals should assess gender identity without assumptions, to avoid exacerbating what may be a source of stress for GNC young people. Emerging research notes that acknowledging the true gender identity of GNC youth may go far in mitigating otherwise negative health outcomes.",
      "authors": "Ankur Srivastava; Joshua A. Rusow; Daniel Green; Harmony Rhoades; Jeremy Goldbach",
      "author_ids": "116373; 113876; 117280; 112528; 110332",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3333914500,
        "prompt_eval_count": 1548,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:13:17.908448+00:00"
    },
    {
      "input_index": 1015,
      "record_key": "SSWR:2019-P-0099",
      "source_database": "SSWR",
      "record_id": "2019-P-0099",
      "year": 2019,
      "title": "Older Women Who Died By Suicide: Suicide Means, Sociodemographic and Psychiatric Risk Factors, and Other Precipitating Circumstances",
      "abstract": "Background and Purpose : Over the past decade, suicide rates among older women in the United States have increased. Contributors include mental disorders (especially depression), substance abuse, intimate partner and family relationship problems, physical health problems, and many other factors. While most older men choose firearms as suicide means, older women choose drug overdose, firearms, hanging/suffocation, and other means in approximately equal proportions. To better understand suicide among older women, we examined potential differences in sociodemographic and risk/precipitating factors among those who died by different means and postmortem toxicology results by means. Given prior studies, we hypothesized that women who used drug overdose rather than other means will have been younger and not married; had higher rates of prior suicide attempts and alcohol, drug, mental/physical health problems; and lower rates of other precipitating factors (e.g., interpersonal, job/financial, legal problems). Methods : Data are from the 2005-2015 U.S. National Violent Death Reporting System (N=12,401 female decedents aged 50+). We used three logistic regression models, with overdose versus firearms, hanging/suffocation, and “other” means as the dependent variables, to examine associations between suicide means and sociodemographic characteristics (age, race/ethnicity, marital status, education, Census region) and risk/precipitating factors (physical health, mental health, alcohol/drug, relationship, job/finance/housing, legal problems; suicide attempt history/intent disclosure; mental health/substance abuse treatment; family/friends’ recent suicides/other deaths; any recent crisis). To examine positive toxicology of prescription/illicit drugs by suicide means, χ 2 tests were used. Results : Nearly 92% of decedents were non-Hispanic White. Hispanics and Asians were overrepresented among those who use hanging/suffocation. Nearly 42% exhibited warning signs (e.g., suicide attempt/intent disclosure), and nearly one third had physical health problems that reportedly contributed to their suicide. As hypothesized, compared to firearm users, overdose users were younger and had higher odds of previous suicide attempts/intent disclosures (AOR=1.37, 95% CI=1.25-1.51), mental disorders (e.g., depression/dysthymia: AOR=1.18, 95% CI=1.05-1.34), physical health problems (AOR=1.15, 95% CI=1.03-1.27), and substance abuse (AOR=2.68, 95% CI=2.29-3.15) other than alcohol, but lower odds of relationship problems and crisis. Compared to hanging/suffocation, overdose declined (AOR=0.95, 95% CI=0.93-0.97) during the study period and was less prevalent among Hispanic and Asian women and those with job/finance/housing problems. Toxicology reports showed that 47%, 43%, and 45% of overdose users were antidepressant, opioids, and benzodiazepine positive, respectively. Firearm users had the lowest rates of positive toxicology results for these drugs. Conclusions and Implications : Results indicate that more emphasis is needed on educating formal (e.g., healthcare) and informal (e.g., family) support systems to identify and monitor warning signs. The opioid overdose rate implicates pain as a significant suicide precipitant. To prevent overdose, healthcare providers must employ risk reduction strategies (e.g., drug monitoring, prescribe in quantities that limit overdose potential), and obtain education on pain management and addiction treatment. Restricting firearms and adding barriers at jumping/hanging sites are also needed. Assistance with developing safety plans, managing chronic conditions and pain, and resolving interpersonal problems should be readily accessible Research to identify more effective prevention approaches is needed, including those targeting non-Hispanic White women, given their overrepresentation among older suicide decedents.",
      "authors": "Diana M. DiNitto; Namkee G. Choi",
      "author_ids": "109441; 108057",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3871531000,
        "prompt_eval_count": 1783,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:13:28.524131+00:00"
    },
    {
      "input_index": 1018,
      "record_key": "SSWR:2019-P-0385",
      "source_database": "SSWR",
      "record_id": "2019-P-0385",
      "year": 2019,
      "title": "Promising School-Based Interventions for Sexual and Gender Minority Youth Wellbeing: A Meta-Analysis",
      "abstract": "Background The victimization, harassment, and isolation that sexual and gender minority (SGM) youth often face in school settings are associated with poor mental health (e.g., depression, suicidal ideation and attempts, anxiety) as well as negative academic outcomes including lower academic performance and dropping out.  School-based supports, such as gay-straight alliances (GSAs), SGM-affirming school climates, and access to supportive individuals in schools have been associated with positive well-being among SGM students, yet this research is overwhelmingly cross-sectional and experimental designs remain exceedingly rare.  The purpose of this study was to use systematic review and meta-analysis to synthesize previous correlational research findings and identify which school-based supports are most strongly associated with SGM youth’s well-being and thus represent key targets for future intervention development and testing. This extends the work of previous meta-analyses and systematic reviews by attending specifically to the role of the school environment on the well-being of SGM youth. Methods Following PRISMA guidelines, we searched for all available published or unpublished school-based studies involving SGM adolescents by using key search terms and their variations. After reviewing studies for eligibility, 15 studies remained.  Predictor variables, outcome variables, statistics measuring the association between the two, sample sizes and other characteristics were gathered from the studies meeting the inclusion criteria.To maintain independence between effect sizes, when multiple effect sizes for a predictor-outcome pair came from the same study the effect sizes were aggregated. The effect size estimate from each study was converted to a common metric (Hedges’s g ). Given the small number of effect size estimates for each predictor-outcome pair, a fixed effects model was used. Results The final analysis included 34 effect size estimates for 18 predictor-outcome pairs drawn from 15 studies. Presence of a GSA was positively associated with a school attachment ( g = 0.52, 95% CI [0.19, 0.84]) and decreases in truancy ( g = 0.18, 95% CI [0.14, 0.23]) and victimization ( g = 0.11, 95% CI [0.08, 0.14]). An SGM-affirming school climate was positively associated with school attachment ( g = 0.67, 95% CI [0.32, 1.01]) and decreases in truancy ( g = 0.21, 95% CI [0.16, 0.25]), suicide ideation and attempts ( g = 0.10, 95% CI [0.08, 0.13]), and victimization ( g = 0.25, 95% CI [0.20, 0.29]). Supportive individuals in schools was positively associated with grade point average ( g = 0.47, 95% CI [0.30, 0.64]) and decreases in truancy ( g = 0.27, 95% CI [0.22, 0.31]), depression ( g = 0.56, 95% CI [0.52, 0.60]), and victimization ( g = 0.20, 95% CI [0.16, 0.25]). Discussion Employing effective interventions to address the exclusion, discrimination, and victimization SGM students face in school is a critical step toward addressing health and mental health disparities among SGM populations.  Our study suggests that future interventions should aim to develop and rigorously test the impact of GSAs, SGM-affirming school climates, and trainings to increase the cultural competence and supportive capacities of teachers and staff.  Overall, these findings encourage social workers to promote school-level interventions to help end community violence and promote positive wellbeing for SGM youth.",
      "authors": "Colleen M. Fisher; Megan S. Paceley; Megan Gandy-Guedes; Scott Marsalis; Emily Dacquisto; Kyle Nickodem; Danielle Dupuis",
      "author_ids": "110569; 113315; 118598; 118507; 118599; 118600; 118601",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "review",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Review"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3694032000,
        "prompt_eval_count": 1755,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:13:39.005451+00:00",
      "screening_source": "Primary screen; blind audit agreement",
      "accuracy_audit": {
        "sample_group": "Review",
        "random_seed": 20260802,
        "blind_screening": {
          "is_relevant": true,
          "relevance_rationale": "The study explicitly analyzes the association between school-based supports and suicide ideation and attempts as a distinct outcome in its meta-analysis.",
          "evidence_class": "Empirical",
          "empirical_method": "Review",
          "classification_rationale": "The abstract describes a systematic review and meta-analysis following PRISMA guidelines to synthesize quantitative data from multiple studies.",
          "confidence": "High"
        },
        "full_label_agreement": true
      }
    },
    {
      "input_index": 1020,
      "record_key": "SSWR:2019-U-0297",
      "source_database": "SSWR",
      "record_id": "2019-U-0297",
      "year": 2019,
      "title": "Religion and Suicide: Mental Health Assessment and Treatment Practice Implications",
      "abstract": "Background and Purpose: Religion impacts suicidality. Across history, religions have incorporated elements of life and death, and have exerted an influence on their followers understanding, perceptions, and behaviors related to suicide. This study examines the relationship between religion and suicide. One’s degree of religiosity can potentially serve as a protective factor against suicidal behavior. To accurately assess risk of suicide, it is imperative to understand the role of religion in suicidality. This study examines the current state of empirical knowledge regarding the relationship between religion and suicide. Specifically, the aims of this study include examining the suicide rates, and risk and protective factors for suicide across the following four religions: Christianity, Hinduism, Islam, and Judaism. Methods: PsycINFO, MEDLINE, SocINDEX, and CINAHL databases were searched for peer-reviewed published articles on religion and suicide between 2008 and 2017. The boolean search strategy and keywords included: religion, Christianity, Christian, Catholic, Catholicism, Judaism, Islam, Muslim, Hindu, or Hinduism; and attempted suicide, suicide, suicide prevention, or suicide risk and related mapped terms. Across the four electronic databases 1745 articles were yielded; after removing 472 duplicates, results totaled 1273 articles. The authors reviewed the abstracts and rejected 1192 articles including, resulting in a final total of 81 articles included in the review. Results: Research over the last decade has expanded our understanding of the complicated relationship between religiosity and suicidality. While it is now generally accepted that religion most often serves as a protective factor against suicide across religious denominations, there are aspects of religion that are now recognized as potentially representing a risk factor for increased suicide risk for some followers. Results identified the varying influence of religions on suicide ideation, attempts, and deaths across sociodemographic (e.g., gender, race/ethnicity) and clinical groups (e.g., psychiatric disorders). In addition, the identified risk or protective nature of religiosity varies by characteristics (e.g., age, diagnoses, etc.) across the dominant religions. However, it is important to recognize that these dominant religions are not homogenous groups, but comprise a multitude of sects and sub-groups, each with some shared central tenets but also with distinct interpretations and unique and differing religious customs. Conclusion and Implications: The relationship between an individual’s religiosity and suicidality is often minimized or ignored in clinical assessments. Despite the increase in attention that the role of religiosity has received over the last decade as a risk and/or protective factor for suicide, formal guidelines for including religious information in a suicide risk assessment have yet to be established.  A six-point general practice recommendation guideline is presented to guide clinicians in assessing and understanding the influence and impact of clients’ religiosity on their suicide risk. Also recommendations of further research is presented in the area of religion and suicidality to better understand the relationship between religiosity and gender, age, culture, and ethnicity.",
      "authors": "Robin E. Gearing; Dana Alonzo",
      "author_ids": "109445; 118433",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "review",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Review"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3311405708,
        "prompt_eval_count": 1536,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:13:45.964943+00:00"
    },
    {
      "input_index": 1022,
      "record_key": "SSWR:2019-P-0083",
      "source_database": "SSWR",
      "record_id": "2019-P-0083",
      "year": 2019,
      "title": "Risk Factors of Intimate Partner Violence (IPV) Related Suicide",
      "abstract": "Background and Purpose: Deaths due to suicide have been increasingly affecting individuals, families and communities throughout the United States (U.S.). According to the estimates by the Centers for Disease Control and Prevention (CDC), suicide is the tenth leading cause of death among individuals in the U.S. Individuals may commit suicide for a variety of reasons such as mental health issues, depression, substance use or problems with their intimate partner. Therefore, the purpose of the study was to examine the risk factors of intimate partner violence (IPV)-related suicide. Methods: Data for this study was drawn from the National Violent Death Reporting System (NVDRS) dataset for the year 2015, including 47 States. Our analyses included only persons who died due to IPV related circumstances (N=5,126).  Additionally, we used a grouping variable based on region to analyze differences among geographical areas of the U.S. The dependent variable in our study was suicide compared to all other forms of death. The independent variables were age, gender, race, marital status, pregnancy status, physical health, mental health, depression, substance use, region in which the victim resided.  Multivariate analyses using logistic regression was used to predict the correlates of IPV-related suicide. Results: The logistic regression model for IPV-related suicide fitted the data well (𝜒 2 (1, 9) =46.31, p<0.001) and explained 46.3% of the variance. Of the variables, pregnancy status (OR = 3.10, p < 0.05), mental health (OR = 2.14, p < 0.05), the geographical region (OR = -1.08, p < 0.05) in which the decedent resided, and age (OR = 0.69, p < 0.05) were associated with a higher odds of IPV-related suicide. That is, pregnant individuals had 3.10 times higher odds of committing IPV-related suicide in comparison to individuals that were not pregnant. Individuals with a mental health concern in comparison to the ones with no mental health concern, had 2.14 times higher odds of committing IPV-related suicide. Individuals from the Northeast had 1.08 times higher odds in comparison to those from the South, Midwest and West of committing IPV-related suicide. Last, with an increase in age the odds of committing IPV-related suicide decreased by 0.69 times. Conclusions and Implications: Pregnancy and mental health have been found to be related to IPV experiences in the past research and were also the strongest risk factors for IPV-related suicide in this study. This finding suggests that inclusion of IPV screening in prenatal care and mental health services may be a promising approach to prevent IPV-related suicide. Additionally, as younger individuals experiencing IPV committed suicide at a higher rate than older individuals, facilitating discussions around healthy intimate relationships and IPV in higher education may help lower IPV-related suicide.  Finally, different rates of IPV-related suicide among geographic regions indicate the need to investigate further the environmental factors that may work as protective factors for IPV-related suicide.",
      "authors": "Abha Rai; Y. Joon Choi; Orion P. Mowbray",
      "author_ids": "114638; 111445; 110801",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3351114000,
        "prompt_eval_count": 1576,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:13:52.418623+00:00"
    },
    {
      "input_index": 1024,
      "record_key": "SSWR:2019-P-0666",
      "source_database": "SSWR",
      "record_id": "2019-P-0666",
      "year": 2019,
      "title": "Structural Factors Associated with Suicide Attempts Among LGBTQ Youth Contacting Crisis Services",
      "abstract": "Background and Purpose : LGBTQ youth experience increased risks of mental health disorder symptoms and suicidality, and structural factors – such as socioeconomic status (SES), experiences of homelessness, conflict between religion and LGBTQ identity, and political equality for LGBTQ persons – may complicate this risk for youth in certain familial, political, and economic climates. Utilizing data from LGBTQ youth contacting a suicide crisis services organization, this study examined whether these structural characteristics were associated with lifetime and recent suicide attempts. Methods: A nationwide sample of LGBTQ youth (ages 12-24) was recruited for a confidential online survey from an LGBTQ-focused crisis services hotline. Regression analyses (linear and logistic, depending on the outcome) adjusting for demographic characteristics assessed for relationships between structural factors and lifetime and recent suicide attempts. The self-administered survey assessed structural factors by asking whether the youth had ever been eligible for a free or reduced lunch at school (indicator of low SES), whether they had ever experienced homelessness, and whether they felt conflicted about being LGBTQ and also being a member of their family’s religion. Youth were asked for their current zip code, and were coded as living in a state with better/worse LGBTQ political climate based on the 2016 Human Rights Campaign’s State Equality Index. The survey also assessed recent and lifetime suicide attempts. Results: Overall, 33% of youth contacting the crisis services hotline reported a lifetime suicide attempt and 5% reported an attempt within the prior two weeks. 31% of youth had experienced lifetime homelessness, 32% had been eligible for free or reduced lunch in school, 40% felt conflicted about being LGBTQ and a member of their family’s religion, and 58% lived in states with a poor political climate for LGBTQ people. Both lifetime and recent suicide attempts were more common among those who felt conflicted about being LGBTQ in their religion (lifetime: OR=1.12: 95% CI: 1.01-1.25; recent: OR=1.73; 95% CI:1.32-2.27) and those who had ever experienced homelessness (lifetime: OR=3.56; 95% CI: 2.27-5.35; recent: OR=3.27; 95% CI: 1.23-8.72). There was a marginally significant (p<0.10) relationship between lifetime suicide attempts and both having a lower SES and living in states with poorer LGBTQ political equality records. Conclusions and Implications : Social workers and other providers working with young LGBTQ persons may consider the implications of structural influences for mental health and suicide outcomes. Utilizing treatment interactions as a space to assess for economic disadvantage and homelessness experiences may help providers to identify LGBTQ youth at highest risk for suicide, and who may also be in need of other services to address their immediate subsistence needs. Similarly, understanding the context of personal religious conflict may help inform treatment plans for LGBTQ youth and their families. Finally, advocacy aimed at improving nationwide political climate around LGBTQ issues may be an area where social work can have a widespread and lasting impact on the mental health of LGBTQ youth.",
      "authors": "Harmony Rhoades; Joshua A. Rusow; Jeremy Goldbach",
      "author_ids": "112528; 113876; 110332",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3263746333,
        "prompt_eval_count": 1582,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:13:59.057577+00:00"
    },
    {
      "input_index": 1025,
      "record_key": "SSWR:2019-P-0130",
      "source_database": "SSWR",
      "record_id": "2019-P-0130",
      "year": 2019,
      "title": "Substance Use Related Deaths Among Racial/Ethnic Groups in the United States: Findings from the National Violent Death Reporting System",
      "abstract": "Background: Despite increased focus on how social disparities influence health outcomes, large differences in violent death rates (homicide and suicide) persist among racial/ethnic minorities. Additionally, current substance use research shows that more than half of all persons who experience violent death test positive for psychoactive substances. While the current focus on substance use related violent death concerns opioid use in primarily rural, predominantly White non-Hispanic communities, there is little to no knowledge base for how substance use related violent death differs among different racial/ethnic groups. In order to establish a knowledge base within these areas of research, we examine how race/ethnicity intersects with substance use behavior to influence rates of violent death from the years 2003-2015. Method: Data is from the National Violent Death Reporting System (NVDRS), which includes all violent deaths from 27 states in the U.S., collected each year from 2003 to 2015 (N = 135,310). NVDRS data includes reports from death certificates, as well as coroner, law enforcement and toxicology reports. To establish substance use related violent deaths, four binary dependent variables were created to identify persons who had experienced an opioid, alcohol, amphetamine or marijuana-related violent death. Additional measures in the NVDRS include race/ethnicity, age, gender, education, marital status, mental health problems, history of substance use, the experience of interpersonal violence, and history of suicide. To examine whether there are racial/ethnic differences in substance-use related violent deaths, four fixed-effects multivariate logistic regression models examined whether a race/ethnicity by time interaction term was associated with each substance use related violent death measure (opioids, alcohol, methamphetamine and marijuana), controlling for additional factors associated with violent death. Results: Among opioid-related fatalities, there was a significant increase amongst all groups over time, and a significant race/ethnicity by time interaction, suggesting that the rate of increase over time for opioid-related deaths was larger among racial and ethnic minorities compared to White non-Hispanic individuals. This pattern resulted in little differences across racial/ethnic groups by the year 2015. Among alcohol-related, methamphetamine-related and marijuana-related deaths, there was also a significant increase among all groups over time, but the significant race/ethnicity by time interactions showed a consistent widening of differences such that racial/ethnic minorities had larger odds of these substance use related deaths by 2015, compared to White non-Hispanic individuals. Discussion: While the current focus on substance use related deaths concerns opioid use among specific groups of individuals, this research suggests this concern is warranted across all racial/ethnic minority groups. Additionally, racial/ethnic minority groups experience elevated substance use related deaths across other substances as well. Current directions in social work practice especially those with a focus on addictions, may benefit from this work, which calls attention to the heightened risk substance using racial/ethnic minority individuals may face. Additionally, social work practitioners of all areas can build from this work to continue advocacy for increased effort to better understand the links between racial/ethnic groups and social disparities in health.",
      "authors": "Orion P. Mowbray; Porter Jennings; Oluwayomi Busari; Jay D. O'Shields",
      "author_ids": "110801; 116591; 118107; 114959",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3456994167,
        "prompt_eval_count": 1583,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:14:02.516919+00:00"
    },
    {
      "input_index": 1026,
      "record_key": "SSWR:2019-P-0372",
      "source_database": "SSWR",
      "record_id": "2019-P-0372",
      "year": 2019,
      "title": "Subtypes of Depressive Symptoms and Their Relationship to Suicide Ideation Among Korean Older Adults",
      "abstract": "Purpose: Late-life depression is one of the important health issues in older adults because it is frequently untreated. Untreated late-life depression is a risk factor for suicide among older adults. In addition, research reports gender differences both in patterns of depressive symptoms and their relationships to suicide ideation. However, little is known about subtypes of depressive symptoms and their impacts on suicide ideation among Korean older adults. The purpose of the present study was to (a) identify the underlying subgroups of Korean older adults who had similar patterns of depressive symptoms, (b) explore gender differences in subtypes of depressive symptoms, and (c) examine the relationships between identified subtypes of depressive symptoms and suicide ideation. Method: The data used in the present study from the 2015 Korean Welfare Panel study (KOWEPS). A total of 4,823 older adults aged 65 and over (1,796 males and 3,027 females) were included in the analysis. To examine the subtypes of depressive symptoms, the 11-item Center for Epidemiologic Studies Depression (CES-D) were utilized. Latent Class Analysis (LCA) was conducted to explore the underlying patterns of depressive symptoms among Korean older adults. A multigroup-LCA was also performed to examine measurement invariance across gender. Lastly, a series of logistic regression was employed to examine the relationships between subtypes of depressive symptoms and suicide ideation among Korean older adults after adjusting for socio-demographic characteristics (e.g., age, gender, education). The model fit was evaluated by the Bayesian Information Criteria, the size of the smallest group, solution stability, and the interpretability for practical purposes. All analyses were conducted using SAS 9.4 and Mplus 7.4, after adjusting for sampling weights. Results: Six distinct subtypes of older adults were found: (1) no depressive symptoms (43.3%), (2) all depressive symptoms (6.1%), (3) most depressive symptoms without interpersonal symptoms (16.5%), (4) depressive affect and somatic symptoms (13.6%), (5) negative affect and somatic symptoms (9.8%), and (6) somatic symptoms only (10.8%). A multigroup-LCA shows that measurement invariance holds across gender. However, the prevalence of latent classes was different across gender. Women were more likely to belong to groups with depressive symptoms compared to men. Lastly, an interaction effect between gender and subtypes of depressive symptoms on suicide ideation was found that men with negative affect and somatic symptoms were more likely to have suicide ideation in the past year than their counterparts. Conclusion and Implications: Findings highlight six distinctive subgroups of Korean older adults who had similar patterns of depressive symptoms and their relationships to suicide ideation. Findings also found that male older adults with specific depressive symptoms were more likely to have suicide ideation in the past year than their female counterparts. These findings may suggest that some depressed male older adults are more vulnerable to suicide than depressed female older adults. Identifying subtypes of depressive symptoms may be useful to understand older adults who are more vulnerable and to develop tailored interventions.",
      "authors": "Hyunyong Park",
      "author_ids": "111591",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3270788625,
        "prompt_eval_count": 1578,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:14:05.789530+00:00"
    },
    {
      "input_index": 1027,
      "record_key": "SSWR:2019-O-0019",
      "source_database": "SSWR",
      "record_id": "2019-O-0019",
      "year": 2019,
      "title": "Suicidal Behaviors in Prisons: Exploring Racial and Gender Differences in Behaviors and Health Care Disparities in Prison Responses",
      "abstract": "Background/Purpose: The suicide rate for incarcerated adults is three times the suicide rate for adults in the community. Major limitations exist in research on prison-based suicidal behaviors, including most studies are conducted outside of the U.S. (thus, losing the context of over-representation of racial minorities), focus almost exclusively on men, look only at fatal suicide attempts, do not examine racial and gender differences in suicide-related behaviors, or center the experiences of racial minority prisoners. Thus, Black women’s suicidal behaviors in prison, for example, are highly understudied. In addition, there is a lack of research investigating health care disparities in the treatment prisoners receive post-suicide attempts. This study investigated racial differences in prisoners’ incidents of suicidal behaviors and health care disparities in treatment after suicide attempts. Methods: This study used administrative data from five state prisons over a five year period. A total of 495 incidents occurred during this timeframe by 118 incarcerated men and 91 incarcerated women. With variables related to demographics, method, and context (e.g. placement in segregation), latent class analysis was conducted in order to understand race and gender differences in suicidal behaviors and treatment post-attempt. R esults : A latent class analysis revealed four classes for men and women. Among women, 25% were in a high-risk group (multiple attempts with multiple methods), and the remaining women were in groups categorized by method (30% cutting, 29% hanging/suffocation, and 16% drug overdose). Men showed the same four classes: 18% were in a high-risk group and groups categorized by method (29% cutting, 23% hanging/suffocation, and 30% drug overdose). Additionally, the high-risk and hanging/suffocation classes were more likely to attempt suicide while in segregation than the other two classes. Next, race was examined as a predictor of class membership. Black men and women were at higher risk for the groups involving suicide attempt by hanging/suffocation (b = 1.43, b = 2.68, respectively) and the high-risk group (b = .91, b = 1.73, respectively) than the group involving suicide attempt by cutting. Finally, class memberships were differentially associated with treatment outcomes following an attempted suicide. For women, the groups involving cutting (M = .40) and hanging/suffocation (M = .28) were less likely to have medical assistance requested by staff, in comparison to the high-risk group (M = .80) and the group involving drug overdose (M = .85). For men, the group involving hanging/suffocation (M = .43) had the lowest levels of treatment in comparison to the other classes (M = .68-.86). Implications : Incarcerated Black men and women are rarely centered or highlighted within research on suicidal behaviors in prison. However, they are likely to be in a high-risk group or use hanging/suffocation for attempting suicide, are commonly in segregation when they attempt suicide, and are the least likely to receive health care post-attempt. Social work and public health efforts are needed to not only address health care disparities for Black incarcerated adults, but also to transform prison conditions and culture that promote, facilitate, and allow fatal and nonfatal suicidal behaviors.",
      "authors": "Gina Fedock; Rachel Garthe; Deborah Bybee",
      "author_ids": "112570; 117320; 109212",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3391856750,
        "prompt_eval_count": 1626,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:14:09.183215+00:00"
    },
    {
      "input_index": 1028,
      "record_key": "SSWR:2019-U-0038",
      "source_database": "SSWR",
      "record_id": "2019-U-0038",
      "year": 2019,
      "title": "Suicidal Ideation Among Alternative High School Students: The Impact of Student Demographics, External Stressors, and School Experience",
      "abstract": "Background In the United States, suicide, or self-directed violence, is an ongoing issue for youth. The risk factors for youth suicidality overlap with those which contribute to high school dropout, including having a minority identity, exposure to discrimination, and stressful live events. Alternative high schools are environments which address both academic performance and student emotional health among vulnerable students. Research suggests that school-based social resources may reduce student suicidal ideation and related behavior. Informed by the stress buffering model, this study aimed to examine the impact of student demographics, external stressors, and positive school experience on suicide risk among minority and underserved students enrolled in an alternative education public high school. Methods As part of a mixed methods study, a sample of high school students (N=103) at an alternative high school completed a one-time survey. The school is in the southwestern region of the U.S. and uses a solution-focused approach to teaching. Student participants were between the ages of 15 to 20 years old and had to be enrolled to participate in the study. Fifty one percent of the participants were female. Over half of the participants identified ethnically as Hispanic or Latino (53.4%) and most participants identified racially as White (61.2%). Approximately 59% of students identified as heterosexual. The questionnaire included the domains of: student demographics, suicidal ideation, recent life events, perceived discrimination, and school experience and belonging. Demographics for the entire sample were summarized with descriptive statistics. Correlation analyses demonstrated the strength and direction of associations between the independent variables and the dependent variable of suicidal ideation. Predictors of suicidal ideation were determined using hierarchical linear regression. Results Bivariate correlation revealed both significant positive and negative associations between suicidal ideation and student characteristics and the psychosocial domains. Student perceived discrimination and non-heterosexual identity both has positive, significant associations with higher scores on the suicidal ideation scale.  An age of 18 years was associated with lower reporting of suicidal ideation. Results of hierarchical linear regression indicated that being male, non-heterosexual, white, and/or exposure to discrimination were associated with greater student reporting of suicidal ideation. Controlling for student demographics and external stressors (recent life events and discrimination), positive school experience was associated with a lower reporting of suicidal ideation ( b =-.55, p <.01) and explained 7% of the variance, for a total of 43% of variance explained in the third model. Conclusions Study results support the growing literature on the risk of suicidality among sexual minority youth and youth who experience perceived discrimination. Some of the findings which contrast national trends (i.e. greater reporting of suicidal ideation among male and white students) may speak to the uniqueness of the alternative high school sample, and the plurality of participants’ racial and ethnicity identity. Results also suggest that positive school experiences may buffer the impact of external stressors on suicidal ideation among a vulnerable student population. This study’s findings have future implications for interventions for youth suicidality that emphasize school experience and belonging, especially among underserved and minority students.",
      "authors": "Hannah Szlyk",
      "author_ids": "115769",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3402974292,
        "prompt_eval_count": 1569,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:14:12.588071+00:00"
    },
    {
      "input_index": 1029,
      "record_key": "SSWR:2019-U-0653",
      "source_database": "SSWR",
      "record_id": "2019-U-0653",
      "year": 2019,
      "title": "Suicide Among Older Adults in Mexico: Identification of the Critical Role of Perceived Isolation",
      "abstract": "Background and Purpose: Suicide is a public health concern among adults in Mexico (Borges et al., 2010). Suicidal behaviors and mortality have increased at an alarming rate since the 1970s particularly among older adults. Studies show that approximately 90% of individuals who die by suicide have depression. Prior suicide attempts are the strongest predictors of complete suicide. However, extremely limited attention has been paid to the mental health of a rapidly growing geriatric Mexican population; no studies have examined modifiable predictors that may contribute to suicidal ideation and attempts. Thus, guided by Joiner’s Interpersonal Theory of Suicide (2005) we examined multiple indicators of “thwarted belongingness” and their association with suicidal ideation and attempts using a national probability sample of Mexican elders. Methods: We drew from the Mexico component of the WHO Study on Global AGEing and Adult Health (SAGE). The survey used a multi­stage, stratified clustered sample design, with household clusters sampled to reflect age, sex, level of wealth/local economic development, and urban/rural status in the Mexico Census. We based our analyses on a subset of 289 participants aged ≥ 50 years in Wave 1 (2007­ 2010) who reported at least one core symptom of depression and completed a full depression inventory (ICD-10, DSM-IV). Through our analyses we examined both suicidal ideation and suicide attempts. Independent variables included 1) widowhood; 2) community integration; 3) difficulties with interpersonal activities and 4) perceived isolation. We conducted logistic regression analyses to identify associations between our independent variables and suicidal ideation and attempts while controlling for important sociodemographics (i.e. age, gender, education, income); physical health (i.e., functioning); and total number of depressive symptoms (excluding loneliness). Results: The mean age of this sample was 67years (SD=9) with 22% older than 75 years. About 75% were female, 29% were widowed, and 86% had less than 6 years of schooling. Approximately 30% of this sample reported suicidal ideation and 7% reported attempts in the previous 12-months. Results from our logistic regression models indicate that among older adults in Mexico, even after accounting for depressive symptoms, those reporting perceived isolation were more than twice as likely to report suicidal ideation compared to those who did not. Regarding suicide attempts, only suicidal ideation predicted suicide attempts; those who reported suicidal ideation were more than nine times more likely to report a suicide attempt compared to those without suicidal ideation. Conclusion and Implications: Geriatric suicide is a critical public health concern in Mexico. Findings indicated that feeling disconnected from others predicted suicidal ideation beyond and above depressive symptoms. We recommend collaborations between U.S. and Mexican mental health associations to offer supportive resources for training in screening for depression, including perceived isolation and suicidal ideation.  There may be any number of culturally relevant protective factors to draw upon for preventive interventions, including guidelines for practitioners to share upon any client screening positive. Future research should identify protective factors and explore the role of culture (e.g., familism, perceptions of aging, ageism, stigma) to inform the development and implementation of effective suicide prevention strategies.",
      "authors": "David Camacho; Carolina Velez-Grau; Susan S. Witte",
      "author_ids": "115219; 116465; 108457",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3348153458,
        "prompt_eval_count": 1618,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:14:15.938519+00:00"
    },
    {
      "input_index": 1030,
      "record_key": "SSWR:2019-U-0095",
      "source_database": "SSWR",
      "record_id": "2019-U-0095",
      "year": 2019,
      "title": "Suicide Attempt Survivors' Perceptions of Inpatient Psychiatric Care",
      "abstract": "Research Aims: The internal struggles of suicide attempt survivors may be unimaginable for providers without lived experience, which can impede their ability to best support their patients. For suicide attempt survivors who are psychiatrically hospitalized following their attempt, their inpatient psychiatric treatment must be in an environment that feels safe and emotionally supportive to begin the healing process. This is particularly important as 5-11% of individuals who have attempted suicide and who have been psychiatrically hospitalized eventually die by suicide. Providers that survivors encounter immediately after an attempt play an important role in their recovery. Therefore, the goal of this study was to understand patients’ prior experiences with inpatient psychiatric care following a suicide attempt in order to identify strengths and weaknesses of current practices and elicit suggestions for improvements in inpatient psychiatric care. Methods: Nine in-depth, semi-structured interviews were conducted with individuals who spent a minimum of 72 hours on a psychiatric unit following a suicide attempt (M age =42). The sample was predominantly female (78%), White (78%), and heterosexual (33%). The interviews elicited information on the participants’ experiences in medical and/or psychiatric care within the first 24 hours of their attempt, the effects of attitudes of inpatient psychiatric staff, and survivors’ confidence in recovery and post-inpatient treatment. The interviews also asked suicide attempt survivors to give advice to providers working in psychiatric units regarding how they can provide the best quality care to their patients and how to enhance education curricula to deliver optimal training for psychiatric care providers. Results: Salient themes with respect to inpatient care included the negative impact of stigma in the psychiatric unit among healthcare workers, and the importance of empathy and flexibility in attending to a patient’s unique needs, and validation, in the form of treating patients as “people” and equals to any medical patient. Participants said that they were more likely to seek care again when they felt supported by and connected to staff on the unit, and would not seek a higher level of care in the future if they had negative experiences. Conclusions: Results indicated that suicide attempt survivors were positively affected by their experiences in inpatient psychiatric units when their providers practiced empathy, active listening, and helpfulness in discharge planning. Patients with positive experiences reported they were more likely to seek help in the future if they were feeling suicidal. However, suicide attempt survivors who felt invalidated, dehumanized, and stigmatized by the unit staff said they would be less likely to seek help (through inpatient care or other forms of care) if they were suicidal in the future. These findings suggest the importance of a provider’s commitment to empathic interactions and providing emotional support to ensure continuity of care. Training for psychiatric care providers should emphasize developing and practicing empathy, providing individualistic patient-centered care, confronting stigma around mental illness, and treating mental health with the same sensitivity as any other medical diagnosis.",
      "authors": "Jillian Shih; Christina M. Sellers; Kimberly H. McManama O'Brien",
      "author_ids": "118097; 116177; 110756",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "prompt_eval_count": 1504,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:14:19.077405+00:00"
    },
    {
      "input_index": 1031,
      "record_key": "SSWR:2019-P-0502",
      "source_database": "SSWR",
      "record_id": "2019-P-0502",
      "year": 2019,
      "title": "Suicide in South Asian Americans: An Emerging Public Health Problem",
      "abstract": "Background Significance : The South Asian population is one of the fastest growing ethnic populations in the United States but remains underrepresented in public health research and literature. An emphasis on studying Asian Americans as an aggregate masks the health disparities among different ethnic groups and prevents the development of culturally tailored prevention and treatments. South Asians in the United States are at elevated risk for mental health disorders, along with suicide thoughts and behavior. Stigmas associated with mental health and suicidality within the community are well documented. South Asians have been faced with challenges with assimilation into western culture and simultaneously retaining traditional cultural values.  Basic information about the rates of major mental disorders in a community sample has not been examined for South Asian Americans. There is a growing perception among leaders that mental health problems within the South Asian community are going untreated, with few mental health services that are specifically tailored to meet their communities’ needs. This study examines familial and environmental risk factors along with prior reports of suicidality and mental health disorders from a sample of South Asian Americans who died by suicide. Methods Participants in the current study were men and women who died in DuPage County, Illinois, during the years 2012-2017, of South Asian descent. The sample consisted of (n=14;11 males, 3 females) whose deaths were classified as suicide. Investigative reports were collected which included family/informant interviews, coroners’ inquest notes, methods of suicide, employment status, marital status, and other relevant notes. We used a qualitative approach using thematic analysis to identify risk factors and other attributes specific for each suicide. A descriptive approach on the suicide cases was adopted in the present study. Results: The age range for completed suicides was (min=16; max=71; mean=47.6).  The most prevalent method of suicide was hanging (n=9; 64.3%), followed by blunt force from vehicle/train (n=2; 14.3%), thermal injuries (n=2; 14.3%), and overdose (n=1;7.3%).  The highest prevalence of the suicides occurred at victims’ residence (n=9; 64.3%), and 8 out of the 14 (57.1%) victims had prior history of depression, suicide attempt or suicide ideation.  Our thematic analysis found family problems, financial problems, lack of social support, and marital problems as common explanatory factors. Conclusion and Implications: There is a substantial gap in existing literature regarding prevalence, risk factors, of suicide thoughts and behavior among South Asian Americans. There are several implications for Social Work practice as suicide rates in the community are rising but have not been systematically addressed. Further research needs to be conducted to identify culture specific risk factors that will lead to prevention and targeted interventions.",
      "authors": "Aruna Jha; Manik Ahuja; Rajvi Wani; Shilpa Bavikatte",
      "author_ids": "118816; 118775; 118817; 118818",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:14:22.218036+00:00"
    },
    {
      "input_index": 1032,
      "record_key": "SSWR:2019-U-0547",
      "source_database": "SSWR",
      "record_id": "2019-U-0547",
      "year": 2019,
      "title": "Surviving Stigma: Transgender Adults and Suicide Exposure",
      "abstract": "Background Transgender adults continue to face an increased rate of suicidal behavior compared to the general population. According to published findings, 41% of trans individuals attempt suicide during their lifetime. Emerging studies indicate that high rates of depression, anxiety, substance abuse, parental rejection, and minority stress are all possible risk factors for this population. Despite these initial findings, researchers have yet to investigate the impact of suicide exposure on trans adults. Since research suggests that people exposed to suicide, and especially those who feel close to someone who has died by suicide are at a heightened risk of suicidal behavior, we have endeavored to analyze its effects on this susceptible population. Thus, this study had three aims. 1.Examine suicide exposure in trans adults. Examine demographic correlates of those exposed to suicide deaths and attempts.; 2. Determine relationships between suicide exposure, mental health problems and suicidal thoughts and attempts in this population.; 3. Explore trans experiences with the mental health community. Methods In 2017, Trans Lifeline collaborated with the National LGBTQ Task Force to produce an online, nationwide Trans Mental Health Survey. This study was completed by 4352 participants of varying self-identified genders. Respondents were asked questions related to suicide and suicide exposure. Chi-square analysis was employed to examine demographic correlates; forward logistic regression was used to determine significant predictors of suicide. Results Analysis revealed that 27% of participants were close to someone who had died by suicide. Of these, 25% stated the person who died was also transgender. Nearly 85% of respondents indicated that they had been diagnosed with a mental health disorder, and 70% of respondents revealed that it was at least \"somewhat difficult\" to find an adequate mental health therapist. Regression results revealed six predictors of suicide attempts: suicide death exposure, suicide attempt exposure, lack of family support, mental disorder, race/ethnicity, and gender identity. Among the suicide bereaved, regression results indicated a model fit of four predictors: rate of suicide death exposure, gender identity, age, and mental disorder. Conclusions A quarter of trans adults reported suicide exposure of someone close to them and over half indicated that they had attempted suicide at some point in their life. This risk factor cannot be ignored as it is important to understand how suicide exposure is related to suicide risk in trans adults. Data gleaned from the Trans Mental Health Survey promises to yield much-needed information about the experiences of trans suicide survivors. According to the latest reports, transgender individuals face a higher lifetime prevalence of suicide, and yet, research has historically relied upon small sample sizes. The present study seeks to remedy some of these statistical limitations by contributing viable information to an inchoate body of research. This survey represents the largest sample size of its kind, offering invaluable insight into this vulnerable and understudied population. Back to: Wellbeing and Inclusion of Trans and Non-Binary Individuals << Previous Abstract | Next Abstract >>",
      "authors": "Annie Snow; Julie Cerel; Victoria Rodriguez-Roldan; Nina Chaubal; Greta Martela",
      "author_ids": "118812; 114861; 118813; 118814; 118815",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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        "prompt_eval_count": 1515,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:14:25.354479+00:00"
    },
    {
      "input_index": 1033,
      "record_key": "SSWR:2019-P-0581",
      "source_database": "SSWR",
      "record_id": "2019-P-0581",
      "year": 2019,
      "title": "Talking Circles on Suicide Among American Indians and Alaska Native Youth Reveal Help-Seeking Strategies, Barriers and Need for Intergenerational Engagement",
      "abstract": "Background: Suicide is the leading cause of death among American Indian/Alaskan Native (AI/AN) youth aged 10-24 (Heron, 2016). The purpose of this study, via collaboration between American Indian Health and Family Services of Southeast Michigan, Inc. and the University of Michigan, was to conduct Community Readiness Assessment (CRA) Talking Circles with adults/elders and youth to examine changes in knowledge and perceptions of suicide, and utilization of means of prevention of suicide within their AI/AN community. Methods: We conducted six Talking Circles (N = 3 adult/elder; N = 3 youth) between March 2015 and April 2017. Both qualitative and quantitative data were collected via demographic surveys with questions regarding cultural identity and socioeconomic status; Likert scale surveys (range 1 to 10) (e.g. “How much of a concern is AI/AN youth Suicide in the community?”); and a Talking Circle protocol (e.g. “Can you give some examples of sources of information that the community may or may not know or learn about suicide prevention efforts at AIHFS?”) Each participant was provided a meal and compensation for their time. Demographic data were analyzed via SPSS for descriptives and frequencies; Circles were recorded, transcribed and analyzed using inductive analysis. Results: All Talking Circle participants identified as AI/AN, and included 39 males, 35 females and 2 Two-Spirit individuals; 44 adults/elders (ages 18-83) and 32 youth (ages 7-17). Three themes were identified: 1) help-seeking strategies 2) help-seeking barriers and 3) intergenerational engagement. Many reported improved capacity building as a result of increased knowledge of suicide prevention as a support to help-seeking. One youth explained: “Sometimes we can be a source of information cuz we can tell our family and sometimes they can tell other friends;” Many also felt “frustrated” by Western mental health services, and spoke to a need to incorporate traditional healing practices into mental health. One adult discussed the connection between historical trauma and suicide as another barrier: “I look at the big picture…the genocidal practices have taken away their roles and stopped them and killed them…where they can't see what’s worth living.” The majority of youth cited parents and adult figures as people whom they would talk to if they were feeling depressed or suicidal. Subthemes related to help-seeking varied by age group and were influenced by cultural values, loss histories, mental health status, and trauma. Conclusions and Implications: The results highlight an increase in community awareness of suicide and prevention strategies, emphasizing cultural practices. Increasing intergenerational engagement, maintaining cultural identity, and community connectedness were cited as protective factors across both Circles. Participants felt an obligation to “pass on knowledge” to the youth, to “teach them how to drum and sing” in order to increase youths’ connectedness to cultural identity to prevent suicide. Through an increased sense of knowledge and capacity-building, community members are empowered to support one another, creating a stronger and healthier community. This study ultimately uplifts the voices of AI/AN individuals, as they put forth their own recommendations for preventing suicide. It is up to service providers to “listen to them.”",
      "authors": "Celina Doria; Sandra L. Momper",
      "author_ids": "118658; 108890",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "mixed_methods",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3388648750,
        "prompt_eval_count": 1634,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:14:28.744897+00:00"
    },
    {
      "input_index": 1034,
      "record_key": "SSWR:2019-P-0213",
      "source_database": "SSWR",
      "record_id": "2019-P-0213",
      "year": 2019,
      "title": "The Association of Childhood Polyvictimization with Physical and Mental Health Status in Early Adulthood: A Retrospective Study",
      "abstract": "Focusing on a single type of violence and its influence on child development outcomes could overestimate the association between them. The likelihood of experiencing of other types of violence increases for a child who is exposed to one kind of violence and children who experience multiple types of violence are particularly at risk. Studies have been published to examine if polyvictimization caused or associated with more deleterious and harmful outcomes but most of them were conducted in the context of western countries like US and other European counties. Although a few studies were published in the context of Asian culture, studies on polyvictimization in South Korea, where the prevalence of child abuse is relatively high, have only rarely been published. This study aimed to investigate the association between childhood polyvictimization and health outcomes in adulthood in Korea. Data are derived from the 2012 Korean General Social Survey (KGSS) conducted by the Survey Research Center in South Korea. This study capped the range of early adulthood at 39 years of age and as a result, the final sample of 18-39-year-olds for the analyses of this study totaled 408 individuals. The KGSS classifies violence into six categories; (1) witnessing of violence; (2) severe physical abuse; (3) minor physical abuse; (4) emotional abuse; (5) neglect; (6) sexual abuse. Following previous studies, this study also adopted this top 10% standard to identify the polyvictimized group. As a result, in this study, individuals who experienced five or more types of violence were categorized into the polyvictimization group. Three health outcomes, with depression and lifetime suicidal ideation, and self-rated health in adulthood were utilized as dependent variables. This study found that 8.33% (n=34) were polyvictimized and 37.50% reported no violence victimization experience. As for number of victimizations by gender, 71.86% of males experienced at least one form of victimization during childhood, and 9.05% of males reported five types of victimization or more. For females, 53.59% reported one type of victimization or more during childhood, and 7.66% were exposed to polyvictimization. According to chi testing and ANOVA, the association between childhood polyvictimization and adult health status was statistically significant at the 99% confidence interval across most of the health outcomes (p<.001). Those with experience of polyvictimization reported severe depression, poorer self-rated health, and a higher rate of suicidal ideation compared to those with no to four types of victimization. These findings are consistent with the results for both males and females. It is noteworthy that females who were polyvictimized under 18 years of age reported a much higher rate of suicidal ideation (62.5%) compared to males (33.33%). Furthermore, it is important to note that polyvictimized females reported a considerably higher rate of depression compared to other groups. Findings indicate the importance of taking into account the lasting associations of polyvictimization in childhood with health even into adulthood, for practice and policy level.",
      "authors": "Yusun Cho; Ahyoung Song; Sejeong Cheong",
      "author_ids": "118263; 113153; 113156",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3398495917,
        "prompt_eval_count": 1592,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:14:32.145097+00:00"
    },
    {
      "input_index": 1037,
      "record_key": "SSWR:2019-P-0549",
      "source_database": "SSWR",
      "record_id": "2019-P-0549",
      "year": 2019,
      "title": "The Relationship of Weapn Carrying and Bullying to Adolescent Suicide",
      "abstract": "Background and Purpose: Suicide is the second leading cause of death for adolescents and rates of suicide among adolescents have increased with no clear causation.  Research indicates that adolescents who carry a weapon are more likely to have a suicide attempt. Furthermore, both in-person bullying, and cyber-bullying have been shown to influence depression and suicidality.  Adolescent suicide prevention and intervention requires knowledge of the interaction of risk factors.  While depression has been shown to be a predictor of adolescent suicide, it is important to hold this constant to get a clearer understanding of how bullying and weapon carrying interact in relation to suicidality. Methods: Utilizing an integrated conceptual framework of the Interpersonal-Psychological Theory of Suicide and co-construction theory, this study utilized the 2015 Youth Behavior Risk Survey (YRBS). The YRBS is a nationally-representative survey conducted by the Center for Disease Control of students in 9 th through 12 th grade in public and private schools in the U.S. We conducted logistic regression analyses to examine the relationship between weapon carrying at school, bullying, and suicide attempts controlling for gender, race and ethnicity, sexual identity, and depression with a final sample of 11,398 respondents. Results: Descriptive findings indicate that 19% of students reported being bullied in school and almost 15% reported electronic bullying in the past year, while over 9% had a suicide attempt in the past year. Further, 4% carried a weapon on school property within the past 30 days. Multivariate findings indicate that those who carried a weapon in school, while controlling for gender, race, sexual orientation, depression, experiencing cyber-bullying, and experiencing in-school bullying were approximately 4 times more likely to have a suicide attempt than those who did not carry a weapon to school (OR = 3.91, p<.001).  Additionally, the effect of those who experienced cyber-bullying while controlling for gender, race, sexual orientation, and depression were two times more likely to have a suicide attempt (OR = 2.12, p<.001). Similarly, the effect of those who experienced bullying in school while controlling for gender, race, sexual orientation, and depression were almost two times more likely to have a suicide attempt (OR = 1.72, p<.001). Conclusions and Implications: Findings suggests that regardless of what type of bullying an adolescent experiences, they are at increased risk of a suicide attempt when they carry a weapon to school.  In fact, adolescents who have experienced cyber-bullying and carried a weapon at school are slightly more likely to have had a suicide attempt than those who have experienced bullying in school and weapon carrying at school. Social workers should consider the effect of being bullied in school and access to weapons as indicators of possible suicidality. While it is an obvious safety concern when student brings a weapon to school, social workers should be aware that this behavior may mean a student is feeling suicidal and consider their experience of feeling bullied.",
      "authors": "Michelle Oliver; Tamara Cadet",
      "author_ids": "118922; 117042",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3377568791,
        "prompt_eval_count": 1558,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:14:42.486573+00:00"
    },
    {
      "input_index": 1039,
      "record_key": "SSWR:2019-P-0011",
      "source_database": "SSWR",
      "record_id": "2019-P-0011",
      "year": 2019,
      "title": "The Role of Social Work Education in Addressing Self-Harm: A Qualitative Analysis of Social Work Student Experiences",
      "abstract": "Background and Purpose: Given the alarming prevalence of self-harming and suicidal behaviors, a majority of social workers will be required to address these perplexing behaviors at some point in their careers. Although social workers are required to obtain continuing education training in the area of suicide prevention, previous research suggests they often experience feelings of anxiety and uncertainty in response to self-harm. Gaps in social work education may lead social workers to experience these feelings of uncertainty and a loss of confidence when treating self-harming individuals. The paucity of research surrounding the process by which social work students learn to assess and treat individuals engaging in self-harming behaviors underscores the need for the present study given the high-risk nature of this population. Several studies have already explored gaps in social work education as it relates specifically to suicide assessment, treatment, and prevention. The present study sought to build upon those existing studies and extend their inquiry to include both suicidal behaviors and nonsuicidal self-injury due to the overlapping nature of these distinct constructs. Specifically, this study was conducted to understand the process whereby social work students learn how to assess and treat individuals engaging in self-harming behaviors. Methods: Students enrolled in an MSW elective course on assessing and treating self-harm developed by the first author wrote five journal reflections over the course of the semester on their perspectives and experiences of learning how to address these complex behaviors. Upon completion of the course, they were invited to submit their journal reflections for analysis. Thematic analysis was used to evaluate 125 journal reflections from 25 MSW students to identify emerging themes. All journal reflections were initially coded by the first author. Codes and emerging themes were then reviewed through a peer debriefing process. All data were analyzed using ATLAS.ti software. Results: The analysis procedures revealed 4 overarching themes from the students’ self-reflections: (1) decreased misconceptions regarding the nature of self-harm, (2) increased confidence in ability to effectively assess self-harming behaviors, (3) attainment of skills for implementing components of empirically-supported interventions that are relevant to self-harm, and (4) the importance of reflexivity and conscious use of self when working with clients. Conclusions and Implications: These findings highlight the value and importance of incorporating coursework on assessing and treating self-harm into social work education curriculum. For social workers to have the knowledge, skills, and confidence necessary to address these behaviors, their training should start with targeted courses in their graduate education. Future research could focus on assessing what frameworks and skills were most important in preparing social work students to assess and treat self-harming individuals.",
      "authors": "Michael Riquino; Sarah Priddy; Van Nguyen; Jen K. Molloy",
      "author_ids": "114770; 114769; 116197; 116168",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "prompt_eval_count": 1460,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:14:48.911877+00:00"
    },
    {
      "input_index": 1043,
      "record_key": "SSWR:2019-P-0178",
      "source_database": "SSWR",
      "record_id": "2019-P-0178",
      "year": 2019,
      "title": "Utilizing Standardized Actors to Measure Clinical Skills in Social Work Education Research",
      "abstract": "Background: The measurement of clinical skills continues to be a challenge in social work education and research.  Students training to be social workers are dependent on human interactions, where providing opportunities to develop clinical skills is essential to preparing students for engaging in successful therapeutic relationships.  Further, clinical social work education research requires methods for accurately observing and measuring clinical skills. The use of standardized actors (SA) can provide researchers with a reliable and standardized method for measuring clinical skills by providing participants with real-life situations that contain a higher degree of fidelity essential for measuring therapeutic skills.  SA’s can also introduce students to a variety of scenarios dependent on the research purpose.  The use of SA’s has been thought to come with challenges such as cost, time intensive training and lack of availability. The purpose of this presentation is to demonstrate how SA’s can be effectively utilized in social work research as well as demonstrate the efficacy of utilizing SA’s in measuring clinical skills. Methods: Authors will present the methods through which SA’s were trained and prepared to work with MSW students as a mechanism for measuring clinical skills.  Forty-four students were recruited to participate in a three-week clinical skills training that in part focused on recognizing and responding to symptoms of post traumatic stress disorder (PTSD) and risk of suicide.   Students participated in a 15 minute mock clinical interaction with a SA prior to and after the training, which allowed researchers to establish students’ baseline clinical skill level as well as clinical growth post training. Pre and post tests were recorded, and observed and scored by trained raters using a standardized measure developed for the study. Results: Students’ improvement in clinical skill development was easily visible through the use of SA’s. In the area of recognizes and responds to symptoms of PTSD, before training, 27.3% of students scored as having no recognition or further inquiry into symptoms of PTSD.  After the training, 87.8% of students scored at least minimal recognition of PTSD symptoms or higher. Similarly, in the area of recognizes and responds to suicidal thoughts and/or behaviors, 27.3% of students scored as having no recognition or response to thoughts or behaviors that could indicate suicidal ideation prior to the training course.  After the training, 92.7% of students scored as having at least minimal recognition or response to thoughts that could indicate suicidal ideation, or better. Conclusions/Implications: Although the challenges in using SA’s in social work research have often been thought as difficult to overcome, SA’s proved to be a standardized, rigorous, efficient and effective way of measuring clinical skills. Researchers were able to easily train and manage actors, and students’ interactions with them allowed for observations of their clinical skill set.  Also, the cost of using actors is not as expensive as believed.  Using SA’s, undoubtedly showed skill growth among the students, making it an effective means of measuring clinical skills and a measurement that can be considered more by social work education research.",
      "authors": "Sara Ozuna; Hazel Atuel; Sarah Kintzle",
      "author_ids": "115449; 108418; 110041",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3131584958,
        "prompt_eval_count": 1525,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:15:02.181346+00:00"
    },
    {
      "input_index": 1044,
      "record_key": "SSWR:2019-P-0450",
      "source_database": "SSWR",
      "record_id": "2019-P-0450",
      "year": 2019,
      "title": "Veterans' Voices: A Qualitative Study on Veteran Theories of Suicide",
      "abstract": "Background and Purpose Veterans struggling with community reintegration after military life face significant challenges including job insecurity, relationship difficulties, anxiety, social isolation, depression, and suicide.  Although mental health researchers have long studied suicide, little is known about how veterans explain the phenomenon of suicide.  This paper addresses the gap in published perspectives on suicide by including the voices and lived experiences of veterans themselves. Methods A phenomenological qualitative design was used to examine the lived experience of veterans, with a special focus on personal narrative theories of suicide.  In-depth, semi-structured interviews were conducted with 155 Veterans.  The sample is predominantly male (78%), mixed in ethnicity (72% White; 17% African American; 6% Latinx; 1% Native American).  All branches of the military and eras of service were represented, with 59% having seen combat, and a mean 9.47 years of military tenure.  Verbatim transcripts were coded and analyzed using template analysis and Atlas TI software in partnership with Veteran research consultants. Results Data analysis yielded 110 individual codes, categorized and organized into themes.  Many participants described attempting suicide, losing friends to suicide, and seriously contemplating suicide.  A central theme, grounded in military culture and training, was the perception of suicide as a legitimate (and for some honorable) solution to complex personal struggles.  Several factors contributed to this belief, with participants describing feeling hopeless and misunderstood by civilians.  Participants discussed the importance of military concepts such as honor, duty, and the alleviation of burden to others as related to the decision to take one’s life.  Veterans also described the loss of mission and purpose, which can lead to alienation and social isolation, another identified key risk factor. Participants further theorized suicide as related to traumatic exposure, moral injury, and unmet mental health needs (particularly post-traumatic stress and depression).  Most described help-seeking stigma, attributed to military ideals of stoicism, pride and need to mask vulnerability.  Veterans also discussed engagement in extreme high-risk activities that mirror the adrenalin rush of combat.  This phenomenon is associated with increased risk of mortality and may mask a desire for suicide.  Many also discussed access to firearms as an additional risk factor.  Finally, veterans identified protective factors including family and community support, meaningful work, mission and purpose, and veteran peer relationships. Conclusion Findings suggest social workers need training in military culture to better understand and assess for unique suicide risk factors and behaviors.  Veteran perspectives and theories of suicide need consideration in policy-making, program design and intervention delivery.  Social workers intervening with veterans should emphasize prosocial activity, finding meaning/purpose, and strengthening peer relationships.  Through including veterans as a source of expertise and wisdom in policy and program implementation, social workers across multiple settings can help improve understanding of the veteran suicide phenomenon and work toward its reduction.",
      "authors": "Eric R. Hardiman; Amanda Matteson; Natalie Turner",
      "author_ids": "109673; 116173; 118736",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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        "prompt_eval_count": 1517,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:15:05.374854+00:00",
      "screening_source": "Primary screen; blind audit agreement",
      "accuracy_audit": {
        "sample_group": "Qualitative",
        "random_seed": 20260802,
        "blind_screening": {
          "is_relevant": true,
          "relevance_rationale": "The study explicitly investigates veterans' theories, risk factors, and protective factors regarding suicide, making suicidality the central substantive focus.",
          "evidence_class": "Empirical",
          "empirical_method": "Qualitative",
          "classification_rationale": "The abstract describes a phenomenological qualitative design using in-depth semi-structured interviews with 155 veterans and thematic analysis of transcripts.",
          "confidence": "High"
        },
        "full_label_agreement": true
      }
    },
    {
      "input_index": 1047,
      "record_key": "SSWR:2019-P-0253",
      "source_database": "SSWR",
      "record_id": "2019-P-0253",
      "year": 2019,
      "title": "We Need to Talk: A Multilevel Theory-Informed Examination of Suicide-Related Disclosure in Social Networks",
      "abstract": "Background/Purpose: Many people experience but do not disclose their suicidal thoughts, which can lead to more deaths by suicide. This suicide risk disproportionately affects certain vulnerable groups, such as people with mood disorders. Pervasive atheoretical and person-centric approaches represent serious impediments to developing programs that facilitate suicide-related disclosure. The Disclosure Decision-Making Model (DD-MM) is a health/mental health information management model that holds promise for but has yet to be applied in a suicide context. This model is comprised of three components (Information; Receiver; and Efficacy) and can be operationalized within a conceptually appropriate multi-level framework—accounting for information about the individual (i.e., Information Component) and their relationships (e.g., Receiver & Efficacy Components) to understand disclosure. The current study investigated associations between the DD-MM components and suicide-related disclosure intent. Methods: The current study sample was comprised of 41 adults with a mood disorder receiving traditional outpatient psychiatric care services at a large community-based mental health agency that serves people with serious mental illness. Self-report questionnaires and a social network interview were used to collect information about participants (individual-level data) and their social networks (relational-level data), respectively. We assessed all DD-MM constructs—including those that constitute the Information (i.e., Stigma; Symptom Severity), Receiver (i.e., anticipated responses/outcomes, relational quality), and Efficacy Components—as well as other pertinent control variables (e.g., race-ethnicity; social support). A series of univariable and multivariable multi-level regression analyses was used to examine associations between DD-MM constructs and suicide-related disclosure intent. Multilevel modeling was used due to clustering within personal networks. Results: Constructs of all DD-MM components were significantly associated with disclosure intent in univariable regression models. The same largely held true for the multivariable model. For the Information Component, significant associations were found between symptom severity (b=.21, p=.004) and stigma toward suicide (b=-.43, p=.043) and disclosure intent. For the Receiver Component, significant associations were observed between both positive relationship quality (b=.40 p<.001) and positive anticipated outcome (b=.15, p=.002) and disclosure intent. For the Disclosure Efficacy Component, a positive association was found between disclosure efficacy and disclosure intent (b=.64, p<.001). Conclusions/Implications: The decision to disclose suicidal thoughts is a poorly understood process that is consequential for managing suicide risk. Our current study begins to fill a conspicuous gap in our theoretical understanding of suicide-related disclosure. Furthermore, our results provide preliminary but much-needed guidance for the development of a suicide-related disclosure intervention. There are many different ways that the identified DD-MM correlates (i.e., stigma, relational quality, anticipated outcomes and disclosure efficacy) can potentially be addressed in adapted versions of existing interventions. For example, the Brief Disclosure Intervention—a group intervention that uses a motivational interviewing approach to help participants learn about techniques for sharing, contemplate the pros and cons of sharing, and practice sharing—is part of a recent wave of disclosure-related interventions and decision-aids developed for people with different stigmatized statuses (e.g., HIV; mental illness). Additionally, a strong case can be made for engaging people in the social networks of vulnerable groups to address DD-MM components (e.g., promoting positive responses/outcomes).",
      "authors": "Anthony Fulginiti",
      "author_ids": "112190",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3435806334,
        "prompt_eval_count": 1637,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:15:15.506350+00:00"
    },
    {
      "input_index": 1048,
      "record_key": "SSWR:2019-O-0022",
      "source_database": "SSWR",
      "record_id": "2019-O-0022",
      "year": 2019,
      "title": "What Factors Differentiate Suicide Attempt from Suicidal Ideation? Results from North Korean Refugee Women in South Korea",
      "abstract": "BACKGROUND AND PURPOSE North Korean Refugee Women (NKRW) are known to be vulnerable to mental health problems such as depression, Post-Traumatic Stress D (PTSD), and suicide. Specifically, the suicide rate of NKRW in South Korea was 128 per 100,000 individuals in 2013, which is not only the highest rate among the Organization for Economic Cooperation and Development (OECD) countries but also over three times higher than that of South Koreans (Ministry of Unification at National Assembly Foreign Affairs and Unification Committee, 2013). However, little has been known about risk factors for suicide among NKRW in South Korea. Recent suicide research emphasizes that not everyone with suicidal ideation attempt suicide and it is imperative to understand factors that cause people to act on their suicidal thoughts. Therefore, this study aimed to examine factors that increase risk for suicidal ideation and to identify factors that differentiate suicide attempt from suicidal ideation among NKRW in South Korea. METHODS The data was collected in 2012 using snowball sampling due to limited access to the sampling frame. A sample of 140 NKRW was analyzed for this study. Depression was measured with the Center for Epidemiological Studies-Depression (CES-D, Radlof, 1977). Exposure to traumatic events was assessed with 40 binary items such as witnessing execution of their family or neighbors, rape, and inhumane imprisonment in concentration facilities. Life stress was measured with 9 items from the social readjustment rating scale (Holmes & Rahe, 1967). Suicidal ideation and attempt within the past year were also assessed. In the first logistic regression analysis, suicidal ideation was predicted from depression, the number of traumatic experiences, and the life stress controlling for age with the entire sample. Then, suicide attempt was predicted from the same factors, but only NKRW with suicidal ideation were included in the second logistic regression analysis to examine factors differentiating suicide attempt from suicidal ideation. RESULTS NKRW experienced about seven traumatic events on average. More than 40% of the sample met clinical diagnosis of depression. About 46% of the sample reported suicidal ideation, and 17.9% attempted suicide within the past year. In the first logistic regression, traumatic experience (OR = 1.09, p = 0.042) and life stress (OR = 1.37, p = 0.005) were significantly associated with suicidal ideation. In the second logistic regression among those with suicidal ideation, life stress was the sole significant risk factor for suicide attempt (OR = 1.49, p = 0.016). CONCLUSIONS Despite the limited generalizability of the findings, this study provides insights into suicide prevention among refugees. The study showed that traumatic experiences and life stress increases risk for suicidal ideation in NKRW. However, only life stress significantly increased risk for suicide attempt among those with suicidal ideation. Results imply that traumatic experiences in the past may increase suicidal ideation, but life stress may have a pivotal role in the transition from suicidal ideation to attempt. Social workers working with refugee populations may benefit from examining current life stress as well as traumatic experiences in preventing suicidal ideation and further attempt.",
      "authors": "Boyoung Nam; Jae Yop Kim",
      "author_ids": "115613; 109959",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3348465958,
        "prompt_eval_count": 1619,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:15:18.856821+00:00"
    },
    {
      "input_index": 1049,
      "record_key": "SSWR:2019-P-0298",
      "source_database": "SSWR",
      "record_id": "2019-P-0298",
      "year": 2019,
      "title": "Who Ya Gonna Call: Differences in Help-Seeking Behaviors Among Hope Squad Schools and Non-Hope Squad Schools",
      "abstract": "Background and Purpose: Suicide is one the leading causes of death for youth in the United States. Many families and communities are affected by youth suicides, as suicide rates are increasing. Hope Squads are peer-support teams consisting of students who provide outreach on suicide prevention and referrals for students at risk of suicide. One intention of Hope Squads is to increase help-seeking behavior. Our research question was whether there are differences in the proportions of students who seek help at schools where there is a Hope Squad as compared to help-seeking among students whose schools do not have a Hope Squad. Methods: We examined student surveys from the 2017 Utah SHARP Survey ( N =34,182) that was coded to reflect whether students attended a school with a Hope Squad. Sixty-six percent of students surveyed attended a school with a Hope Squad. Nonparametric, crosstab analyses were used to assess whether proportions of help seeking were higher for students attending a school with a Hope Squad. Results: Overall, help-seeking was low. Differences were noted, however, within the whole sample of students who attended Hope Squad schools. These students were significantly more likely to report feeling very sad, hopeless or suicidal to a parent ( p =.008). The overall effect of attending a Hope Squad school on help-seeking for the general student population was small (.04). Students who endorsed risk for suicide reported significantly higher rates of help seeking in Hope Squad schools, overall. This was true for students with suicidal ideation (parent, p =.009; doctor, p =.016); suicide plan (doctor, p =.030), single suicide attempt (parent, p =.006; teacher, p =.0001); two or three suicide attempts (doctor, p =.030). In contrast, students who endorsed six or more suicide attempts were more likely to speak with a teacher if they attended a school without a Hope Squad. The cumulative effect size of attending a school with a Hope Squad on help-seeking was 0.24, which indicates that the differences in help-seeking represent a small effect. Students in both groups showed no significant differences in help-seeking on most variables. Conclusions and Implications: While these results do not show cause and effect, the small effect size and increased rate of help-seeking suggests the possibility of different cultures related help-seeking in schools where there is a Hope Squad. These results warrant additional research on the effect of Hope Squads on help-seeking behavior and suicide intervention. Youth suicide contributes to community violence and efforts need to be made to prevent it in our communities.",
      "authors": "David S. Wood; Ashley Mendoza; Jessica Meyers",
      "author_ids": "114455; 118451; 118452",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "prompt_eval_count": 1468,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:15:21.962076+00:00"
    },
    {
      "input_index": 1051,
      "record_key": "SWRD:68126",
      "source_database": "SWRD",
      "record_id": 68126,
      "year": 2019,
      "title": "A Culturally Informed Systematic Review of Mental Health Disparities Among Adult Indigenous Men and Women of the USA: What is known?",
      "abstract": "Related to a broader context of historical oppression, Indigenous peoples of the USA are overburdened with the mental health challenges that social workers tend to treat, including post-traumatic stress disorder (PTSD), depression, suicide and substance use disorders (SUD). The purpose of this systematic review is to use the Framework of Historical Oppression, Resilience and Transcendence (FHORT) to identify empirical research on risk and protective factors related to mental health and SUD amongst these populations. This systematic review includes peer-reviewed quantitative and qualitative research articles from 1980 to 2017 focusing on the mental health of US Indigenous adults. A total of thirty-eight peer-reviewed empirical articles met inclusion criteria. Results reveal adults within Indigenous populations are at a high risk for mental health outcomes, including PTSD, depression, suicide, SUD and comorbidity across these outcomes. Underlying risk factors across outcomes included historical oppression and loss, family problems and SUD. Protective factors tended to include family and social support and engagement with tribal cultural activities. Significant variability was identified based on gender and geographic regions. Given that protective factors tended to include cultural, familial and community tenets, holistic approaches are the most promising programmes for social workers to work towards.",
      "authors": "Ka'apu, Kristi; Burnette, Catherine E.",
      "author_ids": "",
      "journal_or_venue": "British Journal of Social Work",
      "doi": "10.1093/bjsw/bcz009",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Review"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2677428584,
        "prompt_eval_count": 1189,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:15:27.080982+00:00",
      "screening_source": "Primary screen; blind audit agreement",
      "accuracy_audit": {
        "sample_group": "Review",
        "random_seed": 20260802,
        "blind_screening": {
          "is_relevant": true,
          "relevance_rationale": "Suicide is explicitly listed as a central mental health outcome analyzed in this systematic review of Indigenous populations.",
          "evidence_class": "Empirical",
          "empirical_method": "Review",
          "classification_rationale": "The abstract explicitly identifies the study as a systematic review that synthesizes empirical research articles.",
          "confidence": "High"
        },
        "full_label_agreement": true
      }
    },
    {
      "input_index": 1052,
      "record_key": "SWRD:67953",
      "source_database": "SWRD",
      "record_id": 67953,
      "year": 2019,
      "title": "A Sibling Suicide: One Sister's Ethical Dilemma",
      "abstract": null,
      "authors": "Rubin, Emily",
      "author_ids": "",
      "journal_or_venue": "Journal of Social Work in End-Of-Life & Palliative Care",
      "doi": "10.1080/15524256.2019.1629375",
      "record_type": "journal-article",
      "database_method": null,
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_only",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2041423041,
        "prompt_eval_count": 932,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:15:29.124009+00:00"
    },
    {
      "input_index": 1054,
      "record_key": "SWRD:69364",
      "source_database": "SWRD",
      "record_id": 69364,
      "year": 2019,
      "title": "An Evaluation of the Counseling on Access to Lethal Means (CALM) Training with an Area Agency on Aging",
      "abstract": "Firearms are a significant risk factor in suicide and older adults are disproportionately impacted in suicide by this means. This study investigated the impact of Counseling on Access to Lethal Means (CALM) training with geriatric case managers at an Area Agency on Aging. A concurrent mixed methods approach was used to explore 1) geriatric case managers' attitudes, beliefs, and behavioral intentions about counseling on access to lethal means following CALM training, and 2) perceived barriers to assessing for suicidality and counseling clients on access to firearms. The CALM evaluation data was collected immediately posttest at CALM training, at three-month follow up. Results indicated that 38% of respondents reported they had, since CALM training, discussed reducing access to lethal means with clients and/or families. At three-month follow up, data showed that most beliefs, attitudes, and behavior intentions about counseling clients and families on this topic increased. Focus group findings indicated that training had a positive effect on participants' attitudes, beliefs, and behavioral intentions about counseling on access to lethal means.The findings of the present study offer additional evidence and implication for trainings of this type.",
      "authors": "Slovak, Karen; Pope, Natalie; Giger, Jarod; Kheibari, Athena",
      "author_ids": "",
      "journal_or_venue": "Journal of Gerontological Social Work",
      "doi": "10.1080/01634372.2018.1522410",
      "record_type": "journal-article",
      "database_method": "Mixed-Methods",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "prompt_eval_count": 1163,
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      "screened_at": "2026-08-02T18:15:34.631568+00:00"
    },
    {
      "input_index": 1055,
      "record_key": "SWRD:67370",
      "source_database": "SWRD",
      "record_id": 67370,
      "year": 2019,
      "title": "An mHealth Approach to Extend a Brief Intervention for Adolescent Alcohol Use and Suicidal Behavior: Qualitative Analyses of Adolescent and Parent Feedback",
      "abstract": "Mobile health (mHealth) tools that supplement inpatient psychiatric care can maintain and enhance intervention effects following hospitalization. Adolescents hospitalized following a suicidal event represent a vulnerable population who could greatly benefit from such an mHealth intervention. In specific, suicidal adolescents who drink alcohol are in need of robust interventions that address the bidirectional relationship between alcohol use and suicidal thoughts and behaviors, because it puts them at especially high risk for suicide upon discharge. The purpose of this study was to conduct qualitative interviews to gather feedback to improve a brief alcohol intervention provided to suicidal adolescents during psychiatric hospitalization, and to develop a mHealth tool to extend care after discharge. Participants, eight adolescents and their parents, identified the need for a smartphone application to deliver intervention content to adolescents and parents during the posthospitalization period. Adolescents sought support in meeting alcohol- and mood-related goals, while parents desired general resources as well as tips for conversations with their adolescent about mood and alcohol use.",
      "authors": "O'Brien, Kimberly H. McManama; Battalen, Adeline Wyman; Sellers, Christina M.; Spirito, Anthony; Yen, Shirley; Maneta, Eleni; Ryan, Colleen A.; Braciszewski, Jordan M.",
      "author_ids": "",
      "journal_or_venue": "Journal of Technology in Human Services",
      "doi": "10.1080/15228835.2018.1561347",
      "record_type": "journal-article",
      "database_method": "Qualitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2303781125,
        "prompt_eval_count": 1128,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:15:36.937673+00:00"
    },
    {
      "input_index": 1056,
      "record_key": "SWRD:67207",
      "source_database": "SWRD",
      "record_id": 67207,
      "year": 2019,
      "title": "Clinical Interventions to Reduce Suicidal Behaviors in Hispanic Adolescents: A Scoping Review",
      "abstract": "Purpose: A significant portion of adolescents who engage in suicidal behaviors are of Hispanic origin, yet little is known regarding interventions to reduce suicidal behaviors among Hispanic adolescents. Through a culturally responsive framework, this study describes and systematically maps the existing research on interventions to treat suicidality among Hispanic adolescents. Method: Using Arksey and O'Malley's scoping review methodology, nine publications were selected for review from available peer-reviewed literature published between 2013 and 2017. Results: Eight interventions were identified. All were published in nonsocial work journals. Interventions were implemented in either mental health or after-school community settings and included a family focus. Discussion: The analysis revealed three themes: (1) There is scant research on this topic, (2) there is a void of social work scholarly literature regarding this issue, and (3) identified interventions generally include culturally responsive factors. Implications for social work research and practice are discussed.",
      "authors": "Villarreal-Otalora, Tatiana; Jennings, Porter; Mowbray, Orion",
      "author_ids": "",
      "journal_or_venue": "Research on Social Work Practice",
      "doi": "10.1177/1049731519832100",
      "record_type": "journal-article",
      "database_method": "Review",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Review"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:15:39.299716+00:00",
      "screening_source": "Primary screen; blind audit agreement",
      "accuracy_audit": {
        "sample_group": "Review",
        "random_seed": 20260802,
        "blind_screening": {
          "is_relevant": true,
          "relevance_rationale": "The study focuses on clinical interventions to reduce suicidal behaviors in Hispanic adolescents, making suicide prevention a central substantive focus.",
          "evidence_class": "Empirical",
          "empirical_method": "Review",
          "classification_rationale": "The abstract explicitly identifies the use of Arksey and O'Malley's scoping review methodology to systematically map existing research, which classifies it as an empirical systematic evidence synthesis.",
          "confidence": "High"
        },
        "full_label_agreement": true
      }
    },
    {
      "input_index": 1057,
      "record_key": "SWRD:69134",
      "source_database": "SWRD",
      "record_id": 69134,
      "year": 2019,
      "title": "Cyberbullying and health: A preliminary investigation of the experiences of Canadian gay and bisexual adult men",
      "abstract": "The majority of cyberbullying studies are within the school environment. This quantitative study investigates cyberbullying among Canadian gay and bisexual men outside of the educational setting through a cross-sectional survey. Of the 7,430 respondents, 4.6% reported cyberbullying in the past year, with younger, Aboriginal, lower-educated, lower-income respondents reporting higher odds of experiencing cyberbullying. Victimization from cyberbullying was significantly associated with experiences of antigay discrimination as well as worry about antigay prejudice. A variety of negative health outcomes were also associated with cyberbullying, including intimate partner violence and suicidality. Implications for social service providers and future research are discussed.",
      "authors": "Lam, Simon; Ferlatte, Olivier; Salway, Travis",
      "author_ids": "",
      "journal_or_venue": "Sexual and Gender Diversity in Social Services",
      "doi": "10.1080/10538720.2019.1596860",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:15:41.622436+00:00"
    },
    {
      "input_index": 1058,
      "record_key": "SWRD:110670",
      "source_database": "SWRD",
      "record_id": 110670,
      "year": 2019,
      "title": "Decreasing Suicide Risk for LGBTQ Students Utilizing the Connect Center Approach: Applying Bronfenbrenner's Ecological Model of Social Work in a School District",
      "abstract": "Despite the many social and political advances lesbian, gay, bisexual, transgender, and queer (LGBTQ) individuals have achieved, youth within these populations continue to be at elevated risk for suicide. Because adolescents spend most of their day in academic settings, school district staff have ample opportunity to identify and assess suicide risk in LGBTQ students and facilitate their access to supportive resources. The Connect Center is a centralized student support center in the Sacramento City Unified School District in Northern California. Staff working at this clinic utilize a multitiered approach to address the risk factors and mental health disparities that exist for LGBTQ students. This article will present the Connect Center Approach, a model of service delivery informed by Bronfenbrenner's ecological theory. This model incorporates macro-, mezzo-, and micro-level interventions and emphasizes alignment between state laws and school district policies to protect LGBTQ students and increase academic success among this vulnerable population.",
      "authors": "Wofford, Nichole C; Wofford, Nichole C.; Pollack, Shoshana; Anonymous; Mensah, Maria Nengeh; Fernandez Garcia, Alejandra; Garcia, Alejandra Fernandez; Anonymous; Hendrix, Chanise; Hendrix, Chanise; Delarosa, Elizabeth; Savoie, Lise; Tavianini, Theresa; George, Purnima; Tavianini, Theresa; Lanteigne, Isabel; Ellsworth, Shannon; Ellsworth, Shannon; Wagner, Anne; Saini, Michael; Torres, Elizabeth; Torres, Elizabeth; Davis, Joan MacKenzie; Anonymous; Lizarraga, Ruben; Lizarraga, Ruben; Baines, Donna; Profitt, Norma Jean; Reyes-Bonds, Maria; Reyes-Bonds, Maria; Moffat, Ken; Mitchell, Andrew",
      "author_ids": "",
      "journal_or_venue": "School Social Work Journal",
      "doi": null,
      "record_type": "Journal Article",
      "database_method": null,
      "database_is_scientific": true,
      "database_is_empirical": false,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2327591334,
        "prompt_eval_count": 1118,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:15:43.951533+00:00"
    },
    {
      "input_index": 1060,
      "record_key": "SWRD:68934",
      "source_database": "SWRD",
      "record_id": 68934,
      "year": 2019,
      "title": "Depression, Loneliness, and Suicide Risk among Latino College Students: A Test of a Psychosocial Interaction Model",
      "abstract": "This study tested a psychosocial model of suicide risk in a sample of 156 Latino college students. Specifically, depression and loneliness were hypothesized to be important predictors of suicide risk (namely, hopelessness and suicidal behaviors) in Latino students. Results of conducting regression analyses indicated that, independent of age and gender, depression and loneliness were significant predictors of both indices of suicide risk examined in the present study. It is noteworthy that within the psychosocial predictor set of depression and loneliness, depression was consistently found to be nearly twice as strong a predictor than was loneliness. Moreover, we found evidence for a significant depression-loneliness interaction effect in predicting suicide risk. That is, the highest level of suicide risk was found among dysphoric Latino students who were also socially isolated. Our findings indicate that depression and loneliness are important factors to consider in understanding suicide risk among Latino college students.",
      "authors": "Chang, Edward C.; Chang, Olivia D.; Lucas, Abigael G.; Li, Mingqi; Beavan, Collin B.; Eisner, Rachel S.; McManamon, Brianna M.; Rodriguez, Natalie S.; Katamanin, Olivia M.; Bourke, Eliza C.; de la Fuente, Amaia; Cardenoso, Olga; Wu, Kaidi; Yu, Elizabeth A.; Jeglic, Elizabeth L.; Hirsch, Jameson K.",
      "author_ids": "",
      "journal_or_venue": "Social Work",
      "doi": "10.1093/sw/swy052",
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        "evidence_class": "Empirical",
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T18:15:48.601907+00:00"
    },
    {
      "input_index": 1061,
      "record_key": "SWRD:67559",
      "source_database": "SWRD",
      "record_id": 67559,
      "year": 2019,
      "title": "Does a Co-Resident Grandparent Matter? Characteristics of Maltreatment-Related Investigations Involving Lone-Parent Families",
      "abstract": "This exploratory study compares the profile of child welfare maltreatment-related investigations involving lone-parent families with and without co-residing grandparents. Based on data from the Canadian Incidence Study of Reported Child Abuse and Neglect (CIS-2008), a weighted national representative sample of 92,885 maltreatment-related investigations involving children aged zero to fifteen in lone-parent families with no other care-givers at home (n = 87,738) and with a co-resident grandparent (n = 5,147) was examined. Multigenerational households were characterised, according to child welfare workers' reports, by younger child's age, youngster parent's age and Aboriginal status. After controlling for the child's age, children in multigenerational families had reduced odds of suicidal thoughts and academic difficulties. However, they were more likely to be identified as having parents with drug/solvent use problems and cognitive impairments, as living in more overcrowded households, and as experiencing more moves. Lone parents in multigenerational households were evaluated to have stronger social support systems and a greater likelihood, nonetheless, of risk-only investigations. Finally, multigenerational households were reported to have child welfare cases that remained open for ongoing services. These findings shed light on the profile of children in contact with welfare services living in multigenerational lone-parent households and have implications for designing child welfare programs.",
      "authors": "Attar-Schwartz, Shalhevet; Filippelli, Joanne; Fallon, Barbara",
      "author_ids": "",
      "journal_or_venue": "British Journal of Social Work",
      "doi": "10.1093/bjsw/bcz061",
      "record_type": "journal-article",
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        "evidence_class": "Empirical",
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T18:15:51.404978+00:00"
    },
    {
      "input_index": 1062,
      "record_key": "SWRD:120130",
      "source_database": "SWRD",
      "record_id": 120130,
      "year": 2019,
      "title": "Durkheim’s Greatest Blunder",
      "abstract": "In describing fatalism in Suicide, Durkheim executes two blunders. The first can be categorized in errors of commission while the second should be included in errors of omission. In the error of commission area, he hypothesizes two platforms for existence of fatalistic suicide. Without employing theory-embedded data, he contends that infertility is a catalyst for fatalistic suicidal. Later, he asserts that slavery is fertile soil for fatalistic suicide. Although there is suicidal data in these two arenas, a closer inspection demonstrates that these are not characteristics of fatalistic suicide. For errors of omission, he failed to systematically observe two social factors for which data was available during his time of study. Poverty and poor health existed in a social environment which is best described by Durkheim’s vision of fatalistic suicide. He missed observing and collecting the available data to lend support for the empirical existence of fatalistic suicide. These four social factors are discussed.",
      "authors": "Marson, Stephen M; Marson, Stephen M; Lillis, J. Porter; Lillis, J. Porter",
      "author_ids": "",
      "journal_or_venue": "The Journal of Sociology & Social Welfare",
      "doi": "oai:scholarworks.wmich.edu:jssw-4182",
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      "screening": {
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        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:15:53.719632+00:00"
    },
    {
      "input_index": 1063,
      "record_key": "SWRD:100562",
      "source_database": "SWRD",
      "record_id": 100562,
      "year": 2019,
      "title": "Effects of intimate partner violence among Seventh-Day Adventist church attendees",
      "abstract": "This analysis examines the effects of spouse abuse among a group of conservative Christians, specifically Seventh-day Adventists. The results highlight four broad types of effects associated with abusive behaviors in this sample: emotional disturbance, parental abuse or neglect, suicidal ideation, and spiritual disengagement. The analysis investigates risk factors associated with these effects and finds two primary risk factors – experiencing recent intimate partner violence and having a difficult economic situation. By identifying spiritual disengagement and its related factors, this analysis adds a significant dimension to the literature on the effects of intimate partner violence among religiously affiliated people.",
      "authors": "Basham; Drumm; Kathryn; René; Popescu; Marciana; Kersting; Robert",
      "author_ids": "",
      "journal_or_venue": "Critical Social Work",
      "doi": "10.22329/csw.v10i1.5805",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "prompt_eval_count": 1035,
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      "screened_at": "2026-08-02T18:15:56.038360+00:00"
    },
    {
      "input_index": 1064,
      "record_key": "SWRD:69143",
      "source_database": "SWRD",
      "record_id": 69143,
      "year": 2019,
      "title": "Evidence-Based Suicide Prevention: Collective Impact of Engagement with Community Stakeholders",
      "abstract": "y Purpose: In response to the rising suicide trend in Hong Kong, the Centre for Suicide Research and Prevention (\"CSRP\") was established in 2002, with the aim to capitalize on the collective impact of research-support practices to prevent suicides. Method: The CSRP has since become an international knowledge hub that applies a public health approach and innovative strategies to address suicide-related problems at multiple levels. Results: The CSRP actively engages in research, teaching, and knowledge exchange with community stakeholders. These effort are associated with Hong Kong's more than 30% reduction in suicide rates between 2003 and 2016. Discussion: The rationale for and examples of the CSRP's practices in face of the suicide prevention challenges lay ahead were also discussed. Conclusion: The outcomes of these practices, which hold great potential for suicide prevention worldwide, have contributed to important academic debates in the field of suicidology.",
      "authors": "Law, Yik Wa; Yeung, Tsz Long; Ip, Flora Wai Lam; Yip, Paul Siu Fai",
      "author_ids": "",
      "journal_or_venue": "Journal of Evidence-Based Social Work",
      "doi": "10.1080/23761407.2019.1578318",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T18:15:58.386073+00:00"
    },
    {
      "input_index": 1065,
      "record_key": "SWRD:67895",
      "source_database": "SWRD",
      "record_id": 67895,
      "year": 2019,
      "title": "Examining the Association between Weapon Carrying on School Property and Suicide Attempt among Adolescents in the United States",
      "abstract": "Suicidal behaviors among adolescents in the United States are the second leading cause of death and has been steadily increasing over the years. Although access to and possession of a weapon may facilitate the transition from suicidal ideation to a suicide attempt, few studies have examined the association between weapon carrying and suicide attempts among adolescents. The objective of this study was to examine the association between weapon carrying on school property and suicide attempt among adolescents. Data for this study came from the 2017 Youth Risk Behavior Surveillance System. A sample of 14,547 adolescents aged 14-18 years old (50.5% female) was analyzed using logistic regression. Of the 14,547 adolescents, 4% carried a weapon on school property, and 7.7% attempted suicide during the past 12 months. In the multivariate logistic regression, adolescents who reported carrying a weapon on school property had more than double the odds of attempting suicide when compared to their counterparts who did not carry a weapon on school property. Other significant predictors of suicide attempt include sexual minority, history of forced sexual intercourse, school bullying and cyberbullying victimization, feeling sad or hopeless, and substance use. Examining the association between weapon carrying and suicide attempt among adolescents would contribute to early identification of adolescents who are likely to engage in suicidal behaviors.",
      "authors": "Baiden, Philip; Tadeo, Savarra K.; Graaf, Genevieve; Respress, Brandon N.",
      "author_ids": "",
      "journal_or_venue": "Social Work in Public Health",
      "doi": "10.1080/19371918.2019.1635945",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:16:00.971914+00:00"
    },
    {
      "input_index": 1068,
      "record_key": "SWRD:69457",
      "source_database": "SWRD",
      "record_id": 69457,
      "year": 2019,
      "title": "Factors Protecting against Suicidal Ideation in South Korean Community-Dwelling Older Adults: A Systematic Literature Review",
      "abstract": "This systematic literature review investigates protective factors against suicidal ideation among community-dwelling older adults in South Korea. Existing research focuses on risk factors for suicidal thoughts among older adults living in the community, but research on protective factors for this population is rare. Furthermore, studies have been more likely to examine individual and social factors rather than macro factors, yet suicidal thoughts among older adults may come from various long-term challenges. This study applied Bronfenbrenner's ecological frame to synthesize 60 studies. The results reveal that protective factors against suicidal thoughts among community-dwelling older adults in South Korea are found at four levels: individual, family, community, and macro-level factors.",
      "authors": "Yoon, Sukyung; Cummings, Sherry",
      "author_ids": "",
      "journal_or_venue": "Journal of Gerontological Social Work",
      "doi": "10.1080/01634372.2018.1557310",
      "record_type": "journal-article",
      "database_method": "Review",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Review"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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        "prompt_eval_count": 1070,
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      "screened_at": "2026-08-02T18:16:08.248782+00:00"
    },
    {
      "input_index": 1069,
      "record_key": "SWRD:107676",
      "source_database": "SWRD",
      "record_id": 107676,
      "year": 2019,
      "title": "Family acceptance and faith: Understanding the acceptance processes of parents of LGBTQ youth.",
      "abstract": "LGBTQ youth who are coming out today to family members and peers are experiencing more acceptance and affirmation than ever before. Family acceptance is one of the strongest predictors of the health, mental health, and well-being outcomes of LGBTQ youth. LGBTQ youth with accepting families are more than 8 times less likely to attempt suicide and nearly 6 times less likely to meet criteria for depression. This article explores the overwhelming impact that family acceptance can have on the experiences of LGBTQ youth. In addition, this article provides recommendations for Christian social workers to utilize in their attempts to work with families to create greater acceptance of their LGBTQ children. (PsycInfo Database Record (c) 2025 APA, all rights reserved)",
      "authors": "McCormick, Adam; McCormick, Adam; Baldridge, Stephen; Baldridge, Stephen",
      "author_ids": "",
      "journal_or_venue": "Journal of Technology in Human Services",
      "doi": null,
      "record_type": null,
      "database_method": null,
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      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:16:10.583855+00:00"
    },
    {
      "input_index": 1070,
      "record_key": "SWRD:68876",
      "source_database": "SWRD",
      "record_id": 68876,
      "year": 2019,
      "title": "How does discharge status impact suicide risk in military veterans?",
      "abstract": "Little is known about over 125,000 veterans who received non-honorable military discharges since 2001, even though these veterans face substantial barriers to obtaining services and are likely to be at high risk for negative mental and behavioral health outcomes including suicide. Seven-hundred twenty-two veterans living the in the San Francisco Bay Area participated in the study. The sample comprised honorably discharged (n = 508) and non-honorably discharged veterans (n = 214). T-tests were used to compare means on predictors of suicide risk including Posttraumatic Stress Disorder (PTSD), depression, alcohol use, somatic symptoms, and physical disability. A series of regression models tested relationships between predictors, discharge status, and suicide risk. Non-honorably discharged veterans demonstrated higher mean scores than honorably discharged veterans on all predictors. In regression models, somatic symptoms (beta = 0.22, p < 0.001), physical disability (beta = 0.16, p < 0.05), and discharge status (beta = 0.33, p < 0.001) were associated with suicide risk. The final model showed an interaction effect for discharge status on the relationship between somatic symptoms and suicide risk (beta = 0.16, p < 0.05). Non-honorably discharged veterans showed higher rates of mental and physical health problems and suicide risk compared to honorably discharged veterans. The magnitude of the relationship between somatic symptoms and suicide risk was significantly greater in non-honorably discharged veterans.",
      "authors": "Barr, Nicholas; Kintzle, Sara; Alday, Eva; Castro, Carl",
      "author_ids": "",
      "journal_or_venue": "Social Work in Mental Health",
      "doi": "10.1080/15332985.2018.1503214",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:16:13.191471+00:00"
    },
    {
      "input_index": 1071,
      "record_key": "SWRD:121262",
      "source_database": "SWRD",
      "record_id": 121262,
      "year": 2019,
      "title": "How much is enough? Suicide training for MSW students",
      "abstract": "Suicide rates among all age groups are on the rise. The most current rates available from 2015 show that suicide rates continue to rise more than 2% each year. Studies have consistently shown that nearly 70% of those who attempt suicide met with a medical or mental health provider in the six months prior to their attempt. Changes in health care provision have allowed more people to access mental health care, meaning that those social workers on the front lines need to be able to recognize and manage suicide risk. As many social workers are vital parts of health care teams, the importance of including suicide content in MSW training programs is evident. The current research employed a mixed-methods, two study design to determine MSW student response to suicide content and their perceptions of their ability to work with clients experiencing suicidal thoughts. The results show MSW students are keenly aware of the possibility of working with these clients and the information they received during their training reduced their self-reported anxiety and increased their skill levels. The authors provide suggestions for including suicide related content in core MSW curricula.",
      "authors": "Aisling Del Quest; Aisling Del Quest; Randall Nedegaard; Randall Nedegaard; Caitlin Koch; Caitlin Koch",
      "author_ids": "",
      "journal_or_venue": "Journal of Social Work Education and Practice",
      "doi": null,
      "record_type": "Journal Article",
      "database_method": "Mixed-Methods",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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        "prompt_eval_count": 1139,
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      "screened_at": "2026-08-02T18:16:15.564326+00:00"
    },
    {
      "input_index": 1072,
      "record_key": "SWRD:69352",
      "source_database": "SWRD",
      "record_id": 69352,
      "year": 2019,
      "title": "Impact of client suicide on social workers and counselors",
      "abstract": "Recent studies on the impact of client suicide on mental health professionals focus on psychiatrists and psychologists, while,in the current mental health system in our country, most clients receive services from other clinicians. This research focuses on the impact of client suicide on social workers and counselors as well as organizational responses to client suicide/attempt. Data were collected via interviews and survey of 121 clinicians. Client suicide impacts clinicians adversely in many ways. Many participants felt their agency/practice could have done more to support them during post-suicide management. Data presented in this report have the potential to aid in the creation of needed workforce development initiatives.",
      "authors": "Sherba, R. Thomas; Linley, Jessica, V; Coxe, Kathryn A.; Gersper, Beth E.",
      "author_ids": "",
      "journal_or_venue": "Social Work in Mental Health",
      "doi": "10.1080/15332985.2018.1550028",
      "record_type": "journal-article",
      "database_method": "Mixed-Methods",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:16:17.860904+00:00"
    },
    {
      "input_index": 1073,
      "record_key": "SWRD:69131",
      "source_database": "SWRD",
      "record_id": 69131,
      "year": 2019,
      "title": "Impact of Social Service Expenditures on the Suicide Rate: The Cases of Asia Countries",
      "abstract": "An empirical study reported that the economic crisis in European countries affected their suicide rates and described that an increase in social services expenditures of US$10 per person in labor market programs impacted the decrease in unemployment suicides by 0.038%. However, there has no study that the economic crisis in Asia countries affected their suicide rates. Since 2008, South Korea has been ranked first for suicide rate in the OECD countries. Many studies have blamed the economic crisis that followed from the US financial crisis in 2007 as the critical cause. However, in the case of Japan, the suicide rate decreased in the same time period (2008-2011) even though they faced the same financial crisis. The purpose of this study was to examine why the different situations in Korea and Japan occurred with the economic crisis through testing whether the government's social service expenditure affects the people's suicide rate in Asia countries. These efforts will contribute to understanding the critical role of social service.",
      "authors": "Kyonne, Jinman",
      "author_ids": "",
      "journal_or_venue": "Journal of Social Service Research",
      "doi": "10.1080/01488376.2018.1479333",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:16:20.225352+00:00"
    },
    {
      "input_index": 1074,
      "record_key": "SWRD:67563",
      "source_database": "SWRD",
      "record_id": 67563,
      "year": 2019,
      "title": "Improving pediatricians' knowledge and skills in suicide prevention: Opportunities for social work",
      "abstract": "Primary care physicians are key gatekeepers for detecting suicidal intent. However, research indicates training gaps for these providers. Standardized screening for suicide risk in primary care can detect youth with suicidal ideation and prompt a referral to behavioral health care before a suicide attempt. What is needed in adolescent primary care is further training in utilizing standardized mental health screening and employing best practices for suicide prevention. In this study, qualitative research methods were used in surfacing community and medical perspectives regarding skills, knowledge, and values that are needed in pediatric medicine to adequately assess for depression and anxiety. Five focus groups were conducted with pediatric residents, adolescents, parents of adolescents who died by suicide, parents with adolescents in the mental health system, and community mental health professionals. Four themes were identified that illustrate what is needed in pediatric training to lower the risks for adolescent suicide: broken mental health system of care; improving doctor/patient/family communication; alleviating stigma; and early detection and treatment that addresses medications, substance abuse, and recovery resources. The goals of this grant funded study were to analyze the data from these focus groups and compare findings across groups to create modules for Saint Louis University pediatric resident training in suicide prevention. This research project can serve as a springboard for social workers to partner with medical educators in their communities to train primary care physicians for early detection of depression, anxiety, and substance abuse to lower adolescent suicide risks.",
      "authors": "Behrman, Gary U.; Secrest, Scott; Ballew, Paula; Matthieu, Monica M.; Glowinski, Anne L.; Scherrer, Jeffrey F.",
      "author_ids": "",
      "journal_or_venue": "Qualitative Social Work",
      "doi": "10.1177/1473325018771727",
      "record_type": "journal-article",
      "database_method": "Qualitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:16:22.844387+00:00"
    },
    {
      "input_index": 1076,
      "record_key": "SWRD:67814",
      "source_database": "SWRD",
      "record_id": 67814,
      "year": 2019,
      "title": "Integrating Interprofessional Education into Suicide Prevention Training: Results from A Pilot Evaluation",
      "abstract": "Suicide prevention training for health professions students is lacking, often occurring in disciplinary silos. The present study reports outcomes from an interprofessional education (IPE)-based suicide prevention course for health professions students across a variety of disciplines (e.g., social work, counseling, public health). Using a quasi-experimental design, students either took part in a fully online or blended version of the course. Primary outcomes included: (1) significant moderate-to-large positive gains in suicide prevention knowledge, perceived clinical care skills, and perceived ability to help self-harming patients; (2) moderate positive shifts in sensitivity to risk factors of those who died by suicide; (3) non-significant impacts on IPE-related outcomes; (4) overall high course satisfaction; and (5) students in the blended course preferred several interactive methods more than students in the online course version (large effects). Recommendations are provided for course revision and future implementation in educational and community-based settings.",
      "authors": "Cramer, Robert J.; La Guardia, Amanda C.; Wright-Berryman, Jennifer; Long, Molly M.; Tufts, Kimberly Adams",
      "author_ids": "",
      "journal_or_venue": "Social Work in Public Health",
      "doi": "10.1080/19371918.2019.1635950",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:16:27.516205+00:00"
    },
    {
      "input_index": 1081,
      "record_key": "SWRD:67418",
      "source_database": "SWRD",
      "record_id": 67418,
      "year": 2019,
      "title": "Relational Treatment Program for Suicidal Adolescents and Their Families \"Life Is Calling\"",
      "abstract": "Purpose: Research was performed to evaluate the \"Life Is Calling\" treatment program for suicidal adolescents and their families. Methods: A confirmatory factor analysis was performed on the Icelandic version of the Reasons for Living Instrument-Adolescents (IRFL-A) using a nonclinical group. The IRFL-A was used to measure the outcome of the program for a clinical group of suicidal adolescents. The nonclinical and clinical groups were compared. The parents reflected on how effective the program was. Results: The IRFL-A instrument was shown to be fit for use in Iceland. The adolescents' desire to live changed for the better during treatment and 6 months after treatment. According to the parents, the program was very useful/useful for them, the family, and their suicidal adolescent. Conclusion: The IRFL-A is a useful assessment instrument both in clinical settings and for research. The treatment program is effective for suicidal adolescents regardless of their gender or age.",
      "authors": "Olafsdottir, Hrefna",
      "author_ids": "",
      "journal_or_venue": "Research on Social Work Practice",
      "doi": "10.1177/1049731518813670",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
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      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:16:39.926368+00:00"
    },
    {
      "input_index": 1082,
      "record_key": "SWRD:69389",
      "source_database": "SWRD",
      "record_id": 69389,
      "year": 2019,
      "title": "Sleep disturbances and suicide-New battles for veterans of U.S. wars in Afghanistan and Iraq: A retrospective review",
      "abstract": "In this article, we systematically reviewed 116 veterans' medical records to explore the mitigating factors in sleep disturbance, polytrauma clinical triad (PCT), and suicide. We discovered that a particular nonaction (i.e., no standardized completion of sleep-disturbance screenings) had strong implications for resulting suicides among veterans with reported sleep disturbances, PCT, and suicidal ideations. This study provides strong propositions for the further study of this veteran cohort-Operations Enduring Freedom (OEF), Iraqi Freedom (OIF), and New Dawn (OND)-with regard to the impact of sleep disturbance on PCT and its relationship with suicide symptoms, ideation, and completion. The purpose of this study was to examine the outcomes of sleep disturbances on complex relationships among the three primary diagnoses- posttraumatic stress disorder (PTSD), traumatic brain injury (TBI), and chronic pain-that establish the PCT cluster. We identified that those diagnosed with sleep disturbances had increased suicidal ideations and rates of completed suicides. We analyzed these factors in veterans returning from the current wars in Afghanistan and Iraq. We hypothesized that (a) clinicians were not completing sleep-disturbance screenings as a standard practice for the OEF/OIF/OND veterans diagnosed with PCT who reported sleep disturbance concerns within the U.S. Department of Veterans Affairs; (b) if no sleep-disturbance screening instruments were used by clinicians, veterans would be at a greater risk of suicide completion.",
      "authors": "Sullivan-Tibbs, Michael A.; Thompson, Phyllis; Nugent, William; Baker, Jennifer",
      "author_ids": "",
      "journal_or_venue": "Social Work in Mental Health",
      "doi": "10.1080/15332985.2018.1525781",
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      "database_is_scientific": true,
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      "screening": {
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        "evidence_class": "Empirical",
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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        "eval_count": 24
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      "screened_at": "2026-08-02T18:16:42.591708+00:00"
    },
    {
      "input_index": 1083,
      "record_key": "SWRD:114651",
      "source_database": "SWRD",
      "record_id": 114651,
      "year": 2019,
      "title": "Social Work Practice and Gun Safety in the United States",
      "abstract": "Public policy debate about guns continues in the United States, with many professional organizations taking strong stands in policy statements. Moreover, many clinical organizations have provided recommendations for practitioners to use with clients to encourage gun safety in the home, particularly for vulnerable populations such as families with young children and those at risk of suicide. Social workers are in an excellent position to encourage gun safety with some of the most at-risk populations; however, clinical guidelines and research on preventing gun violence has lagged in social work compared to other disciplines. In this article we examine the importance of gun safety for social work clients (with special attention to families with children, families experiencing violence, and individuals at risk of suicide), consider the recommendations made by other professional organizations, and provide some initial thoughts about how social workers might engage with the families they ser",
      "authors": "Patricia Logan-Greene; Michelle Sperlich; Adair Finucane",
      "author_ids": "",
      "journal_or_venue": "Advances in Social Work",
      "doi": "dc/cd68186168",
      "record_type": "fetch_failed",
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      "database_is_scientific": true,
      "database_is_empirical": false,
      "screening_basis": "title_and_abstract",
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        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
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      "model": "qwen3.6:27b",
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        "eval_count": 24
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      "screened_at": "2026-08-02T18:16:44.849955+00:00",
      "screening_source": "Primary screen; blind audit agreement",
      "accuracy_audit": {
        "sample_group": "Relevant Non-empirical",
        "random_seed": 20260802,
        "blind_screening": {
          "is_relevant": true,
          "relevance_rationale": "The article explicitly focuses on gun safety interventions for individuals at risk of suicide as a central substantive component of social work practice.",
          "evidence_class": "Non-empirical",
          "empirical_method": "Not applicable",
          "classification_rationale": "The abstract describes an examination of importance, consideration of recommendations from other organizations, and provision of initial thoughts, which characterizes a narrative review or conceptual overview rather than an empirical study with analyzed data.",
          "confidence": "High"
        },
        "full_label_agreement": true
      }
    },
    {
      "input_index": 1085,
      "record_key": "SWRD:68942",
      "source_database": "SWRD",
      "record_id": 68942,
      "year": 2019,
      "title": "Suicidal Thoughts and Behaviors in Children of Immigrants: The Experience of Korean-American Women",
      "abstract": "This qualitative study examines the experience of Korean-American women who had suicidal thoughts and/or used nonsuicidal self-injury (NSSI) during adolescence. This study aims to understand the etiology, help-seeking behaviors, and recovery of these young women. Eleven Korean-American women (mean age 26.7) were recruited and interviewed using in-depth semi-structured interviews. Transcripts were coded using a grounded theoretical framework. Themes indicate that participants experienced poor relationships with a parent, an inability to process their difficulties, and academic success despite their behaviors. Participants also indicated feelings of perfectionism and did not seek help, resulting in a theme called the paradox of perfection.",
      "authors": "Chung, Saras; Lesorogol, Carolyn",
      "author_ids": "",
      "journal_or_venue": "Journal of Ethnic & Cultural Diversity in Social Work",
      "doi": "10.1080/15313204.2016.1241974",
      "record_type": "journal-article",
      "database_method": "Qualitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
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        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:16:49.532896+00:00"
    },
    {
      "input_index": 1086,
      "record_key": "SWRD:67830",
      "source_database": "SWRD",
      "record_id": 67830,
      "year": 2019,
      "title": "Suicidality among homeless people: Testing the mediating effects of self-efficacy and depression",
      "abstract": "This cross-sectional study examined the mediating effect of PTSD on suicide ideation and suicide attempt through two mediators, self-efficacy and depression, among homeless adults. We recruited a non-random, purposive sample of 156 homeless adults from seven homeless people shelters in Kansas. SEM results suggest that self-efficacy and depression were significant mediators between PTSD and suicide ideation, but not between PTSD and suicide attempt. This study's findings can be used to identify risk factors associated with suicidal behaviors that can be used to design service programs aimed at preventing suicidal ideation and attempt among people who are homeless.",
      "authors": "Kim, Yi Jin; Boyas, Javier F.; Lee, Kyoung Hag; Jun, Jung Sim",
      "author_ids": "",
      "journal_or_venue": "Journal of Human Behavior in the Social Environment",
      "doi": "10.1080/10911359.2019.1639579",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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        "total_duration_ns": 2352536125,
        "prompt_eval_count": 1053,
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      "screened_at": "2026-08-02T18:16:51.887177+00:00"
    },
    {
      "input_index": 1087,
      "record_key": "SWRD:100382",
      "source_database": "SWRD",
      "record_id": 100382,
      "year": 2019,
      "title": "Suicide and Soul Wound: Stress, Coping, and Culture in the American Indian and Alaska Native Youth Context",
      "abstract": "Suicide, the second leading cause of death for American Indian and Alaska Native (AI) youth ages 15 to 24, raises a criti- cal issue for social work research and practice. This paper ar- gues that AI youth suicide is a contemporary manifestation of ““soul wound”” and expands the definition of soul wound to in- clude present stressors and coping mechanisms for youth that are characterized by a legacy of colonization and cultural oppres- sion. While AI youth come from diverse communities, this paper will demonstrate the importance of examining youth suicide as part of the overall AI experience in the United States. Using an indigenist stress process model framework, it will subsequently examine four forms of stressors informed by the marginalization of the AI population: psychological strains of historical trauma, environmental stressors, quotidian stressors arising from socio- economic factors, and adversity from personal and relational role conflicts. AI youth mediate these stressors through coping mecha- nisms around social support and collective mastery. This paper will conclude with a call to develop an anti-oppressive, culturally relevant social work practice that supports meaningful identity development and collective efficacy.",
      "authors": "Zimiles; Anne Currin; Eleni; Audrey Olsen",
      "author_ids": "",
      "journal_or_venue": "Columbia Social Work Review",
      "doi": "10.7916/cswr.v11i1.1932",
      "record_type": "fetch_failed",
      "database_method": null,
      "database_is_scientific": true,
      "database_is_empirical": false,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:16:54.476904+00:00"
    },
    {
      "input_index": 1088,
      "record_key": "SWRD:89134",
      "source_database": "SWRD",
      "record_id": 89134,
      "year": 2019,
      "title": "Suicide Concern Reporting among Utah Youths Served by a School-Based Peer-to-Peer Prevention Program",
      "abstract": "To date, no suicide behavior data related to school-based peer suicide prevention programs have been published. The Hope Squad program uses trained students to intentionally facilitate help-seeking with distressed peers. Suicide concern contact data (SCCD) from school counseling centers were collected from 2013 to 2017 as part of routine outcome-based program evaluation. Hope Squad school SCCD were organized by student gender, grade, and Hope Squad referral and were cross-tabulated with types of suicide concerns and hospitalizations. Over 1,100 contacts (N = 1,174) across 65 schools in 41 school districts were included in the analysis. The highest rates of all suicide-related contacts were among girls and students in the eighth and ninth grades. Reported attempts peaked in the ninth and tenth grades, then reduced through the 12th grade. Nearly a quarter of all contacts were Hope Squad referrals. These descriptive data provide a general overview of the types and frequencies of Hope Squad school suicide concerns that present in school counseling centers and are not indicative of program effectiveness. Next steps will include a research study comparing outcomes between Hope Squad schools and non-Hope Squad schools, and a study examining implementation adherence using fidelity measures.",
      "authors": "Wright-Berryman, Jennifer; Hudnall, Greg; Bledsoe, Cathy; Lloyd, Mary",
      "author_ids": "",
      "journal_or_venue": "Children & Schools",
      "doi": "10.1093/cs/cdy026",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:16:56.989559+00:00"
    },
    {
      "input_index": 1089,
      "record_key": "SWRD:68153",
      "source_database": "SWRD",
      "record_id": 68153,
      "year": 2019,
      "title": "Suicide in US Women Veterans: An Interpersonal Theory Perspective on Suicide Prevention Policies",
      "abstract": "Increases in suicide rates for U.S. women Service Members and Veterans have emerged as a public health issue of great concern. Women Veterans are more likely than their civilian counterparts to die by suicide, and rates of suicide for women Veterans are rising faster than rates for male Veterans. Given higher rates of suicide in combat-exposed males and increased rates of suicide associated with military deployment for women, the expansion of women into direct combat roles may further escalate their rates of suicide. The interpersonal theory of suicide provides a framework for the examination of women Veterans' risk factors and how implementation of policy provisions can more effectively ameliorate suicide risk. Recent suicide prevention policy initiatives that target women Veterans' unique needs are important steps; however, suicide prevention efforts should address specific risk factors contributing to thwarted belongingness, perceived burdensomeness, and the acquired capability for suicide in Veteran women.",
      "authors": "Schuman, Donna L.; Cerel, Julie; Praetorius, Regina T.",
      "author_ids": "",
      "journal_or_venue": "Social Work in Public Health",
      "doi": "10.1080/19371918.2019.1616028",
      "record_type": "journal-article",
      "database_method": null,
      "database_is_scientific": true,
      "database_is_empirical": false,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:16:59.321166+00:00"
    },
    {
      "input_index": 1090,
      "record_key": "SWRD:68977",
      "source_database": "SWRD",
      "record_id": 68977,
      "year": 2019,
      "title": "Suicidology: A comprehensive biopsychosocial perspective",
      "abstract": null,
      "authors": "Farkas, Kathleen J.",
      "author_ids": "",
      "journal_or_venue": "Journal of Social Work Practice in the Addictions",
      "doi": "10.1080/1533256x.2019.1637233",
      "record_type": "journal-article",
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      "database_is_scientific": null,
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      "screening_basis": "title_only",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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        "total_duration_ns": 2068108083,
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        "eval_count": 24
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      "screened_at": "2026-08-02T18:17:01.391635+00:00"
    },
    {
      "input_index": 1091,
      "record_key": "SWRD:67172",
      "source_database": "SWRD",
      "record_id": 67172,
      "year": 2019,
      "title": "The Association between Firearm Control Policies and Firearm Suicide among Men: A State-Level Age-Stratified Analysis",
      "abstract": "This study examined the association between state-specific firearm control policies and firearm suicide rates among men after adjusting for state-level demographics. This cross-sectional study used state-level mortality data from the Centers for Disease Control and Prevention's Web-based Injury Statistics Query and Reporting System and the Brady Campaign State Scorecard in 2017. An age-stratified (15-24 years, 25-44 years, 45-64 years, and >= 65 years) multivariable analysis was conducted to identify gun control policies that are associated with firearm suicide rates among men in each age group. Results indicate that the associations of specific firearm control policies and firearm suicide rates differ across the age span. In particular, more policies (for example, dealer regulations and waiting periods) are negatively associated with firearm suicide rate among men 15 to 24 years of age. The findings underscore the importance of designing gender- and age-specific policy advocacy programs directed at lowering the rate of firearm suicide. This study also suggests that California, known for its innovative gun safety legislation efforts, could serve as a model for other states starting preventive programs to reduce the firearm suicide rate. Implications of the findings for social work practice are discussed.",
      "authors": "Leung, Carol; Kaplan, Mark S.; Xuan, Ziming",
      "author_ids": "",
      "journal_or_venue": "Health & Social Work",
      "doi": "10.1093/hsw/hlz028",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "prompt_eval_count": 1182,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:17:04.047142+00:00"
    },
    {
      "input_index": 1093,
      "record_key": "SWRD:67165",
      "source_database": "SWRD",
      "record_id": 67165,
      "year": 2019,
      "title": "The Hidden Epidemic of Firearm Suicide in the United States: Challenges and Opportunities",
      "abstract": null,
      "authors": "Kaplan, Mark S.; Mueller-Williams, Amelia Cromwell",
      "author_ids": "",
      "journal_or_venue": "Health & Social Work",
      "doi": "10.1093/hsw/hlz029",
      "record_type": "journal-article",
      "database_method": null,
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_only",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2037693458,
        "prompt_eval_count": 935,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:17:08.412737+00:00"
    },
    {
      "input_index": 1097,
      "record_key": "SSWR:2020-U-0016",
      "source_database": "SSWR",
      "record_id": "2020-U-0016",
      "year": 2020,
      "title": "(Ir)Reconcilable Identities: Stories of Religion and Faith for Sexual and Gender Minority Refugees Who Fled from the Middle East, North Africa, and Asia to the European Union",
      "abstract": "Background and Purpose : Religion has been considered an essential “sanctuary and space of relief” for vulnerable populations, especially refugees (Horstmann & Jung, 2015, p. 1). One reason for this is that religion can provide refugees hope for the future and a sense of meaning in their lives (Abraham, Lien, & Hanssen, 2018). Another reason is that refugees depend on religious sites for concrete support and community affiliation to help them manage the exigencies of resettlement (Mallett & Hagen-Zanker, 2018). However, the experiences for lesbian, gay, bisexual, transgender, and queer (LGBTQ) refugees may be more complex, as religion has often been used to oppress them in their countries of origin. Guided by intersectionality, this study sought to understand how 34 LGBTQ refugees who fled to Austria and the Netherlands from Islamic societies described and understood experiences arising from the intersection of their religious and LGBTQ identities. Methods : Participants originated from the Middle East ( n = 25), North Africa ( n = 4), and Central and South Asia ( n = 5). They resided in Austria ( n = 19) or the Netherlands ( n =14), and ages ranged from 18-53 years old ( M = 30). Twenty identified as gay, 5 as transgender female, 3 as lesbian, 3 as bisexual, 2 as queer or gender nonconforming, and 1 as transgender male. Semi-structured interviews were conducted to examine participants’ religious experiences before, during, and after migration. Thematic analysis was used to analyze the data (Braun & Clarke, 2006). To enhance methodological rigor, we engaged in memoing to monitor our biases, participated in peer debriefings to refine and refute themes, and used negative case analysis to identify unexpected patterns in the data (Padgett, 2017). Results : We identified the following four themes: Internalizing religious messaging: shame, self-blame, and suicidality ; ‘I only had God’: drawing strength and solace from one’s faith ; reclaiming Islam in one’s own way ; and rejecting organized religion . Participants struggled to reconcile the conflict between their religious and LGBTQ identities in their countries of origin; however, understanding of their intersecting identities in the host country differed. For some, religion supported them through the difficulties of migration and resettlement; they were able to reconcile their faith and sexual orientation or gender identity by adapting their religious practices. Others outright rejected their religious backgrounds and identities. Conclusions and Implications : To our knowledge, this is the first study to demonstrate how refugees’ intersecting sexual, gender, and religious identities shaped their experiences of faith in their countries of origin as well as in the European Union. Accounting for sexual orientation/gender identity, migration status, and how LGBTQ refugees experience their religious identities in host countries allows for a more nuanced perspective of their lived realities. This study demonstrates how leveraging religion as a source of support for LGBTQ refugees may be beneficial. However, findings also show that providers must first understand the dynamics surrounding religion for each individual before assuming that all LGBTQ refugees still practice their faith or practice in the same way that they did in their countries of origin.",
      "authors": "Brett Greenfield; Edward J. Alessi; Sarilee Kahn",
      "author_ids": "118020; 110624; 111872",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "prompt_eval_count": 1626,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:17:19.225473+00:00"
    },
    {
      "input_index": 1099,
      "record_key": "SSWR:2020-P-0268",
      "source_database": "SSWR",
      "record_id": "2020-P-0268",
      "year": 2020,
      "title": "A Retrospective Case Control Study of Youth Suicide and Child Welfare Involvement",
      "abstract": "Objectives. This is the first population-based study to use linked administrative data to examine the significance of child welfare exposure on the risk of suicide. The study seeks to determine if there are differences in child protective service experiences that are associated with increased risk of suicide. Methods. This is a population based, retrospective, case control study of suicide victims. Cases include all individuals between the ages of 15 and 19 years whose manner of death was coded as suicide in California between 2010 and 2017, and who had at least one referral of alleged abuse or neglect prior to the date of death. Each case was matched on sex, race/ethnicity, year of birth (age), and age of first maltreatment referral to four living controls. Information on child protection involvement for both cases and control came from administrative child protection records from California. A conditional logistic regression model was conducted, and adjusted odds ratios and 95% confidence intervals were reported. Results. Overall, 505 California youth between 15 and 19 years, who had a history of child protective service involvement, committed suicide between 2010 and 2017. Results from a conditional logistic regression analysis demonstrated that youth who had ever received a referral for severe neglect [OR=6.2, 95%CI(4.26,8.97)] or physical abuse [OR=1.44, 95%CI(1.14,1.81)] were more likely to commit suicide. Female youth who had experienced sexual abuse were 2.14 times as likely to commit suicide (p<.001). Youth who had ever been removed and placed in relative care were 0.37 times as likely to commit suicide compared to youth who had never entered foster care (p<.001). Cases were also more likely to have received a greater number of lifetime referrals. Youth whose referral had ever been substantiated for any type of abuse were not significantly different from youth who had never experienced a substantiated referral. Conclusions: This study supports previous research that has found physical and sexual abuse to be significant risk factors for suicidality. However, results from this study showed four unique findings; 1) there may be differential risk of suicide by sex for those who have experienced sexual abuse, 2) there is a dose-response relationship between the number of referrals and suicide risk,  3) having been removed from home and placed with a relative may act as a buffer for suicide risk, and 4) severe neglect was the greatest indicator of suicide risk. These findings underscore the importance of providing mental health services to all kids who are alleged to have experienced child maltreatment. Future research should examine the definition and role of general and severe neglect and its importance in child and adolescent psychopathology.",
      "authors": "Lindsey Palmer",
      "author_ids": "116589",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "prompt_eval_count": 1512,
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      "screened_at": "2026-08-02T18:17:25.974244+00:00"
    },
    {
      "input_index": 1102,
      "record_key": "SSWR:2020-P-0306",
      "source_database": "SSWR",
      "record_id": "2020-P-0306",
      "year": 2020,
      "title": "Adolescent Marijuana Use: Effects of Authority Figures and Peers upon Age of Initiation and Its Impact on Adolescent Suicidal Ideation",
      "abstract": "Background/Purpose Marijuana is the most widely used drug in the United States with 40.9 million users reported in 2017 (SAMHSA, 2017).  Perceived risk and harm related to marijuana use is at an all-time low (Gruber, 2015) and the impact of marijuana use on the adolescent brain is a source of increasing concern, especially by early onset users (younger than age 16) (Filbey, 2015). A brief window of opportunity exists where parental influence in early adolescence is stronger, before changing to favor peer influences (King, Vidourek, & Merianos, 2015; Tang & Orwin, 2009). Preventing and/or delaying marijuana use in adolescence may decrease the opportunities for deleterious effects upon the developing adolescent brain, as those effects may not be as problematic the older the adolescent is when marijuana use begins (Dahlgren, 2016). The current study examined factors related to the age when adolescents first use marijuana. Further, the correlation between the early onset of marijuana use and adolescent suicidal ideation was examined, since it is an area identified as needing more study (Bechtold et al., 2015). Methods The study used a publicly available dataset, collected and managed by the Substance Abuse and Mental Health Services Administration (SAMHSA) via the National Survey of Drug Use and Health (NSDUH) 2017.  The original study collected data through an annual survey from people aged 12 years and older on substance use and issues of mental health (Center for Behavioral Health Statistics and Quality, 2018). The current study focused on adolescents aged 12 – 17 and examined whether positive authority figures in the adolescent’s life and peer influences would significantly predict adolescent marijuana use while controlling for gender and race/ethnicity, utilizing multiple regression analysis.  The study also investigated the relationship between adolescent marijuana use and suicidal ideation in adolescents. Results Correlation analysis suggests a positive relationship between early age onset marijuana use and adolescent suicidal ideation.  Multiple regression analysis suggests positive messages from parents to adolescents provide the strongest singular influence upon early age of initiation of marijuana use.  These findings support existing recent literature. Conclusion and Implications Identifying factors for delaying the age of initiation of marijuana use in adolescents is crucial to supporting the healthy development of youth (Social Work Grand Challenge #1). Supporting parents in their positive influence upon their adolescent children can delay deleterious mental health effects upon adolescents.  As national concern in the United States over legalization of marijuana for recreational use accelerates towards increased availability of marijuana to adolescents as well as reduced perception of risk, it is timely to address issues of adolescent marijuana use as a growing public health concern.",
      "authors": "Amy Mitchell",
      "author_ids": "119710",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "eval_count": 24
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      "screened_at": "2026-08-02T18:17:35.849133+00:00"
    },
    {
      "input_index": 1103,
      "record_key": "SSWR:2020-P-0206",
      "source_database": "SSWR",
      "record_id": "2020-P-0206",
      "year": 2020,
      "title": "Adolescents' Sexual Orientation and School Connectedness: The Role of Race, Ethnicity, and Gender",
      "abstract": "Abstract Adolescents’ Sexual Orientation and School Connectedness: The Role of Race, Ethnicity, and Gender. Background/purpose: Queer adolescents are three times more likely to express suicidal ideation, experience higher rates of exclusionary discipline, and are more likely to be targets of bullying compared to their straight peers. In light of these disparities, students’ sense of connection to school may provide some protection for this vulnerable group. School Connectedness (SC), the feeling of belonging, being respected, and being recognized as a valuable member of a school community, is associated with lower levels of suicidal ideation, involvement with the juvenile justice system, and higher grades and rates of graduation from high school. However, few studies have explored how students’ sexual orientation affects their school connectedness or how other intersection identities factor into this relationship. Thus, this study examines the associations of students’ sexual orientation with their school connectedness and how these associations differ by race/ethnicity and gender, factors that can compound vulnerability. Methods: This study uses national, population-based data from the Fragile Families and Child Wellbeing Study (FFCWS). The FFCWS is a birth cohort study following approximately 5,000 children born in large US cities to age 15. Analyses are based on data from the baseline (child’s birth) and the wave 6 follow-up survey, when the focal child was approximately 15 years old (N=3,076). A school connectedness scale (0=least connected, 12=most connected) was constructed based on adolescents’ responses to 4 questions about their sense of happiness, safety, belonging, and closeness to school. Students’ sexual orientation, the main independent variable, was assessed through students’ response to the question “have you ever liked a boy/girl more than a fiend?”.  Adolescents’ race, /ethnicity (non-Hispanic white, non-Hispanic black, Hispanic, Other), and gender (male/female) were considered as moderators. Ordinary least squares models controlled for a number of other important characteristics, including type of school, school engagement, experiencing suspension, witnessing arrest at school, and having a supportive adult in their lives. Results: Results indicate that queer adolescents have significantly lower SC compared to their straight peers. In addition, these results suggest that among girls, identifying as queer is not associated with a significant reduction in SC; however, for boys there is a strong negative association. When looking at race and ethnicity, white straight students have the highest SC, however, among queer students, being white is associated with a significant decline in SC. There was no such moderation for other race and ethnic groups considered here. Conclusions and Implications: This study, based on a large population-based sample, suggests school connectedness is significantly lower for students who identify as Gay, Lesbian, or Bisexual. Further, it appears that queer white and male students are particularly affected. These findings point to the need for interventions and further research that include transgender and non-binary students in these types of analyses, as well as studies that focus on risk and resiliency factors among adolescents of intersecting identities to better understand reasons why they feel less connected and introduce policies and interventions that can reduce this disparity.",
      "authors": "Roxanna Ast",
      "author_ids": "119523",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:17:39.202536+00:00"
    },
    {
      "input_index": 1104,
      "record_key": "SSWR:2020-U-0551",
      "source_database": "SSWR",
      "record_id": "2020-U-0551",
      "year": 2020,
      "title": "Algorithmic Solutions to Improve Suicide Prevention Gatekeeper Training Among Youth Experiencing Homelessness: Seeking Equity without Compromising Coverage",
      "abstract": "Background/ Purpose: Youth experiencing homelessness (YEH) are vulnerable to suicide but most youth in suicidal crises do not seek help from trained professionals. Gatekeeper training, which involves teaching people to recognize and support someone in crisis, is a widely used approach for facilitating mental health service utilization. The goal is to recruit and train a small subset of people in a network (i.e., gatekeepers) with the aim of achieving broad network coverage. Two problems exist with typical recruitment strategies. First, they can lead to inequity in coverage across different racial and ethnic groups. Second, they do not account for the fact that some people selected to be gatekeepers may opt out of such training. The present study sought to test a newly developed artificial intelligence (AI) algorithm that can guide decisions about recruitment to maximize coverage in a YEH network while achieving coverage equity by race/ethnicity and accounting for uncertainty in potential gatekeeper participation. Methods: A new AI was developed by computer science colleagues to address the issues in intervention design described by the social work team. Informed by work on two-stage robust optimization, we developed an algorithm to maximize the number of covered network members with a set number of recruited gatekeepers, minimizing bias and accounting for probabilistic non-participation. Data were collected from 165 YEH at a drop-in center for YEH in Los Angeles. Participants had to complete a survey about their individual characteristics and a social network interview about their relationships to one another. We then tested our algorithm performance against two competing algorithms that simulated typical gatekeeper recruitment strategies; these included a random approach (i.e., recruiting people without knowledge about their position in a network) and a degree centrality approach (i.e., recruiting people who are connected to the most people in a network). Performance was evaluated by percent of network coverage and bias in coverage. Results: With only 30 gatekeepers, our algorithm was able to achieve 53% coverage in a network of 165 YEH. The coverage for the random and degree centrality coverage approaches were 34% and 41%, respectively. Our algorithm also showed a maximum bias of 12% between the most covered and least covered racial/ethnic group. The maximum bias for the random and degree centrality coverage were substantially larger with 31% and 37%, respectively. Conclusion/Implications: Our algorithmic-informed approach to gatekeeper recruitment shows that we can plan for training that covers more people in a network while achieving greater equity across racial/ethnic groups relative to typical recruitment approaches. In other words, our algorithm demonstrates a concrete way to plan for gatekeeper training that is effective and equitable. We do not want to contribute to systemic inequity by using recruitment strategies that differentially benefit some youth more than others based on their racial/ethnic identity. Social work is underrepresented in the field of suicide prevention and our results highlight the importance of bringing a social justice lens to bear. Moreover, AI offers the possibility of evaluating potential intervention policies prior to costly deployment and testing.",
      "authors": "Anthony Fulginiti; Eric Rice; Aida Rahmattalabi; Phebe Vayanos; Milind Tambe",
      "author_ids": "112190; 111415; 120145; 120146; 117482",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:17:42.556470+00:00"
    },
    {
      "input_index": 1105,
      "record_key": "SSWR:2020-P-0347",
      "source_database": "SSWR",
      "record_id": "2020-P-0347",
      "year": 2020,
      "title": "An Examination of the Florida Linking Individuals Needing Care Coordination Program for Racial and Ethnic Minority Females",
      "abstract": "Background and Purpose: Suicide accounts for close to 800,000 deaths each year, making it one of the leading causes of death in the United States. Currently, it is the 2 nd leading cause of death among young people ages 15-29, claiming more lives than homicide. Among Black and Hispanic youth (10 to 24), it is the 2 nd and 3 rd leading causes of death. This study examined the extent to which depression and suicidality outcomes change among racial and ethnic minority females (i.e., Black and African American, Hispanic) who participated in a care coordination intervention. This study also assessed whether participation in the care coordination program reduces re-admission rates of inpatient hospitalization. Further attention was given to the impact of age and length of stay on treatment outcomes (depression symptomology, suicidality, and readmissions). These subpopulations were chosen due to limited suicide prevention research on at-risk racial and ethnic minority females and to address health disparities. Methods: This study employed a one-group pretest-posttest design utilizing secondary data from 76 youth participants enrolled in the care coordination program from three crisis stabilization units (CSU) in Florida. Almost 58% of the sample identified as African American or Black and 42% identified as Hispanic. Their mean age was 14.63. The baseline measure and posttest measure captured patient symptomology scores from the Patient Health Questionnaire (PHQ-9) and the Columbia-Suicide Severity Rating Scale (C-SSRS). To examine changes in depression symptomology, suicide risk, and readmission rates, an analysis of the data was conducted utilizing descriptive and bivariate statistics (e.g., paired sample t -tests). Further analyses were conducted using multivariate analysis of covariance (MANCOVA) and logistic regression to examine if age and length of stay influenced treatment outcomes. Results: Key findings included significant decreases in depression symptomology (54%) and suicidality (82%). Of those enrolled in the program, 84% did not have a readmission to the CSU. Length of stay was a predictor of readmission in that a one unit (one day) increase lead to a 3% increase in odds of readmission to the CSU. Further exploratory analysis revealed that Black females had higher depression and suicidality scores than Hispanic females. Conclusion and Implications: Results of this study can guide the design and implementation of community-based suicide prevention programs for racial and ethnic minority females. The significant decrease in depression symptomology and suicide risk at posttest suggests that components of the intervention (i.e., enhancing protective factors and therapeutic alliance) are important for improving mental health outcomes. The low readmission rates suggest that intense engagement during follow up is critical in reducing suicide risk and preventing rehospitalization. The difference in depression and suicidality scores between the multicultural group of females justify the need to further explore the intersection of gender and race on suicide risk factors and outcomes. This study highlights the importance of culturally responsive suicide prevention and interventions to meet the unique needs of multicultural youth populations.",
      "authors": "Michelle Vance",
      "author_ids": "119790",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3340325791,
        "prompt_eval_count": 1569,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:17:45.899207+00:00"
    },
    {
      "input_index": 1107,
      "record_key": "SSWR:2020-P-0459",
      "source_database": "SSWR",
      "record_id": "2020-P-0459",
      "year": 2020,
      "title": "Asian American Mental Health: Longitudinal Trend and Explanatory Variables Among Filipino and Korean Americans",
      "abstract": "Purpose: Although data on mental health problems among young Asian Americans are mixed, we can conclude that the vulnerability to mental distress is at least comparable to Whites or much worse among Asian Americans. This is in a stark contrast to the “model minority” myth that they are problem-free. Overcoming several methodological challenges in existing data (i.e., small sample sizes, cross-sectional data, and subgroup variability), this study, using a longitudinal, community based samples of two major Asian American subgroups, reports the rates of mental distress from adolescence to young adulthood and further investigates possible sources of mental distress. This study included predictors to encompass (1) universal factors (e.g., parent-child conflict and peer relationship) that are applicable to all young people regardless of race/ethnicity and (2) group-specific factors (e.g., ethnic identity, and racial discrimination) that are particularly relevant to Asian Americans. We further examined whether these associations vary over time and by ethnicity. Methods: Data are from the Midwest Longitudinal Study of Asian American Families (ML-SAAF) project, a longitudinal survey of Filipino American (FA) and Korean American (KA) youth and their parents living in a Midwest metropolitan area. This study used three waves of youth data. The first wave was collected in 2014 from 378 FA youth and 408 KA youth ( N =786). The retention rates were 77% at Wave 2 in 2016 ( N =604) and 82% of Wave 1 at Wave 3 in 2018 ( N =641). Stepwise mixed-effects regression models first examined (1) unadjusted rate trend of depressive symptoms, suicidal ideations and attempts (2) each predictor one at a time, after adjusting demographics (3) two-way interactions (a) predictor×wave and (b) predictor×ethnicity and (4) by clusters of variables (i.e., universal and group specific) and (5) all predictors together. Results: The results were that mental distress among the study participants not only increased but also became more serious, as indicated by substantial increase in suicidal ideations. A comprehensive list of predictors shows that both clusters of explanatory variables were indeed significant predictors of mental distress, e.g., antisocial peers, intergenerational cultural conflict, and racial discrimination. Moreover, family (e.g., parent-child bonding), peer (e.g., having friends) and self-identity (i.e., American and ethnic identities) were sources of support. The results of interactions showed that peer impact became weaker during young adulthood and these associations were mostly similar across FA and KA youth. When all variables were considered, intergenerational cultural conflict and racial discrimination were a significant and detrimental factor to both depressive symptoms and suicidal ideations. Conclusions and Implications: This study provided crucial findings that may explain the heightened vulnerability among Asian Americans. That is, intergenerational cultural conflict and racial discrimination emerged as the powerful detrimental sources of mental distress among this growing group of Americans and the importance of bicultural identity as a protective factor of mental health. Clinical interventions should target these areas to reduce mental distress. Given the surge of racist and anti-immigrant sentiments for the past few years, it is especially critical to address racial discrimination in serving Asian American young people.",
      "authors": "Yoonsun Choi; Michael Park; Jeanette Lee; David T. Takeuchi; Samuel Noh; Karen Kim",
      "author_ids": "110891; 116205; 118464; 112703; 118467; 119973",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "prompt_eval_count": 1606,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:17:52.590034+00:00"
    },
    {
      "input_index": 1108,
      "record_key": "SSWR:2020-P-0203",
      "source_database": "SSWR",
      "record_id": "2020-P-0203",
      "year": 2020,
      "title": "Assessing School-Based Suicide Prevention and Intervention Capacity",
      "abstract": "Background: Suicide is a leading cause of death for adolescents in the United States and is a growing issue among children under twelve years of age. Patterns of suicidal ideation and behaviors by children and adolescents vary by ethnicity and socioeconomic status. As children and adolescents spend most of their time at school, school staffs are at the frontlines of suicide intervention and prevention. Despite a plethora of school suicide-related initiatives, there is a minimal research on the implementation capacity of schools. School-based implementation capacity involves the resources, policy, and staff with the awareness, skills, and knowledge to identify, intervene, and monitor students at-risk for suicide. This study present early estimates on the implementation capacity of schools for suicide prevention and intervention by the socioeconomic status and ethnicity of school student. Methods: This study is part of statewide project to examine schools’ suicide intervention and prevention initiatives and resources and was conducted in the Midwest in 2018. School staff members and affiliates were recruited via convenience sampling and provided written consent to complete an on-line survey. The final sample (N=166) included employees of predominantly urban schools. The authors selected items specific to school capacity for suicide prevention and intervention for descriptive and chi-square analyses. Results: Most respondents were school counselors (99, 59.64%) who worked at the elementary school level (57, 44.53%), and at school were the students were predominantly White (78, 53.79%), but of lower income (96, 67.13%). Approximately 53% (85) of respondents’ schools did not have in-house mental health services, while nearly 73% (61) had a school resource officer (SRO). More respondents reported that their school had policy for suicide intervention (80, 63.49%) than prevention (61, 54.95%). Fewer respondents reported that their school monitored at-risk students (22, 53.66%), peers (11, 18.97%) and staff (24, 42.11%) trained as gatekeepers (a first line of intervention), and suicide trends on campus (16, 28.07%). Chi-square results yielded predominantly ethnic minority schools were significantly more likely to report having in-house mental health services than predominantly White schools (χ 2 (1) =7.939, p <.01). Predominantly White schools were significantly more likely to have an SRO (χ 2 (1) =10.375, p <.01) and an SRO trained in suicide intervention (χ 2 (1) =7.323, p <.01). Participants from predominantly White schools were more likely to agree that their school had a suicide prevention policy (χ 2 (2) =6.681, p <.05). We found no significant differences in suicide prevention capacity by the school’s socioeconomic status. Conclusions: The results demonstrate variability in schools’ current capacity to implement suicide prevention and intervention, especially by the predominant ethnic composition of students at the school. Gaps in access and knowledge of training, monitoring, and policy suggests that staff are poorly equipped to address student's suicidality. The results also suggest that schools serving predominantly ethnic minorities may have less capacity than White schools to support suicidal students. Given the recent increases in suicide among ethnic minority children and adolescent, future research should focus on the capacity for suicide intervention and prevention within schools that serve vulnerable youth.",
      "authors": "Hannah Szlyk; Sean Joe; Ryan Lindsay",
      "author_ids": "115769; 109205; 119521",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "prompt_eval_count": 1656,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:17:56.024209+00:00"
    },
    {
      "input_index": 1109,
      "record_key": "SSWR:2020-P-0198",
      "source_database": "SSWR",
      "record_id": "2020-P-0198",
      "year": 2020,
      "title": "Assessing Suicidal Ideation in Frontline Child Welfare Workers",
      "abstract": "Background and Purpose : Child welfare workers are vulnerable to mental distress due to burnout and traumatic stress. Suicidal ideation has not been investigated among child welfare workers; however, research suggests that workers in protective service fields such as emergency responders are at increased risk for completing suicide because exposure to trauma and violence may decrease fear of death. The purpose of this study is to understand the risk of suicidal ideation in a sample of frontline child welfare workers, and to explore factors that may contribute to worker mental/emotional distress. Methods : The Florida Study of Professionals for Safe Families (FSPSF) is a five-year longitudinal survey of newly hired child welfare case managers and protective investigators (n=1,501). The fourth wave of the survey (18-months post-hire) examined the mental health status of workers and included the PHQ-9, a screening tool for depressive symptoms. One 4-point Likert scaled item asked whether, in the past two weeks, participants have had “thoughts that you would be better off dead, or of hurting yourself .” Participants who screened positively for suicidal ideation were contacted by telephone by clinically-trained members of the research team and offered mental health resources. The results of the telephone calls were documented, and thematic analysis of this documentation was used to explore possible contributing stressors and resources for coping. Results : A total of 65 child welfare workers screened positively for suicidal ideation (10% of participants still in child welfare at wave four), and ­­­37 participants responded to the follow up telephone calls. While some participants denied any current suicidal ideation, many acknowledged passive thoughts of suicide. Thematic analysis of respondents revealed that workers attributed ideation primarily to work-related stressors. Themes emerged related to workplace stress such as: high caseload, organizational pressures, and high turnover of co-workers.  Participants expressed concern with both the “volume” and “intensity” of caseloads, and described feelings of “pressure” and being “overwhelmed” with work expectations. Many participants were actively engaged in supportive mental health services such as counseling and medication management, but some participants reported that these supportive services were not enough to offset the stress associated the job. Several participants noted that leaving their child welfare position may be the best option for maintaining mental health and well-being. Conclusions and Implications: Due to the nature of their work, child welfare workers may have increased vulnerability to mental distress and accompanying suicidal ideation. Many of the workers in this sample were actively engaged in supportive services such as mental health counseling, but for some this did not appear to offset distress related to job conditions. Results of this study may be used to inform future research into the mental health of child welfare workers and to explore ways to mitigate the negative consequences of the strain of the job (i.e. debriefing during supervision sessions, encouragement for use of self-care strategies, etc.). This topic should be considered in discussions related to training and continuing education of child welfare workers, and organizational policies and practices related to workers’ mental health and well-being.",
      "authors": "Sarah Rakes; Erin A. King; Dina J. Wilke",
      "author_ids": "116969; 113840; 108265",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "mixed_methods",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "prompt_eval_count": 1548,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:17:59.395714+00:00"
    },
    {
      "input_index": 1110,
      "record_key": "SSWR:2020-U-0176",
      "source_database": "SSWR",
      "record_id": "2020-U-0176",
      "year": 2020,
      "title": "Association between Hearing Loss and Suicide Ideation Among Older Adults",
      "abstract": "Background and Purpose: As life expectancy increases, older people are more likely to experience hearing loss (HL) as a direct result of the aging process. Several studies have found that HL is highly correlated with a low level of physical and mental health status among older adults. The prevalence of suicidal ideation among older adults has been regarded as a major risk factor affecting their quality of life. However, despite the adverse effect of social exclusion and withdrawal due to HL on suicidal ideation, knowledge on the relationship between these factors in older adults remains still lacking. This study therefore aims to rigorously investigate the association between HL and suicidal ideation among older adults, using a nationally representative data. Methods : A total of 15,838 older adults (over 50 years), drawn from the 2015-2017 National Survey on Drug Use and Health, comprised the study sample. Suicidal ideation was measured by asking the respondents, “At any time in the past year, did you seriously think about trying to kill yourself?” HL was assessed by asking whether the respondents were deaf or had serious difficulty hearing. Gender, age, race, marital status, educational attainment, poverty, urbanization, employment status, hospitalization, number of chronic diseases, obesity, major depressive episodes (MDE), serious psychological distress (SPD), binge drinking, cigarette, and general health status were identified as covariates.  Due to the complex survey design of NSDUH, survey data analysis procedures were utilized. Results : Of the Americans over 50 years, 11. 7% reported being deaf or having serious difficulty hearing. The vast majority (95%) had at least one chronic disease (e.g., heart disease, diabetes, asthma, cancer, or high blood pressure) and 17.7% stayed overnight in a hospital in past year. Respondents reported smoking a cigarette (13.7%) and alcohol use (46.6%) during the past year. A large majority of them (74.7%) assessed their health as good. While 7.1% reported serious psychological distress, only a very small proportion (0.28%) of older adults seriously thought about suicide in past year. Multivariate logistic regression analyses revealed that compared with their hearing counterparts, older adults with HL were more likely to seriously think about trying to kill themselves ( OR =1.34, p <.05). Gender, hospitalization, MDE, SPD, and general health status were found to be significant predictors for suicidal thoughts among older adults. Conclusions and Implications : The study found that older adults with HL are likely to have a high level of suicidal ideation. This result may be attributed to several factors. First, HL is a fundamental factor compromising older adults’ communication ability, which is indispensable to social engagement with friends, families, and communities, eventually making them often think about suicide. Second, HL stigma may constitute a major impediment to accepting one’s hearing loss, engaging in help-seeking behaviors, and participating in social activities, which lead to suicide prevention. Therefore, social workers and healthcare providers should better understand how older adults with HL perceive suicidal ideation within the individual, interpersonal, and social contexts. Future research should examine the mechanisms and risk factors affecting the association between HL and suicidal ideation.",
      "authors": "Junghyun Park; Othelia Lee",
      "author_ids": "117782; 114398",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3349851750,
        "prompt_eval_count": 1602,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:18:02.747082+00:00"
    },
    {
      "input_index": 1112,
      "record_key": "SSWR:2020-U-0688",
      "source_database": "SSWR",
      "record_id": "2020-U-0688",
      "year": 2020,
      "title": "Belongingness Matters: Exploring the Role of Campus Belongingness and Its Association with Flourishing, Anxiety, Depression, and Suicidal Behaviors Among Black College Men",
      "abstract": "Background/Purpose: Suicide has been the 3 rd leading cause of death among 15-24-year-old Black males in the U.S. since 1995, though empirical investigations that examine predictors of suicidal behaviors among this group remain scant. The Interpersonal Theory of Suicide (Joiner, 2005) identifies thwarted feelings of belongingness as a primary risk factor for suicide ideation, though this theory has yet to be examined specifically among young Black men. It is worthwhile to examine sense of campus belongingness among Black college men, as recent studies suggest that Black males report higher rate of loneliness and isolation throughout their time on university campuses (Chang, 2018). Thus, the current study extends Joiner’s theory to explore whether sense of campus belongingness is associated with suicidal behaviors and other mental health outcomes, like flourishing, anxiety, and depression symptoms. Methods: Survey responses were collected from a nationally-representative sample of 688 Black college men who participated in the Healthy Minds Study. Sense of Campus Belongingness was measured using four items revised from Walton & Cohen’s scale of academic and social fit (2007). Flourishing was measured using Diener and colleagues’ (2010) flourishing scale. The GAD-7 (Spitze et al., 2006) and PHQ-9 (Kroenke et al., 2001) were used to measure anxiety and depressive symptoms . Suicidal behaviors were captured using single-items questions that asked participated to indicate whether they had thoughts of suicide or attempted suicide within the past 12 months. Confirmatory factor analysis (CFA) was first used to assess dimensionality of the belongingness, flourishing, anxiety, and depression measures. These measures have not been validated among samples of Black men, and the factor structure of each scale should be examined before attempting to discuss predictive relationships. Items for the anxiety and depression factors were captured using a 4-point Likert scale, and in turn the WLSMV estimator was applied instead of the ML estimator. Items were freely loaded and factor variances were fixed to 1. Next, path analysis was employed to examine whether sense of campus belongingness is significantly associated with mental health outcomes. Missing data were handled using list wise deletion. All analyses were conducted using Mplus version 8.1 (Muthen & Muthen, 2017). Results: Results yielded from the CFA suggest that the model was a very good fit [χ 2 = 509.825, p<.001; RMSEA= .026; CFI= .966; TLI= .962; SRMR=.059]. All item loadings ranged between .531 and .928. After assessing the factor structure, path analysis was used to examine relationships among key study variables. Path analysis results indicate that again the model was a good fit to the data [χ 2 = 603.480, p<.001; RMSEA= .023; CFI= .961; TLI= .956; SRMR=.079]. Belongingness was significantly associated with higher rates of flourishing (β= .490) and lower rates of anxiety (β= - .348), depression (β= - .413), suicide ideation (β= - .312), and suicide attempt (β= - .122). Conclusions and Implications: Belongingness appears to be a critical factor in working to improve the well-being of Black male college students. It is imperative that university administrators create inclusive campuses that address and affirm the unique needs of Black college men.",
      "authors": "Janelle R. Goodwill",
      "author_ids": "115600",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3682658792,
        "prompt_eval_count": 1735,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:18:09.776816+00:00"
    },
    {
      "input_index": 1113,
      "record_key": "SSWR:2020-P-0013",
      "source_database": "SSWR",
      "record_id": "2020-P-0013",
      "year": 2020,
      "title": "Changes in Post-Mortem Marijuana-Positive Toxicologies Among Youth Suicide Decedents, 2005-2015",
      "abstract": "Background and Purpose : Given increasing youth suicide rates and liberalization of marijuana use laws, this study examined post-mortem marijuana toxicology test results among suicide decedents aged 15-19 (youth) compared to those aged 20-29 (young adults). Methods : Data were from the 2005-2015 National Violent Death Reporting System (N=6,002 decedents aged 15-19 and N=20,925 decedents aged 20-29). Following descriptive analysis, logistic regression models were used to test associations of marijuana-positive toxicologies with incident year, state in which injury/death incurred, interactions between incident year and state, and suicide means. Results : Marijuana was the most commonly substantiated substance among youth and the second most commonly substantiated substance, after alcohol, among young adults. The odds of a marijuana-positive toxicology among youth were 2.21 (95% CI=1.78-2.73) higher in 2012-2015 than in 2005-2011 and were 1.46 (95% CI=1.18-1.79) higher in states with marijuana legalization or decriminalization laws; however, the incident year x state interaction term was not significant, and only the main effect of incident year remained significant (AOR=1.86, 95% CI=1.34-2.59) in the interaction model. Among young adults, the main effects of incident year, state, and interaction effects (AROR=2.02, 95% CI=1.61-2.53) were all significant. For both age groups, the odds of a marijuana-positive toxicology were lower among decedents who used poisoning than firearms. Conclusions and Implications: Liberalized marijuana policies do not appear to have influenced increases in marijuana-positive toxicologies among youth, but marijuana-positive rates were higher among those who died in recent years and by more violent/lethal means. Youth suicide prevention strategies should include monitoring marijuana use, education on marijuana’s harms, and substance use treatment.",
      "authors": "Diana M. DiNitto; Namkee G. Choi",
      "author_ids": "109441; 108057",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3062991041,
        "prompt_eval_count": 1405,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:18:12.841615+00:00"
    },
    {
      "input_index": 1115,
      "record_key": "SSWR:2020-P-0685",
      "source_database": "SSWR",
      "record_id": "2020-P-0685",
      "year": 2020,
      "title": "Configurations of Gender and Sexual Identities Predicting Patterns of Co-Occurring Health Risks Among Sexual Minority Youth Using a Latent Class Analysis Approach",
      "abstract": "Background and Purpose: Behavioral health disparities exist for gender nonconforming (GNC; gender identity does not correspond to birth sex; e.g., transgender, gender nonbinary, genderqueer) and sexual minority youth; however, there is limited knowledge on disparities among youth who identify with both sexual and gender minority identities. Further, evidence based indicated prevention programs for GNC youth are nonexistent. Methods: This study utilized a diverse sample of GNC and cisgender sexual minority youth seeking crisis services to examine co-occurrence of behavioral health risks. Surveys were administered with youth (aged 12–24, N = 592) recruited from an LGBTQ youth-focused suicide prevention service provider. Latent class analysis was conducted on reports of suicidality, substance use, depression, and posttraumatic stress disorder. Two multinomial logistic regression models were conducted to examine how gender and sexual identity configurations (with cisgender gay or lesbian as the referent) and gender and sexual identity separately (independent effect) predicted class membership. Results: Analyses resulted in a four-class solution: High All (17.6%), High Substance Use and Moderate Mental Health (10.6%), Low All (20.1%), and High Suicide and High Mental Health (51.7%). In our multinomial logistic regression Model 1 (independent effect of gender and sexual identity), youth who identified as GNC had 2.11 higher odds of being in the High Suicide and High Mental Health class compared to the Low All class; however, sexual identity was not a significant predictor. In Model 2 (configurations of gender and sexual identities), individuals identifying as GNC gay or lesbian or GNC pansexual had 1.95 and 2.57 higher odds, respectively, of being in the High Suicide and High Mental Health class compared to the Low All class. Conclusions and Implications: Our study suggests not only gender identity, but also the combination of sexual and gender identities predicts health risks. In addition, many programs and practices directed toward sexual minority youth may not necessarily address issues of GNC youth. Our findings suggest that service providers working with sexual minority youth should also be trained to provide GNC-specific services and recognize that youth may identify as both gender and sexual minorities. Implications for indicated prevention approaches are described.",
      "authors": "Ankur Srivastava; Jordan Davis, PhD; Jeremy Goldbach",
      "author_ids": "116373; 117316; 110332",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3079568750,
        "prompt_eval_count": 1416,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:18:19.282912+00:00"
    },
    {
      "input_index": 1116,
      "record_key": "SSWR:2020-P-0520",
      "source_database": "SSWR",
      "record_id": "2020-P-0520",
      "year": 2020,
      "title": "Contexts, Experiences, and Responses to Suicide Attempts By Colombian Adolescent Females",
      "abstract": "BACKGROUND AND PURPOSE. In Colombia, pediatric suicidal behaviors are a serious public health concern. In 2017, there were 3,330 suicide attempts among children between the ages of 10 and 14, and 7,665 among youth between 15 and 19 years of age (Minsalud, 2017). Colombian adolescent females attempt more often than their male counterparts. Little is known, however, about why so many Colombian girls attempt suicide. Previous research with suicidal Latina teens has described the central role of family conflict in setting the conditions for suicidal behaviors among adolescent females (Gulbas et al., 2012, Peña et al, 2011). This study extends research conducted in the United States with suicidal Latinas to Colombia, to describe the contexts in which the girls’ suicidal behaviors emerge, the teens’ internal experiences leading to a suicide attempt, their suicidal attempts, and the immediate familial responses to a suicide attempt. Participants were suicidal adolescent females growing up in poverty in Bogota. METHODS .  The data presented are drawn from a mixed-method pilot study that examined the contexts, experiences, and responses to suicide attempts from the perspective of a group of Colombian adolescent females (aged 13-17, x = 14.9).  All data were collected between 2017 and 2018. Participants (n = 15) were recruited from a public hospital located in a low-income area in Bogota. Univariate descriptive were performed on all the numerical variables studied. Qualitative data were analyzed using a combination of content and thematic analysis. The analysis was divided into three steps: (a) data coding, (b) univariate statistics with quantified qualitative data, and (c) development and analysis of a matrix of coded text. The data coding and quantification was performed using Dedoose. RESULTS . All participants reported exposure to chronic, escalating stressors at home (e.g., conflicts with caregivers), combined with episodic traumatic events (e.g., sexual assault). Conflicts with primary caregivers left the teens feeling isolated, unsupported, and hopeless. A traumatic event increased the girls’ negative feelings, leading to a suicide attempt as a means to end their emotional suffering. Most participants reported intent of dying (n = 14). Some carefully planned their attempts to maximize the likelihood of a deadly outcome (n = 3). Eight participants (53%) reported attempting suicide by overdosing, while five participants attempted suicide by cutting (33%). When the suicide attempts were disclosed or discovered, most caregivers reacted with perplexity and/or anger (n = 12). Caregivers’ responses to the teens’ suicide attempts further confirmed the girls’ feelings of isolation and lack of support. CONCLUSIONS AND IMPLICATIONS . This study provides further confirmation of the role that conflicts between the adolescent and her caregivers play in setting the conditions for suicidal behaviors among Latina adolescent females. To reduce suicidal behaviors among adolescent females in Bogota, public health efforts should address intra-familial conflict between teens and caregivers. Mental health providers serving suicidal teens should work with caregivers to improve their emotional response to their daughters’ suicidal crisis.",
      "authors": "Maria Samira de la Pava Gutierrez; Carolina M. Hausmann-Stabile; Nicole Fedoravicius; Olga Albornoz; Angela Velez",
      "author_ids": "120072; 112385; 114450; 120073; 120074",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "mixed_methods",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3396966958,
        "prompt_eval_count": 1584,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:18:22.681397+00:00"
    },
    {
      "input_index": 1119,
      "record_key": "SSWR:2020-U-0007",
      "source_database": "SSWR",
      "record_id": "2020-U-0007",
      "year": 2020,
      "title": "Depression and Suicide Risk at the Cross-Section of Sexual Orientation and Gender Identity for High School Youth",
      "abstract": "Background Negative mental health outcomes for sexual and gender minority adolescents are a considerable public health challenge. Scholarship on adolescent mental health reflects higher rates of depression symptoms and suicidality amongst sexual and gender minority adolescents when compared to their heteronormative and cisgender peers. This prevalence of depression and suicidality may be explained by minority stress theory, which links the presence of oppressive structures to mental health outcomes. Methods Using statewide representative data from the 2017 Healthy Kids Colorado Survey conducted with public high school students, we examined the likelihood of experiencing of depression and suicidality by sexual orientation and gender identity. Three dichotomous dependent variables were used: past year depressive symptoms, past year suicide plan, and past year suicide attempt. The independent variable examining the cross-section of sexual orientation and gender identity was created from the results of 2 multiple choice items exploring sexual and gender identity. First descriptive statistics were analyzed, then three logistic regression models were used to predict depression, suicide attempt and suicide plan. Results The final sample was 45,918 youth with a mean age of 15.6. Results indicated that all sexual and gender minority identities were at heightened risk for depression symptoms, suicide plan, and suicide attempts compared to cisgender heterosexual youth. Specifically, cisgender youth who identified as LGB were three times more likely (AOR = 3.44, 95% CI [3.20, 3.70]) to have experienced symptoms of depression within the past year, while cisgender youth questioning their sexual orientation were twice as likely (AOR = 1.91, 95% CI [1.71, 2.13]). Transgender heterosexual (AOR = 2.65, 95% CI [1.77, 3.97]), transgender LGB (AOR = 6.37, 95% CI [4.93, 8.22]), and transgender questioning (AOR = 4.02, 95% CI [2.57, 6.30]) youth were between 2.5 and 6 times as likely to have experienced past year symptoms of depression. Regarding suicide plans, transgender LGB (AOR = 7.42, 95% CI [5.93, 9.28]), transgender questioning (AOR = 7.85, 95% CI [5.02, 12.28]), and LGB youth who did not know if they were transgender (AOR = 6.54, 95% CI [5.12, 8.35]) had the highest levels of risk. Finally, suicide attempt was particularly heightened among transgender heterosexual (AOR = 8.11, 95% CI [5.32, 12.37]), transgender LGB (AOR = 9.56, 95% CI [7.58, 12.07]), and transgender questioning (AOR = 8.35, 95% CI [5.34, 13.08]) adolescents, who were between eight and nine times more likely to report a suicide attempt in the past year when compared to cisgender heterosexual youth. Conclusion The findings of the presented proposal illuminate how the intersection of sexual orientation and gender identity impact mental health experiences of youth. LGBQ and transgender youth tend to be combined under the umbrella of LGBTQ youth when examining mental health outcomes. However, the identities of sexuality and gender are both separate and intersecting, resulting in unique trajectories of minority stress and resilience. This proposal strengthens the existing body of scholarship advocating for the mental health of sexual and gender minority youth to become educational and public health priorities.",
      "authors": "Samantha Guz; Shanna K. Kattari; Brittanie Atteberry-Ash; Jarrod Call; Cary L. Klemmer",
      "author_ids": "117013; 113608; 117463; 119194; 116372",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3636448709,
        "prompt_eval_count": 1727,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:18:33.036064+00:00"
    },
    {
      "input_index": 1120,
      "record_key": "SSWR:2020-P-0377",
      "source_database": "SSWR",
      "record_id": "2020-P-0377",
      "year": 2020,
      "title": "Distress Tolerance, Family Conflict, and Ethnic Identity As Potential Therapeutic Targets of Aware Intervention for Asian American Women",
      "abstract": "Background and Purpose: Asian American women (AAW) have the highest proportion of deaths by suicide, and one of the highest rates of suicide, of all female racial/ethnic groups in the US.  Culturally grounded and empirically based interventions are needed. To address this, we developed and tested the Asian Women’s Action for Resilience and Empowerment (AWARE) intervention.  We propose a Model of Healing for AAW, in which increasing one’s emotional distress tolerance, reducing familial conflict, and strengthening ethnic identity may help reduce suicide among young AAW.  Thus, this study aims to validate these three measures, and to establish preliminary evidence that AWARE efficaciously engages in these targets in a small-sample clinical trial at a university health service center. Methods: Two AAW staff clinicians at a university health center in Massachusetts were trained to facilitate the AWARE intervention.  AAW students at the university were recruited and screened using a demographic survey. Those who passed the screening (age 18-35, never married, self-identifying as AAW) were invited to participate in a baseline clinical assessment.  Eligibility for the intervention included those who met any one of the following criteria: moderate to severe depression (CESD-R ≥ 16), anxiety (HADS-A ≥ 11), post-traumatic stress diagnosis (PCL-C ≥ 30), or childhood exposure to traumatic events (ACE-IQ, any item).  As well, the three potential targets for this study were assessed using the Distress Tolerance Scale (DTS), Asian American Family Conflicts Scale (AAFCS), and the Multigroup Ethnic Identity Measure (MEIM). Once enrolled, AWARE intervention sessions were conducted in small groups (n ≤ 11).  Participants completed a post-intervention assessment consisting of the same measures as in the baseline. Two tailed paired t-test and Cohen’s d effect size calculations were performed to assess the three target measures. This study took place from February to December 2018. Results: Among 99 individuals who voluntarily completed the screening survey, 36 met the inclusion criteria, and 22 enrolled in the AWARE intervention.   Participants who completed the intervention (n=17) showed significant increases in distress tolerance (ΔDTS = 0.71 ± 0.68, p = 0.0005) and identification with their ethnic group (ΔMEIM = 0.15 ± 0.30, p = 0.050).  As well, participants showed significant decreases in both the “likelihood” subscale of family conflict (ΔAAFCS-L = -5.76 ± 6.26, p = 0.0016) and the “severity” subscale (ΔAAFCS-S = -4.76 ± 4.96, p = 0.0011).  The effect sizes were large for distress tolerance (Cohen’s d = 1.04), family conflict likelihood subscale (Cohen’s d = 0.92), and family conflict severity subscale (Cohen’s d = 0.96).  The effect size for ethnic identity was medium to large (Cohen’s d = 0.52). Conclusions and Implications: Using a pre- and post evaluation design, the AWARE intervention resulted in increased distress tolerance and ethnic identification, as well as decreased family conflicts among AAW students.  A large scale study is necessary to test the mediating effect of these potential therapeutic targets on clinical mental health outcomes. Addressing these targets during therapeutic interventions may play a key role in reducing the burden of suicide among young AAW.",
      "authors": "Hyeouk Chris Hahm; Jenny Hsi; Jiaman Xu; Bona Lee; Venissala Wongchai; Ashruti Patel; Marissa Inouye; Calvin Cheung Zheng; EunMyoung Alice Lee",
      "author_ids": "108114; 118914; 119802; 119803; 119804; 119805; 119806; 119807; 119846",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "prompt_eval_count": 1718,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:18:36.675304+00:00"
    },
    {
      "input_index": 1121,
      "record_key": "SSWR:2020-U-0173",
      "source_database": "SSWR",
      "record_id": "2020-U-0173",
      "year": 2020,
      "title": "Does It Make a Difference Where You Get It? Social Support and Suicide Attempts Among Youth Experiencing Homelessness",
      "abstract": "Background/ Purpose: Youth experiencing homelessness (YEH) are at elevated risk for suicide. Social support is central to many suicide prevention strategies but the extent to which it confers protection for YEH is largely unknown. This is a critical oversight because YEH are embedded in complex social networks where they may be forced to rely on people who engage in behaviors that can undermine the protective effects of their social support (e.g., abusive parents). The present study examined the impact of social support from three different sources (family, home-based peers, and street-based peers) on suicide attempt. In doing so, this study sought to determine the utility of prevention programming that seeks to enhance support across relationships as well as within certain relationships among YEH. Methods: Data were collected from 1046 YEH at three drop-in centers that serve YEH. Participants completed a survey about their individual characteristics (i.e., suicide attempt in last year) and a social network interview about their relationships (i.e., type of relationship with each person in their network and whether each person provided them with emotional support). Multivariable logistic regression was used to examine the main effect of social support from family, street-based peers, and home-based peers on suicide attempt. Two-step hierarchical regression models were then used to test whether social support from each source moderated the relationship between well-established risk factors (i.e., depression, trauma, substance use) and suicide attempt. Results: Overall, 11.5% of YEH had attempted suicide in the past year. The main effect analysis revealed a significant negative association between home-based friend support and suicide attempt (OR: 0.83, 95% CI [0.72, 0.96]). Interaction analyses revealed that home-based friend support moderated the relationship between depression and suicide attempt (OR: 1.01, 95% CI [1.01, 1.03]) and street-based support moderated the relationship between trauma and suicide attempt (OR=1.08, 95% CI [1.02-1.15]). No main effect or moderation effects were observed for family support. Conclusion/Implications: Social support is often promoted as a universal protective factor but we found that support from different people had different effects on suicide attempt risk among YEH. YEH who receive social support from home-based peers were observed to be at lower risk for suicide attempt, implying that suicide prevention efforts should seek to strengthen and funnel support delivery through those relationships. This may be particularly true for YEH experiencing higher levels of depression. Finding that support from street-based peers amplifies risk among YEH who experience higher levels of trauma suggests that seeking support from certain people may be discouraged under certain circumstances. Notably, family support was not shown to be associated with suicide risk. For many YEH, family members may be a source of conflict, abuse, and neglect that precipitates homelessness, thus nullifying the positive aspects of familial support. Overall, our pattern of results may help to guide more efficient support-based suicide prevention programming for YEH.",
      "authors": "Anthony Fulginiti; Sonya Negriff; Jarrod Call; Eric Rice",
      "author_ids": "112190; 113403; 119194; 111415",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3369191541,
        "prompt_eval_count": 1561,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:18:40.046250+00:00"
    },
    {
      "input_index": 1122,
      "record_key": "SSWR:2020-P-0640",
      "source_database": "SSWR",
      "record_id": "2020-P-0640",
      "year": 2020,
      "title": "Does Visual Impairment Affect Suicidal Ideation Among Older Adults? Results from National Survey on Drug Use and Health",
      "abstract": "Background and Purpose: The prevalence of suicidal ideation among older adults has been regarded as a public health concern affecting their quality of life. Depression is the most common diagnosis in older adults who have attempted suicide. Research also revealed that age-related visual impairment (VI) can adversely impact physical and mental health status and performance of daily activities. Despite the adverse effect of VI on geriatric depression and suicide ideation, our knowledge on the relationship between these factors in older adults remains lacking. This study therefore aims to investigate the relative strength of association for VI on suicidal ideation among a nationally representative sample of older adults. Methods: Study sample was composed of 2,575 adults over 65 years old, drawn from the 2016 National Survey on Drug Use and Health. Respondents were asked if they had serious thoughts about suicide in the past 12 months. VI was assessed by asking if the respondents were blind or had serious difficulty seeing. Gender, race, marital status, educational level, poverty, urbanization, employment status, health status, and mental health challenges were considered as covariates. Complex survey data analysis procedures were employed. Multivariate logistic regression analyses were used to examine the association between VI and suicidal ideation among older adults after adjusting for a comprehensive list of control variables Results: The vast majority of older adults (84.1%) rated their health as good and 21.4 % of them reported having difficulty with mobility. Various chronic conditions were present among older respondents in the study, including high blood pressure (56.1%), heart condition (38.3%), diabetes (30.5%), cancer (23.6%), and asthma (9.6%). Obesity was reported by 32.3%. Nearly a third of them (28.4%) had visited an emergency department at least once ( M =0.54. SD =1.55). Approximately, 6.7% of older adults reported experiencing VI. Relatively lower prevalence of mental health problems was reported in this sample. Only 2.6% reported Major Depressive Episode (MDE) and 1.8% had Substance Use Disorder. Smoking a cigarette during the past month was reported by 10% of them. Finally, a very small proportion of older adults expressed suicidal thoughts (1.63%). Older adults with VI were more likely to report suicidal ideation, compared to their counterparts without VI ( OR =3.12, p <0. 05). Of the covariates, MDE was found to be the strongest predictor of suicidal ideation ( OR =11.82, p <0. 05). Conclusions and Implications: The results of this study demonstrate that VI is significantly associated with suicidal ideation among older adults. The association between VI and suicidal ideation could be related to other factors, such as a secondary disability caused by VI. In particular, the self-stigma of becoming a burden to and relying on others may lead geriatric depression and potential suicidal ideation. Subsequently, effective intervention should be tailored to address needs and mental health status of these older adults with visual challenges. More research is needed to identify risk and protective factors associated with suicidal ideation and behavioral health for this population.",
      "authors": "Junghyun Park; Othelia Lee",
      "author_ids": "117782; 114398",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3377454625,
        "prompt_eval_count": 1606,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:18:43.425481+00:00"
    },
    {
      "input_index": 1124,
      "record_key": "SSWR:2020-O-0022",
      "source_database": "SSWR",
      "record_id": "2020-O-0022",
      "year": 2020,
      "title": "Everyday Discrimination and Suicide Ideation Among African American Men: Examining Depressive Symptoms As a Mediator",
      "abstract": "Background/Purpose: While extensive efforts have been made to understand empirical linkages between both: 1) discrimination and depression (Pieterse et al., 2012), and 2) depression and suicide ideation (Oh et al., 2019), few studies have assessed the direct relationship between discrimination and suicide ideation. These pathways are particularly important to consider among African Americans men, who are are four to six times more likely to die by suicide than African American women (Joe et al., 2018). Moreover, suicide has served as the 3 rd leading cause of death for 15-24-year-old African American males since 1995 (CDC, 2016), though empirical investigations remain scant. Thus, the current study purposed to uncover whether discrimination is associated with increased risk for suicide ideation, while also testing whether depressive symptoms mediates the depression-suicide link. Methods: Data for this study were drawn from the National Survey of American Life (Jackson et al., 2004). Survey responses from a sub-sample of (n=1271) African American men were analyzed. Data were collected from 2001-2003 using in-person and telephone interviews. All participants were between 18 and 96-years-old. Measures Everyday discrimination was measured using Williams’ and colleagues (1997) measure of everyday discrimination. Three separate variables were created to examine the influence of differential forms of discrimination. (1) Any discrimination is described as discrimination attributable to any source; (2) Race-based discrimination is described as discrimination attributed to race only; and (3) Other discrimination is described as discrimination attributed to age, weight, etc. Depressive symptoms were captured using 12 items from the Center for Epidemiologic Studies Depression Scale (Radloff, 1977). Lifetime suicide ideation was assessed by asking participants to indicate whether they had every considered ending their life. Data Analysis Path analysis was used to examine direct and indirect (mediating) effects among key study variables. Three separate mediation models were tested to ascertain which forms of discrimination (any discrimination, race-based discrimination, and other sources of discrimination) were significantly associated with depressive symptoms and suicide ideation. Model fit indices are not reported, as the mediation models were just-identified (Kline, 2016). The WLSMV estimator was used instead of the ML estimator, as the suicide ideation variable is binary and is not normally distributed. All analyses were conducted using Mplus version 8.1 (Muthen & Muthen, 2017). Results: Study findings revealed that race-based discrimination was the only form of discrimination that was both directly (β= .138, p= .048) and indirectly (β=.027, p= .033; [95% CI= .002 - .052]) associated with suicide ideation. Any discrimination and Other discrimination (e.g. discrimination attributed to age, weight, etc.), however, were not significantly associated with suicide ideation. Conclusions and Implications: Even after accounting for the role of depressive symptoms, the link between racial discrimination and suicide ideation was still statistically significant (i.e. suggesting that there is evidence for partial mediation). This study offers initial evidence that race-based discrimination is not only associated with depressive symptoms, but also suicide ideation. Thus, culturally-relevant suicide prevention interventions are needed to account for the role of discrimination specifically in the lives of African American men.",
      "authors": "Janelle R. Goodwill; Daphne C. Watkins",
      "author_ids": "115600; 111543",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3591937875,
        "prompt_eval_count": 1667,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:18:50.364789+00:00"
    },
    {
      "input_index": 1125,
      "record_key": "SSWR:2020-P-0065",
      "source_database": "SSWR",
      "record_id": "2020-P-0065",
      "year": 2020,
      "title": "Examining Adolescent Suicide Related Behaviors and Belonging: Empirical Evidence from the 2017 Youth Risk Behavior Survey",
      "abstract": "Background : Suicidal behaviors including suicidal thoughts and attempts continue to negatively impact the adolescent population. According to the Centers for Disease Control and Prevention, in 2017 suicide was the second leading cause of death for high school aged students (14-18) with suicide resulting in 2,052 deaths. School districts serve as a backdrop to implement suicide prevention education, identification, and interventions targeted to those at risk for suicide related behaviors. While school districts throughout the United States are implementing youth suicide awareness and prevention policies, little is known regarding the use of suicide theory in youth suicide awareness/prevention. The interpersonal theory of suicide proposes that the constructs of belonging and burdensomeness impact suicidal thoughts and the construct of capability is involved in the progression from suicidal desire to suicidal behavior. Utilizing one construct of the interpersonal theory of suicide, this study examines the association between belonging and suicide related behaviors in high school students in the United States. Methods: The Youth Risk Behavior Survey is a nationally representative data set utilizing a multi-stage cluster sample design completed by high school students in the United States every two years beginning in 1991. This study utilized 2017 Youth Risk Behavior Survey data completed by 14,765 high school students in the United States. Suicide related behavior variables including suicidal ideation (1=Yes/0=No), suicide planning (1=Yes/0=No), and suicide attempts (1=Yes/0=No and number of suicide attempts) are the dependent variables while belonging, measured by sports team participation (1=Yes/0=No and number of sport teams), is the major independent variable. The control variables include grade in school, gender, ethnicity, and sexual orientation. Regression analyses are applied to use youths’ sports team participation to predict suicide related behaviors adjusting for socio-demographic characteristics. Results: In 2017, 18% of high school respondents reported seriously considering suicide, 14% made a suicide plan, 8% attempted suicide, and 4% attempted suicide more than one time in the past 12 months. 53% of respondents participated in sports teams in the past 12 months and 28% participated in more than one sports team. Regression results demonstrate that high school students who had participated in at least one sports team experienced less suicide behaviors (ideation, planning, and attempts). Specifically, the odds of experiencing suicidal thoughts and suicide planning for high school students with sports team participation are 25% less than the odds of their non-sport participating counterparts (aOR 0.75, 95% CI 0.67-0.84; p < 0.001). In addition, adolescents with sports team involvement experienced 3% less suicide attempts than their non-sport participating counterparts (p < 0.01). Implications: The findings suggest that increased levels of belonging, indicated by sport team participation, are associated with decreased levels of suicide behaviors, supporting the interpersonal theory of suicide. Adolescent belonging should be considered when developing effective adolescent suicide awareness/prevention policies including identification of at-risk youth, providing interventions and clinical assessments to at-risk youth, and in providing prevention education to students/faculty/staff in the secondary education setting. Future studies measuring the construct of belonging with additional variables could serve to support and strengthen study results.",
      "authors": "Rebecca Taylor",
      "author_ids": "119261",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3305206250,
        "prompt_eval_count": 1628,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:18:53.670710+00:00"
    },
    {
      "input_index": 1126,
      "record_key": "SSWR:2020-P-0660",
      "source_database": "SSWR",
      "record_id": "2020-P-0660",
      "year": 2020,
      "title": "Examining Factors Associated with Escalatory Suicide Risk Among US Adolescents",
      "abstract": "Background and Purpose: As the second leading cause of death among US youth aged 10-19 years, suicide is a major public health concern. To date, not much research has considered what risk factors influence the progression from suicidal thoughts to actions. Instead, extant literature often combines youth with suicidal thoughts, plans, or attempts and compares them with non-suicidal youth, leading to evidence of broad suicide correlates. This study, grounded by the ideation-to-action framework, examined factors that distinguished suicidal ideators from suicide attempters—representing escalating suicide risk—among a nationally representative sample of high school students. Methods : Data were obtained from the 2017 National Youth Risk Behavior Survey. The analytic sample consisted of students who reported having suicidal thoughts, a suicide plan, and/or a suicide attempt within the past 12 months. From this data, four mutually exclusive groups were created based on their experiences of suicidality: 1) youth with suicidal thoughts, but no plans or attempts; 2) youth with suicidal thoughts and plans, but no attempts; 3) youth with suicidal thoughts, plans, and attempts, and; 4) youth who attempted suicide, but did not report having thoughts or plans. Multinomial logistic regression was used to predict group membership and examine what factors might distinguish youth who only think about suicide from those who attempt suicide. Along with sociodemographic characteristics (e.g., race, sex, age, sexual identity), risk factors including experiences of bullying, sexual violence, and hopelessness and difficulty concentrating—as proxies for depressive symptoms—were examined as predictors. A weight based on student sex, race/ethnicity, and grade was applied to adjust non-response and oversampling. Results : The data analytic sample included 2,229 respondents who confirmed that they had suicidal thoughts, plans, and/or attempts. About 26% (n=585) of youth reported suicidal thoughts without plans or attempts and 37% (n=828) had suicidal thoughts and plans, but no suicide attempt. Close to 34% (n=755) of the sample reported thoughts and plans along with attempted suicide in the past year, while almost 3% (n=61) attempted suicide, but did not endorse having suicidal thoughts or plans. Compared to those who only endorsed suicidal thoughts, youth with thoughts and plans were significantly more likely to be multiracial (OR adj = 1.44). Youth reporting thoughts, plans, and attempts were more likely than youth who only endorsed suicidal thoughts to: be Black (OR adj = 2.38) or multiracial (OR adj = 1.89); have experienced electronic bullying (OR adj = 1.87); report a history of sexual assault (OR adj = 2.71), and; indicate feelings of hopelessness (OR adj = 1.54) or difficulties concentrating (OR adj = 1.63). Respondents who had a suicide attempt in the past year, but no reported thoughts or plans, were more likely to be Black (OR adj = 5.16) and have a history of sexual assault (OR adj = 5.47) than youth with suicidal thoughts only. Conclusions and Implications : Several factors distinguished suicidal ideators from suicide attempters. Indeed, race, depressive symptoms, and experiences of bullying or sexual violence predicted youth’s progression from thinking about suicide to acting on these ideations. Prevention/intervention programs targeting these factors may remediate escalatory suicidal behaviors among youth experiencing suicidal thoughts.",
      "authors": "Meghan Romanelli; Arielle H. Sheftall; Sireen B. Irsheid; Yunyu Xiao; Michael A. Lindsey",
      "author_ids": "117067; 120302; 120303; 117116; 109175",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3631344625,
        "prompt_eval_count": 1662,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:18:57.303656+00:00"
    },
    {
      "input_index": 1127,
      "record_key": "SSWR:2020-U-0728",
      "source_database": "SSWR",
      "record_id": "2020-U-0728",
      "year": 2020,
      "title": "Examining Impact of Change in Sexual Identity on Suicidality Among Sexual Minority Youth Accessing Crisis Services",
      "abstract": "Background and Purpose: Youth suicide is a public health crisis in the U.S., with suicide as the second lead cause of death for ages 10-24. Further complicating our understanding of suicidality among sexual minority and gender minority youth (SGMY), is the fact that sexual identities may change over time in particular, during childhood and adolescence. Given the importance of identity formation in healthy adolescent development, there is a concerning lack of research on how changes in sexual identities may influence suicidality among SGMY. This longitudinal study examined characteristics SGMY with stable and unstable identities, and association between change in sexual identity and suicidality outcomes. Methods: Surveys were administered with youth (aged 12–24, N = 405) recruited from an LGBTQ youth-focused suicide prevention service provider. The data was collected at baseline and 30-days follow-up. Descriptive statistics were conducted to identify change in sexual identities, and patterns of change. Multinomial logistic regression was conducted to examine the association between change in sexual identity and ideation (no change, decrease, and increase in ideation). Results: Around 15% of the sample (n=60) reported changing their sexual identity from baseline to 30-days follow-up. Participants identifying with gay/lesbian identity were least likely to report a change in identity (n=15; 9.3%), followed by bisexual (n=8; 11.8%), pansexual (n=13; 20%) and others (n=24; 21.6%). In addition, among those who reported a change, 10% (n=6) reported changing their identity to straight. Those reporting change in sexual identity were significantly more likely to report higher suicidal ideation (17% vs 10.4%). In regression model, youth reporting change in sexual identity had higher odds of increase in suicidal ideation (OR=2.26) and decrease in ideation (OR=2.53) compared to no change in suicidal ideation, after accounting for age, birth-sex, gender, and disclosure to parents compared to their peers. However, change in identity was not significantly associated with likelihood of future suicide attempts. Conclusions and Implications: SGMY in our sample presented with stable and unstable identities, and however, youth with gay/lesbian or bisexual identities were least likely to report change in identity. Youth reporting change in sexual identity were also more likely to report a change in ideation, however the directionality of change (increase or decrease), needs further investigation. In addition, there is a need for further studies with more time points to examine stability in identities and how they may be associated with changes in health outcomes over a period of time. Crisis service organizations working to reduce suicidality among LGBTQ youth may want to be sensitive to the changes in identities and disparities associated with multiple minority experiences.",
      "authors": "Ankur Srivastava; Jeremy Goldbach; John Senese",
      "author_ids": "116373; 110332; 119079",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3321897709,
        "prompt_eval_count": 1532,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:19:00.627057+00:00"
    },
    {
      "input_index": 1131,
      "record_key": "SSWR:2020-U-0572",
      "source_database": "SSWR",
      "record_id": "2020-U-0572",
      "year": 2020,
      "title": "Exploring Individual and Family-Level Risk and Protective Factors for Suicidality Among Black Youth",
      "abstract": "Background and Purpose : Recent research highlights a growing racial disparity in suicide rates among Black and White children in the United States. Thus, scholars have noted the need to further explore the risk and protective factors (RPFs) related to suicidal behavior among Black children/youth. Understanding individual and family-level RPFs will be key to future investigations. Prior research has found a significant association between adolescent’s levels of perceived connectedness with parents and lower risk for suicidal thoughts and behavior. An investigation of parental social support as a moderator for suicidal thoughts among African American adolescents found that increased family support served as a protective factor against suicidality. Although social support from close family members is a well-established protective factor, an understudied factor in the current literature is the association between parental psychological distress and adolescent suicidality. While several studies have found a strong positive relationship between parent psychological distress and adolescent mental health, few have explored this relationship in the context of risk for adolescent suicidal ideation. Methods : The current study uses secondary data from the Black Families Project (BFP), a dyadic survey of 604 Black adolescents and their primary caregiver from across the United States. Data from the BFP was designed and collected with the goal of understanding the psychological, physical, economic, and political health of Black caregivers and their adolescent children with a focus on family socialization and communication within our current sociopolitical climate. A strength of this data set is its focus on caregiver-adolescent dyads beyond the mother-child dyad and low-SES families most typically seen in research on Black families. Caregiver-adolescent dyads were recruited using Qualtrics Panels. Potential participants were sent an email invitation to participate in the study. Participants qualified if they identified as Black/African American, and were a caregiver to an adolescent (ages 13 - 17). The caregivers and adolescents answered survey questions regarding community, politics, criminal justice, discrimination, identity, parenting, physical health, and mental health. The current study uses hierarchical logistic regression to explore the impacts of individual level factors (youth depression, closeness to mother, closeness to father) and family-level factors (parental depression, parental suicidal ideation) on youth report of suicidal ideation within the past 12 months. Results : Preliminary results indicate that youth’s level of depression, parental endorsement of suicidal thoughts and youth’s perceived closeness to father were each a significant predictor of youth suicidality. Conclusion/Implications : Youth in the current study who reported higher levels of perceived closeness to their father figures, had lower odds of reporting suicidal ideations within the last twelve months. Given the increased national attention on the impacts of fathers in families, this finding makes a unique contribution to our understanding of protective factors against suicidal ideation for Black youth. Conversely, youth with a parent who reported suicidal ideations within the last twelve months had increased odds of suicidal ideation. An exploration of this and other factors associated with structural factors like race and SES will be key in understanding the bidirectional effects of parent-child relationships in the context of suicide.",
      "authors": "Qiana R. Cryer-Coupet; Camille R. Quinn",
      "author_ids": "112900; 113009",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3328965541,
        "prompt_eval_count": 1556,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:19:13.633061+00:00"
    },
    {
      "input_index": 1132,
      "record_key": "SSWR:2020-U-0713",
      "source_database": "SSWR",
      "record_id": "2020-U-0713",
      "year": 2020,
      "title": "Exploring the Mental Health Disparities Faced By LGBT+ Students in Canada: A Multilevel Structural Equation Modeling Approach",
      "abstract": "Background/Purpose: A growing body of research, including national studies, examines the experiences, wellbeing, and academic development of LGBT+ college students in the United States. These studies find that LGBT+ students face more discrimination and report higher rates of distress, mental health problems, and academic stressors than their peers. Little is known about the situation for LGBT+ higher education students in Canada, including the absence of national studies comparing the outcomes of LGBT+ and heterosexual cisgender students. To inform policies and programs designed to promote LGBT+ students’ wellbeing, alongside documenting LGBT+ disparities it is important to identify the mechanisms underlying them, which national US studies fail to do. Furthermore, to holistically support students’ mental health, it is necessary to move beyond concern for only negative outcomes (e.g., distress) by examining positive outcomes (e.g., flourishing), which may contribute to resilience. Finally, in multi-institution studies researchers should use multilevel modeling that recognizes the nested nature of higher education datasets in which students are nested within institutions; however, such an analytical approach is rarely used, leading to potential biases. Analyzing Canadian data from the 2016 National College Health Assessment, our objectives are to: (1) explore the relationships between LGBT+ status and positive and negative wellbeing, (2) examine the campus climate and academic mediators of these relationships. Methods: Participants (N=37,984; 15.5% LGBT+, 38.3% people of color; 83.1% undergraduate) were randomly sampled from 41 Canadian universities/colleges (19.2% response rate). We measured positive mental health with the 14-item Mental Health Continuum-Short Form (MHC-SF). The total number of critical distress symptoms (self-harm, suicidal ideation, and suicide attempts) experienced in the past year was used as an indicator of negative mental health. Campus climate included perceptions of safety (4 items) and victimization (3 items; past year). A 7-item index measured how various challenging situations have impeded academic performance (past year). To account for the nested data structure, we ran a Multilevel Structural Equation Mediation Model with random effects in the Mplus software. Results: Within each institution, on average, LGBT+ status had a negative relationship with positive mental health, partially explained by indirect effects: LGBT+ students experienced lower perceived safety and more academic impediments, in turn associated with less positive mental health (respective indirect effects, b =-0.593, 95%CI[-1.016, -0.169]; b =-2.433, 95%CI[-3.083, -1.783]). Within each institution, LGBT+ status was also associated with the number of critical distress symptoms. It was partially explained by indirect effects, with LGBT+ students experiencing greater victimization and more academic impediments, in turn associated with more distress symptoms ( b =0.012, 95%CI[0.008, 0.017]; b =0.033, 95%CI[0.017, 0.049]). No mediation effects were observed at the between-institution level. Conclusions/Implications: These results provide a national snapshot of LGBT+ students in Canada. They highlight the role of negative experiences and perceived safety in students’ positive and negative wellbeing. The findings indicate that policies and practice interventions need to address students’ experiences and safety on campus, and academic stressors. Research implementing similar multilevel analysis is needed to explore the roles of additional intersecting identities (e.g., racialized) in the relationships between campus experiences and wellbeing in LGBT+ students.",
      "authors": "Simon Coulombe; Michael R. Woodford; Nicholas Schwabe",
      "author_ids": "118934; 109526; 120346",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3632769584,
        "prompt_eval_count": 1717,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:19:17.267539+00:00"
    },
    {
      "input_index": 1133,
      "record_key": "SSWR:2020-P-0656",
      "source_database": "SSWR",
      "record_id": "2020-P-0656",
      "year": 2020,
      "title": "Facets of Trait Mindfulness As Potential Mediators between Dating Violence Exposure and the Development of Anxiety, Depression, and Suicidal Ideation",
      "abstract": "Background. Dating violence (DV) is an issue of huge social and financial concern.  Extant empirical evidence suggests that anxiety, depression, and suicidal ideation are all potential negative sequelae of experiencing DV.  Mindfulness-based therapeutic interventions have been shown to be effective at reducing depressive and anxiety symptoms, in addition to addressing suicidal thinking and behavior, including following exposure to DV.  However, to date, no empirical work has examined the role of trait mindfulness in the development of anxiety, depression, and suicidal ideation following DV. The internal attribute of trait mindfulness or the subjective state of involvement, wakefulness, and being in the present, includes five facets: observing, describing, acting with awareness, non-judgment, and non-reactivity.  The purpose of this study is to examine the potential mediating influence of the five factors of trait mindfulness between DV exposure and the development of anxiety, depression, and suicidal ideation. Methods. Participants (N=775) were emerging adults (ages 18-25 years) who sought services for any reason at a Level 1 urban emergency department (ED) in Flint, Michigan and who completed a self-administered computer survey.  Structural equation modeling in Mplus was used to examine direct and indirect paths between DV exposure, the five facets of trait mindfulness, and the three separate outcomes of interest: anxiety, depression, and suicidal ideation. Results. More than half of the sample was male (63.8%), with a total mean age of 21.4 ( SD = 2.3).  Approximately 58% identified as Black, 33% percent as White, and 9% as other.  The mean depressive score was 1.3 ( SD = 1.6), anxiety was 3.6 ( SD = 4.9), and approximately 9% of the sample endorsed suicidal ideation.  There was considerable variation in facet scores of trait mindfulness: Act aware ( M = 18.7, SD = 4.3), observe ( M = 13.7, SD = 4.0), non-judge ( M = 16.9, SD = 4.5), non-react ( M = 15.6, SD = 4.6), and describe ( M = 18.0, SD = 4.1). The fit indices revealed that the model was a good fit for the data:  X2(586) = 1340.50, p<.001, RMSEA = .04 [CI: .038, .044], CFI = .91, TLI =.90, SRMR = .06. Direct and indirect path analyses revealed that the trait mindfulness facets of non-judge and non-react mediated the relationship between DV exposure and the development of anxiety and depressive symptoms.  Only the facet of non-judge mediated the relationship between DV exposure and the endorsement of suicidal ideation. Conclusions. Findings provide initial evidence for the trait mindfulness facets of non-judgment and non-reactivity as potential contributing mechanisms in the development of anxiety and depressive symptoms following DV exposure. The findings further suggest that non-judgment may contribute to the presence of suicidal ideation following DV. Given that trait mindfulness is thought to be a malleable internal state, social work interventions indicated for DV exposure should work to enhance these facets of mindfulness implicated in the development of mental health concerns following this trauma exposure. [Supported by NIAAA (K23AA022641),NICHD (R03HD087520), NCATS of NIH (2UL1TR000433) and University of Michigan Injury Center, a CDC ICRC (R49CE002099).]",
      "authors": "Sara F. Stein; Jhuree Hong; Alexis Smith; Andrew C. Grogan-Kaylor; Andria B. Eisman; Quyen M. Ngo",
      "author_ids": "120295; 120296; 120297; 110165; 120298; 120299",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3691901417,
        "prompt_eval_count": 1751,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:19:20.961127+00:00"
    },
    {
      "input_index": 1135,
      "record_key": "SSWR:2020-U-0084",
      "source_database": "SSWR",
      "record_id": "2020-U-0084",
      "year": 2020,
      "title": "Family Factors Related to Major Psychiatric Disorders in Latina/o Americans Nationwide",
      "abstract": "Background : Despite a rapidly growing Latina/o American population, little is known about modifiable factors that could protect Latina/os against major psychiatric disorders. Encountering the mainstream individualism omnipresent in the USA could well impact the family values of Latinas with non-Western traditions, such that other-oriented family responsibilities could sometimes become detrimental. The present study explored psychosocial risk (Negative Interaction) and protective factors (Family Cohesion, Social Support, Religious Involvement, Racial and Ethnic Identity) for major depressive disorder (MDD), general anxiety disorder (GAD), and suicidal ideation (SI) among Latina/os participating in the first national mental health epidemiological survey of Latina Americans. Method : We conducted three sets of logistic regressions, predicting outcomes for 1,427 Latinas and Latinos, respectively, identified in the National Latino and Asian American Study (NLAAS), the first nationally representative, epidemiological study of Latino and Asian Americans living in the United States. Logistic regression analyses were conducted to investigate odds ratios (ORs) and 95% confidence intervals (CIs) as estimates of the relationship between family factors and three diagnoses in each gender group, controlling for socio-demographics. These analyses followed preplanned steps: Model 1 (Step 1) used known predictors as controls and Model 2 (Step 2) added psychosocial risk and predictive factors beyond the known predictors. Results : In Latinas’ analyses, psychosocial risk and protective factors produced a significantly better model fit in Model 2 than sociodemographic and acculturation variables known to predict each outcome examined [i.e., Model 1 (x2 mdd change=14.62; df=5; p <.05; x2 gad change=21.41; df=5; p <.01; x2 SI change=18.97; df=5; p <.01)]. Negative Interactions were associated with increased likelihood of GAD (OR=1.5, 95% CI: 1.02,2.22, p <.05) and SI (OR=2.30, 95% CI: 1.489,3.538, p <.0001), whereas Family Cohesion seemed to be protective against GAD (OR=0.8, 95% CI:0.68,0.93, p <.01). No psychosocial factors predicted MDD. In Latino analyses, similar significantly better model fit was also observed between the two steps of logistic models. Negative Interactions occurred as a single significant predictor for MDD among Step-2 psychosocial factors. Every increased level of such interactions added the likelihood of a MDD diagnosis by 94.2%. Negative Interactions occurred as a single significant predictor for SI among Step 2 psychosocial factors. Every increased level of such interactions added the likelihood of a SI diagnosis by 129.6%, while Discrimination remained to be a significant predictor among all Step 1 independent factors. No psychosocial factors predicted GAD, while none of them appeared to be protective for Latino men’s mental health. Conclusion : The differential prediction for mental health issues between Latinas and Latinos implies that assessment and intervention for this largest minority population in the United States may need certain sex-specific foci in order to improve mental health disparities among social workers and other mental health providers. Furthermore, differential protective and risk factors for major psychiatric disorders within each gender suggest that certain family dynamic-related components may affect Latinas and Latinos in varied ways given their contextual difference and gender-related challenges that they face in the United States.",
      "authors": "Rachel Harris; Amy L. Ai",
      "author_ids": "117021; 108305",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3638896917,
        "prompt_eval_count": 1690,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:19:27.961422+00:00"
    },
    {
      "input_index": 1137,
      "record_key": "SSWR:2020-P-0437",
      "source_database": "SSWR",
      "record_id": "2020-P-0437",
      "year": 2020,
      "title": "Future Orientation Matters: Longitudinal Effects of Cumulative Health Risk Behaviors on Suicidal Behaviors Among Adolescents",
      "abstract": "Background/Purpose Suicide ranks as the second leading cause of death among adolescents aged 10-19. Health risk behaviors (HRBs) have been identified as risks for suicidal behaviors isolatedly, however, adolescents often engage in multiple HRBs, and the cumulative effect of HRBs could exceed the adverse developmental impacts of singular exposures. To date, most studies on multiple HRBs among adolescents are cross-sectional with a limited number of HRBs behaviors, while few utilized longitudinal data to investigate the effect of cumulative HRBs on adolescent suicidal behaviors. Prior research also suggested future orientation as a potential factor reducing HRBs and suicidality. Yet, little is known about the moderating role of future orientation in the association between cumulative HRBs and suicidal behaviors. To address the knowledge gap, this study aims to examine (a) the long-term effect of cumulative HRBs on suicidal behaviors, and (b) the moderating effect of future orientation in the association between cumulative HRBs and suicidal behaviors among a nationally representative sample of high school students. Given the racial/ethnic disparities in engaging in HRBs and suicides, the current study also explores whether the aforementioned effects differ across race/ethnicity. Such information may facilitate more effective screening for at-risk adolescents of suicide and designing tailored interventions for different racial/ethnic groups that incorporate future orientation as a strength-based element mitigating suicide risks. Methods Data and samples: Data were derived from 4,305 students (50.2% female, M age = 14.27±1.51) in grades 9–12 from National Longitudinal Study of Adolescent Health (Wave I-II). Measures: Suicidal behaviors were measured by self-reported suicidal ideation and suicide attempt. Cumulative HRBs was measured using 10 HRBs covering domains of diet, physical activity, sleep, social media, substance use, and safety behaviors. Future orientation was measured by standardized scores of six questions related to hopefulness and perceived likelihood of future events (e.g. going to college). Socioeconomic status was assessed using poverty status (i.e., parents receiving public assistance) and parental education level. Demographic variables included race/ethnicity, gender, and age. Depression was assessed by Center for Epidemiologic Studies Depression Scale. Analysis: Mixed-effects logistic regression adjusting for sociodemographic characteristics, depression, and complex survey design was used to examine the associations between cumulative HRBs and suicidal behaviors. Interactions among cumulative HRBs, future orientation, and race/ethnicity were examined to investigate the potential moderating effects. Results Cumulative HRBs significantly predicted the increasing odds of suicidal ideation (OR adj. = 1.25 [1.15, 1.35]) and suicide attempt (OR adj. =1.21 [1.05, 1.40]) across time. Future orientation moderated on the associations between cumulative HRBs and suicide attempts differently across race/ethnicity. Among Black adolescents, as the number of cumulative risks exceeds four, those with low future orientation had significantly higher risks of suicide attempts than those with high future orientation. Conclusion and Implications Findings underline cumulative HRBs as significant risk factors contributing to long-term suicidal behaviors. Social work professionals shall pay special attention to Black adolescents with high cumulative HRBs and low future orientation. Future orientation could mitigate the negative impact of cumulative HRBs on suicidal behaviors, indicating that suicide interventions targeting multiple HRBs could benefit from nurturing future orientation.",
      "authors": "Yunyu Xiao",
      "author_ids": "117116",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3370781000,
        "prompt_eval_count": 1638,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:19:34.708954+00:00"
    },
    {
      "input_index": 1138,
      "record_key": "SSWR:2020-P-0571",
      "source_database": "SSWR",
      "record_id": "2020-P-0571",
      "year": 2020,
      "title": "Gender Differences in Suicide Ideation: Mediating Effects of Alcohol Abuse/Dependence on Suicide Ideation through Psychological Distress and Hopelessness",
      "abstract": "Background/Purpose: A number of studies reported direct associations between alcohol use and suicide (AAD). However, there is a need in additional research testing the mediating effects of psychological distress and hopelessness on the relationship between AAD and suicide. Also, there has been a lack of examining gender gaps in suicidal behaviors. Kim and Burlaka (2017) found that higher psychological distress strengthened the association between AAD and suicidal behaviors. The present study aims to further expand this line of research. Specifically, this study used the nationally representative sample of young adults to explore role of gender differences in the multiple mediation effects of psychological distress and hopelessness on association between AAD and suicide ideation. Methods: Data and samples : The current study used the 2014 NSDUH public use data. Young adults aged 18 to 25 years ( M = 21.02, male = 47.9%) old were selected as study samples. Among the current study sample, 47.9% were male and 52.1% were female.  Regarding race, 54.9% were Caucasians, 20.2% were Hispanics, 13.5% were African Americans, 5.0% were Asians, and 6.5% were other races. Data and samples : To measure suicide ideation one question was asked if the respondent seriously thought about trying to kill self at any time in the past year. AAD was created by using a combination of mutually exclusive alcohol abuse and alcohol dependence variables. Psychological distress was measured using the Kessler Psychological Distress Scale (K6). Hopelessness was measured by asking a question how often did the respondent feel hopeless in the worst month during the past year. Analyses : A PROCESS (v. 3.0) mediation analysis was conducted. Results: Two separate mediation analyses (male and female groups) were conducted. Psychological distress mediated the association between AAD and suicide ideation for both male and female groups. Also, hopelessness played a mediating role in the relation between AAD and suicide ideation in both gender groups. In the multiple mediator model, psychological distress and hopelessness were significant mediators between AAD and suicide ideation in both male and female groups. Conclusion and Implication: The current study findings suggest that young adults who have AAD problems are at heightened risk for suicide ideation, underscoring the importance of assessing suicide ideation in this high-risk group. Incorporating brief suicide risk screening in AAD treatment programs may be effective in identifying those who are at risk of suicidal behavior and need further assessment and intervention. Our findings also suggest that psychological distress and hopelessness may be important mechanisms for increasing or decreasing suicide ideation associated with AAD, and this was true for both genders. Therefore, hopelessness and psychological distress should be assessed and evaluated thoroughly in male and female young adults who exhibit symptoms of AAD. Finally, potential intervention and treatment target for reducing suicide risk in young adults should include those with co-occurring alcohol use and psychological problems (i.e., psychological distress and hopelessness).",
      "authors": "Yi Jin Kim; Viktor Burlaka; Susan Yoon",
      "author_ids": "113445; 113592; 113084",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3360315500,
        "prompt_eval_count": 1575,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:19:38.071043+00:00"
    },
    {
      "input_index": 1140,
      "record_key": "SSWR:2020-U-0161",
      "source_database": "SSWR",
      "record_id": "2020-U-0161",
      "year": 2020,
      "title": "Housing As a Social Determinant of Health Among Communities of Trans-Experience: Results from the 2015 United States Transgender Survey",
      "abstract": "background : Communities of trans-experience (COT) face inordinate rates of homelessness, eviction and adverse health outcomes, yet the examinations of these associations have remained largely under explored. Understanding the health and mental health related impact of housing on COT present significant public health and clinical practice implications. methods : Data was derived from the 2015 United States Transgender Survey (USTS), the largest known survey among COT (N=27,490). These analyses examine the prevalence of housing status and its relationship to health outcomes. Bivariate analyses and multivariate regression were conducted to test the associations between demographic characteristics, housing status and health related outcomes (psychological distress in the past 30 days, past year suicide attempt and self-rated health). results : The mean age of the sample was 31; 82.5% identified as White, 2.9% as Black, 5.3% as Latino/Hispanic and 9.3% as Other; 31.1% were at/ near poverty level. In the past year, 6% reported being homeless, 0.8% experienced eviction and 2% experienced both. The odds of psychological distress during the past 20 days was greater among those who had been evicted in the past year (AOR=1.59, 95% CI 1.21, 2.11), experienced homelessness in the past year (AOR=2.41, 95% CI 2.18, 2.68) and those who experienced both (AOR=2.76, 95% CI 2.32, 3.29) compared to those who were stably housed. Eviction in the past year (AOR=0.63, 95% CI 0.47, 0.83), homelessness in the past year (AOR=0.53, 95% CI 0.48, 0.59) or experiencing both in the past year (AOR=0.49, 95% CI 0.21, 0.59) were all associated with decreased odd of self-reporting very good or excellent health. Increased likelihood of suicide attempt in the past year was associated with being homeless in the past year (AOR=2.50, 95% CI 2.17, 2.87) or having been evicted and homeless in the past year (AOR=3.39, 95% CI 2.17, 2.87). conclusion : Results from these analyses support evidence of housing as a social determinant of health and its relationship to health inequities among systematically disenfranchised populations specifically communities of trans-experience. For social work and medical practitioners alike, these findings reinforce the need to assess housing status as it relates to optimal mental health and well-being. For scholars, these findings underscore the urgent need for further research to inform the development of empirically grounded interventions as well as housing policy.",
      "authors": "Yohansa Fernandez; Edwin Torres",
      "author_ids": "119471; 119472",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3341600958,
        "prompt_eval_count": 1592,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:19:45.039743+00:00"
    },
    {
      "input_index": 1144,
      "record_key": "SSWR:2020-P-0335",
      "source_database": "SSWR",
      "record_id": "2020-P-0335",
      "year": 2020,
      "title": "Ideation-to-Action Continuum Among Latinx Youth: An Ecological Systems Perspective",
      "abstract": "Background and purpose: Suicidality (i.e., suicide ideation, plan, and attempt) remains an ever-growing problem for Latinx youth as many of them face systematic inequalities associated with adverse mental health outcomes.  For example, Latinx youth struggling with suicidality, especially those in exclusionary state-level immigration policy climates (SLIPC), confront multi-level barriers to care.  Yet, little is known regarding how such systematic-level factors influence the suicide ideation-to-action continuum among this vulnerable population.  Through an ecological systems framework, this study examined the association between micro, mezzo, and macro-level factors and their influence on the suicide ideation-to-action continuum among Latinx youth. Method: This study used a sub-sample of self-identified Latinx youth ( N = 3,653) from the 2017-National Youth Risk Behavioral Survey (YRBS).  Three questions on the YRBS that respectively captured the suicide ideation-to-action continuum were used as outcome variables.  Independent variables included: micro (i.e., depression, cannabis use, intimate partner violence [IPV], and sexual assault); mezzo (i.e., experiences at school with bullying, physical fighting, and safety); and macro (SLIPC) level variables.  Chi-squares were conducted to determine the associations between each of the independent variables and suicidality.  Binomial logistic regression models were used to examine multivariate models that regressed suicidality on micro, mezzo, and macro level variables.  Additional logistic regressions were used to examine gender differences. Results: The sample consisted of 51.09% Latinx females and 48.91% males between the age of 16 (24.40%) to 17 (25.05%).  Results indicated that 36.89% ( n = 229) of the Latinx youth that reported suicide ideation ( n = 621) did not engage in making a suicide plan; and, of those who made a suicide plan ( n = 226), 23.89% did not attempt suicide.  Binomial logistic regression results revealed that IPV and sexual assault increased the odds of each stage of suicidality ( p < 0.05).  Depression and using cannabis increased the odds of experiencing suicide ideation and plan ( p < 0.05) but not attempt.  Bullying at school and an unsafe school environment impacted the odds of ideation ( p < 0.05) but not planning nor attempting.  Results differed when broken down by gender.  For example, physical violence at school impacted suicide attempt in Latinx females ( p < 0.05), but not males.  SLIPC was not statistically significant. Conclusions and Implications: Latinx youth continue to exhibit high incident rates of suicidality; yet, little is known regarding the correlates that influence the suicide ideation-to-action continuum in this vulnerable population.  Our findings delineate the complex relationships between suicide ideation-plan-and-attempt and their variation by gender among Latinx youth.  Accounting for these variations has the potential to aid the practitioners.  The micro and mezzo factors associated with suicidality in our study are ones that could be addressed by a variety of practitioners—such as social workers, nurses, school counselors, teachers, and various advocates.   Indicating the need for interdisciplinary work around this growing public health concern.  Lastly, the findings also have implications for the development of more data-driven state-level policies and support services that respond to population-specific needs of vulnerable groups at the local levels",
      "authors": "Tatiana Villarreal-Otalora; Javier F. Boyas; Luis Alvarez-Hernandez; Mariam Fatehi",
      "author_ids": "118098; 109967; 119588; 118122",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3633082459,
        "prompt_eval_count": 1687,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:19:58.560166+00:00"
    },
    {
      "input_index": 1145,
      "record_key": "SSWR:2020-U-0107",
      "source_database": "SSWR",
      "record_id": "2020-U-0107",
      "year": 2020,
      "title": "Identifying Predictors of Suicide Ideation Among Human Service Workers: An Exploratory Analysis",
      "abstract": "Annually, around 45,000 individuals die by suicide and rates continue to rise in the US. Notably, about 70% of deaths by suicide occur among the working-age (age 15-64) population. Research has examined individual and workplace predictors of suicidality among the working-age population. Evidence has found poor working conditions, such as occupational climate or job demands, across various occupations can contribute to suicidality. Furthermore, high-risk helping occupations such as EMTs, have an increased rate of death by suicide. However, limited literature specifically examines suicidality among human service providers. The current study examines several predictors of suicide ideation among human service workers. Methods The current study analyzed cross-sectional data from an ongoing longitudinal study, the Florida Study of Professionals for Safe Families (n=1500), which follows newly-hired child welfare workers to examine multiple dimensions of their job. Data were taken from wave 1 (baseline) and wave 4 (18-months) to assess several measures of workers’ experiences and their impact on suicide ideation. The sample is a cohort of 915 respondents, including child welfare workers and those who left child welfare but were still employed in a human service field. Wave 4 included a depression screening tool - the PHQ-9.  The final question assesses the extent of suicide ideation in the past two weeks (“thoughts that you would be better off dead or hurting yourself”; none, some days, about half the days, and nearly every day). Suicide ideation was dichotomized (none/all others). Continuous protective factors included three types of coping strategies (avoidance, task, and emotional), and three types of social support (co-worker, family/friends, and supervisor).  Continuous risk factors included psychological distress, entrapment (the feeling of negative situations being inescapable), burnout, and secondary traumatic stress. Having a family history of maltreatment (yes/no) was also included. Binary logistic regression was used for this analysis. Results The majority of the sample identified as female (86%), non-Hispanic White (45%) or non-Hispanic Black (34%) and fell within the age range of 20-67 (M=31.6). About 10% responded positively to suicide ideation, a higher rate than the national average. Expected findings included a positive relationship between suicide ideation and entrapment (OR=1.11, p <.01), psychological distress (OR=1.11, p=.01), and task-oriented coping (OR=.0.90, p=.04). Unexpectedly, while work-related burnout was significant (OR=.086, p=0.04), the relationship was negative, and more research is needed to understand this finding further. Implications Suicide ideation among human service workers is an important issue given responsibilities workers have to assist vulnerable populations.  This study found that human service workers are experiencing more than double the rates of suicide ideation compared to the national average (about 4%). Workers experiencing significant workplace distress reported a higher risk of suicidality, indicating more services are needed to assist workers and attention to attenuating work stress is essential. Workplace supports such as Employee Assistance Programs, must provide education on self-care, well-being, and risk and protective factors of suicide/suicide ideation to frontline workers and their supervisors. Future research should explore additional strategies organizations can implement to create a culture of self-care and enhance worker mental health well-being.",
      "authors": "Cassandra Olson; Dina J. Wilke",
      "author_ids": "118400; 108265",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3608931792,
        "prompt_eval_count": 1666,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:20:02.171501+00:00"
    },
    {
      "input_index": 1146,
      "record_key": "SSWR:2020-P-0186",
      "source_database": "SSWR",
      "record_id": "2020-P-0186",
      "year": 2020,
      "title": "Identifying the Relationship between Eating Disorders, Non-Suicidal Self-Injury, and Suicidal Behavior in College-Enrolled Males",
      "abstract": "Background and Purpose: Eating disorders are complex mental health conditions with high rates of comorbidity, including non-suicidal self-injury (NSSI) and suicidal behavior. Among college-enrolled males, research has found that 3%-5.5% experience an eating disorder, 15% engage in NSSI, and 6% report suicidal ideation. Furthermore, in 2015, suicide was the second leading cause of death for college-aged males, and overall eating disorders have the highest mortality rate of any mental illness. Given the high rates of these harmful and potentially lethal behaviors, it is important to study their relationship. Previous research has found a positive association between eating disorders and these behaviors among women; however, they have not been studied exclusively in male populations. Therefore, this study aimed to explore the association between a self-reported 12-month history of NSSI, a self-reported 12-month history of suicidal ideation, and a self-reported 12-month history of a suicide attempt and screening positive for an eating disorder among college-enrolled males. Methods: Data and Sample: A secondary data analysis was conducted using the 2017-2018 Healthy Minds Study. The analytic sample included a representative sample of over 11,500 cisgender males currently enrolled in college. Statistical Analysis: The analysis was conducted using hierarchal logistic regression models to estimate the effects of screening positive for an eating disorder using the SCOFF scale and a self-reported 12-month history of NSSI, a self-reported 12-month history of suicidal ideation, and a self-reported 12-month history of a suicide attempt when controlling for age, race/ethnicity, sexual orientation, degree program, flourishing (Flourishing Scale), academic impact, sense of belonging, and residence. Results: Findings indicate that college-enrolled cisgender males who screened positive for an eating disorder, compared to those who did not, had greater odds of a self-reported 12-month history of NSSI (OR=1.65, p <.001) and a self-reported 12-month history of suicidal ideation (OR=1.37, p <.001). There was no statistically significant relationship between screening positive for an eating disorder and a self-reported 12-month history of a suicide attempt. In both models analyzing NSSI and suicidal ideation, college-enrolled males who screened positive for an eating disorder, compared to those who did not, had significantly greater odds of identifying as a sexual minority, Hispanic, or Asian, screening positive for depression and anxiety, reporting illicit drug use in the previous 30 days, and were not flourishing. Age, degree program, residence, academic impact, sense of belonging, and alcohol use were not significantly associated with screening positive for an eating disorder in these models. Conclusions and Implications: Findings from this study indicate that NSSI and suicidal ideation are positively associated with eating disorders among college-enrolled cisgender males. From these findings, social workers should simultaneously screen for eating disorders, NSSI, and suicidal ideation in college-enrolled cisgender males, particularly among those who identify as a sexual minority, Hispanic, or Asian, have depression or anxiety, report illicit drug use, and are not flourishing. A 12-month history of a suicide attempt was not significantly associated with a positive eating disorder screen, which is surprising given the high rates of suicide among college males and individuals with eating disorders.",
      "authors": "Kyle Ganson",
      "author_ids": "119473",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3514751125,
        "prompt_eval_count": 1656,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:20:05.688156+00:00"
    },
    {
      "input_index": 1150,
      "record_key": "SSWR:2020-U-0160",
      "source_database": "SSWR",
      "record_id": "2020-U-0160",
      "year": 2020,
      "title": "Intimate Partner Violence and Suicidal Ideation Among a Sample of HIV-Positive Women in Kazakhstan, Central Asia",
      "abstract": "Background and Purpose: Suicide remains one of the leading causes of death worldwide, accounting for just over 1.5% of all deaths. The association between intimate partner violence (IPV) and mental health, specifically depression and PTSD, has been well established in the literature, however, suicide has received far less attention, despite the close linkage between depression and suicidality. Although research has demonstrated associations between IPV and suicide, limited studies have delineated the relationship between different types of IPV and suicidal ideation, and even fewer studies have examined the relationship between IPV and suicidal ideation among women who are HIV-positive. This is critical as extant literature has demonstrated both a relationship between IPV and HIV, and HIV and poor mental health outcomes, including suicidal ideation. This paper seeks to fill this gap by exploring the association between IPV and suicidal ideation among a sample of HIV-positive women in Kazakhstan, Central Asia. Kazakhstan not only maintains one of the highest suicide rates worldwide, but has an ongoing concentrated epidemic of HIV and high rates of IPV among women. Methods: This paper uses data from a cross-sectional survey administered to 249 HIV-positive women across five areas of Kazakhstan between September-December, 2013. Participants were asked a range of questions pertaining to their socio-demographics, mental health, social support, exposure to IPV, among others. Using descriptive statistics and bivariate analyses, this paper examines the prevalence of suicidal ideation (specifically, suicidal thought disturbance), and its association with different forms of IPV (using the Revised Conflict Tactics Scale). Then, using multivariate logistic regression analyses, this paper examines the association between different forms of IPV and suicidal thought disturbance, with relevant covariates and confounders included in the model such as age, marital status, economic stability (food insecurity, housing), HIV stigma, drug and alcohol use, and social support. Results: Findings indicated high prevalence of recent (past week) suicidal ideation (40.5%) and lifetime IPV (50.5%). Examining the different forms of IPV, women reported exposure to emotional abuse (44%), sexual violence (31%), physical violence (30%), and injurious abuse (23%). Bivariate analyses indicated significant associations between suicidal ideation and all individual forms of IPV ( p <0.01) and lifetime IPV ( p< 0.01). Adjusted multivariate logistic analyses similarly indicated critical associations between individual forms of IPV, lifetime IPV variable and suicidal ideation: emotional abuse (OR=2.3, p <0.05); physical violence (OR=2.3, p<0.05); sexual violence (OR=3.6, p <.0.01); injurious abuse (OR=4.6, p <0.01); and any IPV (OR=2.3, p <0.05). Consistently significant covariates in the multivariate analyses included marital status, social support, injection drug use, and HIV-related stigma ( p <0.05). Conclusions and Implications: The findings suggest an urgent need for additional epidemiological studies examining the crossover rates of IPV, HIV, and suicidal ideation. Findings also point to a number of practical implications including capacity building of existing social workers and health professionals to identify and address co-occurring IPV and suicidal ideation among HIV-positive women through safety planning and linkage to care; and scaling up services to improve social support, reduce HIV-related stigma, and provide linkage to harm reduction programs for women who are also substance-involved.",
      "authors": "Tina Jiwatram-Negron; Xiao Yu; Sholpan Primbetova, MS, MPharm; Assel Terlikbayeva, MD; Nabila El-Bassel, PhD",
      "author_ids": "114175; 119465; 112660; 111475; 108369",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3649978500,
        "prompt_eval_count": 1664,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:20:19.556476+00:00"
    },
    {
      "input_index": 1154,
      "record_key": "SSWR:2020-U-0464",
      "source_database": "SSWR",
      "record_id": "2020-U-0464",
      "year": 2020,
      "title": "Mapping the Interventions for American Indian and Alaska Native Youth Mental Health",
      "abstract": "Background: Suicide is the second leading cause of death for Native youth aged 15-24. Similarly, Native youth have a suicide rate 1.5 times higher than the general population and are at higher risk for depression and substance use. Native youth are at higher risk for depression, substance abuse, and suicide due to high levels of economic and social disadvantage, acculturation stress, and the history of relocation, discrimination, and trauma. Mental and behavioral health issues, stressful life events, and substance use are associated with increases in suicide risk. A persistent need remains for culturally specific mental health interventions for American Indian youth. Methods: In response to the push for evidence-based practices, evidence mapping has emerged as systematic, rigorous, and replicable analysis of evidence. Preliminary search criteria yielded a total of 613 articles. The vast majority of the articles were excluded from the study based upon search criteria. As a result, a total of 9 interventions were included in the study. While our findings may appear to be based on a small number of articles, these results are similar to previous work examining mental health interventions for AI/AN populations. Results: A total of 9 interventions were mapped as evidence-based practices for American Indian mental health. The interventions fell into one or more of four main categories: school-based services, cultural adaptations, culture as treatment, and community involvement. While results are presented under four main headings, it is worth noting that considerable overlap existed among the interventions. Some studies included community involvement although they were administered in school-based settings. Most studies included cultural aspects and incorporations but were not solely focused on using culture as the entire intervention. Given the state of research within American Indian mental health, it is our recommendation to push for an increase in outcome studies evaluating evidence-based practices, practice-based evidence, and promising practices. It is also important to consider the restrictions of evidence-based practices and evaluate the actual evidence about the efficacy of interventions, rather than limiting practices solely to those measured in randomized control trials. Ultimately, it is of the utmost importance to honor tribal sovereignty and self-determination, especially in research practice, whether it be through the adaptation of other evidence-based practices or the creation of interventions utilizing culture as treatment. Conclusion and implications: Given the current state of mental health within Indian Country, it is vital for practitioners to not only be aware of prevalence statistics documenting the issues Native people face, but to actively seek to incorporate culturally-grounded population-specific interventions to address these disparities. Evidence mapping is important to bridge the gap between research and practice. Results of this study demonstrate the strength of culturally specific mental health interventions for American Indian youth. Future research should seek to evaluate promising practices for American Indian youth in order to increase available evidence-based practices. Future research should seek to combine Indigenous approaches with Western practices, focus on holistic wellness including co-occurring disorders, historical trauma, and poverty.",
      "authors": "Autumn Asher BlackDeer; David Patterson Silver Wolf",
      "author_ids": "118993; 114483",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "review",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Review"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3144433292,
        "prompt_eval_count": 1506,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:20:32.078177+00:00",
      "screening_source": "Primary screen; blind audit agreement",
      "accuracy_audit": {
        "sample_group": "Review",
        "random_seed": 20260802,
        "blind_screening": {
          "is_relevant": true,
          "relevance_rationale": "Suicide is explicitly identified as a primary context and risk factor driving the need for mental health interventions in American Indian and Alaska Native youth, making it a central substantive focus of the evidence mapping.",
          "evidence_class": "Empirical",
          "empirical_method": "Review",
          "classification_rationale": "The abstract describes an 'evidence mapping' process involving systematic search criteria, screening of 613 articles, and inclusion/exclusion rules to synthesize findings on interventions, which qualifies as a systematic evidence synthesis/review.",
          "confidence": "High"
        },
        "full_label_agreement": true
      }
    },
    {
      "input_index": 1155,
      "record_key": "SSWR:2020-U-0218",
      "source_database": "SSWR",
      "record_id": "2020-U-0218",
      "year": 2020,
      "title": "Mental Health Effects of Joint Exposure to Adverse Childhood Experiences and Intimate Partner Violence Among Men and Women",
      "abstract": "Background: Adverse childhood experiences of abuse and neglect (ACEs) have been associated with increased odds for intimate partner violence (IPV) exposure later in life, however, few studies have assessed this relationship among both men and women. Further, ACE and IPV exposures have been independently associated with increased risk for poor mental health outcomes, yet, the combined and distinct effects of exposure to ACEs and IPV on mental health among men and women is not clearly understood. Using a general population sample, this study examines the relationship between childhood abuse and adult IPV exposure, including joint exposure to both forms of violence, and their associations with psychological distress and suicidal ideation among men and women. Methods: Data were used from the 2017 Survey of Police-Public Encounters (SPPE II), which is a cross-sectional general population survey of adults from Baltimore and New York City ( N = 1,000). Measures of IPV included physical violence, psychological aggression, rape, and sexual coercion. ACE measures included childhood physical, sexual, and emotional abuse and neglect. Chi-square tests were used to examine bivariate relationships between ACE and IPV sub-types. Logistic and OLS regression were used to examine multivariate associations between 1) violence exposure status (ACE only, IPV only, both ACE and IPV, none) and 2) cumulative violence exposure (i.e. level of exposure across all sub-types ranging from 0 to 8) and mental health symptoms (i.e. psychological distress and suicidal ideation) by gender, adjusting for age, sexual orientation, race/ethnicity, income, and education in each model. Results: Each ACE sub-type (physical, sexual, psychological, and neglect) was significantly associated with each IPV sub-type (physical, psychological, rape, and sexual coercion) among men and women at the bivariate level. Specifically, men and women with an ACE history reported higher rates of all forms of IPV in adulthood. Multivariate results suggest that joint exposure to ACEs and IPV was significantly associated with increased psychological distress among men, whereas IPV only and ACE only was not significant in the model. For women, IPV only and joint exposure to ACEs and IPV were associated with increased psychological distress, whereas ACEs only exposure was not. Higher levels of cumulative violence exposure, were associated with increased levels of psychological distress and greater odds for suicidal ideation in both men and women. Conclusion: Findings suggest that joint exposure to both ACEs and IPV in adulthood have the greatest impact on mental health among both men and women; however, IPV only remained a significant predictor of psychological distress among women. This suggests that both joint exposure to ACEs and IPV as well as experiences of IPV only uniquely contributes to psychological distress symptoms among women. Cumulative exposure to violence, regardless of the form of violence (ACEs or IPV), has an additive effective on suicide risk among both men and women. Screening and clinical interventions for IPV should consider the additive effects of joint and cumulative exposures on current mental health as well as the unique impacts of IPV on mental health for women.",
      "authors": "Lisa Fedina; Lolita Moss; Jordan E. DeVylder; Richard P. Barth",
      "author_ids": "114451; 119595; 112063; 108288",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3362290542,
        "prompt_eval_count": 1551,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:20:35.442896+00:00"
    },
    {
      "input_index": 1157,
      "record_key": "SSWR:2020-P-0765",
      "source_database": "SSWR",
      "record_id": "2020-P-0765",
      "year": 2020,
      "title": "Migration-Related Stressors and Suicidality of North Korean Refugee Women: Moderating Effects of Social Networks",
      "abstract": "Background and Purpose : Rates of completed suicide among North Korean refugees (NKRs) are 3 times higher than those among their host-country counterparts in South Korea. NKR women endure traumatic experiences in North Korea, such as chronic famine, oppression, and violence. In intermediary countries, NKR women experience human trafficking and sexual exploitation. Following resettlement in South Korea, they continue facing hardships, such as discrimination and social exclusion, which negatively affect mental health. However, no study to date has examined the associations among pre- and post-migration stressors and suicidal ideation among NKR women. Using the stress-buffering hypothesis, this study tested the moderating effects of social networks on the relationships among pre-migration trauma, post-migration discrimination, and suicidal ideation for NKR women living in South Korea. Social capital theory posits that an individual’s network diversity is associated with positive mental health outcomes. Research has shown that NKRs consider relationships with people they meet in churches to be significant sources of emotional support. Hence, in this study, social networks were defined as network diversity and church-based ties. Methods : 273 NKR women in South Korea were recruited (April-May 2014). Past-year suicidal ideation was assessed by a 5-item suicidal ideation scale and was dichotomized. Pre-migration trauma was assessed using an 18-item trauma checklist developed for NKRs. Post-migration discrimination was measured by the 9-item Everyday Discrimination Scale. Social network variables (network diversity, church-based ties) were measured by egocentric network data. Network diversity was assessed by the number of different types (e.g., family, coworker, friend, neighbor, church acquaintance, etc.) of social ties. Church-based ties was assessed by the number of church acquaintances. Multivariable logistic regression analyses examined the moderating effect of network diversity on suicidal ideation and the moderating effect of church-based ties on suicidal ideation. Results : 34.4% of participants reported past-year suicidal ideation. Controlling for religious affiliation, self-rated health, self-esteem, mean length of relationships, pre-migration trauma (OR=1.10, 95% CI=1.03-1.17) and post-migration discrimination (OR= 1.10, 95% CI=1.04-1.16) increased the odds of suicidal ideation. Network diversity moderated (OR=0.93, 95% CI=0.86-0.98) the association between post-migration discrimination and suicidal ideation, while social networks with church-based ties moderated (OR=0.94, 95% CI=0.89-0.98) the association between pre-migration trauma and suicidal ideation. Conclusions and Implications : This study found that pre-migration trauma and post-migration discrimination independently affected suicidal ideation among NKR women. Study findings provide empirical evidence that supports the stress-buffering hypothesis and have implications for practitioners serving vulnerable populations, such as refugees. Suicide prevention and intervention programs for NKR women can emphasize the importance of participating in diverse types of social settings and building relationships with diverse people, which might mitigate the stress appraisal response of discriminatory treatment. In addition, suicide intervention programs can be designed using refugees’ social networks with church-based ties to reduce the negative impact of pre-migration trauma on suicidality. Community organizations that serve NKR women could partner with churches where many NKRs attend and provide services with church members to these refugees so that they can better cope with their trauma.",
      "authors": "Mee Young Um; Eric Rice; Lawrence A. Palinkas; Hee Jin Kim",
      "author_ids": "114086; 111415; 109932; 114087",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3599610958,
        "prompt_eval_count": 1676,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:20:42.466896+00:00"
    },
    {
      "input_index": 1158,
      "record_key": "SSWR:2020-U-0343",
      "source_database": "SSWR",
      "record_id": "2020-U-0343",
      "year": 2020,
      "title": "More Than Just Depression: The Need to Screen for Anger As Suicide Risk Among Working-Aged Men",
      "abstract": "BACKGROUND AND PURPOSE Over 47,000 people in the U.S. die each year by suicide; 77% are men (Murphy et al., 2018; Curtin et al., 2016). The largest increase in suicide over the past 20 years has been among working-age men (25-64) (Curtin et al., 2016). Working-age men are sometimes considered a “double jeopardy” risk group due to elevated suicide risk and difficulty engaging in help-seeking behavior (Addis & Mahalik, 2003; Good & Wood, 1995). Suicide remains under-detected and under-treated by health and mental health professionals. Many professionals only screen for suicide specifically after identifying depressive symptoms. Depression, though significant, is not the only risk factor for suicide and may not always be present in individuals who die by suicide. Traditional depression screening measures do not include questions about anger/irritability, potentially missing this alternative manifestation of depression in men displayed (Giegling et al., 2009; Ammerman, Kleiman, Uyeji, Knorr, McCloskey 2015; Oliffe & Phillips 2008). This study examined the prediction of suicide risk among working-age men using a traditional depression screener and a single item screener for anger/irritability. Additionally, the researchers assessed the predictive ability of anger/irritability for suicidal risk among men without depression. METHODS A statewide men’s mental health and suicide prevention campaign, Healthy Men Michigan, encouraged men to take an online depression and suicide screening. This study included 2,153 men in Michigan. Depression was assessed using the Harvard Department of Psychiatry/National Depression Screening Day Scale (HANDS; Baer et al., 2000). The researchers assessed anger/irritability with the DSM-5 Cross Cutting Measure (American Psychiatric Association, 2013). Suicide risk was assessed using the Columbia Suicide Severity Rating Scale (Posner et al., 2011) and the ninth item of the HANDS, which asks about suicidal ideation. Logistic regression prediction models assessed relationships among suicide risk, depression, and anger/irritability. RESULTS This was a high-risk sample. More than 50% of the men screened positive for suicide risk, and more than 75% screened positive for moderate to high levels of depression. One-fourth of men screened positive for moderate or severe anger/irritability. The logistic regression model indicated that irritability/anger was associated with past month suicide risk (OR=1.52;95%CI,1.21-1.89; p <.001]) after controlling for depression (OR=11.29; 95%CI:8.49,15.02; p <.001). A sub-group logistic regression analysis was conducted using only men who did not screen positive for depression ( N =535). Men screening positive for anger/irritability ( n =63) were 3.15 times more likely to endorse suicide risk (95%CI:1.26,7.88, p =.01) than men who did not score positive for anger. CONCLUSIONS AND IMPLICATIONS Anger/irritability are critical in screening for suicide risk with working-age men. Reliance on positive screens for depression as a pre-curser for suicide screening is potentially life threatening as 12% of men who screen for suicide report no or low risk for depression. Masculinity theory suggests that anger/irritability are important in assessing depression and this study demonstrates a strong link between anger/irritability and suicide, absent from traditional measures of depression.",
      "authors": "Jodi Jacobson Frey; Phillip Osteen; Boyoung Nam; Amanda Mosby",
      "author_ids": "113662; 110912; 115613; 119817",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3743634583,
        "prompt_eval_count": 1727,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:20:46.212377+00:00"
    },
    {
      "input_index": 1161,
      "record_key": "SSWR:2020-P-0407",
      "source_database": "SSWR",
      "record_id": "2020-P-0407",
      "year": 2020,
      "title": "Patterns of Adverse Childhood Experience and Their Influences on Suicide Attempts Among Adults in South Korea",
      "abstract": "Background and Purpose : Adverse childhood experiences (ACEs) such as abuse, neglect, and family dysfunctions are associated with a wide range of deleterious outcomes in adulthood. Research has found that children who are exposed to one type of childhood abuse or family dysfunctions are likely to be exposed to another exposure. Recent research on ACEs explores whether different classes of ACEs exposures can be identified and how these ACEs classes are associated with deleterious outcomes in adulthood. Despite the accumulation of research in this area, relatively little is known about whether different classes of ACEs influence suicide attempts in adulthood. In particular, Korea has the highest number of suicide rates per capita (28.5 per 100,000) compared to 12.1 per 100,000 OECD countries. Thus, this study aims to investigate patterns of ACEs and how different patterns of ACEs relate to suicide attempts. Methods: We used the Korean General Social Survey (KGSS) collected by Sungkyunkwan University in Korea. The analysis sample includes 1,033 adults who participated in the ‘family and gender role change IV’ survey conducted in 2012. The dependent variable is a suicide attempt measured by whether they had ever attempted suicide (yes=1; no = 0). The independent variable is ACEs. Ten binary variables are used to capture the following adversities respectively: physical abuse, emotional abuse, neglect, sexual abuse, parent died or got sick, brothers/sisters died or injured, divorce/separation, victim of or witness to family violence, mental illness, substance abuse. Also this study controlled for several variables such as age, gender, education, and income. We employed a Latent Class Analysis (LCA) employed to identify heterogeneous subgroups of adults with distinct patterns of ACEs. A logistic regression was used to examine the relationships between ACE classes and a suicide attempt controlling for covariates. Results : The LCA results indicate that three classes best fit the data best across the sample – child maltreatment group (20%), global adversity group (19%), and low ACE group (61%). The Child maltreatment group are estimated to experience physical abuse (82%), neglect (62%). The global adversity group shows additional high probabilities of having family mental illness, parental alcohol, and drug use. The logistic regression indicates that compared to the low ACE group, the child maltreatment group (OR = 3.34, p < .05), and the global adversity group (OR = 4.24, p < .01) were associated with increased odds of a suicide attempt respectively. Discussion and Implications : This study provides empirical evidence on the three distinct classes of ACEs in Korea. It is important to note that adults exposed to ACEs are more likely to experience a suicide attempt than adults with a history of low ACEs. This study discusses policy and practice implications that should be addressed in global social contexts to prevent negative consequences of adverse childhood experiences .",
      "authors": "Aely Park; Youngmi Kim",
      "author_ids": "109754; 110082",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3358632750,
        "prompt_eval_count": 1546,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:20:56.860877+00:00"
    },
    {
      "input_index": 1165,
      "record_key": "SSWR:2020-P-0449",
      "source_database": "SSWR",
      "record_id": "2020-P-0449",
      "year": 2020,
      "title": "Racial/Ethnic and Gender Disparities in Health Behaviors Correlates of Suicidal Behaviors within the Ideation-to-Action Framework",
      "abstract": "Background/Purpose Suicide is the second leading cause of death among adolescents aged 10-24 in the US. Although many risk factors for suicidal behaviors have been identified, little is known about the factors that differentiate adolescents who only attempt suicide from those who only think about or plan suicide, as suggested by “ideation to action” framework. Existing research under this framework has strongly relied on psychological risks factors, while few have explored the influences of individual and cumulative health risk behaviors (HRBs) on distinguishing suicide attempters and ideators. Identifying HRBs that contribute to the distinction has clinical implication for screening adolescents at risk of suicide, and designing interventions tailored to adolescents with specific HRBs. To address the knowledge gap, the overall purpose of this study is to examine the associations between individual and cumulative HRBs and different suicidal behaviors profiles (guided by ideation-to-action framework) among adolescents. Given the racial/ethnic and gender disparities in the risks of engaging in HRBs and suicidal behaviors, we also investigated the racial/ethnic and gender differences regarding the associations between HRBs and suicidal behaviors profiles. Methods Data and samples: Data were derived from 2,229 students (65.01% female, M age = 16.02±1.28) in grades 9–12 from the 2017 National Youth Risk Behavior Survey (YRBS), a nationally representative sample. Measures: Suicidal behaviors were measured by self-reported suicidal ideation, suicide plan, and suicide attempt. Responses were then used to further categorize four groups: ideation only, ideation and plan (without attempt), attempt with ideation/plan, and attempt only. Thirteen indicators of HRBs, including diet, exercise, sleep, media, and substance use were measured individually and used to create a cumulative HRBs index (ranges from 0-13). Demographic variables included race/ethnicity, gender, and age. Depressive affect was assessed using one question on sadness/hopelessness. Analysis: Multinomial logistic regression adjusting for complex survey design was used to examine the associations between individual and cumulative HRBs that differentiated suicidal ideation from plan and attempts. Analyses were conducted among the total sample and then stratified by gender. Interactions among race/ethnicity, gender, and cumulative HRBs were included to investigate moderation effects. Results Compared with adolescents with suicidal ideation only, females adolescents who smoked cigarette (OR adj =2.37, 95%CI= [1.12, 5.01]) and used marijuana (OR adj =2.02 [1.21, 3.37]) had higher odds of attempting suicide along with ideation/plan. For males, not participating in team sports was related to 7.42 higher odds of attempting suicide without reporting thoughts/plan. Greater cumulative HRBs were linked to higher risk of attempting suicide with reported ideation/plan (OR adj =1.08 [1.01, 1.16]). Significant moderation effect was revealed: With increasing cumulative HRBs, Black boys and other-race boys were less likely to have ‘suicide attempt only’ than ‘ideation only’ (OR adj =0.53 [0.31, 0.90], 0.23 [0.07, 0.83], respectively). Conclusion and Implications Significant racial/ethnic and gender disparities are observed in the associations of HRBs that differentiated adolescents in suicidal thoughts, plan, and attempts. With greater cumulative HRBs, Black and other-race males had greater risks in thinking about suicide only. Social work professionals shall address intersectionality when preventing and intervening suicide among adolescents with different types and levels of HRBs.",
      "authors": "Yunyu Xiao; Meghan Romanelli; Michael A. Lindsey",
      "author_ids": "117116; 117067; 109175",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3645535083,
        "prompt_eval_count": 1716,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:21:11.697239+00:00"
    },
    {
      "input_index": 1166,
      "record_key": "SSWR:2020-P-0701",
      "source_database": "SSWR",
      "record_id": "2020-P-0701",
      "year": 2020,
      "title": "Relationship of PTSD, Alcohol Use Disorder, and Combat Experiences to Suicide in Veterans",
      "abstract": "Background: There is a high rate of suicide among veterans—with some estimates indicating 20 or more completed suicides per day. Although research has documented a number of precipitants of suicide, one area that has been understudied is the risk associated with Posttraumatic Stress Disorder (PTSD) and alcohol use disorder (AUD). Given the high rate of PTSD and AUD in veterans, and the frequency with which these problems co-occur, exploring potential pathways by which PTSD and AUD contribute to suicidality has the potential to inform clinical intervention and prevention efforts. This study is guided by the Transpersonal Theory of Suicide, which suggests that thwarted belongingness and perceived burdensomeness are two essential preconditions for suicidal behavior. Previous research has suggested that both PTSD and AUD have social consequences and are chronic and relapsing conditions, which aligns with the definition of perceived burdensomeness. Secondly, research has also suggested that veterans may feel isolated as a function of their combat experiences, which aligns with the definition of thwarted belongingness. This study hypothesized that PTSD and AUD would have direct, positive effects on suicide and that combat experiences would have direct effects on PTSD and AUD. Furthermore, this study hypothesized that combat experiences would have indirect effect on suicide through both PTSD and AUD. Methods: Veterans (n=396) completed the Posttraumatic Stress Disorder Checklist (PCL-5), the Alcohol Use Disorder Identification Test (AUDIT), and Combat Experiences Scale (CES). Suicidality was assessed with three to six questions. Participants were first asked if they had a lifetime history of suicidal thoughts, plans, and attempts. Participants who responded yes to any of the questions were prompted to report if the thoughts, plans, and attempts occurred in the past year. Participants were provided with a list of mental health and medical resources at the beginning and end of the study. Our university’s Institutional Review Board approved study protocol. A bootstrap with 5000 random draws was used to test the indirect effect of combat experiences on suicide after the model was fitted to the data. Results: Participants endorsed an average of 2.76 (sd=1.88) items on the suicide questions. Mean scores on the PCL-5 were 38.38 (sd=8.69); mean scores on the AUDIT were 18.16 (sd=5.43); mean scores on the CES were 23.75 (sd=6.83). The hypothesized path model fit the data well; fit statistics met established thresholds (CFI=.95; TLI=.90; c 2 =102.96; p=n.s.). All individual path coefficients were in the hypothesized direction and statistically significant. The indirect effect of CES on suicide was also significant through both pathways, however the effect was much stronger via the AUDIT pathway than via the PCL-5 pathway. The effects survived the bootstrap. Implications: Consistent with the Transpersonal Theory of Suicide, this analysis suggests that combat experiences, AUD, and PCL are risk factors for suicide in veterans because they overlap with the dimensions of thwarted belongingness and perceived burdensomeness. Since clinical attention can modify these variables, PTSD and AUD treatment may also reduce risk for suicide. Future research must identify other mediators on these pathways to increase intervention targets.",
      "authors": "Braden Linn",
      "author_ids": "115215",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3398772666,
        "prompt_eval_count": 1617,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:21:15.097899+00:00"
    },
    {
      "input_index": 1167,
      "record_key": "SSWR:2020-P-0467",
      "source_database": "SSWR",
      "record_id": "2020-P-0467",
      "year": 2020,
      "title": "Replication Study of Elder Suicide and Elder Gun Suicide Models Using 2010 Population Data",
      "abstract": "Background: Adults age 65 and over are the age group most likely to use guns to take their own lives.  Rates of firearm suicide began increasing with the economic downturn in 2007-2008, and have continued to increase despite the subsequent economic recovery. Although studies have examined individual risk factors for suicide among older adults, less is known about macro variables leading to higher rates of elder suicide. Building on Durkeim’s model and previous work by the authors, a cross-state retrospective replication study tested models of elder suicide and elder gun suicide rates for adults 65 and over in the U.S. Methods: The predictor variables for the models included the following: elder males, divorce, political climate, economic climate, gun access, and violence climate. AMOS 25.0 (Arbuckle, 1997) was used to estimate elder suicide and elder gun suicide models and estimate the fit of these data for the theoretical and measurement models. Secondary data were collected from each state (N=50). Political climate, economic climate, gun access, and violence climate were measured using the same indices as a previous study by the authors. Results: The elder suicide model explained 58 percent of the variance in state elder suicide rates and was a statistically significant predictor of suicide rates (F (6, 43) = 9.86, p< .001). Six of nine direct paths were statistically significant predictors of elder suicide and political climate was responsible for 71% of the gun access—which was responsible for 21% of the elder suicides when controlling for the other variables. The elder gun model explained 71 percent of the variance in state elder gun suicide rates (F (6,43) = 19.31, p<.001). Eight of the nine path coefficients were statistically significant predictors of elder gun suicide.  Gun access was responsible for 40 percent of the differences in suicide rate and political climate was responsible for 68 percent of the variation in gun access.  The fit indices for both models were mixed—many indicating a good fit and several fit indices showed some issues to explore further as we refine the models. The calculated GFI and AGFI were .928 and .777, well within the expected range of 0 to 1.00 and indicative of an excellent fit.  The NFI and CFI values were also indicative of a good fit at .922 and .975, respectively. The Elder Suicide Model CMIN index was not ideal however (χ2(9, N=50)=12.57, p=.183.) Conclusions and Implications: The present study added to the evidence supporting the use of macro-level variables in the prediction and explanation of elder suicide and elder gun suicide. Although these data showed more explained variance than our first study, the fit indices demonstrated some problems with goodness of fit. The economic recession of 2008 had large effects on the economy across the country and this is one possible explanation for the differences between the 2000 and 2010 data. Through a deeper understanding of the ways our gun culture influences violent self-harm, we can outline evidence-based practice, design protective policies, and design adequate prevention programs.",
      "authors": "Greta Yoder Slater; Margaret Adamek",
      "author_ids": "110743; 114948",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3422972208,
        "prompt_eval_count": 1616,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:21:18.522334+00:00"
    },
    {
      "input_index": 1169,
      "record_key": "SSWR:2020-U-0564",
      "source_database": "SSWR",
      "record_id": "2020-U-0564",
      "year": 2020,
      "title": "Results of a Multisite Transportability Trial of a Brief Emergency Department Intervention for Suicidal Adolescents and Their Families",
      "abstract": "Background: In emergency practice, usual care for suicidal adolescents is evaluation, with little or no treatment, and disposition, usually to an inpatient psychiatry unit. The Family Based Crisis Intervention (FBCI) for suicidal adolescents and their families is a single-session intervention designed to stabilize adolescents within a single ED visit and to provide training to empower the family to manage the adolescent safely at home. Results of a randomized clinical trial (RCT) of FBCI (Wharff et al. 2019) showed significant differences in hospitalization rates between FBCI and treatment as usual (TAU) patients and that FBCI caregivers experienced significantly larger gains in family empowerment (p=0.004) and client satisfaction (p=0.0005) than the TAU group. This paper reports results of a recently completed transportability trial conduced across 3 ED sites to assess clinician uptake of FBCI, patient disposition, and generalizability of the intervention. Methods: The study sample was comprised of a convenience sample of sites that had expressed an interest in FBCI and were diverse in geographical location, size of the ED, and patient/clinician mix:  UNC-Chapel Hill (UNC) is a large ED with adult and adolescent patients; Children’s Hospital of Orange County (CHOC) is a small, pediatric ED; and Boston Children’s Hospital (BCH) is a large pediatric ED. All emergency mental health clinicians at these sites participated in a two day training of FBCI followed by weekly consultation calls.  During the study period, all clinicians were asked to complete a REDCap survey on each suicidal adolescent they saw. If they used FBCI, they were asked about patient/family demographics, use of the modules, clinician ratings of suicide risk, depression and anxiety, and disposition/follow-up services.  If they did not use FBCI, they were asked the reason. Both surveys included clinician demographics and qualitative questions about the clinician’s perception of the utility of FBCI. Results: 240 patients received FBCI across the three sites (70%). Clinicians were multi-disciplinary. All five modules of FBCI were used and key components were discussed nearly 100% of the time. Reasons clinicians did not do FBCI were primarily no family member was present to participate or patient was intoxicated or cognitively delayed preventing discussion of FBCI. Overall rates of discharge home varied greatly: CHOC 89%, BCH 60%; UNC 45% overall; data showed that these proportions increased over time. Most clinicians responding felt FBCI was useful and could fit into their practice. Discussion: Results of the transportability trial show that FBCI is both feasible and useful to a variety of mental health clinicians at diverse emergency departments. Facilitators to the use of FBCI were strong leadership to support change in practice, younger clinicians more open to practice innovation, availability of outpatient resources, smaller ED, universal health insurance. Barriers to use of FBCI were clinician resistance to change in practice, lack of outpatient resources, combined adult-pediatric ED, not having all child-trained clinicians, lack of systemic support. However, when used, FBCI was an intervention that clinicians felt was useful, fit into their practice, and that facilitated discharging patients home with their families.",
      "authors": "Abigail Ross; Elizabeth A. Wharff",
      "author_ids": "118393; 112671",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3422318042,
        "prompt_eval_count": 1629,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:21:24.714388+00:00"
    },
    {
      "input_index": 1170,
      "record_key": "SSWR:2020-U-0511",
      "source_database": "SSWR",
      "record_id": "2020-U-0511",
      "year": 2020,
      "title": "Risk for Suicidal Ideation and Suicide Attempt: Comparison across Four Racial/Ethnic Groups in the United States",
      "abstract": "BACKGROUND The suicide mortality rate in the United States has been increasing since 2000. According to the Interpersonal-Psychological Theory of Suicide, there is a higher risk for suicide attempt when thwarted belongingness, perceived burdensomeness, and acquired capability for suicide coexist. A meta-analysis on the IPTS showed that the coexistence of two or more IPTS constructs was associated with increased risk for suicidal ideation and attempt. Previous research has primarily focused on individual risk factors. However, multiple risk factors coexist in real life and may cumulatively elevate suicide risk, as proposed by the IPTS. This study identified the combinations of suicidal risk associated with suicidal ideation and attempt with four racial/ethnic groups in the United States. METHODS A nationally representative sample of White, Black, Latinx, and Asian adults from the Collaborative Psychiatric Epidemiology Surveys (Alegria et al., 2016) was used. Using latent class analysis (LCA), distinct patterns (combinations) of suicidal risk were identified from 14 categorical risk factors outlined in the IPTS; thwarted belongingness (living alone, exposure to interpersonal violence, sexual abuse, loss of interest), perceived burdensomeness (unemployment, financial difficulties, life-threatening physical illness, family worried due to alcohol/drug use), acquired capability for suicide (feelings of worthless, war exposure, trauma exposure, risk-taking behaviors, alcohol dependence, drug dependence). Next, the association between identified patterns of suicidal risk and suicide attempt for each racial/ethnic group were examined with 3-step method in LCA. RESULTS For White adults, five latent classes were identified. Respondents in the (1) All Three (constructs of the IPTS) with Alcohol/Drug Problem, (2) All Three without Alcohol/Drug Problem, and (3) Thwarted Belongingness + Perceived Burdensomeness classes were more likely to demonstrate suicide attempt. For Black adults, six latent classes were identified, and respondents in the (1) All Three with Alcohol/Drug Problem and (2) All Three without Alcohol/Drug Problem classes were significantly more likely to attempt suicide than those in the Low Risk class. For Latinx respondents, four latent classes were identified, and respondents in the Thwarted Belongingness + Acquired Capability for Suicide class were significantly more likely to attempt suicide. For Asian respondents, three latent classes were identified, and respondents in Thwarted Belongingness + (Active) Acquired Capability for Suicide class had a significantly higher risk for suicidal ideation and suicide attempt. CONCLUSIONS AND IMPLICATIONS Findings of this study supported the major tenets of the IPTS, that individuals are at the greatest risk for suicide attempt when thwarted belongingness, perceived burdensomeness, and acquired capability for suicide coexist. In addition, this study found important variation in the applicability of this theoretical framework across the four racial/ethnic groups. Findings support that clinicians working with people with higher risk for suicide should explore multiple dimensions of suicidal risk, especially clients’ capability for suicide (e.g., past exposure to trauma and pain- and fear-reducing experiences). Suicide-prevention campaigns and trainings need to include exploration of past exposure to trauma, physical violence, and risk-taking behaviors as well as access to means in training sessions so that trainees can better detect people with higher risk of suicide attempt.",
      "authors": "Boyoung Nam; Jodi Jacobson Frey; Jordan E. DeVylder",
      "author_ids": "115613; 113662; 112063",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3364976834,
        "prompt_eval_count": 1630,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:21:28.082811+00:00"
    },
    {
      "input_index": 1171,
      "record_key": "SSWR:2020-P-0496",
      "source_database": "SSWR",
      "record_id": "2020-P-0496",
      "year": 2020,
      "title": "Role Play Vs. Standardized Actor: A Quasi-Experimental Examination into Teaching Clinical Skills",
      "abstract": "Students training to be social workers are dependent on human interactions, where providing opportunities to develop clinical skills is essential to preparing students for engaging in successful therapeutic relationships.  To date, the field has relied mostly on role-playing and the use of standardized actors to provide realistic clinical simulations to students. While using standardized actors has been known as the gold standard for teaching clinical skills, this realization comes mostly from the medical field and has yet to be studied empirically. The purpose of this study was to test the efficacy of the training models of peer-to-peer role play (RP) and standardized actor patients (SAP) in training MSW students to work with military clients. A quasi-experimental non-equivalent groups study design was employed to examine differences in clinical skills between the training conditions of RP and SAP training. The sample population consisted of students enrolled in a masters of social work program. Pretests were completed after recruitment (study week 1) and consisted of a self-report online survey (demographics and self-efficacy) and an in-person clinical skill assessment. Participants were placed in either RP or SAP training groups and completed three 90 minute trainings over three weeks, focused on clinical engagement (study week 2), recognizing and response to symptoms of PTSD (study week 3) and recognizing and response to suicide (study week 4). The final week consisted of a post-test self-report online survey and an in-person clinical skill assessment (study week 5). Pre/posttest clinical skill examinations were rated by skilled clinicians using the Military Objective Structured Clinical Examination scale (MOSCE). In total, 156 participants completed the study procedures. For self-efficacy, there was a main effect of time (p<0.001) with participants in both the SAP and RP groups reporting greater self-efficacy from pretest to posttest. Closer examination did not reveal significant differences between the SAP and RP groups on pretest (p=0.498) and posttest (p=0.908) scores, and the group by time interaction (p=0.438). Regarding clinical skills, although the interaction between group (SAP vs. RP) and time (pretest, posttest) was not significant for the MOSCE subscale and overall scores (p=0.165 for engagement, p=0.504 for PTSD, p=0.850 for suicide, p=0.927 for military competence, and p=0.3956 for overall), several main effects of time were observed. Participants in both the SAP and RP groups were observed to have improved from pretest to posttest on all three modules. Closer examination between SAP and RP groups did not reveal significant differences on recognizing PTSD (p=0.075 for pretest and p=0.239 recognizing suicidal symptoms (p=0.964 for pretest and p=0.817), and overall performance (p=0.368 for pretest and p=0.118). The results show that SAP and RP appear to be equally effective training modalities. While SAP has been thought to be the gold standard in the development of clinical skills, findings demonstrate no difference between the RP and SAP groups. This has important implications for social work education as the development of clinical skills is an essential element of MSW programs. However, many schools do not have the resources to use SAP in their classrooms.",
      "authors": "Sarah Kintzle; Hazel Atuel",
      "author_ids": "110041; 108418",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3425505333,
        "prompt_eval_count": 1646,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:21:31.510150+00:00"
    },
    {
      "input_index": 1172,
      "record_key": "SSWR:2020-U-0144",
      "source_database": "SSWR",
      "record_id": "2020-U-0144",
      "year": 2020,
      "title": "Rural-Urban Differences in the Association between Social Capital and Suicidal Ideation Among the Older Adults in Anhui, China",
      "abstract": "Background: Social capital has been found to be associated with lower risk of suicidal ideation in the West. However, there is limited empirical research on social capital and suicidal ideation in China, especially among older adults. Meanwhile, around 60% of older individuals live in rural areas in China. Additionally, China’s unique socioeconomic and political structures in rural and urban regions could affect the level of social capital and its relationship with suicidal ideation. Therefore, this study aims at clarifying the differences in the association between social capital and suicidal ideation among older people in rural and urban communities in China. This study got IRB approval from the Biomedical Ethics Committee of Anhui Medical University, China. Methods: A cross-sectional in-person survey was conducted among the older adults aged 60 years and above in Anhui, China, in 2013. The participants were selected through cluster random sampling. Firstly, one county was selected using a computer-based random selection procedure from the complete lists of counties in the four geographically distinct regions in Anhui Province. Next, one urban and one rural community were selected randomly from each of the selected counties. Overall, 3,452 eligible older adults were recruited, and 3,010 individuals were included in final analysis. Suicidal ideation was measured by a question: have you ever seriously considered suicide in the last 12 months? The measurement of social capital was adapted from the Word Bank’s Social Capital Assessment Tool and previous studies which covers the five main aspects: social participation, trust, social connection, reciprocity, and a sense of community belonging. The validity and reliability of the social capital questionnaire, as well as its scoring methods was described by Wang (2013). Demographic information were also collected as control variables. The binary logistic regression was used to explore the impact of social capital on suicidal ideation. Results: The prevalence of suicidal ideation was significantly higher in rural respondents (7.1%) than that in urban respondents (3.4%). Participants in rural areas tend to have higher levels of reciprocity, social connection, trust, and a sense of community belonging than in urban areas (69.0% vs. 61.9%, 53.4% vs.38.6%, 39.2% vs. 33.6%,76.4% vs.71.3%, respectively). After controlling age, gender, education, GHQ-12, adverse life events, and living regions, the logistic regression results  showed  that lower level of reciprocity was associated with a greater likelihood of having suicidal ideation in rural areas (odds ratio [OR]=2.0, 95% CI=1.3 to 3.1), whereas no significant association between reciprocity and suicidal ideation was found in urban respondents. The other components of social capital had no association with suicidal ideation no matter in urban or rural areas. Implications and Conclusions: The findings indicated that rural participants have higher level of social capital than urban participants and social capital had significant impact on older adults in rural regions, but not in urban regions. This study calls for more efforts on the suicidal prevention in rural regions and more interventions aims at maintaining or rebuilding social capital for the older adults in rural China.",
      "authors": "Ying Ma; Yiqi Zhu; Guimei Chen",
      "author_ids": "119448; 117198; 119449",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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    },
    {
      "input_index": 1175,
      "record_key": "SSWR:2020-U-0597",
      "source_database": "SSWR",
      "record_id": "2020-U-0597",
      "year": 2020,
      "title": "Slipping through the Cracks: Predictors of Mental Health Service Use By Black Youth Struggling with Depressive Symptomatology",
      "abstract": "Background and Purpose: One of the Grand Challenges for Social Work is to ensure healthy development for all youth. Under this Grand Challenge is a focus on the prevention of schizophrenia and severe mental illness. The first step in preventing our youth from developing severe mental illnesses is to ensure that they receive care before they meet criteria for a clinical diagnosis or their disorder becomes unmanageable. Research has shown that Black youth struggling with mental illness are less likely to receive mental health treatment than non-Blacks. However, literature concerning individual factors related to mental health service use specifically by Black youth is sparse. This study uses a national data set to determine whether Black youth struggling with feelings of depression are more likely to receive mental health treatment based on age, engagement in violent behaviors, quality of parental relationship, and experience of suicidal ideation. Methods: This study used data from the 2017 National Survey of Drug Use and Health. The study sample was made up of 711 Black survey respondents, ages 12-17, that disclosed that there had been a period, lasting several days or longer, when they experienced depressed feelings for most of the day. To determine if there was a relationship between any of the predictor variables and the dependent variable of mental health treatment receipt, two types of analyses were run. The relationship between age and treatment receipt was assessed using a logistic regression. Chi-square analyses were used to examine the individual relationships between the predictor variables of age, engagement in violent behavior, the experience of suicidal ideation, and quality of parental relationship and the dependent variable of mental health treatment receipt. Results: In this sample, only 35.8% of Black youth that struggled with feelings of depression received any type of mental health treatment. The results showed that Black youth struggling with feelings of depression were no more likely to receive mental health treatment based on their age, the quality of their relationship with their parent/guardian, or whether they contemplated suicide when these emotions were severe. However, youth were more likely to receive treatment if they had attacked someone with the intent to seriously harm them at least once in the past year, ꭓ 2 = 12.43, df = 1, p < .001. Conclusions and Implications: Often social workers and other mental health professionals are not called on to provide care until youths’ mental health struggles have reached clinical or dysfunctional levels. This study focused on youth labeled as experiencing feelings of depression instead of those labeled as experiencing full blown major depressive episodes. This was done to determine whether there were any characteristics that increased the odds of receiving early intervention. Unfortunately, it appears the only way that an adolescent struggling with early depressive symptomatology can get help is if they engage in negative externalizing behaviors. It is imperative that social work scholars and practitioners collaborate to develop better screening methods so that youth can receive the necessary mental health care before their condition leads to dysfunction.",
      "authors": "Dashawna J. Fussell-Ware",
      "author_ids": "119960",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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    },
    {
      "input_index": 1176,
      "record_key": "SSWR:2020-P-0213",
      "source_database": "SSWR",
      "record_id": "2020-P-0213",
      "year": 2020,
      "title": "Social Work Education in Mental Health, Addictions, and Suicide: A Scoping Review",
      "abstract": "Background and Purpose : Mental Health and Addiction (MH&A) concerns affect millions of individuals and families worldwide. As one of the primary professions in the mental health workforce, social workers (SWs) play an important role in screening, assessment, and treatment of MH&A concerns. According to the CSWE’s 2019 workforce survey, new SWs working in a wide range of settings reported that 70% of their clients have mental health disorders and 35% have substance abuse disorders. Despite SWs’ central role in service provisions, there have been concerns about the extent to which SW programs prepare students to assess mental health, addictions, and suicide risks. Few SW programs have required addiction courses, few include suicide risk assessment in curricula, and MSW graduates report low levels of knowledge, skills, and confidence in assessing these critical areas. It is crucial to teach SW students to conduct comprehensive addiction, mental health, and suicide risk assessments to provide effective and ethical SW practice. Current knowledge of how MH&A education has been carried out in SW education is important to address the existing gap and inform future SW educators. We will present the results of a scoping review examining SW education and training in addictions, mental health, and suicide. The objectives of this review included: (1) scoping the extent, range, and nature of literature on SW education and training in mental health, addictions, and suicide; (2) synthesizing the existing literature to provide an overview of education and training initiatives in SW for mental health, addictions, and suicide; and 3) identifying gaps to guide future research, education, and practice. Methods : The scoping review protocol was developed using the PRISMA Extension for Scoping Reviews (PRISMA-ScR) guidelines and we followed Arksey and O’Malley’s (2005) scoping review framework. The search strategy was developed by a research team including a librarian and the search was conducted in seven academic databases. Conceptual, empirical, and teaching articles from 2000 to present, focusing on addictions, mental health, and suicide, in SW education were screened using a priori and iteratively refined inclusion and exclusion criteria. We used a charting form to extract data and a qualitative thematic analysis to identify key themes. Results : Thirty-nine articles met inclusion criteria, with most being American. Most empirical studies used quantitative methods, and most trainings and programs targeted students in educational settings. Addictions were the largest focus area (49%), followed by suicide (26%), mental health (18%), and a mixed focus (8%). Ten studies used the SBIRT model, and simulation was used in more than one-quarter of the papers. Most studies reported an improvement in students’ skills and knowledge post-training. More than half did not identify a guiding theoretical framework, and most studies did not mention culture and diversity. Conclusions and Implications : This review shows that there is limited research on how mental health, addictions, and suicide are taught and, except SBIRT, there are no trainings or curricula that have been replicated and evaluated. We will discuss recommendations for preparing students more adequately for SW practice in mental health and addictions.",
      "authors": "Sandra McNeil-Marshall; Toula Kourgiantakis; Karen Sewell; Judith Logan; Eunjung Lee",
      "author_ids": "119540; 117619; 117291; 118520; 112089",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "review",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Review"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:21:48.256160+00:00"
    },
    {
      "input_index": 1177,
      "record_key": "SSWR:2020-U-0040",
      "source_database": "SSWR",
      "record_id": "2020-U-0040",
      "year": 2020,
      "title": "Strengths in Understanding Well-Being of Adolescent Survivors of Interpersonal Violence: Buffering or Direct Effects?",
      "abstract": "Background: Adolescents are a high risk age group for interpersonal violence (including bullying, sexual harassment, sexual assault and teen dating violence).  These forms of violence disproportionately affect youth from underrepresented groups. The field of resilience science contains important lessons for building strengths among at-risk youth to promote healthy development among survivors. The current study examined the well-being of students in late middle and early high school in a diverse community where underrepresented groups experience significant health disparities (the Great Plains region of the U.S.).  The study had three aims (1) To describe links between victimization, race and well-being including grades, mattering, depressive symptoms and suicidality, (2) To examine whether race moderated the relationship between strengths and outcomes among a sample of adolescent survivors. We hypothesized that victimization would be linked to less positive outcomes, that youth from historically marginalized groups would report greater victimization and less positive outcomes and that race would moderate the relationship between strengths and outcomes such that youth from underrepresented groups would benefit more from strengths than Caucasian adolescents. Methods: In-school surveys were given to 1904 youth at two time points in one school year (fall and spring). Youth in grades 7-10 who had active parental permission participated. Youth were from a diverse community and 17% were Native American. We included reliable and valid measures of victimization and outcomes including depression, suicidality, mattering, and a range of strengths (youth voice and connection to community, future orientation, appreciation for diversity, and positive coping). For the current analyses, the sub-sample of 910 students who reported victimization at time 1 was used. Victimization was measured at time 1 while outcomes were used from survey 2, that took place approximately 6 months later. Results: In bivariate correlations, victimization was related to lower mattering, lower grades, and higher depression and suicide. Contrary to hypotheses, race was not related to victimization but was related to lower mattering and grades, and greater depressive and suicidal symptoms. A series of multiple regressions using interaction terms computed from centered scores on race and a composite index of poly-strengths, found support for a direct effects rather than a buffering model. The composite of strengths and the variable related to race both directly explained variance in outcomes. Implications: On balance research on resilience and strengths has focused on early childhood. The current study examined strengths in a sample of adolescents and the role such strengths may play in positive youth outcomes over time after victimization. We found that strengths benefitted all victims and may be important to incorporate into intervention efforts with at-risk youth.",
      "authors": "Victoria Banyard; Katie Edwards",
      "author_ids": "119254; 119255",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:21:51.362888+00:00"
    },
    {
      "input_index": 1178,
      "record_key": "SSWR:2020-U-0272",
      "source_database": "SSWR",
      "record_id": "2020-U-0272",
      "year": 2020,
      "title": "Suicidal Behaviors Among Students from Impoverished Rural Communities in the US South",
      "abstract": "Background/Purpose: Suicide is the second leading cause of death among college-age adults (NCIPC, 2019). The risk of suicide is significantly higher among adults who were abused as children (Wu, Wang, & Jia, 2015). Spirituality has been regarded as a viable mechanism for adult survivors of childhood trauma to mitigate the negative effect of trauma on anxiety, depression, and suicide. Nonetheless, for some, childhood trauma has been linked with lowered spirituality (Song et al., 2016). Importantly, these protective effects varied and even reversed depending on the type of religious affiliation, networks and geographical locations (Eskin et al., 2019). Rural studies on spirituality have focused on older adults (Mitchell & Weatherly, 2000) or were conducted in non-Southern states (Galloway & Henry, 2014). Thus, the present study uses structural equation modeling (SEM) to examine the paths from childhood trauma to suicidal behaviors among rural adults in one of the most economically-disadvantaged Southern states in the US. We hypothesized that participants’ higher scores on suicidal behaviors would be associated with (H1) more childhood trauma and (H2) more symptoms of anxiety/depression. Additionally, (H3) anxiety/depression would mediate the relationship between spirituality and suicidal behaviors. Methods: The study used a sample of 191 college students at a public university in a predominantly rural, poor Southern state with a deep racial history. Many were first-generation college students from families who have lived in the state for generations, often in racially-segregated, marginalized communities that lack resources for personal development and achieving social mobility. Approximately half were white and 44% black. The outcome variable was the composite score of suicidal ideation, plans, and attempt. The latent variables for childhood trauma, spirituality, and anxiety/depression were indicated by the items in the Adverse Childhood Experiences Questionnaire (ACEs; Anda, 2006), the Daily Spiritual Experiences (Underwood, 1999), and the Anxiety/Depression Scale of the Adult Self-Report (Achenbach & Rescorla, 2003), respectively. Results: The SEM results suggest that students who had experienced and witnessed more violence during childhood had lower spirituality as young adults (p < 0.05). Lower scores on spirituality were associated with increased anxiety and depression (p < 0.001). Participants with more anxiety and depression symptoms were more likely to engage in suicidal behaviors (p < 0.001). Spirituality had a significant standardized indirect effect on suicidal behaviors mediated by anxiety/depression (p = 0.001). The model provided a good fit for the data, χ2 (50, N = 177) = 70.86, p < 0.05, CFI = 0.98, TLI = 0.97, RMSEA = 0.049. Implication/Conclusions: The findings have important implications for practitioners who work with college students at-risk for suicide in communities with extremely-limited resources and a complex racial history. It is critical to understand the mediating role of anxiety/depression in the association between spirituality and suicidal behaviors. Spirituality is a strong protective factor for racial minorities in impoverished communities that have been subjected to racial segregation. Meanwhile, increased levels of ACEs are closely related to college students’ lower spirituality, which in turn increases their anxiety/depression and suicide behaviors. Thus, future research needs to better contextualize these relationships by incorporating the racial and socioeconomic characteristics of each region/community.",
      "authors": "Viktor Burlaka; Yi Jin Kim; Na Youn Lee",
      "author_ids": "113592; 113445; 112280",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:21:55.032130+00:00"
    },
    {
      "input_index": 1179,
      "record_key": "SSWR:2020-P-0130",
      "source_database": "SSWR",
      "record_id": "2020-P-0130",
      "year": 2020,
      "title": "Suicidal Ideation after Spouse Abuse Among Older Adults-Risk and Protective Factors",
      "abstract": "Introduction Intimate Partner Violence (IPV) is a severe public health concern globally (WHO, 2013). IPV among older adults is anticipated to heighten as baby boomers age (Roberto, McPherson, & Brossoie, 2013). Victims of IPV suffer long term negative mental issues such as depression and suicidal ideation (Carbone-López, Kruttschnitt, & Macmillan, 2006). Social support may offer vital protection against these vulnerabilities (Ai, Pappas, & Simonsen, 2015). Problem-focused coping may help older adults take appropriate action, whereas emotion-focused coping may hinder them from developing suitable relationships (Piazza et al., 2014) under stressful situations. However, more research is needed on these issues among older adults. This study investigates 1) the impact of IPV on SI and 2) the impact of risk and protective factors on SI among older adults. Method Data were drawn from the 2004 graduate wave of the Wisconsin Longitudinal Study and included community-dwelling older adults ages 62-63 who completed both mail questionnaires and phone-interviews ( N =6,125).  Logistic regression was employed to investigate the impact of IPV on SI among the population and examine the impact on SI of risk factors– depression, emotion-focused coping-- and protective factors-- social support and problem-focused coping. The dependent variable SI was assessed by asking, “Have you ever seriously thought about taking your own life?” Experience of physical abuse from spouse/romantic partner was assessed by asking, “Has your spouse or romantic partner ever treated you in a way that some would think of as physical abuse?” Depressive symptoms were measured based on the CES-D (Radloff, 1977) with total scores ranging from 0 to 140. The mean of the squared root was used due to high skewness and kurtosis. Social support was assessed by four questions developed by WLS with higher scores indicating higher levels of social support. Coping skills were assessed by questions based on the Brief Cope (Carver, 1997). Problem-focused coping was assessed by eight items and emotion-focused coping by ten items. The control variables were sex, health status and education. All binary variables were converted into dummy variables before analysis. Results A logistic regression was conducted. The results were statistically significant, X 2 = 247.110 (df=8), p < 0.001. The percentage correct classification was 95%. The prevalence of spousal physical abuse was 7.2%. Older adults who experienced physical abuse from intimate partners had 3 times higher SI than their counterparts (OR=3.543, p < = .001, Wald = 67.485). Depressive symptoms (OR= 3.633, p < = .001, Wald = 60.820) and emotional focused coping (OR= 1.077, p < = .001, Wald = 23.375) were significant risk factors for SI, whereas problem-focused coping and social support had no significant impact on SI in this sample. Implications Experience of physical abuse within intimate relationships had serious impact on SI among the sample. Depressive symptoms and emotion-focused coping were serious risk factors. Practitioners should screen for experience of violence, depressive symptoms and SI, intervene to reduce depressive symptoms and emotion-focused coping, and teach older adults appropriate coping strategies.",
      "authors": "Sukyoung Yoon",
      "author_ids": "114823",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:21:58.680616+00:00"
    },
    {
      "input_index": 1180,
      "record_key": "SSWR:2020-U-0451",
      "source_database": "SSWR",
      "record_id": "2020-U-0451",
      "year": 2020,
      "title": "Suicidal Ideation and Depression Among Racial and Ethnic Minority Women in the Immediate Post-Partum Period",
      "abstract": "Background: Suicidal ideation and postpartum depressive symptoms during the perinatal period is a major health concern representing a risk for maternal mortality and further compromise the well-being of infants. More than 400,000 infants are born to mothers with depression every year and one in seven women suffers from frequent postpartum depressive symptoms in the United States. CDC estimated around 12.8% of women in the U.S. reported experiencing postpartum depression with a recent live birth in 2018. Few studies examine the prevalence of suicidal ideation and mental health of racial/ ethnic minority women.  Elevated depressive symptoms can indicate risks for complications and adverse birth outcomes for mothers and infants in the first few weeks after delivery. The aim of this study is to identify the prevalence of suicidal ideation and depression among a sample of racially and ethnically diverse women in the immediate post-partum period (within 3 days of delivery). Methods: Between 2012 and 2016 a sample of 10,450 immediate postpartum women, who gave birth between 0-3 days prior to completing an Edinburgh Postnatal Depression Screens in the maternity unit prior to discharge as part of standard postpartum care in a large regional delivery hospital. All depression screens were collected along with risk factors from electronic medical records and collected as a depression registry. Logistic regression models were used to measure the association among suicidal ideation, depression and race/ethnicity. Results: Of the 10,401 participants, 7.7% mothers had elevated symptoms of depression and 61.3% had suicidal thoughts. Black women had the highest rate of elevated depressive symptoms at 11.1%. The overall prevalence of immediate postpartum suicidal ideation in this sample was 2.2%. Among racial and ethnic groups, the prevalence of postpartum suicidal ideation was as low as 1.29% for White women, 3.48% for Black women, and as high as 8.25% for Asian American women. After adjusting for age and clinical risk factors, Black and Asian American women remained 2.82 and 7.61 times as likely to report suicidal ideation compared to their White counterparts. Conclusion and Implications: Results suggests the prevalence of elevated depressive symptoms is common in the immediate postpartum period and minority women had a higher risk of having suicidal ideation and depression than white women. Further research is needed to explore the factors that expose women of minorities to risk of having suicidal ideation. Women's mental health during the perinatal period is critically important and early identification to target mothers at risk to facilitate early treatment will aid hospitals to address mental health needs of mothers prior to discharge. Future studies should investigate how to appropriately tailor screening and interventions to the mental health needs of different racial groups within healthcare settings.",
      "authors": "Wan-Jung (Wendy) Hsieh; Mercy Eigbike; Yang Wang; Syahidatul Hajaraih; Karen Tabb",
      "author_ids": "113743; 119988; 115408; 119989; 112117",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:22:02.028487+00:00"
    },
    {
      "input_index": 1181,
      "record_key": "SSWR:2020-P-0681",
      "source_database": "SSWR",
      "record_id": "2020-P-0681",
      "year": 2020,
      "title": "Suicide Ideation Among Latinx Adolescents: Examining the Role of Parental Monitoring and Intrinsic Religiosity",
      "abstract": "Background and Purpose: Latinx adolescents continue to be at elevated risk for suicide as they are more likely to attempt suicide than their non-Latinx whites’ peers.  Using the Joiner’s (2005) Interpersonal Theory of Suicide (ITS), the present study tested the mediation effect of depression in relation to intrinsic religiosity and suicide ideation and the moderating effects of parental monitoring between depression and suicide ideation. intrinsic religiosity and suicide ideation.  Intrinsic religiosity and parental monitoring were selected for this analysis because of the salience both constructs have in the lives of Latinx adolescents and their relationship with an adolescent's sense of belonging, perceived burdensome, and acquired capability. Methods: This cross-sectional study included 3,115 Latinx adolescent respondents from the 2016 National Survey on Drug Use and Health.  The suicide ideation index variable was compiled by combining the following three items: “During the period of time when problems were the worst, did you often think about death?”; “Did you think that it would be better if you were dead?”; “Did you think about killing yourself?” To test our model, mediation, moderation, and moderated mediation analyses were conducted.  PROCESS macro for SPSS v3.0 (Model 15) was used so that the mediation and moderated mediation models using bias-corrected bootstrap. Results: Intrinsic religiosity was negatively associated with depression ( a -path; b = -.02, p < .001) and depression positively related to suicide ideation ( b -path; b = .53, p < .001) and there was a significant mediation effect of intrinsic religiosity on suicide ideation through depression.  Parental monitoring showed a significant and negative effect on suicide ideation ( b = -.20, p < .001) and also moderated the association between depression and suicide ideation ( b = -.16, p < .001).  Parental monitoring also played a significant moderator role between intrinsic religiosity and suicide ideation ( b = .01, p < .05).  Participants who reported low and moderate level of parental monitoring showed a significant and negative correlation between intrinsic religiosity and suicide ideation ( b = -.01, p < .001; b = -.01, p < .01, respectively). However, no significant moderation effect was found among participants who received a high level of parental monitoring. Conclusion: Per ITS, increasing an adolescent’s sense of belonging may be an effective suicide prevention strategy.  Our study notes that intrinsic religiosity appears to help reduce depressive symptomology and lower suicide ideation, especially when levels of parental monitoring are low or moderate.  Thus, our findings have various implications:  First, per our findings, it seems prudent for suicide prevention and intervention efforts to include intrinsic religiosity and parental monitoring features.  Especially given that our results show both can be beneficial in reducing depressive symptomology and suicide ideation.  Doing so may provide a pathway for reducing suicidality among Latinx youth, an ethnic group with some of the most acute suicide problems in the US.  Second, future research should examine the relationship between an adolescent’s intrinsic religiosity and their overall sense of belonging.  Further practice, research, and policy implications will be discussed.",
      "authors": "Javier F. Boyas; Yi Jin Kim; Tatiana Otalora",
      "author_ids": "109967; 113445; 118409",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3432685291,
        "prompt_eval_count": 1622,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:22:05.463028+00:00"
    },
    {
      "input_index": 1182,
      "record_key": "SSWR:2020-P-0234",
      "source_database": "SSWR",
      "record_id": "2020-P-0234",
      "year": 2020,
      "title": "Suicide Ideation, Planning, and Attempts: The Case of the Latinx LGB Youth",
      "abstract": "Background: Despite the recognition that Latinx and sexual minority youth are groups that are at elevated risk of suicidal behaviors, little attention has been given to the experiences of Latinx youth who identify as lesbian, gay, and bisexual (LGB). This research oversight is sobering given that, separately, both groups are considered high-risk because they have some of the highest incidence rates of suicide. Guided by an ecological systems theory framework, the purpose of the present study was to investigate how micro, mezzo, and macro factors influence the suicidality continuum from suicidal ideation to suicide attempt among Latinx LGB youth. Methods: Data for this cross sectional-study included 451 participants who self-identified as Latinx LBG on the 2017-National Youth Risk Behavioral Survey. The analysis included micro (intimate partner violence (IPV), sexual assault, drug, depression), mezzo (violence in school), and macro-level (state-level immigration-policy climate) factors’ association with three suicidality outcomes (ideation, planning, and attempt) at the bivariate and multivariate level. The focus of this study was also to parcel out suicidal behavior (i.e., ideation, planning, and attempt) among Latinx LGB youth. Thus, suicidal behavior was collapsed into three dependent variables: suicidal ideation; suicide planning; and suicide attempt. Since the outcome variables were dichotomized, binomial logistic regression was used. Results: The most commonly reported suicidal behavior was ideation ( n = 173; 40%), followed by planning ( n = 150; 34%), and then attempt ( n = 64; 21%). Out of the 173 Latinx LGB youth who endorsed suicidal ideation in our sample, 71% of them also created a suicide plan and 34% of them attempted suicide. Similarly, of the 150 respondents who reported suicide planning 34% of then also reported having attempted suicide. The odds of experiencing suicidal ideation were significantly higher among Latinx LGB youth who experienced being bullied at school ( β =3.24; 44 95% CI: 0.37, 1.51; p =0.001), experienced depressive symptoms ( β =2.29; 95% CI: 0.11, 1.39; p =0.001), and experienced sexual assault ( β =2.25; 95% CI: 0.09, 1.34; p =0.025). Experiencing depressive symptoms also correlated significantly with creating a suicide plan ( β =2.58; 0.09, 95% CI: 0.26, 1.88; 47 p =0.01). Suicide ideation and planning significantly increased the odds of a suicide attempt. Conclusion: Data from this study suggest that suicide ideation, planning, and attempt are highly prevalent among Latinx LGB adolescents and suicide has now become one of the single greatest health threats to a subset of this population. Given our findings, it is essential that tailored suicide prevention efforts be established that uniquely address the intersections of race/ethnicity and sexual orientation and how this intersection influences micro, mezzo, and macro factors associated with suicide ideation, planning, and attempt among  Latinx LGB adolescents. Doing so may provide a better understanding and increasing awareness of the intersections of race/ethnicity and sexual orientation and may provide a pathway to lessen the burden of suicide among Latinx LBG adolescents.",
      "authors": "Javier F. Boyas; Tatiana Otalora; Luis Alvarez-Hernandez; Mariam Faheti",
      "author_ids": "109967; 118409; 119588; 119589",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3644660583,
        "prompt_eval_count": 1686,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:22:09.109376+00:00"
    },
    {
      "input_index": 1183,
      "record_key": "SSWR:2020-P-0559",
      "source_database": "SSWR",
      "record_id": "2020-P-0559",
      "year": 2020,
      "title": "Suicide Risk Prediction Among Youth Experiencing Homelessness: A Machine Learning-Based Decision-Tree Analysis",
      "abstract": "Background/ Purpose: Suicide is a major societal problem but decidedly more so among youth experiencing homelessness (YEH). Unfortunately, suicide research has overwhelmingly focused on the attributes of individual youth as risk factors and that work has not meaningfully improved our ability to predict suicide in the last half century. Decision-tree (DT) methods represent well-established machine learning algorithms that show promise for suicide risk “prediction.” However, no known DT models have incorporated aspects of the social network environment or been developed for youth experiencing homelessness. The present study used a theory-driven machine learning decision-tree analysis to identify individual and social network features that “predict” suicidal ideation and attempts among YEH. Methods: Data were collected from 940 YEH at two drop-in centers in Los Angeles. Participants completed a survey about their individual characteristics and a social network interview about their relationships. Classification and Regression Tree models were used to predict suicidal ideation and suicide attempts. These DT models explore data by recursively partitioning it into sub-groups to yield the most accurate predictions. To choose the “best” predictor at each partitioning step, we used the Gini impurity measure. In each analysis, we divided the dataset into training data (75% of the sample) and testing data (25% of the sample). The training dataset was used to create each tree model whereas the testing dataset was used to evaluate each tree model’s prediction performance. Area Under the Curve (AUC) metrics were computed to evaluate the prediction results (0.5 = chance; 1.0 = perfect prediction). Results: Half of the factors identified as being important in our DT analyses were related to the social network environment. Ten variables comprised the suicidal ideation decision tree. The top five predictors (in order of importance) were sum of traumatic experiences, lifetime hard drug use, depression, proportion of street friends providing emotional support, proportion of network members engaging in hard drug use. Seven variables comprised the suicide attempt decision tree. The top five predictors (in order of importance) were depression, proportion of friends objecting to bad behavior, homelessness age, home-based friend presence, and sum of traumatic experiences. Based on the AUC values, our models were found to be 79% accurate in differentiating between YEH with and without suicidal ideation and 86% accurate in differentiating YEH who did and did not attempt suicide. Conclusion/Implications: Suicide risk evaluation is a daunting endeavor that involves gathering and synthesizing information on many factors to inform clinical decisions. By using DT analysis with a more inclusive set of individual and social network factors, we were able to generate classification trees with promising sensitivity and utility among YEH. Our AUC values are equal to or exceed those observed in most suicide-related studies using DT or similar classification analyses. Notably, we showed that norms operating in the environments of YEH deserve more attention in the context of suicide prevention programming. Therefore, the overarching message is that targeting specific subgroups for intervention may be a promising way to augment traditional individual-level strategies.",
      "authors": "Eric Rice; Anthony Fulginiti; Avi Segal; Jennifer Wilson",
      "author_ids": "111415; 112190; 120160; 117145",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3367463125,
        "prompt_eval_count": 1542,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:22:12.478622+00:00"
    },
    {
      "input_index": 1184,
      "record_key": "SSWR:2020-P-0015",
      "source_database": "SSWR",
      "record_id": "2020-P-0015",
      "year": 2020,
      "title": "Suicides and Deaths of Undetermined Intent By Poisoning: Reexamination of Classification Differences By Race/Ethnicity and State",
      "abstract": "Background and Purpose : US suicide rates have continuously increased over the past two decades; however, reported suicide rates are considered underestimates due to misclassification of intent/manner of death. A significant proportion of poisoning deaths of undetermined intent (UnD) have been considered misclassified suicides. With increasing drug overdose deaths, UnD cases may also have been misclassified unintentional overdose deaths. This study examined racial/ethnic differences in UnD versus suicide classification of poisoning deaths and the potential impact of state variations on UnD rates for Black and Hispanic decedents. Methods : Data were from the 2005-2015 National Violent Death Reporting System that links data from death certificates and coroner/medical examiner and law enforcement reports from 25 participating states. We used χ2 tests to compare 16,208 poisoning UnD decedents and 13,384 poisoning suicide decedents aged 14+ who did not leave a suicide note. We fit logistic regression models to examine associations of the odds of being classified as UnD versus suicide with race/ethnicity (Black vs. White in the first model; Hispanic vs. White in the second model), state (five highest UnD states vs. others), and interaction effects between race/ethnicity and state. We applied weighted coarsened exact matching (CEM; Blackwell, Iacus, King, & Porro, 2010) to establish equivalent racial/ethnic groups of decedents using all 12 precipitating/risk factors (i.e., so that these 12 factors are distributed as would be expected under random assignment). Results : Overall, Blacks and Hispanics were slightly more likely than Whites to be classified as UnD than suicide when other demographic factors and toxicology results were also controlled. The odds of UnD classification was 7-10 times higher in the five highest UnD states (KY, MD, MI, UT, and RI) than in other states. Blacks had 2.71 (95% CI=2.07-3.56) higher odds of UnD classification in these five states, but had lower odds in other states. Hispanics were also more likely than Whites to be classified as UnDs than suicides without a note, but their rates did not vary by state. In addition to race/ethnicity, opiate and cocaine positive toxicologies were significant factors for UnD classification. Conclusions and Implications : Coupled with their high rates of substance abuse problems, the high proportions of opioid and cocaine positive toxicologies among UnD cases suggest the possibility of unintentional overdose among these decedents. The extremely high UnD rates in the five highest UnD states likely reflect their consistently higher opioid misuse problems compared to other states. Implications of the findings are: (1) the high occurrence of UnD deaths by poisoning among Blacks underscores the need for affordable, accessible substance abuse treatment and targeted overdose prevention programs in minority communities; (2) efforts to curb the opioid epidemic and related deaths should emphasize nonpharmacological pain treatment for people who suffer from chronic pain; and (3) more comparative research on suicide, UnD, and unintentional overdose deaths and standardizing manner-of-death determination processes for poisoning deaths across states may lead to improving prevention approaches nationally.",
      "authors": "Namkee G. Choi; Diana M. DiNitto",
      "author_ids": "108057; 109441",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3396129000,
        "prompt_eval_count": 1618,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:22:15.876538+00:00"
    },
    {
      "input_index": 1185,
      "record_key": "SSWR:2020-U-0503",
      "source_database": "SSWR",
      "record_id": "2020-U-0503",
      "year": 2020,
      "title": "Testing the Effects of Insufficient Sleep on Suicidal Ideation Among Adolescents: Findings from the 2017 Youth Risk Behavior Surveillance System",
      "abstract": "Background and objective : Suicide is the second leading cause of death among adolescents aged 10 to 24 years in the US. Prevalence estimates shows that in 2017, about 17% of adolescents in the US seriously considered attempting suicide, 13.6% made a specific suicide plan, and 7.4% attempted suicide (Kann et al., 2018). Suicidal ideation is one of the most commonly studied factors that has been shown to have significant influence on suicide attempt and future death from suicide (Baiden & Fuller‐Thomson, 2016; Prinstein et al., 2008). Understanding potentially modifiable risk factors for suicidal ideation is therefore important in reducing future death from suicide among adolescents. Available research also shows that although sleep is vital to the physical and mental health well-being of children and adolescents, many adolescents are not getting the recommended 8 hours of sleep (Gruber et al., 2014; Owens & Adolescent Sleep Working Group, 2014; Wheaton, Jones, Cooper, & Croft, 2018). The objective of this study was to examine the effects of insufficient sleep on suicidal ideation among adolescents among adolescents aged 14-18 years. Methods : Data for this study came from the 2017 Youth Risk Behavior Surveillance System. A sample of 13,659 adolescents aged 14-18 years (51.8% female) were analyzed. The outcome variable investigated in this study was suicidal ideation and the main explanatory variable was insufficient sleep. Data analytic strategies included the use of descriptive, bivariate, and multivariate techniques. For the main analysis, we regressed suicidal ideation on insufficient sleep using binary logistic regression while controlling for the effects of demographic and other risk factors for suicidal ideation. Results : Of the 13,659 adolescents, 2,409 representing 17.6% experienced suicidal ideation during the past 12 months and three out of four adolescents (75.2%) had insufficient sleep on an average school night. Controlling for all other predictors, odds were 1.35 times higher for adolescents who had insufficient sleep on an average school night to report experiencing suicidal ideation relative to their counterparts who had sufficient sleep on an average school night ( AOR =1.35, 95% CI=1.16-1.58). Other significant predictors of suicidal ideation include female gender, sexual minority, history of traditional bullying and cyberbullying victimization, feeling sad or hopeless, being slightly or very overweight, and substance use. Physical activity had a protective effect on suicidal ideation such that adolescents who were physically active had an 11% decrease in the odds of experiencing suicidal ideation when compared to their physically inactive counterparts ( AOR =0.89, 95% CI=0.79-0.99). Conclusion : The findings of this study underscore the importance of routinely assessing for sleep problems among adolescents at risk for suicide. Interventions such as sleep hygiene, cognitive behavior therapy for insomnia, and behavioral counselling all of which aim to increase homeostatic sleep drive and normal circadian rhythms are known to be effective in treating children and adolescents with sleep problems. School counsellors, clinicians, and social work practitioners should consider sleep as an important intervention in suicide prevention.",
      "authors": "Savarra Tadeo; Phillip Baiden; Betty Tonui; Jaylon Seastrunk; Godfred O. Boateng",
      "author_ids": "119499; 113715; 117483; 120062; 120063",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3539933750,
        "prompt_eval_count": 1657,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:22:19.418435+00:00"
    },
    {
      "input_index": 1186,
      "record_key": "SSWR:2020-P-0409",
      "source_database": "SSWR",
      "record_id": "2020-P-0409",
      "year": 2020,
      "title": "The Association of Body Image Discrepancy with Suicidal Ideation in Sexual Minority and Gender Nonconforming Youth",
      "abstract": "Background and Purpose: Sexual minority and gender nonconforming adolescents are at an increased risk of attempting suicide in high school (Grossman & D'Augeli, 2007; Russel, 2003). Additionally, this community is more likely to have negative body image perception (e.g., body dissatisfaction, weight control, and gender dissociation) compared to their heterosexual peers (Hadland et al., 2014; McGuire et al., 2016). The purpose of this study is to examine if negative body image is associated with increased suicidal ideation in sexual minority and gender nonconforming youth in high school by examining data collected from the Youth Risk Behavior Surveillance System (YRBSS). Methods: A secondary analysis of the YRBSS data set explored the variables of suicidal ideation, body image, gender nonconformity, and sexual identity. A nationally representative sample of over 100,000 high school students across 12 states were asked about gender nonconformity, an optional question in the YRBS (2013-2017). Bivariate analyses were utilized to explore the intersectionality of these variables, followed by multiple regressions. Results: Eighty-two percent of the sample identified as heterosexual (n=84,442), 3.2% identified as gay or lesbian, 8.1% as bisexual, and 6.4% as not sure. Eighty-two percent of the females selected that other people would identify them as very feminine, mostly feminine or somewhat feminine (n=43,543), 13.7% as equally feminine and masculine, and 4.4% as somewhat masculine, mostly masculine, and very masculine. Among males, 77.7% selected that others would identify them as very masculine, mostly masculine, or somewhat masculine (n=38,703), 9.7% as equally feminine and masculine, and 12.4% as somewhat feminine, mostly feminine, and very feminine. Fifty-six percent of the sample reported that they did not have incongruent perceptions of body image (n=40,580) and 43.7% reported a weight discrepancy. Approximately 19.2% of these students have considered suicide (n=5,941) and 16.2% made a suicide plan. A chi-square analysis revealed a significant association between sexual identity and GNC (Females: X 2 (18)=2547.04, p<0.001; Males: X 2 (18)=2705.34, p<0.001, eta=0.24). Students with a weight discrepancy are overrepresented by GNC individuals (Females: X 2 (6)=35.24, p<0.001; Males: X 2 (6)=106.39, p<0.001). Although the significant relationship is weaker, those students with a weight discrepancy are overrepresented by those who have considered suicide (X 2 (1)=44.42, p<0.001, eta=5%) and by those who have made a suicide plan (X 2 (1)=25.37, p<0.001, eta=4%). Conclusions and Implications: The primary implication of this paper is the recommendation that the question regarding gender nonconformity should move from a recommended question to a required question in all future YRBS studies. The question about gender nonconformity among high school students revealed a strong association with suicidal ideation and must be researched in future studies. Body image must also be explored more thoroughly in future research. The conceptualization of body image, due to the limited questions in the survey, provided a starting point for exploring the significance of this intersection of identities among SMGNC high school students. These findings are also important for the development of suicide prevention programs specifically designed for unique challenges that sexual minority and gender nonconforming youth experience related to body image.",
      "authors": "Kris Hohn; Devin Tilley",
      "author_ids": "117692; 119890",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3887923708,
        "prompt_eval_count": 1807,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:22:23.307739+00:00"
    },
    {
      "input_index": 1187,
      "record_key": "SSWR:2020-P-0177",
      "source_database": "SSWR",
      "record_id": "2020-P-0177",
      "year": 2020,
      "title": "The Effects of Victimization, Suicidality, and Race on Marijuana and Alcohol Use Among Sexual Minority Youth",
      "abstract": "Background and Purpose: Sexual minority youth (SMY) are at greater risk for suicide attempts and alcohol and marijuana use when compared with heterosexual youth. Victimization is associated with suicidality and alcohol and marijuana use among SMY, and some SMY use substances to cope with distressing feelings associated with suicidality. The additive stress of experiencing marginalization associated with two minority statuses may elevate risk for suicidality and alcohol and marijuana use among SMY of color. Despite knowledge on the bivariate associations among suicidality, victimization, and alcohol and marijuana use for SMY and youth of color separately, limited research has examined these variables among SMY of color together. Therefore, the purpose of this study is to examine the effects of suicidality, victimization, and race/ethnicity on alcohol and marijuana use and to test race/ethnicity and victimization as moderators of the relationship between suicidality and alcohol and marijuana use. Methods: Data were drawn from the 2015 and 2017 waves of the Youth Risk Behavior Survey (YRBS). Participants included 2,340 SMY who identified as non-Latinx Black, Latinx, or non-Latinx White. Dependent variables included: past 30 day use of 1) marijuana and 2) alcohol. Independent variables included: race (non-Latinx Black, Latinx, or non-Latinx white); experience of victimization; and suicidality (ideation, plan, and attempt). Age and sex were included as control variables and logistic regressions tested current alcohol and marijuana use. Two additional logistic regressions were estimated with race/ethnicity and victimization as moderators. Survey weights were applied for analyses. Results: The main effects model indicated that having experienced victimization (OR=1.38, p <0.05, 95% CI: 1.00-1.91), greater age (OR=1.30, p <0.001, 95% CI: 1.16-1.44), and having attempted suicide (OR=1.65, p<.05, 95% CI: 1.03-2.67) each predicted greater odds of alcohol use. Having a suicide plan (OR=0.58, p<.05, 95% CI: .38-.88) predicted lower odds of alcohol use. Greater age (OR=1.26, p <0.001, 95% CI: 1.13-1.41), female gender (OR=1.61, p <0.01, 95% CI: 1.15-2.26), and a prior suicide attempt (OR=1.97, p <0.01, 95% CI: 1.26-3.06) predicted greater odds of marijuana use. Results from the moderator models showed that Latinx SMY who experienced victimization and reported suicide ideation had significantly higher odds of using marijuana (OR=8.57, p <0.05, 95% CI: 1.66-44.17) and alcohol (OR=11.49, p <0.01, 95% CI: 2.11-62.72) when compared to white SMY who experienced victimization and reported suicide ideation. For marijuana use, but not alcohol use, the same pattern was found when comparing Latinx SMY to Black SMY. However, none of these relationships were significantly different between Black and white SMY. Conclusions and Implications : In this study, Latinx SMY who experienced victimization and suicide ideation were more likely to use marijuana and alcohol than whites. Additionally, for the entire sample, having attempted suicide was associated with increased use of alcohol and marijuana. Future research should explore if suicidal SMY of color are using as a way to cope with negative mood in the context of their marginalization. Overall, findings support the need to investigate the effects of victimization and suicidality on mental health, including risk for alcohol and marijuana use, among SMY of color.",
      "authors": "Robert A. Rosales; Christina M. Sellers; Christina Lee; Bryan Santos; Kimberly H. McManama O'Brien; Suzanne M. Colby",
      "author_ids": "115191; 116177; 117118; 119480; 110756; 119481",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3941943000,
        "prompt_eval_count": 1829,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:22:27.251556+00:00"
    },
    {
      "input_index": 1191,
      "record_key": "SSWR:2020-U-0679",
      "source_database": "SSWR",
      "record_id": "2020-U-0679",
      "year": 2020,
      "title": "The Relationship between Cognition and Suicidal Ideation Among Individuals with Psychosis",
      "abstract": "Background and Purpose: Suicide is among the leading causes of death for individuals with schizophrenia.  A growing number of studies on suicide highlight the relationships between impaired neurocognitive abilities and suicidal outcomes (ideation and attempt) with findings often reporting poor cognitive functioning to be a protective factor against suicide.  Another important factor to consider is the role of insight in suicidal outcomes with research showing impaired insight may also function as a protective factor.  While more is known about these relationships within chronic illness, less is known within the context of a sample of individuals in earlier phases of illness.  This study aimed to examine the relationships between insight/judgment, negative symptoms, cognitive functioning, and suicidal ideation among a first-episode sample of participants in two age groupings: 20 years or younger versus 21 years or older. Methods: Data were obtained from the Recovery After an Initial Schizophrenia Episode project of National Institute of Mental Health’s Early Treatment Program. Participants included 404 adults between ages 15 and 40 with schizophrenia or other psychotic disorders based upon the DSM-IV. Negative symptoms and lack of insight/judgment were measured at baseline using the Positive and Negative Syndrome Scale (PANSS), and suicidal ideation by the Calgary Depression Rating Scale (CDRS) across the full study period.  Cognitive functioning was measured by the Brief Assessment of Cognition in Schizophrenia (BACS) at baseline.  Data were analyzed using logistic regressions in SPSS25. Results: Participants reported an average age of 24 and most often identified as male (73%), White (54%), and non-Hispanic/Latino (82%). One-hundred twelve participants (28%) resided in the 20 years of age or younger category and 254 (72%) in the 21 years of age or older category.  No significant relationships were found in Model 1 (among participants 20 years of age or younger), however several relationships were found in Model 2 (among participants 21 years or older).  Greater negative symptoms at baseline related to increased likelihood of experiencing suicidal ideation during the study time period holding all other variables constant( b = .081, SE= .030, OR= 1.08, p < .01).  Greater working memory and lack of insight/judgment at baseline related to decreased likelihood of experiencing suicidal ideation during the study time period holding all other variables constant ( b = -.100, SE= .042, OR= .905, p < .05 and b = -.469, SE= .149, OR= .625, p < .01, respectively). Conclusions and Implications: The likelihood of experiencing suicidal ideation was significantly increased when working memory was stronger, insight/judgment was more impaired, and greater negative symptoms were present among participants who were 21 years or older in age.   These findings have important clinical implications for identifying characteristics that place an individual early in the course of schizophrenia at risk for suicidal ideation. More research is needed to further understandthe relationships between insight, cognition, suicidal ideation, and ageacross different phases of the condition and how this information can be utilized in social work practice to reduce the risk of suicide among individuals with schizophrenia.",
      "authors": "Lindsay A. Bornheimer; Jessica A. Wojtalik; Juliann Li; Derin Cobia; Matthew James Smith",
      "author_ids": "114170; 114128; 119584; 120330; 108112",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3348803458,
        "prompt_eval_count": 1618,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:22:40.748636+00:00"
    },
    {
      "input_index": 1193,
      "record_key": "SSWR:2020-P-0160",
      "source_database": "SSWR",
      "record_id": "2020-P-0160",
      "year": 2020,
      "title": "Trajectories of Nonsuicidal Self-Injury Among Adolescent Inpatients Who Drink Alcohol: Examining the 90 Days Leading up to Psychiatric Hospitalization",
      "abstract": "Background: Suicidal and nonsuicidal self-injurious thoughts and behaviors are persistent public health problems affecting adolescents across the United States. The period of adolescence is marked by higher prevalence rates, with as many as 40% of clinical adolescents reporting nonsuicidal self-injury (NSSI). The association between nonsuicidal and suicidal behavior is complex. Both NSSI and suicide planning (SP) predict suicide attempts (SA), however less is known over shorter time periods leading up to high-risk periods such as psychiatric hospitalization. In addition, although NSSI may confer risk for suicidal thoughts and behaviors, other research indicates that NSSI may also help individuals cope with suicidal thoughts. Understanding the trajectories of nonsuicidal and suicidal behavior among high-risk populations is necessary in order to identify potential intervention points. The purpose of this study, therefore, is trifold: (1) to understand the trajectories of NSSI and SP in the 90 days prior to inpatient hospitalization among adolescents; (2) to understand the role of NSSI and SP in predicting SA, and (3) to test NSSI as a moderator between SP and SA. Methods: The sample (N=48) comprised 81% females, 71% heterosexual youth, mean age was 15.8 ( SD = 0.95) recruited from an inpatient psychiatric unit in the northeastern US. The racial and ethnic composition was 67% White and 77% Non-Hispanic/Latino. Past 90-day SA, SP, and NSSI were measured using the Timeline Follow Back Calendar (TLFB). The TLFB collects information using a calendar format with temporal cues to assist in recall of days when suicidal and nonsuicidal thoughts and behaviors were present. Full maximum likelihood was used for all analyses. Population-average fixed effects are reported. Results: First, the odds of SP increased across the 90 days leading up to hospitalization (b=3.40, OR=30.03, 95% CI [15.84, 56.95]). The odds of NSSI remained stable across the 90 days leading up to hospitalization (b=2.14, OR=8.48, 95% CI [3.71, 19.38]). In addition, there was a significant association between the two trajectories ( r =.264, p <.01), indicating that increasing odds of SP leading up to hospitalization was associated with increasing odds of NSSI during that same period. Second, both SP (b=3.40, OR=29.96, p <.001) and NSSI (b=2.13, OR=8.41, p <.001) predicted elevated odds of SA, when the predictor occurred on days in which the other did not occur. Third, there was a significant interaction between SP and NSSI in predicting SA such that when both occurred together on the same day, the odds of SA were weakened (b=-2.77, OR=0.06, p =< .001). Conclusions: Results indicate that on days when youth engaged in either NSSI or SP their odds of attempting increased on that same day. However, on days when youth engaged in both NSSI and suicide planning, their odds of attempting weakened. Based on our findings, it is possible that NSSI serves as a mechanism for youth to regulate their emotions on days when they are at potentially higher risk of attempting suicide (given their suicide planning). Future research should continue to explore the complex associations between NSSI and suicide attempts.",
      "authors": "Christina M. Sellers; Andrew Porter; Addie Wyman Battalen; Catherine Glenn; Kimberly H. McManama O'Brien",
      "author_ids": "116177; 119432; 116178; 119433; 110756",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3671665708,
        "prompt_eval_count": 1713,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:22:47.711400+00:00"
    },
    {
      "input_index": 1194,
      "record_key": "SSWR:2020-P-0730",
      "source_database": "SSWR",
      "record_id": "2020-P-0730",
      "year": 2020,
      "title": "Water and Sanitation: Key Factors Associated with Women's Physical and Mental Health in Informal Settlements in Nairobi, Kenya",
      "abstract": "Background and purpose: In lower- and middle-income countries (LMICs) nearly half of the population has suffered from diseases associated with poor sanitation and/or water-related diseases. Myriad studies have linked poor water and sanitation (W&S) to communicable diseases like diarrhea and typhoid, but only recently have studies begun to link lack of adequate W&S to gender-specific health consequences for women. Without private and hygienic toilets, for example, women may suffer from vaginal and/or urinary tract infections (UTIs) and hemorrhoids associated with defecating in the open; using unclean, shared toilets; and/or retaining their urine/feces to avoid frequent calls of nature. Furthermore, women, particularly those living in informal settlements, risk exposure to violence/harassment when having to go outside their home to find a place to urinate/defecate and, consequently, suffer higher levels of psychosocial stress. Despite new studies suggesting a link between inadequate W&S and mental and physical health consequences for women, there is very little research focused on this issue. The purpose of this study is to help reduce the gap by exploring this link in informal settlements in Nairobi, Kenya. Method: Data were collected as part of a 2018 study focused on women’s physical and mental health outcomes in Mathare Valley Informal Settlement in Nairobi, Kenya. A sample of 552 female residents were randomly selected to participate. Linear and logistic regressions were used to explore associations between women’s access to W&S and a number of physical and mental health outcomes, including a Kiswahili version of the Short Form Health Survey (SF-36), the Kessler Scale of Psychological Distress (K10), the Patient Health Questionnaire Depression Scale (PHQ-9), suicidal ideation/attempts, and several gender-specific conditions linked to inadequate WASH. Socio-demographic characteristics were also included as covariates. Results: Using a toilet, as opposed to bags/buckets/open defecation, was associated with higher mental health, social functioning, and general health scores, and lower psycho-social distress. Using a toilet was also associated with lower odds of recent yeast infections. Relying on a public tap/well, compared to a private tap, was associated with energy, mental health, and social functioning scores and lower psycho-social stress. Relying on an outside tap/well was associated with higher energy and mental health scores. Finally, relying on vendors/tankers/burst pipes was significantly associated with lower general health scores and higher odds of experiencing major depressive disorder and yeast infections. Conclusion and Implications: Goal 3, to ‘ensure healthy lives and promote well-being for all at all ages,’ of the Sustainability Development Goals highlights the need for better research and interventions that recognize the different health outcomes and needs of women and their associated risk and protective factors in all contexts. Particular attention needs to be paid to these issues in informal settlements where the population is expected to double in the next 30 years. Findings from this study seem to point to a critical link between women’s access to W&S and their physical and mental health in informal settlements in Kenya—a link that should not be ignored when proposing future social- and health-related theories and interventions in these settlements.",
      "authors": "Samantha Winter; Lena Obara",
      "author_ids": "119851; 119852",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3399589708,
        "prompt_eval_count": 1600,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:22:51.112818+00:00"
    },
    {
      "input_index": 1195,
      "record_key": "SSWR:2020-U-0434",
      "source_database": "SSWR",
      "record_id": "2020-U-0434",
      "year": 2020,
      "title": "Weight (Mis)Perception Profiles and Suicidal Behaviors Among US Adolescents: Differences across Race/Ethnicity and Gender in a Nationally Representative Sample",
      "abstract": "Background/Purpose Suicide is the second leading cause of death among adolescents aged 10-24. Previous studies have examined the effect of actual and perceived weight status on adolescent suicidal behaviors, however, few investigated the influence of weight (mis)perception profiles, which characterizes the discrepancy between actual and perceived weight, on suicidal behaviors, presumably through social stigma of weight. Although prior research has documented gender differences—higher risks of suicide among females perceiving themselves as overweight than males, whether such differential associations also exist across age and racial/ethnicity are unknown. Understanding the prevalence and impact of weight (mis)perception is important to underline weight stigma prevalent among adolescents. It also addresses promising next steps for developing suicide prevention strategies integrating health education on weight status. Using a nationally representative sample of US adolescents, this study aims to a) identify the weight (mis)perception profiles, b) examine the associations between weight (mis)perception profiles and suicidal behaviors, c) investigate whether associations between weight (mis)perception profiles and suicidal behaviors vary across demographic characteristics (i.e., gender, race/ethnicity, age). Methods Data and samples: Data were derived from the 2017 Youth Risk Behavior Survey (YRBS), a school-based survey administered to a nationally representative sample of students in grades 9 through 12 ( n = 14,638). Measures: Weight (mis)perception profiles were constructed by actual weight (obesity, overweight, normal, underweight; classified using body mass index) and perceived weight (very underweight, slightly underweight, about the right weight, slightly overweight, very overweight; self-evaluated). Suicidal behaviors were self-reported suicidal ideation, plan, attempts, and injury. Covariates included demographics, depression, and health behavior indicators (e.g., eating breakfast, exercise). Analysis: Hierarchical multivariable logistic regression adjusting for complex survey design was used to examine the associations between weight (mis)perception profiles and suicidal behaviors. Interaction terms of weight (mis)perception profiles and demographic characteristics were included to explore the potential moderating roles of age, gender, and race/ethnicity. Results Approximately 42.7% adolescents had weight (mis)perception, 29.7% students over-perceived (actual<perceived) and 13.0% under-perceived (actual>perceived) weight. Black and Hispanic students were more likely to over-perceive weight, while Asian, girls, and adolescents aged 12-14 were more likely to under-perceive their weight than their counterparts ( p < 0.05). Bivariate analyses revealed that both over- and under-perceptions of weight status were associated with higher suicidal behaviors. After adjusting for covariates, only under-perceived weight was significantly associated with greater adjusted odds of suicidal ideation (OR=1.37, 95%CI=[1.11-1.70), suicide plan (OR=1.62 [1.28-2.06]), suicide attempt (OR=1.43 [1.01-2.02]), and injury by attempt (OR=1.59 [1.05-2.41]). Significant moderating effects of gender and race/ethnicity were found. Male, Asian, and Hispanic adolescents under-perceiving their weight showed stronger risks of suicidal thoughts, plan, and injuries. Conclusions and Implications More than two-fifths of adolescents misperceived their body weight statuses. Weight (mis)perception, especially under-perception, was associated with higher risks of suicidal behaviors. Significant moderating effects of gender and race/ethnicity addresses higher risks of male, Asian, and Hispanic adolescents who had under-perception of actual weight. Assessing weight (mis)perception may facilitate detecting at-risk youth. Tailored suicide interventions for different gender and racial/ethnic groups addressing body weight perception could effectively reduce suicidal behaviors.",
      "authors": "Yunyu Xiao",
      "author_ids": "117116",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3725089709,
        "prompt_eval_count": 1766,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:22:54.840363+00:00"
    },
    {
      "input_index": 1197,
      "record_key": "SSWR:2020-O-0023",
      "source_database": "SSWR",
      "record_id": "2020-O-0023",
      "year": 2020,
      "title": "Youth Suicide Prevention and Intervention in Primary Care Settings: An Exploration of Integrated Behavioral Health Stakeholder Perspectives",
      "abstract": "Background: Preventing suicide is an immense public health challenge. Suicide is currently the 2 nd leading cause of death in youth ages 10-24 (CDC, 2016). Research shows that nearly 90% of suicidal youths are seen in primary care during the 12 months preceding a suicide attempt (McCarty et al., 2011). Primary care providers who detect the presence of suicidality in patients typically refer them directly to the Emergency Department (ED), often resulting in extensive wait times followed by inpatient admission (Plemmons et al., 2018). While behavioral health integration within primary care settings presents an opportunity to expand access to evidence-based preventive mental health treatment for suicidal adolescents, possibly avoiding ED visits altogether, little is known about primary care providers’ perspectives on suicide risk or their experiences of working with suicidal patients and their families. This study explores multidisciplinary perspectives, experiences, and practices related to working with suicidal adolescents and families in the primary care setting. Methods: Data are drawn from the first phase of a multiyear study designed to adapt and test the Family-Based Crisis Intervention for Suicidal Adolescents, a brief ED-based intervention for suicidal adolescents and their families, for use in Primary Care (FBCI-PC). In Phase 1, the investigative team conducted qualitative interviews with N=25 integrated behavioral health (IBH) stakeholders (primary care physicians, nurses, and social workers), all of whom are primary care providers, from four geographically unique primary care practices located across the state of Massachusetts to explore their experiences of working with suicidal patients in primary care settings, current practice protocols and processes related to suicide screening and assessment and intervention in the primary care setting). All interviews were audiorecorded and transcribed verbatim.  Data were analyzed using thematic analysis (Braun & Clarke, 2006), utilizing conceptually clustered matrices for comparative analyses (Miles, Huberman, & Saldana, 2014). Results: Findings revealed variability in practices related to suicide screening, prevention and intervention across the four primary care settings. These approaches were influenced substantially by the following four domains: a) availability of internal and external resources (e.g., staffing, protected time allocated for crisis management, supervision, proximity to additional supports), b) stage of IBH rollout and quality of relationship with behavioral health team, c) IBH clinician experience and comfort with working with suicidal adolescents and their families, and d) the degree to which practice leadership, which in all cases were primary care physicians without behavioral health specialized training, were knowledgeable about suicide risk assessment and treatment. Implications: This study provides new knowledge about the experiences of primary care physicians, nurses and social workers in integrated behavioral health settings with respect to detecting and treating suicide risk in adolescents. Findings suggest intervention targets for providers (e.g., knowledge of best practice with suicidal youth) and primary care clinics (e.g., detection and referral to behavioral health clinicians) that would promote provider delivery of a primary-care setting based intervention. Such considerations are critical to inform the adaptation of EBP for suicidal adolescents for use in primary care settings.",
      "authors": "Abigail Ross; Mimi Choy-Brown; Christina M. Sellers; Elizabeth A. Wharff",
      "author_ids": "118393; 113861; 116177; 112671",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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        "prompt_eval_count": 1574,
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      "screened_at": "2026-08-02T18:23:01.661228+00:00"
    },
    {
      "input_index": 1198,
      "record_key": "SWRD:66176",
      "source_database": "SWRD",
      "record_id": 66176,
      "year": 2020,
      "title": "\"They Kept Away\": Social Isolation of Cisgender Women Living with HIV in Hyderabad, India",
      "abstract": "Social isolation of cisgender women living with HIV has been recognized as a barrier to early detection of the virus, disclosure of HIV status to partners, and access to healthcare and social work services. The goal of this study is to explore how social isolation and depression affect cisgender women living with HIV in Hyderabad, India. Sixteen cisgender women living with HIV were asked to complete in-depth interviews regarding their experiences with HIV stigma and depression. All interviews were digitally audio-recorded in Hindi or Telugu, then translated, transcribed, and analyzed using thematic content analysis by two to three coders. Three main themes emerged from the qualitative interviews among these cisgender women living with HIV: (1) \"They kept away\": Experiences with social isolation; (2) \"I thought people would think badly about me\": Perceived experiences of discrimination; and (3) \"I will live till I die\": Suicidality, resilience, and gaining hope. Our findings reinforce the need for emphasis on culturally appropriate interventions for depression for cisgender women living with HIV in India, including greater access to mental health resources, greater availability of trained counselors that share the same gender and are native speakers of Hindi or Telugu, and increased family and community support for socially isolated individuals.",
      "authors": "Azhar, Sameena; Gandham, Sabitha; Vaudrey, Jason; Oruganti, Ganesh; Samuel, Revina Suhasini",
      "author_ids": "",
      "journal_or_venue": "Clinical Social Work Journal",
      "doi": "10.1007/s10615-019-00736-w",
      "record_type": "Article",
      "database_method": "Qualitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:23:04.253020+00:00"
    },
    {
      "input_index": 1199,
      "record_key": "SWRD:66106",
      "source_database": "SWRD",
      "record_id": 66106,
      "year": 2020,
      "title": "A Pragmatic Epidemiological Approach to Confronting the Genocidal Death Effect of Homicide and Suicide among Young Black Males in the United States",
      "abstract": "Genocide is a dehumanizing crime that threatens the welfare of any civilized society. Yet, before the annihilation of any targeted human group, the collective outcomes of the genocidal process (e.g., systemic desecrations) and genocidal death effect (e.g., years of mass deaths and death disparities) have often gone undetected, underestimated, or ignored by public health and human rights advocates. From1950-2010, the mass homicide-suicide killings engendering the premature deaths of Black males, ages15-24 years, corroborate that aspects of the genocidal process and genocidal death effect are happening in America. The mass killings of young Black males from these preventable homicide and suicide deaths are ethically alarming, and the determinants of death impacting their premature deaths command immediate primordial prevention and reinforced prevention efforts. An epidemiological genocide prevention matrix is explored as an innovative approach to address, prevent, and research premature deaths resulting from homicide and suicide, and genocidal death effect of young Black males. Undergirded by the Theory of Epidemiologic Transition, this article also examines the mass killings of young Black males through the genocidal and pragmatic lens. Death disparities, determinants of death, and genocidal death effect definitions are operationalized, and the Genocidal Death Effect Conceptual Framework is debuted in this article.",
      "authors": "Jones-Eversley, Sharon D.; James-Townes, Lori; Rice, Johnny, II; Adedoyin, A. Christson",
      "author_ids": "",
      "journal_or_venue": "Social Work in Public Health",
      "doi": "10.1080/19371918.2020.1736705",
      "record_type": "Article",
      "database_method": null,
      "database_is_scientific": true,
      "database_is_empirical": false,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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        "prompt_eval_count": 1225,
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      "screened_at": "2026-08-02T18:23:06.897185+00:00"
    },
    {
      "input_index": 1200,
      "record_key": "SWRD:64782",
      "source_database": "SWRD",
      "record_id": 64782,
      "year": 2020,
      "title": "A Social-Ecological Perspective of Spiritual Resilience and Suicidality among African-American Men",
      "abstract": "Despite their minoritized status research has shown that suicide among African-American men has steadily increased. Research has also discussed generalized protective factors that have been found to mitigate suicide risk. What lacks is a more culturally nuanced definition of spiritual resilience which has been found to protect against suicide for African-American men. Using Socio-Ecological Resiliency Theory (S-ERT), The Theory of Intersectionality (TOI), and Critical Race Theory (CRT) as our theoretical lens, this article draws on the lived experiences of social workers working with suicidal African-American men. It examines the social ecologies of African-American men and seeks to understand how these experiences can help to mitigate suicide risk. Implications are provided for social work research, policy and education programs to ensure that practitioners are well versed in working with this population.",
      "authors": "Reed, Darius D.; Adams, Raymond",
      "author_ids": "",
      "journal_or_venue": "Social Work in Public Health",
      "doi": "10.1080/19371918.2020.1824845",
      "record_type": "Article",
      "database_method": null,
      "database_is_scientific": true,
      "database_is_empirical": false,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:23:09.194812+00:00"
    },
    {
      "input_index": 1202,
      "record_key": "SWRD:66771",
      "source_database": "SWRD",
      "record_id": 66771,
      "year": 2020,
      "title": "Changes in Practice following a Continuing Education Training on Suicide Assessment and Intervention: Training Participants' Perspectives",
      "abstract": "In the United States, suicide rates have risen 30% from 1999 to 2016. To decrease suicide rates, mental health professionals must use best practices to assess, manage, and intervene with clients with suicidal thoughts and behaviors. This qualitative research study (N = 60) interviewed participants of a one-day continuing education training titled Suicide Assessment and Intervention Training for Mental Health Professionals (SAIT) to explore if and how they changed their practice as a result of the training. Most participants (N = 54) described changes in practice. The major themes involved conversations about suicide, responses to client disclosure of suicidal thoughts and behaviors, and relationships with clients.",
      "authors": "Mirick, Rebecca G.; Berkowitz, Lawrence; Bridger, Joanna; Mccauley, James",
      "author_ids": "",
      "journal_or_venue": "Journal of Teaching in Social Work",
      "doi": "10.1080/08841233.2019.1685624",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:23:14.173763+00:00"
    },
    {
      "input_index": 1203,
      "record_key": "SWRD:65996",
      "source_database": "SWRD",
      "record_id": 65996,
      "year": 2020,
      "title": "Concerns about Suicide among Asian Americans: The Need for Outreach?",
      "abstract": "Suicide was the ninth leading cause of death for Asian Americans in 2017. The growth of Asian American populations has led to more discussions about suicide prevention efforts. A 128-item needs assessment survey was administered at cultural events in 10 predominantly immigrant Asian communities. In five years, 1,840 respondents (61 percent response rate) filled out the survey anonymously to express their health and mental health concerns. This study aims to identify factors and help-seeking behaviors associated with having suicidal concerns among Asian Americans in various subgroups. Among the respondents, 1,314 rated the intensity of their concerns about suicide with an average of 0.74 (SD = 1.11) on a four-point rating scale in that 13.7 percent rated their concerns as severe. Taiwanese respondents expressed the highest intensity score (1.09) compared with other ethnic groups (from 0.29 to 1.04). A logistic regression analysis found that each unit of health concerns on a four-point rating scale significantly increases the likelihood of suicide concerns by 46 times among Asian Americans. Consistent with previous studies, immigrants were likely to share mental health problems with friends and physicians. Effective suicide prevention requires mental health awareness programming for the Asian American community.",
      "authors": "Leung, Carol A.",
      "author_ids": "",
      "journal_or_venue": "Social Work",
      "doi": "10.1093/sw/swaa006",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:23:16.743204+00:00"
    },
    {
      "input_index": 1204,
      "record_key": "SWRD:66605",
      "source_database": "SWRD",
      "record_id": 66605,
      "year": 2020,
      "title": "Correlates of mental health service utilization among depressed individuals with suicidality",
      "abstract": "Research identifying factors associated with treatment utilization of individuals at risk for suicide has been inconsistent. This study examines correlates of treatment utilization among depressed patients with and without a lifetime history of suicide attempt. In this retrospective chart review, 37 depressed adults registered to receive treatment at an outpatient clinic agreed to participate. Level of treatment utilization and sociodemographic and clinical characteristics were examined. Only having family support (r = -.324; p = .05) and having a history of physical abuse (r = -.384; p = .019) were associated with utilization. Findings highlight the important role of family and the clinician-client relationship as motivators for treatment utilization.",
      "authors": "Alonzo, Dana; Colon, Marta",
      "author_ids": "",
      "journal_or_venue": "Social Work in Mental Health",
      "doi": "10.1080/15332985.2019.1700583",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:23:19.054327+00:00"
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    {
      "input_index": 1205,
      "record_key": "SWRD:94483",
      "source_database": "SWRD",
      "record_id": 94483,
      "year": 2020,
      "title": "Differences in Prevalence Rates of Hopelessness and Suicidal Ideation Among Adolescents by Gang Membership and Latinx Identity",
      "abstract": "Despite the ongoing challenge of preventing youth gang membership in diverse communities across the United States, and increasing recognition of associations between trauma and gang involvement, the nexus between hopelessness, suicide, and gang membership has largely been ignored. We created two random samples of 1000 participants, with 50% identifying as non-Latinx White, and 50% identifying as Latinx of any race from 91,265 participants of the 2014-2015 California Healthy Kids Survey. Four Chi square tests of independence tested differences in prevalence rates of chronic hopelessness and suicidal ideation for self-identified Latinx and non-Latinx White gang and non-gang member youth. Grounded in a systems responsiveness framework, we predicted that hopelessness and suicidal ideation would be higher for groups that are more marginalized, which was supported by our findings. Specifically, gang membership and ethnicity were both associated with suicide and hopelessness. An unexpected finding, not related to the research questions, was the high prevalence of gender and sexual minority (GSM) youth who identified as gang members. This study represents a unique contribution to the adolescent suicidal ideation literature base, as most studies focus on race or ethnicity and neglect gang membership when identifying disproportionalities in suicidal ideation. Implications for practitioners, researchers, and schools and communities are discussed.",
      "authors": "Whaling, Kelly M.; Sharkey, Jill",
      "author_ids": "",
      "journal_or_venue": "Child & Adolescent Social Work Journal",
      "doi": "10.1007/s10560-019-00644-5",
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T18:23:21.802454+00:00"
    },
    {
      "input_index": 1208,
      "record_key": "SWRD:67667",
      "source_database": "SWRD",
      "record_id": 67667,
      "year": 2020,
      "title": "Enhancing Social Work Education in Mental Health, Addictions, and Suicide Risk Assessment: A Teaching Note",
      "abstract": "Social workers play a critical role in assessing and treating individuals and families with mental health and addiction concerns. Although social workers are key professionals in the mental health workforce, there are gaps in the training and education of mental health, addictions, and suicide, and many students are inadequately prepared for field education. Simulation-based learning is an exemplar method of teaching and assessing practice competencies across several health-care professions including social work. This teaching note describes a simulation-based learning activity in which MSW students build competence in mental health, substance use, and suicide risk assessments with standardized clients. This innovation is integrated in a social work practice in mental health course and was developed in partnership with a community mental health and addiction treatment center. Through this partnership, we developed core competencies, case scenarios, as well as teaching resources and assessment instruments. An advisory committee consisting of MSW students, faculty members, and field instructors evaluated the simulation-based learning innovation and made recommendations for the next iteration. Implications for teaching social work practice in mental health are discussed.",
      "authors": "Kourgiantakis, Toula; Sewell, Karen M.; Lee, Eunjung; Adamson, Keith; McCormick, Megan; Kuehl, Dale; Bogo, Marion",
      "author_ids": "",
      "journal_or_venue": "Journal of Social Work Education",
      "doi": "10.1080/10437797.2019.1656590",
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      "database_is_scientific": true,
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      "screening": {
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        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T18:23:29.230838+00:00"
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    {
      "input_index": 1209,
      "record_key": "SWRD:66517",
      "source_database": "SWRD",
      "record_id": 66517,
      "year": 2020,
      "title": "Evidence Mapping: Interventions for American Indian and Alaska Native Youth Mental Health",
      "abstract": "Background: Suicide is the second leading cause of death for Native youth aged 15-24. Similarly, Native youth have a suicide rate 1.5 times higher than the general population and are at higher risk for depression and substance use. A persistent need remains for culturally specific mental health interventions for American Indian youth. Methods: In response to the push for research-supported interventions, evidence mapping has emerged as systematic, rigorous, and replicable analysis of evidence. The overall goal of this study is to utilize evidence mapping for mental health interventions for American Indian youth. Results: A total of 9 interventions were mapped as research-supported interventions for American Indian mental health. The interventions fell into one or more of four main categories: school-based services, cultural adaptations, culture as treatment, and community involvement. Discussion: Results of this study demonstrate the strength of culturally specific mental health interventions for American Indian youth. Future research should seek to evaluate promising practices for American Indian youth in order to increase available research-supported interventions. Additionally, future endeavors should seek to combine both Indigenous and Western approaches to practice with a particular focus on holistic wellness.",
      "authors": "BlackDeer, Autumn Asher; Wolf, David A. Patterson Silver",
      "author_ids": "",
      "journal_or_venue": "Journal of Evidence-Based Social Work",
      "doi": "10.1080/26408066.2019.1624237",
      "record_type": "journal-article",
      "database_method": "Review",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Review"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T18:23:31.747292+00:00"
    },
    {
      "input_index": 1210,
      "record_key": "SWRD:65776",
      "source_database": "SWRD",
      "record_id": 65776,
      "year": 2020,
      "title": "High prevalence of school truancy in a national sample of in-school adolescents in Kuwait: Internalizing, externalizing and social risk factors",
      "abstract": "Academic achievements in adolescents can be reduced by school truancy. This investigation reports on the prevalence and correlates of school truancy in adolescents in Kuwait. The study participants comprised of 3,637 adolescents (15 years median age) that took part in the nationally representative and cross-sectional \"Global School-based Student Health Survey (GSHS)\" in Kuwait in 2015. Results indicate that 48.5% of the students reported one or more days truancy in the past month (32.5% 1-2 days and 16.7% 3 or more days truancy). In adjusted multinomial logistic regression analysis, female sex, older age, current tobacco use, frequent soft drink consumption, suicide attempt, poor parental and peer support were independently and positively associated with 1-2 days and/or 3 or more days truancy (past month). A very high prevalence of school truancy was discovered in Kuwait and several risk factors identified that can be incorporated in interventions.",
      "authors": "Pengpid, Supa; Peltzer, Karl",
      "author_ids": "",
      "journal_or_venue": "Journal of Human Behavior in the Social Environment",
      "doi": "10.1080/10911359.2020.1736229",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:23:34.161094+00:00"
    },
    {
      "input_index": 1211,
      "record_key": "SWRD:64393",
      "source_database": "SWRD",
      "record_id": 64393,
      "year": 2020,
      "title": "Law Enforcement Officers' Knowledge, Attitudes, Self-Efficacy, and Use of Suicide Intervention Behaviors",
      "abstract": "Objective: Given the high frequency with which law enforcement officers (LEOs) encounter people challenged by mental health issues, including those at risk for suicide, this paper addresses the need to understand officers' use of suicide-prevention strategies in the community and factors that might impact those prevention activities. Method: A nonrandom sample of 476 LEOs completed a series of anonymous online surveys measuring their experiences encountering suicidal individuals in the community, previous suicide intervention training, levels of knowledge and self-efficacy for engaging in intervention activities, attitudes toward suicide intervention, and use of seven LEO-specific community-based intervention activities. Results: LEOs rated their perceived knowledge as positive even though scores for factual knowledge were low. Self-efficacy and attitudes toward prevention were generally positive. Multiple regression analyses indicate statically significant differences between LEOs with previous training on three of the seven intervention activities related to identifying and assessing suicide risk. Conclusions: Results of this study are consistent with similar studies in other nonclinical populations. Suicide intervention training and self-efficacy are the strongest predictors of engagement in suicide intervention activities. Results support a call for systematic suicide training in law enforcement.",
      "authors": "Osteen, Philip J.; Oehme, Karen; Woods, MaKenna; Forsman, R. Lane; Morris, Robert C.; Frey, Jodi",
      "author_ids": "",
      "journal_or_venue": "Journal of the Society for Social Work and Research",
      "doi": "10.1086/712495",
      "record_type": "Article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:23:36.725353+00:00"
    },
    {
      "input_index": 1212,
      "record_key": "SWRD:65841",
      "source_database": "SWRD",
      "record_id": 65841,
      "year": 2020,
      "title": "Oncologists, oncology nurses and oncology social workers experiences with suicide: impact on patient care",
      "abstract": "Objective: To explore how oncology healthcare workers' (HCPs) personal experiences with suicide impacts their practice with cancer patients. Design: The study was designed using Grounded Theory strategies in data collection and analysis. Participants: Eighteen social workers, 23 oncologists, and 20 nurses, participated in the research. Methods: Themes emerged from systematic line-by-line coding of the interview transcripts. Findings: HCPs reported that personal experiences with suicide: impacted the way they communicated with patients about suicide; made them vigilant about signs of suicidality; and made them aware of specific indicators of this distress. Conclusions: HCPs drew a direct line between their experiences with suicide to the ways in which they care for their patients. Implications: Increasing HCP awareness of these issues alongside training using evidence-based guidelines for identifying and responding to suicide risk in patients will ensure providing the best quality of care for patients.",
      "authors": "Granek, Leeat; Nakash, Ora; Shapira, Shahar; Ariad, Samuel; Ben-David, Merav A.",
      "author_ids": "",
      "journal_or_venue": "Journal of Psychosocial Oncology",
      "doi": "10.1080/07347332.2020.1755763",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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        "eval_count": 24
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      "screened_at": "2026-08-02T18:23:39.073458+00:00"
    },
    {
      "input_index": 1213,
      "record_key": "SWRD:68200",
      "source_database": "SWRD",
      "record_id": 68200,
      "year": 2020,
      "title": "Parental Suicidal Ideation and Child Depressive Symptoms: The Roles of Optimism and Gratitude",
      "abstract": "This study aimed to compare the influence of paternal and maternal suicidal ideation on child depressive symptoms and examine the moderating effects of children's positive psychological traits: optimism and gratitude. A cross-sectional survey with 302 children and parents from five primary schools in Hong Kong were recruited. Results indicated that maternal suicidal ideation was significantly related to child depressive symptoms while paternal suicidal ideation was not. Moreover, the moderating effects of child optimism and gratitude were shown in the link between paternal suicidal ideation and children depressive symptoms. In contrast, the influencing power of maternal suicidal ideation of maternal suicidal ideation seems too strong to be attenuated by child optimism and gratitude. Findings of this study implicate the importance of prevention and intervention to suicidal parents and their offspring. Besides, positive psychology programs to enhance child optimism and gratitude might promote child resilience in the face of parental suicidal ideation. Future research is suggested to include other risk factors and protective factors that might be involved in the complex pathway from parental suicidal ideation to their children's depression, and to collect data from multiple informants of a longitudinal representative sample.",
      "authors": "Kwok, Sylvia Y. C. L.; Gu, Minmin",
      "author_ids": "",
      "journal_or_venue": "Journal of Social Service Research",
      "doi": "10.1080/01488376.2019.1612819",
      "record_type": "journal-article",
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      "database_is_scientific": true,
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      "screening_basis": "title_and_abstract",
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T18:23:41.650632+00:00"
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    {
      "input_index": 1214,
      "record_key": "SWRD:65039",
      "source_database": "SWRD",
      "record_id": 65039,
      "year": 2020,
      "title": "Prevalence of Suicidal Ideation in Multiple Sclerosis Patients: Meta-Analysis of International Studies",
      "abstract": "The aim of this study is to estimate the worldwide prevalence of suicidal ideation in multiple sclerosis patients. Two researchers selected words such as \"epidemiology\" or \"prevalence\" or \"incidence\" and \"suicidal ideation in multiple sclerosis\" and searched them as relevant keywords in international databases such as PubMed, Web of Science CINAHL, Embase, Psyc INFO, and Scopus. A point prevalence with 95% confidence interval was estimated. The variances of each study were calculated using the binomial distribution formula. Heterogeneity among the studies was tested by a Q-Cochran test with a significance level less than 0.1. Index of changes attributed to heterogeneity (I-2) was assessed. From among the 170 total articles found from 2011 to February 2019, we pooled and analyzed the data of eight final eligible studies, based on the inclusion criteria. The prevalence of suicidal ideation in multiple sclerosis patients was estimated as 13% (CI 95% = 0.09-0.17). A subgroup analysis was conducted based on the type of countries; it revealed that prevalence is higher in developed countries (15%; CI 95% = 0.1-0.2). Pooled worldwide prevalence of suicidal ideation in the MS population was calculated at 13% by random effect. It is recommended that training, counseling, and psychological support be used to help these patients.",
      "authors": "Kouchaki, Ebrahim; Namdari, Mahshid; Khajeali, Nasrin; Etesam, Farnaz; Asgarian, Fatemeh Sadat",
      "author_ids": "",
      "journal_or_venue": "Social Work in Public Health",
      "doi": "10.1080/19371918.2020.1810839",
      "record_type": "Article",
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      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
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        "evidence_class": "Empirical",
        "empirical_method": "Review"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T18:23:44.321415+00:00"
    },
    {
      "input_index": 1215,
      "record_key": "SWRD:110665",
      "source_database": "SWRD",
      "record_id": 110665,
      "year": 2020,
      "title": "Relational Aggression-Beyond Bullying: What Every Educator, Parent, and Social Worker Needs to Know",
      "abstract": "Between 1993 and 2012, the suicide rates for African American children between the ages of five and eleven doubled whereas rates for Caucasian children in the same age group declined. Although suicide rates were higher among males, a significant increase in female suicides is causing alarm. The growing number of suicides among African American female children warrants a deeper investigation into the state of African American female fragility and the reasons why a small but growing subgroup of children views suicide as their only option for escape. The extant literature points to bullying as the underlying reason for the increase in suicide rates among African American female children. However, research has also suggested that the reasons for this increase in suicide may be better explained by relational aggression and a lack of understanding of cultural differences within this subgroup. Results of the study will provide valuable insights for social workers, educators, and parents, as well as knowledge upon which future training can be based to ensure that social workers who work with African American females in therapeutic and school settings are culturally competent. The results reinforce the necessity of educating social workers about the difference between relational aggression and bullying and how to respond appropriately when African American females exhibit maladaptive behaviors.",
      "authors": "Singletary, Gilbert; Singletary, Gilbert; Devault, Annie; Johnson, Latoshia; Johnson, Latoshia; Larson, Grant",
      "author_ids": "",
      "journal_or_venue": "School Social Work Journal",
      "doi": null,
      "record_type": "Journal Article",
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      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T18:23:46.807638+00:00"
    },
    {
      "input_index": 1216,
      "record_key": "SWRD:65407",
      "source_database": "SWRD",
      "record_id": 65407,
      "year": 2020,
      "title": "Relationship between interpersonal violence victimization and suicide risk in Indian college students: Does prior exposure to interpersonal violence also matter?",
      "abstract": "We examined interpersonal violence victimization and prior interpersonal violence exposure as predictors of suicide risk, namely, suicide ideation and suicide attempt, in a sample of 207 Indian college students. Results of regression analyses indicated that interpersonal violence victimization, but not prior interpersonal violence exposure, was a unique predictor of suicide risk, independent of age and sex. Finally, we found support for a significant Interpersonal Violence Victimization x Past Interpersonal Violence Exposure interaction effect consistent with the notion that the association between interpersonal violence victimization and suicide risk is potentiated by the presence of prior interpersonal violence exposure among Indian students.",
      "authors": "Chang, Edward C.; Kamble, Shanmukh, V; Li, Mingqi; Zhou, Zihao; Yang, Jeff Z.; Duan, Tianbi; Batterbee, Casey N-H; Chang, Olivia D.",
      "author_ids": "",
      "journal_or_venue": "International Social Work",
      "doi": "10.1177/0020872818796144",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T18:23:49.218778+00:00"
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    {
      "input_index": 1217,
      "record_key": "SWRD:120244",
      "source_database": "SWRD",
      "record_id": 120244,
      "year": 2020,
      "title": "Review of <em>Elder Suicide: Durkheim’s Vision</em> by Stephen M. Marson",
      "abstract": "Review of Elder Suicide: Durkheim’s Vision by. Stephen M. Marson, NASW Press (2019),",
      "authors": "Liechty, Daniel; Liechty, Daniel",
      "author_ids": "",
      "journal_or_venue": "The Journal of Sociology & Social Welfare",
      "doi": "oai:scholarworks.wmich.edu:jssw-4419",
      "record_type": "fetch_failed",
      "database_method": null,
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      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:23:51.302086+00:00"
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    {
      "input_index": 1218,
      "record_key": "SWRD:65436",
      "source_database": "SWRD",
      "record_id": 65436,
      "year": 2020,
      "title": "Roads less taken: Pathways to care before near-lethal suicide attempts",
      "abstract": "This study identifies the cultural values affecting near-lethal suicide attempters' help-seeking behaviours. Six Chinese survivors of intentional near-lethal self-poisoning were interviewed and their medical records examined. Interviewees with strong suicidal intentions had less demand for healthcare services and were resistant to care. Non-contact with services was associated with perceived service irrelevance, unhelpfulness and personal need to maintain self-reliance and dignity. Service providers should be trained to be sensitive to these individual values to allow the delivery of a culturally-appropriate service for this population. Social work empowerment models that focus on users' self-reliance should be adopted in practice for this high-risk group.",
      "authors": "Law, Yik Wa",
      "author_ids": "",
      "journal_or_venue": "International Social Work",
      "doi": "10.1177/0020872818796135",
      "record_type": "journal-article",
      "database_method": "Qualitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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        "total_duration_ns": 2360741958,
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      "screened_at": "2026-08-02T18:23:53.664465+00:00"
    },
    {
      "input_index": 1221,
      "record_key": "SWRD:65391",
      "source_database": "SWRD",
      "record_id": 65391,
      "year": 2020,
      "title": "Social Media and Suicide: A Validation of Terms to Help Identify Suicide-related Social Media Posts",
      "abstract": "Background: Communication plays an important role in the prevention of suicide, a leading cause of death in the United States. Prior research suggests people who die by suicide often communicate their intent to more than one member of their social network. The ubiquity of social media in modern society means an individual's social network may be larger than ever before, which has contributed to a proliferation of colloquial terms and phrases to describe suicide. Aims: The present study collected and validated suicide-related terms from the U.S. English language in 2018-2019. By validating clinical and lay terms with people on the front lines of suicide prevention, the study provides a necessary foundation for lexical analyses of suicide communication on social media. Method: 98 terms related to suicide were collected from online, academic, and other sources. Mental health professionals and members of the electronic mailing list of the American Association of Suicidology were asked to validate terms. Results: The survey validated common terms used to communicate about suicide. Limitations: The lexicon did not capture international phrases. It also did not document less direct language, such as expressions of emotion.",
      "authors": "Parrott, Scott; Britt, Brian C.; Hayes, Jameson L.; Albright, David L.",
      "author_ids": "",
      "journal_or_venue": "Journal of Evidence-Based Social Work",
      "doi": "10.1080/26408066.2020.1788478",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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        "total_duration_ns": 2580079084,
        "prompt_eval_count": 1158,
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      "screened_at": "2026-08-02T18:24:01.311997+00:00"
    },
    {
      "input_index": 1222,
      "record_key": "SWRD:66772",
      "source_database": "SWRD",
      "record_id": 66772,
      "year": 2020,
      "title": "Social Work Instructors' Attitudes, Beliefs, and Practices about Teaching Suicide Content",
      "abstract": "In 2012, the National Strategy for Suicide Prevention recommended more education in suicide prevention for mental health professionals. This study of social work instructors (N = 225) explored attitudes, beliefs, and feelings toward teaching suicide content in practice courses; the content covered; barriers to teaching about suicide; and desired supports. Overall, instructors were confident and perceived themselves as knowledgeable, teaching primarily assessment, crisis intervention, and safety planning. However, some instructors described teaching outdated material (e.g., \"no suicide\" contracts) and some best practices were sparsely covered. Recommendations are presented here, including increasing training opportunities and creating materials and guidelines to support instructors teaching this content.",
      "authors": "Mirick, Rebecca G.",
      "author_ids": "",
      "journal_or_venue": "Journal of Teaching in Social Work",
      "doi": "10.1080/08841233.2020.1813235",
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:24:03.649201+00:00"
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    {
      "input_index": 1223,
      "record_key": "SWRD:66450",
      "source_database": "SWRD",
      "record_id": 66450,
      "year": 2020,
      "title": "Suicidal behaviour in transition-aged youth with out-of-home care experience: Reviewing risk, assessment, and intervention",
      "abstract": "The rates of suicidal behaviours in youth with out-of-home care experience, particularly those who are on the verge of emancipation, appear to be alarmingly high. The purpose of the current study is to highlight the rates of suicidal ideation and behaviour in these youth, illuminating the empirical risk factors that may increase their vulnerability. We offer a review of screening measures and suicide interventions that may hold promise for administrators, practitioners, and researchers who wish to provide comprehensive assessment for transition-aged youth with out-of-home care experiences and effectively treat those who may be at the highest risk.",
      "authors": "Katz, Colleen C.; Busby, Danielle; McCabe, Chelsey",
      "author_ids": "",
      "journal_or_venue": "Child & Family Social Work",
      "doi": "10.1111/cfs.12733",
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        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:24:05.942763+00:00"
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    {
      "input_index": 1224,
      "record_key": "SWRD:63861",
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      "record_id": 63861,
      "year": 2020,
      "title": "Suicidal Ideation among Youths at Risk of School Dropout: Impact of Student Demographics, Stressors, and Academic Self-Concept",
      "abstract": "In the United States, suicidal ideation is an issue for high school-age youths. Research supports that youths who have learning difficulties and who are at risk of high school dropout are at greater risk for suicidal ideation. Although alternative high schools address both student academics and emotional health, they are underused, nonclinical settings for understanding and addressing suicidal ideation. This study aimed to examine the impact of student identity, external stressors, and academic self-concept on suicidal ideation among sexual and ethnic minority and underserved students enrolled in an alternative education public high school. The student sample (N = 103) completed a onetime survey comprised of the Suicidal Ideation Questionnaire-Junior, the Cultural Assessment of Risk of Suicide, the Coddington Life Events Scale for Adolescents, and the Piers Harris 2. Results of hierarchical linear regression indicated that identifying as nonheterosexual and experiencing discrimination were associated with greater student reporting of suicidal ideation. Identifying as Latino and other non-White was associated with lower reporting of suicidal ideation. Controlling for student demographics and external stressors, positive academic self-concept was associated with a lower reporting of suicidal ideation. Findings have future implications for health social work, suicide prevention and intervention, and education policy.",
      "authors": "Szlyk, Hannah S.",
      "author_ids": "",
      "journal_or_venue": "Health & Social Work",
      "doi": "10.1093/hsw/hlaa028",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:24:08.540893+00:00"
    },
    {
      "input_index": 1225,
      "record_key": "SWRD:66014",
      "source_database": "SWRD",
      "record_id": 66014,
      "year": 2020,
      "title": "Suicide Prevention: Clinic, Community, Classroom",
      "abstract": null,
      "authors": "Scheyett, Anna",
      "author_ids": "",
      "journal_or_venue": "Social Work",
      "doi": "10.1093/sw/swaa003",
      "record_type": "journal-article",
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      "database_is_scientific": null,
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      "screening_basis": "title_only",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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        "total_duration_ns": 2095728166,
        "prompt_eval_count": 928,
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      "screened_at": "2026-08-02T18:24:10.638061+00:00"
    },
    {
      "input_index": 1226,
      "record_key": "SWRD:66722",
      "source_database": "SWRD",
      "record_id": 66722,
      "year": 2020,
      "title": "The effect of social capital on non-suicidal self-injury and suicidal behaviors among college students in Greece during the current economic crisis",
      "abstract": "This cross-sectional study examines the effects of social capital on non-suicidal self-injury and self-injurious behaviors among 632 Greek college students during the current economic crisis. This is a quantitative study which uses a set of normed instruments to measure non-suicidal self-injury and suicidal behaviors. After controlling for a set of demographic variables, and negative affective states, social capital was not found to have an effect on non-suicidal self-injury or suicidal behaviors (p > .05). Results suggest that negative affective states such as depression and stress are important factors in the likelihood that students will engage in non-suicidal self-injury and suicidal behaviors. Implications for social work practice and education are discussed.",
      "authors": "Koutra, Kleio; Roy, Ann W.; Kokaliari, Efrosini D.",
      "author_ids": "",
      "journal_or_venue": "International Social Work",
      "doi": "10.1177/0020872818776726",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:24:12.932173+00:00"
    },
    {
      "input_index": 1228,
      "record_key": "SWRD:65588",
      "source_database": "SWRD",
      "record_id": 65588,
      "year": 2020,
      "title": "The mechanism of family adaptability and cohesion in suicidal ideation among Chinese cancer patients",
      "abstract": "Purpose:The purpose of this cross-sectional survey was to investigate how family adaptability and cohesion, coping styles and depression affect suicide ideation in patients with malignant tumors. This study also aimed to examine the potential mechanisms of family adaptability and cohesion in suicidal ideation. Methods:From January 2019 to May 2019, 357 patients with malignant tumors who were admitted to a Chinese general hospital were surveyed. Patient Health Questionnaire-9 and the Chinese version of the Family Adaptability and Cohesion Evaluation Scale II, Medical Coping Modes Questionnaire were used. Student'st-test, chi-square test, Mann-Whitney U test, Spearman's rho correlation, and logistic regression analysis were used. Path analysis was used to examine the relationships among family adaptability and cohesion, coping styles, depression and suicidal ideation. Results:A total of 55 (15.4%) cancer patients reported suicidal ideation in the prior 2 weeks. Logistic regression analysis showed that cancer stage, depression, family cohesion, and avoidance were independently associated with suicidal ideation. Path analysis demonstrated that family adaptability and cohesion indirectly affected suicidal ideation, as mediated by coping styles and depression. Family cohesion also directly affected suicidal ideation among cancer patients. Conclusions:This study suggested that family adaptability, family cohesion and confrontation coping strategies are protective factors against suicidal ideation in cancer patients. Improving the family support system and coping styles may be used to prevent suicide ideation in cancer patients in the future. Implications for Psychosocial Providers or Policy:Enhancing the family adaptability and cohesion of patients will help medical staff improve family support function effectively and eliminate suicidal ideation.",
      "authors": "Zhou, Yi; Hu, Deying; Zhang, Keke; Mao, Jing; Teng, Fen; Yu, Ting; Xu, Ke; Tan, Rong; Ding, Xiaoping; Liu, Yilan",
      "author_ids": "",
      "journal_or_venue": "Journal of Psychosocial Oncology",
      "doi": "10.1080/07347332.2020.1757799",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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      "screened_at": "2026-08-02T18:24:18.035376+00:00"
    },
    {
      "input_index": 1229,
      "record_key": "SWRD:66181",
      "source_database": "SWRD",
      "record_id": 66181,
      "year": 2020,
      "title": "The Role of Social Isolation in the Relationships Between Psychosis and Suicidal Ideation",
      "abstract": "Social isolation relates to worse mental health outcomes, including lower quality of life, depression, and both suicidal ideation and attempt. Among individuals experiencing symptoms of psychosis, suicide is a leading cause of death and data show greater isolation relates to increased negative symptoms as compared to individuals with strong support systems. While isolation has been linked with negative symptoms in the literature, less is known about its relationships with positive symptoms of psychosis (e.g., hallucinations and delusions), particularly within the context of a general population-based sample. This study examined the relationships between hallucinations, delusions, depression, social isolation, and suicidal ideation. Participants were involved in the cross-sectional Collaborative Psychiatric Epidemiology Surveys (CPES) including a large general population-based sample of households in the United States between 2001 and 2003. Participants (n = 12,195) included adults over the age of 18 in the United States, all of whom completed a psychosis assessment. Hopelessness was measured using The Calgary Depression Scale for Schizophrenia (CDSS), hallucinations and delusions by the Positive and Negative Syndrome Scale (PANSS), and social isolation by three PANSS items (keeping to self, feeling awkward in social settings, preferring to be alone), all at baseline. Data were analyzed in Mplus 8 using structural equation modeling. As hallucinations, delusions, and depression independently increased, on average there were associated increases in social isolation and the likelihood of experiencing suicidal ideation. Social isolation also related to greater suicidal ideation and ultimately functioned as a mediator. With suicide being a leading cause of death for individuals experiencing psychosis, the mediating role of social isolation in the relationships between hallucinations, delusions, depression, and suicidal ideation speaks towards the importance of social support and skills training as important treatment targets in practice.",
      "authors": "Bornheimer, Lindsay A.; Li, Juliann; Im, Vitalis; Taylor, Madeline; Himle, Joseph A.",
      "author_ids": "",
      "journal_or_venue": "Clinical Social Work Journal",
      "doi": "10.1007/s10615-019-00735-x",
      "record_type": "Article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:24:20.900618+00:00"
    },
    {
      "input_index": 1230,
      "record_key": "SWRD:64582",
      "source_database": "SWRD",
      "record_id": 64582,
      "year": 2020,
      "title": "Trans Men's Access to Knowledgeable Providers and Their Experiences in Health Care Settings: Differences by Demographics, Mental Health, and Degree of Being \"Out\" to Providers",
      "abstract": "Transgender adults face a health care system rife with stigma, including a lack of culturally responsive providers and high likelihood of discrimination and mistreatment. However, there is a gap in knowledge about trans men-those assigned a female sex at birth who identify as men or as transmasculine-including subgroups, such as trans men of color. Using data from the U.S. Transgender Survey, the largest transgender survey conducted in the United States, this study analyzes whether trans men's access to knowledgeable providers and their experiences of mistreatment in health care were related to demographic and mental health characteristics and degree of being \"out\" to providers. Among 7,950 trans men, respondent race and ethnicity, education level, disability status, psychological distress, suicidality, and being less \"out\" were associated with assessing one's health care provider as not knowledgeable about trans-related care. Mistreatment in health care was more common among Alaska Native/American Indian trans men; those who lived in or near poverty; those who were queer, pansexual, bisexual, or an orientation not listed; those with a disability; those experiencing distress or suicidality; and those who were more \"out.\" This article discusses how findings can inform culturally responsive health care interventions with trans men.",
      "authors": "Seelman, Kristie L.; Kattari, Shanna K.; Harvey, Penny; Bakko, Matthew",
      "author_ids": "",
      "journal_or_venue": "Health & Social Work",
      "doi": "10.1093/hsw/hlaa030",
      "record_type": "Article",
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:24:23.507106+00:00"
    },
    {
      "input_index": 1231,
      "record_key": "SWRD:65999",
      "source_database": "SWRD",
      "record_id": 65999,
      "year": 2020,
      "title": "Trauma and Suicide Risk in College Students: Does Lack of Agency, Lack of Pathways, or Both Add to Further Risk?",
      "abstract": "The present study sought to examine trauma history and hope as predictors of suicide risk in a sample of 561 college students. Furthermore, authors aimed to understand whether the lack of hope agency and hope pathways contributed to further risk for suicide, above and beyond trauma history. Results suggested that trauma history and hope agency were significant and unique predictors of suicide risk among college students. More specifically, hope agency accounted for additional variance in the prediction model of suicide risk, beyond that accounted for by trauma history. Some implications of the present findings for social work practice are discussed.",
      "authors": "Lucas, Abigael G.; Chang, Edward C.; Li, Mingqi; Chang, Olivia D.; Yu, Elizabeth A.; Hirsch, Jameson K.",
      "author_ids": "",
      "journal_or_venue": "Social Work",
      "doi": "10.1093/sw/swaa007",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
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      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T18:24:25.810134+00:00"
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    {
      "input_index": 1232,
      "record_key": "SWRD:66416",
      "source_database": "SWRD",
      "record_id": 66416,
      "year": 2020,
      "title": "Veteran Suicide Risk Factors: A National Sample of Nonveteran and Veteran Men Who Died by Suicide",
      "abstract": "Veteran suicide is a serious public health problem. Some data suggest that veteran suicide risk profiles differ from those of nonveterans. Records for veteran (n = 21,692) and nonveteran (n = 83,430) men who died by suicide were examined from 17 U.S. states using the National Violent Death Reporting System data. Seventeen precipitating factors were examined and combined through meta-analysis of proportions. Many precipitating factors were found to be less frequent for veterans. A smaller number of factors were found to be higher in the veteran population, including physical health problems. A sizable cumulative effect size (1.02) was observed, suggesting that veteran and nonveteran men show meaningful and substantive differences in their risk profiles-differences that should be considered when planning and implementing suicide prevention and intervention efforts. The conspicuous role of physical health problems among veterans who die by suicide is discussed. The article concludes with specific practice recommendations for social workers.",
      "authors": "Wood, David S.; Wood, Bethany M.; Watson, Aislinn; Sheffield, Devan; Hauter, Helena",
      "author_ids": "",
      "journal_or_venue": "Health & Social Work",
      "doi": "10.1093/hsw/hlz037",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T18:24:28.140079+00:00"
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    {
      "input_index": 1233,
      "record_key": "SWRD:66806",
      "source_database": "SWRD",
      "record_id": 66806,
      "year": 2020,
      "title": "Wearing a happy mask: mother's expressions of suicidality with postpartum depression",
      "abstract": "Anywhere between 7% to 63% of mothers will experience postpartum depression (PPD) globally. Currently, the leading cause of maternal death after the birth of a child is suicide; the psychache or intolerable psychological pain that precedes suicide may have been exacerbated by PPD. Despite research quantitatively evaluating risk factors of suicidality for those experiencing PPD, less is known about the lived experiences of mothers who experience thoughts of self-harm in the postpartum period. This study utilized Qualitative Interpretive Meta-Synthesis (QIMS), to investigate the question \"What are the lived experiences of mothers with postpartum depression who experience suicidality?\" The purpose of this study was to synthesize the lived experiences specific to suicidal ideation in the postpartum period to highlight shared experiences to influence future research, PPD screening approaches, and clinical interventions. Results included six themes: 1. I wear a happy mask, 2. Motherhood is not as it seems, 3. Losing control, 4. Sinking ship, 5. Sleep makes it worse, and 6. Sharing stories and chores. A further theoretical reduction resulted in the alignment of the existing Interpersonal Theory of Suicide to postpartum depression-specific suicidality as a part of the results.",
      "authors": "Praetorius, Regina; Maxwell, December; Alam, Komal",
      "author_ids": "",
      "journal_or_venue": "Social Work in Mental Health",
      "doi": "10.1080/15332985.2020.1769003",
      "record_type": "journal-article",
      "database_method": "Review",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Review"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T18:24:30.756854+00:00"
    },
    {
      "input_index": 1234,
      "record_key": "SWRD:100417",
      "source_database": "SWRD",
      "record_id": 100417,
      "year": 2020,
      "title": "When Hope Grows Weary: Treating Hopelessness in Older Adults",
      "abstract": "\r\n\r\n\r\nHopelessness is associated with suicidal ideation and completion, poor physical health, and poor quality of life, and is an important and little-discussed dimension of the experience of older adults. However, hopelessness is not an inevitable part of the aging process. The present paper analyzes the construct of hopelessness specifically in the context of the aging population, discusses measuring and treating hopelessness, and makes recommendations, based on existing models of care, for how targeted services can be created to address this problem.\r\n\r\n\r\n",
      "authors": "Spencer-Laitt; Cross; Daniella; J. C.; Weiss; Amanda",
      "author_ids": "",
      "journal_or_venue": "Columbia Social Work Review",
      "doi": "10.7916/cswr.v18i1.5929",
      "record_type": "fetch_failed",
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        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T18:24:33.002948+00:00"
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    {
      "input_index": 1236,
      "record_key": "SSWR:2021-O-0023",
      "source_database": "SSWR",
      "record_id": "2021-O-0023",
      "year": 2021,
      "title": "\"Life Ain't No Crystal Stair\": Acknowledging the Behavioral Health Risks That Black Women Experience within a National Context",
      "abstract": "Background/Introduction Over the past decade, there has been an increase in awareness as it relates to women’s health, specific to the impact of psychosocial risks (Price & Masho, 2014) as it relates to social determinants of health in communities of color. Previous studies have indicated that ethnic minority women in impoverished communities demonstrate rates of depression as high as 30 to 45 percent (Price, Coles, & Wingold, 2017). Given the challenges of racial and economic oppression that Black Americans experience, the weight of societal pressures can lead to one’s inability to maintain their emotional, mental, and physical health. These barriers are unique to women of color and contribute to stressors and impact psychosocial functioning. The primary aim of this study is to: (1) examine the experiences that Black women are having with psychosocial risks factors (i.e. smoking, substance use, and depression) within a national sample; and (2) identify the social determinants of health that Black women are experiencing in rural and urban communities. Methods This study employed a secondary data analysis using the 2018 National Survey on Drug Use and Health (N=56,313). For this study, only Black women aged 18 and higher were included (n=3052). Bivariate and multivariate comparisons were conducted by examining the associations among individual behavioral health risks experienced by Black women. Ordinal logistic regression was used to examine whether depression, suicidal ideation, cigarette usage, drug & alcohol usage, geographic location, and recipient of Medicaid along with demographic variables predicted self-reported overall health (1=Excellent, 2=Very Good, 3=Good, 4=Fair/Poor) for Black women. Results The collective variables fit the model well (-2LL=4785.97, X 2 =479.82, df=20, p<.000) with both Pearson and Deviance Goodness-of-Fit test being non-significant. Ultimately,the behavioral health risks of cigarette usage, depression, and suicidal ideation significantly impacted overall health. Depression contributed to the model (ordered log odds =.631, SE = .106, Wald=35.617, p<.000). The estimated odds ratio favored a positive relationship (Exp=1.88, 95% CI (.424, .838)) compared to the reference variable no depression. Suicidal ideation contributed to the model (ordered log odds =.360, SE = .149, Wald=5.803, p=.016. The estimated odds ratio favored a positive relationship (Exp=1.43, 95% CI (.067, .653)) compared to the reference variable no suicidal ideation. Thus the model indicates that if one has experienced depression (1.88 greater odds) or suicidal ideation (1.43 greater odds) they are at risk for being in the next worse overall health category. Conclusions Misdiagnosing, underdiagnosing, and failing to capture the nuances of mental health disorders in African American women can have implications for other behavioral health risk factors among this population. These findings demonstrate that not only does context matter, but social determinants of health, such as substance use, community context, and discrimination play an integral role in both physical and mental health outcomes. The study holds potential for not only prevention, but intervention development centered targeting specific social determinants dependent upon specific community context.",
      "authors": "D. Crystal Coles; Nathan H. Perkins; Jason Michael Sawyer",
      "author_ids": "115355; 111985; 116255",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3613532042,
        "prompt_eval_count": 1680,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:24:40.031316+00:00"
    },
    {
      "input_index": 1237,
      "record_key": "SSWR:2021-U-0324",
      "source_database": "SSWR",
      "record_id": "2021-U-0324",
      "year": 2021,
      "title": "\"Oh We Don't Talk about That\": Reports from Frontline Social Workers about Assessing and Intervening to Prevent Gun Violence",
      "abstract": "Background: Despite the fact that gun violence is a major public health concern in the United States, there is little guidance for practicing social workers, although the field is well-positioned to address the issue due to our close relationships with at-risk clients (Lanyi et al., 2019). A small body of prior research suggests that social workers do not frequently assess for risk of gun violence, especially outside of assessments for suicide risk (Logan-Greene et al., 2018). This exploratory study aims to get a detailed picture of how frontline social workers address aspects of gun violence risks in their practices using a combination of focus groups and interviews. The main research questions were: How do social workers discuss gun violence with their clients, if at all? What training have they had, and do they want more in order to address barriers? What do they feel should be the role of social workers in preventing gun violence? Methods: Participants were recruited using regional listservs, social media posts, flyers, advertisements in the state’s NASW newsletter, and word of mouth. Semi-structured interview transcripts were analyzed using an inductive qualitative content analysis approach (Hsieh & Shannon, 2005). Results: A total of 25 practicing social workers (16 in focus groups) participated. Most participants shared that conversations concerning gun violence/safety happened only in the context of suicidality/lethality assessments during mental health crises or around interpersonal violence episodes. Others reported that they never asked about guns, even for high-risk clients. In general, all had no or limited training about gun violence/safety during MSW programs, and they reported scant training post-MSW in a few practice contexts (e.g., lethality assessments). Their desires for more training appeared to center on how to keep themselves safe, understand technical aspects of gun safety/storage, and how to respond if a potentially violent/suicidal client reported access to a gun. Generally, participants voiced support for harm reduction methods to address unsafe gun storage, access, and usage. Several participants shared personal experiences with gun violence in their lives beyond the context of their role as a social worker and expressed concern for their clients’ as well as their own safety in public and private spaces. Conclusions: There is a lack of training about gun violence and gun safety in social work educational and practice settings, and it appears that few practicing social workers routinely ask about guns outside of lethality assessments for clients deemed at-risk of suicide. Participants had little preparation for assessing gun violence risk outside of suicidality. In both MSW programs and the field, social workers would benefit from specific training about basic safe gun storage and usage, which would help them to advise vulnerable clients and their families about limiting access to lethal means for risk of harm to self and others. Enhanced training and focus on harm reduction, as well as increased supervisory guidance, may promote the ability of social workers to have the “uncomfortable” conversations that might mean the difference between life and death for some clients.",
      "authors": "Patricia Logan-Greene; Mickey S. Sperlich; Adair Finucane",
      "author_ids": "111353; 112958; 121081",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3365357541,
        "prompt_eval_count": 1551,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:24:43.397718+00:00"
    },
    {
      "input_index": 1242,
      "record_key": "SSWR:2021-P-0284",
      "source_database": "SSWR",
      "record_id": "2021-P-0284",
      "year": 2021,
      "title": "Adolescent Suicidality in Bangladesh: A Need for Policy, Infrastructure, and Social Change",
      "abstract": "Background/Purpose: The World Health Organization (WHO) identifies suicide prevention as a key public health indicator. Suicide is the third leading cause of death worldwide among persons ages 15-19 and is concentrated in low- and middle-income countries. Because Bangladesh lacks data sources such as a national suicide mortality registry system, empirical information and knowledge regarding suicide and suicidality are limited. This is magnified by stigma surrounding reporting and identifying suicide. Bullying, greater age, sex, anxiety, psychiatric disorders, and poorer access to mental health services have been identified as risk factors for adolescent suicide generally. In Bangladesh specifically, previous estimates of suicide among adults have varied substantially. For adolescents, studies have generally been constrained to investigation of adjacent countries or have suffered from limited sample size or generalizability. Further, prior identification of risk factors for this population has been limited, and research has largely been retrospective, based on completed rather than attempted suicide, or suicidality. To address this knowledge gap, we aimed to: A) assess the incidence of suicidality and suicide attempt among Bangladeshi adolescents, as well as B) identify risk factors associated with these outcomes. Methods: Data and Sample - We utilized data from the 2014 Global School-based Student Health Survey to identify the incidence of suicidality and suicide attempt(s) as well as model related risk and protective factors for (n=2,883) youth in Bangladesh. Measures – Suicide was based on past-year history and was used as both a count and dichotomized, yes/no variable. Suicidality was dichotomous, indicated by past-year history of suicide plan or serious consideration. We also assessed the role of sex, age, experiencing bullying, anxiety, and friendship as predictors. Analysis - We calculated univariate frequency population incidence rate estimates of suicidality and suicide attempt based on sample weighting from the representative survey. Then logistic and negative binomial regressions were used to identify and model associated risk and protective factors. Results: Incidence rates of past-year suicidality (9.3%) and past-year suicide attempt (5.79%) were higher than some neighboring countries and consistent with the elevated rates observed in the United States. Adjusting for sex and age, any subjection to bullying and experiencing anxiety most or all of the time were each associated with 2-5 times greater odds of past-year suicidality and suicide attempt, as well as incidence rate ratio of suicide attempt count. Having at least one friend was a substantial protective factor across all outcomes (58-71% odds reduction). Conclusion and Implications: Our findings provide strong evidence that suicidality and suicide attempt are a widespread health concern among adolescents in Bangladesh. Policy and intervention programming targeting bullying, friendship development, and anxiety are warranted. Findings also show a need for increasing healthcare resources and implementing WHO guidelines on improving broader social conditions which underlie risk factors. Such social change may be critical to fostering mental health and preventing death among youth in Bangladesh.",
      "authors": "Andrew Irish; Nadine Shaanta Murshid",
      "author_ids": "118346; 110817",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3407575959,
        "prompt_eval_count": 1543,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:25:00.385490+00:00"
    },
    {
      "input_index": 1244,
      "record_key": "SSWR:2021-U-0530",
      "source_database": "SSWR",
      "record_id": "2021-U-0530",
      "year": 2021,
      "title": "Applying Minority Stress Theory to the Study of Mental Health Disparities Among Sexual and Gender Minority Youth in Foster Care: A Systematic Review of the Evidence",
      "abstract": "Background: Extant research demonstrates mental health disparities for sexual and gender minority youth (SGMY) compared to non. SGMY have been found to be over four times more likely than non-SGMY to experience suicidal ideation, even when controlling for demographic and risk factors . Researchers working to understand this striking discrepancy have turned to Minority Stress Theory, which has been widely applied to SGM adults. This theory suggests that three minority stress processes play a role in increasing SGM adults’ rates of psychological symptoms: general stressors, distal stressors (i.e. interpersonal victimization), and proximal stressors (i.e. internalization of negative societal views). Importantly, to date, no systematic review of minority stress theory applied to foster care-involved SGMY has been conducted. Method: We searched PubMed, the Cochrane Database of Systematic Reviews and Academic Search Complete for studies published from January 1, 2000 through January 30, 2020 in English. Search terms were related to minority stress theory; adolescent/young adult sexual and gender minority psychological comorbidities (i.e. mood disorders, PTSD, suicidality, self-harm); foster-care specific stressors; and resiliency constructs for this population (e.g. SGM-community belonging, familial supports). Systematic review results were synthesized and used to support an explanatory theoretical model of disproportionate psychological comorbidities among SGMY in foster care. Results : Results corroborate the applicability of minority stress theory for SGMY in foster care. Following minority stress theory framework, general stressors are operationalized as foster-care specific stressors such as high placement instability, or placement in a restrictive care setting (e.g. congregate home) because of the youths’ SGM-status. Distal stress processes include rejection from biological parents, foster parents, and caseworkers, as well as SGM-based victimization and discrimination experiences within child welfare. Proximal stress processes include internalized homo-/bi-/trans-phobia, gender dysphoria, and expected future rejection. Empirically-derived protective factors include SGM-community belonging; self-affirming strategies; affirming mental health practitioners; and affirming biological and chosen familial support systems. Conclusion/Implications: The present systematic literature review supports the utility of minority stress theory to conceptualize disproportionate psychological comorbidities (anxiety, depression, suicidality and self-harm) among SGMY with foster care histories, and the value of community belonging and connection in the lives of these youths. Future research should empirically test these relationships and consider the relevance of minority stress theory for SGMY subgroups. Specifically, future investigation of system-related stressors, as well as protective factors for direct service, practice, and policy is critical and time sensitive, given the over-representation of SGMY in foster care. Further conceptualization of intersectionality for SGMY of color, and transgender youth in particular will allow vital interventions tailored to their needs.",
      "authors": "Dana Prince; Meagan Ray-Novak; Emily Peterson; Braveheart Gillani",
      "author_ids": "111800; 121406; 121407; 121408",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "review",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Review"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3349988625,
        "prompt_eval_count": 1549,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:25:07.674597+00:00"
    },
    {
      "input_index": 1245,
      "record_key": "SSWR:2021-U-0520",
      "source_database": "SSWR",
      "record_id": "2021-U-0520",
      "year": 2021,
      "title": "Associated Factors with the Trajectory of Local Elderly Suicide Rate",
      "abstract": "Background/Purpose: The elderly mortality rates associated with suicide in South Korea is the highest among the members of the OECD. With the population of the elderly increasing rapidly, suicides among the elderly is an important public health concern that poses challenges for prevention strategies. However, there have been very few studies in South Korea that have explored trend of elderly suicide rate and examined factors related to elderly suicide rate at the regional level. Thus, this study aims to estimate the trajectory of elderly suicide rates in 229 local governments and to examine the associated factors with the trajectory. Methods: We used the data generated from various related data sets including the causes of death statistics by Statistical Office and administrative data from 229 local governments over 2012 to 2018. Data were analyzed with latent growth curve modeling: (i) To estimate the trajectory of elderly suicide rates, we constructed an unconditional model. (ii) To examined factors related associated with the trajectory of local elderly suicide rate, we examined a conditional model after adding economic factors(i.e., the recipient rates of national basic livelihood security benefit among the elderly aged 65 and over and the recipient rates of old age pension), social factors(i.e., crude divorce rate and number of senior leisure welfare facilities per 1,000 elderly), and mental health infrastructure factors(i.e., number of psychiatrists per 100,000 people and number of community mental health centers per 100,000 people). Results: Major findings are as follows. First, the results of unconditional model revealed that the trajectory of local elderly suicide rates rapidly decreased at the beginning of the 7-year research period and then slowly decreased during the later part of the research period. Second, the results of conditional model showed that several economic, social, and mental health infrastructure factors were significantly associated with the trajectory of local elderly suicide rate. Specifically, [i] higher the recipient rates of national basic livelihood security benefit among the elderly aged 65 (β =-.204, p<.05) and higher the number of psychiatrists per 100,000 people ( β =-.168, p<.01) were associated with lower initial local elderly suicide rate. Also, this trend remained unchanged over time ( β =.040, p>.05; β =.052 p>.05, respectively). [ii] Regions with higher the recipient rates of old age pension were lower in initial suicide rate ( β =-.387, p<.001) and experienced a lesser reduction in suicide rate over time ( β =.138, p<.001). [iii] Higher crude divorce rate ( β =.263, p<.001), higher number of senior leisure welfare facilities per 1,000 elderly ( β =.293, p<.05), and higher number of community mental health centers per 100,000 people ( β =.205, p<.001) were associated with higher initial local elderly suicide rate and with greater decline in local elderly rate over time ( β =-.078, p<.05; β =-.172 p<.05; β =-.077 p<.05, respectively). Conclusion/Implications: This research contributes to the accumulation of knowledge in the study of elderly suicide by identifying the trend of elderly suicide rate over time and related factors. Based on these results, we suggest that practitioners and researchers should take into account the economic, social, and mental health infrastructure factors that affect elderly suicide problem.",
      "authors": "Changsook Lee; Sang Kyoung Kahng",
      "author_ids": "119510; 108104",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3635024208,
        "prompt_eval_count": 1681,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:25:11.312165+00:00"
    },
    {
      "input_index": 1246,
      "record_key": "SSWR:2021-U-0347",
      "source_database": "SSWR",
      "record_id": "2021-U-0347",
      "year": 2021,
      "title": "Association of Vision Impairment with Suicide Ideations, Plans, and Attempts Among Adults in the United Staates",
      "abstract": "Purpose: Suicide and vision impairment (VI) become growing public health problems. According to the three-step theory of suicide, intolerable physical pain of VI and inescapable psychological pain become a major cause of suicide. Previous studies on this topic have limitations including use of small non-probability sampling and failure to control for covariates relating to suicide thinking and behaviors. To address these research gaps, this study aims to investigate the relative strength of association for VI on suicidal ideations, plans, and attempts among adults in the US. Methods: Study sample was composed of 128,740 adults 18 years and older, drawn from the 2015-2017 National Survey on Drug Use and Health (NSDUH). Respondents were asked if they had serious thoughts, plans, and attempts about suicide in the past 12 months. VI was assessed by asking if the respondents were blind or had serious difficulty seeing. Covariates include demographics (age, gender, race, education, income, employment, marital status, and insurance), health status, seeking mental health treatment, health behaviors of drinking and smoking, religious service attendance, and diagnosis of major depressive episodes (MDE). Multivariate logistic regression analyses were used to examine the association between VI and suicidal ideation among older adults after adjusting for a comprehensive list of control variables. Complex survey data analysis procedures were employed. Results: Approximately, 3.9% of adults reported experiencing VI. Among adults with VI, 12.7% reported MDE. While a small proportion of those without VI reported suicidal thoughts (4.0%), plans (1.1%), and attempts (1.0%), a relatively high proportion of adults with VI had seriously thought about suicide (9.1%), suicide plans (3.0%), and attempted suicide (2.0%) in the past year. Adults with VI were more likely to experience suicidal ideation, plans, and attempts, compared to their counterparts without VI ( OR =1.87, OR =1.65; OR =1.80, respectively). Protective factors of suicidal thoughts, plans, and attempts involved younger age, having insurance, being in good health, and attending religious services. Not being married, heavy smoking, diagnosis of MDE, and seeking mental health treatment in the past year were risk factors. Of the covariates, MDE was the strongest predictor of suicidal ideation, plans, and attempts ( OR =6.95, OR=7.11, OR= 4.06 respectively). Conclusions: With findings demonstrating strong association between VI and suicide, this study suggested the importance of screening suicidal ideation, plans, and attempts among adults with VI as well as the need for developing mental health services targeted for adults with VI. Whereas the Three-Step Theory argued two distinct processes of suicidal thoughts and the progression to attempts and plans, findings identified common factors related to suicide among adults with VI. In this study the directionality between mental health treatment and suicide and between suicidal ideation and behaviors (plans and attempts) cannot be determined because NSDUH did not recall the temporal order. Considering tremendous social burden of suicide, more research is needed to identify risk and protective factors associated with suicidal ideation and behaviors for vulnerable populations.",
      "authors": "Othelia Lee; Jung Hyun Park",
      "author_ids": "114398; 115472",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3366250792,
        "prompt_eval_count": 1606,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:25:14.680191+00:00"
    },
    {
      "input_index": 1247,
      "record_key": "SSWR:2021-U-0567",
      "source_database": "SSWR",
      "record_id": "2021-U-0567",
      "year": 2021,
      "title": "Associations between Intimate Partner and Family Violence, Mental Health Status and Suicidal Ideation Among Syrian Refugee Women in Jordan",
      "abstract": "Background and purpose: Since 2011, an unprecedented number of Syrian refugees have been displaced. Stress and vulnerability created by displacement exacerbate violence against women and contribute to adverse mental health outcomes. This analysis seeks to examine the relationship between experiencing multiple forms of violence from intimate partners and family members, mental health status and suicidal ideation among Syrian refugee women in Jordan. Methods: Syrian refugee women (n=507) were recruited into the Women ASPIRE study using time and venue-based random sampling from non-governmental health clinics in four cities in Jordan in 2018. Eligibility criteria included: being a female Syrian refugee, living in non-camp settings, and being >=18 years. Study participants answered a wide range of survey topics, including experiences of IPV and family violence (Conflict Tactics Scale) over the past year, mental health screeners for depression (CES-D), anxiety (GAD-7), post-traumatic stress disorder (PTSD; PCL-5), and suicidal ideation in the past 6 months. Using cross-sectional data, we examined a dose-response relationship between experiencing multiple forms of physical (range: 0-6) and sexual (range: 0-2) violence from intimate partners (IPV) and family members in the past year, and current mental health status and suicidal ideation. Multivariable logistic regression models were adjusted for age, literacy, food insecurity, and number of children in the household. Results: On average, women were 33.6 years of age (SD: 11), nearly half were fully literate (46%), the majority experienced food insecurity (73%), and, on average, had 3.4 (SD: 2.1) children residing within the household. Approximately one-third (34%) experienced at least one form of IPV, and 7.4% experienced at least one form of family violence in the past year. Nearly two-thirds (63%), 89%, and 52% met the criteria for depression, anxiety and PTSD, respectively; and 9% expressed suicidal ideation within the 6 months prior. Every additional form of physical IPV was associated with a 44% increase [aOR: 1.44; (95% CI: 1.21, 1.71)] in the odds of depression. Similarly, each additional form of physical IPV was associated with a greater odds of anxiety [aOR: 2.61; (95% CI: 1.35, 5.04)], PTSD [aOR: 1.74; (95% CI: 1.46, 2.09)] and suicidal ideation [aOR: 1.40; (95% CI: 1.18, 1.66)]. Experiencing multiple forms of physical family violence was associated with increased odds of depression [aOR: 2.85; (95% CI: 1.12, 7.25)], PTSD [aOR: 1.93; (95% CI: 1.03, 3.61)] and suicidal ideation [aOR: 2.01; (95% CI: 1.23, 3.29)]. Similarly, sexual IPV was associated with nearly a 9-fold increase in PTSD [aOR: 8.86; (95% CI: 1.57, 49.87);] and sexual family violence was associated with a 3.5 fold increase in suicidal ideation [aOR: 3.48; (95% CI: 1.04, 11.58)]. Conclusions and implications: Findings highlight high rates of IPV and adverse mental health outcomes in this population. Findings also suggest a dose-response between violence and mental health status, that is especially pronounced among those experiencing physical IPV and family violence. Violence prevention programs for Syrian refugee women should also consider screening for and addressing mental health.",
      "authors": "Trena Mukherjee; El-Bassel Nabila; Neeraj Kaushal; Melissa Meinhart; Mohamad Adam Brooks; Jennifer Hartmann; Ajita Singh; Maysa' Khadra; Anindita Dasgupta",
      "author_ids": "119944; 109697; 110239; 117807; 121482; 119943; 121483; 119946; 119945",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3888369917,
        "prompt_eval_count": 1791,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:25:18.570290+00:00"
    },
    {
      "input_index": 1248,
      "record_key": "SSWR:2021-U-0441",
      "source_database": "SSWR",
      "record_id": "2021-U-0441",
      "year": 2021,
      "title": "Associations between Multiple Types of IPV and Adverse Mental Health Outcomes Among IPV Survivors",
      "abstract": "Background and Purpose : A substantial amount of research has demonstrated that women who experience intimate partner violence (IPV) are disproportionately more likely to report adverse mental health outcomes including depression, PTSD, and suicidality – neuropsychiatric disorders that lead to disability and death. However, limited studies have incorporated multiple, robust measures of violence that reflect the true range of IPV exposures that women chronically experience such as harassment, technology-facilitated abuse, and reproductive coercion, as well as emotional, physical, and sexual abuse. This is critical as a more comprehensive understanding of the relationship between IPV exposures and their relative effects on mental health could aid in improved intervention development that reduces the current burden of mental health. As such, this paper seeks to examine the association between multiple types of IPV and adverse mental health outcomes among a sample of survivors. Methods: We used data from a web-based survey administered between 2016-2018 to 377 women seeking services to address IPV in a U.S. Southwest state. The survey included several measures to document IPV including physical abuse (CAS-Physical Abuse Sub-scale); harassment (CAS-Harassment Sub-scale); severe abuse (CAS-Severe Combined Abuse Sub-scale); psychological abuse (WEB); reproductive coercion; and technology-facilitated i) harassment, ii) monitoring, and iii) coercive threats. Mental health measures included depression (CES-D), PTSD (PTSD Checklist-PCL), and history of suicidal threats or attempts. Following descriptive and bivariate analyses, a series of multivariate regression models with multiple imputation were conducted to investigate the net association between each IPV type and each mental health outcome, controlling for socio-demographics, relationship characteristics, and self-rated health. Results: The sample identified as primarily White (39%), unemployed (69%), never married (57%), and having endured the abusive relationship for over 6 years (39%). Sixty-two percent of the participants met the DSM-IV criteria for PTSD, 76% met the clinical criteria for depression, and 32% reported a prior suicidal attempt or threat. Adjusted multivariate analyses indicated significant and varying associations between IPV type and mental health outcomes. Specifically, significant associations were observed between reproductive coercion (β=7.28, p <.001), technology-facilitated harassment (β=9.01, p <.05), technology-facilitated coercive threats (β=6.24, p<.05), and psychological abuse (β=5.40, p<.015) and symptoms of depression, adjusting for all other IPV types and control variables. Findings also indicated significant net associations between reproductive coercion (β=8.09, p <.001), technology-facilitated harassment (β=7.37, p <.05), and psychological abuse (β=8.03, p <.001) and increased PTSD symptomology. Finally, our third model showed that psychological abuse ( OR =3.45, p <.01) increased the likelihood of reporting a prior suicidal attempt or threat, adjusting for all other variables. Conclusions and Implications: Findings suggest a need for additional research to examine the relative effects of a broader range of IPV exposures than are typically measured, on mental health outcomes. Research to understand the mechanisms that underlie the varied associations observed in this study may also serve to strengthen existing dually focused IPV and mental health service development and response. Practice implications include the need for expanded training, screening, and capacity-building of providers to identify and address co-occurring IPV and adverse mental health, especially in relationship to technology-facilitated abuse and reproductive coercion.",
      "authors": "Tina Jiwatram-Negron; Shih-Ying Cheng; Megan Lindsay Brown; Andrea Kappas; Karin E. Wachter; Jill T. Messing",
      "author_ids": "114175; 115937; 118876; 118877; 113037; 111870",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3657762916,
        "prompt_eval_count": 1695,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:25:22.229814+00:00"
    },
    {
      "input_index": 1259,
      "record_key": "SSWR:2021-U-0302",
      "source_database": "SSWR",
      "record_id": "2021-U-0302",
      "year": 2021,
      "title": "Development of Britepath: A Suite of Digital Tools for Suicide Prevention within Pediatric Primary Care Settings",
      "abstract": "Background: Efforts within primary care settings to prevent adolescent suicide, the second leading cause of death among youth, is a critical public health concern of high relevance to social workers. Clinical social workers predominate behavioral health services embedded within primary care and frequently manage youth who are depressed and at suicidal risk. As many as 14% of adolescents in primary care report they are suicidal, and the majority of suicide decedents have their last clinical contact in primary care. The use of digital tools to augment clinical practice within pediatric primary care is promising, given the high rate of smartphone use among adolescents (95%). BritePath is a suite of digital tools developed as part of a NIMH-funded ALACRITY Center to support management of suicidal risk within pediatric primary care settings through the use of novel digital tools. BritePath includes three components: (1) Brite, a safety planning and emotion regulation smartphone app for adolescents; (2) Guide2Brite, a guide for clinicians to help adolescents load the content of their digital safety plans and personalize emotion regulation techniques to their Brite app; and (3) BriteBoard, an online portal for clinicians to track adolescents’ app use, distress ratings, and treatment progress. This study aimed to gather stakeholder perspectives from adolescents, parents, and clinicians within pediatric primary care settings to inform the design and development of BritePath. Methods: Qualitative interviews were conducted with adolescents (n=9) who were treated for depression and/or suicidality and their parents (n=10). Focus groups were conducted with pediatric primary care providers and embedded behavioral health staff (n=17). Data collection focused on stakeholders’ perspectives toward the acceptance of BritePath to support clinical management of suicidal risk within primary care settings. Additionally, paper-based prototypes of the digital products were reviewed with stakeholders to explore the acceptability of the function and usability of BritePath components. Interviews and focus groups were recorded, transcribed, and analyzed using thematic analysis. Features of functionality and usability were identified by stakeholders to guide the design and development of BritePath. Results: Overall, adolescents, parents, and clinicians reported acceptance of BritePath components for use within pediatric primary care settings. Stakeholders appreciated the youth-friendly design of the Brite app and the capacity for adolescents to have constant access to their safety plan and coping skills. However, parents requested additional information on how to support their child in using the skills present on the Brite app. Additionally, clinicians reported a need for technical assistance to assure competence with the intervention and in management of potential liability associated with having constant access to app ratings of distress. Conclusions and Implications : BritePath shows promise in supporting management of suicidal risk in pediatric primary care, a critical topic for social work practice, by augmenting current interventions with novel digital tools. Consideration of adolescents’, parents’, and clinicians’ preferences toward the usability and function of the suite of tools is essential to its acceptability.",
      "authors": "Candice Biernesser; Brandie George-Milford; Megan Hamm; David Brent; Stephanie Stepp; Carrie Fascetti; Stacey Engster",
      "author_ids": "121038; 121039; 120943; 111763; 121040; 121041; 121042",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3315533541,
        "prompt_eval_count": 1530,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:25:58.670573+00:00"
    },
    {
      "input_index": 1260,
      "record_key": "SSWR:2021-U-0656",
      "source_database": "SSWR",
      "record_id": "2021-U-0656",
      "year": 2021,
      "title": "Dynamic Impact of Parental Closeness on Suicidal Trajectories: The Moderating Role of Future Orientation",
      "abstract": "Background/Purpose Suicide is the second leading cause of death for people aged 10-34. Previous studies showed that greater parental closeness reduced adolescent suicidal behaviors. Few examined whether changes in parental closeness (i.e., parental closeness trajectories) affect changing patterns of suicidal behaviors over time (i.e., suicidal trajectories). Less is known about protective factors, future orientation (FO) in particular, of suicidal trajectories. This study aims to determine: 1) if parental closeness trajectories predict longitudinal trajectories of suicidal ideation (SI) and suicide attempts (SA) among adolescents transitioning to adulthood; 2) whether FO moderates the associations; and, 3) whether there are racial/ethnic differences in the moderating effect of FO. Methods Data and samples : Data were derived from the National Longitudinal Study of Adolescent to Adult Health conducted from 1994 to 2008 (Wave I-IV). Study sample included 9,421 high school students in grades 9–12 (53.2% female, Mage= 14.99±1.61). Measures : At each wave, self-reported SI, SA, closeness to mother and father were assessed. FO was measured by 6 items depicting one’s beliefs of future events and hopefulness. Sociodemographic characteristics were captured by race/ethnicity, sex, sexual orientation, age, socioeconomic status. Depression assessed by CES-D was controlled. Analysis : Latent class growth analyses were conducted to examine the trajectories of SI and SA. Latent growth curve modeling was employed to characterize the growth trajectories of mother-child and father-child closeness. Path analyses were used to test associations between trajectories of parental closeness and suicidal behaviors, and the moderating effect of FO. Three-way interactions were introduced to explore racial/ethnic differences. Results Three suicidal ideation trajectories and two suicide attempt trajectories were identified. SI Trajectory 1 showed consistently low SI risk, Trajectory 2 showed high risk of SI in early adolescence, which gradually decreased, and Trajectory 3 had a moderate risk of SI initially, followed by an increased SI. SA Trajectory 1 reported low suicide attempts, whereas Trajectory 2 showed moderate risk in early adolescence, which decreased over time. Maternal and paternal closeness trajectories showed decreasing trends over time. Individuals with low perceived parental closeness during early adolescence continued to experience low parental closeness over time, and that group was more likely to be in SI Trajectory 3 and SA Trajectory 2. FO moderated the association between paternal closeness trajectories and the probability of being in SI Trajectory 3. The moderating effect of FO was only significant in reducing the likelihood of being in SA Trajectory 2 for Black and Hispanic populations with a steeper decline in maternal closeness. Conclusion/Implications Closer relationships with parents are protective against higher risks of SI and SA over time. Individuals with high levels of FO were less likely to report severe SI and SA overtime when paternal closeness decreased. FO can be an especially valuable source of protecting racial/ethnic minorities from SA when maternal closeness is low and decreasing over time. Findings highlight the dynamic relationships among parental closeness, suicidal trajectories, and FO. For public health professionals and policymakers, network-based interventions improving parent-adolescent closeness may be effective in preventing SI and SA across the lifespan.",
      "authors": "Yunyu Xiao; Michael A. Lindsey",
      "author_ids": "117116; 109175",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3371840708,
        "prompt_eval_count": 1621,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:26:02.045008+00:00"
    },
    {
      "input_index": 1261,
      "record_key": "SSWR:2021-U-0748",
      "source_database": "SSWR",
      "record_id": "2021-U-0748",
      "year": 2021,
      "title": "Effects of Widowhood on Older Adult Suicidal Ideation and Life Satisfaction in South Korea: An Analysis from 2017 National Survey of Older Adults",
      "abstract": "Background and Purpose : Social welfare policies targeting the elderly population have been spotlighted in South Korea after becoming an Aged society. Coping with the loss of partners in the later stage of life, however, is merely recognized in Korea. Limited researches have found that spousal loss of older adults causes a high level of depressive symptoms, suicide rate, and negative impacts on life satisfaction in Korea. Therefore this paper helps to fill the gap of existing researches by exploring the general characteristics of widowed elders, indicating differences of factors for elderly suicide ideation regarding widowhood experience, and examining the association of life satisfaction and suicide ideation of the widowed elders in Korea. This paper hypothesizes that difference exists between elderly suicide ideation and life satisfaction of the widowed and not-widowed elders, and significant correlation exists for suicidal ideation, life satisfaction, and widowhood. Ultimately, the purpose of this paper is to explore the effects of spousal loss experience on elders' life satisfaction and suicidal ideation to fully understand and support the well-being of older adults in Korea. Methods : Data and Samples : The data of the 2017 National Survey of Older Koreans were used to analyze the effects of widowhood experience on community-dwelling older adults' (mean age 73.8±6.5, 57.3 percent female) life satisfaction and suicidal ideation. This study used the data of 9,754 respondents, excluding 498 respondents: 226 proxy respondents; 56 single; 1 responded as other in marital status; 244 diagnosed with Dementia or Alzheimer; 106 diagnosed with Parkinson's disease; 15 with severe cognitive impairments. Measures : To determine the effects of widowhood on suicidal ideation, 1 item for suicidal thought answered 'yes' was analyzed, and 5 items on the Likert Scale for life satisfaction answered 'satisfied' and 'very satisfied' were re-coded and analyzed for data analysis. Additionally, the association between suicidal ideation and life satisfaction was measured by correlation matrix and binomial logistic regression analysis. Results : Data analysis reveals that 6.4 percent of the total respondents answered to have suicidal ideation after the age of 60. Among them, 7.7 percent of the widowed elders responded to have suicidal ideation, which is 1.8 percent-point higher than not-widowed elders(p<.001). Furthermore, after adjusting covariates, widowed older adults demonstrated to have a higher risk of suicidal ideation(odds ratio [OR] 1.27, 95% confidence interval [CI], 1.04-1.56), and lower life satisfaction (OR 0.70, CI 0.60-0.82) than not-widowed older adults. The results portray a significant difference in the characteristics of the subjects and reasons for suicidal ideation between the widowed and not-widowed. Conclusion and Implications : This research provides insights for improvements by finding the significance of the influence of spousal loss on older adults' life satisfaction and suicide ideation, and the correlation between the two variables of the widowed elders. This study provides further susceptible researches sophisticated information about the widowed elders in South Korea. Furthermore, it is expected to build logical evidence and to form a stepping stone for social programs and policies regarding elderly bereavement in South Korea.",
      "authors": "Subin Park; Seoyoon Jane Lee; Jae Sung Choi",
      "author_ids": "121787; 121397; 121788",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3458495208,
        "prompt_eval_count": 1658,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:26:05.504600+00:00"
    },
    {
      "input_index": 1265,
      "record_key": "SSWR:2021-U-0662",
      "source_database": "SSWR",
      "record_id": "2021-U-0662",
      "year": 2021,
      "title": "Examining the Health and Mental Health Disparities between Sexual Minority Youth and Heterosexual Youth in the United States",
      "abstract": "Background/Objective: The last two decades have witnessed a proliferation of research focusing on health and mental health disparities between sexual minority and heterosexual youth. In the US, about 11% of youth self-identified as sexual minority in 2015; 2% as lesbian or gay, 6% as bisexual, and 3% as not sure of their sexual identity. In 2017, this proportion rose slightly where almost 15% of youth self-identified as sexual minority; 2.4% as lesbian or gay, 8% as bisexual, and 4.2% as not sure of their sexual identity. Although various studies and systematic reviews have found an association between sexual orientation and health and mental health outcomes, few studies have examined a host of health and mental health outcomes in one study. The objective of this study is to investigate the association between sexual orientation and a broad range of school safety, violence, victimization, mental health, suicidal behaviors, substance use, and protective factors. Methods: Data for this study came from the Centers for Disease Control and Prevention’s 2017 Youth Risk Behavior Survey (YRBS). The YRBS is a cross-sectional, nationally representative survey of high school students. A sample of 14,547 youth aged 14-18 years (50.1% female) was analyzed using weighted binary logistic regression to determine the association between sexual orientation and 24 dependent variables in the following categories: school safety and violent behaviors (4 variables), victimization (4 variables), mental health (2), suicidal behaviors (3 variable), substance use (7 variables), obesity, and protective factors (3). The study controlled for age, sex, and race/ethnicity. Results: Of the 14,547 youth examined, 85.4% self-identified as heterosexual, 2.4% as lesbian/gay, 7.9% as bisexual, and 4.2% as unsure. Controlling for age, sex, and race/ethnicity, youth who self-identified as sexual minority (lesbian/gay, bisexual or unsure) were significantly more likely to engage in violent behaviors, be victimized, report poor mental health, engage in suicidal behaviors, engage in substance use, and be obese (adjusted odds ratios ranged from 1.42 to 6.38) compared to youth who self-identified as heterosexual. Youth who self-identified as sexual minority were significantly less likely to describe themselves as mostly A’s or B’s, played on a sports team, or be physically active (adjusted odds ratios ranged from 0.51 to 0.70) compared to youth who self-identified as heterosexual. Conclusions and Implications: Our findings demonstrate that lesbian/gay, bisexual, and questioning youth are more likely to experience negative health and mental health outcomes such as school safety concerns, violence, victimization, poor mental health, suicidal behaviors, and substance use compared to heterosexual youth. Moreover, lesbian/gay, bisexual, and questioning youth are less likely to draw on protective factors. Further research would benefit from examining reasons why sexual minority youth are at higher risk for negative health and mental health outcomes. Understanding the higher rates at which sexual minority youth are reporting negative health and mental health outcomes and drawing less on protective factors could contribute to research in identifying causes for the disparities. Implications of the findings as they pertain to social work policy and practice are discussed with suggestions for future research.",
      "authors": "Savarra Tadeo; Phillip Baiden",
      "author_ids": "119499; 113715",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3494833125,
        "prompt_eval_count": 1655,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:26:18.608731+00:00"
    },
    {
      "input_index": 1267,
      "record_key": "SSWR:2021-U-0593",
      "source_database": "SSWR",
      "record_id": "2021-U-0593",
      "year": 2021,
      "title": "Exploring Risk and Protective Factors of Suicide - Related Behavior Among Black Youth Discharged from Inpatient Psychiatric Facilities",
      "abstract": "Background: Suicidality among Black youth is a serious public health concern as the suicide rates have increasingly grown among this population, nearly doubling in the last 20 years. With this increase in suicide rates, it is imperative to understand associated risk and protective factors to develop effective prevention strategies. However, few studies have examined risk and protective factors particularly among Black youth who are receiving intensive care after suicide-related behaviors. This study fills this gap in the literature by exploring risk and protective factors of suicide-related behavior among Black youth who participated in a research-informed and theoretically-driven care coordination intervention designed to mitigate suicide risk and increase referrals for mental health and other supportive services for youth discharged from inpatient psychiatric facilities. Methods: The sample for this study included 87 Black youth (ages 10 to 19) who received care coordination services in inpatient psychiatric facilities in one southeastern state in the U.S. Most participants were female (80.4%). The mean age was 14.98 (SD=1.79), 82.7% identified as heterosexual, 81.6% were diagnosed with a mood disorder, and 41.3% reported a family history of mental illness. At baseline, 30 days, 60 days, and 90 days after baseline, care coordinators assessed mental health and suicide risk (e.g. depressive symptoms, suicide ideation, suicide-related behaviors), risk factors (e.g. access to lethal means, financial hardship, feeling of burdensomeness), and protective factors (e.g. family support, friends support, access to care) of participants. We conducted logistic regression analyses to explore the role of risk and protective factors in predicting suicide-related behavior within 90 days after discharge from inpatient psychiatric facilities. Results: The most frequently endorsed risk factors were history of anger or hostility (47.4%), relationship conflict (42.1%), history of self-harm behavior (39.5%), and lack of connectivity (38.2%). In terms of protective factors, few participants had mentors or role models (15.8%), reported spirituality or religious belief (21.1%), and had any prior mental health treatment (27.6%). More than half of participants had access to medical care (55.3 %), mental health services (63.2%), and supportive services (56.6%). Logistic regression analysis revealed access to supportive services was the only statistically significant predictor of suicide-related behaviors (OR=.12; p= .015) while traditionally known risk and protective factors were not statistically significant in this study. Conclusions and Implications: The finding suggests that access to supportive services can be of particular importance in reducing suicide-related behaviors among Black youth discharged from intensive care. Interestingly, spirituality or religious belief, the historically well-known protective factor in the Black community, was not significantly associated with suicide-related behaviors in this study. This may suggest a developmental uniqueness and cultural shift of the sample. Further research should identify risk and protective factors unique to Black youth for designing and implementing a culturally responsive suicide prevention program. Also, very few participants endorsed having a mentor or role model. Given the developmental characteristics of the sample, this can be of particular concern. Further attention should be given to developing mentorship for Black youth with a history of suicide-related behavior.",
      "authors": "Michelle Vance; Eunji Nam; Kimberley Gryglewicz",
      "author_ids": "119790; 114851; 121522",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3359525750,
        "prompt_eval_count": 1617,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:26:25.260650+00:00"
    },
    {
      "input_index": 1269,
      "record_key": "SSWR:2021-U-0666",
      "source_database": "SSWR",
      "record_id": "2021-U-0666",
      "year": 2021,
      "title": "Gatekeeper Trainings in American Indian Communities: Increasing Knowledge and Feelings of Preparedness to Address Youth Suicide",
      "abstract": "Background: Suicide is a significant burden on the mental health of youth and families. American Indian Health & Family Services in Detroit, MI, and the University of Michigan have worked to prevent suicide among high-risk American Indian/Alaska Native (AI/AN) youth aged 10-24 since 2011. Suicide prevention gatekeeper trainings were conducted to teach behavioral health professionals, students, and community members to identify and respond to at-risk youth. This study examined the effectiveness of gatekeeper trainings to enhance the suicide prevention knowledge, attitudes, and behaviors of participants. Methods: We conducted 56 gatekeeper trainings in mainly AI/AN communities in MI from 2012-2019. Participants attending ASIST (N=603) and SafeTALK (N=405) were asked to complete surveys at three time points, pre-test (t1), post-test (t2), and 6-months (t3) to evaluate their suicide prevention knowledge, attitudes, and behaviors. GLM repeated measures were used to test within-subject, and between-subject mean score changes in measures of suicide prevention-related knowledge, comfort talking about suicide, behavioral intentions, preparedness, and confidence in responding to at-risk youth. Knowledge was measured with a composite summary score of three questions on the ability to identify, discuss, and respond to at-risk youth; other measures used scores generated from single questions on a five-point scale. Mean scores were tested between two time point dyads t1-t2 and t1-t3 and across all three time points t1-t2-t3. Education level/student status served as a between-subjects factor at t1-t2-t3 (n ASIST =233, n SafeTALK =212) to compare longitudinal training effects for participants with differing educational backgrounds. Significance was evaluated at alpha=0.05. Results: Results indicate that both gatekeeper trainings effectively improved each measure from t1-t2 and t1-t3. The t1-t2 mean score difference on knowledge was 1.96 for ASIST and 2.02 for SafeTALK; the t1-t3 mean score difference was 1.28 for ASIST and 1.60 for SafeTALK. For the other measures, both t1-t2 and t1-t3 mean score differences were significant. Of these, the largest mean score change was on preparedness; t1-t2 scores increased 1.01 for ASIST and 0.86 for SafeTALK, t1-t3 scores increased 0.92 for ASIST and 0.825 for SafeTALK. With education as a between-subject factor for t1-t2-t3, the main effect of time was significant on all variables, and between-subject effects were significant for all variables except ASIST scores on behavioral intention. Different trajectories characterized score changes for the two trainings; t2 scores were maintained at t3 only for SafeTALK. The education*time interaction was significant for both on knowledge and comfort. Conclusions and Implications: Gatekeeper trainings appear to improve capacity to effectively address youth suicide, primarily through increased knowledge and perceived preparedness. Trainees with different educational backgrounds responded differently to the curriculums over time in terms of their uptake and retention of knowledge. Trainings may be more effective if tailored to specific groups who may benefit from a six-month educational booster. Behavioral health workers are uniquely positioned to attend and provide tailored gatekeeper trainings to improve the knowledge, attitudes, and behavioral capacity of communities, especially AI/AN communities, to engage in suicide prevention efforts.",
      "authors": "Amelia C. Mueller-Williams; Rachel L. Burrage; Jennifer Hopson; Celina Doria; Sandra L. Momper",
      "author_ids": "111704; 116536; 121656; 118658; 108890",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3645390459,
        "prompt_eval_count": 1688,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:26:32.006426+00:00"
    },
    {
      "input_index": 1274,
      "record_key": "SSWR:2021-U-0155",
      "source_database": "SSWR",
      "record_id": "2021-U-0155",
      "year": 2021,
      "title": "Identifying and Responding to Child Traumatic Stress in Primary Care",
      "abstract": "Background and Purpose: One-third of U.S. children experience a potentially traumatic event (PTE) by age 11 years. Childhood PTEs are associated with increased risk for traumatic stress, PTSD, and physical, mental, and socioeconomic harms into adulthood. Despite recommendations for screening and responding to childhood trauma and traumatic stress in primary health care settings, pediatric providers have not had access to simple, validated screening tools for childhood traumatic stress or response guidelines. Our team developed and trialed a care process model (CPM) for child traumatic stress to fill this gap and to increase the identification of and response to child traumatic stress in primary care settings. The CPM includes a pediatric traumatic stress screening tool and guided decision-making, including brief, targeted intervention and referrals to evidence-based trauma treatment, when indicated. Methods. This pilot was introduced in two pediatric clinics served by 18 pediatric providers in urban and suburban settings in the Intermountain West. Primary participants were children 6-17 years of age presenting for a well-child check. Clinics administered the paper screener, using a parent/caregiver report for children 6-10 and self-report for children ≥11 years. Outcomes included the prevalence of parent- and child-reported PTEs, the prevalence of suicidality, the prevalence of clinically significant traumatic stress symptoms, and observed associations between childhood traumatic stress and selected demographic characteristics, health history, and mental health risks. Results : Across both clinics, 2359/4959 (47.6%) children 6-17 years of age were offered pediatric traumatic stress screening during a well-child check during the study timeframe. Of 2,359 screeners offered during eligible visits, 1,472 (62.4%) were completed. Of completed screeners, 32.1% captured a history of at least one PTE. Traumatic stress symptoms were reported in 187/488 patients with a history of PTE compared to just 51/1027 of those without a history of PTE (p≤0.001). The absence of a history of PTE predicted minimal traumatic stress symptoms on full screening (NPV 95.2%). Two-thirds of patients with traumatic stress symptoms were classified as having moderate and 5.2% as having severe symptoms of traumatic stress. In a fully adjusted model, moderate and severe symptoms of traumatic stress were associated with a 1.3 (95% CI 0.9, 2.1) times and 5.4 (95% CI 3.5, 8.2) increased risk of suicidality. Of the 310 adolescents dually-screened for traumatic stress and depressive symptoms (PHQ-A), 42 reported clinical symptoms of depression. Among these 42 adolescents, two-thirds also reported a history of PTE. Conclusions and Implications. Screening for child traumatic stress in a pediatric primary care setting is both feasible and effective in identifying children at-risk for traumatic stress. Our findings support first screening for PTEs, decreasing the time a family may spend filling out forms. Screening for traumatic stress does not replace screening for suicide and depression, but screening for depression and suicide also does not capture PTE or traumatic stress. Ultimately, screening for child traumatic stress symptoms identifies children most at-risk for adverse responses to trauma and informs pediatric primary care response, including brief, targeted intervention and referrals to evidence-based trauma treatment, when indicated.",
      "authors": "Kara Byrne; Lindsay Dianne Shepard; Kristine Campbell",
      "author_ids": "118396; 120763; 120764",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3412626792,
        "prompt_eval_count": 1648,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:26:49.205417+00:00"
    },
    {
      "input_index": 1277,
      "record_key": "SSWR:2021-P-0037",
      "source_database": "SSWR",
      "record_id": "2021-P-0037",
      "year": 2021,
      "title": "Intimate Partner Violence and Mental Health: Sex-Disaggregated Associations Among Adolescents and Young Adults in Uganda",
      "abstract": "Background and Purpose : Experiences of intimate partner violence (IPV) victimization have well-established associations with poor mental health. There is also burgeoning evidence regarding the association between IPV perpetration and mental health in a small number of countries. However, there is a paucity of data about the gendered differences for these IPV experiences within the African context. This study examines the association between IPV victimization, perpetration, and mental health outcomes for male and female adolescents and young adults in Uganda. Findings are intended to inform policy and programmatic planning for IPV prevention and recovery interventions. Methods: Data on IPV perpetration were available for a nationally representative sample of 1373 males and 2022 females in Uganda through the use of the Violence Against Children Surveys. Observations were weighted to be representative of 13-24-year-olds in Uganda. Study procedures used multivariate logistic regression models in order to examine associations between ever-perpetration of IPV and four self-reported mental health variables: severe sadness, feelings of worthlessness, suicide ideation, and alcohol abuse. Models controlled for age, marital status, schooling, and past exposure to violence. Models were sex-disaggregated in order to examine sex-specific associations. Standard errors were adjusted for sampling stratification and clustering. Results: Males were more than twice as likely as females to perpetrate IPV (14% v. 6%, respectively; P<0.001), while odds of perpetration for both sexes were higher for those ever experiencing IPV (aOR=12.12 for males; aOR=4.73 for females). Male perpetrators had 2.93 greater odds of experiencing suicidal ideation (95% CI [1.78, 4.82], P<0.001) and increased drinking behaviors (2.21, 95% CI [1.39, 3.50], P<0.001) when compared to non-perpetrating males. Additionally, female perpetrators had 2.59 times greater odds of suicidal ideation (95% CI, [1.34,4.99], P<0.01), as compared to non-perpetrating females. Conclusion and Implications: Our findings among youth and adolescents demonstrated associated but different experiences for males and females. Findings indicate the importance of understanding the relationship between IPV victimization and perpetration, and addressing these correlates with a gender-sensitive perspective.",
      "authors": "Flora Cohen; Ilana Seff; Fred M. Ssewamala; Timothy Opobo; Lindsay Stark",
      "author_ids": "120528; 120529; 108826; 120530; 117420",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3102790625,
        "prompt_eval_count": 1447,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:26:59.377746+00:00"
    },
    {
      "input_index": 1279,
      "record_key": "SSWR:2021-P-0195",
      "source_database": "SSWR",
      "record_id": "2021-P-0195",
      "year": 2021,
      "title": "Longitudinal Trends in Suicide Among Lesbian, Gay and Bisexual Hispanic Individuals",
      "abstract": "Background and Purpose : Due to multiple minority stressors, persons who are Hispanic and lesbian, gay or bisexual (LGB), can experience an increased risk of suicide. In the United States, the rates of suicide among Hispanic individuals have increased consistently over the past 20 years. Additionally, suicide occurs at a higher rate for LGB youth compared to heterosexual youth. Suicide among LGB Hispanic individuals is influenced by their experiences with mental health, substance use, and treatment. In this study, we examine suicide rates among LGB Hispanic individuals and its association with sociodemographics and clinical characteristics associated with mental health and substance use. Methods : We examined longitudinal trends and correlates of deaths by suicide among LGB Hispanic individuals using data from the National Violent Death Reporting System from 2012-2016 (N=1,132). Bivariate analyses examined characteristics associated with the manner of death (suicide/non-suicide) from all years, inclusive. A multilevel mixed-effects logistic regression model examined longitudinal trends associated with suicide between LGB and heterosexual individuals, controlling for sociodemographics (i.e., sex, education, marital status, and age) and clinical characteristics (i.e., whether an individual experienced a current mental health problem, alcohol problems, non-alcohol related substance use problems, and history of treatment for mental illness). Results : Increased odds associated with suicide were associated with women, individuals with a higher education level, those who experienced mental health problems, those with alcohol-related problems, and individuals with a history of mental illness. Compared to heterosexual individuals, LGB individuals showed higher odds of suicide (OR = 2.23, p < .05). There was a main effect of time, suggesting that odds of suicide have increased annually (OR = 1.19, p < .01) for all persons. The interaction of sexual identity and time was also significant (OR = 1.19, p < .01), suggesting that the odds of suicide has increased over time at a stronger rate for LGB individuals, compared to heterosexual individuals. Conclusions and Implications : Mental health intervention and policy efforts should focus on the multiple minority stressors experienced by LGB Hispanic individuals. Change at the micro level includes designing mental health interventions that address the intersectional needs of this population. At the mezzo level, intervention efforts should address that LGB Hispanic individuals are not only the direct recipients of violence but are also exposed to the death of other LGB people in their families and communities. Finally, change at the macro level includes addressing the need for an increased focus on public health macro interventions that address the causes and various forms of violence present against LGB Hispanic populations in the United States. Future research should focus on better understanding the impact of hostile and violent environments on minority populations and what are the drivers for violence and suicide in the United States. It is vital to continue understating the mental health needs of LGB Hispanic individuals, as our study shows that suicide rates for this population continue to increase.",
      "authors": "Luis Alvarez-Hernandez; Orion P. Mowbray",
      "author_ids": "119588; 110801",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3328037292,
        "prompt_eval_count": 1539,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:27:06.096890+00:00"
    },
    {
      "input_index": 1281,
      "record_key": "SSWR:2021-U-0640",
      "source_database": "SSWR",
      "record_id": "2021-U-0640",
      "year": 2021,
      "title": "Methodologies for Representing Mental Distress in Diverse Youth Populations",
      "abstract": "Background and Purpose: To date, suicide research has fallen short of addressing how diversity shapes mental health risk. This limitation is significant, given that adolescent girls of color have the highest rates of attempted suicide compared to their non-Hispanic White peers. The elevated prevalence of suicidal behaviors has significant—and sobering—implications for the future well-being of girls of color, as attempted suicide is a strong predictor of completed suicide. In social work research, visual research methodologies hold promise for deepening our understanding of suicide risk by engaging participants who are normally excluded from research due to cultural, linguistic, or developmental barriers. This presentation describes the application of body mapping, a qualitative methodological and analytical tool that permits a sensitive exploration of the cognitive, somatic, emotional, and social experiences of suicidal behaviors in girls of color. Methods. We present qualitative data collected with a sample of 18 girls of color between the ages of 13 and 17 years who had attempted suicide two to four weeks prior to data collection. The average age of the girls was 15 years. Participants identified with several different racial ethnic categories, including Latina (n = 7), Black (n = 4), and biracial (n = 7). Participants completed a clinical ethnographic interview (CEI) to explore how suicidal behaviors were embedded in dynamic and meaningful sociocultural contexts. Using a combination of open-ended questions and body mapping techniques, the CEI elicited information that situated mental distress in emotional, embodied, and social contexts. The body map represents a visual referent to help the participant illustrate and describe how she feels. Using cultural consensus analysis, we analyzed body maps to identify cultural variations associated with attempting suicide. Results. Body maps facilitated participants’ expression of their experiences of suicidal behaviors in visual, rather than verbal, terms. Participants often fell silent when verbally queried about their experiences, but when permitted an opportunity to draw their experiences, they created body maps using intense color, written word, and illustrative techniques. Rather than describing their experiences in cognitive terms (e.g., suicidal ideation), patients communicated their distress in emotional and somatic terms. When explaining the cause of their distress, all participants pointed to relational contexts and past experiences of adverse childhood experiences as triggers. Conclusions and Implications. Our findings suggest that body mapping can facilitate an exploration of emotional distress in ways that open-ended questioning cannot. Specifically, results help to shed light on the distinct ways in which girls of color experience and express their distress. Importantly, most national organizations for the prevention of suicide emphasize cognitive risk factors. Our findings suggest that such warning signs might not resonate with diverse populations. To this end, we conclude our presentation with a discussion of potential policy and practice considerations when working with girls of color in the aftermath of a suicide attempt.",
      "authors": "Lauren E. Gulbas; Tatiana Londono; Luis H. Zayas",
      "author_ids": "111719; 118239; 110995",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3139501500,
        "prompt_eval_count": 1488,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:27:12.600476+00:00"
    },
    {
      "input_index": 1282,
      "record_key": "SSWR:2021-P-0705",
      "source_database": "SSWR",
      "record_id": "2021-P-0705",
      "year": 2021,
      "title": "Mortality By Suicide Compared to Other Manners of  Violent Deaths Among Recently Released Persons",
      "abstract": "Background/Purpose: Recently released persons are at a higher risk of suicide than the general population. Recently released men are 8 times and women are 36 times more likely to die by suicide within 1 year after release with risks increasing within the first 28 days of release. This study explores demographic factor characteristics and behavioral health variables associated with odds of mortality by suicide amongst persons recently released from a correctional facility. Methods: Data is from the National Violent Death Reporting System (NVDRS), which includes all violent deaths from 32 states in the U.S., collected each year from 2003 to 2015. The sample includes all violent deaths among individuals recently released from a correctional facility. NVDRS data includes reports from death certificates, corner examiner reports, law enforcement agencies, and toxicology reports. A binary dependent variable of completed suicides compared to other manners of violent death (homicide, unintentional firearm, and legal intervention) was created. Additional measures in the NVDRS include race/ethnicity, age, gender, education level, marital status, manner of mortality, binary measures of mental health problems, substance use-related problems, currently in treatment for mental health, and a history of mental health treatment. A multivariate logistic regression model examined associations between demographics, manner of death and behavioral health variables, and the odds of mortality either by suicide compared to other manners of violent death. Results: There were 23.45% (N=231) suicides and 76.55% (N=754) other manners of violent deaths. The multivariate analysis showed that individuals who identified as members of a minority group; Black/African Americans (OR= 0.08), Hispanic (OR= 0.23), and other race (OR= 0.23) showed significantly lower odds of mortality by suicide than different manners of violent deaths compared to White non-Hispanic individuals. Individuals who identified as married (OR= 1.88) compared to those who never married had higher odds of mortality by suicide. Additionally, individuals with some college credits (OR= 1.92), and a college degree or higher (OR= 3.77) showed significantly higher odds of mortality by suicide compared to those with high school/GED or equivalent. Last, those with mental health problems (OR= 4.07), and alcohol problems (OR= 2.69) showed higher odds of mortality by suicide. Conclusions/ Implications: The present study resulting in a higher odd of suicide amongst recently released persons who have alcohol and mental health problems emphasizes the need for screening and referral to treatment during release from incarceration. The higher odds of suicide amongst persons married shows a need for ensuring healthy relationships amongst social supports. A need for support groups for families to educate them on attitudes and expectations of their intimate partner as they reenter can reduce suicide amongst this population. Implications for research needs to investigate contributing factors that puts persons at higher odds of mortality by suicide. Research on precipitating factors will inform reentry programs on essential areas to target for treatment that will reduce suicide rates amongst this population.",
      "authors": "Oluwayomi Paseda",
      "author_ids": "121727",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3394941708,
        "prompt_eval_count": 1581,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:27:15.997204+00:00"
    },
    {
      "input_index": 1283,
      "record_key": "SSWR:2021-U-0007",
      "source_database": "SSWR",
      "record_id": "2021-U-0007",
      "year": 2021,
      "title": "Opioid Use Disorders Among People with Severe Mental Illness",
      "abstract": "Background : The number of Americans with opioid use disorders (OUDs: prescription painkillers or heroin) has increased dramatically. However little is known about OUD among people with severe mental illness (SMI), even though people with psychopathology receive half of all opioid prescriptions. Methods : Using the National Survey on Drug Use and Health (2006-2014: N=502,467), logistic regression was used to: (1) identify factors associated with past-year OUD among people with SMI; and (2) examine associations between OUD and adverse outcomes (psychiatric hospitalization, criminal justice system involvement, suicide attempt). Independent variables included sex, race/ethnicity, age, marital status, education, employment status, total family income, health insurance (yes/no), self-reported health, past-year DSM-IV major depressive episode, lifetime anxiety (yes/no), use of certain drugs before age 18, and ease of obtaining certain drugs. Results : OUD was present in 5.0% (weighted) of adults with SMI and 0.7% (weighted) of adults without SMI. Adults with SMI were 7.67 times more likely (CI=6.61-8.91, p<.001) as adults without SMI to have OUD. After controlling for a number of factors, correlates of OUD among people with SMI included male gender, younger age, marital status (never been married), use of certain drugs before age 18 (especially marijuana), and ease of obtaining certain drugs. After inclusion of control variables, men with past-year prescription painkiller use disorder (only) were 2.34 times more likely (CI=1.35-4.07, p<.01) to be hospitalized (psychiatrically) than those without substance use disorder, and men with heroin use disorder (only) were 4.58 times more likely (CI=1.34-15.71, p<.05). Among people with SMI, men with all other (i.e., non-OUD) substance use disorders were no more likely to be hospitalized than men without substance use disorder. Women with heroin use disorder (only) were 4.83 times more likely (CI=1.47-15.89, p<.05) to be hospitalized than those without substance use disorder, and women with all other substance use disorders (i.e., apart from OUD) were 80% more likely (OR=1.80, CI=1.32-2.46, p<.001). People with prescription painkiller use disorder (only) were 7.43 times more likely (CI=4.55-12.14, p<.001) than those without substance use disorder to have criminal justice system involvement, while those with: (1) heroin use disorder (only) were 18.78 times more likely (CI=9.22-38.24, p<.001); (2) both prescription painkiller and heroin use disorder (only) were 25.83 times more likely (CI=14.06-47.47, p<.001); and (3) all other substance use disorders were 5.15 times more likely (CI=3.95-6.72, p<.001). People with prescription painkiller use disorder (only) were 2.40 times more likely (CI=1.72-3.35, p<.001) to attempt suicide than those without substance use disorder, and those with all other substance use disorders (i.e., apart from OUD) were 79% more likely (OR=1.79, CI=1.45-220, p<.001). Implications : This study appears to be among the first to research correlates of OUD among people with SMI, and among the first to assess adverse consequences that are associated with OUD among people with SMI (psychiatric hospitalization, criminal justice system involvement, and suicide attempt). The findings on OUD and OUD outcomes can help identify and understand individuals with SMI who could benefit from OUD prevention and intervention efforts.",
      "authors": "Jonathan D. Prince",
      "author_ids": "108681",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3883242708,
        "prompt_eval_count": 1853,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:27:19.882246+00:00"
    },
    {
      "input_index": 1284,
      "record_key": "SSWR:2021-P-0659",
      "source_database": "SSWR",
      "record_id": "2021-P-0659",
      "year": 2021,
      "title": "Overcoming Obstacles: The Role of Suicide Stigma in US Veteran Help-Seeking",
      "abstract": "Background and Purpose: Veterans accounted for 13.5% of all adult suicides in the US and were 1.5 times more likely to die by suicide than civilians in 2017. These high suicide rates may be related to attitudinal obstacles like stigma preventing Veterans from seeking help. To address the gap in research about Veteran suicide stigma and help-seeking, we asked the following research questions: (1) What does suicide stigma look like among US Veterans? (2) What is the relationship between suicide stigma and help-seeking intentions in US Veterans? We hypothesized that as suicide stigma increased, help-seeking intentions would decrease. Methods: The Suicide Prevention Climate Survey collected data from 1,247 US Veterans of all ages. Participants were recruited by Qualtrics using a quota sampling technique to create a sample that represents the US Census distribution of Veterans per geographical region. General, emotional, and suicidal help-seeking intentions were measured using the General Help Seeking Questionnaire. Suicide stigma was measured using the short form of the Stigma of Suicide Scale, with subscales created for stigma, glorification/normalization, and isolation/depression factors. The planned statistical analyses for this study included: a one-way repeated-measures ANOVA to compare suicide stigma subscale means; three linear regression models to see if suicide stigma predicted general, emotional, and suicidal help-seeking; and three independent t-tests using groups to compare suicide stigma between high and low help-seeking groups. Results: First, the one-way repeated-measures ANOVA found there were significant mean differences between the stigma (M = 2.66), glorification/normalization (M = 2.76), and isolation/depression (M = 3.75) subscales ( p < 0.001). Second, the linear regression models found that all three suicide stigma subscales were significant positive predictors of the three help-seeking scales (all p-values < 0.001). Finally, the two-sample t-tests using groups found that high help-seekers reported higher mean levels of suicide stigma than low help-seekers (all p-values < 0.001). Conclusions and Implications: Contrary to our hypothesis, Veterans in our study who had more suicide stigma reported higher help-seeking intentions. One possible explanation for this is that Veterans with suicide stigma may be more motivated to seek help to avoid becoming a stereotype they dislike. Another explanation is that because our sample reported higher scores on the isolation/depression stigma scale, these Veterans may have reacted to their stigma by feeling sympathy for or trying to take the perspective of people who die by suicide. Our results provide hope and encouragement for Veterans who are struggling because for our sample, suicide stigma was not necessarily an obstacle for help-seeking. Assuming future research in this area finds similar results, it would be important for practitioners working with Veterans to be open minded in how they view stigma, because there may be an overlooked benefit to suicide stigma. Our results also have implications for social change, specifically for Veteran Affairs mental health campaigns. The more we understand stigma and increase help-seeking, the more effective Veteran health care systems and suicide prevention efforts will be.",
      "authors": "Carrie Judd; David S. Wood",
      "author_ids": "121672; 114455",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3442302208,
        "prompt_eval_count": 1573,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:27:23.326440+00:00"
    },
    {
      "input_index": 1285,
      "record_key": "SSWR:2021-P-0138",
      "source_database": "SSWR",
      "record_id": "2021-P-0138",
      "year": 2021,
      "title": "Pathways from Bullying Victimization to Suicidal Thoughts Among Urban African American Adolescents in Chicago’s Southside",
      "abstract": "Background and Purpose : Suicide is the third leading cause of death among African American youth, who are also more likely to be involved in bullying than their peers of other races. Victims of bullying experience mental health problems, such as internalizing behaviors, which can increase their odds of suicidal thoughts. Numerous empirical studies have explored the association between bullying victimization and suicidal behaviors. However, studies to date have not fully addressed the association between victimization and suicidal behavior among urban African American youth. Joiner’s (2005) Interpersonal Theory of Suicide, which consists of (a) thwarted belongingness, (b) perceived burdensomeness, and (c) acquired capability of suicide, might explain why youth who are bullied and socially disconnected might develop suicidal behaviors. Victims might feel socially isolated from their peers and feel a sense of worthlessness to others in school, which can decrease their self-esteem and increase depression and hopelessness. The aim of this study is to examine a proposed pathway linking bullying victimization and suicidal thoughts through low self-esteem, depression, and hopelessness from a sample of urban African American adolescents in Chicago’s Southside. Method: Data were collected between August 2013 and January 2014, and participants consisted of 639 African American youths (ages 13-21) from low-income neighborhoods in Chicago’s Southside. Of these, 45.5% were males and 54.2% females, and 74.6% received government assistance. Measures for the study included age, sex, government assistance, bullying victimization, hopelessness, low self-esteem, depression, and suicidal thoughts. Cross-sectional research design and self-reported surveys were used. Analyses included descriptive statistics, correlational analyses, and Structural Equation Modeling (SEM) with Mplus. Controlling for biological sex, age, and government assistance, we hypothesized that (a) bullying victimization is associated with an increase in the risk of suicidal thoughts; and (b) low self-esteem, depression, and hopelessness would mediate the association between the two. Results: The goodness-of-fit-indices for the path model are CFI=.927, TLI=.905, RMSEA=.058 (90% CI=.051~.065, SRMR=.053). These estimated fit indices indicated an acceptable model fit. For the first hypothesis, bullying victimization was positively associated with low self-esteem (β=.016, p =.000) and depression (β=.239, p =.000). Suicidal thoughts were positively associated with low self-esteem (β=.159, p =.021), depression (β=.344, p =.041), and hopelessness (β=.031, p=.000). Low self-esteem was positively associated with depression (β=.243, p =.000) and hopelessness (β=.296, p =.001). For the second hypothesis, we found that bullying victimization was positively associated with depression, depression was significantly related to hopelessness, and hopelessness contributed to an increase in suicidal thoughts (β=.063, CI=.004~.123). Conclusions and Implications: As our findings show, victims of bullying are likely to exhibit low self-esteem and depression, and depression can contribute to feelings of hopelessness, thereby increasing suicidal thoughts. Based on our findings, practitioners working with urban adolescents who are victims of bullying need to thoroughly assess their mental health problems, which might increase suicidal thoughts and behaviors. Although anti-bullying programs are widely implemented in school districts, financial constraints are common barriers for schools located in low-resource neighborhoods. Therefore, practitioners working with urban youth need to consider cost-effective programs.",
      "authors": "Jeoung Min Lee; Jun Sung Hong; Stella M. Resko; Antonio Gonzalez-Prendes; Dexter R. Voisin",
      "author_ids": "115406; 110327; 108544; 118463; 109206",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "prompt_eval_count": 1727,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:27:27.004436+00:00"
    },
    {
      "input_index": 1286,
      "record_key": "SSWR:2021-P-0435",
      "source_database": "SSWR",
      "record_id": "2021-P-0435",
      "year": 2021,
      "title": "Patterns of Child and Adolescent Needs and Strengths Among Youth at Risk for Suicide Attempt",
      "abstract": "Background and Purpose: Understanding the relationship of strengths to mental health disorders is critical as the strength-based approach supports mental health recovery (Gable & Haidt, 2005; Xie, 2013). Although recovery occurs among many adolescents, mental health problems remain common and suicide rates continue to grow (Hedegaard, Curtin, & Warner, 2018). A few studies were conducted in identifying patterns of strengths, classifying similar groups, or tracking them using latent classes (Leon & Dickson, 2018). This study aimed to (1) identify subgroups of strengths and (2) determine how subgroups are predicted based on demographic characteristics (e.g., gender and race). Methods: The sample of youth who participated in mental health and addiction services in one Midwestern state was selected. Of the youth who received mental health/addiction services and closed the episode of care during state fiscal year 2019 (N=8,877), those requiring intervention for suicide risk were selected (n=391). The Child and Adolescent Needs and Strengths (CANS; Lyons, 2009) include six domains: (1) youth strengths, (2) life functioning, (3) cultural factors, (4) caregiver needs and resources, (5) child behavioral or emotional needs, and (6) risk behaviors. This study focused on the strength domain with eleven items (i.e., family strengths, interpersonal, optimism, educational, vocational, talents/interests, spiritual/religious, community life, relationship permanence, youth involvement with care, natural supports). Each item is rated on a four-point scale, ranging from 0 (centerpiece strength) to 3 (no strength identified). Items with ratings of 0, 1, or 2 are considered Usable or Buildable strength items: a high strength group received the lowest scores for each item. We first analyzed youth strengths at baseline (Month/Year) and during the last assessment via latent profile analysis (LPA), respectively, and examined tenability and trajectories of different latent classes at the end of an episode via latent transition analysis (LTA). Results: The LPA/LTA results indicated that two strength profiles emerged for both baseline and the last assessment: “Strength in place” class (39%) and “Buildable strengths” class (61%) at baseline and “Strength in place” class (47.8%) and “Buildable strengths” class (52.2%) at the last assessment. Covariates, like gender and race, were significant at the last assessment when “Buildable strengths” was a reference group. White and male youths are more likely to be in the “Strength in place,”. Among the high portion of youth, their strength class remains unchanged (90% in Strength in place group and 73% in Buildable strength group) between baseline and the last assessment. However, some subgroups showed significant movements: 27% moved in a positive direction, and 10% moved in a negative direction. Conclusion and Implications: The findings suggested that subgroups of strengths could be a promising source to track youths’ progress in the strength domains and guide healthcare professionals to allocate community-based resources more efficiently in order to improve specific strength areas. Further research is needed to explore the relationship between subgroup changes, the area of needs, and their corresponding interventions. The relationship study will also highlight the need for efficient ways to overcome barriers and challenges in strength development and needs.",
      "authors": "Saahoon Hong; Betty A. Walton; Greg Rhee; Hea-Won Kim",
      "author_ids": "115336; 111054; 114140; 108315",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "eval_count": 24
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      "screened_at": "2026-08-02T18:27:30.394839+00:00"
    },
    {
      "input_index": 1287,
      "record_key": "SSWR:2021-U-0383",
      "source_database": "SSWR",
      "record_id": "2021-U-0383",
      "year": 2021,
      "title": "Peer Victimization Trajectories of Taiwanese Children: Adverse Childhood Experience and Psychosocial Maladjustment",
      "abstract": "Background/Purpose: Past research had suggested that children’s status as school bullying victims changes over time, and different victimization trajectories may lead to different psychosocial outcomes. Compared to non-victims and short-term victims, chronic victims are expected to have particularly high risk of maladjustment. Most existing studies are cross-sectional in nature, while longitudinal data is needed to clarify this issue. The first aim of the present study is therefore to identify the potentially differential peer victimization trajectories of children in an East Asian context and examine their psychosocial adjustment. A second aim of this study is to explore the role of adverse childhood experience (ACE) in shaping different peer victimization trajectories. A negative and hostile family environment is hypothesized to increase children’s vulnerability and raise their likelihood of suffering chronic victimization from school peers. By conducting an in-depth examination of the bullying victims’ family context and parent-child interaction, it is hoped to link the two lines of research on child maltreatment and school bullying, which in turn provides a more comprehensive assessment of those vulnerable children and their developmental trajectories. Methods: Data was drawn from a large-scale longitudinal study with a representative sample. 3,745 Taiwanese elementary school students were surveyed in 4th and 6th grade. Based on their self-reported physical and verbal victimization at the two time points, students were classified into four trajectories: chronic victims, late onset victims, desisters, and non-victims. Psychosocial maladjustment outcomes including psychological distress, school alienation, internet addiction, and suicidal ideation in 6th grade were assessed. A series of MANOVA were conducted to evaluate how the four groups of victims differ in their psychosocial outcomes. Multinomial logistic regression models were also constructed to test the effects of the ACEs in 4th grade on children’s peer victimization trajectories. Results: The results showed significant differences in adjustment among students in the four trajectories. Chronic victims had the highest psychosocial problems on most of the variables (psychological distress, school alienation, internet addiction, and suicidal ideation), followed by late onset victims and desisters, while non-victims had the least maladjustment. At the same time, experiences of parental neglect, harsh punishment, physical abuse, psychological abuse, and exposure to family violence all contributed to children’s risk of suffering chronic peer victimization. Conclusions and Implications: The findings of this study highlight the importance of future school bullying intervention to adopt a longitudinal perspective and consider the heterogeneity among victims. School helping professionals need to assess the students’ concurrent level of peer victimization as well as their changes in victim status over time, and special attention should be paid to those who suffer constant bullying and abuse. The significant association between chronic bullying victimization and adverse childhood experience also highlights the necessity of cross-system collaboration between school and family workers to better address the issue of multivictimization among vulnerable children.",
      "authors": "Hsi-Sheng Wei; April Chiung-Tao Shen; Hsiao-Lin Hwa; Jui-Ying Feng; Yi-Ping Hsieh; Ching-Yu Huang",
      "author_ids": "110297; 117534; 117537; 117535; 117533; 117536",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3102352292,
        "prompt_eval_count": 1523,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:27:33.499171+00:00"
    },
    {
      "input_index": 1289,
      "record_key": "SSWR:2021-P-0549",
      "source_database": "SSWR",
      "record_id": "2021-P-0549",
      "year": 2021,
      "title": "Preventing Intimate Partner Violence Survivors' Suicidal Behaviors: A Scoping Review",
      "abstract": "Background & Purpose Suicidal behaviors, which include intentions, attempts, and completions to end one’s life, are significantly associated with intimate partner violence (IPV) victimization. Women who experience IPV are at an increased risk of suicidal behaviors, with 25 -40% of women attempting suicide at some point during or after the termination of an abusive relationship. Unfortunately, efforts to address and prevent suicidality among IPV survivors are inconsistent and insufficient. Accordingly, to help advance practice and research knowledge in this area, we reviewed interventions to prevent suicide among IPV survivors. The following research questions guided this review: (1) What is the nature of the literature concerning interventions targeting suicidality among women who experience IPV ? (2) What is known about the effectiveness of IPV interventions targeting suicidality? (3) What are the gaps in the research knowledge base? Method Given the limited and heterogeneous literature, a scoping review approach was applied (Arksey & O’Malley, 2005). Searches of electronic databases were conducted to identify intervention studies that had been published in peer-reviewed journals, with no date restrictions. Initially, 4,113 studies were identified as potentially relevant. Once duplicates and articles not meeting the selection criteria were removed, 12 articles were determined for full-text review. During full-text screening, 9 articles were also excluded: commentaries ( n =4), intervention research for different groups, such as violence perpetrators ( n =1) practitioners ( n =1), and general interpersonal violence victims ( n =1); and baseline study without intervention outcomes ( n =2). Results Thus, three studies were analyzed. While all studies examined the same intervention, which focused on a culturally-informed and empowerment-based group therapy, each rigorously evaluated different outcomes. Across all of these studies, IPV survivors who received the intervention showed greater reductions in depressive symptoms and general distress in relation to women who had not received the intervention, though results concerning suicide ideation were mixed. Accordingly, the three research questions guiding this study were answered as follows. First, the nature of the literature is significantly limited; second, little evidence exists concerning interventions and their effectiveness; and third, the gaps in the knowledge base are considerable and worrisome. Conclusions and Implications This review determined that there is extremely limited evidence concerning IPV-focused interventions to prevent suicide, despite the importance and urgency of these intersecting issues. The one examined intervention showed promising outcomes across three studies. However, the generalizability of these studies’ findings remain an empirical question. For all these reasons, in addition to presenting our review results, our presentation will focus on providing recommendations from existing, evidence-based, suicide prevention programs to guide the development and testing of effective suicide intervention for IPV survivors. The presentation will also provide guidance for how social work scholars might take the lead in developing this pressing area of intervention research. Notably, previous research has found that abused women who are pregnant, seek shelter, and at middle age with adult children tend to be at high risk of suicide ideation. Accordingly, social worker scholars could make an important contribution to practice and research by developing diverse interventions targeting suicide prevention among IPV survivors.",
      "authors": "Jeongsuk Kim; Eun-Hye Grace Yi; Rebecca J. Macy",
      "author_ids": "116364; 117086; 108300",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "review",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Review"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3315450625,
        "prompt_eval_count": 1573,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:27:40.210894+00:00"
    },
    {
      "input_index": 1290,
      "record_key": "SSWR:2021-P-0271",
      "source_database": "SSWR",
      "record_id": "2021-P-0271",
      "year": 2021,
      "title": "Psychiatric Sequelae for Community Providers One Year after a Mass Shooting",
      "abstract": "Background: Over the past decade, increases in tragedies of mass violence has drawn attention to the long-lasting consequences not only for survivors and victims’ families but also professionals responding to these events. First responders and health care professionals have experienced persistent traumatic stress. Further, secondary (vicarious) trauma is linked to practitioners working directly with people experiencing a traumatic event. Yet, there is scant research on the mental health concerns for the professionals and other staff at impacted agencies working with families, survivors, and the broader community after a mass casualty event, nor attention to differences among staff at these agencies. These professionals, embedded in communities, provide crucial and ongoing support. This study comprises staff at agencies in the neighborhood where 11 congregants were murdered October 2018 in the Tree of Life synagogue in Pittsburgh, Pennsylvania. We describe the prevalence of positive screens for mental health disorders and substance use among employees and examine differences among staff working directly with the community, senior-level administrators, and support staff. Methods: Eleven months after the shooting at the Tree of Life synagogue, we emailed executives of 12 social service and educational agencies in the effected community, we asked that that they distribute a scripted email to their staff which included a link for an anonymous online survey focused on assessing mental health status and well-being. A reminder was emailed one month later. Eight agencies distributed the emails to their staffs (N=374); 156 (41.7%) provided information on their mental health. Mental health measures included validated screens for depression (PHQ-2), suicidal ideation (from PHQ-9), generalized anxiety disorder (GAD-7), post-traumatic stress disorder (PC-PTSD-5), alcohol misuse (AUDIT-C), marijuana use, and drug use for non-medical reasons. Each measure was dichotomized based on screen outcome. Primary work role was characterized as administrator (63; 40.4%); working directly with community members (60; 38.5%); and support staff (33; 21.2%). Items related to employment burnout, age, and gender were included. The survey averaged 20 minutes to complete. Results: One-third of the respondents (33.3%) screened positively for having at least one mental health concern (depression, anxiety, post-traumatic stress or suicidal ideation). The prevalence of existing positive screens included: depression (10.9%); suicidal ideation (9.6%); GAD (19.2%); PTSD (19.9%); alcohol misuse (24.4%); marijuana use (22.2%); and non-medical drug use (9.5%). There were no statistically significant differences between the three primary work roles and mental health concerns, substance use, or burnout from work activities. Implications: The percentage of respondents having any mental health condition is nearly two times the percentage found in national surveys of adults. The consistent result across different work positions suggests that a mass shooting is a collective trauma within community-based agencies and that professionals and nonprofessionals regardless of position within an organization are not immune from the effects. Agencies should assess their organizational capacity for addressing secondary trauma and related mental health concerns among their staff. With a focus on becoming a trauma-informed organization, prevention and intervention strategies should focus on all levels of the organization to promote staff health and wellness.",
      "authors": "Hyung Jik Daniel Lee; Rafael J. Engel; Daniel Rosen",
      "author_ids": "120360; 109670; 109715",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3436592334,
        "prompt_eval_count": 1622,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:27:43.650705+00:00"
    },
    {
      "input_index": 1291,
      "record_key": "SSWR:2021-U-0529",
      "source_database": "SSWR",
      "record_id": "2021-U-0529",
      "year": 2021,
      "title": "Psychological Comorbidities and Social Support Among Sexual and Gender Minority Youth with Foster Care Involvement: Findings from a Community-Based Pilot Study",
      "abstract": "Background: Growing research evidence supports that SGMY experience greater foster care-related stressors than their non-SGM peers; perhaps contributing to elevated mental health problems. To date, no study has examined the factors unique to the foster care experience that may exacerbate or ameliorate the risk for mood disorders and suicidality for SGMY in the foster care system. The current NIH-funded pilot study investigates rates of psychological comorbidities among SGMY with foster care histories, alongside corollary SGM-specific sources of stress, and social supports that may serve as protective factors. Methods: Survey interviews were conducted with current and former foster youth who self-identified SGM (N=35). Youth were recruited via caseworkers and supervisors from Cuyahoga County, Ohio, DCFS, and community-based organizations between October 2018 and February 2020. Sample mean-age was 19 years; 57% identified as Black; 17% Multiracial; 14.5% White; and 11.5% other race. 45.7% identified as cisgender; 54.3% transgender. 42.9% identified as lesbian or gay; 37.1% as bisexual or pansexual; and 20% as heterosexual. Tests of association included Kendall’s τ rank correlation coefficient for depression and anxiety scores and Wilcoxon signed rank tests (and Kendall’s τ rank scores for effect sizes) for suicidal behavior outcomes. Open-ended qualitative questions were analyzed thematically using an inductive approach. Results: 65% met criteria for clinical depression and 79% met criteria for clinical anxiety; 70% reported suicidal ideation and 45% had a past suicide attempt. Results produced relational patterns between interpersonal stressors and mental health outcomes. Partner victimization is correlated with depression (p = .05); suicidal ideation (z = -2.36, p = .02, τ = .43); suicidal planning (z = -2.89, p = .004, τ = .52); suicide attempt (z = 2.65, p = .008, τ = .48); and non-suicidal self-harm (z = -2.85, p = .004, τ = .52). We found a similar pattern between SGM victimization and depression and anxiety, as well as suicidal planning (p < .05). Transgender discrimination, sexual orientation discrimination, and sexual orientation rejection all had positive moderate correlations with anxiety. Sexual orientation-related rejection was also significantly associated with suicidal ideation (z = -2.29, p = .02, τ = .40), and suicidal planning (z = -2.26, p = .02, τ = .39). Social support-related variables were associated with suicidal planning (support: z = -2.18, p = .03, τ = .39; strain: z = 2.23, p = .02, τ = -.35). Qualitative analyses further contextualize these findings. Conclusion/Implications: SGM-based victimization is a primary concern for this population; and is perpetrated by child-welfare sources (e.g. foster parents, caseworkers, group home staff and other youths in care). Affirming homes are needed to reduce SGM-based victimization in the child welfare system, with implications for reduced mental health problems. All participants reported they were “out” to at least one person identified as a social support, however, strain in these relationships may still contribute to increased mood disorders. Notably, the majority of participants reported biological kin as their primary sources of support, suggesting that building affirming ties with extended birth families is a critical intervention for mental health promotion.",
      "authors": "Meagan Ray-Novak; Dana Prince; Emily Peterson; Krystel Tossone; Braveheart Gillani",
      "author_ids": "121406; 111800; 121407; 118511; 121408",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "mixed_methods",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3692894250,
        "prompt_eval_count": 1743,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:27:47.345664+00:00"
    },
    {
      "input_index": 1292,
      "record_key": "SSWR:2021-U-0592",
      "source_database": "SSWR",
      "record_id": "2021-U-0592",
      "year": 2021,
      "title": "Psychosocial Determinants of Burn-Rtelated Suicide:  Evidence from the National Violent Death Reporting System",
      "abstract": "Psychosocial Determinants of Burn-Related Suicide: Evidence from the National Violent Death Reporting System Objectives: Suicide is the tenth leading cause of death in the United States, making suicide prevention a major public health issue. In 2017, over 47,000 Americans died by suicide. Suicide by burning (SSB), while one of the rarest forms of suicide, could potentially be prevented in part by early recognition and treatment of the underlying psychosocial problems that lead to self-inflicted burns. One obstacle to analyses of these occurrences is the rare instnaces of such events. In order to mitigate this issue and help fill a gap in literature, longitudinal data can be used to identify additional risk factors associated with suicide by self-immolation. Therefore, the objectives of this study were to: 1. Determine which mental health factors contribute to SBB; 2. Examine how substance use relates to SBB; 3. Determine what extent previous suicide attempts predict SBB; and 4. Examine which socio-demographic variables contribute to SBB? Methods: The National Violent Death Reporting System (NVDRS) used to examine the differences between victims of SBB and all other suicide types. Following the coding guide developed by the CDC, a dichotomous variable was created using data from 2003-2016. Socio-demographic variables and psycho-social factors, such as mental health (e.g., bipolar disorder, schizophrenia, post-traumatic stress disorder, etc.), blood alcohol level (BAC), and other substance use (e.g., opioid use, amphetamine use, marijuana use, cocaine use, polysubstance use, etc.) were examined. Due to the relative imbalance between the sample size of suicide victims in the reference group ( N 1 =166,949) compared to victims in the SBB group ( N 2 =722), rare event data analysis was used. This process reduced potential estimation bias in the final models (King and Zeng, 1999). Results: Prevalence estimates revealed there were significantly fewer white victims in the SBB group (74 percent) than those in the suicide reference group (89 percent). Blacks and Asian/Pacific Islanders accounted for the majority of variation among the non-white victims. Additionally, there was a significantly higher prevalence of females who committed SBB (29 percent) than other types of suicide (22 percent). The results of the multivariate analysis indicated that victims with schizophrenia (95 percent CI: 3.7–7.8, p < .001), eating disorders (95 percent CI: 1.9–8.6, p < .001), and high blood alcohol levels (95 percent CI: 1.3–2.4, p < .001). were more likely to commit SBB than victims of other types of suicide. Conclusion and Future Research : This study fills a gap in the literature on the psychosocial determinants of SBB in the U.S. Current knowledge about suicidal burn-related behaviors offers enough evidence to support interventions that focus on curbing this insidious public health problem. The next best step is to invest in translational research that seeks to design and implement the supportive services that are currently unavailable or inaccessible before victims have attempted suicide by burning or any other means.",
      "authors": "Thereasa Abrams; Stephen McGarity",
      "author_ids": "118820; 118101",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "prompt_eval_count": 1631,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:27:50.733926+00:00"
    },
    {
      "input_index": 1293,
      "record_key": "SSWR:2021-P-0486",
      "source_database": "SSWR",
      "record_id": "2021-P-0486",
      "year": 2021,
      "title": "PTSD and Suicidality in a Longitudinal Nationally Representative Sample of Youth",
      "abstract": "Background and Purpose: Studies have reported associations between PTSD and suicidality (ideation and attempts) in adolescents. To date, there has been no prospective, longitudinal study with a nationally representative U.S. sample examining the relationship between suicidality and PTSD diagnosis. Additionally, risk and protective factors for suicidality among young people are not well understood. This study examines the factors associated with suicide ideation and attempts over time. It specifically investigates the relationship between PTSD diagnosis and suicidal thoughts or attempts. Methods : The data source is Add Health, a longitudinal, and nationally representative survey of adolescents in the U.S. Students in grades 7-12 were interviewed in schools in Wave I and re-interviewed in homes in Waves II, III and IV. The survey asked about suicidal thoughts and attempts (with or without serious injury) in the year before the interview. This study included all who reported ever having a PTSD diagnosis at Wave 4 (n = 450) and a random sample control group of 450 without a PTSD diagnosis. Time (years since baseline), PTSD diagnosis, and suicidal friends or family were measured across all four waves, and the other predictors were measured from baseline only. Each predictor and their PTSD diagnosis interaction were examined for suicidal ideation, suicide attempts, and suicide attempts needing medical care, over time, using longitudinal logistic regression. Results : Significant predictors for suicidal ideation were PTSD diagnosis (OR = 3.08, p < .001), time (OR = 0.95, p < .001), adult support (OR = 0.74, p < .001), suicidal friends or family (OR = 3.10, p < .001), and depression (OR = 1.06, p < .001). Gender, adult support, and depression had significant interactions with PTSD. PTSD showed stronger risk for males than females ( p < 0.01). PTSD diagnosis decreased the risk of depression ( p < 0.001) and the protective effect of adult support ( p < 0.001). Significant predictors for suicidal attempts were PTSD diagnosis (OR = 3.53, p < .001), time (OR = 0.92, p < .001), suicidal friends or family (OR = 4.10, p < .001), hopelessness (OR = 1.57, p < .05), and depression (OR = 1.06, p < .001). Adult support and parental support showed significant interactions with PTSD diagnosis, where PTSD diagnosis decreased the protective effect of adult support ( p < .001) and parental support ( p < .01). Significant predictors for suicide attempt with injury were PTSD diagnosis (OR = 2.66, p < .001), time (OR = 0.98, p < .05), and suicidal friends or family (OR = 3.53, p < .001). Conclusions and Implications: Risk and protective factors contributed differentially based on morbidity. Overall, PTSD diagnosis was a significant risk factor and having suicidal friends or family was the most robust predictor of suicidality over time. The interactive effects showed that for both suicide ideation and attempts without injury, having a PTSD diagnosis significantly decreased the protective effect of adult support over time. These findings suggest elements to include in suicide preventions.",
      "authors": "Mark J. Macgowan; Tan Li; Ingrid Gonzalez; Maryam Rafieifar",
      "author_ids": "108397; 121355; 121356; 119590",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3375500250,
        "prompt_eval_count": 1653,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:27:54.111195+00:00"
    },
    {
      "input_index": 1294,
      "record_key": "SSWR:2021-U-0542",
      "source_database": "SSWR",
      "record_id": "2021-U-0542",
      "year": 2021,
      "title": "Race/Ethnic Differences in Non-Medical Prescription Opioid Use and Suicide Among Adolescents",
      "abstract": "Background: Prescription opioids have been recognized as one of the leading causes of death in the US, and this coincides with the rise of suicides among adolescents. Opioids were the cause of death in 31.4% of suicides involving poisoning, and the rise in overdose deaths in recent decades has been attributed to the opioid epidemic. Among adolescents, the increase in prescription opioid use (NMPOU) was associated with calls to poison centers which highlighted the risks of suicidality for this population. Of concern, non-White adolescents have been highlighted in past research as having greater risks for suicide, yet there is little to no research which examined the complex relationship of race, opioids and suicidality for this population. This study aims to examine race/ethnic differences in NMPOU and suicidality among adolescents. It was hypothesized that among adolescents 1) NMPOU is associated with suicidality and 2) the relationship of NMPOU with suicidality is stronger for non-White young adult populations. Methods: This study used data from the 2016 National Survey on Drug Use and Health. The sample included 11,489 non-Hispanic White, African American, Asian and non-White Hispanic adolescents aged 12 to 17. Weighted logistic regression analysis was used to examine the relationship of race/ethnicity in the relationship of NMPOU with 1) having serious thoughts of killing oneself, 2) made plans to kill oneself, and 3) attempted to kill oneself, all within the past year. Control variables included socio-demographics, other substance use, social factors and health and mental health. Results: Analysis indicated that adolescents who engaged in NMPOU had higher prevalence of serious thoughts of suicide (31.0%), making a suicide plan (22.1%) and making a suicide attempt (17.9%) compared to non-users (thoughts: 9.8%; plan: 4.5%; attempt: 3.0%). The race/ethnic profile of users and non-users were statistically similar. When controlling for all other variables, NMPOU was associated with increased odds for making a suicide plan (OR = 1.68, p < 0.05). NMPOU was not significantly associated with thoughts of suicide and suicide attempts. Asian adolescents had the highest prevalence in the three measures of suicidality compared to all other race/ethnic groups, and had higher odds for having a suicide plan (OR = 1.62, p<0.01) and making a suicide attempt (OR = 1.94, p < 0.05). Furthermore, the interaction effect for Asian ethnicity and NMPOU was significant for having a suicide plan (OR = 4.95, p < 0.05) and making a suicide attempt (OR = 7.33, p < 0.05). Conclusions: Findings suggest that NMPOU is associated with higher prevalence and odds of suicidality among adolescents. Although opioid misuse was similar across race/ethnic groups, Asian adolescents were disproportionately impacted by the effects of the opioid epidemic. Future research can examine the relationship of opioids, mental health, and engagement in mental health treatment for at-risk populations of adolescents, in particular with Asian young adults. Social workers can highlight the critical need for prevention and mental health treatment through advocacy and engagement to address this on-going public health issue.",
      "authors": "Keith Chan; Christina Marsack-Topolewski; Shangyun Zhou",
      "author_ids": "112029; 121441; 121442",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3363655250,
        "prompt_eval_count": 1644,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:27:57.477395+00:00"
    },
    {
      "input_index": 1295,
      "record_key": "SSWR:2021-U-0687",
      "source_database": "SSWR",
      "record_id": "2021-U-0687",
      "year": 2021,
      "title": "Resilience and Suicidal Behaviors in Black College Students: An Investigation across Suicide Ideation, Planning, and Attempt",
      "abstract": "Background and purpose: Suicide is both the 3 rd leading cause of death for 15-24-year-old Black youth and 2 nd leading cause of death among college students in the U.S. (CDC, 2019; Liu et al., 2019). Moreover, recent reports indicate that rates of suicide death in Black youth have significantly increased over the past 25 years, while rates of suicide death among youth from other race groups have either remained the same or decreased within this same time frame (Lindsey et al., 2019). One particular psychological factor, resilience, has previously been shown to protect against suicidal behaviors. However, it has yet to be determined whether this relationship holds among students from underserved backgrounds broadly— and among Black youth and young adults specifically. Methods: This investigation measured associations between resilience and suicide ideation, planning, and attempt in Black college men and women. Responses from a cross-sectional nation-wide survey of students who participated in the 2016-18 Healthy Minds Study were assessed. Approximately 3,232 Black/African American students completed the modules and measures of interest that were assessed in this study (e.g., resilience). Participant’s age, gender, sexual orientation, academic level, and first-generation status were included as covariates in the models. All three suicide outcomes were captured using binary items, and a series of logistic regression models were tested to assess associations between resilience and suicidality. Predicted probabilities were also calculated interpretability of results generated from the logistic regression models. Results: Results from the first logistic regression indicate a negative and statistically significant association exists between resilience and suicide ideation (OR= 0.36; 95% CI= 0.31 to 0.43). These findings suggest that for every one unit change in resilience, the odds of experiencing suicide ideation decreases by 64%. The second logistic regression model examined the association between resilience and suicide planning in Black college students. Again, resilience was negatively associated with suicide plan such that a one unit increase in resilience accounted for a 62% decrease in the odds of suicide planning (OR= 0.38; 95% CI= 0.30 to .048). The final logistic regression model tested the association between resilience and past year suicide attempt. Results indicate that a one unit increase in resilience is significantly associated with a 62% decrease in the odds of attempting suicide in Black college students (OR= 0.38; 95% CI= 0.27 to 0.62). Conclusion and Implications: Resilience, or the ability to “bounce back” in the midst of stressful circumstances, appears to protect against adverse mental health outcomes like suicide ideation, planning, and attempt for Black college students. Suicide prevention interventions must account for the cultural implications of resilience and the unique factors that contribute to suicide within communities of color. Careful attention should also be given to ensure that clinicians and interventionist do not simply tell Black college students to “tough it out” or to “just push through.” Instead, offering practical strategies and skills that build resilience overtime will be necessary in order to improve the wellbeing and mental health outcomes of Black youth and young adults in the U.S.",
      "authors": "Janelle R. Goodwill",
      "author_ids": "115600",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3422025167,
        "prompt_eval_count": 1617,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:28:00.901724+00:00"
    },
    {
      "input_index": 1298,
      "record_key": "SSWR:2021-P-0074",
      "source_database": "SSWR",
      "record_id": "2021-P-0074",
      "year": 2021,
      "title": "Sexual Minorities and Teen Suicide Attempts in a Southeastern State with Prominent Exclusionary Policies",
      "abstract": "Background and Purpose: Recent investigation has emerged about the relation between suicide attempts among sexual minority populations and geographical location of residence. Puckett et al. (2017) suggest tailoring prevention and intervention efforts in areas in the U.S. that are more politically and socially oppressive towards sexual minority youth. Sexual minority adolescents endure minority stress, including stigma, rejection, shame, and victimization, resulting in increased suffering and a higher risk of suicidality. Although the risk factors for suicide attempts are well documented in normative, heterosexual populations, it is far less researched among sexual minority youths. Methods: For our sample, we used data from the 2017 Youth Risk Behavior Surveillance Survey (YRBSS) in North Carolina. Of the 3,151 high school participants in North Carolina, 465 identified as either lesbian, gay, bisexual, or not sure/questioning. To test whether sexual minority youth experienced higher rates of suicidality relative to their heterosexual peers, we conducted cross-tabulations and chi-square tests to see if there were relationships between sexual orientation and suicidal thoughts, plans, and attempts. To identify the prominent risk factors for sexual minority suicide attempts, we conducted a logistic regression analysis that examined the likelihood of attempting suicide based on critical risk factors for this population: experiencing physical or sexual dating violence, being bullied, school safety concerns, and feelings of sadness or hopelessness. Results: Sexual minority youth were more likely to experience suicidal thoughts, develop plans to commit suicide, and attempt suicide, relative to their heterosexual peers. Sexual minorities were over three times as likely to experience suicidal thoughts (χ 2 = 186.90, p < .001) and plans to commit suicide (χ 2 = 173.19, p < .001). Sexual minority youths were almost four times as likely to have attempted suicide (χ 2 = 128.13, p < .001). Further, approximately 1 out of every 4 sexual minority youths attempted suicide (24%), compared to only 1 out of every 17 heterosexual youths (6%) attempted suicide. In terms of sexual minority risk factors, youth who experienced school safety concerns were 3.5 times more likely to attempt suicide, those who experienced forced sexual intercourse were 4.45 times more likely to attempt suicide, and sexual minority youth who experienced sadness or hopelessness were 3.78 times as likely to attempt suicide. Conclusions and Implications: Findings revealed sexual minority youth in North Carolina had statistically significant higher rates of suicidal thoughts, plans, and attempts relative to their heterosexual peers. Findings also include key risk factors amongst sexual minority youth experiencing suicidality. It is recommended that prevention efforts for this population focus on policy advocacy and inclusion of sexual minority populations. Identified policies within North Carolina that directly impact sexual minority youth include housing nondiscrimination laws, public accommodations nondiscrimination laws, protections within the child welfare system, and hate crime laws protecting sexual minorities. To ensure sexual minority youth have an equal opportunity to participate in society and live free from suicidal ideation and attempts, this research is being used to advocate for more inclusive policies.",
      "authors": "Sonyia Richardson; Travis Hales; Erin Meehan; Abby Waters",
      "author_ids": "120570; 117685; 120571; 120572",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3386106333,
        "prompt_eval_count": 1582,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:28:11.312604+00:00"
    },
    {
      "input_index": 1299,
      "record_key": "SSWR:2021-P-0196",
      "source_database": "SSWR",
      "record_id": "2021-P-0196",
      "year": 2021,
      "title": "Sexual Minority Youth, Bullying, and Suicidality: An Urgent Need for Individual- and School-Level Interventions",
      "abstract": "Background: Suicide is the second leading cause of death for adolescents in the United States. Research has identified various social, biological, and psychological risk factors to suicide, with bullying identified as one major risk factor for suicidality amongst adolescents. Exposure to bullying by peers is common in school settings and online, and it remains critical for school social workers to consider the impact of bullying when implementing suicide prevention strategies. In addition, youth with nonheteronormative sexual identities have been found to be at elevated risk for suicide and bullying. Understanding how hostile peer interactions affect the mental health of youth may clarify pathways stakeholders can use to intervene and prevent suicide. This study aimed to explore the differences between traditional bullying and electronic bullying on suicidality, and the impact of bullying on varying aspects of suicidality on sexual minority youth. Method: The current study was a secondary data analysis of the 2017 national Youth Risk Behavioral Surveillance System that surveyed adolescents in public and private schools from 9 th to 12 th grade ( n = 14,684). The survey asked participants on their health risk behaviors, including their experiences with bullying and suicidality. Participants were asked about being bullied at school, being bullied online, feeling sad or hopeless, having considered suicide, having made a suicide plan, and having attempted suicide once or more than once. Logistic regression models were utilized to examine the strength of effects between sexual identity, bullying, and suicidality. Results: Findings revealed positive relationships between being bullied at school and suicidality, and being bullied electronically and suicidality. Bullying and electronic bullying had similar impacts on suicidality. Sexual minority youth were at higher risk for bullying and suicidality. Bisexual identity was the strongest predictor of feeling sad or hopeless, having considered suicide, having made a suicide plan, and having attempted suicide at least once. Students identifying as gay or lesbian were the most likely to have attempted suicide four or five times. Conclusion: Results of this study emphasize the importance of bullying prevention programs in schools across the nation to reduce its impact on mental health and suicidality. Anti-bullying campaigns and suicide prevention efforts should focus on sexual minority youth, who face social exclusion because of their sexual identity, are more susceptible to bullying, and are more likely to endorse suicidal ideations and attempt suicide more than once. Efforts to prevent bullying should target all forms of bullying, including electronic bullying. Findings also highlight the development and implementation of suicide protocols that intervene at every aspect of suicidality in schools across the nation, with increased focus on those who have been victimized by their peers because of their sexual identity. Finally, it is equally important to consider the importance of the larger school context and the need to intervene at the school level. Creating a positive and supportive school climate is a critical way to include all stakeholders and improve experiences for all students.",
      "authors": "Gordon Capp; Joyce Truong",
      "author_ids": "114223; 120805",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3166893500,
        "prompt_eval_count": 1519,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:28:14.481173+00:00"
    },
    {
      "input_index": 1301,
      "record_key": "SSWR:2021-U-0630",
      "source_database": "SSWR",
      "record_id": "2021-U-0630",
      "year": 2021,
      "title": "Social Media Detection and Monitoring of Suicidal Risk Among Adolescents",
      "abstract": "Background: Social workers engaged in clinical practice with adolescents at risk for suicide, the 2 nd leading cause of death among youth, must consider their unique needs for social media monitoring. Suicidal disclosures and risk communication occur frequently online, more so than they do in-person. Further, suicidal youth are more vulnerable to negative social media experiences, e.g. cyberbullying or exposure to self-harm content, than youth in the general population. Advances in natural language processing (NLP) offer the capacity to detect risk for suicide from language present on social media content to automate social media monitoring. For example, the OurDataHelps platform by Qntfy TM has used a NLP algorithm to detect risk of suicide attempt from social media data with a high degree of accuracy (70-85% true positive rate). Such an approach shows promise for augmenting self-report measures of suicidal risk used within clinical care for adolescents. However, acceptability and feasibility within a clinical context remains unknown. Objectives: First, we will report the findings of a mixed methods study which explored acceptance of automated social media monitoring through the perspectives of suicidal adolescents, parents, and clinicians. Second, we will report the preliminary findings from a pilot study in which we are testing the feasibility of collecting social media content from suicidal adolescents in clinical care. Methods: Study 1: Adolescent patients (n= 15, ages 13-18), parents (n=12), and clinicians (n=12) from an intensive outpatient program for suicidal youth participated in surveys and either interviews or focus groups. Clinicians, who were predominantly clinical social workers but also included counselors and psychiatric nurses, were engaged in team-based care of acutely suicidal youth. Focus groups and interviews were analyzed using a thematic analysis approach and triangulated with descriptive survey data. Study 2 : Data collection is underway (n=7 adolescents recruited) toward a goal of recruiting 35 suicidal adolescents and 15 healthy controls (recruitment estimated to be at last 75% complete by the time of the conference). Recruitment rates will be analyzed to evaluate feasibility and positive rates for suicidal risk from a NLP algorithm will be compared to clinical assessments of suicidal ideation and behavior. Results: Study 1: Adolescents, parents, and clinicians reported facilitators toward automated monitoring, including a desire for protection in adolescents’ online environments. Barriers included concerns for privacy and limitation of free online expression. Study 2 Of youth and parents who were told about the research study, 72% were interested and eligible to participate, 17% were eligible but reported not using social media, and 11% were not interested. Those who were disinterested primarily discussed privacy concerns. NLP analyses are forthcoming, pending recruitment of a larger sample. Conclusions: Automated monitoring of risk statements detected through social media content presents a promising avenue to augment self-reported assessments of suicidal risk among youth; however, for this method to be successful careful attention must be paid to privacy concerns and desires for freedom of expression. Incorporating such methods into clinical practice could aid social workers in supporting the safety of their adolescent clients who are vulnerable to suicide.",
      "authors": "Candice Biernisser; Janie Zelazny; David Brent",
      "author_ids": "121596; 121597; 111763",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "mixed_methods",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3351754250,
        "prompt_eval_count": 1566,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:28:21.222589+00:00"
    },
    {
      "input_index": 1303,
      "record_key": "SSWR:2021-G-0006",
      "source_database": "SSWR",
      "record_id": "2021-G-0006",
      "year": 2021,
      "title": "Substance Use Disorders and Timing of Warrior Transition Unit Assignment Increase Likelihood of Military Discharge after Post-Deployment Rehabilitation in Army Warrior Transition Units",
      "abstract": "Background: Military discharge after combat deployment is associated with physical injury, behavioral health, and reintegration difficulties. In Warrior Transition Units (WTUs), soldiers receive rehabilitative care to facilitate returning to duty or transitioning to veteran status. Although most soldiers return to duty after WTU assignment, sparse evidence exists on WTU attrition. We investigated factors associated with discharge after WTU assignment. Methods: Retrospective cohort study analyzed U. S. Department of Defense Military Health System data to examine factors associated with discharge after WTU assignment in Army service members ( N =31,094) who returned from deployments, FY2008-2015. Military discharge was defined as separation within 180 days after the first WTU assignment end date. WTU i ndex deployment was the deployment preceding WTU assignment. Timing of WTU assignment defined after WTU index deployment end date (post-deployment) was categorized: < 30 days before deployment end date, 31-90 days post-deployment, 91-180 days post-deployment, 181-365 days post-deployment, >365 days post-deployment. Primary physical and behavioral health diagnoses flags defined using ICD-9 codes were measured < 30 days after WTU assignment begin date included: amputations, spinal, shrapnel, burns, blindness, pain, sleep, musculoskeletal, traumatic brain injuries; adjustment, mood, posttraumatic stress disorder (PTSD), anxiety; alcohol (AUD), drug (DUD), and opioid use (OUD) disorders, psychosocial problems, suicide, overdose. Two logistic regressions (with/without interactions) controlled for sociodemographics (age, sex, race, marital status, single parent), military (service component, rank, TRICARE coverage), deployment (deployment frequency, total time deployed, index deployment length), WTU (timing of WTU assignment, WTU assignment frequency), physical and behavioral health diagnoses. Interactions included: service component*timing of WTU assignment, service component*acute pain, service component*chronic pain. Subgroup analyses were stratified by timing of WTU assignment. Results: Service component moderated associations between timing of WTU assignment and discharge. Odds ratios (OR) and 95% confidence interval (CI) estimates indicated National Guard (91-180 days post-deployment; OR: 1.40 (1.04-1.88); >365 days post-deployment; OR: 1.74 (1.41-2.16)] and Reservists [91-180 days post-deployment, OR: 1.80 (1.27-2.56); 181-365 days post-deployment; OR: 1.59 (1.08-2.32); >365 days post-deployment; OR: 1.58 (1.21-2.05)] had increased odds of discharge than Active duty. Primary PTSD diagnoses decreased odds [OR: 0.53 (0.47, 0.60)], whereas suicide [OR: 2.34 (1.47-3.72)], overdose [OR: 2.16 (1.24-3.77)] and OUD [OR: 1.53 (1.03-2.28)] increased odds of discharge. Subgroup analyses revealed differential physical and behavioral health associations by timing of WTU assignment. Primary substance use disorder (SUDs) diagnoses increased odds of discharge, including AUD [before deployment ended, OR: 1.95 (95% CI: 1.23-3.09); 91-180 days post-deployment, OR: 1.97, (95% CI; 1.03-3.77)]; DUD [<30 days post-deployment, OR: 1.63 (95% CI: 1.09-2.46)]; OUD [>365 days post-deployment, OR: 1.89, (95% CI: 1.07-3.31)]. Conclusions: SUDs, suicide, overdose, and timing of WTU assignment increased odds of discharge after WTU assignment in soldiers redeployed, FY2008-2015. Suicide or overdose attempts more than doubled odds of discharge. Military social workers can promote social change through targeted suicide, overdose, and SUD prevention, and timely mental health and SUD treatment referrals to reduce attrition after WTU assignment. Identifying preventable conditions increasing WTU attrition can inform post-deployment health policy and clinical decision-making to retain soldiers in military service after post-deployment rehabilitation and recovery.",
      "authors": "Nikki R. Wooten; Akhtar Hossain; Jordan A. Brittingham; Abbas S. Tavakoli; Thomas M. Best; Steve S. Wahl; Diana D. Jeffery",
      "author_ids": "110913; 121214; 115698; 113797; 121215; 121216; 115699",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Sig",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 4171394833,
        "prompt_eval_count": 1971,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:28:29.074181+00:00"
    },
    {
      "input_index": 1304,
      "record_key": "SSWR:2021-P-0701",
      "source_database": "SSWR",
      "record_id": "2021-P-0701",
      "year": 2021,
      "title": "Substance Use Related Mortality Among Recently Released Persons",
      "abstract": "Background/Purpose: Published literature indicates that recent release from a correctional facility is a contributing factor for drug-related fatalities, with a higher risk of occurrence within two weeks of release. With the prevalence of drug-related mortality among this population, the purpose of this study is to analyze associations between behavioral health variables and demographics on the likelihood of substance-related mortality among persons recently released from a correctional facility. Methods: Data is from the National Violent Death Reporting System (NVDRS), which includes all violent deaths from 32 states in the U.S., collected each year from 2003 to 2015. Our sample included all violent deaths among individuals recently released from a correctional facility. NVDRS data includes reports from death certificates, corner examiner reports, law enforcement agencies and toxicology reports. To establish substance-use related mortalities, toxicology test results were used to form a binary variable. Additional measures in the NVDRS include race/ethnicity, age, gender, education level, marital status, manner of mortality, binary measures of mental health problems, substance use-related problems, currently in treatment for mental health, and a history of mental health treatment. A multivariate logistic regression model examined associations between demographics, manner of death and behavioral health variables and the likelihood of substance-related mortality. Results: There were 39.51% (N=469) non- substance use mortalities, and 60.49% (N=718) substance use mortalities. The multivariate analysis showed that individuals who died due to homicide (OR= 2.98) and undetermined causes (OR= 7.95) showed significantly higher odds of substance-use related mortality compared to individuals who died by suicide. Individuals who were Black/African American (OR= 2.09), and Hispanic (OR= 2.06) also showed significantly higher odds of a substance use related mortality compared to White non-Hispanic individuals. Also, those with alcohol problems (OR= 2.02), and those with substance abuse problems (OR= 2.42) showed higher odds of a substance-use related mortality. The multivariate analysis resulted in statistically significant lower odds of substance-use related mortality amongst certain variables. Additionally, those with less than High school/GED equivalent (OR= 0.69) showed significantly lower odds of a substance-use related mortality compared to those with high school/GED. Last, those who were previously married (OR= 0.61) showed significantly lower odds of a substance use related mortality compared to those who were never married. Conclusions/ Implications: The study resulting in higher odds of substance-use related fatalities among those with substance use problems emphasizes a need for screening and referral to treatment during release from incarceration. Those identified as higher risk can be allocated case managers who will follow-up and ensure engagement in treatment. Higher odds among minorities supports a need for preventative approaches and providers that are culturally competent to ensure culturally responsive care. Future studies should evaluate the release process provided by correctional facilities to persons during release. Research on the release process will contribute to the provision of quality of this process for those in need. Qualitative research with minorities upon release will also provide meaningful insight into the cultural-specific needs of this population.",
      "authors": "Oluwayomi Paseda; Orion P. Mowbray",
      "author_ids": "121727; 110801",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3438424208,
        "prompt_eval_count": 1596,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:28:32.514336+00:00"
    },
    {
      "input_index": 1305,
      "record_key": "SSWR:2021-P-0633",
      "source_database": "SSWR",
      "record_id": "2021-P-0633",
      "year": 2021,
      "title": "Suicidal Behavior Among Health-Seeking Syrian Refugee Women Living in Non-Camp Settings in Jordan",
      "abstract": "Background and Purpose: Jordan hosts approximately 1.3 million (registered and unregistered) Syrians refugees, making it one of the largest per capita refugee hosting countries in the world. Refugees face an increased risk of mental illness due to multiple stressors before, during and after forced migration; with women facing additional vulnerabilities. Mental health disorders, lack of social support, and post-migration stressors have been associated with suicidal behaviors among refugee populations; however, little is known among Syrian refugee women in Jordan. To contribute to this understudied area, we examined: 1) the prevalence of suicidal ideation and attempts among a sample of Syrian refugee women living in non-camp settings, and 2) the correlates of suicidal ideation to known risk factors in the literature. Methods: We recruited a sample of 507 Syrian refugee women from health clinics of NGOs in four different governorates/cities in Jordan: Amman, Ramtha, Mafraq and Zarqa. Participants were enrolled using a clinic-based systematic sampling methodology. Interviewer administered surveys were completed between April-November 2018. Provisional mental health diagnosis was completed using validated screening tools for anxiety(GAD-7), depression(CESD), and PTSD(PCL-5). We employed a penalized multivariable regression to assess associations between number of post-migration stressors, number of mental health diagnosis, number of social supports from friends as well as from family, and suicidal ideation in the past 6 months. Results: Syrian refugee women age ranged from 18 to 74 years, with a mean age of 33 years (SD=11) and an average displacement time of 5.2 years (SD=1.4) in Jordan. Almost one-tenth (9.1%) of women surveyed reported suicidal ideation in the past 6 months, while 2.8% reported a suicide attempt in the past 6 months. Almost all women (95.5%) who reported suicidal ideation in the past 6 months met the provisional diagnosis for either anxiety, depression or PTSD. Almost three quarters of those who reported suicidal ideation (72.7%) as well as suicidal attempts (75.0%) met the criteria for all three diagnosis (anxiety, depression and PTSD). Women who met criteria for all three mental health diagnosis (depression, anxiety and PTSD) were more likely to present with suicidal ideation during the past 6 months (aOR:5.71, 95% CI:1.32, 24.60) as compared to those without any mental health diagnosis. We did not find significant association between women who reported no support from friends and no support from family with suicidal ideation in the past 6 months, as compared to woman who had 1 or more social supports. No significant associations were also found between number of post-migration stressors and suicidal ideation in the past 6 months. Conclusions and Implications: suicidal behaviors among refugee populations is an understudied research area that needs greater attention. The strong association between suicidal ideation and mental health disorders among our sample of Syrian refugee women highlight the role of psychological pain and the need to screen for and act to improve the mental health and suicidal behaviors in healthcare settings. Future research should examine the prevalence of completed and attempted suicides to understand the prevalence of suicidal behaviors and associated risk-factors.",
      "authors": "Mohamad Adam Brooks; Anindita Dasgupta; Melissa Meinhart; Trena Mukherjee; Raeda Al-Qotob; Ruba Jaber; Maysa' Khadra; Neeraj Kaushal; Nabila El Bassel",
      "author_ids": "121482; 119945; 117807; 119944; 121620; 121484; 119946; 110239; 108975",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3359342375,
        "prompt_eval_count": 1630,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:28:35.876343+00:00"
    },
    {
      "input_index": 1306,
      "record_key": "SSWR:2021-P-0703",
      "source_database": "SSWR",
      "record_id": "2021-P-0703",
      "year": 2021,
      "title": "Suicide Ideation, Plan, and Attempt Among a Sample of Adults with Psychosis in a Psychiatric Emergency Care Setting",
      "abstract": "Background and Purpose: Suicide is among the leading causes of death for individuals with schizophrenia spectrum disorders (SSPD). Depression and hopelessness are consistently shown to be risk factors for non-fatal and fatal suicide behaviors, and there is growing evidence for the role that positive symptoms play in heightening risk. With fatal and non-fatal suicide rates are rising over time, it is essential for service settings to increase preparedness for assessment of risk and intervention; particularly among individuals with SSPDs given an elevated risk compared to the general population. The current study examined psychosis symptomatology, depression, suicide ideation, suicide plan, and suicide attempt among a sample of adults in psychiatric emergency care. Methods: Data were obtained from Psychiatric Emergency Services (PES) of Michigan Medicine at the University of Michigan from 2013 until 2020 using an Electronic Medical Record Search Engine (EMERSE). Participants included 980 adults between the ages of 18 to 65 who presented in PES with symptoms of psychosis and either suicide ideation or a recent suicide attempt. Data from electronic medical records include investigations of assessments and encounter notes by psychiatrists and social workers of PES treatment teams. Data were examined in SPSS26. Results: Participants were on average 35.3 years of age (SD=13.31) and most often identified as male (57%), white (66.2%), single/unmarried (78%), and unemployed (75%). Medical chart data indicated participants most often either had been to PES once (37%) or 2-3 times (41%) in a lifetime, and the majority either stayed for less than one day in PES (41%) or only one day (22%). Of the 980 participants, 99% reported the experience of positive symptoms at the time of assessment during their PES visit, with 80% endorsing hallucinations and 67% delusions, and almost half experienced symptoms of depression (n=46%). As for suicide-related outcomes, 78% reported suicide ideation, 35% reported having a suicide plan, and 8% made a suicide attempt prior to their visit. The most common methods identified for suicide plans and recent attempts with intent to die were use of pills to overdose and cutting. Conclusions and Implications: Consistent with literature, there is a high prevalence of suicide ideation, plan, and attempt among adults with psychosis. These findings have important clinical implications for the need to identify and address characteristics which may put an individual at heightened risk for suicide ideation, plan, and attempt. Our future research will go beyond prevalence to examine the relationships between these variables in a risk-factor model. With social workers providing the majority of mental health services in the US and frequently providing care within a multidisciplinary treatment team, such as in hospital settings like PES, it is essential for social workers to increase understandings of risk factors for ideation, plan, and attempt among individuals with psychosis; a population in which risk is elevated as compared to the general population.",
      "authors": "Lindsay A. Bornheimer; Victor Hong; Juliann Li Verdugo; Lindsay Fernandez; Jenna Dagher",
      "author_ids": "114170; 121729; 121000; 121731; 121732",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3383333291,
        "prompt_eval_count": 1565,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:28:39.261529+00:00"
    },
    {
      "input_index": 1307,
      "record_key": "SSWR:2021-X-0039",
      "source_database": "SSWR",
      "record_id": "2021-X-0039",
      "year": 2021,
      "title": "Suicide Prevention Screening Outcomes Among a Sample of American Indian/Alaska Native and Other Youth: Results from the Hope and Wellness Screening Toolkit",
      "abstract": "Background: From 2011-2019, American Indian Health and Family Services in Detroit, MI, and the University of Michigan collaborated on the “Manidookewigashkibjigan Sacred Bundle: R.E.S.P.E.C.T. Project\" which focused on suicide prevention among high-risk American Indian/Alaska Native (AI/AN) youth. As part of this project, a team of community members, families, youth, staff, and researchers developed an AI/AN-focused, youth-specific suicide risk screening toolkit. AIHFS conducted 731 suicide risk screenings with youth ages 9-25 in behavioral health and community settings. Preliminary outcomes from these screenings are reported here. Methods : Assent (ages 9-17) and consent (ages 18-25) to participate was obtained, trained suicide prevention gatekeepers facilitated youths’ completion of the suicide prevention screening called the “Hope and Wellness Screening” (N=578). The survey contained standard measures of suicide risk, including depression symptoms and suicidality (PHQ-9), substance use (CRAFFT ages 10-17; AUIDIT and DAST ages 18-24). More than half of youth screened were female (56.5%), about two-thirds (62%) were AI/AN alone or in combination with another race (pooled group) , the average age was 15.5 years. Associations between PHQ-9 outcomes, substance use, and demographics were evaluated using Chi-square, and differences across categorical variable groups using Mann-Whitney and Kruskal-Wallis tests. Results: The same proportion of AI/AN and non-AI/AN youth reported past month suicidal ideation (6%), 14.8% of AI/ANs vs.11.9% of non-AI/ANs reported a lifetime suicide attempt. The mean PHQ-9 score for AI/AN youth was 5.17 (SD: 5.05), 25% scored positive; for non-AI/AN youth, the mean score was 4.53 (SD: 4.90), and 23% scored positive. Chi-square results show positive PHQ-9 (score ≥10) was significantly associated with age group (9-13, 14-17, 18-25), gender, and adult substance use measures. Males accounted for 29% of AI/AN positive PHQ-9 scores, vs. 43.5% of those for non-AI/ANs. PHQ-9 scores were significantly different across the three age groups. Kruskal-Wallis and Mann-Whitney tests on PHQ-9 scores by gender across age groups found significantly different scores among the three age groups for AI/AN youth (p<0.05) but not for youth of other races; similarly PHQ-9 scores differed by gender only among AI/AN youth ages 14-17 (p<0.05). Implications: These preliminary suicide risk screening data are consistent with findings that suicidality increases through adolescence but brings attention to ages 14-17 as a potentially sensitive period to build resilience and decrease risk. While men, particularly AI/ANs, have high suicide rates, we report lower portions of positive depression screenings and significant gender differences in PHQ-9 scores for AI/AN youth in middle adolescence. These findings may implicate a conspicuous lack of traditional risk factors for certain high-risk groups such as AI/AN youth. More research is needed to understand and develop effective methods of early identification and intervention for suicide and mental illness among youth.",
      "authors": "Amelia C. Mueller-Williams; Jennifer Hopson; Celina Doria; Rachel L. Burrage; Sandra L. Momper",
      "author_ids": "111704; 121656; 118658; 116536; 108890",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3690483250,
        "prompt_eval_count": 1718,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:28:42.954219+00:00"
    },
    {
      "input_index": 1309,
      "record_key": "SSWR:2021-P-0485",
      "source_database": "SSWR",
      "record_id": "2021-P-0485",
      "year": 2021,
      "title": "The Cumulative Effects of Treating Suicidality in Young Adults: Understanding the Differing Needs of Early- and Late-Career Clinicians",
      "abstract": "Background and Purpose : The prevalence of suicide attempts and suicidal thinking among college-age youth has increased in recent years. Though treating suicidality is a common feature of therapeutic work with young adults, many therapists report being uncomfortable with the task and report anxiety, hopelessness, a sense of powerlessness, dread, or fear of liability. While several qualitative studies have explored the emotional reactions of clinicians in treating suicidality, research to date has not focused on the ways in which clinicians at different stages in their career may experience and cope with the stress of treating suicidality differently. This paper helps to fill this gap through an exploration of the experiences of early- and late-career clinicians within a large college counseling center that reports a high prevalence of suicidality within its patient population. Methods : In-depth, semi-structured interviews were conducted with twelve clinicians at a college counseling center at a large private university (22,000 students) in the northeast. The sample, which represented 18% of the total clinical staff, was predominantly female (75% female, 25% male) and White (75% White, 25% non-White); five were clinicians within their first three years of practice, and seven were clinicians with 15+ years of practice. Participants were recruited via email. Interviews focused on clinician experience of assessing for and treating suicidal thinking and behavior, and solicited clinician’s impressions of what has been most helpful in helping them manage any stress they experience around treating suicidality. Interviews were transcribed verbatim and coded thematically using NVivo qualitative software, guided by the principles of interpretive phenomenological analysis. Findings : Data analysis reveals that, while all participants noted the cumulative stress of managing caseloads with prevalent suicidality (33-66% of clients), early and late career clinicians report consistently different reactions to and conceptualizations of suicidality. Early career clinicians report anxiety, dread, and dissociation during suicide assessments, whereas late career clinicians endorse a comfort and positive activation during assessments that leads to greater focus. Consistent differences emerge regarding the issue of losing a client to suicide: participants reported greater anxiety and a greater sense of power and control over preventing suicide early in their career (before loss), compared to an acceptance of the limitations of clinician power later in their career. All late career participants had experienced loss, and uniformly noted a sense of being “forever changed” as people and as clinicians. All participants report that opportunities to consult with colleagues are a vital support, but the type of support differs: early career therapists seek validation of their technique and a sense of shared responsibility, whereas late career therapists consult with others who have experienced loss. Conclusion and Implications : Findings highlight the importance of providing support to clinicians operating in college settings with a high prevalence of suicidality, and suggest that support may need to be tailored to clinician experience. Given the increased anxiety and potentially unrealistic expectations around preventing suicide endorsed by early career clinicians, additional training and supervisory support may be especially important in the first years of clinical practice.",
      "authors": "Courtney Hutchison",
      "author_ids": "121352",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3399794333,
        "prompt_eval_count": 1568,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:28:49.852215+00:00"
    },
    {
      "input_index": 1311,
      "record_key": "SSWR:2021-P-0507",
      "source_database": "SSWR",
      "record_id": "2021-P-0507",
      "year": 2021,
      "title": "The Effect of Sexual Victimization Prior to Migration on Suicidal Ideation Among Female North Korean Defectors in South Korea -Mediating Effect of Post-Traumatic Stress Symptoms(PTSS)-",
      "abstract": "Background: The number of North Korean defectors settling in South Korea continues to rise. Women account for more than 70% of the defector population. Before entering South Korea, female defectors are in danger of being exposed to a variety of traumatic experiences. In particular, experience of sexual violence such as rape, human trafficking and force prostitution is a major cause of post-traumatic stress symptoms. However, studies on this subject that focus on sexual violence are limited. Methods: The purpose of this research is to find the correlation between female North Korean defector’s sexual victimization prior to entering South Korea and suicidal ideation, and test for the mediating effects of post-traumatic stress symptoms. For this, it utilizes survey data from, “Research on Customized Supporting for violence victim North Korean Female”, conducted by Yonsie University’s Graduate School of Social Welfare, commissioned by the Ministry of Gender Equality and Family. Excluding 3 insufficient surveys, a total of 155 surveys were analyzed. In the data analysis process, SPSS 18.0 was used to conduct multiple regression analysis using the bootstrapping mediation methods and SPSS process to verify the significance of the mediator effect. Results: The main summaries and result are as follows: (i) 31.2% of North Korea female defectors were subject to sexual violence before entering South Korea; (ii) Among them, 27.9% were victims of trafficking victims, and the frequency of victimization was twice as high in China and other third-party states, compared to that which occurred in North Korea; (iii) 45.2% of female defectors engaged in suicidal ideation and 84.9% had one or more than one post-traumatic stress symptoms; and (iv) the post-traumatic stress symptoms showed complete mediating effect on the relationship of sexual victimization and suicidal ideation. Implication: These findings suggest the need for the expansion of mental health support programs for female North Korean defectors after entering South Korea, as well as for practical intervention plans to manage post-traumatic stress symptoms related to sexual violence.",
      "authors": "Sung Gyul Hwang; Jae Yop Kim",
      "author_ids": "121396; 109959",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2844739458,
        "prompt_eval_count": 1382,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:28:56.123277+00:00"
    },
    {
      "input_index": 1312,
      "record_key": "SSWR:2021-P-0482",
      "source_database": "SSWR",
      "record_id": "2021-P-0482",
      "year": 2021,
      "title": "The Effects of Long-Term Care Infrastructure on Local Elderly Suicide Rate in South Korea",
      "abstract": "Background and Purpose: The elderly suicide rate in South Korea is the highest among the members of the Organization for Economic Cooperation and Development (OECD). Despite elderly suicide is a serious public health issue, there have been very few studies in South Korea that have examined factors related to elderly suicide rate at the regional level. As the long-term care(LTC) infrastructure is one part of the nation’s public safety net for elderly, LTC infrastructure is expected to lower elderly suicide rate. Thus, this study aims to examine the effects of LTC infrastructure on elderly suicide rate involving 229 local governments and more specifically to test whether LTC homes and facilities infrastructure affect local elderly suicide rates differently. Methods: We performed descriptive statistics and panel fixed effect regression using the data set generated from the causes of death statistics by Statistical Office and administrative data from 229 local governments over 2010 to 2018. The local elderly suicide rate was defined as the number of elderly suicide cases per 100,000 elderly in each region. The explanatory variables are total number of LTC infrastructure, number of LTC home infrastructure, and number of LTC facility infrastructure per 1,000 elderly in each region. The other variables included in analysis were selected to control for key local socioeconomic and population characteristics. These included: suicide rate under 65, recipient rates of national basic livelihood security benefit, crude divorce rate, social welfare budget, number of psychiatrists per 100,000 people, financial self-sufficiency level, elderly population ratio, population movement rate. Results: Descriptive statistics showed that number of LTC infrastructure per 1,000 elderly and elderly suicide rates vary by local governments. The result of panel fixed effect regression showed that total number of LTC infrastructure per 1,000 elderly was negatively associated with elderly suicide rates (b=-.464, p<.001), indicating that local governments with higher levels of LTC infrastructure presented significantly lower elderly suicide rates. Furthermore, number of LTC home infrastructure per 1,000 elderly (b=-.822, p<.001) and number of LTC facility infrastructure per 1,000 elderly (b=-.371, p<.05) had a significant effect on elderly suicide rates, indicating that LTC home infrastructure had a stronger impact on lowering elderly suicide rate than LTC facility infrastructure did. Conclusion and Implications: Based on the findings of this study, we suggest that strengthening LTC services through the expansion of LTC infrastructure should be considered to prevent suicide in the elderly. In particular, expanding the long-term home care infrastructure plays an important role in solving elderly suicide problems.",
      "authors": "Sun-Young Heo; Changsook Lee",
      "author_ids": "121347; 119510",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3188821458,
        "prompt_eval_count": 1477,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:28:59.313943+00:00"
    },
    {
      "input_index": 1313,
      "record_key": "SSWR:2021-P-0307",
      "source_database": "SSWR",
      "record_id": "2021-P-0307",
      "year": 2021,
      "title": "The Experience of Moral Injury Among Emerging Adults with Child Welfare Histories",
      "abstract": "Background Moral injury is the psychological, social and spiritual harm caused by events in high stakes situations that transgress deeply held, core moral beliefs and expectations (see Litz et al., 2009; Shay, 1994). Events such as wartime atrocities and child abuse can lead to intense and persistent feelings of guilt, shame, rage, depression, loss of trust, sense of betrayal, and anomie. Indeed, injury to our morality might be among the most painful of human experiences. Recent research found high levels of moral injury in child welfare involved parents and professionals (Haight et al. 2017a; 2017b; & 2016). Moral injury also is reported by some emerging adults in college (Chaplo, Kerig, & Wainryb, 2019). The current study examines moral injury in emerging adults those with histories of foster care. We asked: 1) Do emerging adults with foster care histories describe moral injury? 2) If so, what events do they identify as morally injurious? 3) What do they describe as the immediate and longer-term consequences? Methods This study used a mixed-method design (Creswell, 2015). The sites of the study were three Midwestern states. Participants were 27 emerging adults aged 18-24 with foster care histories. Eight were Black, 8 were Indigenous, 6 were Hispanic, and 5 were white. Participants completed an 8-item, revised moral injury events scale (MIES, Nash et al., 2013). Then, they elaborated their responses to the MIES during a semi-structured, audio recorded interview lasting from 30-90-minutes in a private location. Interviews were transcribed verbatim. Emic codes were induced through repeated readings of each transcript (Schwandt, 2014) and applied to the transcripts by two independent coders. Disagreements were resolved through discussion. Peer de-briefing enhanced the credibility of our interpretations (Lincoln & Guba, 1985). Results Participants reported high levels of moral injury on the MIES. During individual interviews, 22 youth described others’ moral transgressions. These included transgressions by biological parents (e.g., physical abuse of a younger sibling; abandonment), foster/adoptive parents (e.g., sexual abuse) and professionals (e.g., not being listened to or believed). Nine youth also reported transgressing their own moral values. These transgressions included abusing a younger child (e.g., acting out the sexual abuse they had experienced) and physical harm to the self. Participants described that the morally injurious events they experienced made them feel profoundly vulnerable as children. They felt betrayed, isolated, exploited, forgotten, and rejected. Some reported a deep and abiding sense of deficiency. They felt “not normal,” “like garbage,” like “throwaway” children. Longer term, developmental consequences articulated by participants included continued problems with attachment, suicidality, feeling “haunted,” or persisting existential challenges, “Why was I brought into a world where I wasn’t wanted?” Conclusion Individuals who have grown up in foster care are among our most vulnerable emerging adults. Many expressed ongoing suffering from repeated violations of their fundamental sense of right and wrong, just and unjust. This moral injury, unaddressed by existing trauma-informed interventions, is a burden they carry with them into adulthood. Research is needed to design, implement and evaluate interventions for moral injury in this population.",
      "authors": "Wendy L. Haight; Ndilimeke Nashandi; Ruti Soffer-Elnekave; Bailey Jader",
      "author_ids": "112737; 118355; 118030; 121024",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "mixed_methods",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3521212416,
        "prompt_eval_count": 1659,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:29:02.837038+00:00"
    },
    {
      "input_index": 1315,
      "record_key": "SSWR:2021-P-0261",
      "source_database": "SSWR",
      "record_id": "2021-P-0261",
      "year": 2021,
      "title": "The Role of Technology and the Continuum of Care for Youth Suicidality:  A Systematic Review",
      "abstract": "Background: Youth suicide is a global public health crisis . Therefore, it is essential to engage youth in the continuum of mental health services, which ranges from illness recognition to follow-up services. Technology is one medium to increase youth engagement in interventions. Few systematic reviews discuss how technology-enhanced youth suicide interventions fit into the continuum of care. As one of the largest mental health professions, social work plays an important role in youth suicide prevention. Yet, social work is underrepresented in suicidology. Since the use and application of technology is a social work grand challenge and a priority of suicidology, it is opportune time for our field to increase its presence in the science of youth suicide prevention. To address these gaps in the literature, this systematic review aims to examine how technology is used throughout the continuum of care of care for suicidal youth and to understand the current contribution of social work science. Methods: Four electronic databases were searched for youth suicide preventive interventions that used technology. Studies that had a primary focus on suicidality, were in English, and had participants between the ages of 12-24 years old were included. Technology could be used to deliver or serve as a component of an intervention. Studies about assisted suicide, non-suicidal self-injury, postvention and/or only had outcomes for gatekeepers were excluded from the final sample. The review was not restricted by study design and eligible studies could report outcomes on suicidality and/or related behaviors, such as treatment initiation. An adapted version of the Methodological Quality Ratings Scale was used to assess study quality. Results: Twenty-six studies were identified. Only two studies had a first author who represented social work. The mean age of study participants was 17.4 years old. Females represented the majority of participants. Of the studies that did report youth ethnicity, most identified as White; no study reported sexual or gendered minority identity. Thirteen studies were conducted in an educational setting. Phones and online platforms were the predominant technologies use. Across the continuum of care, most studies (12) were targeted to increase youth help-seeking for services, followed by illness recognition (10). The outcomes of the adapted MQRS tool could range from 0 (lowest quality) to 20 (highest quality): the average score was 10.4, ranging from 3 to 16. Nine studies reported significant decreases in suicidal ideation post intervention, nine studies reported significant decreases in other mental health issues, and eight studies reported significant increases in help-seeking behaviors. One study reported a significant increase in coping behaviors, and three studies reported significant increases in treatment initiation. Conclusions: Findings support the emerging efficacy of technology-enhanced interventions, including declines in suicidality and increases in proactive behaviors . Despite its minimal presence, social work science has the potential to contribute a social justice lens to technology-enhanced youth suicide interventions. Social work scholars are well positioned to develop and implement interventions that target limitations of the current literature, particularly to extend services beyond illness recognition and help-seeking and to engage and support diverse youth populations.",
      "authors": "Hannah Szlyk; Jing Tan",
      "author_ids": "115769; 109169",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "review",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Review"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3398208583,
        "prompt_eval_count": 1553,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:29:09.384654+00:00"
    },
    {
      "input_index": 1317,
      "record_key": "SSWR:2021-P-0086",
      "source_database": "SSWR",
      "record_id": "2021-P-0086",
      "year": 2021,
      "title": "The Urgent Need for Social Change: National Estimates of Suicidality in Five Demographic Groups of Adults with and without Major Depression",
      "abstract": "Background/Purpose : Over 50% of people who die by suicide suffer from major depression. A relatively high rate of suicidality continues to accelerate in the general population and presses the question about recent national prevalence estimates of major depression and suicidal thoughts and attempts in increasingly diverse American society. Previous studies that examined major depression and suicide included confounding variables that masked the true prevalence rates of major depression and suicidal thoughts and attempts within demographic groups. To provide recent and accurate national prevalence rates of suicidal thoughts and attempts in diverse demographic U.S population, we used the 2018 National Survey on Drug Use and Health (NSDUH). In our study we extracted data from the most recent NSDUH survey to analyze national prevalence rates of suicidal thoughts and attempts among adults with and without Major Depressive Episode (MDE) symptoms in five demographic groups: sex by race, age, educational level and marital status. Due to the growing diversity in the U.S population, our study contributes to the field by deepening our understanding of major depression and suicide national rates in demographic groups to inform policy makers and practitioners about population based policy and practice planning to reduce rates of depression and suicide. Methods : Data and sample: The NSDUH survey is a stratified national sample that is selected using five-stage stratified sample design. The data has been weighted to obtain unbiased estimates for survey outcomes in the population represented in the NSDUH survey. Study subjects were 18 years and older, with or without MDE based on the diagnostic criteria of Diagnostic and Statistical Manual of Mental Disorders, 5 th edition (DSM-5). Data from the survey was extracted, reaching 42,551 non-institutionalized individuals representing a weighted total of 246,262,418.554 population size. Measures: The main independent variables in the study were sex by race, age, educational level and marital status. The outcome measures included suicidal thoughts and suicidal attempts among adults. Suicidal thoughts were assessed by questions over suicidal thoughts the individual had during the past 12 months, whereas suicidal attempts were measured by questions about attempts to kill oneself. Results : Results show high prevalence rates of suicidal thoughts and attempts among adults with and without MDE. The highest rates of suicidal thoughts and attempts found in adults with MDE among White females (40.6%; 36%), the 18-25 age group (36.4%; 45.6%), adults with some college education (38.7%; 32.8%) and single adults (57.1%; 64.8%). Among adults without MDE, high proportions of suicidal thoughts (and similar number for attempts) were found among White males (31.9%), adults with some college education (39%) and single adults (49.5%). A chi-square test results indicate a significant MDE distribution differences across the five demographic groups (p < 0.001). Conclusions and Implications : Research findings show an alarmingly high rates of major depression and suicidal thoughts and attempts in most demographic groups. Such findings press the urgency to tailor population-based mental health policies and interventions to sharply reduce the estimate rates of depression and suicide in the American society.",
      "authors": "Areen Omary",
      "author_ids": "120600",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3433194625,
        "prompt_eval_count": 1605,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:29:16.175378+00:00"
    },
    {
      "input_index": 1318,
      "record_key": "SSWR:2021-P-0505",
      "source_database": "SSWR",
      "record_id": "2021-P-0505",
      "year": 2021,
      "title": "Understanding Mental Health & Culturally Responsive Mental Health Interventions Among Bhutanese Refugee Population in the United States: A Systematic Scoping Review",
      "abstract": "Background: Bhutanese refugees constitute the largest group of Asian refugees resettled in the U.S. In addition to facing post-resettlement challenges, this population has been a subject of considerable psychological investigation due to alarming rates of anxiety symptoms, PTSD, depression, substance misuse and documented evidence of high suicide rates. Further, mental health concerns remain a huge stigma among the Bhutanese community, which is often unaddressed due to gaps in service delivery and utilization. There is an urgent need for an in-depth understanding of mental health and development of culturally responsive interventions that can promote mental well-being among this hidden population. Purpose : The purpose of our systematic scoping review is: to provide a scientific understanding of Bhutanese mental health; understand efficacy of intervention strategies that have been used in the Bhutanese context, and propose recommendations for advancing research and interventions to improve well-being of Bhutanese refugees resettled in the U.S. Methods: We created a six-staged overarching scoping review framework to guide our inquiry: research question; study identification; study selection; data synthesis; results collation and community consultation. Study search was conducted from February 2019 through February 2020 on seven databases. Inclusion criteria comprised empirical and conceptual studies: published in peer-reviewed journals; published in English; conducted among Bhutanese refugees in the U.S., focused on mental health outcomes and interventions. Grey literature, studies not focusing on mental health, and not conducted in the U.S. were excluded. The three-staged screening and selection process included: initial search and duplicate removal, title and abstract review, and full study review. Data synthesis included extraction of data—study purpose, methodological characteristics, and results—from each study to provide a numerical summary and an overall understanding of mental health and interventions. A thematic framework was used to index, annotate, code and reference study results to identify generic themes and group the studies into thematic clusters. Key results were then extracted from each study for an overview map. Results: Reviewed studies ( N =31) included empirical (27) and conceptual (4) studies. Majority of empirical studies used qualitative (48%), quantitative (40%) and mixed methods (11%) research approaches. Majority of the studies focused on Bhutanese youth and adults (85%), children and youth (7%), and older adults (7%). Theoretical frameworks included: ecological model; bio-ecological systems model; interpersonal psychological theory of suicidal behavior; cultural model of suicide; trajectory model; conservation of resources theory; cultural trauma and coping; social capital framework; PEN-3 cultural model and Nepali ethnopsychology. Most common mental health measures were: Harvard Trauma Questionnaire, the Hopkins Symptoms checklist and the Patient Health Questionnaire. Across studies, five overlapping thematic clusters were identified in relation to mental health: migration stressors; social convoy; suicide; culture, trauma and resilience, and mental health services and interventions. Conclusion and Implications . Study findings contribute to understanding the cultural context of mental health grounded in Bhutanese context, crucial for developing culturally tailored interventions and a foundation for future studies. Findings also highlight the importance of data disaggregation, which help establish the scope of the problem, unmask sub-population differences, and make vulnerable groups more visible.",
      "authors": "Arati Maleku; Jaclyn Kirsch; Mee Young Um; Youn Kyoung (Lily) KIM; Sudarshan Pyakurel; Jordan Wells",
      "author_ids": "113383; 121392; 114086; 113286; 121393; 121394",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "review",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Review"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3379060625,
        "prompt_eval_count": 1606,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:29:19.556217+00:00",
      "screening_source": "Primary screen; blind audit agreement",
      "accuracy_audit": {
        "sample_group": "Review",
        "random_seed": 20260802,
        "blind_screening": {
          "is_relevant": true,
          "relevance_rationale": "Suicide is explicitly identified as one of five central thematic clusters analyzed in the review, alongside other mental health outcomes, making it a distinct component of the study's focus.",
          "evidence_class": "Empirical",
          "empirical_method": "Review",
          "classification_rationale": "The abstract explicitly describes a systematic scoping review methodology with defined search strategies, inclusion/exclusion criteria, and data synthesis processes.",
          "confidence": "High"
        },
        "full_label_agreement": true
      }
    },
    {
      "input_index": 1319,
      "record_key": "SWRD:64048",
      "source_database": "SWRD",
      "record_id": 64048,
      "year": 2021,
      "title": "\"Togetherness:\" the role of intergenerational and cultural engagement in urban American Indian and Alaskan Native youth suicide prevention",
      "abstract": "In a collaborative study with an Urban Indian Health Organization (UIHO) and a University, we conducted six talking circles over three years with American Indian and Alaskan Native (AI/AN) elders, adults, and youth to examine perceptions of suicide and suicide prevention strategies within their community. Results of a thematic analysis indicated that normalization of suicide, stigma, and historical trauma were barriers to suicide prevention. Consistent themes of elders, adults, and youth over all three years reflected the need for intergenerational engagement and cultural connectedness as suicide prevention strategies. Implications for culturally-grounded social work practice with AI/ANs are presented.",
      "authors": "Doria, Celina M.; Momper, Sandra L.; Burrage, Rachel L.",
      "author_ids": "",
      "journal_or_venue": "Journal of Ethnic & Cultural Diversity in Social Work",
      "doi": "10.1080/15313204.2020.1770648",
      "record_type": "journal-article",
      "database_method": "Qualitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2300246958,
        "prompt_eval_count": 1061,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:29:21.858089+00:00",
      "screening_source": "Primary screen; blind audit agreement",
      "accuracy_audit": {
        "sample_group": "Qualitative",
        "random_seed": 20260802,
        "blind_screening": {
          "is_relevant": true,
          "relevance_rationale": "The study explicitly examines perceptions of suicide and suicide prevention strategies within an American Indian and Alaskan Native community, making suicide a central substantive focus.",
          "evidence_class": "Empirical",
          "empirical_method": "Qualitative",
          "classification_rationale": "The abstract describes conducting talking circles (a qualitative data collection method) and performing thematic analysis on the resulting data, which constitutes primary qualitative empirical research.",
          "confidence": "High"
        },
        "full_label_agreement": true
      }
    },
    {
      "input_index": 1320,
      "record_key": "SWRD:64251",
      "source_database": "SWRD",
      "record_id": 64251,
      "year": 2021,
      "title": "\"We are a transit station here\": The role of Israeli oncology social workers in responding to mental health distress and suicidality in patients with cancer",
      "abstract": "Social workers have a prominent role in responding to cancer patients' mental health needs. Given the risk of mental health distress in cancer patients, and given that social workers are responsible for responding to these needs, the purpose of this study was to explore how social workers describe their role in responding to mental health distress and suicidality in people with cancer. The Grounded Theory method of data collection and analysis was used. Eighteen social workers were recruited and interviewed. Social workers saw themselves and acted as an interprofessional hub for their patients. This approach was based on the values of holistic care, multiple treatment modalities, interpersonal consultation, and continuity of care. From this standpoint, social workers offered their patients (and at times, their families) comprehensive services providing emotional, behavioral and practical support within the hospital setting, but also outside of it in the patient's communities. Consideration should be paid to promote systemic changes to acknowledge and compensate oncology socials workers' invisible labor that includes both emotional carryover and continuous engagement in their role as liaison and intermediaries for their patients.",
      "authors": "Granek, Leeat; Nakash, Ora; Shapira, Shahar; Ariad, Samuel; Ben-David, Merav A.",
      "author_ids": "",
      "journal_or_venue": "Social Work in Health Care",
      "doi": "10.1080/00981389.2020.1867287",
      "record_type": "Article",
      "database_method": "Qualitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2598281625,
        "prompt_eval_count": 1152,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:29:24.458754+00:00"
    },
    {
      "input_index": 1322,
      "record_key": "SWRD:62720",
      "source_database": "SWRD",
      "record_id": 62720,
      "year": 2021,
      "title": "Associations of lifetime prevalence of homelessness with risky sex, sexual victimization, depressive symptoms, and suicidality among youth in Kampala, Uganda",
      "abstract": "Homelessness poses serious health risks, and those risks may be exacerbated among slum-dwelling youth in the developing world. We administered a cross-sectional survey to youth receiving services from a community organization in Kampala, Uganda. This secondary analysis explores the relationships between homelessness and various health outcomes. We also explored possible moderating relationships between neighborhood support, homelessness, and health. Logistic regression and t-tests were used to model these relationships. Homelessness was associated with all outcomes analyzed, with youth who reported having been homeless having higher odds of reporting poor health (odds ratio [OR] = 12.4; 95% confidence interval [CI] = 6.43, 23.92), higher odds of HIV infection (OR = 1.941; 95% CI = 1.274, 2.958), and higher odds of experiencing rape (OR = 3.459; 95% CI = 2.4, 4.987). No moderation by neighborhood support was observed, though this may be due to low variability. Homelessness warrants specific investigative attention due to its strong association with a broad range of negative health outcomes among slum-dwelling youth. Interventions targeting the specific health risks faced by homeless youth in the developing world may improve social welfare service delivery.",
      "authors": "Lyons, Matthew; Swahn, Monica Haavisto; Whitaker, Daniel; Brown, Jessica Rogers; Kasper, Jim; Culbreth, Rachel",
      "author_ids": "",
      "journal_or_venue": "International Social Work",
      "doi": "10.1177/0020872819847753",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2653033125,
        "prompt_eval_count": 1219,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:29:29.470130+00:00"
    },
    {
      "input_index": 1323,
      "record_key": "SWRD:63323",
      "source_database": "SWRD",
      "record_id": 63323,
      "year": 2021,
      "title": "Buffering Effects of Social Support and Parental Monitoring on Suicide",
      "abstract": "A number of studies have examined the direct effects of social support, depression, and parental monitoring on suicide ideation. However, less is known about the mediation and moderation effects of social support, depression, and parental monitoring on suicide ideation among adolescents. To determine how suicide ideation is associated with an adolescent's social support, depression, and parental monitoring, authors analyzed data drawn from the 2016 wave of the National Survey on Drug Use and Health. The total sample consisted of 14,272 participants, ages 12 to 17; 51.1 percent were male and 48.9 percent female. By using the PROCESS macro, the authors tested the mediation effect of depression between social support and suicide ideation moderated by parental monitoring. Depression mediated the correlation between social support and suicide ideation. Parental monitoring moderated the mediation effect of depression between social support and suicide ideation. These findings provide specific directions to develop and culturally tailor effective suicide intervention programs for adolescents with histories of depression to reduce their suicidal behavior.",
      "authors": "Kim, Yi Jin; Quinn, Camille R.; Moon, Sung Seek",
      "author_ids": "",
      "journal_or_venue": "Health & Social Work",
      "doi": "10.1093/hsw/hlaa037",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "prompt_eval_count": 1135,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:29:31.814573+00:00"
    },
    {
      "input_index": 1324,
      "record_key": "SWRD:93842",
      "source_database": "SWRD",
      "record_id": 93842,
      "year": 2021,
      "title": "Child Maltreatment and Suicide Ideation in Rural China: The Roles of Self-compassion and School Belonging",
      "abstract": "Child maltreatment as a significant risk factor for suicide behavior is one of major challenges faced by the child welfare system in China. However, few studies have focused on child maltreatment of rural Chinese children. Furthermore, research has not examined the protective factors between the linkage of child maltreatment and suicide ideation. This study aimed to fill the research gap by investigating the mediating role of self-compassion and the moderating role of school belonging in the association between child maltreatment and suicidal ideation. We used convenience sampling strategy to collect data from four schools and 31 classes in rural area in Hunan, China in 2018. Participants included 1167 students in grades seven through nine. SPSS macro PROCESS was used to examine the mediating effect of self-compassion and moderating effect of school belonging in the association between child maltreatment and suicide ideation. The findings indicated that rural children reported a higher level of child maltreatment history than their urban counterparts. Emotional abuse, emotional and physical neglect were all positively associated with suicide ideation through decreased self-compassion. In addition, school belonging could moderate the direct relations between emotional abuse and suicide ideation. The findings suggested that it is of great importance to include self-compassion and school belonging into mental health intervention programs for rural adolescents with child maltreatment experiences. Programs that teach students self-compassion and resources that help adolescents develop a sense of school belonging and inclusion should be provided in schools in rural China.",
      "authors": "Zhang, Huiping; Liu, Meirong; Long, Haili",
      "author_ids": "",
      "journal_or_venue": "Child & Adolescent Social Work Journal",
      "doi": "10.1007/s10560-020-00679-z",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "prompt_eval_count": 1236,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:29:34.441218+00:00"
    },
    {
      "input_index": 1326,
      "record_key": "SWRD:64098",
      "source_database": "SWRD",
      "record_id": 64098,
      "year": 2021,
      "title": "Efficient, yet Effective: Improvements in Suicide-related Knowledge, Confidence, and Preparedness after the Deployment of a Brief Online Module on Suicide in a Required MSW Course",
      "abstract": "Although social workers are increasingly likely to encounter suicidal clients in their practice, many are under-prepared to address the issue of suicide, and significant deficiencies in suicide education exist in social work graduate programs. This study examined the acceptability and effectiveness of a brief yet comprehensive online module covering suicide risk assessment and treatment deployed as part of a required master's level social work course. Students completed online pre- and posttest surveys that measured suicide-related knowledge, perceived preparedness, and confidence, and rated various elements of the module. A total of N =53 MSW students participated in the study, of whom N = 45 completed both the pre- and posttests. Scores for suicide-related knowledge, perceived preparedness, and confidence increased significantly from pre- to posttest (p's < .001). The majority of students (95.7%) were satisfied or highly satisfied with the overall content, comprehensiveness, and format of the module. However, most (70.2%) reported a preference for face-to-face or hybrid delivery methods for suicide-related material. Implications discussed include the use of synchronous elements to address student anxiety related to suicide-related content, the utility of pre-prepared online learning modules to address curriculum related barriers, and the importance of well-designed online materials.",
      "authors": "LeCloux, Mary",
      "author_ids": "",
      "journal_or_venue": "Journal of Teaching in Social Work",
      "doi": "10.1080/08841233.2021.1954577",
      "record_type": "Article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2679060334,
        "prompt_eval_count": 1204,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:29:39.834806+00:00"
    },
    {
      "input_index": 1328,
      "record_key": "SWRD:63268",
      "source_database": "SWRD",
      "record_id": 63268,
      "year": 2021,
      "title": "Empirically Evaluated Suicide Prevention Program Approaches for Older Adults: A Review of the Literature from 2009-2021",
      "abstract": "Mental health in later life and suicide risk among older adults are important topics for social work. There is evidence-based research to support the use selective and indicated strategies for suicide prevention, yet, universal prevention approaches are also needed. However, the extent to which the broader contexts of suicide have been examined remains largely absent from the literature. This article presents findings from a systematic review of articles published between 2009 and 2021, focusing what types of empirically evaluated suicide prevention programs effectively prevent and reduce suicidality in older adults. Using the PICO and PRISMA guidelines, a final sample of 8 articles were reviewed in this systematic review. The articles were categorized into three types of programs: 1) primary and home health care, 2) community-based outreach, and 3) counseling. The articles also examined the involvement of social workers in these programs. Following a description of the articles, the authors assess each study using the GRADE rating system. Lastly, the authors discuss the role of the social worker in mental health promotion and prevention strategies.",
      "authors": "Wallace, Marissa; Miller, Vivian J.; Fields, Noelle L.; Xu, Ling; Mercado-Sierra, Marta A.",
      "author_ids": "",
      "journal_or_venue": "Journal of Gerontological Social Work",
      "doi": "10.1080/01634372.2021.1907495",
      "record_type": "journal-article",
      "database_method": "Review",
      "database_is_scientific": true,
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        "evidence_class": "Empirical",
        "empirical_method": "Review"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:29:44.760824+00:00",
      "independent_manual_spot_check": {
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        "manual_screening": {
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        },
        "rationale": "The suicide-prevention review explicitly uses PICO, PRISMA, predefined selection, and GRADE assessment."
      }
    },
    {
      "input_index": 1330,
      "record_key": "SWRD:62101",
      "source_database": "SWRD",
      "record_id": 62101,
      "year": 2021,
      "title": "Having to \"Hold It\": Factors That Influence the Avoidance of Using Public Bathrooms among Transgender People",
      "abstract": "Transgender people often avoid going to the bathroom in public, at work, and at school because they are afraid of facing problems while using them. Utilizing the 2015 U.S. Transgender Survey, the largest sample to date with transgender people, this study (N = 25,694) aimed to understand the factors associated with avoiding bathroom usage as well as how the avoidance may impact the health of transgender people. Logistic regression was used to examine factors associated with avoidance of bathrooms. More than six out of 10 transgender people avoided using public bathrooms. Being questioned about a person's bathroom choice, gender identity, perception of gender identity, previous experiences of discrimination, suicidal ideation, and serious psychological distress were found to be associated with avoidance of public bathrooms due to fears of having problems when using them. Gender-neutral bathrooms that are safe and accessible for transgender people need to be more available and accessible in the United States.",
      "authors": "Lerner, Justin Evan",
      "author_ids": "",
      "journal_or_venue": "Health & Social Work",
      "doi": "10.1093/hsw/hlab027",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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        "prompt_eval_count": 1121,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:29:49.926790+00:00"
    },
    {
      "input_index": 1332,
      "record_key": "SWRD:64424",
      "source_database": "SWRD",
      "record_id": 64424,
      "year": 2021,
      "title": "Integration of Cognitive Behavioral Therapy for Suicide Prevention in Social Work Practice",
      "abstract": "Purpose: To evaluate the integration of cognitive behavioral therapy (CBT) for depression and suicide prevention (CBT-SP) into social work practice with youth after a 2-day training and 3 months of group consultation. Method: A purposive sample of 22 clinical social workers completed a one-group pre-post and 3-month follow-up assessment to evaluate knowledge of CBT and CBT-SP, utilization, and barriers to utilization of CBT treatment and skills. Results: Knowledge of CBT and CBT-SP skills improved following training. All trainees integrated at least one new skill into practice and increased use of prior skills. No trainees integrated the full-manualized CBT-SP intervention into practice. Participation in group consultation increased the likelihood of integrating CBT-SP skills into practice for males and trainees with more practice experience. Discussion: The findings support the importance of training clinicians in common element skills of CBT and CBT-SP rather than only focusing upon integrating full-manualized treatments into social work practice.",
      "authors": "Scott, Michelle",
      "author_ids": "",
      "journal_or_venue": "Research on Social Work Practice",
      "doi": "10.1177/1049731520974757",
      "record_type": "Article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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        "eval_count": 24
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      "screened_at": "2026-08-02T18:29:54.658772+00:00"
    },
    {
      "input_index": 1333,
      "record_key": "SWRD:62260",
      "source_database": "SWRD",
      "record_id": 62260,
      "year": 2021,
      "title": "Locus of Control and Purpose in Life as Protective Factors against the Risk for Suicide in Older Adults",
      "abstract": "The purpose of this study is to identify factors that can be used as protective factors against the risk for suicide in older adults, based on locus of control (LC), the belief whether life events are the result of one's own actions or of external factors, and purpose in life or a sense that one's life is worth living. Purpose in life (PIL) was defined as a mediating variable between locus of control and the risk for suicide. This cross-sectional study involved 195 older adults people, aged 65-100. They were reached through convenience sampling. Statistical analyses involved bivariate analyses (correlations, t-tests), and multiple hierarchical regressions to assess the contribution of purpose in life and locus of control to against the risk for suicide. Mediation was examined with the process procedure, using bootstrapping and 95% CI. There was a negative correlation between purpose in life, internal locus of control, and risk for suicide; purpose in life mediated the relationship between internal locus of control and risk for suicide. The combination of purpose of life and internal locus of control can serve as protective factors against the risk or the potential for suicide in older adults.",
      "authors": "Aviad, Yael; Cohen-Louck, Keren",
      "author_ids": "",
      "journal_or_venue": "Studies in Clinical Social Work: Transforming Practice, Education and Research",
      "doi": "10.1080/00377317.2021.1968323",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2560020959,
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        "eval_count": 24
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      "screened_at": "2026-08-02T18:29:57.220116+00:00"
    },
    {
      "input_index": 1334,
      "record_key": "SWRD:63401",
      "source_database": "SWRD",
      "record_id": 63401,
      "year": 2021,
      "title": "Longitudinal trends in opioid-related mortality",
      "abstract": "The United States experiences high rates of opioid use-related mortality. However, little research available examines longitudinal trends in opioid-related mortality and includes social/environmental factors known to be associated with opioid use. This study examines the longitudinal trends of mortality among opioid-related suicides, homicides, legal interventions, and unintentional firearm use while controlling for multiple demographic and clinical factors associated with opioid use. Results show a significant increase over time in all manners of mortality, including homicide, suicide, legal intervention, and unintentional firearm use. These results offer direction in the future intervention and policies to effectively address opioid-related fatalities by social workers.",
      "authors": "Mowbray, Orion; Fatehi, Mariam",
      "author_ids": "",
      "journal_or_venue": "Journal of Social Work Practice in the Addictions",
      "doi": "10.1080/1533256x.2021.1893965",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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        "eval_count": 24
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      "screened_at": "2026-08-02T18:29:59.558543+00:00"
    },
    {
      "input_index": 1335,
      "record_key": "SWRD:64133",
      "source_database": "SWRD",
      "record_id": 64133,
      "year": 2021,
      "title": "Mental health burden among Black adolescents: the need for better assessment, diagnosis and treatment engagement",
      "abstract": "This study examines mental health symptoms among Black adolescents who were currently in mental health treatment and those who were not in treatment. The study uses a sample of Black adolescents (N= 154) and logistic regression was performed to determine which psychological factors were associated with exhibiting mental health symptoms. Both groups experienced high amounts of trauma exposure history, recent suicidality, substance use, and depressive symptoms. Nearly one in four adolescents in the out of treatment group met diagnostic criteria for anxiety disorders. Implications include better screening for mental health symptoms to ensure Black adolescent have access to mental health treatment.",
      "authors": "Opara, Ijeoma; Weissinger, Guy M.; Lardier, David T., Jr.; Lanier, Yzette; Carter, Sierra; Brawner, Bridgette M.",
      "author_ids": "",
      "journal_or_venue": "Social Work in Mental Health",
      "doi": "10.1080/15332985.2021.1879345",
      "record_type": "Article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2312617042,
        "prompt_eval_count": 1045,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:30:01.873572+00:00"
    },
    {
      "input_index": 1336,
      "record_key": "SWRD:64090",
      "source_database": "SWRD",
      "record_id": 64090,
      "year": 2021,
      "title": "MSW students' perspectives on learning in a social work practice in mental health course: a qualitative research study",
      "abstract": "Social work programs need to prepare students for practice in assessing mental health, addictions, and suicide risk assessment. In response to a call for increased training, we partnered with community social workers and re-designed a course on social work practice in mental health using a flipped classroom approach. We conducted a qualitative study using focus groups and individual interviews with MSW students (N = 15) to explore student perspectives on re-designed teaching approaches. Participants identified three teaching methods that increased knowledge, skills, and self-awareness: online educational modules, simulation, and integrated teaching with scaffolded learning. We discuss implications for social work education and practice.",
      "authors": "Kourgiantakis, Toula; Sewell, Karen M.; Lee, Eunjung; Kirvan, Anne",
      "author_ids": "",
      "journal_or_venue": "Social Work in Mental Health",
      "doi": "10.1080/15332985.2021.1894628",
      "record_type": "Article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "prompt_eval_count": 1057,
        "eval_count": 27
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      "screened_at": "2026-08-02T18:30:04.389982+00:00"
    },
    {
      "input_index": 1337,
      "record_key": "SWRD:62347",
      "source_database": "SWRD",
      "record_id": 62347,
      "year": 2021,
      "title": "People newly diagnosed with HIV during the COVID-19 pandemic: A focus group study on the associated early biopsychosocial reactions",
      "abstract": "Aim: Currently, HIV and COVID-19 are among the global health threats, and being newly diagnosed with HIV during the COVID-19 pandemic may be distressing. Therefore, this study explored the early biopsychosocial reactions to a new HIV-positive diagnosis among people newly diagnosed with HIV during the COVID-19 pandemic. Methods: Twenty-five PLWH participated in focus group discussions (FGDs). The FGDs were conducted in the same modalities with three groups for an average of two hours until data saturation occurred. Data were thematically analyzed after which there were three rigorous phases of analysis validation. Results: Five themes were created-\"Concerns about HIV care being disrupted by the COVID-19 pandemic,\" \"HIV-positive status was blamed on the COVID-19 pandemic,\" \"Expecting an HIV-positive diagnosis reduced negative reactions (e.g., psychological distress),\" \"Fear of stigmatization,\" and \"Suicidal ideation and body ache.\" Conclusion: The implications of findings for theory and practice are discussed.",
      "authors": "Ogueji, Ifeanyichukwu Anthony",
      "author_ids": "",
      "journal_or_venue": "Journal of HIV-AIDS & Social Services",
      "doi": "10.1080/15381501.2021.1955800",
      "record_type": "journal-article",
      "database_method": "Qualitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "eval_count": 24
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      "screened_at": "2026-08-02T18:30:06.872390+00:00"
    },
    {
      "input_index": 1339,
      "record_key": "SWRD:62475",
      "source_database": "SWRD",
      "record_id": 62475,
      "year": 2021,
      "title": "Providing virtual suicide prevention groups for people experiencing suicidality: Pivoting service delivery during the COVID-19 pandemic",
      "abstract": "Skills for Safer Living is a 20-week group intervention for people with recurrent suicide attempts. This article details how it pivoted from in-person to virtual groups due to the COVID-19 pandemic. Concerns of privacy, client safety, and how to deliver the program virtually are explored, along with lessons learned.",
      "authors": "Bergmans, Yvonne; Kellington, Krystal; Smith, Tanya; Pond, Amanda; Goving, Mikayla; Shelton, Emily; Sayegh, Chantelle; Syms, Dwight; Perivolaris, Anya",
      "author_ids": "",
      "journal_or_venue": "International Social Work",
      "doi": "10.1177/0020872821996781",
      "record_type": "journal-article",
      "database_method": null,
      "database_is_scientific": true,
      "database_is_empirical": false,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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        "prompt_eval_count": 999,
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      "screened_at": "2026-08-02T18:30:11.581133+00:00"
    },
    {
      "input_index": 1340,
      "record_key": "SWRD:62364",
      "source_database": "SWRD",
      "record_id": 62364,
      "year": 2021,
      "title": "Social Service Directors' Roles and Self-Efficacy in Suicide Risk Management in US Nursing Homes",
      "abstract": "Nursing home (NH) residents have many risk factors for suicide in later life and transitions into and out of NHs are periods of increased suicide risk. The purpose of this study was to describe NH social service directors (SSDs) roles in managing suicide risk and to identify factors that influence self-efficacy in this area. This study used data from the 2019 National Nursing Home Social Services Directors survey (n = 924). One-fifth (19.7%) of SSDs reported a lack of self-efficacy in suicide risk management, as indicated by either needing significant preparation time or being unable to train others on intervening with residents at risk for suicide. Ordinal logistic regression identified SSDs who were master's prepared, reported insufficient social service staffing as a minor barrier (versus a major barrier) to psychosocial care, and those most involved in safety planning for suicide risk were more likely to report self-efficacy for training others. Implications include the need for targeted training of NH social service staff on suicide prevention, such as safety planning as an evidence-based practice. Likewise, sufficient staffing of qualified NH social service providers is critically important given the acute and chronic mental health needs of NH residents.",
      "authors": "Wang, Xiaochuan; Simons, Kelsey; Gammonley, Denise; Roberts, Amy Restorick; Bern-Klug, Mercedes",
      "author_ids": "",
      "journal_or_venue": "Journal of Gerontological Social Work",
      "doi": "10.1080/01634372.2021.1936331",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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        "eval_count": 24
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      "screened_at": "2026-08-02T18:30:14.251805+00:00"
    },
    {
      "input_index": 1341,
      "record_key": "SWRD:62871",
      "source_database": "SWRD",
      "record_id": 62871,
      "year": 2021,
      "title": "Social workers' risk assessment in child protection: the problem of disagreement and a lack of a precise language about risk",
      "abstract": "Social workers make risk assessments in accordance with their obligation to safeguard and protect children against neglect and abuse. To prevent serious problems, it is necessary to make assessments about the likelihood that social problems emerge in the first place. We investigated 57 Danish social workers' risk assessments. We used the vignette methodology, setting up a fictitious case and asking respondents to assess two children's risk of suffering problems in connection with the suicide of their father. We focused on the respondents' assessments of the magnitude of risk and on how they referred, in their own words, to the protective and risk factors they particularly noticed. There were three results of note. (1) The social workers' assessments of risk were very divergent. This was the case whether they expressed the magnitude of risk in words or as a percentage. (2) There was no close correspondence between risk assessments expressed in words and as a percentage. Social workers lacked words to communicate the magnitude of risk adequately. (3) There were no significant differences in approach to the assessment of children's risk between social workers who rated the risk as high, medium or low. All were attentive to both protective and risk factors.",
      "authors": "Ejrnaes, Morten; Moesby-Jensen, Cecilie K.",
      "author_ids": "",
      "journal_or_venue": "European Journal of Social Work",
      "doi": "10.1080/13691457.2021.1934409",
      "record_type": "journal-article",
      "database_method": "Qualitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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        "eval_count": 27
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      "screened_at": "2026-08-02T18:30:16.913349+00:00"
    },
    {
      "input_index": 1342,
      "record_key": "SWRD:63689",
      "source_database": "SWRD",
      "record_id": 63689,
      "year": 2021,
      "title": "Suicidality among children and youth in Nordic child welfare services: A systematic review",
      "abstract": "Existing research has established child welfare (CW) clients as a vulnerable group for developing negative life trajectories, including mental health problems, work- and education-related challenges and premature mortality. Knowledge of later life conditions including suicidality of clients within child welfare services (CWS) in the Nordic countries is scarce. The overall aim is therefore to gain updated knowledge on how children and youth who have received or are receiving CWS interventions from the Nordic CWS fare in relation to suicidality. The population, intervention, comparator, outcome (PICO) framework guided the search through five multidisciplinary bibliographical databases. The population were former and current CWS clients; comparators were from the general population. Six cohort studies were identified (i.e., one Finnish study and five studies from Sweden), all showing evidence of a significantly elevated risk for suicide and suicide attempt in former CWS clients. CWS clients systematically fare worse concerning suicide and suicide attempt compared to their peers from the general population. In particular, former CWS clients should be recognized as being at high risk for suicide and suicidal behaviour later in life. These findings have substantial implications for CWS practice and service delivery regarding long-term follow-up.",
      "authors": "Milde, Anne Marita; Gramm, Hedda Bjanger; Paaske, Ingeborg; Kleiven, Pia Granli; Christiansen, Oivin; Skaale Havnen, Karen J.",
      "author_ids": "",
      "journal_or_venue": "Child & Family Social Work",
      "doi": "10.1111/cfs.12832",
      "record_type": "journal-article",
      "database_method": "Review",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Review"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:30:19.578882+00:00"
    },
    {
      "input_index": 1343,
      "record_key": "SWRD:64072",
      "source_database": "SWRD",
      "record_id": 64072,
      "year": 2021,
      "title": "Suicidality risk among adult sexual minorities: Results from a cross-sectional population-based survey",
      "abstract": "Suicide among sexual minority adults is a serious public health issue. Data from the National Survey of Drug Use and Health (2015-2018) were analyzed to evaluate factors associated with past-year suicidality risk (thoughts, plans, or attempts) and self-reported sexual identity. Findings support previous research that sexual minority groups have a higher risk of suicidality compared to heterosexuals. Additionally, significant within-group gender differences were found for bisexuals with reported past-year suicide attempts. The risk ratio trajectory from suicidal ideation to suicidal attempt was the most striking for the gay and lesbian group compared to other populations. Implications and recommendations for future research are discussed.",
      "authors": "Haney, Jolynn L.",
      "author_ids": "",
      "journal_or_venue": "Sexual and Gender Diversity in Social Services",
      "doi": "10.1080/10538720.2021.1875946",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:30:21.899061+00:00"
    },
    {
      "input_index": 1344,
      "record_key": "SWRD:97177",
      "source_database": "SWRD",
      "record_id": 97177,
      "year": 2021,
      "title": "Suicide prevention in Bangladesh: The current state and the way forward",
      "abstract": "Despite the World Health Organization's (WHO) call to adopt a national action plan on suicide, Bangladesh is yet to respond proactively to prevent this serious public health problem. The existing government and non-government prevention interventions are very limited, segmented and almost invisible. Suicide (including attempted suicide) is currently a criminal offense under the Bangladeshi legal framework. The aim of this paper is to propose a framing toward a national suicide prevention action plan in Bangladesh based on a situational analysis of local existing suicide prevention interventions. International policy documents, empirical and review works, and legal documents that speak to suicide interventions were reviewed. Critical analysis of these interventions suggests that Bangladesh should prioritize the adoption of a multi-sectoral suicide prevention action plan. The issue of decriminalization suicide should be carefully considered and policies harmonized before adopting the plan. Obtaining commitment from the policymakers to launch such intervention may be challenging. Considering the seriousness of the problem, Bangladeshi policymakers should be proactive in adopting a suicide prevention action plan. Neighboring countries provide useful lessons of the implementation measures that may assist with developing a suicide prevention action plan.",
      "authors": "Khan A.R.; Arendse N.; Ratele K.",
      "author_ids": "",
      "journal_or_venue": "Studies in Clinical Social Work: Transforming Practice, Education and Research",
      "doi": "10.1111/aswp.12214",
      "record_type": "journal-article",
      "database_method": null,
      "database_is_scientific": true,
      "database_is_empirical": false,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "prompt_eval_count": 1146,
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      "screened_at": "2026-08-02T18:30:24.346614+00:00"
    },
    {
      "input_index": 1345,
      "record_key": "SWRD:63690",
      "source_database": "SWRD",
      "record_id": 63690,
      "year": 2021,
      "title": "Suicide, Race, and Social Work: A Systematic Review of Protective Factors among African Americans",
      "abstract": "Purpose: Suicide among African Americans has increased significantly in the past 15 years, yet it remains a neglected topic in social work research. This systematic review examines social work's contribution to suicide research while focusing on the social context in which African Americans live. Method: Using a critical race theory, we examine protective factors specific to African Americans that may mitigate suicide risks. Results reveal that the social work profession has produced 20 suicide-related studies between 1980 and 2018. Results: Identify three types of protective factors against suicide among African Americans. These are: micro-level factors (private regard / strong African American identity and impulsive response to discrimination), mezzo-level factors (family support and the role of women), and macro-level factors (social support, poverty and lack of awareness, religion, access to care, and internal response to community violence). Conclusion: Finding demonstrate evidence of the relationship between protective factors and suicide among African Americans. Implications for the use of Critical Race Theory in Social Work research and practice are provided along with implications to advance suicide training in social work education programs.",
      "authors": "Reed, Darius D.; Stoeffler, Stephen W.; Joseph, Rigaud",
      "author_ids": "",
      "journal_or_venue": "Journal of Evidence-Based Social Work",
      "doi": "10.1080/26408066.2020.1857317",
      "record_type": "journal-article",
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      "database_is_scientific": true,
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      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Review"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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        "prompt_eval_count": 1150,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:30:26.878644+00:00",
      "screening_source": "Primary screen; blind audit agreement",
      "accuracy_audit": {
        "sample_group": "Review",
        "random_seed": 20260802,
        "blind_screening": {
          "is_relevant": true,
          "relevance_rationale": "The article is a systematic review explicitly focused on identifying protective factors against suicide among African Americans, making suicide prevention and risk mitigation the central substantive focus.",
          "evidence_class": "Empirical",
          "empirical_method": "Review",
          "classification_rationale": "The title and abstract explicitly identify the study as a 'systematic review' that examines existing literature to synthesize findings on protective factors, fitting the definition of an empirical evidence synthesis.",
          "confidence": "High"
        },
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      }
    },
    {
      "input_index": 1346,
      "record_key": "SWRD:64419",
      "source_database": "SWRD",
      "record_id": 64419,
      "year": 2021,
      "title": "The acceptability of screening for suicide risk among youth in outpatient medical settings: Child and parent perspectives",
      "abstract": "Objective Psychosocial providers in medical settings are increasingly being asked to identify suicide risk in youth with medical illnesses. This pilot study aimed to determine the acceptability of suicide risk screening among youth with cancer and other serious illnesses and their parents. Methods Youth ages 8-21 years presenting to an outpatient medical setting were screened for suicide risk using a modified version of the Ask Suicide-Screening Questions (ASQ) screening tool. Patient and parent perceptions of acceptability were collected. Findings The sample included 32 patient/parent dyads. The overall positive screen rate was 9.4% (n = 3/32). Most patients (75%; n = 24/32) and parents (84.4%; n = 27/32) reported that medical settings should screen young patients for suicide risk. Conclusions Suicide risk screening was acceptable to most patients and parents in a pediatric clinic. Implications for Psychosocial Providers Medically ill patients are at risk for suicide. Universal suicide risk screening using a validated measure can provide meaningful clinical information to patients' families and providers and has the potential to save young lives.",
      "authors": "Tipton, Mary, V; Arruda-Colli, Marina N. F.; Bedoya, Sima Zadeh; Pao, Maryland; Wiener, Lori",
      "author_ids": "",
      "journal_or_venue": "Journal of Psychosocial Oncology",
      "doi": "10.1080/07347332.2020.1856997",
      "record_type": "Article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "eval_count": 24
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      "screened_at": "2026-08-02T18:30:29.475248+00:00"
    },
    {
      "input_index": 1347,
      "record_key": "SWRD:97174",
      "source_database": "SWRD",
      "record_id": 97174,
      "year": 2021,
      "title": "The association of childhood polyvictimization with physical and mental health status in early adulthood",
      "abstract": "This study aimed to explore the association between the experience of polyvictimization in childhood and physical/mental health during early adulthood (between the ages of 18–39). Retrospective cross-sectional data from 406 respondents aged 18–39 were selected from the 2012 Korean General Social Survey. Following standards set in previous studies, polyvictimization is defined in this study as experiencing five or more types of violence. The outcomes of this study included self-rated health, depression, and suicidal ideation. The results indicated that 8.37% (n = 34) of the total respondents were polyvictimized. This study found that all health-related outcomes in adulthood were significantly associated with polyvictimization in childhood, and women who experienced polyvictimization in childhood faced greater the risk of suicidal ideation and depression than men. In conclusion, this study suggests the importance of taking into account the lasting association of childhood polyvictimization with health into adulthood. Practical implications for social work and suggestions for future studies are described.",
      "authors": "Song A.; Cho Y.",
      "author_ids": "",
      "journal_or_venue": "Studies in Clinical Social Work: Transforming Practice, Education and Research",
      "doi": "10.1111/aswp.12222",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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        "prompt_eval_count": 1143,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:30:31.856127+00:00"
    },
    {
      "input_index": 1348,
      "record_key": "SWRD:66099",
      "source_database": "SWRD",
      "record_id": 66099,
      "year": 2021,
      "title": "Who's to blame? Rational and irrational reflections on responsibility following the suicide of a service user",
      "abstract": "When a service user, known to a social worker, kills themselves, several conscious and unconscious processes are set in motion for the worker(s) involved. In particular, thoughts are likely to include, 'Could I/should I have done more or better? Had I acted differently would the service user still be alive'? These questions are also raised by others in supervisory and management roles and by way of investigations and serious case reviews. In response to such internal and external questioning workers are likely to have a range of reactions, some rational, some irrational. By way of an extended case study, this article explores responses by the author following the suicide of a service user he assessed who killed himself. Professional responsibilities are considered in the light of legislation, psychodynamic theory, philosophical and literary perspectives. The author makes two opposing cases - one that he could have done no more to prevent the death of the service user, the other that he should have done more. The article recognises that firm and absolute conclusions are likely to be unreliable, but suggests the ongoing process of reflection in relation to such cases is useful.",
      "authors": "Smith, Martin",
      "author_ids": "",
      "journal_or_venue": "Journal of Social Work Practice",
      "doi": "10.1080/02650533.2020.1737517",
      "record_type": "Article",
      "database_method": null,
      "database_is_scientific": true,
      "database_is_empirical": false,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:30:34.342485+00:00"
    },
    {
      "input_index": 1350,
      "record_key": "SSWR:2022-O-0038",
      "source_database": "SSWR",
      "record_id": "2022-O-0038",
      "year": 2022,
      "title": "(Converted as ePoster, See Poster Gallery) Intergenerational Transmission of Trauma and Resilience Among Latina Adolescents Who Attempted Suicide",
      "abstract": "Background and Purpose: Latina adolescents are at a greater risk of suicidal behavior than other racial and ethnic groups. Amongst these young females, mother-daughter relationships have low communication and emotional attunement, common triggers for suicide attempts. These relational conflicts are impacted by a parent’s psychosocial functioning which, in turn, is itself influenced by a parent’s experience of hardship. Through this process, children absorb their parents’ experiences of hardship and how their parents cope and overcome these experiences. This phenomenon is known as the intergenerational transmission of trauma and resilience and has serious implications for youth mental health . Importantly, the literature is scarce as it relates to understanding the process of this phenomenon with populations at risk of suicide. We address this gap by investigating the process of intergenerational transmission of vulnerabilities and strengths among Latinx adolescent females who recently attempted suicide. Methods: We present data from a cross-sectional qualitative study that explored differences in familial, interpersonal and contextual factors related to suicidal risk across a purposive sample of racial and ethnic minority adolescent females. We analyzed a subsample of 28 interviews with mothers and their Latinx adolescent daughters (14 adolescents; 14 mothers). Using a grounded theory approach, we explored the process of how parents’ psychosocial vulnerabilities and strengths are transmitted to their Latinx adolescent daughters who have attempted suicide. Results: Our study indicates that parents experienced past hardship that led to feelings of isolation, helplessness, and guilt. Despite these feelings, parents persevered and held on to hope as they navigated parenting. Parents attempted to overcome their challenges by “protecting” their adolescent from experiencing similar hardship (e.g., from feeling pain, from having a child at a young age). Parents applied various parenting strategies to their adolescents, including: (1) advocating for them; (2) keeping them from witnessing or feeling pain; and (3) providing uplifting advice. Despite parents’ intentions to protect, the parent and the adolescent often “missed each other” in communication. While the adolescents knew that their mothers meant well, they did not perceive their strategies as helpful. Instead, adolescents felt “misunderstood” and sought what their parents did not teach them: to feel pain. As one adolescent said, “I didn’t know how but I wanted to release my pain. So I started cutting.” At the same time, adolescents embraced the strengths modeled by their parents, including: (1) advocating for themselves; (2) persevering despite feeling misunderstood; and (3) holding on to hope while navigating challenges. Conclusions and Implications: Through a focus on underlying parenting behaviors and communication styles and adolescent perceptions of these parenting strategies, the present study illuminates a salient process of intergenerational transmission of trauma and resilience that is often left out of research on Latinx adolescent females at risk for suicidal behavior. Understanding the process of intergenerational transmission of trauma and resilience is important for the prevention of suicidal behaviors with this population. In light of these findings, we conclude our presentation with a discussion on implications for future social work practice and education on suicide prevention with Latina adolescents.",
      "authors": "Tatiana Londono; Lauren E. Gulbas; Luis H. Zayas",
      "author_ids": "118239; 111719; 110995",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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        "eval_count": 24
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      "screened_at": "2026-08-02T18:30:41.064766+00:00"
    },
    {
      "input_index": 1351,
      "record_key": "SSWR:2022-P-0088",
      "source_database": "SSWR",
      "record_id": "2022-P-0088",
      "year": 2022,
      "title": "(Converted as ePoster, See Poster Gallery) Maltreatment Status, Dissociative Symptoms, and Suicidality of Youth Born to Mothers with a History of Betrayal Trauma",
      "abstract": "Background and Purpose: The developmental consequences of child maltreatment can persist across generations, as a parental history of childhood adversity can negatively impact their own child’s mental health. Betrayal trauma theory posits that familial maltreatment can amplify negative mental health outcomes when compared to child abuse perpetrated by someone who is not as interpersonally connected. Betrayal trauma has been specifically associated with elevated levels of dissociation, which, in turn, increases one’s acquired capacity for suicide and has been linked to increased risk of suicidal thoughts and behaviors. Previous research demonstrates associations between a mother’s history of betrayal trauma and intergenerational patterns of maltreatment and dissociation among their children. However, these findings have not been extended to examine connections to suicide. The purpose of this study was to explore the betrayal trauma among mothers as a contributing mechanism of their own child’s experiences of maltreatment, symptoms of dissociation, and reported suicidal ideation during adolescence. Methods: Our study utilized secondary data obtained from the Longitudinal Studies of Child Abuse and Neglect (LONGSCAN; N = 1,354; 51.48% female, 53.29% Black). Mothers’ past betrayal trauma was assessed at baseline, and youth self-reported their dissociative symptoms via the Trauma Symptom Checklist at ages 8, 12, and 16. Adolescents at age 16 self-reported on past-year suicidal ideation and attempts, which were coded dichotomously. Presence of child maltreatment from birth to age 8 was coded based on administrative data from child welfare agencies. To test study hypotheses, we used conditional growth curve modeling with Mplus 8.4. A robust weighted least squares estimator was used to account for categorical outcomes. We assessed indirect effects via bootstrapped confidence intervals. Control variables included gender, race, and socioeconomic risk. Results: The final model fit the data well, CFI = .95, RMSEA = .05. Mothers’ betrayal trauma was significantly associated with their children’s maltreatment status, β= .19, SE = .03, p < .001. In turn, maltreatment predicted the intercept of dissociative symptoms from age 8 to age 16, β = .28, SE = .08, p < .01. The intercept of dissociative symptoms was predictive of suicidal ideation at age 16, β = .54, SE = .11, p <.001, and suicide attempts at age 16, β = .32, SE = .14, p < .05. There was a significant indirect effect, p = .038, from mothers’ history of betrayal trauma to adolescents’ suicidal ideation through maltreatment exposure and dissociative symptoms. Overall, the model accounted for 42% of the variance in suicidal ideation and 36% of the variance in suicide attempts at age 16. Conclusions and Implications: To our knowledge, this study was the first to establish relationships between a maternal history of betrayal trauma and children’s maltreatment experiences, dissociative symptoms, and adolescent suicidal ideation. This is consistent with prior literature highlighting the intergenerational consequences of child maltreatment occurring among families. A strengths-based, trauma-responsive approach to working with parents that identifies and addresses a history of betrayal trauma should be incorporated into prevention efforts meant to enhance mental health and well-being among children and families.",
      "authors": "Lisa S. Panisch; Erinn B. Duprey",
      "author_ids": "117704; 121924",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:30:44.631039+00:00"
    },
    {
      "input_index": 1352,
      "record_key": "SSWR:2022-U-0023",
      "source_database": "SSWR",
      "record_id": "2022-U-0023",
      "year": 2022,
      "title": "A Longitudinal Examination of Veteran Well-Being during the COVID-19 Pandemic",
      "abstract": "Background and Purpose: Understanding the impacts of the COVID-19 pandemic on the well-being of vulnerable populations is essential in planning for care post pandemic and preparing for future pandemics. One such population often overlooked during the COVID-19 pandemic is veterans, whose military service often results in physical and psychological effects that creates vulnerability to the impacts of COVID-19. The purpose of this research was to examine potential changes in mental health and well-being during the COVID-19 pandemic. Methods: Data was collected in two phases to examine well-being over time. The first data collection took place from the end of June 2020 through August 2020 and the second from November 2020 through December 2020. Veterans who previously participated in research studies were sent an email invitation to participate in an online survey. Veterans who were receiving services from a nationwide veteran provider were also invited to participate. Data were collected on mental health and well-being, including PTSD, anxiety, depression, suicide ideation, loneliness, social support and insomnia. Results: The final sample comprised on of 134 veterans. The sample was predominantly male (81%) and white (44%). Mean age was 57 years (SD = 15.87). Over half of the sample (57%) served prior to 9/11 while 43% served post 9/11. Paired samples t-tests were used to compare study variables from data collection at time points one and two. There were significant differences in scores for loneliness from time one (M = 4.99, SD = 2.14) and time two (M = 7.00, SD = 2.98); -11.79(125), p = .000. There were also significant differences in scores for social support from time one (M = 20.66, SD = 6.25) and time two (M = 19.90, SD = 6.15); 2.11(124), p = .037. No significant differences were found in mean scores of PTSD, depression, anxiety, and insomnia. While 10.5 percent of the sample reported having thoughts of suicide at time one, this increased significantly to 20 percent of the sample at time two. Conclusions and Implications: Findings indicate significant challenges to well-being over time during the covid-19 pandemic. Veterans indicated increased loneliness and decreased social support during the study. The number of veterans who reported thoughts of self-harm increased significantly from time one to time two, however, these changes were not associated with significant changes in mental health status. Results indicate that the COVID-19 consequence of increased isolation may be making veterans more vulnerable to suicidal thoughts. Although continuing to address the mental health care needs of veterans will be important post-pandemic, equally important will be addressing the rebuilding of relationships and social connection. Social work practitioners must ensure to assess loneliness and social support in their practice with veterans. Further it will be important for social workers to be prepared to intervene with veterans who have experienced several social network disruptions, and identify those experiencing difficulty reestablishing relationships. Please note this was submitted to the military division under “suicide and homelessness” as there was no topical area specific to behavioral/mental/physical health in service members and veterans.",
      "authors": "Carl A. Castro; Sarah Kintzle",
      "author_ids": "114665; 110041",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:30:47.997072+00:00"
    },
    {
      "input_index": 1354,
      "record_key": "SSWR:2022-U-0280",
      "source_database": "SSWR",
      "record_id": "2022-U-0280",
      "year": 2022,
      "title": "Adverse Childhood Experiences and Suicidal Behaviors Among Adults in South Korea: The Mediating Role of Depressive Symptoms",
      "abstract": "Background and Purpose : Suicide has been the leading cause of death for young adult since 2007 in South Korea. Several studies found that the accumulation of adverse childhood experiences (ACEs) increases the risk not only for depression, but also for suicide. Emerging studies suggest that multiple aspects of ACEs are interrelated. However, few studies have considered the relationship between ACEs and suicide while including depression as an intervening variable to be a risk factor for suicidal behaviors. Therefore, the objectives of this study were to (1) identify ACEs patterns and (2) to examine the direct and indirect effects of ACEs on suicidal behaviors (suicidal thoughts and suicide plans or attempts) through depressive symptoms. Methods: The current study analyzed data from the 2012 Korean General Social Survey (KGSS). Of 1,396 samples who participated in 2012 survey, we selected 1,048 final analytic sample. The dependent variables included two suicidal behaviors: suicidal thoughts and a suicide plan or attempt. The independent variable is ACEs. This variable was identified by ten binary variables indicating each of the following adversities in early childhood: (1) physical abuse, (2) emotional abuse, (3) neglect, (4) sexual abuse, (5) parent died or got sick, (6) brothers/sisters died or injured, (7) divorce/separation, (8) victim of or witness to family violence, (9) mental illness, or (10) substance abuse. Mediating variable was depressive symptoms measured using the Korean version of Patient Health Questionnaire-9 (PHQ-9). Covariates were included to control for sociodemographic characteristics: age, gender, education, and household income. We conducted latent class analysis (LCA) to classify different patterns of ACEs. Then, we employed path analysis to examine mediating effects of depression in the relationship between ACEs and suicidal behaviors using Mplus. Results : LCA classified three latent classes of ACEs – the “child maltreatment” class (20.86%), the “child maltreatment and family violence” class (19.17%), and the “low ACE” class (59.97%). Exposure to ACEs significantly increased depressive symptoms among adults. The “child maltreatment” class ( β = 0.19, p < .001) and the “child maltreatment and family violence” class ( β = 0.30, p < .001) had significantly higher depressive symptoms compared to those in the “low ACEs” class. Those who had higher depressive symptoms were more likely to experience suicidal thoughts ( β = 0.45, p < .001) and plan or attempt a suicide ( β = 0.23, p < .001). In turn, the findings showed significant indirect pathways from ACEs exposure to suicidal behaviors through depression. Exposure to ACEs was also significantly and directly associated with suicidal behaviors. Discussion and Implications : This study contributes to better understandings of the relationship between ACEs and suicidal behaviors through depression in South Korea. It is important to note that child maltreatment and family violence appear to result in worse effects on depression and suicidal behaviors.",
      "authors": "Haenim Lee; Aely Park",
      "author_ids": "117190; 109754",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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      "screened_at": "2026-08-02T18:30:54.750796+00:00"
    },
    {
      "input_index": 1357,
      "record_key": "SSWR:2022-P-0149",
      "source_database": "SSWR",
      "record_id": "2022-P-0149",
      "year": 2022,
      "title": "Association between Early Sexual Intercourse and Sexual Violence Victimization, Symptoms of Depression, and Suicidal Ideation Among Adolescents: Findings from 2017 to 2019 Youth Risk Behavior Survey",
      "abstract": "Background and Purpose : Sexual intercourse occurring prior to age 13 is associated with various sexual risk behaviors, including such as sex without regular condom use, having multiple sexual partners, sex under the influence of alcohol or drugs, and transactional sex. Additional consequences related to physical and mental health include increased risk of health conditions like cervical cancer and sexually transmitted infections, and attenuated self-esteem, which can be exacerbated by attitudes of shame and guilt surrounding sexual activity. While sexual violence victimization has been linked to depression and thoughts of suicide among adolescents, the role of early sexual intercourse as an antecedent is unclear. The purpose of this study was to investigate the association between early sexual intercourse and sexual violence victimization, symptoms of depression, and suicidal ideation among adolescents who had engaged in sexual intercourse. Methods: This study used data from the 2017 and 2019 iterations of the Youth Risk Behavior Survey. An analytic sample of 6,648 adolescents between the ages of 14–18 years old (49.7% female) who reported ever having sexual intercourse was analyzed using Poisson regression. The outcome variables investigated in this study were sexual violence victimization, symptoms of depression, and suicidal ideation, and the main explanatory variable was early sexual intercourse. Demographic covariates included age, sex assigned at birth, race, ethnicity, and sexual orientation, while also controlling for the potentially confounding influence of substance use. Results: Of the 6,648 adolescents who reported ever having sexual intercourse, 7% had engaged in early sexual intercourse. Within the past year, 15.5% had experienced sexual violence, 42% reported symptoms of depression, and 23.2% experienced suicidal ideation. Results from the regression demonstrated that adolescents who engaged in early sexual intercourse were 1.71 times more likely to experience subsequent sexual violence (RR = 1.71, 95% CI = 1.33-2.20), 1.18 times more likely to experience symptoms of depression (RR = 1.18, 95% CI = 1.06-1.31), and 1.38 times more likely to report experiencing suicidal ideation (RR = 1.38, 95% CI = 1.17-1.64), while controlling for demographic characteristics and substance use variables. Conclusions and Implications: Findings of this study suggest that early sexual intercourse is associated with poor mental health outcomes among adolescents. In an effort to prevent these outcomes, we caution against the use of shame-based approaches to youth sexual health interventions, especially those targeted towards early adolescents, and encourage the development of trauma-responsive sexual health interventions for youth that promote safety in the context of empowerment through knowledge and choice. Furthermore, future research could longitudinally examine trajectories of youth who engage in early sexual intercourse.",
      "authors": "Lisa S. Panisch; Phillip Baiden; Yi Jin Kim; Catherine A. LaBrenz; Yeonwoo Kim; Henry K Onyeaka",
      "author_ids": "117704; 113715; 113445; 115734; 114917; 121988",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
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        "empirical_method": "Quantitative"
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      "record_key": "SSWR:2022-U-0247",
      "source_database": "SSWR",
      "record_id": "2022-U-0247",
      "year": 2022,
      "title": "Bullying and Suicidality in Sexual Minority Youth: Testing Substance Use As a Mediator",
      "abstract": "Background and Purpose: Sexual minority youth experience disproportionate rates of bullying and victimization (e.g., Cenat et al., 2015; Jackman et al., 2020). Bullying happens at school, but is also prevalent on social media (Gonzales, 2014). Sexual minority youth often cope with bullying by using substances (e.g, Coulter et al., 2018; Huebner et al., 2014). Although substance use is common in adolescence (Johnson et al., 2014), it increases risk of mental health issues, such as suicidality by lowering inhibitions and increasing the likelihood of suicidal attempts (e.g., Poorolajal et al., 2016). Further, alcohol and marijuana are the most commonly used substances among adolescents and are depressants (Johnson et al., 2014), enhancing the risk of suicidality from ideation to attempted and completed suicide (Zullig et al., 2015). Bullying victimization is also linked to suicide, especially in sexual minority youth (e.g., Ahuja et al., 2015); however, current research has yet to assess whether the link between bullying victimization and suicidality can be explained by substance use in a sample of LGB youth. The purpose of this study is to examine the mediation effects of substance use on the relationship of LGB youth being bullied at school and electronically with considering suicide, planning suicide, attempting suicide, and attempting suicide with injuries. Methods: This study analyzed data from the 2017 Youth Risk Behavior Survey (Centers for Disease Control and Prevention [2017] Youth Risk Behavior Survey Data). Data were filtered to only include responses of LGB youth. Logistic regression analysis was conducted. Model 1 tested the relationship between experiencing bullying victimization and experiences with suicidality. Model 2 tested substance use as a mediator between bullying victimization and suicidality. Results: The sample (n=1494) was 60% BIPOC and 76% female, with an average age of 16. Model 1 found being threatened at school, being bullied at school, and being bullied electronically were all positively related to considering suicide (OR=1.15, p=.04; OR=2.63, p<.001; OR=1.90, p<.001), planning suicide (OR=1.16, p=.02; OR=1.96, p<.001; OR=1.99, p<.001), attempting suicide (OR=1.51, p<.001; OR=1.84, p=.001; OR=2.37, p<.001), and attempting suicide with injuries (OR=1.47, p<.001; OR=2.34, p=.003; OR=2.05, p=.01). Model 2 found significant indirect effects of being bullied at school with attempting suicide (total=.269, direct=.016) and attempting suicide with injuries (total=.260, direct=.232) via drinking alcohol We also found significant indirect effects of being bullied electronically with considering suicide (total=.298, direct=.288), planning suicide (total=.244, direct=.236), attempting suicide (total=.207, direct=.191), and attempting suicide with injuries (total=.098, direct=.087) via drinking alcohol. Binge drinking had significant indirect effects on being bullied electronically and planning suicide (total=.274, direct=.265), attempting suicide (total=.242, direct=.226), and attempting suicide with injuries (total=.107, direct=.094). Smoking marijuana had significant indirect effects on being bullied electronically with attempting suicide (total=.228, direct=.219) and attempting suicide with injuries (total=.093, direct=.086). Implications: These findings raise concerns for sexual minority youth and their engagement with substance use. Understanding that substance use can explain how bullying is related to suicide, practice and program development can focus on substance use prevention and promoting healthy coping for experiences with bullying in attempt to prevent suicidality.",
      "authors": "Leah Bouchard; Traci Wike",
      "author_ids": "119201; 112849",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3924284625,
        "prompt_eval_count": 1865,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:31:08.811348+00:00"
    },
    {
      "input_index": 1360,
      "record_key": "SSWR:2022-P-0291",
      "source_database": "SSWR",
      "record_id": "2022-P-0291",
      "year": 2022,
      "title": "Client, Peer, and Provider Stakeholder Input on the Modification of a Cognitive Behavioral Suicide Prevention Treatment for Adults with Psychosis",
      "abstract": "Background and Purpose: Suicide is among the leading causes of death for adults with schizophrenia spectrum and other psychotic disorders (SSPDs) with suicide risk estimates being over eight times greater than among the general population. There is a paucity of evidence-based interventions to reduce suicide among adults with SSPDs and our study sought to modify and evaluate the acceptability and preliminary effectiveness of Cognitive Behavioral Suicide Prevention for psychosis (CBSPp) for a community mental health (CMH) setting. This paper presents on Aim 1 qualitative data of the NIMH-funded pilot effectiveness clinical trial (R34) to gain input from stakeholders to inform treatment modifications prior to testing in a randomized controlled trial (Aim 2). Methods: A total of 26 adult stakeholders participated in Aim 1 of the study, including 6 clients with SSPDs and recent suicide ideation or attempt, 7 peers, and 12 providers in CMH. Peers and providers were recruited by research staff attending virtual staff meetings and clients were recruited by providers who attended staff meetings. Interested clients were screened to confirm recent ideation or attempt and SSPD diagnosis. All stakeholders attended a 1-hour virtual qualitative in-depth interview with research staff to explore perspectives on the need for CBSPp, treatment barriers, sustainability facilitators, and areas for improvements. Qualitative interviews were transcribed, coded in Dedoose using an open-coding technique to generate themes across questions, and analyzed using grounded theory methods. Results: Clients, peers, and providers agreed there was a need for CBSPp in CMH, clients indicated they would want the treatment, and providers expressed interest in being trained to deliver the treatment. The following 3 treatment barrier themes emerged across participant groups: 1) logistic (e.g., technology barriers if virtual, provider training and delivery time), 2) client perceptions (e.g., readiness and motivation for treatment), and 3) co-occurring disorders (e.g., substance abuse). The following 4 sustainability facilitator themes emerged across participant groups: 1) buy-in (e.g., client, provider, agency buy-in to the utility of CBSPp), 2) client outcome data (e.g., CBSPp efficacy and client endorsement of helpfulness, 3) provider support (e.g., supervision, ongoing training, and inclusion of CBSPp into workload), and 4) treatment team collaboration. The following 3 areas for improvement themes emerged across participant groups: 1) increase self-esteem, 2) bolster social support, and 3) add tailoring options in the treatment manual (e.g., for trauma; per providers). Implications and Conclusions: Study findings highlight the logistic, perceptual, and clinical challenges perceived by clients, peers, and providers in the process of introducing CBSPp in a CMH setting. Consistent with prior literature, buy-in and support for the delivery of a new treatment emerged as important factors for sustainability and scalability over time. Findings were subsequently presented to a panel of scholarly experts in the fields of suicide and psychosis research, intervention research, and implementation science for additional feedback and to inform modification decisions. Stakeholder perspectives using community based participatory research approaches are essential to problem-solve challenges and barriers of new treatment delivery with an overall goal of improving access, feasibility, and quality of suicide prevention interventions.",
      "authors": "Lindsay A. Bornheimer; Juliann Li Verdugo; Joshua Holzworth; Fonda Smith; Vitalis Im; Hannah Sliwa; Joseph A. Himle",
      "author_ids": "114170; 121000; 121957; 122267; 121837; 122216; 122268",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3396116584,
        "prompt_eval_count": 1615,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:31:15.580313+00:00",
      "screening_source": "Primary screen; blind audit agreement",
      "accuracy_audit": {
        "sample_group": "Qualitative",
        "random_seed": 20260802,
        "blind_screening": {
          "is_relevant": true,
          "relevance_rationale": "The study focuses on modifying a cognitive behavioral intervention specifically for suicide prevention in adults with psychosis, making suicide prevention the central substantive focus.",
          "evidence_class": "Empirical",
          "empirical_method": "Qualitative",
          "classification_rationale": "The abstract explicitly describes collecting and analyzing qualitative data from stakeholder interviews using grounded theory methods to inform treatment modifications.",
          "confidence": "High"
        },
        "full_label_agreement": true
      }
    },
    {
      "input_index": 1365,
      "record_key": "SSWR:2022-P-0472",
      "source_database": "SSWR",
      "record_id": "2022-P-0472",
      "year": 2022,
      "title": "Defining Veteran Peer Support: Representing the Voices of Veterans in New York State",
      "abstract": "Background and Purpose The high rate of veterans dying by suicide is a well-known social problem without a simple solution and unmet mental health needs are a major contributor. Peer support is a powerful intervention that can reduce suicide rates. However, veteran peer support is not well-described nor is it understood among non-military communities. Further, it is unclear how peer support for veterans may differ from peer support within other populations. Cultural differences between military/veterans and non-military civilians may contribute to the disconnection between veterans and providers in community settings who have little knowledge of military culture. Incorporating veteran peers in mental health settings can bridge this gap if providers understand peer support and can learn from veterans. This study asked: How do military veterans define peer support? The results of this research have changed the way in which peer services are provided to military veterans. Methods This exploratory study used qualitative description to define veteran peer support according to veterans participating in peer programs. Participants included 154 military veterans involved in veteran specific community programs across New York State. The sample included women (22%), diverse ethnicities (African Americans 17%, Latinx 6%, and Native Americans 1%), and different military branches (Army, Navy, Air Force, Coast Guard, Marine Corps). There was great variation in era, number of deployments, types of deployments, and length of time in service. Verbatim transcripts from semi-structured interviews were analyzed and coded for aspects of peer support. Veterans were asked to define peer support based on their involvement in the peer programs. Results Peer support was broadly defined as “a veteran assisting another veteran based upon their shared connection of military experience.” Key elements to veteran peer support include an experiential understanding of military culture (rather than theoretical knowledge), instant connection or trust with the peer, less hierarchy than clinical relationships, non-directive tone, increased social support, and a source of education/knowledge. Veteran peer support took many forms that included one-on-one support, group formats, and social/recreational settings. Conclusions and Implications While most participants described veteran peer support in similar ways, definitions were nuanced. For example, most participants defined anyone who had ever served in the military as a potential peer, however, a few veterans found branch/type of service, ethnicity, gender/sex, years of service, generation/era, and combat deployment to be factors influencing “peer-ness.” Discovering how an individual veteran views peer support allows veterans to find better matched peer relationships. This study has implications for social workers who practice with veterans or organize community programs for veterans. Social work practitioners who understand the role of veteran peer support will more effectively meet their client’s needs. Program managers can use these findings to design spaces that are conducive to peer support. These environments would encourage natural connection (i.e. recreational, social, and relaxed), eliminate hierarchies, build trust, and be non-directive. Data from this research has been used to educate social work students and guides the continued implementation of veteran programs in New York.",
      "authors": "Amanda Matteson",
      "author_ids": "116173",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3314421000,
        "prompt_eval_count": 1538,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:31:32.903961+00:00"
    },
    {
      "input_index": 1366,
      "record_key": "SSWR:2022-P-0293",
      "source_database": "SSWR",
      "record_id": "2022-P-0293",
      "year": 2022,
      "title": "Determinants of Mental Health Service Use Among North Korean Refugee Women in South Korea",
      "abstract": "BACKGROUND: North Korean (NK) refugee women are at a greater risk for various mental health problems such as depression and suicide because of their cumulative exposure to traumatic and stressful life events (e.g., trauma exposure, acculturation stress, discrimination). However, it has been frequently reported that NK refugee women are hesitant to receive necessary mental health services, and limited studies have explored factors associated with mental health service use (MHSU) among NK refugee women. Thus, this study aimed to examine determinants of MHSU among NK refugee women based on the Andersen model of health behavior. METHODS: Data were collected in 2020 using a snowball sampling method. Self-administered questionnaires were delivered to a total of 212 adult NK refugee women (19 years or older) in South Korea, and 187 cases with complete data for major variables of the present study were analyzed. We conducted a logistic regression analysis to predict MHSU in the previous 12 months from the Andersen model (i.e., predisposing – enabling – need factors). Predisposing factors consisted of age, education level, and duration of stay in South Korea. Enabling factors consisted of income, employment status, receipt of public assistance including medical care, and household debt. Need factors included levels of depression, suicidal ideation severity, and perceived need for mental health service by significant others. The significance level (alpha) was set at 0.1 due to small sample size and the exploratory nature of this study. RESULTS : Approximately 27% of NK refugee women in this sample received mental health services in the past 12 months. Results from logistic regression showed that the higher the education level, the greater the odds of MHSU ( OR = 1.63, p = .07) amongst the pre-disposing factors. As for enabling factors, receipt of public assistance significantly increased the odds of MHSU ( OR = 2.29, p = .08). As for need factors, the odds of MHSU also significantly increased as level of depression ( OR = 1.12, p = .001) and suicidal ideation severity ( OR = 1.55, p = .001) increased. More importantly, the odds of MHSU were significantly greater among those who were encouraged to receive mental health service by their significant others ( OR = 9.82, p < .001). CONCLUSIONS AND IMPLICATIONS: It is imperative that NK refugee women seek necessary help and receive mental health service in order to prevent mental health disorders. Findings of the present study demonstrated that probabilities of MHSU significantly increased as levels of education and psychological symptoms (e.g., depression and suicidal ideation severity) increased. In addition, recipients of public assistance programs showed a significantly higher chance of receiving mental health services. Considering that public assistance programs also cover medical costs, NK refugee women’s access to mental health services can be facilitated by reducing or covering the cost. Finally, the encouragement by their significant others to receive proper mental health services had a pivotal role in MHSU. Uncertainty about their mental health status may become apparent when their significant others tell them to seek help, which can eventually facilitate their action.",
      "authors": "Boyoung Nam; Yujin Lee",
      "author_ids": "115613; 118595",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3356801458,
        "prompt_eval_count": 1597,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:31:36.261928+00:00"
    },
    {
      "input_index": 1367,
      "record_key": "SSWR:2022-P-0032",
      "source_database": "SSWR",
      "record_id": "2022-P-0032",
      "year": 2022,
      "title": "Developing Racially and Socioculturally Tailored Suicide Interventions for Black Men: Adjustment for Demographic Covariates of Suicide Among Black Men with and without Major Depressive Episode",
      "abstract": "Background/Purpose : Suicide is considered the second leading cause of death among Black males aged 10–14, the third leading cause in those aged 15–34, and the fifth leading cause in those aged 35–44 years old. Past studies have shown that Black men with major depressive episodes (MDE), as well as those without MDE, had an equal risk for suicidal ideation (SI) and suicide attempts (SA) when compared to White men. However, a growing body of literature suggests the importance of assessing the relationship between demographic characteristics, such as age, education, economic well-being, and mental health among Black men. To date, there is a lack of evidence on SI, suicide plans (SP), and SA risk among Black men with and without MDE with adjustment for potential covariates associated with suicide outcome variables. The present study's goal was to examine suicide risk among Black men with and without MDE while adjusting for age, education, and income. It was hypothesized that Black men with MDE would be at a higher risk for SI, SP, and SA than those without MDE while adjusting for the covariates of age, education, and income. Methods: Data and samples: Data from the 2018 National Survey on Drug Use and Health were extracted and analyzed. The public-use file contained 56,313 records of non-institutionalized individuals, representing a weighted population of 273,753,042.56. Of these, 2,301 were Black men, representing a weighted population size of 13,210,069.53. The participants included in the study were aged 18 years and older, with or without MDE based on the DSM 5 th edition diagnostic criteria. Measures: The independent variable was MDE. The covariates included age, education, and income. The outcome variables were SI, SP, and SA during the past 12 months. SI was assessed by asking about any suicidal thoughts the individual may have had, SP was assessed by asking whether they had made any plans to commit suicide, and SA was assessed by asking about attempts to kill oneself. Results: The results partially confirmed the hypothesis. After adjusting for covariates, Black men with MDE had a higher risk for SI and SP than Black men without MDE. The pseudo-R 2 analysis showed the adjusted model explained 30.1% of the variation in risk for SI and 28.8% of the variation in risk for SP among men with and without MDE. The chances of attempting suicide among those with and without MDE remained equal even after adjusting for covariates. However, the pseudo-R 2 analysis showed that the adjusted model explained 28.9% of the differences in risk for attempts between men with and without MDE. Conclusions and Implications: Black men with and without MDE are not a homogeneous group with equal risk for suicidal thoughts and plans. These results can inform the design and implementation of racially and socioculturally tailored community-centered interventions that address the unique needs of Black men at risk for suicide. Overcoming barriers that block Black men's full access to community-centered care can ameliorate the burden of suicide in the community.",
      "authors": "Areen Omary; Tameka Chambers",
      "author_ids": "120600; 121845",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3397594417,
        "prompt_eval_count": 1632,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:31:39.661334+00:00"
    },
    {
      "input_index": 1373,
      "record_key": "SSWR:2022-U-0436",
      "source_database": "SSWR",
      "record_id": "2022-U-0436",
      "year": 2022,
      "title": "Examining the Impact of Police Practices on the Mental Health of Black Americans",
      "abstract": "Background: The rate of violent crime has been decreasing since the early 1990s; however, the rate of deaths resulting from legal intervention at its highest point since the civil rights era. A recent study published in The Lancet showed that these events accounted for a cumulative 55 million poor mental health days for Black Americans. Other aspects of police interaction may also be affecting adverse mental health outcomes for communities. To examine whether experiencing lifetime arrest and marijuana-related arrest is associated with past-year suicide ideation, and assess race differences between Black and White people. Methods: A literature review was conducted analyzing the findings of other studies on the impact that Stop and Frisk policies, exposure to police killings, and other aspects of police practices have had on the mental health of Black American's. We also used data from Wave-IV (2008-2009; N=5,114) of the non-restricted publicly available National Adolescent Health Study (Add Health) data. Add Health is a longitudinal survey of a nationally representative sample of adolescents in the U.S., which aimed to investigate American adolescents' health trajectories into their adulthood. A total of 4,313 participants were selected from the study, self-identified as White Non-Hispanic and Black or African American Non-Hispanic. Logistic regression was used to assess whether lifetime arrest and marijuana-related arrests were associated with past-year suicide. We stratified by race, and controls of income, education, lifetime depression, gender, and health insurance status were included in all models. Results: Overall, 28.8% of the sample reported lifetime any arrest, 6.3% reported lifetime suicide ideation, and 3.7% reported marijuana-related arrest. A significantly higher percentage of Black people (32.3%) in comparison to White people (27.4%) reported lifetime arrest (χ2=9.91; p<.001). Among Black participants, Lifetime arrest (AOR=2.98; 95% CI, 1.66-5.35; p<.001) and marijuana-related arrest were both associated with lifetime suicide ideation (AOR=4.09; 95% CI, 1.47-11.35; p<.001), but no significant association was found among White participants. Conclusions and Implications: Rates of suicide among Black people have been rising for two decades. Further efforts to educate and inform key stakeholders, including law enforcement, policymakers regarding racial disparities and arrests are necessary. Theoretical approaches may involve interventions at the police department level, such as increasing implicit bias training implementation or increased use of LEAD (Law Enforcement Assisted Diversions) programs to address issues like drug use through treatment programs instead of criminal court. Community organization initiatives such as citizen oversight committees have also shown to reduce disparities in police arrest practices which may reduce the adverse impacts on mental health in these communities.",
      "authors": "Johnathan Tremblay; Manik Ahuja",
      "author_ids": "122663; 118775",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3373026875,
        "prompt_eval_count": 1537,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:31:59.627728+00:00"
    },
    {
      "input_index": 1374,
      "record_key": "SSWR:2022-U-0623",
      "source_database": "SSWR",
      "record_id": "2022-U-0623",
      "year": 2022,
      "title": "Exploring and Advancing Efforts for Developing a Black Youth Suicide Community Building Model",
      "abstract": "Background The urgent and immediate need for Black youth suicide research and intervention strategies has been echoed by national organizations including the National Institutes of Mental Health and Congressional Black Caucus (CBC) (CBC, 2019; Gordon, 2020). Suicide has become the second leading cause of death for Black youth ages 10-14 and the third leading cause of death for Black youth ages 15-19 (Gordon, 2020). Disappointedly, for the past few decades, there has been and continues to be a paucity of research on Black youth suicide despite the increasing rates (CBC, 2019). The purpose of this study is to explore and advance efforts for developing a community-building model aimed at increasing the capacity for Black youth suicide research and practice interventions to bolster Black mental health and wellness. Methods This study utilized a qualitative community autoethnography method (Stringer, 1997) to gather data on the experiences of two tenure-track researchers who worked collaboratively to establish the Mental Health Research and Practice Division (MHRPD). MHRPD is a community-building model focused on Black mental health, wellness, and suicide prevention/intervention. The researchers represent social work units in two public universities in North Carolina, one Historically Black College and University (HBCU) and one Predominantly White Institution (PWI). North Carolina has reportedly higher rates of suicidality among Black youth than national rates (Centers for Disease Control and Prevention, 2020). Data was collected through reflexive and dialogical storytelling, a method for the creation of autoethnographies that supports intersubjective agreement and disagreement and identification of connections within the stories (Toyosaki et al., 2009). Results Results from this study yielded four primary content themes: 1) the collaboration between researchers at an HBCU and PWI is integral for building an infrastructure for researching racialized and minoritized populations; 2) building trust helps to increase capacity for collaboration with community partners; 3) culturally-adapted and intentional spaces are critical for commitment and engagement; 4) mentorship of undergraduate and graduate students is necessary to build the pipeline of researchers to support Black mental health and wellness; 5) a collective effort is critical to prioritizing Black youth suicide locally and statewide. Conclusions/Implications These findings inform the community-building process for researchers and assist with increasing capacity. These collective efforts have resulted in the creation of the MHRPD as a hub for students, scholars, and practitioners to design, implement, and advance mental health research and practices. This model has been successful in the production of five Black mental health and wellness research briefs co-authored by students and faculty, 15 community partnerships have been fostered, and 11 students (bachelor, master, doctoral) from five universities joined the interdisciplinary practice and research team. The MHRPD has been supported in leading the development of a statewide Black youth suicide report and is seeking funding to launch an action research project for suicide prevention and intervention programs.",
      "authors": "Sonyia Richardson; Michelle Vance",
      "author_ids": "120570; 119790",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3367275416,
        "prompt_eval_count": 1557,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:32:02.996372+00:00"
    },
    {
      "input_index": 1375,
      "record_key": "SSWR:2022-U-0486",
      "source_database": "SSWR",
      "record_id": "2022-U-0486",
      "year": 2022,
      "title": "Exploring Barriers and Facilitators to Service Engagement and Utilization Among Black Youth at High-Risk for Suicide",
      "abstract": "Background: Black youth have experienced the largest increase in suicide attempts compared to their white peers in recent years. The Centers for Disease Control and Prevention (CDC) reports that suicide is the 3 rd leading cause of death for Black youth (ages 15-24) in the United States. Suicide related hospitalizations for Black youth have also steadily increased from 2008 to 2015. Despite these high rates, many Black youth have never sought mental health treatment and are significantly less likely to utilize services compared to White peers. Service use differences are likely contributed to current and historical systemic barriers (i.e., poverty and racism) faced by Black communities. Other barriers to service engagement and utilization include high costs of quality mental health services, transportation, and recognition of mental health symptoms. In addition, stigma around mental health and suicide is still prevalent in the Black community, making Black youth and their families reluctant to seek services. Considering the aforementioned factors, there is a clear need to study service engagement and utilization barriers and facilitators as it relates to improving suicide care for Black youth. Methods: The sample for this study included 106 Black youth (ages 10 to 19) who enrolled in care coordination services prior to being discharged from inpatient psychiatric facilities in one southeastern state in the U.S. The mean age was 14.9 (SD =1.8). Most participants were female (76.4%), 91.0% identified as heterosexual, and 82.5% were diagnosed with a mood disorder. At baseline, 30, 60, and 90 - days after enrollment, care coordinators assessed service and engagement barriers (e.g., treatment demands, financial hardship, waiting lists), and facilitators (e.g., access to MH care, family support, access to other services of participants). Service utilization rates over the length of the care coordination program were also examined. A series of Generalized Linear Mixed (GLM) Models were conducted to explore change in service use over 90 days while enrolled in the care coordination program. Results: The most frequently endorsed barriers were being on a waiting list (18%), financial hardships (4%), and transportation problems (4%). The most frequently reported service and engagement facilitators included having supportive family (95%), access to mental health services (85%), and access to healthcare (77%). Medication management and individual therapy were the most utilized services for Black youth. The GLM results indicated that the odds of receiving medication management for Black youth were 0.545 times the odds of receiving medication management for white peers. For every 30 days of being engaged in the care coordination intervention, the odds of receiving individual therapy increased about 13%. Being on a waitlist and having access to mental health services significantly impacted retention in individual therapy. Conclusions/Implications: The findings of this study highlight important clinical implications for engaging Black youth in behavioral health and suicide prevention services. Access to supportive services may be of particular importance in developing culturally responsive interventions to reduce suicide attempts and deaths. Further attention should be given to the influence of non-mental health and other informal supports on service engagement and utilization.",
      "authors": "Kimberley Gryglewicz; Michelle Vance; Eunji Nam; Lisa Borntrager",
      "author_ids": "121522; 119790; 114851; 122748",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3385404792,
        "prompt_eval_count": 1588,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:32:06.384282+00:00"
    },
    {
      "input_index": 1377,
      "record_key": "SSWR:2022-U-0673",
      "source_database": "SSWR",
      "record_id": "2022-U-0673",
      "year": 2022,
      "title": "Firearm Access and Suicide Risks Among Young Adults Experiencing Homelessness: A Seven City Study",
      "abstract": "Introduction: Over 3.5 million young adults experiencing homelessness (YAEH) in the U.S. Without stable housing, YAEH are especially vulnerable to multiple and often times co-occurring risk factors for suicide (e.g., violence exposure). Therefore, YAEH are at high risk of developing suicidal ideation and engaging in suicide attempts. Having access to firearms during a suicidal crisis substantially elevates the risk of death by suicide. However, no known research has examined YAEH’s access to firearms and the intersection between such access and suicidal crises. This study aims to answer the following questions: (1) What proportion of YAEH have access to firearms? (2) Are YAEH with recent history of suicidal ideation and attempts more likely to also have access to firearms? By answering these questions, this study will provide critical information to guide intervention efforts in reducing YAHE’s suicide risk. Methods: This study utilized data collected from a purposive sample of 1,426 YAEH recruited from community homeless service agencies in seven major cities across the US between 2016 and 2017. All YAEH were between 18 and 26 years old ( M age =20.9). The outcome of interest was the presence/absence of easy firearm access. The focal independent variables were the presence/absence of past year suicidal ideation and suicide attempts. Covariates in the study included homelessness experiences, adverse childhood experiences, street victimization history, and mental health/psychosocial history. Descriptive analysis and logistic regression models were conducted to answer the two research questions. Results: Over 34 percent YAEH reported they could gain “access to a firearm easily if they wanted to”. As for past-year suicidal crises, 27 percent had experienced suicidal ideation, while 14% had attempted suicide. Controlling for all other variables, both past-year suicidal ideation ( OR =1.46; 95% CI =1.09-1.96) and suicide attempts ( OR =1.43; 95% CI =1.02-2.04) were positively associated with easy access to firearms. Conclusion and Implications: With previous literature highlighting fatal implications of firearm access during suicidal crises, findings of the study support our grave concerns that many young adults in this at-risk population have easy access to firearms. Even more worrisome, YAEH who had experienced recent suicidal crises were more likely to have easy firearm access. Curbing firearm access among YAEH, therefore, is critical to reduce suicide in this vulnerable group. Unfortunately, existing efficacious interventions aiming to reduce firearm access among people experiencing suicidal crises may not translate well to homelessness contexts. Future suicide risk reduction efforts should focus on adapting existing evidence-based interventions (e.g., free firearm locks/lockboxes provisions; buddy systems for storage) to address unique barriers among YAEH.",
      "authors": "Hsun-Ta Hsu; Anthony Fulginiti; Jarrod Call; Robin Petering; Anamika Barman-Adhikari; Diane Santa Maria; Jama Shelton; Sarah C. Narendorf; Kristin M. Ferguson; Kimberly A. Bender",
      "author_ids": "112266; 112190; 119194; 113367; 111343; 113823; 112631; 110963; 110755; 109018",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3327957958,
        "prompt_eval_count": 1536,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:32:13.026742+00:00"
    },
    {
      "input_index": 1378,
      "record_key": "SSWR:2022-P-0180",
      "source_database": "SSWR",
      "record_id": "2022-P-0180",
      "year": 2022,
      "title": "Foster Care Experience and Suicide Risk Among LGBTQ Youth",
      "abstract": "Background: LGBTQ youth are at elevated risk for suicide compared with their straight/cisgender peers. This risk stems from minority stress, including experiences of victimization and rejection. Victimization and rejection from caregivers can also result in involvement in the foster care system, which is associated with greater suicide risk among youth in general. Despite the overrepresentation of LGBTQ youth among youth in foster care, there are few studies examining how a foster care history relates to suicide risk among LGBTQ youth. This study examines relationships between foster care history and suicide attempts among LGBTQ youth, as well as demographic risks and protective factors. Methods: Data were collected from an online survey conducted between December 2019 and March 2020 of 40,001 LGBTQ youth recruited via targeted ads on social media. Logistic regression models were used to examine 1) the association of foster care involvement with past-year attempted suicide, 2) disproportionality in foster care history by age, gender identity, and race/ethnicity, and 3) the association of youth reporting their schools to be LGBTQ-affirming with a past-year suicide attempt among those with a history of foster care and among those who were never in foster care. Findings: LGBTQ youth who reported foster care history had three times greater odds of reporting a past-year suicide attempt compared to those who had not been in foster care (aOR=2.98, p <.001). Transgender and nonbinary youth and youth of color had greater odds of reporting foster care history than their cisgender LGBQ and White peers. LGBTQ youth who reported foster care history had nearly four times greater odds of being kicked out, abandoned, or running away due to treatment based on their LGBTQ identity compared to those who were never in foster care (aOR=3.77, p <.001). Among LGBTQ youth with a history of foster care, those who reported attending an LGBTQ-affirming school had more than 50% lower odds of reporting a past-year suicide attempt compared to those who attended a school that was not LGBTQ-affirming (aOR=0.45, p <.001). Although LGBTQ-affirming schools were protective for LGBTQ youth in general, they had even greater protective effects for LGBTQ youth with a history of foster care compared to those who were never in foster care (aOR=0.63, p <.001). Conclusions: Given the intersection of foster care and suicide risk among LGBTQ youth, child welfare agencies should establish policies for identifying and supporting LGBTQ youth in care, including developing practices to ensure foster care placements are LGBTQ-affirming. Our data reflect national trends on the disproportionate involvement of youth of color in foster care, particularly those who are Black or Native/Indigenous. National conversations around racism should focus on ensuring our systems of care and policies are addressing and rectifying these disparities. Finally, our data highlight the power of LGBTQ-affirming schools for all youth, but particularly for those who have a history of foster care. This suggests that schools are a promising location of intervention for social workers to support LGBTQ youth in foster care.",
      "authors": "Jonah DeChants; Amy Green; Myeshia N. Price",
      "author_ids": "115796; 122044; 122045",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3384595959,
        "prompt_eval_count": 1561,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:32:16.413053+00:00"
    },
    {
      "input_index": 1379,
      "record_key": "SSWR:2022-U-0315",
      "source_database": "SSWR",
      "record_id": "2022-U-0315",
      "year": 2022,
      "title": "Gatekeeping Beliefs, Intent, and Behaviors Among Young People Experiencing Homelessness",
      "abstract": "Background/Purpose: Suicide is a serious problem among young people experiencing homelessness (YEH). Utilization of mental health services is a critical pathway for reducing suicide risk. Community gatekeepers can function as facilitators of service use and YEH are well-positioned to potentially serve as gatekeepers for their street-based peers. However, no known research has examined gatekeeper beliefs, intent, behaviors among YEH. This is critical as certain beliefs (i.e., preparedness/efficaciousness about engaging someone in distress) and intent-to-intervene with distressed persons have been shown to increase gatekeeping behavior (approaching and referring distressed individuals for services) in housed populations but have not been investigated among YEH. Thus, the current study had two aims: (1) describe gatekeeper beliefs, intent-to-intervene, and behaviors and (2) examine whether gatekeeper beliefs and intent-to-intervene are associated with gatekeeper behaviors. Methods: Using a purposive sampling strategy, this study included 148 YEH (aged 14-24) from two drop-in centers providing subsistence services in a major Midwestern city. Participants completed an anonymous survey assessing a range of characteristics, including gatekeeper-related variables. For Aim 1, proportions and mean scores were calculated. For Aim 2, linear regression analysis was used. Preparedness beliefs, self-efficacy beliefs, and intent-to-intervene were examined in three separate multivariate models for each of two gatekeeper behavior outcomes (approach behavior= # of peers with whom the participant discussed concerns about the peer’s mental health in past 3 months; referral behavior= # of peers the participant connected with professional mental health services in past 3 months). Demographics were used as controls. Results: For Aim 1, preparedness beliefs (M= 15.40), self-efficacy beliefs (M= 11.24), and intent-to-intervene (M= 5.13) were all at moderate levels. Nearly 60% of YEH had talked with at least one person in distress to express concerns about them and 50% had referred at least one person in distress to professional services in the past 3 months alone. More specifically, YEH, on average, approached 1.88 people in distress and linked 1.10 people to services. For Aim 2, preparedness beliefs (β=0.04; 95% CI=0.01, 0.07), self-efficacy beliefs (β=0.05; 95% CI=0.01, 0.09), and intent-to-intervene (β=0.08; 95% CI=0.01, 0.16) were positively associated with approach behavior. Preparedness beliefs (β=0.03; 95% CI=0.01, 0.06), self-efficacy beliefs (β=0.05; 95% CI=0.01, 0.08), and intent-to-intervene (β=0.11; 95% CI=0.05, 0.17) were also positively associated with referral behavior. Conclusion/Implications: Our results show that many YEH are actively talking with peers about mental health concerns and connecting them with professional care. Moreover, these findings provide promising evidence that traditional targets of gatekeeper training programs (i.e., beliefs/intent) may be similarly viable in this vulnerable population. This is notable for at least three reasons. First, evidence-based practices for suicide prevention program are not often integrated into homelessness service settings. Second, intervention mechanisms cannot be assumed to operate similarly across populations; this point is emphasized in cross-cultural suicide prevention work, which takes on added significance because our sample was predominantly (86%) Black. Third, gatekeeper training may be especially attractive as a candidate for use with YEH given that it can be implemented (and sustained) at relatively low costs in under-resourced settings.",
      "authors": "Anthony Fulginiti; Hsun-Ta Hsu",
      "author_ids": "112190; 112266",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3700799917,
        "prompt_eval_count": 1777,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:32:20.115849+00:00"
    },
    {
      "input_index": 1380,
      "record_key": "SSWR:2022-U-0094",
      "source_database": "SSWR",
      "record_id": "2022-U-0094",
      "year": 2022,
      "title": "Gender Differences in Veterans' Use of the Veterans Crisis Line: Highlighting Unique Needs of Women Veterans",
      "abstract": "Background and Purpose: Suicide is a public health crisis with particular risks among the United States (U.S.) military veteran population. Women veterans represent a unique and growing population whose unique needs are often obscured. To address suicide prevention needs of veterans, the U.S. Department of Veterans Affairs (VA) launched the VA National Suicide Prevention Hotline in 2007, renamed the Veterans Crisis Line (VCL) in 2010. The purpose of this study was to understand the gender-specific VCL use patterns, with a focus on identifying the VCL use and needs of women veterans. Methods: Call record data collected in a VCL administrative database was reviewed for all calls by veterans calling on their own behalf with gender identified between January 1, 2018-December 31, 2019. We compared data on calls from women (n=116,029) and men (n=651,239) on: a) call time characteristics, b) reason for call frequency and rank, c) suicide risk screening and risk assessment, and d) referral outcomes. The VCL data were limited to gender categories of “male” or “female,” precluding analysis based on other gender identities. Results: Distribution of time (hour/day/season) of VCL calls was similar between women and men callers. Among both groups, mental health was the most common reason for call listed, but women veterans were more likely than men veterans to have this reason indicated (61.7% vs. 51.4%; PR=1.19, 95% CI=1.18, 1.20). Suicidal thoughts or crisis was indicated as a reason for call among 20.1% of calls by women and 17.5% of calls by men. The most salient differences in reason for call were observed among the categories related to interpersonal violence – women were far more likely than men to express concerns related to sexual violence, either during military service (PR=9.13, 95% CI=8.83, 9.46) or non-military sexual assault (PR=5.25, 95% CI=5.01, 5.50). Calls by men were more likely than calls by women to indicate concerns related to substance use or addition as a reason for call (PR=0.54, 95% CI=0.52, 0.55). Women callers were more likely than men callers to screen positive for suicide risk (52.6% vs. 40.7%; PR=1.28, 95% CI=1.26, 1.29), receive a higher suicide risk assessment rating (PR=1.05, 95% CI=1.02, 1.07), and be referred to a VA Suicide Prevention Coordinator for follow-up care (PR=1.09, 95% CI=1.09, 1.11). Conclusions and Implications: Findings of a wide array of reasons for call to VCL by both women and men Veteran callers underscore the function of this resource for addressing a broad array of concerns and the need to ensure that the service adequately connects callers to a variety of information and services. Reasons for call that are not specific to suicidal crises, including interpersonal violence, economic concern, and mental health, may lead to suicidal ideation and behavior, providing an opportunity for upstream intervention at the point of hotline call. Although findings reveal similarities in call characteristics between women and men veteran callers, the differences identified also further highlight interpersonal relationships, and experiences of abuse and assault, as key contributors of crisis for women veterans.",
      "authors": "Melissa E. Dichter; Lauren Krishnamurti; Sumedha Chhatre; Claire Hoffmire; Lindsey Monteith; Scarlett Bellamy; Katherine Iverson; Ann Elizabeth Montgomery; Aneeza Agha; Ian McCoy",
      "author_ids": "114604; 122022; 122023; 122024; 122025; 122026; 122027; 116275; 122028; 122029",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3719748792,
        "prompt_eval_count": 1718,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:32:23.838013+00:00"
    },
    {
      "input_index": 1382,
      "record_key": "SSWR:2022-P-0018",
      "source_database": "SSWR",
      "record_id": "2022-P-0018",
      "year": 2022,
      "title": "Gender-Moderated Association between Adolescent Mental Health, Conventional Substance Use, and Vaping",
      "abstract": "Background: Overall, adolescent mental health problems, conventional substance use, and electronic vapor product (EVP) use are highly comorbid. The literature has shown that the recent vaping boom is more appealing to females. However, the previous evidence is still unclear about how the associations between mental health, conventional substance use, and EVP use can be different between female and male adolescents. Thus, it is vital to understand how those comorbidities vary based on gender. The current study aimed to fill this gap by focusing on the moderating effect of gender on the relationships between mental health, conventional substance use, and EVP use. We examined whether there were different effects of mental health problems and current conventional substance use on current EVP use between female and male adolescents. Specifically, based on the literature, we hypothesized that the impact of mental health and conventional substance use on EVP use would be greater for female adolescents than males. Methods: Data were drawn from the 2019 Youth Risk Behavior System Survey, a national survey with a representative sample of 13,677 high school students in grades 9–12. Control variables were age, gender, and race; independent variables are mental health problems (depression and suicidal ideation) and conventional substance use (current cigarette use, alcohol use, binge drinking, and marijuana use); current electronic vapor product use was a dependent variable; and gender was a moderator. A multivariate hierarchical logistic regression was conducted using SPSS 2.6. Results: Depression (OR=1.37; 95%CI=1.20–1.56) and suicidal ideation (OR=1.24; 95%CI=1.06–1.45) were significantly associated with current EVP use. Likewise, all the conventional substance use, specifically current cigarette use (OR=3.83; 95%CI=2.72–5.39), alcohol use (OR=4.73; 95%CI=4.09–5.48), binge drinking (OR=2.02; 95%CI=1.66–2.46), and marijuana (OR=7.63; 95%CI=6.61–8.80), were significantly associated with current EVP use. In particular, the impact of depression on EVP use was greater among female students than male students (OR=0.74; 95%CI=0.56–0.97). Female students who had depressive symptoms were more likely to vape than their male counterparts. Conversely, the impact of current cigarette use on EVP use was greater among the male students than the female students (OR=2.27). Current male cigarette smokers were more likely to vape than their female counterparts. Similarly, the impact of current marijuana use on EVP use was greater among the male students than the female students (OR=1.64; 95%CI=1.13–4.57). Current male marijuana users were more likely to vape than their female counterparts. Conclusion: The results showed a high co-occurrence of mental health problems and EVP use, as well as conventional substance use and EVP use, among adolescents. Furthermore, gender is an important moderating factor that influences the associations between mental health problems, conventional substance use, and EVP use. Specifically, the impact of mental health problems on EVP use was greater among female adolescents than among their male counterparts. Conversely, the impact of current cigarette and marijuana use on EVP use were greater among male adolescents than among their female counterparts. Effective prevention and intervention programs should consider and address these comorbidities for male and female adolescents differently.",
      "authors": "Youn Kyoung (Lily) KIM",
      "author_ids": "113286",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3679004084,
        "prompt_eval_count": 1699,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:32:30.638347+00:00"
    },
    {
      "input_index": 1383,
      "record_key": "SSWR:2022-P-0122",
      "source_database": "SSWR",
      "record_id": "2022-P-0122",
      "year": 2022,
      "title": "Hmong Intimate Partner Homicide-Suicide: Perspectives from Hmong Community Leaders",
      "abstract": "Background and Purpose: IPHS (intimate partner homicide-suicide) is a form of gender-based violence committed predominantly by men against their current or former female spouse. Since the Hmong immigrated to the United States over 40 years ago, many Hmong families have experienced horrific acts of IPHS, predominantly among intimate partners. Hmong leaders, the majority of whom are older Hmong men, are called upon to meditate on family violence issues because of their position as mediators and advisors to Hmong families. Despite long-standing cultural interventions, family violence incidents such as IPHS continue to occur, and no research has been conducted to explore how Hmong IPHS incidents are handled and understood by Hmong leaders. This paper addresses this knowledge gap by exploring the retrospective accounts of Hmong leaders who have assisted Hmong families resolve family violence and marital disputes. Drawing on their own experiences in mediation and intervention, Hmong leaders discuss IPHS incidents and possible collaborative efforts with social workers to best support Hmong families. Methods: This is a qualitative single case study design. Participants were recruited through a local non-profit Hmong organization that provides cultural, educational, health services to Southeast Asian families in the local community. The sample consisted of older men (age 50-70) who identified as Hmong and a Hmong leader. Fifteen semi-structured interviews were conducted with the participants regarding Hmong IPHS incidents that occurred in a California county with a considerable Hmong population. Interview questions asked about participants' experience and understanding of the Hmong culture, as well as their positions and responsibilities as Hmong leaders. Interviews were transcribed verbatim and coded thematically in Atlas TI, using grounded theory analysis, and guided by the hegemonic masculinity theory. Results: Hmong have traditionally abided by collectivist and patriarchal practices to resolve marital conflicts. Reports from Hmong leaders highlight challenges concerning culture, gender roles, and masculinity in IPHS perpetration. Participants describe how current approaches to resolving Hmong IPHS are guided by both cultural and legal norms. The data suggest that IPHS perpetration results from a combination of the perpetrator’s characteristics and the extent of their connection to cultural norms. Findings suggest that the Hmong are committed to preserving their language, cultural norms, and other group-specific characteristics; hence, ceremonies and conflict resolutions are still carried out under long-standing cultural practices. Conclusions and Implications: This study provides new research on how Hmong leaders consider the group's preferences and expectations when addressing IPHS and family violence. This study emphasizes the importance of building on existing practices among ethnic minorities to concentrate on their strengths and integrate community-based interventions. Recommendations for researchers and social work professionals include collaborative strategies with local community leaders to reform traditional family violence resolution approaches and implement methods that facilitate racial and gender equity for Hmong in modern society.",
      "authors": "Pa Thor",
      "author_ids": "120896",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3102132666,
        "prompt_eval_count": 1500,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:32:33.742115+00:00"
    },
    {
      "input_index": 1384,
      "record_key": "SSWR:2022-U-0535",
      "source_database": "SSWR",
      "record_id": "2022-U-0535",
      "year": 2022,
      "title": "Hormone Therapy Use and Mental Health Outcomes Among Transgender Adults",
      "abstract": "Background and Purpose : Transgender and gender diverse individuals (TGD) often seek to align their appearance with their gender identity through gender-affirming medical care such as hormone therapy (HT). HT can offer significant benefits to TGD people, including improved mental health and quality of life. Questions remain of whether having unmet HT needs (wanting to use HT but reporting no prior HT use) is associated with mental health outcomes, and whether the timing of HT initiation predicts mental health status. We hypothesized that those currently using HT will exhibit better mental health status compared to those who want to use HT but do not. We also hypothesized starting HT at a younger age would be associated with better mental health outcomes. Methods : This study used secondary data from the 2018 Michigan Transgender Health Survey, a community and online convenience sample of TGD individuals living in Michigan (N=659), approved by the University of Michigan Institutional Review Board. Data were analyzed using SPSS Version 26. Analysis included descriptive statistics and bivariate analyses of the relationship between HT use and age of HT initiation and mental health outcomes (suicidal ideation and suicide attempts). Results : Participants were 19% transfeminine, 30% transmasculine, and 26% nonbinary. Most (75%) of the sample identified as White, with a mean age of 28.6 years (range=18-84). Half the sample reported ever using HT (53%); 28% wanted to use HT but had not, and 17% were not interested in using HT. Half the sample reported suicidal ideation in the past year, and 25% reported prior suicidal ideation. Over 30% of the sample attempted suicide in the past. There were no differences in frequencies of suicide attempts among different HT use categories. However, participants whose HT needs were unmet were more likely to report suicidal ideation compared to those whose HT needs were met (either used HT or didn’t want to, 57% vs. 47%, p=.036). Unexpectedly, among participants who had used HT, those reporting past-year suicidal ideation had initiated HT use at significantly younger ages compared to those with no past-year suicidal ideation (mean age = 25.1 vs. 28.4, p=.005). Conclusions and Implications : Among a sample of TGD adults with high rates of suicidal ideation and suicide attempts, we found that participants with unmet gender-affirming care needs (wanting to use HT) were more likely to experience suicidal ideation. This suggests that there are missed opportunities to provide medically necessary gender-affirming care that could impact mental health to transgender individuals. Yet, earlier initiation of HT use was associated with experiencing past-year suicidal ideation. TGD individuals who seek out HT earlier may experience increased minority stress or other distress and are therefore more likely to experience suicidal ideation. Increased and long-term mental health support and community resources may be needed for those initiating gender-affirming care, particularly at younger ages. Further studies are needed to further distill the relationship between the age of initiation of HT and mental health outcomes.",
      "authors": "Deirdre A. Shires; Haley Hill; Ishaan Modi; Leonardo Kattari; Lucas Prieto; Brayden Misiolek; Shanna K. Kattari",
      "author_ids": "113208; 122854; 122855; 115716; 118651; 120514; 113608",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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      "screened_at": "2026-08-02T18:32:37.104483+00:00"
    },
    {
      "input_index": 1387,
      "record_key": "SSWR:2022-P-0124",
      "source_database": "SSWR",
      "record_id": "2022-P-0124",
      "year": 2022,
      "title": "Impact of COVID-19 on Provider Assessment and Treatment of Psychosis and Suicide Risk",
      "abstract": "Background and Purpose: The COVID-19 pandemic has led to substantial psychological impact in the United States and worldwide, and It is well established that epidemics and widespread outbreaks of disease are significantly associated with development and exacerbation of mental illness, increased psychological distress, and need for psychiatric and mental health care. While literature is growingly reporting on the pandemic and its impacts on mental health, less is currently known about its impact on mental health services and delivery from the perspective of mental health providers. The current study explored provider perspectives of mental health services and delivery in the 2020 COVID-19 context. Methods: Data were collected as part of a National Institute of Mental Health (NIMH)-funded pilot effectiveness clinical trial (R34) aiming to modify and preliminarily test a cognitive-behavioral suicide prevention treatment for adults with psychosis. Adult providers (n=12) in community mental health were recruited through informational presentations given in virtual staff meetings. Quantitative and qualitative COVID-19 pandemic-related questions were included in a brief electronic survey completed by participants between November and December of 2020. Data were analyzed using SPSS27 and Dedoose. Results: Providers (n=12) were on average 35.67 years of age (SD=6.387), most often identified as female (n= 8, 66.7%), and all (n=12) identified as White and non-Hispanic/Latino. Providers either had a social work license (LMSW or LCSW; n=9, 75%), limited social work license (LLMSW; n=2, 16.67%), or were a Master of Social Work Student in training (MSW student; n=1. 8.33%). All providers (n=12) endorsed having direct contact with clients with the majority in a mental health therapist, clinician, or case manager role (n=10, 83.3%). The average duration of work experience providing services in the mental health field was 5 years and 10 months (SD= 4 years and 1 month) with a range from 6 months to 14 years. Many providers noted increased workload (58%) and the majority shared challenges in remote engagement with clients (77.7%), treatment of psychosis (88.8%), and suicide assessment (77.7%). The following 3 themes of engagement challenges emerged: 1) logistic (e.g., technology barriers), 2) health concerns (e.g., concern of in-person health risk), and 3) ability to deliver services (e.g., engagement via phone or video is challenging). The following 3 themes of psychosis treatment challenges emerged: 1) assessment challenges (e.g., mental status hard to assess remotely), 2) symptomatology (e.g., symptoms may be a barrier to telehealth), and 3) service delivery challenges (e.g., some services not possible to deliver remotely). The following 2 themes of suicide assessment challenges emerged: 1) assessment challenges (e.g., hard to assess affect without seeing facial expressions) and 2) rapport challenges (e.g., hard to build rapport remotely). Implications and Conclusions: It is essential to consider the COVID-19 pandemic’s impact on mental health service delivery to inform acceptable and feasible approaches to virtual engagement and care. Mixed-method findings lead to recommendations for troubleshooting client access to technology, providing additional training for providers related to virtual engagement and service delivery skills, and increasing support for provider workload increases with a focus on burnout prevention.",
      "authors": "Lindsay A. Bornheimer; Juliann Li Verdugo; Joshua Holzworth",
      "author_ids": "114170; 121000; 121957",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "mixed_methods",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "eval_count": 24
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      "screened_at": "2026-08-02T18:32:47.757964+00:00"
    },
    {
      "input_index": 1388,
      "record_key": "SSWR:2022-P-0466",
      "source_database": "SSWR",
      "record_id": "2022-P-0466",
      "year": 2022,
      "title": "Interventions for Adolescent Suicidality in Latin America: A Systematic Review",
      "abstract": "Background and Purpose: Suicide is a serious public health concern that is on the rise in Latin American countries. However, limited progress has been made on the development of suicide prevention programs for Latino youth. A systematic review was conducted to examine the effectiveness of interventions designed to reduce and prevent suicidality among adolescents in Latin American countries. Methods: The study followed the Preferred Reporting Items for Systematic Reviews and Metanalyses (PRISMA). Studies appearing in peer-reviewed journals indexed in PsychInfo, PubMed, LILACS, Social Work Abstracts and ProQuest databases were searched from 2008 to 2021. Risk of bias was assessed using ROBINS-I tool recommended by Cochrane Reviews for non-randomized studies of interventions Results: In total, 2136 abstracts were identified, 1041 were screened for inclusion, after removing duplicates. Of these, seven studies fulfilled all the inclusion criteria. The studies were conducted in Colombia, Brazil, Puerto Rico, Cuba, Perú and Mexico. In terms of the risk of bias, five studies were classified at critical risk of bias, one at serious risk of bias, and one as moderate. Results show that one study had a large effect on reducing suicidal ideation (Cohen’s d = -1.09, p <.001), two had large effects on reducing suicidal risk (Cohen’s d = - 0.89, p < .001; d = - 0.63, p <.001) and one had a large effect when the outcome was knowledge of suicidal behaviors (Cohen’s d = 1.27, p < .001). When considering its large effect size in reducing suicide ideation and having a moderate risk of bias, the most promising intervention was the Educational intervention for the prevention of suicidal behavior in adolescents (Cañón et al., 2018) . The intervention is an 8-session group-based protocol that aimed at enhancing protective factors to prevent suicide, increase assertiveness and teach problem solving skills. Conclusions and Implications: There are promising interventions to reduce suicidality in Latin America. That said, there is limited research regarding suicidality in Latin America and much of it needs strengthening in rigor. The seven studies tested interventions that were designed by the authors or their research groups, were not replicated, and the research generally had elevated risks of bias. These results highlight the importance of conducting further trials in Latin American countries to effectively treat youth suicidality.",
      "authors": "Catalina Cañizares; Mark J. Macgowan",
      "author_ids": "122573; 108397",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "review",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Review"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:32:50.835412+00:00"
    },
    {
      "input_index": 1391,
      "record_key": "SSWR:2022-U-0539",
      "source_database": "SSWR",
      "record_id": "2022-U-0539",
      "year": 2022,
      "title": "Loneliness, Social Support, and Mental Health Service Use during the Transition to Adulthood",
      "abstract": "Background and Purpose : Loneliness is recognized as a growing public health epidemic among young adults, and has been increasing in prevalence since before the COVID-19 pandemic. Yet, loneliness research has focused primarily on older adult populations. Additional research is warranted to better understand the social relationships of young adults, particularly the effects of loneliness on young people’s mental health and help-seeking behaviors, especially as they transition into the workforce and explore interpersonal relationships. This study addresses this gap in research by assessing whether loneliness and social support are associated with mental health service use and mental health symptoms (psychological distress and suicidal ideation) among young adults in the general population. Methods : A subsample of young adults ages 18 to 29 (N = 307) was drawn from the 2017 Survey of Police-Public Encounters, an online, cross-sectional, general population survey administered to residents of New York City and Baltimore. Ordinary least squares and binary logistic regression analyses were performed to model associations between loneliness and mental health symptoms and past year mental health service use outcomes. Results : Participants identified as mostly female (59.3%), Black or African American (45.6%), heterosexual (84.7%), and U.S.-born (83.4%). Participants’ mean age was 23.6 years (SD = 3.44). Participants with higher levels of loneliness reported significantly higher levels of psychological distress (B = 3.76, p<.001) and over four times the odds of past-year suicidal ideation (OR = 4.61, 95% CI = 2.46–8.63). Participants with lower incomes were significantly associated with elevated levels of psychological distress (B = -.63, p = .01). Participants born in the United States had increased odds (OR = 3.19, 95% CI = 1.20–8.48) of service use compared to first-generation American participants, and those who identified as Black or African American had lower odds (OR = .39, 95% CI = .17–.87) of service use compared to non-Black or African Americans. Mental health service use was more common among young adults reporting increased levels of social support (OR = 2.02, 95% CI = 1.36–2.99), psychological distress (OR = 1.09, 95% CI = 1.03–1.15), and past-year suicidal ideation (OR = 3.53, 95% CI = 1.60–7.84). Approximately 26% of young adults sought mental health treatment within the past year. Conclusions and Implications : The transition to adulthood is a distinct developmental period to experience loneliness and the COVID-19 pandemic has had a disproportionate impact on young adults. The significant associations of loneliness with mental health symptoms, and social support with mental health service use, highlights the importance of developing interventions to prevent and reduce loneliness and social isolation among young adults.",
      "authors": "Melissa L. Bessaha; Dawnsha Mushonga; Lisa Fedina; Jordan E. DeVylder",
      "author_ids": "114093; 118868; 114451; 112063",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3316013417,
        "prompt_eval_count": 1578,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:33:00.849882+00:00"
    },
    {
      "input_index": 1394,
      "record_key": "SSWR:2022-P-0443",
      "source_database": "SSWR",
      "record_id": "2022-P-0443",
      "year": 2022,
      "title": "Online Help-Seeking and Support Among Student Suicidal Ideators in the Midst of Pandemic: Linguistic Approach",
      "abstract": "Background: There are concerns about an increased risk of suicide among students due to COVID-19 pandemic. Although some studies pointed out that the effects of social isolation due to school closure could be risk factors of suicide, there is no empirical study on student suicidal ideators. Furthermore, online communication has increased over in-person communication due to social distancing. Analyzing online help-seeking behaviors can help researchers see emergent psychological distress in populations that may not seek formal treatment or be willing to enroll in traditional surveys or interviews. Prior studies reported that online help-seeking is especially common for youth from minority groups and those with higher levels of psychological distress . The research questions were: 1) Is there an increase in overall help-seeking among student suicidal ideators on Reddit’s subforum r/suicidewatch during COVID-19 when compared to the prior year?, 2) Is there a linguistic difference in risk factors between pre- and post-COVID?, and 3) Is there an increase/decrease in peer support during COVID-19? Methods: We collected 13,967 posts in r/suicidewatch from March 2019-Feb 2020, and compared these with 16,108 posts from Mar 2020-Feb 2021. We used the keywords “school” and “teacher” to sort student’s posts out. We employed sentiment analysis to capture the difference of tone between the pre-COVID (post) and post-COVID (pre) datasets and the change of emotion-related words using the psycho-linguistic lexicon LIWC. Independent t-tests were conducted to see differences between pre- and post-samples. Then, we utilized the frequency of bigrams using TF-IDF to find emergent risk factors in post-samples. Finally, to capture the disparity between the needs of online help-seeking and peer-support, we analyzed the percentage of posts without any comment and average number of replies in two terms. Results: We found that the trend-only (t) model by month explains 46.7% of the number of posts, indicating a significant increase in the number of suicide postings among students since the pandemic started. On average, post-samples show more negative-emotion words than pre-ones (pre = 4.36, post = 4.51, p < 0.1), along with an increase in anger (pre = 1.49, post = 1.57, p < 0.001). Regarding risk factors, post-samples used less social words and friends words, but more health/illness, sexuality, and present-focus and risk-focus words (p < 0.05). TF-IDF results indicated that the terms related to COVID-19 (online school, failing classes, stay home) emerged in post-samples. However, the percentage of posts without any peer-support reply has increased from 14.2% to 24.5%, along with the decrease in the average number of replies from 4.22 to 3.95. Conclusions/Implications: The result can fill the gap in empirical research between COVID-19 and suicidal thoughts among students by analyzing the number of posts and their contents. We also identified the linguistic factors of suicidal ideators seeking help online. Finally, the mismatch in peer support implies that there is a disparity between the demand for online help-seeking and peer support in the suicide help-seeking community, indicating the need for social workers to consider online outreach strategies in order to lead online help-seekers to professional help-seeking.",
      "authors": "Gahwan Yoo; Tracy M. Grogan; Michael A. Lindsey",
      "author_ids": "122557; 122558; 109175",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "prompt_eval_count": 1684,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:33:11.960860+00:00"
    },
    {
      "input_index": 1396,
      "record_key": "SSWR:2022-U-0142",
      "source_database": "SSWR",
      "record_id": "2022-U-0142",
      "year": 2022,
      "title": "Patterns and Trends Among Intimate Partner Homicide Cases: An Analysis By Sex and Race/Ethnicity",
      "abstract": "Background. Data suggest sex and racial/ethnic disparities in intimate partner homicide (IPH). Women experience a higher rate of IPH, with Black/African American (AA) and American Indian/Alaska Native (AI/AN) women linked to higher overall homicide rates than White women Additionally, there are differences in trends of IPH rates over time by sex and racial/ethnic groups. For example, the decline in the IPH rate is sharper for men and flatter for women. This suggests a potential need for differences in targets for prevention and the importance to understand these disparities. This study examined two research questions: (RQ1) What are the patterns among IPH cases and their associations with victim’s sex and race/ethnicity? (RQ2) How are state policies associated with the IPH rate, particularly the sex- and race-specific IPH rate? Methods. The analyses were conducted using the National Violent Death Reporting System, Restricted Access Database (NVDRS-RAD). Data were linked to Census and policy data using the geographic indicator (victim’s residence county and state) in the NVDRS-RAD. The policy variables examined in this study included: domestic violence arrest policies (discretionary/preferred/mandatory), firearm restriction laws, and welfare benefits. Latent class analysis (LCA) and mixed-effects modeling were performed to identify patterns of case characteristics of IPHs and to investigate the differential impacts of policies on subgroups over time. In total, 5,771 IPHs ( n = 4,530 female IPHs; n = 1,241 male IPHs) across 16 states from 2005 to 2017 (13 years) were analyzed. Results. RQ1: The results of LCA suggested a 2-class model for male IPHs and a 3-class model for female IPHs. Classes identified for male IPHs were (a) Physical Fight and Substance Use (17%) and (b) Justice-Involved (83%). Classes identified for female IPHs were (a) Multiple Homicides Followed by Suicides (21%), (b) History of IPV and Substance Use (20%), and (c) Justice-Involved (59%). Significant differences in victim’s race/ethnicity and age by class were found. White women were more likely to be in the Multiple Homicides Followed by Suicides class, whereas Black/AA women were more likely to be in the Justice-Involved class. The percentage of victims included in other race/ethnicity (e.g., AI/AN, Asian) and multiracial were highest in the History of IPV and Substance Use class. RQ2: The descriptive analyses showed that minority groups—particularly multiracial, Black/AA, and AI/AN—had higher IPH rates. Results of mixed-effects modeling suggested distinct state demographic factors related to IPH rate by victims’ sex and race/ethnicity. Most policy variables became non-significant in multivariate models, however bivariate analyses indicated that while mandatory arrest appeared protective for White victims, the same was not true for victims who belonged to a minority group. Discussion. Overall, findings indicate the importance of analyzing IPH patterns and trends through an intersectional lens. The findings offer some quantitative evidence supporting narratives regarding the disproportionately negative effects of mandatory arrest policy for people of color. Results also indicate the complexity of how various system contacts and risk factors are associated with differing typologies of IPH. The possible variation in preventive strategies by IPH pattern is discussed.",
      "authors": "Shih-Ying Cheng; Melissa Jonson-Reid; Tonya Edmond; Shenyang Guo; Maxine Davis",
      "author_ids": "115937; 109027; 108039; 108291; 113890",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "eval_count": 24
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      "screened_at": "2026-08-02T18:33:19.268707+00:00"
    },
    {
      "input_index": 1397,
      "record_key": "SSWR:2022-P-0160",
      "source_database": "SSWR",
      "record_id": "2022-P-0160",
      "year": 2022,
      "title": "Polyvictimization and Psychological Outcomes Among North Korean Refugee Women",
      "abstract": "BACKGROUND: North Korean refugee women are at risk of multiple violent victimizations throughout the migration phases. However, migration’s association with mental health outcomes has received little scholarly attention. This study examined North Korean refugee women’s exposure to polyvictimization—that is, exposure to both gender-based violence (GBV; e.g., sexual violence and forced sex work) and intimate partner violence (IPV)—and explored whether polyvictimization is associated with an increased risk of psychological symptoms. METHODS: Data from a snowball sample of 212 North Korean refugee women were analyzed for this study. Polyvictimization was operationalized as No victimization (0), Only GBV (1), Only IPV (2), and Both GBV and IPV (3). The associations between polyvictimization and depression, suicidal ideation, suicide attempt, and alcohol use disorder were analyzed with multivariate analyses. RESULTS : Results demonstrated that 46.2% experienced GBV in either North Korea or intermediary countries, and 30.9% were victims of IPV, from their current intimate partner in South Korea. Approximately 25% were victims of both GBV and IPV. Multivariate analyses revealed that GBV was the most critical factor for mental health outcomes. North Korean refugee women with only GBV or both GBV and IPV had significantly higher depression and suicidal ideation severity than those without any violence victimization. Risk of suicide attempt was also significantly higher among those with only GBV ( OR = 16.52, p = .015) or both GBV and IPV ( OR = 9.96, p = .048), than those without any violence victimization. CONCLUSIONS AND IMPLICATIONS: North Korean refugee women are vulnerable to polyvictimization of GBV and IPV during and after migration. However, little is known about the association between polyvictimization and mental health outcomes among this population. To the best of our knowledge, the current study is the first to examine polyvictimization as a risk factor for greater psychological symptoms among North Korean refugee women. Findings of the present study demonstrated that almost 60% of the sample was victimized at least at once in their lives. Additionally, North Korean refugee women with both GBV and IPV victimization had higher levels of depressive symptoms and suicidal ideation severity than those without any violence victimization. Finally, past GBV victimization was a strong predictor for psychological symptoms, even in the absence of IPV victimization. Therefore, mental health clinicians should conduct comprehensive assessments of polyvictimization when completing mental health assessments with North Korean refugee women, and should especially consider past GBV victimization before entering South Korea as a strong risk factor for adverse psychological outcomes.",
      "authors": "Boyoung Nam; Yujin Lee; Charlotte Lynn Bright; Nalini Negi",
      "author_ids": "115613; 118595; 109026; 109256",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:33:22.406283+00:00"
    },
    {
      "input_index": 1398,
      "record_key": "SSWR:2022-P-0207",
      "source_database": "SSWR",
      "record_id": "2022-P-0207",
      "year": 2022,
      "title": "Predictors of Suicidal Ideation Among South Korean Adolescents: A Machine Learning Approach",
      "abstract": "Adolescents with suicidal thoughts report greater maladjustment in physical, psychological, and behavioral domains, develop maladaptive social relationships, and often experience social exclusion. Accurate and early detection of adolescents with signs of suicidal ideation is imperative for intervention. However, issues of multicollinearity and power when examining multitudinous predictors, as well as overfitting of data may emerge when using regression-based analysis. This research examines predictors of adolescent suicidal ideation across physical, psychological, behavioral, academic, and social domains by applying machine learning techniques. A merged dataset of 7,319 second-year middle school adolescents in 2011 ( n = 2,351), 2014 ( n = 2,378), and 2019 ( n = 2,590) were analyzed (Korea Children and Youth Panel Survey). Suicidal ideation was used as the dependent variable and 23 variables were examined as predictors of suicidal ideation: year, sex, physical (weekdays/weekend sleep hours, health), psychological (concentration, aggression, somatic symptoms, social withdrawal, depression), behavioral (status/violent/property/sexual/cyber delinquency), academic (academic commitment/achievement), and social (nurturing, peer/teacher relationship, youth program/club/fandom involvement) factors. Year was coded as ordinal scale (1 = 2011, 2 = 2014, 3 = 2019) and others were all coded as binary scales with 0 and 1. With 10-fold cross validation, the most efficient classification prediction model among Random forest, Logistic regression, Decision tree, and as well as the most important predictors of suicidal ideation were identified. Random forest (AUC = 0.889~0.891) and Logistic regression (AUC = 0.894~0.897) were identified as a “good” prediction model, and Decision tree (AUC = 0.830~0.833) was identified as a “fair” prediction model. First, Random forest showed that psychological (depression, social withdrawal, somatic symptoms), physical (weekend sleep hours), and social factors (peer relationship, club involvement) as the most important predictors. Depression and social withdrawal stood out as the most important predictors of suicidal ideation, followed by somatic symptoms, weekend sleep hours, peer relationship, and club activity involvement. Second, Logistic regression pointed to 10 statistically significant predictors of suicide ideation: year (OR = 0.75, p < .05), weekdays (OR = 0.47, p < .001) and weekend sleep hours (OR = 0.36, p < .001), somatic symptoms (OR = 2.04, p < .001), social withdrawal (OR = 4.31, p < .001), depression (OR = 18.73, p < .001), negative nurturing (OR = 1.37, p < .01), positive peer relationship (OR = 0.57, p < .001), status deviance (OR = 0.45 , p < .001), violent deviance (OR = 0.48, p < .001). Lastly, Decision tree showed that adolescents who experience depression, social withdrawal, and somatic symptoms have a higher likelihood of reporting suicidal ideation than counterparts by 89%. To identify adolescents with high risk of suicide, great attention should be drawn towards internalization symptoms such as depression and social withdrawal. Additionally, ensuring consistent and sufficient amount of sleep and promoting the sense of belonging and social support through positive friendships and community activities will help lower the suicide risk of adolescents.",
      "authors": "Hayoung Kim; Yoonsun Han",
      "author_ids": "118261; 110715",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3678379209,
        "prompt_eval_count": 1744,
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      "screened_at": "2026-08-02T18:33:26.086758+00:00"
    },
    {
      "input_index": 1399,
      "record_key": "SSWR:2022-P-0444",
      "source_database": "SSWR",
      "record_id": "2022-P-0444",
      "year": 2022,
      "title": "Profiling Expenditure Patterns of Low-Income Families in China: Impact on Child Developmental Outcomes and Suicidal Risks",
      "abstract": "Background and Purpose Low-income families in urban China have been benefited from the Minimum Living Standard Assistance (MLSA, aka dibao) policy since 1999 as a safety net. Previous studies show positive effects of MLSA on improving family economic well-being. However, little is known about the family expenditure patterns across diverse categories among low-income families. Few studies investigate how expenditure patterns, as a parental investment and family processes, influence child developmental outcomes, including academic performance, mental health, and physical health conditions. Using latent profile analysis, this is the first study of its kind to 1) identify the patterns of family expenditures among low-income families, 2) examine the associations between expenditure patterns and child developmental outcomes, and 3) explore sex differences in the differential impact of expenditure patterns on child developmental outcomes across the MLSA and marginalized families (i.e., low-income families without MLSA). Understanding sex disparities linking family expenditures and child developmental outcomes informs more targeted health policy that incorporate social justice and equality. Methods Data and Sample A total of 2,531 families with children ages 8-16 were extracted from the National Survey of Social Policy Support System for Low-Income Families in Urban and Rural China. Measurement Child development outcomes were measured by self-report academic performance (ranking from 1-121), mental health (summed scores of 25 items), suicide risks (yes/no), and parent-report overall health. Family expenditures were measured using the values of monetary spending on children in seven categories (food, apparel, housing, transportation, pocket money, after-school education, and other educational resources). Sociodemographic variables (e.g., family size, family income, parent marital status, and rural residence) were adjusted. Statistical analysis Latent profile analysis was used to identify the homogenous patterns of family expenditure across the seven categories. Mixed effect logistic and linear regressions were used to examine the impact of identified expenditure patterns on child outcomes, accounting for clustering and variations at the provincial levels. Statistical analyses were performed using Mplus v.8.2, Stata 16, and R. Results The sample consisted of 1,534 (60.61%) MLSA and 997 (39.39%) marginalized families. The 2-class model was chosen based on its best fit of the data with the largest entropy (0.998). Class 1 families showed consistently-low expenditure on children, especially among housing and transportation. Class 2 families significantly prioritized after-school education resources. There were no significant differences in child outcomes across expenditure patterns. However, male children from marginalized families in Class 1 are 11 times (95% CI 1.10-109.52) more likely to think about suicide, and 10.7 times (95% CI 1.25-91.58) more likely to show obsessive-compulsive behaviors than female children from MLSA families in Class 2. Conclusions and Implications Low-income families in China have distinct patterns of family expenditures. Expenditure patterns heavily invested in after-school programs may increase mental distress among males from marginalized families who do not receive MLSA. Future studies should investigate the mechanisms linking expenditure patterns and different child outcomes. Service providers and policymakers can assess family expenditure patterns to identify at-risk children. Interventions promoting educational expenditure support can improve child developmental outcomes among the urban poor.",
      "authors": "Yunyu Xiao; Julian Chun-Chung Chow; Keqing Han; Shencheng Wang",
      "author_ids": "117116; 116744; 122559; 122560",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "prompt_eval_count": 1639,
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      "screened_at": "2026-08-02T18:33:29.511615+00:00"
    },
    {
      "input_index": 1401,
      "record_key": "SSWR:2022-U-0621",
      "source_database": "SSWR",
      "record_id": "2022-U-0621",
      "year": 2022,
      "title": "Psychological Inflexibility and the Connection to Depression, Self-Harm, and Suicidality: Examining the Protective Role of Campus Belongingness for Black Undergraduate Students",
      "abstract": "Background and Purpose: Psychological inflexibility— the intended process of avoiding painful previous experiences or memories— has been linked to anxiety and depressive disorders. Few studies, however, have considered whether psychological inflexibility is associated with other outcomes like self-harm and suicide ideation; and even fewer studies have examined whether psychological inflexibility may explain some variability in increased rates of suicide in Black youth and young adults. Sense of belongingness is generally inked to improved mental health outcomes, though more work is needed to examine feelings of belongingness across various contexts and social domains. As such, the current study aims to redress this gap by (1) assessing whether psychological inflexibility is associated with past-year self-harm, depressive symptoms, and suicide ideation; and (2) testing whether sense of campus belongingness moderates the paths from inflexibility to self-harm, depression, and suicide ideation among Black undergraduate students in the U.S. Methods : Cross-sectional survey responses were collected from 603 Black college students who participated in the Healthy Minds Survey. Psychological inflexibility was measured using the Acceptance and Action Questionnaire, while depressive symptoms were captured using the PHQ-9. Past year self-harm and suicide ideation were both measured using binary single items. Tests for measurement invariance and multiple-group structural equation modeling were conducted to determine whether the proposed model fit similarly for young adult Black men and women. Model fit indices (e.g., RMSEA, CFI, TLI, and SRMR) were assessed using cutoff criteria proposed by Hu and Bentler (1999). Missing data were handled using full information maximum likelihood in Mplus version 8.4. Results : Measurement model results indicate that items in the PHQ-9 and AAQ were non-invariant across gender; scalar invariance was not achieved, and latent mean scores were not compared across gender groups. Instead, separate SEMs were conducted for Black women and men. Results from the structural models for both groups suggest good model fit. For women, psychological inflexibility was positively associated with depressive symptoms, self-harm, and suicide ideation. For men, psychological inflexibility was directly associated with depressive symptoms and self-harm, but not suicide ideation. The indirect effect from psychological inflexibility to suicide ideation via self-harm was statistically significant for women only. Further, sense of campus belongingness significantly weakened the strength of the association between inflexibility and depressive symptoms, while also moderating the relation between inflexibility and self-harm. Conclusions and Implications : Facilitators and correlates of suicide ideation appear to differ for Black undergraduate women and men. Campuses and universities should prioritize policies that promote, foster, and facilitate a sense of campus belongingness in order to support Black college student’s wellbeing and mental health. Non-invariant items are indicative of larger psychometric issues, as the findings from this study suggest that young Black men and women are interpreting items on the PHQ-9 and AAQ differently. Study findings further highlight within-group differences when assessing mental health conditions among Black college students.",
      "authors": "Janelle R. Goodwill",
      "author_ids": "115600",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3375438000,
        "prompt_eval_count": 1581,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:33:35.952109+00:00"
    },
    {
      "input_index": 1404,
      "record_key": "SSWR:2022-P-0446",
      "source_database": "SSWR",
      "record_id": "2022-P-0446",
      "year": 2022,
      "title": "Social Disconnectedness, Family Support, and Suicidal Ideation Among Military Female Spouses in South Korea",
      "abstract": "Background The Korean Peninsula is the only divided country in the world, and South Korea is a truce country that is constantly preparing for a war against North Korea. With its comprehensive military power ranked sixth in the world, the South Korean military has a strong military power of more than 600,000 active soldiers, 2.75 million reserve forces, and 8.7 million available military personnel in the war. As Korean soldiers move with their families every three to five years, military spouses are prone to experience social disconnectedness, which is reported to be closely related to suicidal ideation (SI). The workplace is mainly in a security area, suburban, and the infrastructure around the residential area is underdeveloped. While it takes two to three years to build a basic bond in a new residential area, military spouses are more likely to experience social isolation, loneliness, depression due to frequent migration. As most South Korean military families tend to move together to their workplaces, family support, which is known to have a buffering effect on suicide, is likely to continue. As few studies have looked at the link between social bonds and SI of military spouses, it is necessary to identify the relationship between the social disconnectedness and the SI of the military spouses, and to verify the moderating effect of family support. Method Data and Sample: A convenient sample of 400 military spouses of long-term officers with more than 5 years of service and non-commissioned officers (NCO) were surveyed. For this study, data from 326 female spouses excluding 74 male spouses, were used in the final analysis. Measures: A revised version of Social Connectivity Scale (SCS-R, Jeon, 2009) was used to measure social connectedness. SI was measured by five items of Suicide Ideation Scale (SIS, Harlow, et al., 1986). Family support was assessed with a subscale of the Self-report Survey Social Support (SOSS)(Dubow & Ullman, 1989) on family support. The scale has been translated, and modified, and its feasibility has been tested. Data Analysis: Multiple regression analysis was conducted to examine the association between social disconnectedness and SI, and the moderating effect of family support on this relationship was investigated. Results The majority of the military rank of the spouses was NCO (70.6%), and more than half of the respondents were between 31 and 40 years old. Results showed that 13.6% of military spouses experienced SI during 2017. Results of the multiple regression showed that military spouses with higher levels of social disconnectedness had a significantly higher levels of SI. Finally, family support had a buffering effect in the relationship between social disconnectedness and SI. Implication The main results suggest that family support has a significant moderating effect on the relationship between social disconnectedness and SI. Therefore, the results of this study implies that the South Korean military itself should be involved in developing programs to improve family relations and increasing family support through networking with private institutions.",
      "authors": "Jae Yop Kim; Daeyeon Jang; Boyoung Nam; Bomie Woo",
      "author_ids": "109959; 122563; 115613; 122564",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3373119666,
        "prompt_eval_count": 1565,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:33:46.186526+00:00"
    },
    {
      "input_index": 1407,
      "record_key": "SSWR:2022-P-0369",
      "source_database": "SSWR",
      "record_id": "2022-P-0369",
      "year": 2022,
      "title": "Suicidal Ideation Among Generation Z Rap Artists:  A Content Analysis of Lyrics with Clinical Recommendations",
      "abstract": "Background and Purpose: Suicidal ideation is an increasingly common phenomenon within the rap music genre. Stereotypical characterizations of rap music focus on violent, materialistic, misogynistic, and substance use lyrics. An honest accounting of the genre will reflect that rappers have always voiced their mental health struggles. However, the increasing prevalence and depth of suicidal content in today’s rap music is a noticeable trend with significance for society. The expression of suicidal ideation in a popular music genre could reflect changes in the mental health of consumers that listen to this new trend of rap music dubbed ‘sad’ or ‘emo’ rap. In particular, the emergence of suicidal content in rap music may reflect changes in the psychological profile of youth and young adults, particularly African Americans in both age categories. The purpose of this study is to provide context to the phenomenon of suicidal ideation within the rap music genre and analyze the impact such music might have on youth development. Methods: A content analysis was conducted of rap music in the years 2018-19. A list ranking the top 100 rap artists in the year 2019 was used. A search engine was used to identify songs mentioning ‘suicide’ and ‘suicidal’ among the sample in the identified time frame. Manifest themes related to suicide was collected in addition to coding references to risk factors associated with suicidal behavior: depression, anxiety, trauma, adverse events, and substance use. Artist demographics and meta-data on song/artist popularity was collected as well. Data was recorded in an excel spreadsheet. Findings: Ninety-one percent of artists were male. Seventy percent of artists were African American, 13% were of mixed-race, 11% were white, and 7% were of Hispanic ethnicity. Thirty percent of artists recorded at least one song with suicidal content during two-year period. Suicidal lyrics were often accompanied by lyrics referencing mental distress (60%) or substance use (47%). A tenth of songs referencing suicide also identified a method of suicide. Suicidal content was verbalized in a variety of ways (i.e., varying levels of insight and suicide prevention messaging). There were no significant age differences between the sample (30 years of age) and subsample of artists with suicidal lyrics (29 years of age). Conclusion and Implications: This study provides a nuanced perspective on current rap music by identifying suicidal ideation as a prevalent theme. While the research into the relationship between suicidal behavior and rock/heavy metal music is plentiful, there is comparatively little focus on the relationship between suicidal lyrics in rap music and suicidal behavior among rap consumers. Parents of youth who listen to rap music are encouraged to review playlists and purchases for suicidal content. Clinicians who interact with youth at-risk of suicidal behavior are encouraged to assess music interests and use such information as a clinical tool. Adults are encouraged to dialogue with youth about their music choices, explore their reaction to suicidal content, and monitor behavior if risk is high.",
      "authors": "Cortney VanHook",
      "author_ids": "120316",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3331394625,
        "prompt_eval_count": 1539,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:33:57.091796+00:00"
    },
    {
      "input_index": 1408,
      "record_key": "SSWR:2022-P-0384",
      "source_database": "SSWR",
      "record_id": "2022-P-0384",
      "year": 2022,
      "title": "Suicidal Ideation, Attempts, and Thought-to-Action Transitions Among Young Adults with Marginalized Sexual and Gender Identities Experiencing Homelessness: A Seven City Study",
      "abstract": "Background/Purpose: Young adults experiencing homelessness (YAEH) endure high rates of suicide-related morbidity (i.e., suicidal ideation and suicide attempts), but rates are markedly higher among sexual and gender minority young people (SGMY). Yet, a limited body of work focuses on this group. Consequently, current work does not adequately examine personal and social forces that may contribute to suicidal experiences among homeless SGMY. This is a serious oversight given that SGMY are more likely to both be homeless and report suicidal experiences. The present study addressed this major gap by examining the prevalence and correlates of suicidal ideation (SI), suicide attempts (SA), and ideation-to-attempt transitions among homeless SGMY. Notably, the ideation-to-action transition has emerged as a critical but under-studied point of investigation. Methods: This study included 432 SGMY who were part of a larger cross-sectional research project (n= 1426; Mage = 20.9) that involved recruitment from homeless service agencies in seven US cities. Participants completed a survey about their personal characteristics (i.e., demographic, mental health, social experiences) and a social network interview about their relationships (e.g., social support sources). Logistic regression analyses were used for three outcomes: past-year suicidal ideation (0= no SI; 1 yes SI), suicide attempt (0= no SA; 1= yes SA), ideation-to-attempt transition (0= yes SI but no SA; 1= yes SA). Any personal and social network predictors found to be significantly correlated with the corresponding outcome at the p<.05 level in bivariate analyses were included in a final multivariate regression model for each outcome. Results: Of our SGMY, 39% and 21% reported past-year SI and SA, respectively. Of SGMY with past-year SI, 48.5% made a suicide attempt. The following correlates were observed in multivariate models. For SI, correlates included adverse childhood experiences, correctional system involvement, psychiatric hospitalization history, PTSD, depression, marijuana use, and intimate partner support. For SA, correlates included age, adverse childhood experiences, psychiatric hospitalization history, PTSD, depression, and family support. For ideation-to-action transitions, correlates included age, adverse childhood experiences, and PTSD. Odds ratios were all small-to-moderate effect sizes. Identity-related variables (e.g., discrimination/bias-related victimization) were significantly associated with SI/SA in bivariate analyses, but not in multivariate models. Conclusion/Implications: That almost half of SGMY experienced SI/SA in the past year alone is alarming. That one out of every two SGMY who think about suicide actually make a suicide attempt highlights a critical need to identify and enhance supports for those experiencing SI. Our results suggest that many well-established intrapersonal risk factors (e.g., depression) also need to be addressed among homeless SGMY. Additionally, these findings indicate that adverse childhood experiences and PTSD may contribute to experiences across the suicidal continuum, including the often-lethal transition from suicidal ideation to action. This points to the benefits of integrating a trauma-informed perspective across common systems of care engaged by homeless SGMY (e.g., homelessness service centers) as well as potential service access points (e.g., online resources). Support from different sources may also attenuate (e.g., family) or aggravate (e.g., intimate partner) risk for different suicidal experiences, showcasing that not all social connection is protective.",
      "authors": "Anthony Fulginiti; Hsun-Ta Hsu; Jarrod Call; Anamika Barman-Adhikari; Jama Shelton; Robin Petering; Kristin M. Ferguson; Sarah C. Narendorf; Diane Santa Maria; Kimberly A. Bender",
      "author_ids": "112190; 112266; 119194; 111343; 112631; 113367; 110755; 110963; 113823; 109018",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3614421875,
        "prompt_eval_count": 1667,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:34:00.708196+00:00"
    },
    {
      "input_index": 1409,
      "record_key": "SSWR:2022-P-0599",
      "source_database": "SSWR",
      "record_id": "2022-P-0599",
      "year": 2022,
      "title": "Suicide Prevention Initiative Campus-Wide Survey Analysis: Attitudes, Confidence, & Knowledge",
      "abstract": "Background and Purpose Suicide rates in the U.S. steadily increased over the past two decades (Kegler, Stone, Holland, 2017), and suicide is still often treated as a stigmatized death. While professional intervention is a necessary element to prevent suicide, improving public perceptions and beliefs about suicide is also a critical element to prevention. Social stigma can contribute to decreased public willingness to intervene and reduced help-seeking by individuals struggling with suicide ideation (Carpiniello & Pinna, 2017; Tal-Young, et al., 2012). The purpose of this study was to examine engagement in campus program activities at an urban university and attitudes, confidence, and knowledge about mental health (MH) and suicide prevention. Methods Members of the campus community (students, staff, and faculty) at an urban university in the Midwest were recruited to participate in various suicide prevention program activities (e.g., Mental Health First Aid Training, web-based suicide prevention training, guest speakers) and complete a brief survey about their experiences, attitudes, and beliefs (N = 1,476). To identify factors that may influence their attitude, confidence, and knowledge about MH, we conducted multiple regression. Outcome measures included scales assessing: (1) beliefs about MH, (2) knowledge about MH issues, and (3) confidence in intervening during MH crises. Program engagement (high, moderate, or low) and demographics (age, race, gender, student or staff/faculty, field of study/work) were used as independent variables. Results The sample included 1,044 (75.2%) students and 345 (24.8%) faculty/staff. The majority (75.8%) of the sample was female, with half (50.1%) of respondents being between the ages of 18-24 and 34.9% between the ages 25-44. Most respondents self-identified as White (65.7%), with 12.7% identifying as Asian/Asian American, 11.6% as Black, 7% as Middle Eastern, and 4.4% as Hispanic/Latino. Multivariate analyses revealed significant associations between program engagement level and the outcome measures. High engagement was associated with more positive attitudes (B = 1.216, p < .001), greater confidence (B = 2.433, p < .001), and knowledge (B = 1.415, p < .001) about MH and suicide issues, as compared to minimal engagement. Moderate engagement was significantly associated with improved attitudes (B = 0.783, p = .006) and greater knowledge (B = 0.888, p = .002). Respondents who identified as Asians/Asian Americans (B = -1.531, p < .001), Black (B = -1.164, p = .002), and male (B = -1.225, p < .001) had lower attitude scores compared to White and female respondents. Older respondents and those in a MH-related line of work/study (B = 2.064, p < .001) reported greater confidence, while men (B = -1.437, p = .005) had lower confidence scores. Faculty/staff had lower knowledge scores as compared to students (B = 0.718, p = .029). Conclusions and Implications Findings suggest campus-based suicide prevention programs can improve attitudes and beliefs toward MH and suicide. Results also identified factors associated with differences in these outcomes. Additional studies are needed to further explore the multidimensional nature of these prevention programs. Future research can help us better understand how to change attitudes and improve prevention efforts.",
      "authors": "Athena Kheibari; Guijin Lee; Kendra Wells; Luxie Vang; Neva Nahan; Stella M. Resko",
      "author_ids": "114859; 115560; 122859; 122860; 116566; 108544",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:34:04.395443+00:00"
    },
    {
      "input_index": 1410,
      "record_key": "SSWR:2022-P-0455",
      "source_database": "SSWR",
      "record_id": "2022-P-0455",
      "year": 2022,
      "title": "Suicide-Related Stigma Among Latinx Individuals in the Southwest United States",
      "abstract": "Background : Suicide continues to be a significant public health concern impacting all cultural and ethnic groups in the United States. Recent data in this area indicates that suicide rates for LatinX individuals are rising. Currently, little is known about how LatinX individuals perceive those who are experiencing suicidal ideation and the factors that are associated with stigma toward people contemplating self-harm. Methods : Using an experimental vignette design, we examined Latinx individuals’ attitudes and stigma-related beliefs concerning suicide. A convenience sample of 248 LatinX adults were recruited by a bilingual research team. Participants completed a survey consisting of demographic questions and standardized measures, followed by a vignette describing a person with suicidal ideation and subsequent questions assessing stigma beliefs. Vignettes were experimentally manipulated to produce six versions varied on the subject’s gender (male, female) and age (15-years, 38-years, 73-years). Public stigma was measured across five domains: personal-level stigma, community-level stigma, future potential, expected legal troubles, and capacity for change. ANCOVAs were used to examine effects of vignette subject characteristics (gender, age) and participant characteristics on public stigma. Results : Overall, participants reported moderate levels of public stigma toward the vignette subject. When asked to identify the problem experienced by the person in the vignette, only 3% of respondents mentioned suicidal ideation or self-harm. We found lower levels of personal-level stigma, indicating that while the respondents believed that a person experiencing suicidal ideation would experience difficulty in terms of employment and building relationships, they indicated that personally they would work with, make friends with, and allow their child to marry a person with a history of suicidal ideation. ANCOVAs indicated that immigrant generation significantly predicted various stigma domains. Being older and having more children were associated with higher levels of stigma. The vignette subject’s gender and age did not impact the stigma levels. Conclusions : Identifying early warning signs of self-harm and suicide intentions is an effective way to prevent completed suicides, yet few participants explicitly acknowledged the thoughts of self-harm present in the vignette. Unexpectedly, our results did not indicate any significant differences in stigma based on the vignette subject demographics, indicating that stigma towards a person with suicidal ideation may not be affected by the gender or age of the person experiencing suicidal thoughts. Immigrant generation, however, played an important role in our respondents’ perception of individuals experiencing suicidal ideation. Consistent with prior literature, first generation immigrants reported higher levels of community-level stigma toward the vignette subject than those from subsequent generations, indicating those who are second generation immigrants and beyond may be more highly acculturated and thus may report overall lower levels of mental health stigma. This was not the case for personal-level stigma wherein second and third generation immigrants expressed less willingness to accept those experiencing suicidal ideation. Implications for future research and for social work policy and practice with the LatinX community will be discussed.",
      "authors": "Kathryne B. Brewer; Micki Washburn; Robin E. Gearing; Luis Torres-Hostos; Natalia Giraldo-Santiago; Alberto Cabrera",
      "author_ids": "112037; 113059; 109445; 122582; 119786; 119290",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3185917458,
        "prompt_eval_count": 1525,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:34:07.583851+00:00"
    },
    {
      "input_index": 1411,
      "record_key": "SSWR:2022-P-0202",
      "source_database": "SSWR",
      "record_id": "2022-P-0202",
      "year": 2022,
      "title": "Testing the Suicide Minority Paradox: The Role of Race/Ethnicity with Suicide-Related Behaviors",
      "abstract": "Background and Purpose: According to the suicide minority paradox, high school students of color (SOC) (Black, Latino, Multiracial) report higher rates of suicide-related behaviors (ideation, planning, attempts) than White students, yet have lower rates of death by suicide (Wong et al., 2013). Futhermore, predictors of suicide-related behaviors are contradictory and vary based on race. This study utilized the escape theory of suicide (Baumeister, 1990) for exploring predictors of suicide-related behaviors among a robust sample comprised of a majority of SOC in a southeastern urban school district (Milner, 2012) and to test race/ethnicity as a moderator. The research questions for this study included: 1) Does cyberbullying, sadness, loneliness, and SOC predict teen suicide-related behaviors among high school students?; 2) Does race moderate the relationship between suicide-related behaviors and identified predictors for SOC? Methods: Utilizing the 2017 Centers for Disease Control and Prevention Youth Risk Behavior Survey district data, a logistic regression model was designed with contributing variables of cyberbullying, social isolation, sadness, and SOC. SPSS PROCESS was utilized to test moderation. Regression coefficients were reported to understand the moderating effects of race/ethnicity (Black, Latino, Multiracial = 1 and White = 0) as a moderator. The dependent variable suicide-related behaviors were computed as a binary variable based on if participants affirmed experiencing suicide-related ideation, suicide planning, and/or suicide-related attempts (suicide-related behaviors or no suicide-related behaviors). The sample included 2,007 high school students in an urban school district with 67.4% (n=1,352) identified as SOC and 32.6% (n=655) identified as White. Results: All variables were statistically significant predictors of suicide-related behaviors, cyberbullying ( OR = 2.6, p < .001), social isolation ( OR = 2.8, p < .001), sadness (OR = 5.7, p < .001), and Students of Color ( OR = 1.4, p < .05). Findings indicated that only the interaction between SOC and sadness was statistically significant, ( b = -.6217, 95% confidence interval [-1.1592 - .0842], t = -2.2669, p < .05). This indicated that the relationship between sadness and suicide-related behaviors was moderated by the SOC variable. SOC who did not report experiencing sadness had a higher probability of suicide-related behaviors than White student. Conclusion and Implications: Findings suggest that participants who reported experiencing cyberbullying, loneliness, sadness or identified as SOC had a higher likelihood of engaging in suicide-related behaviors. Interestingly, race/ethnicity was a moderator for sadness and SOC who reported less sadness were still more likely to engage in suicide-related behaviors than White students. Implications include culturally adapted prevention models to meet the needs of diverse youth. Essentially, the failure to critically examine higher rates of suicide-related behaviors among SOC could hurt future attempts to inform responsive suicide prevention efforts for an already vulnerable, yet growing, demographic (Joe et al., 2016).",
      "authors": "Sonyia Richardson",
      "author_ids": "120570",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3405881209,
        "prompt_eval_count": 1620,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:34:10.991780+00:00"
    },
    {
      "input_index": 1412,
      "record_key": "SSWR:2022-U-0620",
      "source_database": "SSWR",
      "record_id": "2022-U-0620",
      "year": 2022,
      "title": "The Contribution of Protective Factors to Suicidal Behavior Among Justice-Involved Black Youth: Findings from the National Survey of Drug Use and Health",
      "abstract": "Background and Purpose: In the United States, recent data shows the Black youths’ suicidal thoughts and behaviors (STB) are increasing. Accordingly, a Congressional Black Caucus task force called for research to identify risk and protective factors for STB among Black youth in 2019. Of note is the issue of suicide among Black youth who are overrepresented in the juvenile justice system, including youth with criminal activity histories. Despite the presence of national estimates of suicidal behavior (ideation, attempt and completion) among detained youth, it is imperative to focus on the role of STB among Black youth involved with the juvenile justice system who are community based. Specifically, it is important to understand risk and protective factors for STBs among Black youth who have been arrested due to criminal activity. This information is needed to create a contextual understanding of developmentally salient risk and protective factors for this subpopulation, which is critical to informing targeted suicide prevention strategies. Consequently, we applied an intersectional, biopsychosocial lens to investigate both individual and contextual (i.e., family, peer, or school-related) risk and protective factors for STB among justice-involved Black youth. Method: We used a subsample of Black youth aged 12-17 who participated in the National Survey of Drug Use and Health (NSDUH) who noted they had been arrested and noted ever having been arrested for breaking the law ( n = 301). The study variables included STB risk factors: depression severity and past year substance misuse; protective factors: youth religiosity, positive parenting, school engagement and extracurricular activities. Prior research on justice-involved Black youth suicidal behavior uncovered risk and protective factors spanning from individual (i.e., mental health diagnoses) to contextual (i.e., school-based or family-based factors). Thus, we examined individual risk factors including sex, socioeconomic status, depression and substance misuse, and individual protective factors (i.e., religiosity), family- (i.e., positive parenting), school- (i.e., school engagement), and community-levels (youth involvement in activities). We tested unadjusted and adjusted logistic regression models to test salient risk and protective factors for suicidal thoughts and behaviors. Interaction terms were added to the model to assess the extent to which protective factors would buffer the association between depression severity and STB. Results: Various risk and protective factors across individual and contextual levels emerged for justice-involved Black youth. Among youth with histories of arrest, 18.5% endorsed suicidal ideation, 12.0% endorsed suicide plans, and 10.3% endorsed a previous suicide attempt. These rates were significantly higher than the general population of youth ages 12-17. Further, gender (female) and depression severity were risk factors for STBs, while positive parenting and religiosity were protective factors for STBs. School engagement was not associated with STBs. Conclusion: The findings suggest suicide prevention and intervention efforts should identify developmentally salient and culturally relevant protective factors to reduce mental health burden associated with STBs and concurrent criminal activity of Black youth, especially Black girls with histories of depression.",
      "authors": "Camille R. Quinn; Erinn B. Duprey; Raven Lynch; Micah Mitchell; Donte T. Boyd; Elizabeth Handley; Catherine Cerulli",
      "author_ids": "113009; 121924; 120284; 123004; 115665; 118100; 123005",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3368471958,
        "prompt_eval_count": 1576,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:34:14.362146+00:00"
    },
    {
      "input_index": 1413,
      "record_key": "SSWR:2022-P-0573",
      "source_database": "SSWR",
      "record_id": "2022-P-0573",
      "year": 2022,
      "title": "The COVID-19 Impact on the Mental Health of Healthcare Workers",
      "abstract": "Background and Purpose : Recent reports have found that the COVID-19 pandemic has had an adverse impact on the mental health of healthcare workers (HCWs). A Kaiser Family Foundation/Washington Post survey (Kirzinger et al., 2021) found that over 60% of healthcare workers reported the stress associated with COVID-19 had impacted their mental health and 55% felt burned out. Other studies using psychiatric screens have reported a high prevalence of anxiety, depressive symptoms, and traumatic stress among HCWs (Benfante et al., 2020; Pappa et al., 2020). In this study, we describe the impact of COVID-19 on a number of psychiatric conditions including depression, suicidal ideation, generalized anxiety, PTSD, and vicarious trauma as well as burnout in a sample of HWCs employed in hospital settings. Methods : This descriptive cross-sectional online survey was conducted in April 2021. This convenience sample includes unionized HCWs at four area hospitals belonging to the same health network. Participants were recruited by email and by Hustle, a peer-to-peer text messaging system; 275 medical HCWs (nurses) and 174 non-medical HCWs (service/clerical/technical workers). Mental health measures included commonly used screens for depression (PHQ-2), suicidal ideation (Question 9 from PHQ-9), generalized anxiety disorder (GAD-7), posttraumatic stress disorder (PTSD-5), and vicarious trauma (Vicarious Trauma Scale). Furthermore, items related to employment burnout (Copenhagen Burnout Inventory) were included. Descriptive statistics were used to report the percentage of respondents with a positive screen and chi-square was used to compare medical and non-medical HCWs on these screens. Results : HCWs were primarily female (87%) and White (86%). Their average age was 38.6±13.8 years old and had been working in a hospital setting for 12.2±12.3 years. Almost half (48%) had bachelor's degree and higher. Overall, 47% of the workers had at least one current positive mental health screen; 47% of medical HCWs and 48% of non-medical HCWs. Specific positive screens included depression (overall 26%; medical HCWs 26%; non-medical HCWs 27%), suicidal ideation (11%; 11%; 12%), generalized anxiety disorder (27%; 29%; 24%), and PTSD (29%; 31%; 26%). Significant differences were found in vicarious trauma and employment burnout. The prevalence of vicarious trauma and work-related burnout was statistically significantly higher for medical HCWs. Among all HCWs, 66% reported moderate to high levels of vicarious trauma; 77% of medical HCWs and 48% of non-medical HCWs. Additionally, 21% of all HCWs indicated moderate to high levels of employment burnout; 24% of medical HCWs and 16% non-medical HCWs. Conclusions and Implications : Consistent with the national surveys (Young et al., 2020; Kirzinger et al., 2021), most HCWs in our sample reported serious psychiatric symptoms. Such a high rate of psychiatric symptoms highlights the magnitude of the current mental health needs among both medical and non-medical HCWs. The hospitals where these HCWs are employed need to examine the current organizational culture, adopt strategies to better address their employees’ mental health conditions, and modify policies and procedures to respond to trauma victims at all levels of the organization.",
      "authors": "Jihee Woo; Rafael J. Engel; Jeffrey Shook",
      "author_ids": "119090; 109670; 109275",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3622276041,
        "prompt_eval_count": 1705,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:34:17.985793+00:00"
    },
    {
      "input_index": 1414,
      "record_key": "SSWR:2022-P-0150",
      "source_database": "SSWR",
      "record_id": "2022-P-0150",
      "year": 2022,
      "title": "The Mental Health Impact of Racial Discrimination Against Asian American Pacific Islanders",
      "abstract": "BACKGROUND AND PURPOSE: Racism against Asian American/Pacific Islanders (AAPI) is not a new phenomenon in the United States, but reports of racial discrimination and hate crimes have surged during the COVID-19 pandemic. According to the Pew Research Center, about 40% of Asian American adults reported that other people were visibly uncomfortable around them since the start of the pandemic. This racialization of COVID-19 has the potential to produce long-lasting effects on attitudes towards AAPIs, which is alarming since a substantial body of research has linked racial discrimination to adverse mental health outcomes as well as lower use of formal treatment. METHODS: We analyzed data from the Healthy Minds Study (September 2020 – December 2020), which was conducted during the pandemic among a large sample of students attending one of 28 universities in the US (N=15,949). Using multivariable logistic regression, we examined the association between experiencing racial/ethnic discrimination in the context of COVID-19 and several mental health outcomes. RESULTS: Among the AAPI students (N=1697), over a quarter reported experiencing discriminatory or hostile behavior due to their race/ethnicity as a result of the COVID-19 pandemic. Over two-thirds of respondents who endorsed this item met the criteria for clinically significant mental health conditions. We found that COVID-19 related racial discrimination was associated with greater odds of having moderately severe or severe depression [aOR: 2.02; 95% CI: 1.55-2.62; p=0.000], moderate to severe anxiety [aOR: 1.97; 95% CI: 1.58-2.44; p=0.000], binge drinking [aOR: 1.46; 95% CI: 1.17-1.83; p=0.001], self-injurious behaviors [aOR: 1.78; 95% CI: 1.40-2.27; p=0.000], and suicidal ideation [aOR: 2.02; 95% CI: 1.43-2.85; p=0.000], adjusting for age and gender. Among students with clinically significant mental health symptoms, less than a third of AAPI students reported seeking any current mental health treatment, which is the lowest of all racial groups. CONCLUSIONS AND IMPLICATIONS: These findings should be interpreted bearing in mind that the response rate was 14%, which is low but common for these types of surveys. Also, racial/ethnic discrimination was self-reported, which is prone to both under- and over-reporting. And while the sample is of university students, it is possible that the associations between discrimination and mental health may be even stronger outside of this context, especially among Asian American immigrants with limited English proficiency. Even a year into the COVID-19 pandemic, hate crimes against AAPIs are still making headlines, with harrowing reports of physical injuries and deaths. As AAPI researchers and scholars, we urge our colleagues and institutions to speak out publicly against these acts of racism, and we call for the removal of barriers that prevent AAPI’s from accessing appropriate mental health treatment. Finally, studies are showing that other racial and ethnic minority groups have also experienced racial discrimination throughout the pandemic, and so we underscore the need to address the racial disparities that have devastated Black and Latinx communities, and mitigate the pernicious effects of racism on population health.",
      "authors": "Hans Y. Oh; Sasha Zhou; Rachel Banawa",
      "author_ids": "116130; 121989; 121990",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3639561875,
        "prompt_eval_count": 1675,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:34:21.627122+00:00"
    },
    {
      "input_index": 1416,
      "record_key": "SSWR:2022-U-0482",
      "source_database": "SSWR",
      "record_id": "2022-U-0482",
      "year": 2022,
      "title": "Violence Against Women and Public Mass Shootings",
      "abstract": "Background and Purpose: The public mass shooting death toll is rising by the decade. Among the ten deadliest mass shootings in U.S. history, nine were committed by men with histories of violence against women (VAW). While news media have recently spotlighted the connections between VAW and public mass shootings, these links remain understudied. We developed the current study to understand the patterns of public mass shootings committed by individuals with VAW histories and related motivations. Methods: We cross-reference several established, publicly available databases (The Violence Project, Mother Jones, and Everytown for Gun Safety) and utilize open-source data to identify a list of public mass shooters between 1966 and 2020 with known VAW histories. To understand the role of VAW in these acts of public violence, we develop detailed narratives of each shooter’s known VAW history and a series of variables to measure shooters’ known histories of intimate partner violence (IPV), sexual assault, stalking, harassment, child abuse, and expressed VAW fantasies. Additionally, we create variables to measure shootings that targeted women and girls, stalking victims, current or former intimate partners, and relatives, respectively. Next we conduct t-test, ANOVA and chi square analyses to understand the individual, relational, and community-level patterns among shootings perpetrated by individuals with VAW histories and motivations. Data for these analyses primarily came from The Violence Project Database of Mass Shootings in the U.S., which includes approximately 200 variables pertaining to individual shooters and respective shooting circumstances. Results: Preliminary findings indicate that nearly half of public mass shooters between 1966-2020 have known histories of VAW. Among these shooters, their most frequently perpetrated acts of VAW are IPV and sexual assault. In addition, according to these data, the number and percentage of public mass shooters with VAW histories, in particular IPV, have increased over time. These figures are likely conservative, given that sexual assault, IPV and stalking are vastly underreported. Statistical analyses indicate that public mass shooters with VAW histories, compared with shooters with no known VAW histories, were significantly more likely to have experienced childhood trauma, to have grown up in middle- and upper-class families, to have criminal records, and to have known histories of suicidality. Conclusions and Implications: These findings contribute to our understanding of public mass shootings and their links to VAW. In 2019, ending a 20-year freeze, the federal government allocated Centers for Disease Control and Prevention (CDC) and National Institutes of Health (NIH) funds for studies of firearm safety. With this boon to gun violence research and the apparent increase in prevalence of VAW related mass violence in the U.S., we aim to contribute to the understanding of this public health crisis and lay groundwork for future research and prevention efforts.",
      "authors": "Juliann Nicholson; Ellen DeVoe",
      "author_ids": "119377; 110914",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3169495333,
        "prompt_eval_count": 1497,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:34:28.186148+00:00"
    },
    {
      "input_index": 1417,
      "record_key": "SSWR:2022-U-0162",
      "source_database": "SSWR",
      "record_id": "2022-U-0162",
      "year": 2022,
      "title": "Violence Exposure and Suicide Risk: Findings from a National Survey of Emerging Adults",
      "abstract": "Research has shown that youth exposed to child maltreatment, bullying, and dating violence are at increased risk for suicidal thoughts, suicidal behaviors, and self-injury. Studies in adulthood demonstrate similar patterns, particularly for intimate partner violence victimization, as well as emerging evidence linking police violence exposures to suicidal behaviors; which suggests that state-sanctioned forms of violence, which has garnered significant national attention this past year, also increases suicide risk among adults in the US. However, studies have largely measured only single forms of violence, which can underestimate of the full burden of victimization or overestimate of the effects of a particular type of violence. A cross-sectional, online survey was administered in January 2021 to adults ages 18-29, with oversampling of racial/ethnic groups (Black, Latinx, Indigenous) and LGBTQ groups (N = 1584). Outcome measures included past-year suicidal ideation, suicide planning, suicide attempt, and non-suicidal self-injury (NSSI) behaviors. Retrospective measures for childhood victimization included physical, sexual, or emotional abuse by a caregiver, teen dating/sexual violence, and youth bullying. Measures for adult victimization included physical, sexual, or psychological abuse by a romantic or intimate partner (IPV) since the age of 18 and lifetime physical, sexual, and psychological victimization by a police officer. Each form of violence was examined separately and as composite variable. Control variables included relevant demographics as well as frequency of alcohol, drug use, and delinquent behaviors. In the model predicting suicidal ideation, participants with histories of caregiver abuse, youth bullying, and IPV in adulthood had increased odds of suicidal thoughts in the past year. In the model predicting suicide planning, there were fewer significant variables, with exceptions of IPV, such that those who experienced IPV in the past year were more likely to engage in suicide planning. Youth bullying approached significance in this model. In the model predicting suicide attempts, IPV and police violence were both significantly associated with increased odds for a suicide attempt in the past year. Similarly, those who experienced IPV and police violence were more likely to have engaged in NSSI in the past year. Violence exposure had a cumulative or additive effect on all 4 suicide-related outcomes. Violence exposure has distinct and cumulative effects on risk for suicidal thoughts, planning, attempts, and NSSI among emerging adults. Practitioners should routinely screen for suicidal thoughts and planning behaviors among emerging adults who present with histories of caregiver abuse and youth bullying, and who may have histories of or are currently experiencing IPV in their romantic relationships. Findings also suggest the need for practitioners to consider the impacts of physical, sexual, and psychological victimization by police officers on suicide risk, as it appears that this form of violence has distinct impacts on mental health. Public health policies that address these forms of violence should target shared risk and protective factors against violence and suicide across the life span. Approaches that combine resources and prevention efforts across family, school, and community contexts can simultaneously prevent multiple forms of violence and suicide among high-risk groups.",
      "authors": "Lisa Fedina; Jordan E. DeVylder; Todd I. Herrenkohl; Cheryl King",
      "author_ids": "114451; 112063; 110248; 122158",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "prompt_eval_count": 1549,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:34:31.482105+00:00"
    },
    {
      "input_index": 1418,
      "record_key": "SSWR:2022-U-0605",
      "source_database": "SSWR",
      "record_id": "2022-U-0605",
      "year": 2022,
      "title": "Youth Who Have Lived in out-of-Home Care in Sub-Saharan Africa: Exploratory, Comparative Analyses of Nationally-Representative Data",
      "abstract": "Background: Youth who have been in out-of-home care, also called care leavers, are at elevated risk of mental health problems in the US and Europe. Little is known about outcomes for care leavers in African nations, where the child welfare context tends to rely more heavily on informal foster care and institutional care. The CDC Violence Against Children Surveys (VACS), nationally-representative surveys of youth in low- and middle-income countries, have in recent years begun to ask if their respondents have lived in out-of-home care. The purpose of this study is to examine the extent to which youth who have experienced out-of-home care experience greater adverse outcomes than those who have not experienced out-of-home care, drawing from nationally-representative samples in Sub-Saharan Africa. Methods: The sample included N=6,405 children ages 13-17 pooled from the Nigeria, Zambia, and Zimbabwe VACS. Weights were applied such that each country was equally weighted in the analyses. We ran chi-square tests and logistic regressions to examine relationships with the variable, “Has [the respondent] lived outside of family care in the last five years? E.g., an orphanage, shelter or foster care, or with other relatives/families/friends” (Yes=care leaver). Controlling for country, socioeconomic status, age, gender, and education levels, we used logistic regression to look at its association with dichotomous outcome variables of having experienced physical abuse, emotional abuse, peer violence, sexual assault, sexual risk taking, suicidality, self-harm, mental distress (per the Kessler-6 Scale cutoff), and school enrollment. Results: 60% of care leavers were living with one or both biological parents at the time of the survey, compared to 80% of non-care leavers (chi2(3)=172.37, p<.001). 9% of care leavers were double orphans, compared to 4% of non-care leavers (chi2(3)=46.35, p<.01). Logistic regressions indicated that care leavers had heightened odds of physical abuse by a caregiver (OR=1.81, p<.001), emotional abuse by a caregiver (OR=1.74, p<.01), having experienced peer violence (OR=1.57, p<.05), and having engaged in sexual risk behavior (OR=1.87, p<.05). They also had lower odds of being enrolled in school (OR=.65, p<.05), and lower odds of mental distress (OR=.25, p<.01). Being a care leaver was not significantly associated with having experienced sexual assault or suicidality or having engaged in self harm or substance abuse. Conclusions: This study is the first that could be identified using nationally-representative data to examine care leavers in Sub-Saharan Africa. Results showed that children with histories of out-of-home care have many co-occurring risk factors, including experiences of violence, but surprisingly, lowered levels of distress. These results should guide service provision for care leavers. However, the surveys are severely limited by not measuring whether the adverse events happened before, during, or after children lived in out-of-home care. They also conflate foster care and institutionalization in their definition of “out-of-home care”. Thus, many pressing questions remain for future research, and future national surveys must prioritize this often overlooked population.",
      "authors": "Sarah Elizabeth Neville; Thomas M. Crea",
      "author_ids": "118429; 109101",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
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      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:34:35.124884+00:00"
    },
    {
      "input_index": 1419,
      "record_key": "SWRD:60780",
      "source_database": "SWRD",
      "record_id": 60780,
      "year": 2022,
      "title": "A Cross-Sectional Analysis of the National Survey on Drug Use and Health Data: Mental Health Determinants of Major Depression and Suicidal Ideation in Older Adults",
      "abstract": "This study examined the mental health determinants of race, sex, education, poverty, and overall health and whether they are significant predictors of major depressive episodes (MDE) and suicidal ideation (SI) among older adults while adjusting for marital status. Data were obtained from the National Survey on Drug Use and Health public-use file. Weighted MLR analyses of the five predictors were used to predict MDE and SI risk among older adults. Study results confirmed that the five mental health determinants significantly predicted MDE and SI among older adults with adjustment for marital status (p < .05). The findings highlight the role that mental health determinants play in predicting MDE and SI among older adults and important confounders that can impact the examination of their risk for MDE and SI. Clinicians and gerontologists need to develop tailored interventions that meet the needs of older adults.",
      "authors": "Omary, Areen; Chambers, Tameka",
      "author_ids": "",
      "journal_or_venue": "Journal of Evidence-Based Social Work",
      "doi": "10.1080/26408066.2022.2061884",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
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      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:34:37.442326+00:00"
    },
    {
      "input_index": 1420,
      "record_key": "SWRD:102509",
      "source_database": "SWRD",
      "record_id": 102509,
      "year": 2022,
      "title": "A Social Worker’s Experience with Client Suicide",
      "abstract": "Mental health social workers often work with clients experiencing suicidal ideation. It is not uncommon for social workers to experience the suicide of a client during their practice. Social workers may experience guilt, shame, anxiety, and depression following a client suicide. Agencies play a prominent role in influencing how social workers will cope with a client suicide. This paper reflects on my experience when my client died by suicide and the response of my agency. Procedures that agencies can utilize to promote support of mental health workers after a client suicide are also discussed. Agencies can ensure a supportive environment by having a clearly developed plan in place before a client suicide occurs. Agency policies and procedures should outline what steps to take and how to provide support to staff during a client suicide crisis. Literature recommendations for agency supportive postvention policy development will be discussed. Social work leaders can decrease adverse reactions that could lead to burnout of social workers who have experienced a client suicide by implementing recommended procedures. Agency policies that focus on supporting the social worker after client suicide influence how staff cope and promote a positive workplace culture.",
      "authors": "Wilks; Scott E; Zuleka; Oliver; Anderson-Nathe; Denise; Lavar; Norma D.; Bhuyan; Nduna; Christopher St.; Brice; Robinson-Davis; Ling; Edith; Huff",
      "author_ids": "",
      "journal_or_venue": "Reflections: Narratives of Professional Helping",
      "doi": null,
      "record_type": "Article",
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        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
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      "screened_at": "2026-08-02T18:34:39.797822+00:00",
      "screening_source": "Primary screen; blind audit agreement",
      "accuracy_audit": {
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          "is_relevant": true,
          "relevance_rationale": "The record focuses on the experience of social workers following a client's suicide and discusses agency postvention policies and support procedures, which are central to suicide bereavement and prevention contexts.",
          "evidence_class": "Non-empirical",
          "empirical_method": "Not applicable",
          "classification_rationale": "The abstract describes a personal reflection on a specific experience and discusses literature recommendations and policy implications without presenting data from a systematic search, statistical analysis, or qualitative study design.",
          "confidence": "High"
        },
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    {
      "input_index": 1422,
      "record_key": "SWRD:120276",
      "source_database": "SWRD",
      "record_id": 120276,
      "year": 2022,
      "title": "Adult-Onset and Adolescent-Limited Suicidal Ideation: A Developmental Approach to Suicide",
      "abstract": "Suicidal thoughts and actions have typically been studied from an eventsbased perspective. Some emerging studies, however, have begun to examine suicide and related behaviors through a longitudinal perspective, specifically focusing on establishing trajectories of suicidal behavior. In general, this work produces three-class trajectories of suicide attempts among adolescents, including groups such as: (1) no or low suicidal behavior; (2) moderate suicidal behavior; and (3) high suicidal behavior. Less is known about potential trajectory patterns of suicidal ideation associated with later stages of the life course. Moreover, identifying a low-, moderate-, and high-risk group does not inform the developmental processes that create time-varying risks for suicidal thoughts and attempts. Using data from Add Health, we estimate growth mixture models to explore suicidal ideation trajectories from early adolescence to early adulthood and explore how trajectoriesinform the link between suicidal ideation and attempts. Our results are among the first to indicate that there are four developmental trajectories associated with suicidal ideation including low-risk, high-risk, adolescent- limited, and adult-onset trajectories of suicidal ideation. Additionally, we find that suicide attempts were more likely among those in high-risk and adult-onset trajectories, compared to those in low-risk trajectories. Considering these findings identify specific time periods in the life course that are associated with suicidal ideation and attempts, our research uncovers another clear opportunity for intentional intervention efforts within the life course. To this end, prevention implications and suggestions for future research are discussed.",
      "authors": "Teasdale, Brent; Teasdale, Brent; Harris, Michelle N; Harris, Michelle N; Bradley, Mindy; Bradley, Mindy; Shammi, Suraiya H; Shammi, Suraiya H; Ivanich, Jerreed D; Ivanich, Jerreed D",
      "author_ids": "",
      "journal_or_venue": "The Journal of Sociology & Social Welfare",
      "doi": "oai:scholarworks.wmich.edu:jssw-4506",
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      "database_method": "Quantitative",
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T18:34:44.797547+00:00"
    },
    {
      "input_index": 1423,
      "record_key": "SWRD:59447",
      "source_database": "SWRD",
      "record_id": 59447,
      "year": 2022,
      "title": "An Examination of Suicidal Behavior among Black College Students with Exposure to Police Violence",
      "abstract": "There is limited research about suicidal behaviors among Black emerging adults (peak age of suicide risk) who report exposure to police violence. The current study applies an integrated approach to examine individual, immediate environment, and community-based risk and protective factors of suicide among Black college students who reported previous exposure to police violence. A purposive sample of Black college students (N = 300) was analyzed using bivariate analyses and binary logistic regression. Outcome variables investigated were lifetime suicidal ideation and suicide attempt. Twenty-eight percent of participants reported lifetime suicidal ideation and 14 percent reported lifetime attempts. Female students were significantly more likely to report lifetime suicidal ideation and recent symptoms of anxiety and to engage in emotional social support than male peers. Logistic regression results demonstrated that higher income and greater depression symptoms were associated with lower reporting of lifetime suicidal ideation. Reporting of more grit, the trait of perseverance and passion for long-term goals, was associated with a lower reporting of both lifetime suicidal ideation and suicide attempt. Findings have implications for how social workers in higher education are encouraged to address suicidal behavior among Black students, including the cultivation of grit.",
      "authors": "Szlyk, Hannah; Motley, Robert; Joe, Sean; Nonas-Barnes, Lucy; Azasu, Enoch",
      "author_ids": "",
      "journal_or_venue": "Social Work",
      "doi": "10.1093/sw/swac046",
      "record_type": "journal-article",
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        "evidence_class": "Empirical",
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:34:47.394597+00:00"
    },
    {
      "input_index": 1424,
      "record_key": "SWRD:87859",
      "source_database": "SWRD",
      "record_id": 87859,
      "year": 2022,
      "title": "Are Social Work Students Being Adequately Prepared to Intervene With Suicide? Results of a National Survey of BSW and MSW Programs",
      "abstract": "Suicide is a major public health issue in the United States, but it is unknown how many social work programs have courses specializing in this topic. The purpose of this study was to establish baseline knowledge of suicide-focused course offerings in social work programs in the United States. A survey of CSWE-accredited programs (n=151) in the United States was used to collect data on social work programs’ suicide content in their curricula at three levels: baccalaureate, graduate, and continuing education. While only 6% of programs offered a required course on suicide, 13.9% offered an elective focused on suicide, and courses with substantial suicide content were available in 25.2% of programs. Continuing education offerings with a focus on suicide were present at 26.5% of programs. The implications for social work education are discussed, including the need for more courses specializing in suicide, especially within MSW programs, and for future research to better understand the factors which limit the development of such courses.",
      "authors": "Mirick R.G.",
      "author_ids": "",
      "journal_or_venue": "Advances in Social Work",
      "doi": "10.18060/25991",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T18:34:49.841001+00:00"
    },
    {
      "input_index": 1426,
      "record_key": "SWRD:102076",
      "source_database": "SWRD",
      "record_id": 102076,
      "year": 2022,
      "title": "Attitudes of Social Workers about Rational Suicide",
      "abstract": "Suicide is a major public health concern. It is the tenth leading cause of death in the United States. Social workers serve as the largest group of mental health care providers, and commonly intervene with suicidal clients. Despite the high rate of suicide and social workers interface with client suicidality, there is no research on the attitudes of social workers toward rational suicide. The notion of rational suicide challenges traditional views on suicide intervention and has complex ethical implications for the social work profession. Social workers adhere to the ethical standards set forth by the NASW and rational suicide involves two of those ethical standards, client self-determination and commitment to clients. This quantitative research study examined the attitudes of 2,157 licensed clinical social workers toward rational suicide. Findings revealed that social workers broadly agree (67.1%) that individuals can make a rational decision to die by suicide. Social workers’ personal characteristics (gender, age, race/ethnicity, state residency, religious affiliation and having personal thoughts of suicide) were found to predict their attitudes about rational suicide. The findings suggest that social workers’ attitudes about rational suicide are related to their personal characteristics. These findings have ethical considerations for the social work profession when intervening with suicidal persons with physical and psychological pain as well as value neutral practice.",
      "authors": "Tabitha; Carbonell",
      "author_ids": "",
      "journal_or_venue": "International Journal of Social Work Values and Ethics",
      "doi": "10.55521/10-019-306",
      "record_type": "journal-article",
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      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T18:34:55.069412+00:00"
    },
    {
      "input_index": 1427,
      "record_key": "SWRD:79758",
      "source_database": "SWRD",
      "record_id": 79758,
      "year": 2022,
      "title": "Caller Concerns and Mental Distress during COVID-19",
      "abstract": "The COVID-19 pandemic unleashed a range of mental health and psychosocial concerns across the globe, necessitating a response. Given the mobility restrictions during the pandemic, helplines emerged as an accessible and effective measure to address these concerns. The present paper analyses call documentation of the first 500 calls received during the pandemic by iCALL, a national level helpline from India. Findings revealed that 70.4 percent of callers were male and 36 percent were in the age group of 18-30 years. A significantly higher number of calls were made by men for practical concerns, and by women for concerns related to prior history of psychiatric diagnosis, suicidality, and relationship issues. Case narratives highlighted the psychosocial stressors and the resulting mental distress experienced by communities in general and vulnerable groups such as migrants, daily wage earners, women survivors of violence, LGBTQ individuals, and individuals with disability in particular. The study findings provide useful insights into the mental health impact of COVID-19 pandemic, psychosocial needs of the communities, and in turn, informing strategies and interventions to address the same.",
      "authors": "Joshi A.; Tamanna S.; Babare T.; Auti N.",
      "author_ids": "",
      "journal_or_venue": "Indian Journal of Social Work",
      "doi": "10.32444/ijsw.2022.83.1.71-94",
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T18:34:57.636891+00:00"
    },
    {
      "input_index": 1428,
      "record_key": "SWRD:62612",
      "source_database": "SWRD",
      "record_id": 62612,
      "year": 2022,
      "title": "Developing mental health and addiction competencies in social work students using simulation-based learning",
      "abstract": "Social workers are one of the core professionals on the mental health workforce and most work with individuals, families, and communities with mental health and addiction concerns. Schools of social work have a responsibility to adequately prepare students for practice in the field of mental health and addictions, but there are gaps in social work education and training. This paper describes a social work practice in mental health course that has been re-designed to focus on developing student competence in mental health, addictions, and suicide risk assessment. We formed an advisory committee consisting of faculty, MSW and PhD students, as well as community social workers. The re-designed course uses simulation-based learning and a form of blended learning known as a flipped classroom approach. We developed educational online modules that provide opportunities for students to increase knowledge on mental health and addictions and give more time to focus on practice in the classroom. Simulation-based learning provides students with opportunities to practice in the classroom with a simulated client. This paper will describe how simulation can be used to teach and assess mental health and addiction competencies. We will discuss implications for social work education and practice.",
      "authors": "Kourgiantakis, Toula; Lee, Eunjung",
      "author_ids": "",
      "journal_or_venue": "Social Work Education",
      "doi": "10.1080/02615479.2021.1955850",
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        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T18:35:00.215914+00:00"
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    {
      "input_index": 1429,
      "record_key": "SWRD:61320",
      "source_database": "SWRD",
      "record_id": 61320,
      "year": 2022,
      "title": "Eating Disorder Symptoms, Non-suicidal Self-injury, and Suicidal Behavior are Associated Among College Men",
      "abstract": "Research on eating disorders among men has been lacking. In particular, little research has investigated the ways in which eating disorders are associated with non-suicidal self-injury (NSSI) and suicidal behavior among college men, despite preliminary support for their co-occurrence and high prevalence in this age group. Therefore, this study aimed to investigate the associations between eating disorder symptoms, NSSI, and suicidal behavior among a large sample of college men (n = 14,964) from the 2017-2018 Healthy Minds Study. Multivariable logistic regression analyses were conducted to obtain the associations between a positive eating disorder screen and NSSI, suicidal ideation, and a suicide attempt while adjusting for covariates and demographic variables. Among the sample, nearly 16% of participants screened positive for an eating disorder. Participants who reported any form of NSSI [adjusted odds ratio (AOR) 1.65, 95% confidence interval (CI) 1.45-1.88, p < 0.001] or suicidal ideation (AOR 1.36, 95% CI 1.16-1.58, p < 0.001) in the past 12 months had greater odds of screening positive for an eating disorder after adjusting for covariates and demographic variables. NSSI and suicidal ideation are accompanied by increased risk of eating disorder symptoms among college men. The interrelations of these harmful behaviors among college men should be taken into account to improve identification and intervention efforts.",
      "authors": "Ganson, Kyle T.; Rodgers, Rachel F.; Lipson, Sarah K.; Cadet, Tamara J.; Putnam, Michelle",
      "author_ids": "",
      "journal_or_venue": "Clinical Social Work Journal",
      "doi": "10.1007/s10615-021-00831-x",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
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      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T18:35:02.906774+00:00"
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    {
      "input_index": 1430,
      "record_key": "SWRD:64818",
      "source_database": "SWRD",
      "record_id": 64818,
      "year": 2022,
      "title": "Educational assessment of a social simulation for MSW students using the CAMS framework",
      "abstract": "Approximately 45,000 people die by suicide annually in the United States with over 60% seeking help in the year leading up to their death. Of students receiving suicide-specific training in their degree programs, nearly two-thirds feel inadequately prepared for practice with suicidal clients. This study explores the outcomes of an educational pilot study (N = 29) integrating didactic instruction, readings, role-plays, and simulation for teaching suicide intervention skills. The Collaborative Assessment and Management of Suicidality (CAMS) framework is used as a guideline to develop knowledge, skills, and confidence in working with clients who are suicidal. Repeated measures ANOVA results indicate statistically significant improvements in students' knowledge and Counseling Self-Estimate Inventory (CSEI) scores overtime (p<.05). Moreover, CSEI and the subscale of dealing with difficult client behaviors showed statistically significant improvements from pre-simulation to post-simulation (p<.05). While an abundance of research exists regarding the use of simulation within medical education, a limited amount of research examines the relevance of simulation within graduate education for helping professionals (e.g., counselors and social workers). These results suggest an added benefit of high-fidelity simulations in the training of helping professionals to develop clinical suicide intervention skills.",
      "authors": "Kratz, Jon; Bragg, Jedediah E.; Nay, Eden D. E.; Miller-Cribbs, Julie; Munoz, Ricky T.; Howell, Daniel",
      "author_ids": "",
      "journal_or_venue": "Social Work Education",
      "doi": "10.1080/02615479.2020.1826921",
      "record_type": "Article",
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      "database_is_scientific": true,
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T18:35:05.511688+00:00"
    },
    {
      "input_index": 1431,
      "record_key": "SWRD:61862",
      "source_database": "SWRD",
      "record_id": 61862,
      "year": 2022,
      "title": "Elder Suicide: Durkheim's Vision",
      "abstract": null,
      "authors": "Felderhoff, Brandi Jean",
      "author_ids": "",
      "journal_or_venue": "Social Work",
      "doi": "10.1093/sw/swab054",
      "record_type": "journal-article",
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      "screening_basis": "title_only",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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      "screened_at": "2026-08-02T18:35:07.552431+00:00"
    },
    {
      "input_index": 1434,
      "record_key": "SWRD:60395",
      "source_database": "SWRD",
      "record_id": 60395,
      "year": 2022,
      "title": "Getting to the Root of the Problem: A Decision-Tree Analysis for Suicide Risk Among Young People Experiencing Homelessness",
      "abstract": "Objective: Although many suicide risk factors have been identified, there is limited guidance about their relative importance and the combinations of factors that heighten risk among young people experiencing homelessness (YEH). We sought to use decision-tree (DT) analyses to better understand and predict suicidal ideation and suicide attempts among YEH. Method: Using survey and social network methods, we gathered information about 940 YEH and their relationships. We then used a machine learning approach to construct classification and regression tree models to predict suicidal ideation and suicide attempts. Results: Thirteen variables were important correlates in the DT models; this included prominent individual risk factors (e.g., trauma, depression), but more than half were social network factors (e.g., hard drug use). For suicidal ideation, the model had an area under the receiver operating characteristic curve (AUC) value of 0.79, with accuracy of 68%, sensitivity of 48%, and specificity of 73%. For suicide attempt, the model had an AUC value of 0.86, with accuracy of 71%, sensitivity of 68%, and specificity of 72%. Conclusions: Effective suicide prevention programming should target the syndemic that threatens YEH (i.e., co-occurrence of trauma, depression, substance use, and violence), including social norms in their environments. With refinement, our decision trees may be useful for suicide risk screening and guiding targeted intervention.",
      "authors": "Fulginiti, Anthony; Segal, Avi; Wilson, Jennifer; Hill, Chyna; Tambe, Milind; Castro, Carl; Rice, Eric",
      "author_ids": "",
      "journal_or_venue": "Journal of the Society for Social Work and Research",
      "doi": "10.1086/715211",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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        "eval_count": 24
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      "screened_at": "2026-08-02T18:35:15.831450+00:00"
    },
    {
      "input_index": 1435,
      "record_key": "SWRD:61128",
      "source_database": "SWRD",
      "record_id": 61128,
      "year": 2022,
      "title": "Healing from recurrent suicide attempts: the impact of being a peer facilitator",
      "abstract": "This paper presents findings of a phenomenological study entitled: Healing from Recurrent Suicide Attempts: The Impact of Being a Peer Facilitator. The study examined the impact of being a peer facilitator (PF) in the Skills for Safer Living: A Psychosocial/Psychoeducational Intervention for People with Recurrent Suicide Attempts (SfSL/PISA) group on the PFs' healing journey. Using eight semi-structured interviews, the study privileged the lived experience of participants. The results identified four themes in survivors' healing: new identity formation, navigating stigma, developing agency in the activation of personhood, and achieving personal mastery: skills and competencies.",
      "authors": "Gaffney, Alexandra; Bergmans, Yvonne",
      "author_ids": "",
      "journal_or_venue": "Social Work in Mental Health",
      "doi": "10.1080/15332985.2022.2033904",
      "record_type": "journal-article",
      "database_method": "Qualitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:35:18.134511+00:00",
      "screening_source": "Primary screen; blind audit agreement",
      "accuracy_audit": {
        "sample_group": "Qualitative",
        "random_seed": 20260802,
        "blind_screening": {
          "is_relevant": true,
          "relevance_rationale": "The study focuses on individuals with recurrent suicide attempts and analyzes their healing journey through peer facilitation, making suicide a central population and substantive focus.",
          "evidence_class": "Empirical",
          "empirical_method": "Qualitative",
          "classification_rationale": "The abstract explicitly describes a phenomenological study using semi-structured interviews to analyze lived experiences, which constitutes primary qualitative data analysis.",
          "confidence": "High"
        },
        "full_label_agreement": true
      }
    },
    {
      "input_index": 1436,
      "record_key": "SWRD:87867",
      "source_database": "SWRD",
      "record_id": 87867,
      "year": 2022,
      "title": "High-Achieving Asian American Adolescents and Suicide: The Need for Culturally Sensitive Suicide Intervention Approaches in Schools, A Case Study",
      "abstract": "Within the field of suicidology, high-achieving Asian American adolescents are an under-researched at-risk population. The present paper reviews the existing literature on this topic, addressing the increase in suicidal ideation and suicide attempts within this at-risk group, and explores ecologically valid social work interventions. School social workers are first responders to these at-risk youth and must be well-versed in the risk-factors, including parental resistance to treatment, within the specific populations they serve. To illustrate the relevant issues, a case example is presented of an adolescent Bangladeshi male who attempted suicide while attending school. Finally, this paper recommends suicide prevention measures, including a culturally appropriate suicide assessment and family therapy.",
      "authors": "Chock-Goldman J.",
      "author_ids": "",
      "journal_or_venue": "Advances in Social Work",
      "doi": "10.18060/24604",
      "record_type": "journal-article",
      "database_method": null,
      "database_is_scientific": true,
      "database_is_empirical": false,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2366702541,
        "prompt_eval_count": 1079,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:35:20.502945+00:00",
      "screening_source": "Primary screen; blind audit agreement",
      "accuracy_audit": {
        "sample_group": "Relevant Non-empirical",
        "random_seed": 20260802,
        "blind_screening": {
          "is_relevant": true,
          "relevance_rationale": "The record focuses centrally on suicide risk factors, suicidal ideation, and suicide attempts among high-achieving Asian American adolescents, along with specific prevention interventions.",
          "evidence_class": "Non-empirical",
          "empirical_method": "Not applicable",
          "classification_rationale": "The abstract explicitly states that the paper 'reviews the existing literature' and presents a single illustrative case example rather than analyzing primary data or conducting a systematic search, classifying it as a narrative review/conceptual article.",
          "confidence": "High"
        },
        "full_label_agreement": true
      }
    },
    {
      "input_index": 1437,
      "record_key": "SWRD:63462",
      "source_database": "SWRD",
      "record_id": 63462,
      "year": 2022,
      "title": "Importance of worthwhile life and social health as predictors of suicide ideation among cancer patients",
      "abstract": "Objective We identify the most associative factors among existential well-being, health-related quality of life, and health behaviors' sub-factors for cancer patients' suicidal ideation (SI) to develop practical intervention tools for general cancer patients in South Korea. Participants We surveyed 766 cancer patients from two hospitals in South Korea. The eligibility criteria were as follows: 18 years of age or older, diagnosed with cancer, aware of the stage, and capable of understanding the purpose of the study. Methods We performed a multidimensional multivariate analysis to find the factors that are most associated with SI for cancer patients. Results The results showed that life worthwhile (adjusted odds ratio (aOR), 3.946; 95% CI, 1.64-9.48), social functioning (aOR, 2.817; 95% CI, 1.19-6.65), and living with loved ones (aOR, 0.353; 95% CI, 0.15-0.84) were the most predictive factors for SI. Conclusion To prevent SI in cancer patients, it might be necessary to help them feel that their lives are worthwhile while helping them maintain a high degree of social health. Implications for Psychosocial Providers or Policy It is important to help cancer patients value their life and lead the high-quality social life to reduce their SI.",
      "authors": "Jung, Ju Youn; Yun, Young Ho",
      "author_ids": "",
      "journal_or_venue": "Journal of Psychosocial Oncology",
      "doi": "10.1080/07347332.2021.1901830",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:35:23.135619+00:00"
    },
    {
      "input_index": 1439,
      "record_key": "SWRD:89082",
      "source_database": "SWRD",
      "record_id": 89082,
      "year": 2022,
      "title": "New York City School Social Workers in a Pandemic: Lessons Learned from COVID-19",
      "abstract": "During the beginning stages of COVID-19, school social workers in New York City (NYC) were at the forefront of managing the mental health of youth and families. There were multiple barriers that interfered with the level of care that school social workers wanted and needed to provide to both students and their families. This article is an NYC school social worker's firsthand account of how she and her collaborative team managed the mental health of NYC students and families. Specifically, this article addresses suicidal ideation and suicidality in adolescents during the pandemic. This article also addresses the disparities and recommendations for further access to mental health care in NYC's racially and socioeconomically diverse school communities. The article recommends both micro and macro changes that can be implemented to better address the acute crisis and long-term trauma implications for this population. Finally, this article makes recommendations for furthering social work educational practices to better train clinicians to handle future crises.",
      "authors": "Chock-Goldman, Jessica",
      "author_ids": "",
      "journal_or_venue": "Children & Schools",
      "doi": "10.1093/cs/cdac010",
      "record_type": "journal-article",
      "database_method": null,
      "database_is_scientific": true,
      "database_is_empirical": false,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "prompt_eval_count": 1112,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:35:28.054144+00:00"
    },
    {
      "input_index": 1440,
      "record_key": "SWRD:59684",
      "source_database": "SWRD",
      "record_id": 59684,
      "year": 2022,
      "title": "Online mental health treatment use among college students at-risk for suicide",
      "abstract": "Mental health apps (MHAs) and online interventions have considerable potential for addressing the unmet mental health needs of college students at-risk for suicide. We examined attitudes about MHAs and reported use of online treatment (online interventions and MHAs) among at-risk college students using a diverse sample of 827 students. About 65% of students were inclined to use MHAs, with over a third preferring MHAs to in-person treatment. Despite positive attitudes, actual use of online treatment was low. The full potential of online treatment on college campuses has not been fully realized due to low student awareness and uptake.",
      "authors": "Reyes-Portillo, Jazmin A.; Rette, Danielle N.; Weeks, Cody; Singh, Tanya; Mahmud, Farah; Tineo, Petty; Kline, Emily A.; Bixter, Michael T.; Warner, Carrie Masia",
      "author_ids": "",
      "journal_or_venue": "Journal of Technology in Human Services",
      "doi": "10.1080/15228835.2022.2130503",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2336096625,
        "prompt_eval_count": 1046,
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      "screened_at": "2026-08-02T18:35:30.392860+00:00"
    },
    {
      "input_index": 1441,
      "record_key": "SWRD:62797",
      "source_database": "SWRD",
      "record_id": 62797,
      "year": 2022,
      "title": "Prevalence and correlates of hopelessness in Tunisian women with benign breast disease and breast cancer",
      "abstract": "Background There is limited research suggesting that women with Benign Breast Disease (BBD) experience psychological distress similar to breast cancer (BC) women. We aimed to examine hopelessness and its related factors in BC and BBD women. Method This was a cross-sectional study. The Beck Hopelessness Scale and the Beck Depression Inventory were administered to 51 BBD and 52 BC women. Results BC women had higher hopelessness scores as compared to those with BBD (6.9 +/- 4.8 vs. 4.9 +/- 3.6; p = .018). After controlling for confounding variables, depression and suicidal ideation/behavior were significantly associated with hopelessness in the BBD group, while only a lower socioeconomic status was associated with higher hopelessness scores in the BC group. Conclusion We found that not only BC but also BBD lead to a psychological burden. Early detection and handling of hopeless feelings and thoughts that may arise in this population are recommended.",
      "authors": "Fekih-Romdhane, Feten; Saadallah, Fatma; Mbarek, Mahdi; Bouzaiene, Hatem; Cheour, Majda",
      "author_ids": "",
      "journal_or_venue": "Journal of Psychosocial Oncology",
      "doi": "10.1080/07347332.2021.1943103",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:35:32.688399+00:00"
    },
    {
      "input_index": 1442,
      "record_key": "SWRD:93913",
      "source_database": "SWRD",
      "record_id": 93913,
      "year": 2022,
      "title": "Race Differences in Opioid Misuse and Adolescent Suicidality",
      "abstract": "The rise of the opioid epidemic coincided with the increased risk of suicide as the leading causes of death among adolescents in the United States. Past research has linked non-medical prescription opioid use (NMPOU) with adolescent suicide. Less focus has been placed on race and ethnic differences among adolescents impacted by the opioid epidemic. This study examined the relationship of adolescent NMPOU and suicidality, stratified by race. The 2016 National Survey on Drug Use and Health (NSDUH) was used for this study. Weighted multivariate logistic regression analyses were conducted on a sample of 11,489 adolescent respondents to examine the effect of past-year NMPOU with the odds for serious thoughts of suicide, having a suicide plan, and making a suicide attempt. Findings indicated a higher prevalence of suicidality among adolescents who engaged in NMPOU compared to non-users. Adolescent opioid misuse was associated with 68% higher odds for having a suicide plan in the past year (OR = 1.68, 95% CI 1.07, 2.63, p < .05). Interaction analysis found that among Asian adolescents, NMPOU was associated with higher odds for having a suicide plan compared to other race groups (OR = 1.53, 95% CI 1.04, 2.23, p < .05). Results indicated that adolescent opioid misuse is a risk factor for suicide, and Asians compared to other race groups were at greater risk. Social workers can serve as a nexus point in effectively engaging at-risk adolescents in substance use and mental health prevention and recovery services.",
      "authors": "Chan, Keith Tsz-Kit; Zhou, Shangyun; Marsack-Topolewski, Christina",
      "author_ids": "",
      "journal_or_venue": "Child & Adolescent Social Work Journal",
      "doi": "10.1007/s10560-020-00721-0",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:35:35.343400+00:00"
    },
    {
      "input_index": 1443,
      "record_key": "SWRD:88996",
      "source_database": "SWRD",
      "record_id": 88996,
      "year": 2022,
      "title": "Reducing Suicide-Related Stigma through Peer-to-Peer School-Based Suicide Prevention Programming",
      "abstract": "Youth suicide rates have consistently risen over the past decade, and stigma related to mental health may create a barrier to young people seeking help. Schools are a common intercept point for mental health and suicide prevention programming. Hope Squad, a school-based, peer-to-peer, suicide prevention program, uses trained and mentored students nominated by their peers to perform intentional outreach with fellow students. When a Hope Squad member detects a mental health or suicide crisis in a peer, they alert a trusted adult. We employed a cohort, wait-list-control, cross-sectional survey design. We recruited more than 3,400 students from nine schools-five with Hope Squads and four without-to observe differences in student-body suicide-related stigma. At the end of the academic year, there was significantly lower stigma in Hope Squad schools versus those without the program. Findings suggest that a peer-to-peer, school-based, suicide prevention program may reduce stigmatizing attitudes related to suicide. Next steps include a randomized controlled trial to identify changes in help-seeking and similar protective factors.",
      "authors": "Wright-Berryman, Jennifer L.; Thompson, Devyn; Cramer, Robert J.",
      "author_ids": "",
      "journal_or_venue": "Children & Schools",
      "doi": "10.1093/cs/cdac015",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T18:35:37.687103+00:00"
    },
    {
      "input_index": 1444,
      "record_key": "SWRD:60990",
      "source_database": "SWRD",
      "record_id": 60990,
      "year": 2022,
      "title": "Risk and protective factors associated with suicidal behaviour during the COVID-19 pandemic crisis amongst college students in Spain",
      "abstract": "The COVID-19 pandemic is expected to have increased suicidal behavior. The current study evaluates the patterns, risk and protective factors of suicidal behavior among college students in Spain (N = 517) one year after the start of the COVID-19 pandemic. Anxiety, alcohol use and cannabis use (risk factors), and social support and COVID-19 fear (protective factors), were associated with suicidal behavior. These were relatively high among students (22.8% indicated a suicide risk and 9.7% have planned suicide), making it essential to have suicide prevention strategies for university students during the COVID-19 pandemic. The implications for Social Work are discussed.",
      "authors": "Caravaca-Sanchez, Francisco; Muyor-Rodriguez, Jesus; Sebastian Fernandez-Prados, Juan",
      "author_ids": "",
      "journal_or_venue": "Social Work in Mental Health",
      "doi": "10.1080/15332985.2022.2048336",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
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      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:35:40.029477+00:00"
    },
    {
      "input_index": 1445,
      "record_key": "SWRD:94413",
      "source_database": "SWRD",
      "record_id": 94413,
      "year": 2022,
      "title": "Risk and Protective Factors to LGBTQ plus Youth Suicide: A Review of the Literature",
      "abstract": "LGBTQ+ youth experience higher rates of suicidal ideation and behavior than their cisgender, heterosexual peers, and these disparities have created a need for academic exploration of the risk factors and protective factors surrounding LGBTQ+ youth suicide (Taliaferro and Muehlenkamp in Acad Pediatr 17:715-722; Toomey et al. in J Youth Adolesc 48:788-801; Ybarra et al. in: Espelage et al. (eds) Youth suicide and bullying: challenges and strategies for prevention and intervention, Oxford University Press, Oxford, 2014). This paper reviews the research that has been completed on these topics in the last 10 years. A variety of risk factors have contributed to higher rates of suicidal ideation, attempts, and completion: minority stress, interpersonal constructs, race, transgender identity, partner violence, homelessness, school victimization, and a lack of school support (Joiner in Why people die by suicide, Harvard University Press, Cambridge, 2005; Meyer in Psychol Bull 129:674-697; Mustanski and Liu in Arch Sex Behav 42:437-448; Van Orden et al. in Psychol Rev 117:575-600). Furthermore, a range of protective factors have been connected with lower rates of suicidal ideation and behavior: gender and sexuality alliances, LGBTQ+ inclusive curriculum, LGBTQ+ affirming school policies, familial support, peer support, and mental health interventions (Poteat and Rivers in Youth suicide and bullying: challenges and strategies for prevention and intervention, Oxford University Press, Oxford, 2014; Stone et al. in Suicide Life Threat Behav 45:415-430; Whitaker et al. in J Adolesc Health 58:63-68). Areas for future research are recommended, including examining diverse LGBTQ+ subpopulations and developing standard measurements for LGBTQ+ identities. The paper concludes with highlights from the past 10 years of research.",
      "authors": "Gorse, Michael",
      "author_ids": "",
      "journal_or_venue": "Child & Adolescent Social Work Journal",
      "doi": "10.1007/s10560-020-00710-3",
      "record_type": "journal-article",
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      "database_is_scientific": true,
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      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T18:35:42.918679+00:00"
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    {
      "input_index": 1446,
      "record_key": "SWRD:61382",
      "source_database": "SWRD",
      "record_id": 61382,
      "year": 2022,
      "title": "Risk factors of suicide among Chinese college students: a literature review",
      "abstract": "Suicide is a serious public health issue worldwide. In China, suicide is the fifth leading cause of death and the second leading cause of death among 15- to 34-year-olds. Research has shown that the suicide rate among college students is higher than their non-college peers. This study aims to review the literature on the risk factors of Chinese college students' suicide and suicidal behaviours (i.e. suicidal ideation, attempt and plan). Existing literature identifies four kinds of factors that are related to suicide among Chinese college students, namely, psychological factors (e.g. hopelessness and depression), family factors (e.g. low-income family environment and unsuccessful family education), negative life events (e.g. frustrated interpersonal communication, and pressure from academics and employment) and social factors (e.g. neglect of the psychological curriculum and status of psychological counselling in China). Moreover, there are complicated relationships among these factors. Finally, the implications for future studies are discussed.",
      "authors": "Huang, Tong; Saito, Eisuke",
      "author_ids": "",
      "journal_or_venue": "China Journal of Social Work",
      "doi": "10.1080/17525098.2020.1858736",
      "record_type": "journal-article",
      "database_method": null,
      "database_is_scientific": true,
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      "screening_basis": "title_and_abstract",
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        "empirical_method": "Not applicable"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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    {
      "input_index": 1447,
      "record_key": "SWRD:65111",
      "source_database": "SWRD",
      "record_id": 65111,
      "year": 2022,
      "title": "Social Work Education and Training in Mental Health, Addictions, and Suicide: A Scoping Review",
      "abstract": "Social workers have an important role in the field of mental health, and social work programs have a responsibility to prepare students for practice in the field. This scoping review mapped and synthesized the literature on mental health, addictions, and suicide in social work education and training. We found 51 articles that examined social work education in addictions (n=23), suicide (n=17), and mental health (n=7), and some articles (n=4) focused on more than one area. Most articles were empirical studies that used quantitative methods, and only one article did not examine social work education in the United States. The studies showed variability in teaching methods, format of training programs, extent to which theory and practice were linked, and the integration of culture and diversity in the programs. The articles contained recommendations to increase teaching students about mental health, addictions, and suicide in all social work programs. Studies also recommended training for faculty and field instructors, using simulation-based learning methods, including competencies in training programs that target knowledge, skills, values, and beliefs; identifying a theoretical framework; integrating culture and diversity; and evaluating training programs. The article discusses implications for best practices in social work education in mental health, addictions, and suicide.",
      "authors": "Kourgiantakis, Toula; Sewell, Karen M.; McNeil, Sandra; Lee, Eunjung; Logan, Judith; Kuehl, Dale; McCormick, Megan; Adamson, Keith; Kirvan, Anne",
      "author_ids": "",
      "journal_or_venue": "Journal of Social Work Education",
      "doi": "10.1080/10437797.2020.1773363",
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        "empirical_method": "Review"
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    {
      "input_index": 1448,
      "record_key": "SWRD:60455",
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      "record_id": 60455,
      "year": 2022,
      "title": "Suicidal Ideation, Suicide Attempts, Parenting Styles, Social Support and School Conditions among College Students in China",
      "abstract": "The purpose of the study is to explore the association between the socio-environmental factors and suicidality (suicidal ideation or suicide attempts). Cross-sectional data were obtained from 2,369 undergraduates (1,168 male and 1,201 female students) from four colleges in China. Approximately 12.7% of the participants reported having engaged in suicidal ideation and 6.4% reported having attempted suicide. Students belonging to a sexual-minority group were more likely to have engaged in suicidal ideation (23.2% vs. 11.7%; p < .001), and suicide attempts (16.5% vs. 5.5%; p < .001) than heterosexual participants. Multiple logistic regression analysis indicated that being a sexual minority (+), parenting styles including warmth (-), indulgence (+) and neglect (+), and support from family (-) were significantly associated with suicidality among male students. On the other hand, being a sexual minority group (+), parenting styles including warmth (-), humiliation (+) and neglect (+), support from teachers (-) and from boyfriend/girlfriend (-), and school conditions including learning atmosphere (-) and extracurricular activities (-) were significantly associated with suicidality among female participants.",
      "authors": "Zhao, Qun; Gui, Hongyu; Mao, Yuchen; Tam, Cheuk Chi",
      "author_ids": "",
      "journal_or_venue": "Studies in Clinical Social Work: Transforming Practice, Education and Research",
      "doi": "10.1080/00377317.2022.2077275",
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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    {
      "input_index": 1449,
      "record_key": "SWRD:110628",
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      "record_id": 110628,
      "year": 2022,
      "title": "Suicide Postvention in Schools: What Evidence Supports Our Current National Recommendations",
      "abstract": "Suicide is a leading cause of death for school-aged preteens and adolescents and a growing risk for younger children. Schools are the ubiquitous institutional context serving this age group. These trends suggest a need for knowledge and guidance related to school postvention efforts, yet the available research is limited. Focusing on postvention, or the period after a peer suicide occurs, is critical to youth suicide prevention because this is a time of elevated suicide risk for youth. Targeted postvention interventions in schools can mitigate youth suicide risk and limit contagion within a school's student body. This article explores the scientific literature related to school-based suicide postvention, describing the strength and limits of research supporting common recommendations for suicide postvention in schools. It identifies widespread recommendations for school postvention that have only preliminary supportive evidence and notes several areas in need of additional research. With clearer postvention best practices to guide their suicide crisis preparedness plans and postvention procedures, schools can better support students, families, and the community as a whole in order to prevent further tragedies.",
      "authors": "Williams, Denise Yookong; Williams, Denise Yookong; Ky, Kosal; Khalid, Mohammed; Wexler, Lisa; Choi, Su-young; Hick, Steven; Wexler, Lisa; Muelle, Anna S; Mueller, Anna S.; Cheng, Shirley; Howe, Brian",
      "author_ids": "",
      "journal_or_venue": "School Social Work Journal",
      "doi": null,
      "record_type": "Journal Article",
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        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T18:35:52.767926+00:00"
    },
    {
      "input_index": 1450,
      "record_key": "SWRD:102510",
      "source_database": "SWRD",
      "record_id": 102510,
      "year": 2022,
      "title": "Surviving Client Suicide: The Invisible Burden of Two Clinicians",
      "abstract": "This narrative recounts the experience of two social workers who lost a client to suicide. Initial reactions included mind racing, a sense of failure, efforts at distraction and a degree of emotional turmoil. Through sharing two independent stories, the authors hope to impart insight gained from experience and prepare both new and experienced social workers as they treat high risk clients. The healing process is one which includes asking the hard question, reflection, acceptance, and finding interpersonal resolution. This article is not intended to be a comprehensive model or one-size-fits-all type of prescription, but rather an opportunity to explore this difficult experience and begin a more robust conversation within the profession.",
      "authors": "Monica Y E; René D; Koeske; Erin Olson; Alina; DiNitto; Van; Kari L",
      "author_ids": "",
      "journal_or_venue": "Reflections: Narratives of Professional Helping",
      "doi": null,
      "record_type": "Article",
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        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T18:35:55.115792+00:00"
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    {
      "input_index": 1451,
      "record_key": "SWRD:61199",
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      "record_id": 61199,
      "year": 2022,
      "title": "The hope & wellness screening toolkit: developing a community based suicide and substance use screening program for American Indians and Alaska Natives",
      "abstract": "Suicide is a leading cause of death in the U.S. In American Indian/Alaska Native (AI/AN) urban communities and rural reservation communities, youth experience high rates of suicidal ideation, attempts, and deaths. An urban AI organization partnered with a university to respond to this crisis with SAMHSA funds that supported the development and implementation of youth suicide prevention and intervention programming through screening, identification, and treatment of youth. They engaged the community in developing suicide prevention and intervention programming, and designed and tested procedures for implementing community-based suicide screenings, which led to the creation of the Hope & Wellness Screening Toolkit.",
      "authors": "Hopson, Jennifer; Momper, Sandra L.; Mueller-Williams, Amelia Cromwell; Burrage, Rachel L.; Doria, Celina M.; Eiler, Abigail",
      "author_ids": "",
      "journal_or_venue": "Social Work in Mental Health",
      "doi": "10.1080/15332985.2022.2032534",
      "record_type": "journal-article",
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      "database_is_scientific": true,
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      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:35:57.409669+00:00"
    },
    {
      "input_index": 1452,
      "record_key": "SWRD:62393",
      "source_database": "SWRD",
      "record_id": 62393,
      "year": 2022,
      "title": "The impact of COVID-19 on first responders' resilience and attachment",
      "abstract": "COVID-19 continues to have a deleterious impact on vulnerable populations in our society, and unfortunately, first responders are often overlooked in this conversation. To address that gap, we retrospectively compared routinely collected baseline assessment data from 69 treatment-seeking first responders who presented for treatment before COVID-19 to data collected from 75 similar first responders at the same agency during the pandemic. Data assessments gauged first responders' attachment avoidance, attachment anxiety, resilience, depression, generalized anxiety, PTSD, and suicidality. Findings indicate that the strength of correlations between resilience, depression, generalized anxiety, and PTSD increased for these responders during the COVID-19 pandemic. They further highlight the role that attachment anxiety plays for first responder ability to cope during the pandemic. Practitioners can use these findings to create a conversation early in the treatment process and guide a collaborative treatment plan.",
      "authors": "Carbajal, Jose; Ponder, Warren N.; Whitworth, James; Schuman, Donna L.; Galusha, Jeanine M.",
      "author_ids": "",
      "journal_or_venue": "Journal of Human Behavior in the Social Environment",
      "doi": "10.1080/10911359.2021.1962777",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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        "eval_count": 24
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      "screened_at": "2026-08-02T18:35:59.744201+00:00",
      "screening_source": "Primary screen; blind audit agreement",
      "accuracy_audit": {
        "sample_group": "Quantitative",
        "random_seed": 20260802,
        "blind_screening": {
          "is_relevant": true,
          "relevance_rationale": "The study explicitly measures and reports on suicidality as one of the key outcomes assessed in first responders during the pandemic.",
          "evidence_class": "Empirical",
          "empirical_method": "Quantitative",
          "classification_rationale": "The abstract describes a retrospective comparison of routinely collected assessment data using statistical correlations, which constitutes quantitative empirical analysis.",
          "confidence": "High"
        },
        "full_label_agreement": true
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    },
    {
      "input_index": 1453,
      "record_key": "SWRD:62088",
      "source_database": "SWRD",
      "record_id": 62088,
      "year": 2022,
      "title": "The relationship between thwarted interpersonal needs and suicidal behaviors varies as a function of positive emotions in a rural sexual minority sample",
      "abstract": "Few models consider if and how positive psychological resources mitigate suicide risk in rural sexual minorities (SM). The purpose of the current study was to determine whether positive emotions can offset the relationships between thwarted interpersonal need and suicidal behaviors. Data were collected from rural SM (N = 211). Positive emotions moderated the association between thwarted interpersonal needs and suicidal behaviors; the relationship was nullified at higher levels of positive emotions. Our findings offers preliminary evidence for positive emotions as a protective factor to suicide and provides some insights for using positive psychological interventions in suicide prevention efforts.",
      "authors": "Choudhury, Sunia; Klibert, Jeffrey J.; Weiss, Brandon",
      "author_ids": "",
      "journal_or_venue": "Sexual and Gender Diversity in Social Services",
      "doi": "10.1080/10538720.2021.1986448",
      "record_type": "journal-article",
      "database_method": "Quantitative",
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      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:36:02.076747+00:00"
    },
    {
      "input_index": 1455,
      "record_key": "SWRD:60733",
      "source_database": "SWRD",
      "record_id": 60733,
      "year": 2022,
      "title": "Three clinical techniques from cognitive behavior therapy for suicide prevention",
      "abstract": "A gap between psychotherapy research and practice exists, and many social workers may not be informed about evidence-based techniques used in cognitive behavioral therapy (CBT) for suicide prevention. Therefore, the purpose of this brief article is to introduce social workers to CBT targeting suicide risk in both outpatient and inpatient settings. Three clinical techniques incorporated into CBT for suicide are introduced: hope building, social support, and lethal means counseling. Practical tips, resources, and recommendations are offered to empower social workers to integrate these clinical tools into their current practice when working with clients at risk for suicide.",
      "authors": "Vesco, Karina M.; LaCroix, Jessica M.; Bond, Allison; Fox, Amber; Ribeiro, Sissi; Darmour, Charles; Ghahramanlou-Holloway, Marjan",
      "author_ids": "",
      "journal_or_venue": "Social Work in Mental Health",
      "doi": "10.1080/15332985.2022.2050878",
      "record_type": "journal-article",
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      "database_is_scientific": true,
      "database_is_empirical": false,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:36:06.873425+00:00"
    },
    {
      "input_index": 1456,
      "record_key": "SWRD:61042",
      "source_database": "SWRD",
      "record_id": 61042,
      "year": 2022,
      "title": "Tolerating Risk: Professional Judgment in Suicide Risk Assessment",
      "abstract": "As a leading cause of death among those suffering from mental health problems, suicide is an issue that challenges policy makers, organizations, and practitioners alike. One outcome has been the implementation of standardized decision-making tools, developed through actuarial methods and aimed at limiting risks inherent in professional judgments. However, despite legislative and policy attempts to standardize the outcomes of risk assessment, professional judgments in specific client scenarios remain highly divergent. This article presents an exploration of the practice-level implementation of policies related to suicide risk assessment and decision-making. Findings suggest that once a judgment regarding risk has been made, ultimately organizational dynamics and resource availability determine disposition. Although attempts to improve outcomes for suicidal clients should include ongoing professional development for practitioners, the findings point to the requirement for community-based and hospital-based services that provide the greatest range of options for addressing client needs and facilitating safety.",
      "authors": "Regehr, Cheryl; Paterson, Jane; Sewell, Karen; Birze, Arija; Bogo, Marion; Fallon, Barbara; Regehr, Glenn",
      "author_ids": "",
      "journal_or_venue": "Social Service Review",
      "doi": "10.1086/718580",
      "record_type": "journal-article",
      "database_method": null,
      "database_is_scientific": true,
      "database_is_empirical": false,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:36:09.188610+00:00"
    },
    {
      "input_index": 1457,
      "record_key": "SWRD:60043",
      "source_database": "SWRD",
      "record_id": 60043,
      "year": 2022,
      "title": "Trauma-Informed Clinical Practice with Clients with Suicidal Thoughts and Behaviors",
      "abstract": "In 2020, almost 46,000 individuals in the United States died from suicide, 1.2 million adults made a suicide attempt, and 12.2 million had serious suicidal thoughts. Clinicians in diverse practice settings will work with clients experiencing suicidal thoughts and behaviors. Due to a strong association between trauma and suicidality, suicidology experts have recommended the use of trauma-informed practice when working with clients with suicidal thoughts and behaviors. However, although there are guidelines for trauma-informed care and for working with clients with suicidality, there are no models, explanations, or discussions about how clinicians can provide trauma-informed care in their work with individuals with suicidal thoughts and behaviors. This conceptual paper describes examples of the application of the Substance Abuse and Mental Health Services Administration (SAMHSA)'s trauma-informed care principles to clinical work with individuals with suicidal thoughts and behaviors. Strategies are provided for each of the guiding principles, and case examples used to illustrate strategies, barriers, and potential pitfalls.",
      "authors": "Mirick, Rebecca G.; Bridger, Joanna; Mccauley, James",
      "author_ids": "",
      "journal_or_venue": "Studies in Clinical Social Work: Transforming Practice, Education and Research",
      "doi": "10.1080/00377317.2022.2104778",
      "record_type": "journal-article",
      "database_method": null,
      "database_is_scientific": true,
      "database_is_empirical": false,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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        "prompt_eval_count": 1136,
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      "screened_at": "2026-08-02T18:36:11.576724+00:00"
    },
    {
      "input_index": 1458,
      "record_key": "SWRD:60401",
      "source_database": "SWRD",
      "record_id": 60401,
      "year": 2022,
      "title": "Validation of the Interpersonal Needs Questionnaire Among Korean Older Adults: Factor Structure and Convergent Validity",
      "abstract": "Objective: This study examines the validity of the Interpersonal Needs Questionnaire (INQ) for use among Korean older adults. Method: The sample consisted of 2,000 community-dwelling adults ages 65 or older in Chuncheon, South Korea. I conducted confirmatory factor analyses (CFA) to test the original two-factor model of the INQ15 (thwarted belongingness and perceived burdensomeness), as well as the modified two-factor models of the Korean version of the INQ (K-INQ) and the 14-item Korean version INQ (K-INQ14). Structural equational modeling (SEM) was used to test whether the INQ scores had convergent validity with suicidal ideation. Results: CFA results indicate that the modified two-factor model of the K-INQ14 best fit the data for the current sample. Results from the SEM analyses suggest that both constructs predict suicidal ideation. Conclusions: The INQ demonstrates factorial and convergent validity for use among community samples of Korean older adults. The INQ can be used as a two-factor measure of interpersonal needs among this population. In clinical assessment, practitioners who are concerned about their older-adult clients who are reluctant to reveal suicidal ideation can consider using the INQ as a suicide risk assessment tool.",
      "authors": "Ko, Jungyai",
      "author_ids": "",
      "journal_or_venue": "Journal of the Society for Social Work and Research",
      "doi": "10.1086/712952",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2604591750,
        "prompt_eval_count": 1199,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:36:14.183103+00:00"
    },
    {
      "input_index": 1460,
      "record_key": "SSWR:2023-U-0448",
      "source_database": "SSWR",
      "record_id": "2023-U-0448",
      "year": 2023,
      "title": "\"the Stress of Capitalism:\" a Critical Ecosystems and Intersectional Approach to Understanding Farmer Well-Being",
      "abstract": "Background : Sustainable farming is a solution to mitigating climate change and a pathway to community food security, yet reports indicate increased prevalence of depression, anxiety, and suicide among U.S. farmers, and gaps in academic literature concerning the well-being of sustainably-oriented farmers. Additionally, few studies have focused on the unique stressors of beginning farmers, a group that includes more women, LGBTQ+, and Black, Indigenous, and People of Color (BIPOC) who face intersecting stressors of oppression. Approaches to understanding farmer well-being have lacked an intersectional perspective; therefore, we embrace a critical ecosystems and intersectional approach to examine the systemic stressors of sustainably-oriented beginning farmers. Methods : We utilized a community-engaged research framework in collaboration with a non-profit organization that supports sustainable farmers in the Midwest region. Together, we designed in-depth interviews to understand beginning farmers’ 1) systemic stressors, 2) stress coping strategies, and 3) barriers to stress management. Beginning farmers were recruited using purposive sampling through our community partner’s email distribution list. Sixty-to-ninety-minute interviews were administered and recorded. The interview included questions about respondents’ experiences with stress and barriers to accessing care. Interviews were transcribed verbatim and pre-coded through memos and journaling. Data were analyzed using first-and-second-cycle inductive coding methods and audited by a farmer key informant. Codes were used to generate overall themes; themes were member-checked with three beginning farmer key informants. Results : Our sample (n=20) included 40% male, 45% female, 15% transgender/non-binary (T/NB) respondents; 75% were white, 15% Black, 5% Latino, and 5% Asian. Systemic stressors include 1) the “stress of capitalism,” reflecting participants’ struggle to endure in a competitive, individualistic economy structure, 2) experiences of racism and sexism – from customers, neighbors, and service providers – among farmers from marginalized identities, and 3) barriers to sustainability, such as acquiring land and capital. All respondents reported social support as a coping mechanism, (e.g., mutual aid with other farmers at farmers’ markets). Beliefs of stigma and “rugged individualism” prevented respondents from seeking mental health care. Many respondents could not afford mental health therapy or struggled with health insurance compatibility. Some respondents reported avoiding therapy because “therapists won’t understand the full picture of farming.” Implications : Farmers are frontline workers in the face of climate change and other disasters (e.g., COVID-19), yet this group is overburdened by the weight of capitalism, stoicism, and experiences of discrimination. These challenges endanger community food security, negatively impacting marginalized communities that are already facing increased risk for poor health and environmental racism, which ought to concern social workers. Training opportunities are needed for social workers to understand the unique stressors of farmers, especially farmers from marginalized identities (e.g., gender and sexual minorities, BIPOC, and low-income) and in the context of our climate crisis. Social workers must advocate for enhanced social safety nets for agricultural workers, including health insurance coverage. Community conversations and informational campaigns are needed to decrease the social stigma surrounding mental health support. With our commitment to social justice, social workers are uniquely positioned to address issues of exploitation and discrimination in the agricultural sphere.",
      "authors": "Fiona Doherty; Michelle Kaiser",
      "author_ids": "122290; 112221",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3402549500,
        "prompt_eval_count": 1622,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:36:20.860706+00:00"
    },
    {
      "input_index": 1462,
      "record_key": "SSWR:2023-P-0173",
      "source_database": "SSWR",
      "record_id": "2023-P-0173",
      "year": 2023,
      "title": "(see Poster Gallery) Bathroom Access and Suicide Risk Among Transgender, Nonbinary, and Gender-Questioning Youth",
      "abstract": "Background: Transgender youth are at elevated risk for suicide compared with their cisgender peers- including those who are lesbian, gay, or bisexual- due to minority stress. Recent anti-transgender legislation targets transgender youth by restricting their access to gender-affirming healthcare, school sports, and bathroom facilities that align with their gender identity. This study examines bathroom access among transgender, nonbinary, and gender-questioning (TNBGQ) youth ages 13 to 24, as well as the relationship between avoiding public restrooms and suicide risk. Methods: Data were collected from an online survey conducted between September 2021 and December 2021 of 33,993 LGBTQ youth recruited via targeted ads on social media. 19,970 respondents reported their gender identity to be TNBGQ and were included in this analysis. Adjusted logistic regression models were conducted to determine the association between avoiding public bathrooms in the last year and recent anxiety, recent depression, seriously considering suicide in the last year, and attempting suicide in the last year, while controlling for age, Census Region, socioeconomic status, race/ethnicity, gender identity, and sexual identity. Findings: TNBGQ youth reported various negative experiences while trying to access bathroom facilities. 43% of respondents reported that they had been prevented or discouraged from using a bathroom that corresponds with their gender identity. This occurred in a number of settings: 36% of youth experienced it at school, 22% at a place of business, 17% at a bar or restaurant, 13% at a doctor’s office or hospital, 10% at their workplace, and 10% in a government building. TNBGQ youth also reported negative consequences due to avoiding using bathrooms in public. 65% of respondents reported not using the restroom when they needed to in public. 36% reported that they had avoided eating and drinking to try to prevent needing to use the restroom. 9% reported that they had gotten an urinary-tract infection due to not using the bathroom when they needed to. 1% reported kidney infection, and 1% reported other kidney-related problems. The majority of TNBGQ respondents (69%) reported that they had avoided using public restrooms in the last year because they were afraid of having problems. 48% of respondents reported that they sometimes avoided bathrooms and 21% reported that they always avoided them. Avoiding bathrooms due to fear in the last year was associated worse mental health and greater suicide risk. TGNBGQ youth who reported that they sometimes or always avoided bathrooms in the last year had greater odds of recent anxiety (aOR=1.72, p <.001), recent depression (aOR=1.66, p <.001), seriously considering suicide (aOR=1.61, p <.001), or attempting suicide in the last year (aOR=1.87, p <.001). Conclusions: These findings highlight the need to protect TNBGQ youths’ access to bathrooms that align with their gender identities in all public spaces. Recent attempts to restrict TNBGQ youths’ access to bathrooms and other single-gender facilities pose a threat to TNBGQ youths’ physical and mental health. Schools, workplaces, and public establishments should develop policies protecting bathroom access and establishing gender-neutral bathrooms.",
      "authors": "Jonah DeChants; Amy Green; Myeshia N. Price",
      "author_ids": "115796; 122044; 122045",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3409247792,
        "prompt_eval_count": 1637,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:36:27.894732+00:00",
      "screening_source": "Primary screen; blind audit agreement",
      "accuracy_audit": {
        "sample_group": "Quantitative",
        "random_seed": 20260802,
        "blind_screening": {
          "is_relevant": true,
          "relevance_rationale": "The study explicitly analyzes the association between bathroom avoidance and suicide risk outcomes, including seriously considering suicide and attempting suicide, among transgender, nonbinary, and gender-questioning youth.",
          "evidence_class": "Empirical",
          "empirical_method": "Quantitative",
          "classification_rationale": "The abstract describes an online survey of a large sample size with statistical analysis using adjusted logistic regression models to determine associations between exposures and outcomes.",
          "confidence": "High"
        },
        "full_label_agreement": true
      }
    },
    {
      "input_index": 1463,
      "record_key": "SSWR:2023-P-0108",
      "source_database": "SSWR",
      "record_id": "2023-P-0108",
      "year": 2023,
      "title": "(see Poster Gallery) Building Solutions for the Complex Relationship between Rurality, Distress, Major Depression, and the Risk for Suicidal Ideation Among African American Adults",
      "abstract": "Background/Purpose : Suicide is considered the second leading cause of death among African Americans (AAs) aged 15–24. Recent statistics indicate that 15% of AA adults seriously considered suicide in the past 30 days compared to 8% of Whites and 10.7% of all respondents. However, a growing body of literature suggests the importance of assessing the social determinants of mental health and the risk for suicide among AA adults. There is a lack of evidence on whether rurality, distress, and Major Depressive Episode (MDE) can predict differences in risk for suicidal ideation (SI) among AA adults. The present study aimed to examine if rurality, distress, and lifetime MDE can predict the risk for SI among AA adults aged 18 and older. It was hypothesized that rurality, lifetime MDE, and distress in the past month could significantly predict the risk for SI in the past month among AA adults. Methods: Data and samples: Data from the 2018 National Survey on Drug Use and Health (NSDUH) were extracted and analyzed. The public-use file contained 56,313 records of non-institutionalized individuals, representing a weighted population of 273,753,042.56. Of these, 7,892 were AA adults, representing a weighted population size of 29,113,418.58. The participants included in the study were AAs, aged 18 years and older, with or without MDE based on the DSM 5 th edition diagnostic criteria. Measures: The independent variables were rurality, lifetime MDE, and distress in the past month. Rurality was measured by asking whether participants lived in a large metropolitan, small metropolitan, or non-metro areas. Participants were considered lifetime MDE if they met the DSM-5 diagnostic criteria of lifetime MDE; distress was calculated via questions about whether the individual had serious psychological distress in the past 30 days. The outcome measure SI was measured by asking about SI over the past 12 months wherein the individual had seriously considered taking his/her life. Results: Study results confirmed that rurality, lifetime MDE, and distress in the past month could significantly predict the risk for SI among AA adults. Those who lived in non-metro areas had a decreased risk for SI than those who lived in large metro areas; AAs with MDE had an increased risk for SI than those without MDE, and those who exhibited distress in the past month had a higher risk for SI than those who did not. Pseudo-R 2 showed that the model explained 25% of the variation in risk for SI among AA adults (Nagelkerke R 2 =25%). Conclusions and Implications: AA adults are not a homogeneous group with equal risk for SI. Study results can inform the design and implementation of solutions to battle inequities in suicide risk among AA adults and improve access to tailored mental health services and community-centered suicide prevention programs that address the unique needs of AA adults at risk for suicide. Battling inequities that block AA adults` from full access to community-centered care can ameliorate the burden of suicide in the community.",
      "authors": "Areen Omary",
      "author_ids": "120600",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3345396917,
        "prompt_eval_count": 1618,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:36:31.241911+00:00"
    },
    {
      "input_index": 1464,
      "record_key": "SSWR:2023-P-0344",
      "source_database": "SSWR",
      "record_id": "2023-P-0344",
      "year": 2023,
      "title": "(see Poster Gallery) Characteristics of and Circumstances Associated with Female Suicide Related to Intimate Partner Problems",
      "abstract": "Background and Purpose: Suicide research has found that intimate partner problems (IPP), including divorce, conflict, and violence are robust precipitating factors for suicidal thoughts and behaviors. Although suicide triggered by IPP is prevalent in both men and women, IPP-related female suicide may have unique risk factors and circumstances. However, little is known about the distinct circumstances surrounding suicidality among women struggling with IPP. Evidence concerning IPP suicides can inform the development of gender-specific suicide prevention guidelines for social work practice. Accordingly, we aimed to explore the psychosocial circumstances and suicide incident characteristics surrounding female IPP-related suicide using a singular national data set. Methods: Data were taken from the National Violent Death Reporting System-Restricted Access Database (NVDRS-RAD, 2003-2019). Of the total suicide cases (n=267,804), only the 58,545 (21.9%) female suicide cases were selected for analysis. Prior to analysis, the data were thoroughly checked and cleaned for missingness and errors. The primary analyses were descriptive univariate and bivariate chi-square tests to determine preliminary and exploratory evidence related to the characteristics and circumstances surrounding IPP-related suicide cases relative to non-IPP-related suicide cases. All p values were two-sided, and p values <.05 were considered indicative of significance. Results: Findings showed that of the 58,545 female suicides, 13,496 cases were related to IPP, indicating that about 23% of female suicide victims struggled with IPP. Overall, compared to non- IPP related suicide, IPP-related suicide was identified at a higher rate in groups that were (a) younger, (b) non-white, (c) of higher education levels, (d) U.S.-born, and (e) pregnant or postpartum ( p <.001). IPP-related suicide victims were also more likely than non-IPP-related suicide victims to have experienced previous (a) trauma, (b) mental health problems, (c) alcohol/substance abuse problems, (d) financial challenges, and (e) relational problems with family and others ( p <.001). Additionally, compared to non-IPP-related suicides, IPP-related suicides largely occurred at night between 6pm and 6am and at a home or private residence ( p <.001). While poisoning was the most common method of female suicide, IPP-related suicide victims tended to use firearms as the most common method. Conclusions and Implications: Study findings identified that women with IPP struggled not only with IPP itself, but also with previous traumas and psychosocial challenges. Given that IPP, trauma, and mental health problems may be bidirectional and co-occurring, our presentation will focus on providing recommendations for a comprehensive, trauma-informed approach for preventing suicide among women who are facing multiple psychosocial risk factors. We will also discuss that how women’s social and racial vulnerability might be related to suicidal risk. Additionally, the study findings provide novel evidence regarding suicide incidence characteristics such as methods, locations, and time. Although these are preliminary findings, they provide meaningful information in understanding where, when, and how IPP-related female suicides tend to take place. The presentation will provide recommendations for how social work practitioners and scholars can make an important contribution in preventing suicide among women who face IPP. Overall, this work fills an important need in the “Mental Health” SSWR clusters.",
      "authors": "Jeongsuk Kim; Rebecca J. Macy; Cynthia Fraga Rizo; Christopher J. Wretman; Spenser R. Radtke",
      "author_ids": "116364; 108300; 111729; 112653; 123899",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3358218209,
        "prompt_eval_count": 1641,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:36:34.602217+00:00",
      "screening_source": "Primary screen; blind audit agreement",
      "accuracy_audit": {
        "sample_group": "Quantitative",
        "random_seed": 20260802,
        "blind_screening": {
          "is_relevant": true,
          "relevance_rationale": "The study explicitly analyzes characteristics and circumstances associated with female suicide deaths related to intimate partner problems using national data.",
          "evidence_class": "Empirical",
          "empirical_method": "Quantitative",
          "classification_rationale": "The abstract describes a quantitative analysis of secondary data from the National Violent Death Reporting System, utilizing descriptive statistics and chi-square tests.",
          "confidence": "High"
        },
        "full_label_agreement": true
      }
    },
    {
      "input_index": 1466,
      "record_key": "SSWR:2023-P-0342",
      "source_database": "SSWR",
      "record_id": "2023-P-0342",
      "year": 2023,
      "title": "(see Poster Gallery) Female Suicide Victims with Intimate Partner Problems and Their Suicide Intention Disclosure",
      "abstract": "Background and Purpose: Women struggling with intimate partner problems (IPP) such as divorce, conflict, and violence, often experience mental health problems including suicidal thoughts and behaviors. Research has found that 25–40% of women struggling with IPP have attempted suicide at some point during or after the termination of their relational problems with their partners. Suicide researchers view individuals’ disclosure of their suicide intention as a critical intervention point at which to provide necessary help and prevent a potential suicide completion. However, there have been few efforts to understand disclosure patterns of suicidal ideations among women struggling with IPP—a clear risk group for suicidality. Accordingly, this study (1) explored disclosure patterns of suicidal ideation among women who had IPP and (2) examined which factors might be associated with suicide disclosure . Methods : Data comprised seventeen waves of the National Violent Death Reporting Systems, Restricted Access Database from 2003–2019. In total, 58,545 female suicide cases were included in data analysis, and of these 23% (n=13,496) were women who struggled with IPP. Prior to analysis, the data were thoroughly cleaned. Analyses began with bivariate chi-square tests to compare IPP-related and non-IPP related suicide victims on suicide intent disclosure. Next, logistic regression models reporting adjusted odds ratios (AORs) were used to examine the factors associated with female suicide victims’ decision to disclose suicidal ideations. All p-values were two-sided with values <.05 considered indicative of significance. Results : Bivariate findings showed that about one-third of IPP-related suicide victims shared their suicidal ideation with others, a much higher proportion than non-IPP related suicide victims (32% vs. 20%; p <.001). Also, IPP-related suicide victims tended to share their suicidal ideations with their partners (11%) more than others (e.g., family, friends, health care workers), while non-IPP-related suicide victims most often shared their ideations with family members (5%). After controlling for demographic covariates, logistic regression results showed that previous suicide ideation history (AOR=3.40, p <.001), current mental illness treatment (AOR=1.40, p <.001), substance problems (AOR=1.16, p <.001), and younger age (AOR=1.12, p <.001) were associated with increased odds of women’s suicide disclosure. Conclusions and Implications : This study is a first-of-its-kind attempt to understand the disclosures of suicide intent among female suicide victims with IPP using a robust national data set. Results show that female suicide victims tend to share their suicide ideation before committing suicide, which indicates that opportunities exist to identify and prevent such suicides. Guided by these novel findings, this presentation will offer research and practice implications for how social work practitioners and scholars can make important contributions in preventing female suicide, especially among women struggling with IPP. For example, social work practitioners working in marriage counseling, domestic violence, and health care settings may usefully identify warning signs and connect at-risk women to necessary services. Also, women's demographic and psychosocial factors related to suicide disclosure should be also considered in developing suicide prevention programs. Overall, this work fills an important need in the “Mental Health” SSWR clusters.",
      "authors": "Jeongsuk Kim; Rebecca J. Macy; Cynthia Fraga Rizo; Christopher J. Wretman; Spenser R. Radtke",
      "author_ids": "116364; 108300; 111729; 112653; 123899",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3470473708,
        "prompt_eval_count": 1630,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:36:41.471363+00:00"
    },
    {
      "input_index": 1468,
      "record_key": "SSWR:2023-P-0212",
      "source_database": "SSWR",
      "record_id": "2023-P-0212",
      "year": 2023,
      "title": "(see Poster Gallery) Its Not Supposed to Happen This Way: What Helps Parents Who Have Lost a Child through Accidential or Violent Death",
      "abstract": "Background and Purpose: This study conducted a systemic review of what parents who lost a child through an accidental or violent death need in their grieving process. The death of a child is a devastating and incomprehensible loss (Arnold & Gemma, 2008) that has a significant impact on those around them and creates a unique and significant grieving process for parents. Sporren et al (2001) shared that losing a child in an accident increase the risk of long-term psychiatric distress. The depth of research investigating how to support parents grieving due to natural causes validates that knowledge on how to support bereaved parents in the grieving process is important in providing support and services (Titlestand et al., 2020). The literature generally concludes there needs to be additional research on how to support parents bereaved due to a sudden or unexpected loss (Andriessen et al., 2019; Floyd, et al., 2013; Kawashima & Kawano, 2019). Methods: The systemic review examined 55 peer-reviewed articles using key terms of parental bereavement; loss through suicide; loss through violence; loss through accidents; and loss of a child. Once the articles were identified they were analyzed and reduced to articles that included a minimum of parental bereavement and loss of a child through unnatural causes. This resulted in 55 articles dating from 1995 to 2022. A table was developed to capture the results of the study specifically identifying what the parents self-reported as useful in their grieving process. The table was analyzed for common themes. Results: The thematic analysis identified several key themes that were reported by parents’ bereavement of their child through accidents or violence included: connecting to others, self-forgiveness, finding meaning, carrying the child forward in the parent’s life, and the ability to say goodbye as vital in the healing process for these bereaved parents. Implications: Parents who experience the sudden death of a child will work with a variety of professionals to assist them in navigating the grief process and Jazen et al (2013) contended that understanding what parents need in the grief process is vital in their healing process. However, there is consensus that there are no clear guidelines on how to support parents facing the loss of a child through unnatural causes. This systemic review identified historical consistency in what parents’ self-report they need in their healing process and will provide insight to Social Workers on how to best support bereaved parents in a manner that is specific to losing a child in a tragic and sudden manner that is outside of traditional grief and bereavement. Further studies could compare the themes found in this study compared to grief and loss of a child due to natural causes.",
      "authors": "Dorothy Jimenez",
      "author_ids": "123673",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "review",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Review"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3129562583,
        "prompt_eval_count": 1503,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:36:48.019539+00:00",
      "screening_source": "Primary screen; blind audit agreement",
      "accuracy_audit": {
        "sample_group": "Review",
        "random_seed": 20260802,
        "blind_screening": {
          "is_relevant": true,
          "relevance_rationale": "The abstract explicitly identifies 'loss through suicide' as one of the key search terms and inclusion criteria for analyzing parental bereavement needs, making suicide loss a central component of the study population.",
          "evidence_class": "Empirical",
          "empirical_method": "Review",
          "classification_rationale": "The authors describe conducting a 'systemic review' (likely meaning systematic) involving the identification, selection, and thematic analysis of 55 peer-reviewed articles, which fits the definition of an empirical evidence synthesis.",
          "confidence": "High"
        },
        "full_label_agreement": true
      }
    },
    {
      "input_index": 1470,
      "record_key": "SSWR:2023-P-0106",
      "source_database": "SSWR",
      "record_id": "2023-P-0106",
      "year": 2023,
      "title": "(see Poster Gallery) Relationships between Neighborhood Collective Efficacy and  Adolescent Suicidal Ideation",
      "abstract": "Background and Purpose : Until now, South Korean adolescent suicidal ideation literature has focused mainly on individual-level characteristics. Little is known about the contextual effects of social integration and social regulation on an individual’s suicide behavior in South Korea as identified through the use of Durkheim’s sociological insights. This study drew on Durkheim’s suicide and collective efficacy theories and analyzed the effects of the structural characteristics and collective efficacy of neighborhoods on adolescents’ suicidal ideation. The goal was to use study findings as the basis for policy and intervention strategies aimed at reducing adolescent suicide risk in South Korea. Methods : The data analyzed was from three sources: the 2013 Korean National Survey of the Present Status of Children (n = 1,915; 50.41% girls; mean age = 13.04 years), government census data from the Korea Statistical Information System, and administrative data from the Korea Ministry of Health and Welfare. Participants’ suicidal ideation was assessed by asking “During the past 12 months, have you ever seriously contemplated committing suicide?” Response options to this question were binary: no (0), yes (1). Measures of neighborhood structural characteristic variables were constructed using official Korean government census data from KOSIS and administrative (neighborhood) data from the KMHW. These data were linked to the 2013 KNSPSC data by geocoding techniques. Neighborhood-concentrated poverty was captured by a composite score comprised of the number of residents receiving public assistance (per 1000 residents), the proportion of residents unemployed, and the proportion of female-headed. All indicators were z-score standardized and summed to yield a concentrated poverty score. The divorce rate was measured by the number of divorces in each administrative unit (per 1000 residents). The residential instability variable was operationalized as the percentage of people who had moved into or out of each district unit during the previous year. The collective efficacy variable was measured using the scale developed by Sampson et al. (1997), which comprises five items that represent social cohesion and informal social control in the residential neighborhood area. In order to obtain more precise estimates of the effects of neighborhood-level characteristics on adolescent suicidal ideation, an array of individual-level covariates associated with adolescent suicidal ideation were controlled in this study. Four covariates were selected based on findings of previous studies: demographics (gender and age), personal (depression/anxiety, smoking, and alcohol drinking), family-related (family economic status, supportive parenting, and child maltreatment), and school-related (peer bullying). The Hierarchical Generalized Linear Model was used to investigate the effects of neighborhood structural characteristics and collective efficacy on adolescent suicidal ideation. Results : There were no significant associations between neighborhood characteristics such as concentrated poverty, divorce rate, and residential instability; however, adolescents’ perceptions of collective efficacy in neighborhoods was associated with lower suicidal ideation after accounting for individual adolescent differences. Conclusions and Implications : The findings provide significant implications for the prevention of suicide in adolescents and suggest that enhancing the collective efficacy of neighborhoods through community-based intervention may be an important target of future suicide prevention strategies in South Korea.",
      "authors": "Ji Hyeon Lee",
      "author_ids": "113627",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3380453333,
        "prompt_eval_count": 1574,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:36:54.780744+00:00"
    },
    {
      "input_index": 1471,
      "record_key": "SSWR:2023-P-0007",
      "source_database": "SSWR",
      "record_id": "2023-P-0007",
      "year": 2023,
      "title": "(see Poster Gallery) Suicide Among Social Workers in the United States: Characteristics and Circumstances of Social Worker Suicide",
      "abstract": "Background and purpose: The literature suggests that social workers may have a high risk of suicide compared to the general population. Indeed, social work is well-known for being a stressful profession, which may cause mental health challenges. However, there are only a few studies that empirically examined suicide among social workers with small sample sizes and few variables. The current study explored the characteristics of social workers’ suicide cases using a national dataset with extended variables; we compared their characteristics to the suicide cases of individuals in other occupations than social work (non-social worker cases). The current study has significant implications to support social workers who might be at risk for suicide. Methods: The current study is a secondary data analysis using Center for Disease Control and Prevention’s National Violent Death Reporting System (NVDRS) (years 2003 to 2017). The original data contained 290,703 violent death cases with 600 data elements/variables. Using the victim’s industry/occupation variables, we identified all social worker cases who died by suicide in the dataset. In order to compare the characteristics of suicide cases between social workers and non-social workers, we randomly selected the equal number of non-social worker cases from the dataset. We first conducted descriptive statistics. Then using bivariate analyses, we examined whether there were any differences between social worker and non-social worker cases for demographics, mental health diagnosis, means of death, as well as circumstances which led to death. Results: Four hundred and eighty-six social worker cases were identified as having died by suicide or intentional self-injury. The average social worker’s age was 50.6 (SD=14.5) years at the time of death. 62% of individuals were female, 83% White, 70% never married, separated, divorced, or widowed, 74% lived in rural areas, 49% had masters or higher educational degrees, and 42% had multiple mental health diagnoses. In comparison to the non-social worker cases, social workers were more likely to die from poisoning while non-social worker cases were more likely to die by firearms ( X 2 (3)=56.2, p<.001). Social worker cases were more likely to have a history of ever being treated for a mental health or substance abuse problem ( X 2 (1)=59.55, p<.001), received treatment for mental health or substance abuse treatment ( X 2 (1)=52.0, p<0.001), have a history of suicide attempts ( X 2 (1)=20.8, p<.001), and have physical health problem(s) that might lead to their death ( X 2 (1)=4.4, p<.05). Conclusion and implication: Relatively high proportion of social workers had multiple mental health diagnoses (42%). It may be that social workers who died by suicide might had pre-existing mental health issues that were destabilizing and left them vulnerable to suicide despite their social work occupation. Social workers are more familiar with mental health services than the general populations and may proactively seek help. In fact, our data showed that nearly half of social workers (55%) had the history of receiving mental health or substance abuse treatment, yet these efforts might not be enough to prevent their death. The social work implications will be discussed to prevent future social worker suicide.",
      "authors": "Meredith Canada; Sadaaki Fukui",
      "author_ids": "123194; 110475",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3231683875,
        "prompt_eval_count": 1641,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:36:58.014109+00:00"
    },
    {
      "input_index": 1473,
      "record_key": "SSWR:2023-U-0018",
      "source_database": "SSWR",
      "record_id": "2023-U-0018",
      "year": 2023,
      "title": "A Cross-Lagged Prospective Network Analysis of Suicide Potential, Risk Factors, and Protective Factors Among Children and Adolescents in Hong Kong",
      "abstract": "Background: Measures such as social distancing and school closure brought about by the COVID pandemic may cause considerable psychological distress and family distress and hinder the mental health of children and adolescents. These psychosocial stressors may increase the problems of self-injury and suicide. However, there is still a lack of systematic longitudinal research exploring the suicidal potential and the risk versus protective factors in children and adolescents. Hence, this study aimed to examine the influence of risk and protective factors on suicidal potential in the system and the unique longitudinal relationship using a cross-lagged panel network analysis. Methods: Data were collected from July to September 2020 (T1) and July to September 2021 (T2), respectively. Students in grade 3 to grade 5 in four primary schools and students in grade 1 to grade 5 in four secondary schools in Hong Kong were invited to participate in the survey. Before completing the questionnaire, we obtained informed consent from principals, parents, and students themselves. Suicidal potential, self-efficacy, resilience, subjective happiness, interpersonal needs, hopelessness were measured. Finally, 1744 questionnaires were collected in T1. Among them, 1615 participants (820 females, mean age = 10.93, SD = 1.135, range = 9-15) completed the second wave survey in T2. The cross-lagged panel network analysis was performed and visualized in R. The graphical least absolute shrinkage and selection operator estimation algorithm with Extended Bayesian Information Criterion in the Gaussian Graphical Model was used to estimate the network. The networks of T1 and T2 were compared. The least absolute shrinkage and selection operator regularization with a 10-fold cross-validation method was used in the cross-lagged analysis. Gender, age, religion, and parental marital were set as covariates. Results: The results identified the centrality role of hopelessness in T1 (strength = 1.29) and anxiety-impulsive depression (strength = 1.32) in T2 in the suicidal system and the bridging effects of self-efficacy and hopelessness on suicidal potential. The strongest undirected edges across constructs were self-efficacy-hopelessness ( r = -0.35), self-efficacy-family distress ( r = -0.10), anxious-impulsive depression-perceived burdensomeness ( r = 0.18), and suicide ideation or acts-perceived burdensomeness ( r = 0.19). The network invariance and global strength showed that the network in T1 and T2 did not differ significantly in overall structure and connectivity. The higher levels of subjective happiness ( β = -0.40) and self-efficacy ( β = -0.16) were prospectively associated with future lower anxious-impulsive depression. The higher subjective happiness ( β = -0.13) and lower perceived burdensomeness ( β = 0.14) were prospectively associated with future lower suicide ideation or acts. The prediction results found the critical risk effect of hopelessness and the protective effect of subjective happiness on suicidal potential. Implications: The cross-lagged network analysis indicated that COVID did not directly affect suicidal potential outcomes but did affect the position of influencing factors in the suicidal system. Research findings implicated that interventions on hopelessness, improving subjective happiness, and reducing perceived burdensomeness can contribute to preventing and reducing suicide ideation or acts among children and adolescents.",
      "authors": "Yumei Li; Sylvia Kwok",
      "author_ids": "121849; 116910",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3693550917,
        "prompt_eval_count": 1663,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:37:05.090660+00:00"
    },
    {
      "input_index": 1476,
      "record_key": "SSWR:2023-U-0065",
      "source_database": "SSWR",
      "record_id": "2023-U-0065",
      "year": 2023,
      "title": "An Examination of Suicidal Behavior Among Black College Students  with Exposure to Police Violence",
      "abstract": "Background: While being at the peak age of suicide risk, there is limited research about suicidal behaviors among Black emerging adults who report exposure to police violence. The current study applies an integrated approach to examine individual, immediate environment, and community-based risk and protective factors of suicide among Black college students who reported previous exposure to police violence. Methods: A purposive sample of Black college students (N = 300) was analyzed using bivariate analyses and binary logistic regression. Outcome variables investigated were lifetime suicidal ideation and suicide attempt. Results: Twenty-eight percent of participants reported lifetime suicidal ideation and 14% reported lifetime attempts. Female students were significantly more likely to report lifetime suicidal ideation, recent symptoms of anxiety and to engage in emotional social support than male peers. Logistic regression results demonstrated that higher income and greater depression symptoms were associated with lower reporting of lifetime suicidal ideation. Reporting of more grit, the trait of perseverance and passion for long-term goals, was associated with a lower reporting of both lifetime suicidal ideation and suicide attempt. Conclusions and Implications: Our findings have implications for how social workers in higher education are encouraged to address suicidal behavior among Black students, including the cultivation of grit.",
      "authors": "Robert O. Motley Jr.; Hannah Szlyk; Sean Joe; Lucy Nonas-Barnes; Enoch Azasu",
      "author_ids": "115991; 115769; 109205; 123340; 123341",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2580854208,
        "prompt_eval_count": 1168,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:37:14.394681+00:00"
    },
    {
      "input_index": 1477,
      "record_key": "SSWR:2023-P-0261",
      "source_database": "SSWR",
      "record_id": "2023-P-0261",
      "year": 2023,
      "title": "Assessing and Addressing the Mental Health of MSW Students",
      "abstract": "Background and Purpose: Graduate students are six times more likely to experience depression and anxiety compared to the general population (Evans et al., 2018). Unlike students in business, engineering, and education programs, social work students report greater diagnoses of depression, anxiety, and comorbid substance use and mental health problems (Allen et al., 2022). The research devoted to understanding the mental health of social work students remains limited, despite the fact that student well-being has direct implications on their academic and professional success. To contribute to this line of research, we surveyed MSW students about their perceptions of health, sources of stress and anxiety, and recommendations for program changes to support student mental health. Methods: A collaborative working group was formed between students, faculty, and the student health center at a mid-western university as part of a larger effort to improve student mental health. A Qualtrics survey was distributed to 249 currently enrolled MSW students. Perceptions of student health, mental health, health-related behavior, contextual sources of stress and anxiety, and quality of relationships were assessed using standardized scales and project-specific items. Three open-ended questions were used to assess how the climate of the program contributed to positive or negative mental health and suggestions for improving the well-being of students. Out of 249 MSW students, 130 (52.2%) responded to the survey. A subset of approximately 70 respondents provided responses to the open-ended questions. Respondents predominantly identified as: female (79.2%), White (80.9%), heterosexual (60.3%), and between 22 and 29 years old (68.7%). Just over 10% of the sample had dependent children and 22.1% were first-generation college student. Descriptive statistics provide information on study measures. Students’ verbatim, short responses were analyzed through a conventional approach to thematic analysis. Results: Over 63% of the students reported they were in good to excellent health but poor physical or mental health kept students from doing usual activities for 5.98 (SD=6.26) days out of the last month. Moderate to severe depressive symptoms were reported by 23.8% of students and 79.2% reported higher than average perceived stress. Highest sources of stress included managing class work, finances, academic work hours and mental health concerns. Approximately 18% of students reported suicidal ideation in the past 30 days and 28% reported at least one episode of binge-drinking in the past two weeks. Students reported that their mental health was positively impacted by mental health promotion, social support from peers and faculty, and diversity of students, faculty, and staff. Negative impacts to student mental health included equity issues and communication issues, negative school climate, and teaching and curriculum issues. Recommendations to improve student well-being focused on program administration, school climate, curriculum and teaching methods, and resources to support student mental health. Conclusions and Implications: Our study represents a unique collaboration among students, faculty, and university administrators to examine mental health and propose action steps in the context of student-identified stressors. Our process and findings are relevant to other social work programs seeking to improve student mental health.",
      "authors": "Lynette M. Renner; Laura Soltani; Patricia Shannon; William Carlson",
      "author_ids": "113619; 123754; 110231; 123755",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "mixed_methods",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3357556291,
        "prompt_eval_count": 1596,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:37:17.753878+00:00"
    },
    {
      "input_index": 1480,
      "record_key": "SSWR:2023-U-0815",
      "source_database": "SSWR",
      "record_id": "2023-U-0815",
      "year": 2023,
      "title": "Bullying Involvement, Neglectful Parenting, and Suicidal Thoughts Among African American Youth in Chicago Southside",
      "abstract": "Background/Purpose Although a decrease in suicide rates has been reported among White and First Nations adolescents, especially in recent years, there has been an increasing trend among African American adolescents, which is a serious public health concern. Given that suicidality is one of the leading causes of death among adolescents in the USA, according to the Centers for Disease Control and Prevention, research has identified several antecedents of suicidal thoughts and behaviors, such as psychological distress and a lack of peer support. Less explored are types of parenting behaviors and how they might be related to adolescent suicidal thoughts, especially among African Americans in urban communities. In addition, fewer studies have examined how bullying perpetration and victimization may be related to suicidal thoughts differently. The current study specifically examined these aspects among a sample of African American adolescents in urban neighborhoods. Methods The study used data from a convenience sample of African American adolescents and their parents in Chicago Southside. A total of 131 adolescents and their parents participated in the study, and 113 complete cases were used for the analyses. The dependent variable, suicidal thoughts indicated youth never (0) or ever had suicidal thoughts (1). One set of independent variables was bullying perpetration and bullying victimization, which assessed the frequency of involvement in bullying perpetration and victimization in the last 30 days. Responses ranged from never (0) to 7 or more times (4) Mean responses were used, with higher values indicating more frequent perpetration or victimization. Another set consisted of authoritative, authoritarian, neglectful, and permissive parenting styles. Responses were rated on a five-point scale. Mean responses for each parenting style were used, with larger values indicating more prone to a parenting style. Covariates include child age, sex, sexual orientation, depression, family structure, and receiving government assistance. Results About one-fifth had suicidal thoughts. Multivariate models show that neglectful parenting ( b = 2, p = 0.01) and bullying perpetration ( b = 1.6, p = 0.4) were positively associated with suicidal thoughts. In addition, youth depression ( b = 1.8, p = 0.03) was positively associated with suicidal thoughts, while receiving government assistance was negatively associated with suicidal thoughts ( b = -2.9, p = 0.01). Conclusions/Implications Given that depression, neglectful parenting, and bullying perpetration are positively associated with suicidal thoughts, it is imperative that practitioners, particularly social workers working with adolescents in urban areas thoroughly assess not only individual characteristics, but also adolescents’ relations with their parents and peers. For adolescents whose parents are characterized as neglectful, practitioners might need to carefully identify and assess barriers that inhibit the development of positive parent-child relationships. Practitioners also need to assess the types of relationships adolescents have with their peers and consider intervention that teaches social skills and prosocial behaviors. Practitioners and youth workers need to advocate for greater access to needed resources for African American adolescents in Chicago, many of whom are confronted with structural disadvantages in their community.",
      "authors": "Jun Sung Hong; Saijun Zhang; Dexter R. Voisin",
      "author_ids": "110327; 111051; 109206",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3364658875,
        "prompt_eval_count": 1561,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:37:27.945364+00:00"
    },
    {
      "input_index": 1481,
      "record_key": "SSWR:2023-U-0017",
      "source_database": "SSWR",
      "record_id": "2023-U-0017",
      "year": 2023,
      "title": "Changes in Suicide Rate of Older Adults According to Gender, Age, and Region in South Korea from 2010 to 2017",
      "abstract": "Background/Purpose : South Korea's suicide rates are the highest among Organization for Economic Co-operation and Development (OECD) countries, making it one of the important societal issues in South Korea. There are gender gaps in terms of suicidal rates between males and females among older adults; the suicide rate of Korean older adults aged 65 and older was 78.9 in males and 24.7 in females per 100,000 in 2017. Also, we have discovered that older adults commit suicide at a significantly higher rate than other age groups (the number of deaths per 100,000 persons in 2019; 27.4 in 15 to 64-years-old, and 46.6 in those aged 65 years and older). These patterns are related to characteristics of geriatric suicide which includes complex aspects of the phenomenon. The purpose of this study is to examine changes in geriatric suicide rates that differed by gender, age, and regions during the period between 2010 and 2017. Methods : Data and samples: The statistics on causes of death and resident registration central population (RRCP) provided by the National Statistical Office was used. Measures: The suicide rate was calculated for every 100,000 people in each city, county, and district from 2010 to 2017 using the formula '(number of suicides/mid-year population) x 100,000’. We examined gender (male, female), age (young-old, old-old), and region (urban, rural) by conducting latent growth modeling using SPSS 25.0 and M-plus 8.0 programs to estimate changes in the overall older adult suicide rate and verify its relationship. Results : Over a period of 8 years, the older adult suicide rate was 104.232 on average in 2010 and it decreased by approximately 10.317 every year, and the rate of decrease gradually slowed down. The initial value of the older adult suicide rate was found to be higher among males (B=-96.314, p <.001), the old-old group (B=57.946, p <.001), and those living in rural regions (B=10.932, p <.001). In the quadratic function change rate, only male (B=-.524, p <.05) and old-old (B=.501, p <.05) were statistically significant. Conclusions and Implications : The quadratic function change model was shown to be the most appropriate for the changing pattern of the older adult suicide rate from 2010 to 2017. Over 8 years, the older adult suicide rate decreased over time, and the rate of decrease gradually slowed down. Gender was discovered to be a significant influencing factor on both the initial value and the change rate of the older adult suicide rate as a result of the conditional model analysis. This suggests that males commit suicide at a higher rate than females among the aging population, and the declining trend slows down over time. The older adult suicide rate was initially greater in the old-old, and the pace of decline was relatively rapid as time passed. This longitudinal study not only extends existing information about changes in suicidal rates in older adults but is also expected to provide valuable insights which address the relationship between suicidal factors and suicidal rates.",
      "authors": "Kyu-Hyoung Jeong; Seoyoon Jane Lee; Sunghwan Cho; Hyun-Jae Woo; Sunghee Kim",
      "author_ids": "123224; 121397; 122984; 123225; 123226",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3603428834,
        "prompt_eval_count": 1677,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:37:31.550680+00:00"
    },
    {
      "input_index": 1484,
      "record_key": "SSWR:2023-P-0153",
      "source_database": "SSWR",
      "record_id": "2023-P-0153",
      "year": 2023,
      "title": "Clinician Perspectives on an Integrated Adolescent Substance Use and Suicide Treatment",
      "abstract": "Background and Purpose: Suicide is the second leading cause of death among youth aged 10-14 and the third leading cause of death for youth aged 15-24. Up to 46% of adolescents who attempt suicide report being under the influence of alcohol or other drugs. Despite the functional interrelationship between suicide and substance use in adolescents, there are no evidence-based interventions addressing suicide risk for adolescents in substance use treatment. The purpose of this study is to develop and test an intervention targeting suicidal thoughts and behaviors (STB) among adolescents in outpatient substance use treatment. In the first phase of this study, we conducted qualitative in-depth interviews with clinicians at an adolescent outpatient substance use program to understand how they currently address STB. The findings of this phase will inform the development of the integrated Suicide Intervention for Teens who use Substances (iSITS), which will be evaluated through a pilot trial in subsequent phases. Methods: Participants in this study phase were 5 clinicians (3 social workers and 2 psychiatrists) working at an outpatient substance use clinic in a major Northeastern city (Average years practiced=9.4; 80% female; M Age =42). Clinicians participated in 60-minute in-depth semi-structured interviews over Zoom to explore their experiences working with adolescents with STB. Clinicians were also presented with components of the integrated Alcohol and Suicide Intervention for Suicidal Teens (iASIST) and asked for feedback on adapting a similar model for their setting. All interviews were audio-recorded and transcribed. A codebook was developed with both deductive codes from the interview guide and inductive codes from topics participants shared. All transcripts were double-coded. Data were entered into Nvivo12 for analysis. Results: Interviews revealed that these clinicians are addressing STB, but they do not use a consistent evidence-based or integrated framework, and three out of five clinicians identified their own anxiety in addressing STB as a barrier to treatment provision. While all clinicians reported engaging in suicide screening, risk assessment, and safety planning, no single validated tool is used across the clinic for these purposes. These clinicians are already using many of the components of iASIST including assessing and enhancing motivation for change and goal-setting, but not connecting these elements to suicide. Clinicians felt that additional training around formalized safety planning and other aspects of an integrated treatment protocol would be helpful. The most consistent concern expressed by clinicians was having the time and resources to effectively implement an integrated intervention. Conclusions and Implications: Our findings suggest that clinicians providing outpatient substance use treatment to adolescents already have many of the clinical skills to effectively address STB in this population. However, integrated treatments are needed to systematically address STB in adolescents in substance use treatment. Integrated treatment for substance use and STB can build on clinicians’ existing skills, boost clinician confidence, and help adolescents better understand the connection between their substance use and STB. The clinicians interviewed provided valuable feedback on iASIST that will be used to develop iSITS for use in outpatient substance use treatment settings.",
      "authors": "Christina M. Sellers; Sky Gavis-Hughson; Carly Burton; Kimberly H. McManama O'Brien; Jennifer Merrill; Anthony Spirito",
      "author_ids": "116177; 123516; 123517; 110756; 123518; 113789",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3300911291,
        "prompt_eval_count": 1544,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:37:41.672647+00:00"
    },
    {
      "input_index": 1486,
      "record_key": "SSWR:2023-P-0066",
      "source_database": "SSWR",
      "record_id": "2023-P-0066",
      "year": 2023,
      "title": "Cyberbullying Victimization and Its Influence on Psychosocial and Behavioral Problems of Sexual Minority College Students during COVID-19",
      "abstract": "Background and Purpose Little research has examined the role of cyberbullying victimization to understand its influence on depression, drug use, and suicidal thoughts/behaviors of sexual minority students. Since COVID-19 began, college students have spent more time in cyberspace for online education or social activity. Increased time in cyberspace is likely to lead to greater exposure to cyberbullying among college students, particularly sexual minority students. The unpredictability of long-term consequences of COVID may escalate psychological and behavioral fatigue. This study examined the influence of cyberbullying victimization on psychosocial and behavioral problems in sexual minority college students during the COVID-19 epidemic by employing general strain theory and minority status-related stress theories. Methods Data were collected at two midwestern and south-central United States universities during the 2021 fall semester by using a cross-sectional study with an online survey. A total 317 college students included in the final analysis were 18 to 24 years old or older; 69.7% were female; 49.8% were White, 34.0% were Hispanic, and 16.2% were of other race/ethnicity. Structural Equation Modeling (SEM) was used to test the direct association (Hypothesis 1, sexual minority status in college students will be associated with an increase in risk of high levels of depression, drug use, and suicidal thoughts/behaviors) and the indirect associations (Hypothesis 2, sexual minority status in college students will likely involve in cyberbullying victimization, and those college students will be associated with higher levels of depression, drug use, and suicidal thoughts/behaviors). Results The goodness-of-fit indices were CFI = .952, TLI = .943, SRMR = .053, RMSEA = .041. Estimated fit indices showed that the model was an acceptable model fit. For the first hypothesis, sexual minority status was positively associated with high levels of depression ( β = .379, p = .007) and cyberbullying victimization ( β = .486, p = .001), and cyberbullying victimization was positively associated with drug use ( β = .236, p = .015). For the second hypothesis, cyberbullying victimization was a significant mediator between sexual minority status and high levels of depression ( β = .162, 95%; CI = .051 to .273). Conclusions and Implications This exploratory study provides evidence that sexual minority status in college students is associated with an increase in the risk of becoming a victim of cyberbullying, which can contribute to high levels of depressive symptoms. These findings have implications for educators and administrators who work to reduce psychosocial and behavioral problems in sexual minority college students who have been victims of cyberbullying. For example, awareness groups on college campuses that promote and create LGBTQIA+ acceptance and provide education and access to counseling and other mental health services should be prioritized. Also, the importance of providing mental health support services to cyberbullying victims cannot be overstated.",
      "authors": "Jaegoo Lee; Jeoung Min Lee; Hailey Hyunjin Choi; Cory Borsdorf",
      "author_ids": "111090; 115406; 123330; 123331",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3389602667,
        "prompt_eval_count": 1589,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:37:48.699666+00:00"
    },
    {
      "input_index": 1487,
      "record_key": "SSWR:2023-P-0152",
      "source_database": "SSWR",
      "record_id": "2023-P-0152",
      "year": 2023,
      "title": "Designing a Trauma-Informed Maternal Mental Health Intervention for Acute Stress Events",
      "abstract": "Background and purpose: Perinatal mood and anxiety disorders (PMADs) address the spectrum of perinatal mental health challenges, including depression, anxiety, post traumatic stress disorder (PTSD), obsessive compulsive disorder, and postpartum psychosis during and after pregnancy. Anywhere between 7% to 63% of mothers will experience PPD globally. Currently, the main cause of maternal death after birth of a child is suicide relating to PMADs. Previous studies have indicated postpartum care that is not trauma-informed or culturally sensitive can contribute to postpartum mental health challenges. Despite these known risks, there are few interventions addressing the host of challenges presented. There are multiple promising research endeavors centered on providing tele-mental health for PPD; however, none are within the context of COVID-19 trauma or other acute stressful events, and none specifically address racial and ethnic disparities in the perinatal care experience. To fill this gap, an intervention was developed from research conducted during the COVID-19 pandemic on acute stressful events, environmental stressors, and postpartum mental health. The developed intervention has the potential to bridge the gap in maternal mental health disparities by providing a no-cost, trauma-informed tele-mental health intervention for PMADs. Methods: This research used previously collected and analyzed data from a study investigating the experiences of mothers belonging to marginalized groups who became mothers during the COVID-19 pandemic. The original study centered on environmental conditions of perinatal care, perceived racism, trauma experienced, and the perinatal experience. The study used a qualitative story inquiry design that gathered stories from pregnant mothers (n=15), mothers who gave birth (n=35), nurses, doulas and midwives who worked with perinatal populations (n=5), and persons who were support people (n=5) to perinatal populations. The original study centered around the Theory of Supportive Care Environments and focused on what factors created a supportive care environment for mothers during the perinatal period. Using this analyzed data, the research team used intervention mapping, which is a six-step documented process for creating an intervention. Results: These findings illuminated specific, contextual ways that therapeutic providers could create a safe, culturally relevant, trauma-informed space for mothers experiencing mental health challenges. The intervention matrix contains five research informed modules (Depression, Pervasive Uncertainty, Social Connection, Health Care Empowerment, and Maternal Role) in addition to 3 potential add-ons (Suicidality, Cultural Specificity, and IPV) based on clinician decisions. Each module includes goals, targets, and resources for clinicians. Conclusions and Implications: This intervention was evidence-based and trauma-informed and has the potential to overcome multi-dimensional disparities in maternal mental health care. Participants will learn steps to intervention development that are culturally, trauma, and research informed. In addition, participants will understand specific environmental stressors that impact those giving birth and how that impacts their mental health.",
      "authors": "December Maxwell; Regina T. Praetorius; Jessica Williams; Lacey Quinones",
      "author_ids": "116794; 113665; 119384; 123514",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "prompt_eval_count": 1539,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:37:52.048009+00:00"
    },
    {
      "input_index": 1488,
      "record_key": "SSWR:2023-P-0146",
      "source_database": "SSWR",
      "record_id": "2023-P-0146",
      "year": 2023,
      "title": "Determinants of Suicide Prevention Resource Utilization: An Online Ethnography of a Forum Targeting Air Force Members and Veterans",
      "abstract": "Background and Purpose: Suicide remains a leading cause of death among veterans and military personnel, with veteran suicide occurring at disproportionately higher rates than civilian counterparts. Limited research has been conducted that investigates the role of social media in facilitating suicide prevention among this population. This online ethnography explores an online community for Air Force members and veterans’ collective interpretation and engagement with suicide and mental health prevention resources. Further consideration was given to communication of various stigma and barriers that may inhibit resource utilization. This study was conducted with the juxtaposition of two modern epistemological approaches to suicide: the cultural-structural theory of suicide and the interpersonal theory of suicide. Methods: This online ethnography completed analysis of publicly available archival data ranging from 2020-2021 located on a social media forum for current and former U.S. Air Force members. Data collection solely consisted of archival posts made under online pseudonyms and no direct contact or engagement was made with forum members. The qualitative analysis implemented an observation of 100 archival posts and 3,211 comments addressing the topic of suicide. Research design was guided by the LiLEDDA method, with the implementation of inductive coding processes including open, descriptive, and pattern techniques. Posting content ranged from text to images and video. Postings were copied directly from the online forum and transferred to NVivo qualitative software for coding. Results: Analysis yielded four primary themes: 1) fear of an unknown future, which manifests through uncertainty in where organizational needs supersede an individual’s ability to continue military service. This is compounded by fear of losing either stability or status because of seeking out support. 2) Supportive community processes, in which online communication subverts cultural and structural barriers to facilitate engagement and connection. 3) A shifting mental health culture, where stigma is driven by structural factors rather than internalized beliefs of weakness. Active attempts are made to encourage engagement with available resources. 4) Resource strain, where limitations across systems facilitate individual stressors. Conclusion and Implications: Findings support the need for incorporating cultural and structural perspectives when addressing suicide prevention among military members and veterans. Forum members seek out online support for the benefits of shared community understanding, absent the cultural and structural demands that may perpetuate various forms of stigma. The implications for this research study include a highlighted need for further study of digital spaces and interventions that leverage the use of social media. Developing prevention strategy that reflects systemic factors influencing suicide is critical.",
      "authors": "Josh Bylotas",
      "author_ids": "123497",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3141188167,
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        "eval_count": 24
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      "screened_at": "2026-08-02T18:37:55.190894+00:00"
    },
    {
      "input_index": 1490,
      "record_key": "SSWR:2023-P-0034",
      "source_database": "SSWR",
      "record_id": "2023-P-0034",
      "year": 2023,
      "title": "Double Jeopardy: New Evidence on the Co-Relations of Homelessness and Severe Personality Disorder",
      "abstract": "Background and Purpose: Compared to the general population, adults diagnosed with personality disorder (PD), especially antisocial PD (ASPD), have greater odds of experiencing homelessness. However, few studies have explored risks of homelessness among persons with PD. This study identifies important behavioral health and socioeconomic correlates of past-year homelessness for persons with the following PDs: ASPD, borderline (BPD), and/or schizotypal (SPD). Methods : The sample included respondents with ASPD, BPD, and SPD from the third wave of the National Epidemiological Survey on Alcohol and Related Conditions (NESARC-III). The Alcohol Use Disorder and Associated Disabilities Interview Schedule-5 assessed PDs, lifetime suicide attempt, and past-year anxiety, mood, post-traumatic stress, and substance use disorders. Socioeconomic variables included: family income , fired/laid off in the past year from work, debt, health insurance, past-year unemployment, and receipt of welfare benefits. Analyses were adjusted for demographic characteristics, such as age, sex, race/ethnicity, relationship status, and justice-involvement, and weighted to account for the NESARC-III’s sampling design. Descriptive statistics were conducted before testing separate logistic regression models to identify the odds of homelessness for each PD. Results : For all PDs, higher family income was inversely related to odds of homelessness, whereas overwhelming debt was positively related to homelessness. Being fired/laid off was significant for those with ASPD (OR = 2.33, 95%CI: 1.22, 4.41). Unemployment was associated with higher odds of homelessness for each category except ASPD. Lack of health insurance was associated with higher odds of homelessness for each PD except ASPD and highest for those with SPD (OR = 1.75, 95%CI: 1.13, 2.71). Receipt of welfare was also associated with higher odds of past-year homelessness for each PD, highest for those with ASPD (OR = 3.79, 95%CI: 2.17, 6.62) and lowest for SPD (OR = 2.40, 95%CI: 1.43, 4.03). Past-year psychiatric disorders were uncorrelated with homelessness; however, for those with ASPD, comorbid BPD was positively associated with homelessness (OR = 2.34, 95%CI: 1.23, 4.45) and for those BPD, comorbid ASPD was associated with significantly higher odds of homelessness (OR = 1.70, 95%CI: 1.17, 2.47). Lifetime suicide attempt was associated with homelessness, with odds highest among those with SPD (OR = 2.19, 95%CI: 1.36, 3.53) and lowest for BPD (OR = 1.51, 95%CI: 1.11, 2.06). Conclusions and Implications : This study explored, using nationally representative data, socioeconomic and behavioral health factors associated with homelessness for persons diagnosed with PD. For those with PD, economic and occupational factors were more frequently and strongly associated with homelessness than behavioral health comorbidities. Actionable strategies exist to promote economic security, stable relationships, engagement in treatment services, and more positive interpersonal functioning. Treatments, such as dialectical behavior therapy, may address difficulties in personality functioning and contribute to improvement in other domains of psychopathology, as personality, although typically understood as stable over time, may respond to clinical intervention.",
      "authors": "Nathaniel Dell; Vaughn Michael; Jin Huang; Michael A. Mancini; Brandy R. Maynard",
      "author_ids": "115314; 123182; 108620; 109773; 111859",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "prompt_eval_count": 1697,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:38:02.238101+00:00"
    },
    {
      "input_index": 1491,
      "record_key": "SSWR:2023-U-0170",
      "source_database": "SSWR",
      "record_id": "2023-U-0170",
      "year": 2023,
      "title": "Examining Sexual Identity, Mental Health Outcomes, Victimization, and Health Risk Behaviors Among Black LGBQ Adolescents in the United States",
      "abstract": "Background and Purpose: Lesbian, gay, bisexual, and questioning (LGBQ) adolescents in the United States (U.S.) face a disproportionate number of health risks compared to their heterosexual peers. Research indicates that compared to heterosexual peers, LGBQ adolescents are at greater risk of experiencing mental health challenges, multiple forms of victimization, and engagement in risky health behaviors. Yet, less is known about adolescents who self-identify as both LGBQ and Black. Accordingly, this study is grounded in core aspects of the Health Equity Promotion Model and examined the association between sexual identity and a broad range of health risk behaviors and outcomes among Black adolescents. Methods: Data for this study were obtained from the 2017 and 2019 Youth Risk Behavior Survey (YRBS). An analytic sample of 4,798 Black adolescents (51.2% female) was analyzed using multivariate logistic regression. The 24 outcome variables investigated were categorized into broader domains of mental health (e.g., suicidal behavior), victimization (e.g., cyberbullying), violent behaviors (e.g., physical fighting), risky driving behaviors (e.g., driving while intoxicated), risky sexual behaviors (e.g., sex before age 13), and substance use (e.g., misuse of prescription pain medication). The main explanatory variable was sexual identity. All analyses controlled for the effects of age and sex. Results: Among participants, 82.6% self-identified as heterosexual/straight, 3.7% gay/lesbian, 9.3% bisexual, and 4.5% were not sure about their sexual identity. Compared to those who self-identified as heterosexual/straight, Black adolescents who self-identified as LGBQ had between 1.78 to 3.01 times higher odds of reporting worse mental health, 1.84 to 2.7 times higher odds of being victimized, and 1.70 to 2.11 times higher odds of engaging in violence-related behaviors. Black adolescents who self-identified as gay/lesbian had 4.84 times higher odds of driving while intoxicated compared to those who self-identified as heterosexual/straight (AOR = 4.84; 95% CI=1.65-14.14; p < .001). With respect to risky sexual behaviors, Black adolescents who self-identified as gay/lesbian had 3.98 times higher odds of having sex before age 13 compared to those who self-identified as heterosexual/straight (AOR = 3.98; 95% CI=1.86-8.53; p < .01). Black adolescents who self-identified as LGBQ had between 1.68 to 9.21 times higher odds of engaging in substance use compared to those who self-identified as heterosexual/straight. Conclusions and Implications: Findings from this study demonstrate that Black LGBQ adolescents were more likely to experience worse mental health, victimization, and behavioral outcomes compared to their Black heterosexual/straight peers. Therefore, Black adolescents who belong to both racial and sexual minoritized groups deserve unique support and resources within their respective communities to facilitate healthy development. Study results also emphasize that health risk within the Black LGBQ adolescent population is heterogeneous and should not be addressed with “one size fits all” strategies. Future studies should examine school-based interventions that promote school safety and behavioral interventions that might be beneficial for adolescents with multiple marginalized identities.",
      "authors": "JaNiene Peoples; Hannah Szlyk; Phillip Baiden; Melissa Vázquez; Danielle R. Eugene; Patricia Cavazos-Rehg",
      "author_ids": "122638; 115769; 113715; 123561; 118748; 115340",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3625356417,
        "prompt_eval_count": 1673,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:38:05.865375+00:00"
    },
    {
      "input_index": 1494,
      "record_key": "SSWR:2023-U-0808",
      "source_database": "SSWR",
      "record_id": "2023-U-0808",
      "year": 2023,
      "title": "Factors Impacting Suicide Ideation Among Young Adult Immigrants during the COVID-19 Pandemic",
      "abstract": "Background & Purpose : Research shows that in the United States, emerging and young adults aged 18-34 have increased risk for suicide. While there is extensive literature dedicated to examining suicide risk and protective factors among at-risk groups, much less is known about these factors among immigrant populations, especially since the onset of the COVID-19 Pandemic. Evidence suggests that systemic disadvantages have led to disproportionate rates of COVID-19 exposure, economic disadvantage, increased discrimination and stigmatization among immigrants and racial minorities during the COVID-19 pandemic, with implications on mental health. Emerging studies indicate a growing trend of increased risk for suicide behavior among immigrants and ethnic minorities compared to the general population. This study aimed to explore prevalence and biopsychosocial predictors of suicidal ideation among young adult immigrants in the U.S. during the COVID-19 pandemic. We hypothesized that discrimination, financial strain, limited social connection and mental health distress will be significantly associated with suicide ideation. Method : Cross sectional survey data was collected in 2021 using a self-administered online questionnaire. The sample consisted of 419 first- and second-generation immigrants across the United States. For this study, we analyzed a sub-sample of young adults aged 18-34 ( N =138, average age 26, SD = 4.3). Our independent variable was a binary measure of suicide ideation. Predictor variables included gender, substance use-coping (Brief Cope Scale; a =.87), depression and anxiety symptoms (Patient Health Questionnaire; a =.87), Covid-induced financial worries, limited social connection, and everyday discrimination (Everyday Discrimination Scale; a =.85) Control variables included age, immigrant generation, race, relationship status, income, and education level. Because the outcome measure was dichotomous, logistic regression was conducted to analyze the data. Results : Descriptive statistics showed that the sample consisted of 70% female, 45% first-generation immigrants and 55% single. Racial/Ethnic composition consisted of 31% Black, 39% Asian, 17% Hispanic and 11% Other. Approximately 42% of the sample endorsed having suicide ideation since the onset of Covid-19 and 36% reported moderate to severe symptoms of depression and anxiety. At the bivariate level, substance use-coping, discrimination, mental health distress and financial worries were significantly associated with suicide ideation (p <.05). Results from the multivariate analyses (Pseudo-R 2 = .456) showed that higher rates of perceived discrimination (OR = 1.42, p = 0.001), and elevated depression and anxiety symptoms (OR = 1.24, p = 0.017) were associated with greater odds of suicidal ideation post COVID-19. Additionally, individuals who endorsed worries about finances due to COVID-19, were five times more likely to have suicidal ideation compared to those who did not (OR = 5.08, p = 0.011). Conclusion & Implications : Findings underscore the detrimental impact of discrimination and financial stress on suicide risk among immigrants during the COVID-19 pandemic. Implications for social work practice include provision of holistic assessment and supports with particular attention to discrimination experiences, financial worries, and mental health needs for at-risk immigrant groups. More research is needed to determine contextual influences on suicide risk during the pandemic on mezzo and macro levels.",
      "authors": "Sherina K. Saasa; Ty Beard; Rebekah Hill; Keeley Doyle; Abha Rai",
      "author_ids": "116095; 124551; 124552; 124553; 114638",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3619925875,
        "prompt_eval_count": 1664,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:38:16.550310+00:00"
    },
    {
      "input_index": 1496,
      "record_key": "SSWR:2023-U-0252",
      "source_database": "SSWR",
      "record_id": "2023-U-0252",
      "year": 2023,
      "title": "Financial Hardships and Mental Health Crisis: An Examination of Young Adults' COVID-19 Pandemic Experiences",
      "abstract": "Background and Purpose. The unprecedented financial instability triggered by the COVID-19 pandemic has alarmed researchers about the financial hardships and potential high suicide rates. Half of Americans have experienced loss in employment income and over a quarter of Americans are now experiencing housing insecurity as a result of the pandemic. Suicide rates have risen in recent years and oftentimes hit high marks when there are economic downturns. This study examines multiple financial hardships during the Covid-19 and its relationship with suicide ideation and attempts using a nationally representative sample of emerging adults. Methods. A cross-sectional, online survey was administered in January 2021 to emerging adults 18 to 29 recruited through Qualtrics Panels (N = 1,080). Six self-report, retrospective measures of financial hardships were included. These measures assess financial strains since the start of Covid-19 around food security, housing security, bill payment, medical care and prescription, and childcare. Suicide-related outcomes included self-reported suicidal ideation and attempt in the past 12 months. Descriptive statistics and logistic regressions were used to model associations between each type of financial hardship and suicide-related outcomes, controlling for demographic and socio-economic variables. Results. We found that during the Covid-19, 40% of our sample had experienced at least one financial hardship out of six examined. Among all hardships, most respondents had difficulty in paying bills (29.83%, n=321), followed by paying rents or mortgage (21.94%, n=235) and affording medical care (20.67%, n=223). About 15% reported difficulty paying for prescription, while about 11% couldn’t afford childcare. Bivariate analysis showed suicide ideation were significantly associated with all financial hardships except childcare hardship. Suicide attempts were associated with hardships related to bill payment, affording medical care and filing prescription. Multivariate logistic regressions controlling for demographic and socioeconomic covariates showed that cumulative financial hardships were predictive of suicide ideation (OR = 1.27, z = 4.99) as well as suicidal attempts (OR = 1.33, z = 4.58). Conclusions and Implications . This study indicates that financial hardships triggered by the Covid-19 pandemic – including difficulties in paying bills, affording food and medical care, paying mortgage or rent – has potential to contribute to higher rates of suicide. The finding that cumulative financial hardships were significantly associated with increased suicide risks underscores the need to examine each financial strain for optimal assessment and specific prevention of suicide.",
      "authors": "Zibei Chen; Lisa Fedina; Jordan E. DeVylder; Catherine M. Lemieux; Cheryl King",
      "author_ids": "112594; 114451; 112063; 109992; 122158",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3158826250,
        "prompt_eval_count": 1466,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:38:23.036399+00:00"
    },
    {
      "input_index": 1497,
      "record_key": "SSWR:2023-U-0033",
      "source_database": "SSWR",
      "record_id": "2023-U-0033",
      "year": 2023,
      "title": "Gender-Based Violence and Suicide Ideation Among Gender Variant Communities in the United States",
      "abstract": "Background and Purpose: Transgender communities disproportionality experience multiple and overlapping forms of gender-based violence. They report higher suicidal ideation (SI) and suicide attempts than the general population. Transgender is often used as an umbrella term inclusive of the spectrum of individuals whose gender identities differ from their assigned sex at birth, including gender non-conforming, nonbinary, genderqueer, and crossdressers. Moreover, violence and suicide-related data are rarely stratified by race and ethnicity. The present study sought to identify predictors of gender-based violence experiences in individuals with gender expansive identities among different racial/ethnic groups. Methods: Secondary analyses were conducted on the United States Transgender Survey ( N = 27,204). Gender was a categorical variable consisting of five categories: crossdresser (2.73%), transgender woman (33.21%), transgender man (28.69%), genderqueer/nonbinary assigned female at birth (28.44%), and genderqueer/nonbinary assigned male at birth (6.93%). Race was a categorical variable consisting of six categories: Alaska Native/American Indian alone (1.15%), Asian/Native Hawaiian/Pacific Islander (2.83%), Biracial/Multiracial/Not listed (5.27%), Black/African American alone (2.85%), Latino/a/Hispanic alone (5.28%), white/Middle Eastern/North African) alone (82.61%). The dependent variable, SI, was measured as a dichotomous variable in response to the question, “In the past 12 months, have you thought about killing yourself?” The independent variables were gender, race, employment status, trading sex for food, trading sex for a place to sleep, exposure to violence, and age. Bivariate, multivariable, and nested models were used to examine the association between the independent and dependent measures. Results: The weighted full main effects model is significant. With transgender women as the reference group, all other gender categories are significantly less likely to have SI. While transgender men are significantly less likely (aOR=.676) than transgender women to have SI, transgender women are 1.48 times more likely (1/.676) to have SI than transgender men. In the race variable, Biracial/Multiracial (aOR=2.0) and white (aOR=1.54) participants were significantly more likely than Black/African-American participants to have SI. Every year of increased age is associated with a reduced likelihood (aOR=.960) of SI. Being employed part-time (aOR=.77) or fulltime (aOR=.68) compared to unemployed is associated with reduced SI. Trading sex for food or a place to sleep was not significant. Lastly, increasing exposure to violence is significantly associated with increased odds of having SI. The only significant nested effect is gender nested in white. When comparing transgender women to all of the other gender categories, within the six self-identified racial/ethnic groups, transgender women are significantly more likely (OR 1.84-1.89) to have SI than those who identified as transgender men, AFAB and AMAB, within those who identified as white. Conclusions and Implications: This study builds upon prior research by examining the links between violence exposure and SI based on gender identity and race/ethnicity. Several factors impact SI among the diverse members of nonbinary subpopulations. Identities including race, gender, age, and experiences regarding employment, exposure to violence, and transactional sex result in various associations with SI. Approaches to mental health and suicide prevention for these groups must consider the various factors facing transgender and gender expansive individuals when developing potential interventions.",
      "authors": "Latoya A. Small; Sarah Godoy; Caitlin Lau; Todd M. Franke",
      "author_ids": "112806; 121653; 123253; 109342",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3650690916,
        "prompt_eval_count": 1702,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:38:26.688968+00:00"
    },
    {
      "input_index": 1498,
      "record_key": "SSWR:2023-P-0271",
      "source_database": "SSWR",
      "record_id": "2023-P-0271",
      "year": 2023,
      "title": "Healing on a Hog: A Qualitative Study of Veterans' Experience with Wind Therapy during COVID-19 Pandemic",
      "abstract": "Little is known about the therapeutic benefits of social motorcycle riding, anecdotally called wind therapy (WT), for self-managing military trauma, specifically how it works to reduce trauma symptoms and suicidality and increase social connection and resilience in veterans who ride. Across the US, several veteran-serving treatment programs have begun to integrate formal WT programs, and thousands of veterans are members of veteran motorcycle clubs. This study elucidates the therapeutic elements of WT and the characteristics of veterans who participate in it. Such contributions are significant because these findings lay the foundation for future research into the efficacy of WT to reduce mental health concerns and suicidality among veterans with military trauma. A descriptive phenomenological design was used to explore the lived experiences and outcomes of WT for veterans who participated in group or solo riding to self-manage stress during the COVID-19 pandemic. Semi-structured, qualitative interviews were conducted with a purposive sample of 16 veterans who met inclusion criteria’s (5 female, age M 46.96, SD 10.70). Once transcribed, Colaizzi’s (1978) seven steps of analysis were applied to the data. Two independent coders blindly extracted significant statements ( N = 56), formulated statements into meanings, and collated these into themes ( N = 9). Themes were integrated into an exhaustive description to establish the structure of the phenomenon. Nine collated themes for veterans who engaged in WT during COVID-19 were grouped as follows: lived experiences, therapeutic aspects, how it works, benefits, drawbacks, gateway to conventional therapy, veterans who benefit least from wind therapy, riding during the pandemic, and social connections. Greater than 80% of the participants emphasized the importance of taking safety precautions, which included being properly trained, wearing necessary gear, refraining from riding if actively suicidal, and limiting riding in inclement weather. Greater than 70% of the participants reported experiencing mental health symptoms since their military discharge, while 50% reported having active symptoms. Each of these participants endorsed the use of wind therapy as a coping strategy that helps them manage their mental health. Benefits included a reduction in racing thoughts, increased sleep quality, balanced mood, and an overall reduction of symptoms. A final interesting finding is that WT participation through veterans’ motorcycle clubs facilitates social connections with other veterans and mirrors familiar aspects of military service, such as including elements of military structure and reinforcing camaraderie. The results of this study identify the characteristics of motorcycle riders who engaged in WT during the pandemic to self-manage military trauma and formulates an intersection between the social and mental health benefits of WT. This nontraditional therapy meets the veteran where they are--on a motorcycle. This emerging and substantively different approach to veteran mental health has the potential to open new horizons for less stigmatized therapeutic interventions designed to meet the specific needs of veterans with posttraumatic stress injuries. Additional implications include the humanizing of veteran motorcycle riders to the public, defining riding as a protective factor for suicide-vulnerable veterans, and elucidating the importance of WT as a valuable leisure activity for veterans that withstood the pandemic.",
      "authors": "LaTisha Thomas; Donna L. Schuman; Christine Highfill",
      "author_ids": "123789; 113713; 123790",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "prompt_eval_count": 1570,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:38:30.016271+00:00"
    },
    {
      "input_index": 1499,
      "record_key": "SSWR:2023-P-0267",
      "source_database": "SSWR",
      "record_id": "2023-P-0267",
      "year": 2023,
      "title": "How Much Is Enough and Who Should Decide? Opinions of Pediatric Youth Suicide Attempt Survivors, Their Caregivers, and Providers about the Appropriate Level of Family Involvement during Inpatient Psychiatric Treatment Stays",
      "abstract": "Background and Purpose: Defined as approach to the planning, delivery, and evaluation of health care that is grounded in mutually beneficial partnerships among health providers, patients, and families, family-centered care is a top priority for pediatric health care organizations. While family involvement is a critical component of family-centered care, little is known about the optimal amount of family involvement for pediatric patients who have been hospitalized for a suicide attempt. This study explores the perspectives of youth, their caregivers, and inpatient psychiatric providers approaches to and opinions about family involvement in inpatient psychiatric treatment following a youth’s suicide attempt. Methods: Drawing upon data collected during the first phase of an intervention development study designed to adapt and test a family-based intervention for suicidal adolescents for use on inpatient psychiatric settings, we conducted qualitative interviews with youth who had recently been hospitalized for a suicide attempt (n=15), their caregivers (n=15), and mental health providers employed on the unit in which youth participants were hospitalized (n=15). Interviews were designed to understand the experiences of inpatient psychiatric hospitalization with a particular focus on family involvement in care throughout the youth’s stay on the unit. All youth participants were between the ages of 11 and 18 and had been discharged from the inpatient psychiatric unit within the previous six months. All data was coded in Atlas.ti and analyzed using reflexive thematic analysis. Results: Several salient themes pertaining to family involvement emerged from our analyses. While caregivers universally expressed desires to be more involved in their child’s inpatient care, and frequently did not feel included in care process during their child’s recent stay, providers indicated that the extent of family involvement relied heavily on clinical judgment, family availability and motivation, and youth patient preference. Many providers noted that restrictive but necessary COVID-19 visitation policies limited their capacity to involve caregivers. Among youth, there was more variation in opinions about the participants about the degree of parent involvement desired; youth described several barriers to involving caregivers in treatment that centered primarily around intra-familial communication difficulties and perceptions about caregiver beliefs pertaining to mental health. Despite these challenges, most youth supported the notion that families should be involved in the care process to some degree and specifically with respect to safety planning. Conclusions and Implications: Findings indicate that there is substantial variation across three stakeholder groups of pediatric patients who have been hospitalized for a suicide attempt, their caregivers, and those who provide them with psychiatric care in the inpatient setting. The months following discharge from an inpatient psychiatric unit have been identified as an acute risk time period. Given that caregivers are often tasked with managing aspects of their child’s psychiatric care and frequently function as gatekeepers to treatment following their child’s discharge, it is critical to consider their input when developing new strategies to facilitate access to and continuity of care.",
      "authors": "Saira Afzal; Laura John-Mora; Abigail Ross",
      "author_ids": "123770; 123771; 118393",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3195123458,
        "prompt_eval_count": 1519,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:38:33.213163+00:00"
    },
    {
      "input_index": 1501,
      "record_key": "SSWR:2023-U-0068",
      "source_database": "SSWR",
      "record_id": "2023-U-0068",
      "year": 2023,
      "title": "Investigating Disciplinary Risk in Urban High Schools As a Precursor for Suicide-Related Behaviors Among Black Students",
      "abstract": "Background and Purpose Despite the proliferation of research investigating school disciplinary outcomes (suspensions) for Black students, researchers have been relatively silent on exploring the impact of these outcomes on adverse health behaviors - more specifically suicide outcomes. According to the 2018 report from the Office of Civil Rights Data collection [OCRD], Black children are the highest recipient of out-of-school suspensions (OSS). Concomitantly, a review of suicide data for Black adolescents indicates significant increases for this population over the last two decades. Thus, this exploratory research sought to explore if disciplinary risk in districts influenced suicide outcomes (i.e., consideration, plan, or attempt) for Black high school adolescents in the United States. Methods The data used for this study was obtained from the most recent datasets with the OCRD, Center for Statistics Common Core Database, and YRBS. The final sample included 19,934 high school Black adolescents in seven urban school districts. The risk index (RI) was calculated for OSSs for each school and then used to construct a mean RI for the school district. RIs are calculated by dividing the number of students who received a disciplinary sanction by the total number of students in that group. The dependent variables for this research study were binary and included suicide consideration, planning, and attempts. All data were screened and analyzed using STATA 16.0 software and there were no assumptions violated. A Pearson correlation was conducted, with the RI for Black boys and girls inserted as the predictor variables, followed by school support personnel. Finally, dependent variables were added. Results: The percentage of Black boys who received an OSS was five percent, whereas four percent of Black girls received an OSS. With regard to responses to questions pertaining to suicide, Black girls had higher indications that they either considered (.21), planned (.20), or attempted suicide (.13) than Black boys. For Black boys, the association between the predictor variable (RI) and the dependent variables regarding suicide was nonexistent. The correlational results reveal that for Black girls, there was a weak positive association between the predictor variable of RI, suicide consideration (r = .05, p < .001), and attempts (r = .07, p < .001) and a weak negative association between creating a plan. Essentially, for Black girls, an increased chance of receiving an OSS contributes, although small, to them considering suicide and attempting suicide. Conclusion and Implications Our research suggests that Black students, specifically girls, are potentially harmed by the adverse effects of school discipline. As suicide rates for Black youth have been documented as a national public health crisis, our findings are an immediate call for research and action to advance social change. The fixation on school disciplinary outcomes and involvement with the criminal justice system has failed to take into account how these children may be burdened with suicidality. Thus, the more immediate focus should be on how we protect them and help them to maintain hope. Sustaining their lives is the priority; helping them to maintain hope and thrive is our obligation.",
      "authors": "Sonyia Richardson; John Williams",
      "author_ids": "120570; 120601",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3355121917,
        "prompt_eval_count": 1555,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:38:40.053295+00:00"
    },
    {
      "input_index": 1502,
      "record_key": "SSWR:2023-X-0007",
      "source_database": "SSWR",
      "record_id": "2023-X-0007",
      "year": 2023,
      "title": "Latina Immigrant Mothers Creating Solutions for Preventing Suicide Among Their Adolescents",
      "abstract": "Background and Purpose: For the last three decades, suicide has been identified as a significant threat to the well-being of Latino adolescents in the United States. Several national mental health organizations have called for increasing family involvement in suicide prevention efforts. Yet, researchers seldomly engage Latino caregivers in suicide prevention research, and their perspectives are rarely integrated into suicide prevention interventions. To promote Latino immigrant caregivers’ engagement in suicide prevention, this qualitative study explored how Latina immigrant mothers envision suicide prevention programming, implementation, and design. Methods: The qualitative study was the second part of a two-phased mixed-method sequential nested design focusing on Latino immigrant caregivers’ suicide-related communication. We used a purposive sampling approach to identify Latina immigrant caregivers who had completed Phase 1 of the project (an online survey) and reported that they had not participated nor heard of a suicide prevention program in their community (N = 84). The primary investigator called each possible participant and personally invited them to participate in an in-depth qualitative interview via Zoom. Forty-six expressed willingness to participate, and of those, 22 participated in a semi-structured qualitative interview. We used a thematic approach to analyze the interview data, which was divided into (1) structural coding; and (2) inductive coding. Both data collection and analysis were conducted in Spanish. Results: Three broad themes describe participants’ perception of culturally responsive suicide prevention programming: (1) Engaging the Community via a Multi-Step Effort in Culturally Relevant Spaces; (2) Providing Psychoeducation in Culturally Meaningful Ways; and (3) Offering Tangible Takeaways. While the participants wanted to be involved in suicide prevention, they voiced signification anxiety-related to the topic. From this emotional stance, participants suggested starting in a non-threatening manner by focusing primary prevention efforts on adolescent well-being, then transitioning towards secondary-level prevention through brief psychoeducational workshops centered on the issue of adolescent suicide. Participants recommended that both levels be disseminated in culturally relevant spaces, including social media platforms, community-serving agencies, and ethnic marketplaces. At the secondary-level, participants reported wanting information on suicide warning signs and ways to start a conversation regarding the topic. Participants discussed the importance of providing tangible takeaways after each psychoeducation session, demonstrating a strong commitment to being active change agents in both their families and communities. For example, participants urged that the program provide participants with skills and assignments to use at home with their families and a copy of the program for them to share with their loved ones. Conclusions and Implications: Few suicide prevention and intervention programs have been developed and tailored specifically to the experiences of the Latino immigrant community. By examining and organizing the voices of Latino immigrant mothers, this study takes an essential first step toward prioritizing caregivers as agents of change and recognizing their role in the fight against adolescent suicide. Importantly, our findings provide important implications for social work research and practice, including a cautious and gentle introduction to the term “suicide” in prevention efforts and targeted strategies to facilitate the identification and mitigation of suicide-risk warning signs.",
      "authors": "Tatiana Villarreal-Otalora; Lauren E. Gulbas",
      "author_ids": "118098; 111719",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "mixed_methods",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3392733916,
        "prompt_eval_count": 1536,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:38:43.447959+00:00"
    },
    {
      "input_index": 1503,
      "record_key": "SSWR:2023-U-0570",
      "source_database": "SSWR",
      "record_id": "2023-U-0570",
      "year": 2023,
      "title": "Mental Health and Suicidal Ideation Among Prisoners Living with HIV in Namibia",
      "abstract": "Background and Purpose : Sub-Saharan Africa remains the most affected region of the world, within sub-Saharan Africa, Namibia is one of the most deeply impacted countries where, as of 2020 approximately 12% of adults were living with HIV (UNAIDS, 2022). In addition to being the leading cause of death in Namibia (U.S. Department of State, 2020), among the general population HIV/AIDS is also associated with a myriad of issues including depression ( Kalomo et al., 2020), suicidality (Ashaba et al., 2018), anxiety (Besthorn et al., 2018), and posttraumatic stress disorder ([PTSD]; Woollett et al., 2017). Incarceration is also widely accepted as being a human rights issue, partly due to health inequities faced by incarcerated individuals (Mhlanga-Gunda et al., 2020). Getaneh et al. (2019) found the prevalence of depression among incarcerated adults with HIV in Ethiopia was nearly 67%. Moreover, in Lesotho, Mahlomaholo et al. (2021) found the prevalence of depression and suicidality to be 53% and 8.2%, respectively. These authors found that females were more likely to report depressive symptoms, and HIV-related stigma was indirectly associated with suicidality, through higher levels of depression. Method: This study utilized a purposive sampling method and a cross-sectional method to survey 154 adult prisoners with HIV in Namibia. To measure suicidal ideation, one question was used: “Have you ever thought of committing suicide?” If participants answered “yes”, it coded as 1; “no” was coded as 0. To assess symptoms of PTSD, PTSD (PSS-SR) Foa, Cashman, Jaycox, & Perry, 1997) was utilized. Cronbach’s alpha of the scale was .92. The Patient Health Questionnaire (PHQ-9; Kroenke, Spitzer, & Williams, 2001) was used to measure depressive symptoms. Cronbach’s alpha of the scale was .85. In addition, five socio-demographic variables were used as control variables. Results: The age of 154 participants ranged from 21 to 84 years, with a mean age of 39.45 years. There were about 94.1% males and over 58% were single. Over 17% of participants were did not receive an education. Over 95% of participants were on antiretroviral treatment and 81.5% have disclosed their HIV status to other. A logistic multivariate regression method revealed that a higher level of PTSD was significantly associated with a higher level of suicidal ideation ( B = 0.21, SE = 0.10, p ≤ .05). A higher level of depressive symptoms was significantly related to a higher level of suicidal ideation ( B = 0.55, SE = 0.20, p ≤ .01). Lastly, t his study found that unmarried prisoners were more likely to have suicidal ideation than prisoners with other marital status ( B = 3.98, SE = 1.98, p ≤ .05). Female prisoners were less likely to have suicidal ideation than male prisoners ( B = -5.28, SE = 2.21, p ≤ .05). Conclusion and Implications: These findings call for culturally appropriate interventions to support this population in improving mental health and are especially important given that social workers in Namibia are increasingly being called to work with individuals living with HIV.",
      "authors": "Eveline Kalomo; Amy Alberton",
      "author_ids": "122434; 119285",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3662365125,
        "prompt_eval_count": 1721,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:38:47.112415+00:00"
    },
    {
      "input_index": 1505,
      "record_key": "SSWR:2023-P-0177",
      "source_database": "SSWR",
      "record_id": "2023-P-0177",
      "year": 2023,
      "title": "Missing Pieces: Latino Immigrant Families and Adolescent Suicide Prevention",
      "abstract": "Background and Purpose: SSWR 2023 challenges us to address complex problems—such as Latinx adolescent suicide—and battle inequities. Adolescent suicidality is increasing among U.S. youth, and among Latinx specifically. Though there is a move towards more family-oriented prevention, Latinx families continue to be left out of most prevention and intervention efforts. To explore this gap, we systematically mapped the contours of the current empirical literature on family role and involvement in Latinx adolescent suicide prevention. Methods: In the absence of any systematic review on the role of Latinx families in adolescent suicide, a scoping study was designed to identify and map out the literature. Four online databases were selected to identify peer-reviewed articles written in English and published between 2000 and 2021 that focused on suicidal behavior(s) among Latinx adolescents living in the mainland US and mentioned family in the results or discussion sections. A total of 1,710 articles were screened. Screening left 592 non-duplicate full-text articles for researchers to assess for study eligibility. Of those, 107 articles met the criteria for inclusion. The first author developed an initial coding template, and data regarding publication, methodology, family role in suicide, and family involvement in suicide prevention were extracted and charted. The authors analyzed the full-text articles thematically, specifically employing a template analysis approach to code the data; they met throughout the analysis process to review and track coding decisions and analytic interpretations. A n interrater reliability rate of 80% or higher was reached on 75% of the codes. Results: Overall, most articles (74%; n = 79) focused on the etiology of Latinx adolescent suicide and also excluded family members in their data collection (72%; n = 77). Nonetheless, many articles accounted for family-related factors in their analysis (87%; n = 93). Among those articles, 19 suicide-related family factors were identified, most of which came from articles published in the last ten years (74%; n = 69). Few studies (19%; n = 20) included complex family-related factors (e.g., familial communication and familism). When the studies actively involved family members (28%; n = 30), they commonly used a risk lens (77%; n = 23). Mothers were the family members most often involved in the studies (83%; n = 25), with one study focusing on fathers. Conclusions and Implications: Suicide-related research with Latinx individuals has expanded in the last three decades, but there continues to be a focus on etiological studies rather than interventions. Existing research lacks within-group diversity (e.g., Mexican, Cuban, heterosexual, etc.) and rarely actively involves family members. Our results call attention to Latino families’ exclusion from the literature and highlight how these families are an undervalued resource in our fight against Latinx adolescent suicide. We used these findings to develop a mixed-method project actively involving Latinx caregivers to obtain a baseline of their suicide prevention communications and explore ways to encourage prevention behaviors. As social workers, as we work to address this complex problem, we are strategically positioned—and ethically required— to promote Latinx family inclusion in suicide prevention.",
      "authors": "Tatiana Villarreal-Otalora; Jane McPherson; Lourdes Garcia-Magaña",
      "author_ids": "118098; 111576; 123584",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "review",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Review"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3354837792,
        "prompt_eval_count": 1598,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:38:53.816869+00:00",
      "screening_source": "Primary screen; blind audit agreement",
      "accuracy_audit": {
        "sample_group": "Review",
        "random_seed": 20260802,
        "blind_screening": {
          "is_relevant": true,
          "relevance_rationale": "The study focuses centrally on adolescent suicide prevention and the role of family involvement within the Latinx population, analyzing existing literature on these specific topics.",
          "evidence_class": "Empirical",
          "empirical_method": "Review",
          "classification_rationale": "The abstract explicitly describes a scoping study with systematic database searching, screening, data extraction, and thematic analysis of included articles, which classifies it as an empirical review.",
          "confidence": "High"
        },
        "full_label_agreement": true
      }
    },
    {
      "input_index": 1509,
      "record_key": "SSWR:2023-P-0001",
      "source_database": "SSWR",
      "record_id": "2023-P-0001",
      "year": 2023,
      "title": "Personality Traits in a Nationally Representative Sample of Adults Experiencing Past-Year Homelessness: A Latent Class Analysis",
      "abstract": "Background and purpose: Latent class analysis (LCA), a statistical technique to identify subgroups of persons based on their responses to pre-selected indicators, has increasingly been used to generate typologies of persons experiencing homelessness (PEH). Typologies may be useful for tailoring service provision to the needs of different subgroups. Presently, no studies have used LCA to distinguish subgroups of PEH based on personality traits and to explore the relationship between personality and psychopathology in this group. This is problematic as high rates of personality disorder (PD) have been identified in PEH. PD is often comorbid with other psychopathology and can contribute to poorer quality of life outcomes. The present study identifies subgroups of adults with past-year homelessness by personality traits and explores the relationship of personality subgroups to psychopathology. Methods: The analytic sample included respondents reporting past-year homelessness (N = 704) from the third wave of the National Epidemiological Survey on Alcohol and Related Conditions (NESARC-III). Twenty-four personality traits were preselected as indicator variables for the LCA, corresponding with DSM-5 borderline, schizotypal, and antisocial PD. Bayesian Information Criterion, Akaike’s Information Criterion, log likelihood, and bootstrapped likelihood ratio test (BLRT) were examined to aid in determining the best fitting model. One- to five-latent class models were estimated. Model selection was informed by prior theory and the interpretability of class solutions. Multinomial regression was conducted to test differences in class membership by behavioral health characteristics, specifically lifetime mood and anxiety disorders, PTSD, AUD, SUD, and suicide attempt. Analyses were weighted to account for the NESARC-III’s complex sampling design. Results: The four-class solution was optimal. The largest class (35.44%) is characterized by high levels of all personality traits relative to other classes, especially paranoia and suspiciousness, unusual behaviors or appearance, intense and unstable relationships, impulsivity, norm violations and anger, and irritability. The second-largest class (26.51%) was also characterized by high levels of impulsivity, risk taking behavior, norm violations, but had substantially lower traits that typically characterize BPD and SPD. The third-largest class is characterized by minimal personality impairment (24.40%). The final class is characterized by relational instability and identity diffusion (13.65%). The uniformly severe class had statistically significantly higher risk of all psychiatric conditions relative to the minimal impairment class. The class characterized by impulsivity and norm violations had significantly higher risk of AUD (RRR = 2.38, 95%CI: 1.40, 4.05) and SUD (RRR = 6.55, 95%CI: 2.71, 15.82). The group characterized by identity diffusion and relational instability had higher risk of mood (RRR = 3.85, 95%CI: 1.76, 8.46) and anxiety (RRR = 4.90, 95%CI: 1.69, 14.23) disorders as well as lifetime suicide attempt (RRR = 3.10, 95%CI: 1.15, 8.35). Conclusions and Implications: The present study explored subtypes of personality traits among a representative sample of adults reporting past-year homelessness, finding four distinct classes with differential relationships to several behavioral health conditions. PEH may benefit from intervention to promote healthy personality functioning. Clinicians and homeless service workers should consider assessment of personality traits and functioning to effectively engage potential clients into treatment services.",
      "authors": "Nathaniel Dell; Vaughn Michael; Michael A. Mancini; Brandy R. Maynard; Huang Jin",
      "author_ids": "115314; 123182; 109773; 111859; 123183",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3666985250,
        "prompt_eval_count": 1700,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:39:07.903326+00:00"
    },
    {
      "input_index": 1510,
      "record_key": "SSWR:2023-P-0558",
      "source_database": "SSWR",
      "record_id": "2023-P-0558",
      "year": 2023,
      "title": "Physical and Emotional Child Abuse in Haiti: Prevalence, Help-Seeking Behavior, and Mental Health Outcomes",
      "abstract": "Background and purpose : Child maltreatment is a major global health problem that has both short and long-term deleterious outcomes for those who experience it. Therefore, understanding the prevalence and its influences is important for risk identification and interventions. Haiti is a poor country with history of major natural disasters and political unrest, yet we know little about child abuse in this Caribbean country. The present study seeks to identify the national prevalence of child emotional and physical abuse, and examine the mental health consequences of abuse experiences. Methods: A nationally representative, cross-sectional household sample of Haitian youth (n= 2916) from the Violence Against Children Survey (VACs) was used to estimate prevalence of emotional and physical abuse of children aged 13 to 17; and to investigate the mental health outcomes, self-harm and help-seeking behaviors of those exposed to child abuse compared to those who did not. Data were analyzed using survey-specific commands to accommodate sample weights and clustering. Linearized variance estimation was used for standard error estimates to provide confidence intervals for proportions. Descriptive statistics were first completed to estimate abuse prevalence and children’s help-seeking behaviors. Weighted binary logistic regressions were then conducted to examine the association between physical and emotional child abuse and mental health outcomes while controlling for age and gender. Adjusted odds ratios (ORs) were calculated with 95 percent confidence intervals to indicate the odds of children experiencing abuse reporting poor mental health outcomes and self-harm behaviors compared to those without such experiences while controlling for other factors. Results: Results indicated that the lifetime prevalence of child physical and emotional abuse was 67% (95% CI 0.63 – 0.69) and 39% (95% CI 0.36 – 0.41) respectively, and the prevalence in the last 12 months was 26% (0.21 – 0.28) and 22% (0.19 – 0.23) respectively. Girls experienced higher rate of emotional abuse perpetrated by both parents, and boys experienced higher rate of physical abuse perpetrated by fathers. Most victims (90%; 95% CI 0.88 – 0.92) did not seek official help. Not needing services or not knowing where to go were the most common reasons given for not seeking help. For those experiencing physical child abuse, the odds of severe mental distress were 1.49 (95% CI 1.07 – 2.07) relative to those who did not; while for those experiencing emotional abuse, the odds were 2.29 (95% CI 1.68 – 3.11), both of which were statistically significant. Among those who experienced physical and emotional abuse, the odds of experiencing suicidal ideation were 1.69 (95% CI 1.17 – 2.44) and 3.42 (95% CI 2.67 – 4.40) respectively, compared to those without abuse, which were both statistically significant. Conclusion and implication: The results suggest that the prevalence of child physical and emotional abuse in Haiti is high and both abuse types are associated with poor mental health and suicidal ideation. This highlights the importance of identifying protective family and community factors immediately and implementing intervention programs to prevent child abuse and self-harm behaviors with the help of social workers and health professionals.",
      "authors": "Fithi Embaye; Patricia L. Kohl",
      "author_ids": "121517; 108299",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3423379709,
        "prompt_eval_count": 1646,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:39:11.327059+00:00"
    },
    {
      "input_index": 1512,
      "record_key": "SSWR:2023-U-0293",
      "source_database": "SSWR",
      "record_id": "2023-U-0293",
      "year": 2023,
      "title": "Practical and Ethical Risk Management Considerations for the Conduct of Remote Research with Youth Who Have Recently Been Hospitalized for a Suicide Attempt: Lessons Learned from the (virtual) Field",
      "abstract": "Background and Purpose: The COVID-19 pandemic and associated public health precautions necessitated rapid adoption of telehealth services, including assessment and intervention with youth presenting with mental and behavioral health needs. Although provision of mental health services via telehealth has the potential to improve access to care for some populations, it also presents a number of challenges for clinicians and researchers working with patients who are at elevated risk for suicide. In this paper, we describe the lessons learned from conducting virtual qualitative interviews with youth ages 10-18 who had recently been discharged from an inpatient psychiatric facility precipitated by a suicide attempt, their caregivers, and inpatient mental health providers. Methods: This paper draws upon data collected during the first phase of an intervention development study designed to adapt and test a family-based intervention for suicidal adolescents for use on inpatient psychiatric settings. In the first phase, we conducted 45 qualitative interviews with youth who had been hospitalized within the past six months for a suicide attempt (n=15), their caregivers (n=15), and inpatient mental health providers employed on the unit in which the youth were hospitalized (n=15). Interviews were designed to elicit perspectives of these three key stakeholder groups about care provided on the unit and ultimately informed modifications to the intervention itself. In addition to the conduct of semi-structured interviews, the research team also administered validated measures of suicide risk screening and assessment to all youth participants and employed specific risk management protocols. Specific safety protocols were implemented to prioritize youth participant safety during the conduct of remote interviews. All interviews were conducted via zoom and content was analyzed using reflexive thematic analysis. Results: Several practical and ethical considerations pertaining to procedures for the conduct of interviews with suicidal youth emerged from this study that can be used to remotely assess and manage suicide risk. These pertain to protocol modifications related to sequencing of interviews (provider, parent, youth), caregiver availability during time of the interviews, qualifications and skillset of research interviewers, and supervision and debriefing protocols. In addition, thematic analysis of interviews with both caregivers and youth revealed that safety planning was an important factor in increasing comfort in virtual participation. Findings from provider interviews underscored the need for addressing barriers to care access and continuity. Conclusions and Implications: It is highly likely that telehealth service delivery and virtual platforms for research will continue to be utilized even after social distancing measures and other public health precautions are no longer necessary to curb transmission of COVID-19. Thus, there is a need to ensure that both researchers and clinicians are equipped with tools that enable the conduct of research and practice with high risk groups, such as youth who have recently been hospitalized for a suicide attempt, using these modalities. Implications for this study include recommendations for conducting research with suicidal youth using a virtual platform in a manner that ensures safety by primarily prioritizing collaboration with caregivers.",
      "authors": "Saira Afzal; Laura John-Mora; Abigail Ross",
      "author_ids": "123770; 123771; 118393",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3157733291,
        "prompt_eval_count": 1523,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:39:17.834440+00:00"
    },
    {
      "input_index": 1513,
      "record_key": "SSWR:2023-U-0155",
      "source_database": "SSWR",
      "record_id": "2023-U-0155",
      "year": 2023,
      "title": "Racialized Gender Stress, Mental Health, and Suicide Risk Among Black Women: A Longitudinal Test of the Vance-Wade Intersectional Suicide Risk Model",
      "abstract": "Background: Black females, ages 15-24, experienced a 125% increase in suicide from 1999 to 2017. The recent shift in Black women’s suicide risk calls for a new paradigm, focused on predictors of increased risk and not the low prevalence of Black women’s mental health and suicide-related behaviors. The Vance Wade Intersectional Suicide Risk Model (VWISRM) was introduced to contextualize this unexpected spike. According to the VWISRM, for Black women, psychosocial risk factors, gendered racism, and the Strong Black Woman script (SBW) leads to racialized gender stress (RGS) which results in mental health outcomes which are established predictors of suicide- related behaviors . Here we use the National Longitudinal Study of Adolescent Health to test for empirical evidence supporting the VWISRM. Methods: Our sample consisted of 418 Black female respondents who fully participated in data collection during Waves 1, 3, and 4. Wave 1 provided demographic information. Wave 3 provided measures of psychosocial risk factors, SBW traits, and RGS and was collected when respondents were 18 to 26 years old. Wave 4 provided measures of gendered racism and our mental health outcomes of interest, which were collected when the respondents were 25 to 33 years old. We ran bivariate analyses with mental health outcomes as dependent variables (e.g., depression, anxiety, PTSD, and suicidality). We then added psychosocial factors (e.g., education, employment, health insurance, and religiosity) as controls in a series of regression models. Results: Those who experienced RGS were more likely to have a PTSD diagnosis and have attempted suicide significantly more. Scoring lower on the SBW traits was significantly associated with having an anxiety diagnosis, a PTSD diagnosis, and contemplating suicide. Those who experienced RGS were more likely to have a depression diagnosis, have an anxiety diagnosis, and contemplate suicide, in comparison to those who had not. Having both lower scores on the SBW traits and experiencing gendered racism is associated with a PTSD diagnosis. Specifically, it explained 30% of the variation in PTSD diagnoses among Black women. Similarly, having both lower scores on the SBW traits and RGS is associated with an anxiety diagnosis. Lastly, having both lower scores on the SBW traits and having to grow up faster is associated with contemplating suicide. Importantly, there were no moderating effects among these VWISRM factors on PTSD, anxiety, or suicidality. Conclusions and Implications: The findings from this study highlight important research and clinical implications for Black women’s mental health. The VWISRM analysis contributed to the development of a modified version of the model, the Gendered Racism Intersectional Trauma model (GRIT) to better understand the breadth of mental health outcomes for Black women. Specifically, GRIT considers three unique factors of Black womanhood (SBW traits, RGS, and gendered racism) and their relationship to negative psychological outcomes and therefore should be addressed and targeted in assessments and interventions. Notably, our findings make a new contribution to the scientific inquiry of PTSD in Black women.",
      "authors": "Michelle Vance; Grace Gowdy; Jeannette Wade",
      "author_ids": "119790; 116073; 123546",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3349887375,
        "prompt_eval_count": 1598,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:39:21.185195+00:00",
      "screening_source": "Primary screen; blind audit agreement",
      "accuracy_audit": {
        "sample_group": "Quantitative",
        "random_seed": 20260802,
        "blind_screening": {
          "is_relevant": true,
          "relevance_rationale": "The study explicitly analyzes suicide risk factors, including suicidal ideation and suicide attempts, as primary outcomes within a longitudinal test of an intersectional suicide risk model.",
          "evidence_class": "Empirical",
          "empirical_method": "Quantitative",
          "classification_rationale": "The abstract describes the use of secondary data from the National Longitudinal Study of Adolescent Health, employing bivariate analyses and regression models to test hypotheses about suicide-related behaviors.",
          "confidence": "High"
        },
        "full_label_agreement": true
      }
    },
    {
      "input_index": 1514,
      "record_key": "SSWR:2023-U-0790",
      "source_database": "SSWR",
      "record_id": "2023-U-0790",
      "year": 2023,
      "title": "Reasons for Suicide Among Black Young Adults in the U.S: A Latent Class Analysis Approach",
      "abstract": "Background and Purpose : Suicides have significantly increased among Black youth in the U.S. in recent years, though it remains unclear if these trends persist into young or emerging adulthood. Further, even less is known about the reasons why individuals begin to consider suicide as a viable option. The current study, therefore, aims to redress these gaps by identifying specific reasons for suicide among a sample of 276 Black young adults who reported experiencing suicidal thoughts within the past two weeks. Methods : Participants were recruited from a Qualtrics panel and asked to complete one online survey between May and June 2020. Eligibility criteria required potential participants to (1) identify as Black or African American; and (2) be between 18 and 30-years-old. Reasons for suicide were measured using 8 indicators from the Positive and Negative Suicide Inventory (Osman et al., 1998). Latent class analysis was used to detect underlying patterns in Black young adults’ reasons for considering suicide. Model fit was evaluated using the following criteria: AIC; BIC; Sample Size Adjusted Bayesian Information Criteria; Entropy; and the Lo-Mendell-Rubin adjusted likelihood ratio test (LMR-LRT). Analyses were conducted using Mplus version 8.4 (Muthén & Muthén, 2019). Results : The most commonly reported reason for considering suicide among the entire sample was feeling hopeless about the future. Findings for 1 to 6 latent classes were examined individually to identify the best-fitting model; the 3-class model was retained. indicators. The first class makes up 32.43% of the sample (n=85) and is described as the “Somewhat hopeless and other reasons not captured” class. The second class is described as “Accomplished but extremely lonely and sad” and makes up 8.93% of the sample (n=23). The third class is described as “Pronounced feelings of failure, hopelessness, and lack of accomplishment” and makes up nearly 59% of the sample (n=154). Next, multinomial logistic regression tests were then used to measure associations between covariates and latent class membership. Mental illness diagnosis was associated with significantly lower odds of being assigned to latent class #2 when treating respondents in latent class #3 as the reference group (OR = 0.22, p <.001). Additionally, a one unit increase in severity of anxiety symptoms is significantly associated with a 17.7% decrease in the odds of being assigned to latent class # 1 (OR = 0.82, p<.001), and 16.4% decrease in the odds of membership in latent class #2. Total cutoff scores from the PHQ-9 indicate that 14.83% of participants who considered suicide within the past 2 weeks met criteria for minimal levels of depression, while total scores on the GAD-7 reveal 17.87% of participants met criteria for minimal levels of anxiety. Conclusions and Implications : Suicide prevention interventions should account for the specific reasons for suicide highlighted by Black young adults in this sample. Culturally salient clinical treatments and interventions that are readily accessible will be required when working to address the specific mental health needs of young Black women and men, with a particular focus on issues related to hopelessness and feelings of failure.",
      "authors": "Janelle R. Goodwill",
      "author_ids": "115600",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3429528750,
        "prompt_eval_count": 1641,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:39:24.615418+00:00"
    },
    {
      "input_index": 1515,
      "record_key": "SSWR:2023-U-0059",
      "source_database": "SSWR",
      "record_id": "2023-U-0059",
      "year": 2023,
      "title": "Retrospective Outcomes of Psychedelic Therapy Among US Special Operations Forces Veterans",
      "abstract": "Special Operations Forces Veterans completed an anonymous survey in which they retrospectively reported on mental health, cognitive functioning, and alcohol use in the 30 days before and 30 days after receiving psychedelic treatment. A total of 65 SOFV completed treatment, and 51 (78%) completed the survey (mean age = 40; male = 96%; married = 55%; Caucasian/White = 92%). Results indicated significant and very large reductions in suicidal ideation (p < .001; d = -1.9), cognitive impairment (p < .001; d = -2.8), alcohol use (p < .001; d = -2.4), and symptoms of posttraumatic stress disorder (PTSD) (p < .001; d = -3.6), depression (p < .001; d = -3.7), and anxiety (p < .001; d = -3.1) from before-to-after treatment. Results also showed a significant and large increase in psychological flexibility (p < .001; d = 2.9), which was strongly associated with reductions in alcohol use and PTSD symptoms (rs range .38-.90; ps < .05). Additionally, most SOFV (84%) rated the psychedelic experiences among the top five personally meaningful experiences of their lives. Psychedelic treatment with ibogaine and 5-MeO-DMT may hold promise for treating the sequela of problems associated with repeated trauma exposure among SOFV.",
      "authors": "Nathan Sepeda",
      "author_ids": "120597",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2586071917,
        "prompt_eval_count": 1259,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:39:27.203077+00:00"
    },
    {
      "input_index": 1516,
      "record_key": "SSWR:2023-U-0457",
      "source_database": "SSWR",
      "record_id": "2023-U-0457",
      "year": 2023,
      "title": "Risk Factors Associated with Suicide Attempts in U.S High School Students Since 2005: A Replication Study",
      "abstract": "Background: Suicide attempts among youth are a major public health concern in the U.S.. Between 2009 and 2019, there was a significant increase in the prevalence of adolescents attempting suicide (Jones et al., 2022). Using analyses based on data from the 2001 Youth Risk Behavioral Surveillance System (YRBSS), Bae and Colleagues identified individual factors that may trigger suicide attempts (Bae et al., 2005). This study aims to test Bae and colleagues’ model using more recent and much larger YRBSS data to determine if individual factors remain as predictors of suicide attempts among high school students. Method: The data come from the biennial YRBSS combined dataset for high school students from 2003 to 2019 (N = 412,754 adolescents). Logistic regression was used to test the predictors drawn from Bae and colleagues’ model (Odds Ratio, OR). The analysis considered the sample weights, so over 11 million observations were included. Results: Being injured by a weapon ( OR = 1.36, 95% CI [1.08 -1.71], p < 0.01), involved in a physical fight (OR = 1.33, 95% CI [1.11 - 1.59], p < 0.01) , forced to have sexual relationships ( OR = 2.09 , 95% CI [1.59 - 2.52], p < 0.01), consuming alcohol ( OR = 1.34, 95% CI [1.11 - 1.61], p < 0.01) or hallucinogenic drugs (OR = 1.41, 95% CI [1.02-1.93], p < 0.05), inhaling a chemical to get high (OR = 1.31, 95% CI [1.00-1.71], p < 0.01) , feeling hopeless ( OR = 1.77 , 95% C1 [1.51 – 2.07], p < 0.01), underweight ( OR = 1.61 , 95% CI [1.52 - 2.62], p < 0.01) or overweight ( OR = 1.55 , 95% CI [1.33 – 2.14], p < 0.01), were predictors of attempting suicide when controlling for sex and grade. Risk behaviors were different between sexes; in females physical fights, inhaling chemicals to get high, consuming hallucinogenic drugs, being underweight were significant predictors, but not for males. Additionally, for females, being sexually abused showed higher odd ratios ( OR = 2.17, 95% CI [1.67 – 2.83], p <0.01) compared to males ( OR = 1.67, 95% CI [1.08 – 2.58], p <0.05). Discussion Similar to the results found by Bae and colleagues, most risk factors contributed significantly to suicide attempts, with ORs within the same 95% confidence interval. Both studies also found more predictors for females than males. However, unlike Bae and colleagues, being hurt by a partner and offered drugs in schools were no longer significant predictors of suicide attempts. The findings in this study identify persistent risk factors that should be a part of suicide prevention programs in high schools nationwide.",
      "authors": "Catalina Cañizares; Mark J. Macgowan",
      "author_ids": "122573; 108397",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3746327125,
        "prompt_eval_count": 1720,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:39:30.950451+00:00"
    },
    {
      "input_index": 1517,
      "record_key": "SSWR:2023-P-0601",
      "source_database": "SSWR",
      "record_id": "2023-P-0601",
      "year": 2023,
      "title": "Risk Patterning for Adolescent Weapon Carrying: A Mixture Model Approach",
      "abstract": "BACKGROUND: Despite downward trends in crime in the United States, weapon violence, particularly gun violence, continues to be a substantial problem among youth. Firearms are now the leading cause of death among youth (CDC, 2021), and over 13% of high school students reported carrying a weapon in the past month (CDC, 2020). Many potential risk factors have been considered (Shetgiri et al., 2016), and perhaps most publicly mental health concerns, but research until this point has largely examined these as linear associations. This approach may miss important subgroups of youth whose risk profiles relate to differential rates of weapon carrying. The present study aims to provide a more nuanced understanding of which youth may be highest risk for weapon carrying by examining the patterning of established risk factors among the general youth population. Findings hold implications for tailored violence prevention efforts. METHODS: Data come from the 2018 Washington State Healthy Youth Survey, a state representative behavioral health survey of students in the 8 th , 10 th , and 12 th grades ( n =11,057). Latent class analyses identified distinct subgroups of youth using 10 risk factors associated with weapon carrying: internalizing symptoms, suicidality, maltreatment history, peer victimization, hopelessness, emotional or learning disability, history of fighting, history of dating violence, gang membership, and lack of adult support. Models were compared using relative fit indices (likelihood-based indices, VLMR Likelihood Ratio Tests), interpretation, and parsimony (Collins & Lanza, 2010) and adjusted for school-level clustering. Chi-squared tests examined overall and between-class differences in the prevalence of weapon carrying, accounting for classification error between latent classes. RESULTS: Approximately 3.4% of youth reported past-year weapons carrying, which was more prominent among males (4.8%) than females (1.9%). Initial results indicate that the best-fitting and most parsimonious model was a 4-class solution. Classes were identified as Low Behavioral Health Risk (60.9%; low likelihood of each risk factor), Emotional Health Risk (16.4%; high likelihood of emotional health risk and slightly elevated maltreatment risk), Maltreatment/Aggression Risk (13.8%; elevated maltreatment and violence risks), and High Behavioral Health Risk (8.9%; high likelihood of each risk factor). Prevalence of weapon carrying differed significantly across classes: 1.1% for the Low Behavioral Health Risk class, 0.4% for the Emotional Health Risk class, 9.1% for the Maltreatment/Aggression Risk class, and 12.4% for the High Behavioral Health Risk class. DISCUSSION: Despite public concerns regarding mental health problems and weapons use, our findings suggest a more nuanced explanation of these associations. The class of youth experiencing emotional health risk alone had the lowest prevalence of weapon carrying, while the greatest observed prevalence was among classes of youth with pronounced maltreatment, peer victimization, and fighting histories, both with and without mental health symptoms. This may align with prior research suggesting that victimized youth may be motivated to carry weapons as a form of self-protection (Lewis et al., 2007). Social work researchers and practitioners should continue to advocate for a more nuanced understanding of the association between mental health and weapons while attending to the needs of youth exposed to maltreatment and other forms of violence.",
      "authors": "Christopher M. Fleming; Paula S. Nurius; Patricia Logan-Greene; Asia Sarah Bishop",
      "author_ids": "116468; 108293; 111353; 116473",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3378832625,
        "prompt_eval_count": 1640,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:39:34.330546+00:00"
    },
    {
      "input_index": 1518,
      "record_key": "SSWR:2023-P-0080",
      "source_database": "SSWR",
      "record_id": "2023-P-0080",
      "year": 2023,
      "title": "Screening, Service Provision, and Information Sharing Practices",
      "abstract": "Background and Purpose: Research has documented that youth within juvenile justice facilities have complex service needs in areas of education, mental health, and substance use. Existing evidence suggests the juvenile justice system often falls short in meeting these needs. Prior studies have documented facilities struggle to provide adequate screening and service provision for youth during detainment and placement. Additionally, limited research has examined the information sharing practices of facilities upon youths' departure. Having established and coordinated information sharing practices is critical to ensuring appropriate community services are provided, youth receive sufficient support, continuity of care occurs, and caregivers are fully informed about the youth’s current needs. On a national level, this study examines screening and service provision during youths’ stay, and information sharing practices for youth upon departure of juvenile facilities. Methods: Using data from the Juvenile Residential Facility Census from 2010-2018, facilities responses for items examining screening and service provision during a youth's stay, and information sharing practices upon youths' departure for education, mental health, and substance abuse were examined. Responses were examined across all reporting facilities, by facility type (i.e., training school, detention center, residential treatment center, group home, and shelters), and by facility operator (i.e., state, local, private). Results: From 2010-2018 the proportion of reporting facilities that indicated all youth under their care were evaluated for educational needs was between 86.8%-88.4%, 56.7% - 63.4% did so for mental health needs, 89.5%-94.6% for suicidality, and 70.2%-75.2% evaluated all youth for substance abuse. In 2018, 99.4% of reporting facilities reported that at least some youth receive educational services, 93.3% provided mental health therapy to some youth, 97.3% provided mental health prescriptions to some youth, and 77.7% provided some youth with substance abuse treatment. However, when examining how many facilities provided services for all youth, the proportions were noticeably lower. For information sharing practices, youths’ education status and needs were most likely to be shared at departure with the new placement or legal caregiver. The differences in the frequency of sharing information for youths’ education, mental health, and substance abuse status upon departure appear small when examining if facilities report this information for at least some youth, with 90% or more of facilities doing so for all domains. However, larger differences are observed when looking at the percentage of facilities that share this information for all youth; with education decreasing to near 80% and mental health and substance abuse dropping below 70%. Additionally, some variation was seen in screening, treatment provision, and information sharing by facility type. Implications: Results suggest a need to improve practices across the board. Deepening our understanding of why, when, and how facilities share information about youth with other stakeholders and identifying the gaps that exist is important for informing strategies that better target youths' needs with appropriate and coordinated services. Early identification of needs, the provision of quality services, and comprehensive information sharing are all critical to preventing further system involvement and promoting positive outcomes for youth in placement.",
      "authors": "Daniel Michael Applegarth; Benjamin Adams",
      "author_ids": "119503; 123360",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3367887833,
        "prompt_eval_count": 1586,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:39:37.700123+00:00"
    },
    {
      "input_index": 1520,
      "record_key": "SSWR:2023-U-0200",
      "source_database": "SSWR",
      "record_id": "2023-U-0200",
      "year": 2023,
      "title": "Socioemotional Disposition, Environmental Context, and Asian American Mental Health",
      "abstract": "Purpose : Both nature (e.g., predispositions) and nurture (e.g., environments) matter in youth development. For example, the developmental propensity model identifies three predispositions as significant predictors of externalizing problems: Daring (positive response to novelty/risk), prosociality (sympathetic response to others) and negative emotionality (negative emotional response to threat/frustration/loss). In line with the nature-nurture interaction, the effects of predispositions may be buffered or exacerbated by the characteristics of surrounding environments. During adolescence and emerging adulthood, externalizing and internalizing problems often share etiology. Thus, it is plausible that predispositions may also determine internalizing problems. Asian American (AA) youth exhibit low externalizing but high internalizing problems, termed as the “AA youth Paradox.” This mixed developmental pattern provides a unique opportunity to better understand how predispositions and environments independently or together explain distinct dimensions of AA youth problems. This study examines (1) how predispositions and environmental contexts longitudinally predict externalizing and internalizing problems of AA youth and (2) whether environmental factors moderate the impact of predisposition on youth development. Methods: Data are from the Midwest Longitudinal Study of Asian American Families project, a three-way longitudinal survey of Filipino American (FA) and Korean American (KA) families, collected in 2014 from 378 FA and 408 KA youth. Retention rates were 77% at Wave 2 in 2016 ( N =604) and 82% of Wave 1 at Wave 3 in 2018 ( N =641). Stepwise mixed-effects regression models examined the impact of (1) the three predispositions and an array of environmental variables on antisocial behaviors (minor assault, felony assault, and delinquency) and mental distress (depressive symptoms and suicidal thoughts). The environmental variables include familial context (parental acceptance and parent-child conflict), peers (peer relations), and socio-political climate (racial discrimination) and (2) two-way interactions between predispositions and each environmental factor. Results: Daring and negative emotionality predicted more antisocial behaviors for both ethnic groups. Prosociality predicted fewer rates of felony assault among FA youth and fewer reports of delinquency among KA youth. Negative emotionality predicted more mental distress for both ethnic groups. Daring predicted fewer depressive symptoms among KA youth. The two-way interaction models showed that the negative effect of negative emotionality on depressive symptoms was intensified by environmental risk factors such as parent-child conflict and racial discrimination (only among KA youth), but alleviated by protective factors such as parental acceptance and positive peer relationships. We also found that the harmful effect of negative emotionality on minor assault was exacerbated by positive peer relations among KA youth. Conclusions/Implications: The study demonstrates that environmental risks vs. protection can moderate the impact of predisposition, e.g., negative emotionality, demonstrating that even though predispositions may not be malleable, environments can alter their effects. In particular, we found that positive peer relationships may serve as a protective factor for mental health, but as a risk factor for minor assault in the relations between negative emotionality and youth outcomes. This is a novel finding that illustrates a varying function of peer relations on distinct dimensions of youth problems. These findings provide the points of interventions to reduce AA youth externalizing and internalizing problems.",
      "authors": "Michael Park; Yoonsun Choi; Annabelle Lin Atkin",
      "author_ids": "116205; 110891; 123616",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "prompt_eval_count": 1623,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:39:44.261228+00:00"
    },
    {
      "input_index": 1522,
      "record_key": "SSWR:2023-U-0470",
      "source_database": "SSWR",
      "record_id": "2023-U-0470",
      "year": 2023,
      "title": "Suicide Attempt and Suicide Ideation Among Black Sexual Minority Men Living with HIV",
      "abstract": "Background Suicide is among the leading causes of death in the United States. Sexual and gender minorities such as gay and bisexual men are consistently at higher risk for suicide attempts and suicide ideation compared to their heterosexual counterparts. Similarly, high rates of suicide attempts and suicide ideation have been well documented among people living with HIV since the onset of the HIV epidemic. Black sexual minority men living with HIV, a population with multiple minority identities, may have even higher rates of suicidality. Yet, there is a lack of information about suicidality among Black sexual minority men living with HIV, and little is known about the characteristics that increase the risk of suicide. Therefore, this analysis aims to examine the prevalence and factors associated with suicide attempts and suicide ideation among a sample of BSMM+. Methods We analyzed the baseline data of a randomized control trial of a community-developed, web-based mobile app intervention that aimed to address the social work and legal needs of BSMM+ ( n =122). We measured suicide attempts and future risk of suicide behaviors using the Suicide Behaviors Questionnaire-Revised (SBQ-R). Descriptive statistics were used to present the prevalence of primary study outcomes. We conducted logistic and linear regressions to identify the correlates of past suicide attempts and factors associated with future risk of suicide behaviors. Results were reported as odds ratio (OR) with corresponding 95% confidence intervals (CI) for the bivariable models and adjusted beta for the multivariable model. Associations with p-values equal to or less than 0.05 were considered statistically significant. Results Of all participants, the average age was 37.2, and 61.6% had at least a college degree. More than one-third (36.1%) were screened for high risk of suicide based on SBQ-R. Specifically, 17.2% ever attempted to kill themselves, and 11.5% ever planned to kill themselves. Among these, 48.6% thought about killing themselves in the last year. In the bivariable model, past suicide attempt is associated with victimization (OR=3.04, 95% CI: 1.06-8.42) and screened for anxiety (OR=2.75, 95% CI: 1.06-7.36). In multivariable linear regression, increased risk for future suicide behaviors was significantly associated with being harassed (adjust b=1.07, p<0.01), experiencing victimization (adjust b=1.84, p<0.01), and screened positive for depression (adjust b=1.12, p<0.01). Conclusions A large percentage of Black sexual minority men living with HIV in our study reported having attempted suicide in their lifetime, and nearly half of them had considered killing themselves in the past year. Our results pose critical implications for the development and implementation of prevention strategies in this population. We found that suicidality was associated with traumatic experiences, including harassment and victimization, and psychological illnesses such as experiencing depression and anxiety. Our findings suggested that culturally relevant mental health prevention and trauma-informed services need to be implemented that consider multilevel approaches to addressing the intersection between suicide ideation, violence, and psychological distress among Black sexual minority men living with HIV. HIV clinic should also promote suicide screening and support services.",
      "authors": "Chenglin Hong; Cal Brisbin; Elizabeth Wu; Ayako Ochoa; Ian W. Holloway",
      "author_ids": "121886; 124029; 124030; 118185; 111926",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3408116458,
        "prompt_eval_count": 1623,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:39:50.843920+00:00"
    },
    {
      "input_index": 1523,
      "record_key": "SSWR:2023-U-0186",
      "source_database": "SSWR",
      "record_id": "2023-U-0186",
      "year": 2023,
      "title": "Systematic Review of Interventions to Address Suicidal Behavior Among People with a History of Intimate Partner Violence: Promises and Gaps",
      "abstract": "Background and Purpose : Suicidal behavior, encompassing suicidal ideation, plans, and attempts, is a major contributor to death and disability worldwide. While multiple studies have explored the mechanisms that may explain the observed association between intimate partner violence (IPV) and suicidal behavior, there have been no review papers that examine interventions that address suicidal behavior among people with a history of IPV. The purpose of this paper is to systematically examine and describe interventions that address suicidal behavior among people with a history of IPV. Methods: Adhering to 2020 PRISMA guidelines, eight electronic databases were searched including PubMed, PsychInfo, Academic Search Complete, CINAHL, Medline, Sociological Abstracts, and Social Work Abstracts. Intervention studies were included if they focused on IPV, reported quantitative findings related to suicidal behavior (e.g. self-harm, suicidal thoughts, attempts, contemplation), delivered an intervention or program, and were published in peer-reviewed journals in English. Data were extracted to examine intervention modalities, level of intervention, core components, target population, theoretical foundations, efficacy, as well as promises and gaps of current interventions. Results: A total of 1,389 peer-reviewed papers were identified through the search (excluding duplicates). Twenty-six papers met the inclusion criteria for full-text review from a total of five interventions. All five studies targeted women, and most studies targeted explicitly women with a history of IPV (n=4); one study additionally included men. Studies were globally dispersed: United States, Spain, South Africa, and Iran. Sample sizes varied widely from n=42 to n=353. Three studies were randomized control trials. All but one intervention were individual level interventions; the remaining one targeted both individual and structural level factors, including employment and gender attitudes. Interventions were guided by a wide range of theories such as empowerment framework, theory of triadic influence, and cognitive model of psychopathology. Only three studies reported significant intervention effects on suicidal behavior (risk, thoughts, preparation/active ideation). Conclusions and Implications: Despite evidence that shows a link between IPV and suicidal behavior, we found few interventions that address or measure changes in suicidal behavior among populations with a history of IPV. Although these few studies yielded through our systematic review suggested some potential promising effects, other studies found no changes. Given the wide range of sample sizes, designs, modalities, number of sessions, use of measures, theoretical foundations and content, findings from our review paper suggest the need for more robust designs, consistent use of measures, and work across more diverse populations and global locations. Additionally, this review suggests the need for more attention to suicidal behavior as part of mental health and risk focused interventions among populations with a history of IPV. Finally, findings suggest the need to explore alternative levels of interventions – potentially developing interventions that do not solely operate on the individual level, such as focusing on the relational level with sources of social support, and other networks.",
      "authors": "Tina Jiwatram-Negron; Mohamad Adam Brooks; Malorie Ward; Melissa Meinhart",
      "author_ids": "114175; 121482; 122156; 117807",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "review",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Review"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3318415209,
        "prompt_eval_count": 1539,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:39:54.163488+00:00"
    },
    {
      "input_index": 1524,
      "record_key": "SSWR:2023-P-0707",
      "source_database": "SSWR",
      "record_id": "2023-P-0707",
      "year": 2023,
      "title": "The Effect of Traditional Bullying and Cyberbullying on Suicidal Ideation in Korean Adolescents: Mediating Effect of Depression",
      "abstract": "Background: While most OECD countries have shown a continuous decrease in youth suicide rate since 1995, the youth suicide rate in Korea is still increasing. One of the most significant risk factors for suicide among adolescents is the difficulties in peer relationships. As such, bullying has been empirically supported as one of the main causes of suicide among adolescents. What is also noteworthy regarding bullying is that bullying behavior has deviated from the past traditional pattern, and poses a fatal threat to everyday life beyond time and space constraints due to the common use of smart devices and social networking services. However, despite this evolutionary trend, studies on the effects of cyberbullying on suicide among adolescents have not been sufficiently conducted. Therefore, this study aims to 1) investigate the effect of traditional bullying and cyberbullying experiences on suicidal ideation through depression based on the general strain theory; 2) distinguish the effect of traditional vs. cyberbullying on adolescents’ suicidal ideation. Methods: This study analyzed middle school students from the 2015 Korea children and adolescent human rights survey. Bullying victimization experiences were measured through 12-items, and analyzed as a binomial variable in this study. However, in the case of a rare event like this data, the issue regarding underestimation may occur. Therefore, a propensity score matching was applied to increase the proportion of adolescents who have experienced bullying. As a result, middle school students who experienced at least one type of bullying and who had no bullying experience were matched (N=1,840). Depression is a continuous variable measured through three questions with a 4-point scale, and suicidal ideation (SI) was re-coded into a binomial variable. WLSMV (weighted least square parameter estimator) structural equation modeling was used to understand the relationships between these variables. Results: The model fit of the proposed model was good (RMSEA=.033, CFI=.945, TLI=.934). We found that traditional bullying had no significant direct relationship with depression, while cyberbullying showed a significant positive association with depression (β=.227, p<.001). Traditional bullying was positively associated with SI (β=.180, p<.05), while cyberbullying did not have a significant direct association with SI. Depression was positively associated with SI (β=.227, p<.001). Although there was no direct relationship between cyberbullying and SI, it was found that there was a significant positive indirect relationship through depression (β=.106, p<.01). Conclusion : This study examined the effects of traditional and cyberbullying experiences on SI among adolescents, focusing on the mediating effect of depression. Traditional bullying experiences showed a positive direct relationship with SI, whereas cyberbullying experiences had no direct relationship with SI. However, only cyberbullying had a significant effect on SI through the mediating effect of depression. This suggests that there may be differences in the process leading to SI depending on the type of bullying. Although cyberspace has characteristics such as anonymity and non-face-to-face nature that it is relatively easier to commit offenses like bullying, research on this is still insufficient. Future research considering the type of bullying should be further explored.",
      "authors": "Yeonggeul Lee; Yein Yoon",
      "author_ids": "112046; 123906",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3369724708,
        "prompt_eval_count": 1603,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:39:57.534841+00:00"
    },
    {
      "input_index": 1525,
      "record_key": "SSWR:2023-P-0087",
      "source_database": "SSWR",
      "record_id": "2023-P-0087",
      "year": 2023,
      "title": "The Impact of Cyberbullying Victimization on Psychosocial Behaviors Among College  Students during the Covid-19 Pandemic: The Indirect Effect of a Sense of Purpose in Life",
      "abstract": "Background and Purpose : During the COVID-19 pandemic, limited outside activities have led college students to spend more time on digital platforms to communicate with friends via text message, social networking (e.g., Facebook, Instagram, Snapchat, etc.), or video conferencing tools (e.g., Zoom, Google Hangouts, Skype, etc.). In doing so, college students might face more opportunities to become involved in cyberbullying. Although, given that cyberbullying victimization is associated with psychosocial and behavioral problems, relatively little work has been done to identify protective factors of cyberbullying victimization among college students, including how such protective factors help victims navigate their psychosocial and behavioral problems. This study focuses on 1) how cyberbullying victimization is related to college students’ depression, suicidal thoughts/behaviors, and cyberbullying perpetration behaviors, and 2) how the association between cyberbullying victimization and their depression, cyberbullying perpetration, and suicidal thoughts/behaviors (direct associations) is explained by a sense of purpose in life (indirect associations). Method: The data for the cross-sectional, self-administered survey study were collected via an online using web-based software (Qualtrics and QuestionPro). Study participants were recruited at two universities in the Midwest and South-central U.S. The cases included in the analysis consisted of 314 college students aged 18 to 24 and over (27.8% males and 69.9% females). Measures for the study included sex, age, race/ethnicity, cyberbullying victimization, a sense of purpose in life, depression, suicidal thoughts/behaviors, and cyberbullying perpetration. In addition to descriptive statistics and Pearson’s coefficient correlation, Structural Equation Modeling (SEM) was employed using Mplus 8.4 to examine the direct and indirect associations. The indirect effects were tested using a bias-corrected bootstrapping method (based on 5,000 resamples). Sex, age, and race/ethnicity were included as covariates in the model. Results: Cyberbullying victimization was positively associated with depression (β = 0.373, 95% CI [0.175, 0.646]) and cyberbullying perpetration (β = 0.1487, 95% CI [0.315, 0.728]), after controlling for the covariates such as sex, age, and race/ethnicity. There was a statistically significant indirect effect of cyberbullying victimization on depression through a sense of purpose in life (B=.177, 95% CI [0.064, 0.341]), after controlling for the covariates. Conclusions and Implications: Cyberbullying victimization may restrict a students’ sense of purpose in life, and reduced purpose in life is subsequently associated with increased depression. These study findings further support the growing literature on cyberbullying among college students and inform mental health and physical health intervention programs by emphasizing a sense of purpose as an important pathway through which cyberbullying is associated with depression. Specifically, this study will emphasize the importance of fostering cyberbullied college students’ purpose in life to college staff, administrators, faculty, and practitioners and will provide them with strategies to develop campus-wide cyberbullying interventions.",
      "authors": "Jeoung Min Lee; Hailey Hyunjin Choi; Jinhee Park; Heekyung Lee; Jaegoo Lee",
      "author_ids": "115406; 123330; 123370; 123371; 111090",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3393876250,
        "prompt_eval_count": 1653,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:40:00.931425+00:00"
    },
    {
      "input_index": 1526,
      "record_key": "SSWR:2023-P-0590",
      "source_database": "SSWR",
      "record_id": "2023-P-0590",
      "year": 2023,
      "title": "The Impact of Trauma, Mental Health Symptoms, and Suicidality on College Adjustment Among Young Adults with a Foster Care Background",
      "abstract": "Background and Purpose A college education can contribute to social mobility, increased lifetime earnings, and improved health (Baum et al., 2013), however it is estimated that only 3-5% of those with a history of foster care graduate from college (Courtney et al., 2010) compared to more than a third of the general population (NCES, 2020).The most commonly cited reasons for dropping-out include mental health challenges and a lack of support (Courtney et al., 2011; Day, Dworsky et al., 2011; Morton, 2018). As youth with a history of foster care transition into adulthood, they are more than twice as likely to experience major depression, post-traumatic stress disorder (PTSD), and suicidal ideation than young adults in the general population (Evans et al., 2017; Morton, 2018; Salazar et al., 2013) and are less likely to receive mental health services after they turn 18 (McMillen & Raghavan, 2009). However, very little is known about how trauma, mental health experiences, and suicidal ideation and behaviors contribute to postsecondary educational access and success among these students. Methods Data were collected via an online survey from 94 participants ages 18 to 28 (μ = 20) who have a history of foster care and who are enrolled in college. Participants responded to questions about childhood and recent trauma experiences (Childhood Trauma Questionnaire, Pennebaker & Susman, 2013), mental health symptomology (Client Diagnostic Questionnaire, Spitzer et al., 1994; 1999), suicidality (Suicidal Ideation and Behavior; Osman, 2001), college adjustment (College Adjustment Questionnaire, O’Donnell et al., 2018), foster care experiences, and demographics. We used multiple regression to estimate models with college adjustment as the dependent variable (college adjustment overall and 3 subscales of college adjustment: educational functioning, relational functioning, and psychological functioning) with number of trauma experiences during childhood and within the last 3 years, suicidal ideation and behaviors, depression and anxiety symptoms as predictors. Results Findings indicated that depressive symptoms (β = -.73, p<.01) and suicidal ideation and behaviors (β = -.06, p<.01) were significantly associated with overall college adjustment. When examining college adjustment subscales, depressive symptoms (β = -1.56, p<.001 ) was associated with educational functioning, anxiety symptoms (β = -.74, p<.01), suicidal ideation and behaviors (β = -.05, p<.05), and the number of childhood trauma experiences (β = .16 p<.05) was associated with relational functioning, and depressive symptoms (β = -.98, p<.01 and suicidal ideation and behaviors (β = -.07, p<.01) was associated with psychological functioning. Conclusion and Implications Findings suggest that students with a history of foster care who experience depressive and anxiety symptoms, suicidal ideation and behaviors, and childhood trauma may have challenges in adjusting to college. This study’s findings have implications for child welfare and community practitioners as well as student affairs staff working with students with a foster care background prior to enrollment and while students are on campus. Findings indicate that practitioners should ensure adequate assessment, treatment, and focus on the mental health of students while enrolled in postsecondary education to promote overall well-being and college retention and success.",
      "authors": "Jennifer Mullins Geiger; Colleen Cary Katz; Imani Pitman",
      "author_ids": "112597; 114172; 120886",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3663893250,
        "prompt_eval_count": 1709,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:40:04.596712+00:00"
    },
    {
      "input_index": 1527,
      "record_key": "SSWR:2023-U-0499",
      "source_database": "SSWR",
      "record_id": "2023-U-0499",
      "year": 2023,
      "title": "The Influence of Familial Factors on Suicidal Outcomes Among Young Black Men Who Have Sex with Men",
      "abstract": "Background: Over the past few decades, researchers have highlighted adolescence as a critical time period to consider for suicidal outcomes for gay and/or bisexual males. During this critical developmental stage, factors such as family rejection, anti-LGB stigma, school victimization, bullying, and internalized homophobia have been associated with elevated risk for negative psychosocial and emotional sequalae, including higher risk for suicidal behaviors for gay and/or bisexual youth and young adults. However, there is a significant gap in the literature on protective factors for suicidal behaviors among Black gay and bisexual males on suicidal behaviors. The purpose of this paper is to fill this gap by examining how external assets (e.g., family support, open communication) help prevent suicidal outcomes among LGB Black adolescents and young adults. Methods: Using a sample of BMSM (18 to 29) (N=400) collected via online, we utilized a path analysis to examine the direct and indirect effects on the influence of family factors on suicide attempts via depression and suicide planning. The survey was programmed with Qualtrics and M-Turk software, for two sampling and social media sites (i.e., Twitter, Facebook). Respondents were recruited from December 1, 2021, to January 31, 2022, for all sites. Results: Among BMSM, family support was positively associated with depression ( b =0.31, p<.05), and depression was associated with suicide planning ( b =0.41, p<.001). Talking about concerns such as sex and drugs was directly and positively associated with suicide planning ( b =-0.03, p<.001). Our results indicated that family support was indirectly and negatively associated with suicide attempts ( b =-0.03, p<.001). Conclusion: Our results indicate the important role families play to suicide prevention and can be involved in many different ways. Families can serve as a protective mechanism in Black MSM lives by helping them develop life skills and supportive relationships. Parents can encourage their sons to seek professional help from culturally relevant services. They can also actively listen to their sons and actively watch their behaviors that may lead to suicide attempts.",
      "authors": "Donte T. Boyd",
      "author_ids": "115665",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2918626000,
        "prompt_eval_count": 1389,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:40:07.516754+00:00"
    },
    {
      "input_index": 1529,
      "record_key": "SSWR:2023-P-0657",
      "source_database": "SSWR",
      "record_id": "2023-P-0657",
      "year": 2023,
      "title": "The Relationship between Breakfast Frequency, Mental Health, and School Performance Among a Nationally Representative Sample of High School Students in the United States",
      "abstract": "Background and Purpose: Adequate food consumption and mental health are important aspects of adolescent well-being. According to family systems theory, stable family rituals/routines (such as regular meals, including breakfast) can impact mental health and academic performance. Additionally, consuming adequate amounts of nutritious food is essential for physical and psychophysiological development. The positive relationship between school performance and breakfast frequency, as well as school performance and mental health, have been independently established. However, there is a dearth of literature testing how these factors impact school performance in a single model. The present study tested the relationship between breakfast frequency and school performance mediated by depression symptomatology, with potential group differences by demographics. Methods: Structural equation modeling was conducted using the 2019 Youth Risk Behavior Surveillance System: a nationally representative multistage cluster sample of 9 th -12 th graders in the United States ( N =13,677). Breakfast frequency was measured by the number of days respondents ate breakfast in the past week (0-7). Depression symptomatology was operationalized as a latent variable including debilitating sadness, thoughts of suicide, suicide plans, and suicide attempts in the past year. School performance was operationalized as grade point averages (GPA, 0-4). The full model controlled for age, gender, race/ethnicity, and body mass index (BMI). Analyses were conducted on StataSE 17 and Mplus8. Weighted least square mean variance estimation was used to account for the mix of continuous, ordinal, and nominal variables in the model. Global and focused fit indices assessed model fit. Results: Most students were male (51%), White (51%), Mixed-race (21%) or Black (12%). The average student was 16 years old ( SD =1.25) with BMI at the 64th percentile ( SD =28.99), and 3.1 GPAs ( SD =.91). On average, students ate breakfast on four out of seven days ( SD =2.67) and experienced some depressive symptoms (37% had debilitating sadness, 19% had thoughts of suicide, 16% had suicide plans, and 9% attempted suicide in the past year). The hypothesized model was compared among groups. Higher breakfast frequency positively predicted school performance for American Indian/Alaska Native (AI/AN; .10 ± .10; CR =1.99, p <.05) and Black students (.04 ± .03, CR =3.08, p <.05). Higher breakfast frequency also predicted fewer depressive symptoms among AI/AN students (-.13 ± .11; CR =-2.26, p <.05). The mediational effect where breakfast consumption predicted school performance through depressive symptoms was statistically significant only for Asian (.01 ± .01; CR =3.54, p <.05) and Hispanic students (.01 ± .01; CR =2.60, p <.05). Conclusions and Implications: Understanding the relationship between breakfast consumption, depressive symptoms, and school performance is important as it builds on current literature to describe complex mechanisms that influence adolescent well-being. Group differences are also critical in highlighting the importance of maintaining school breakfast programs, which may foster positive mental health and academic performance, particularly for racial/ethnic adolescents. Efficacious implementation is especially important for schools that serve diverse populations as prior studies indicate racial/ethnic disparities where families of color experience more barriers to accessing school breakfast programs. Future studies also need to include other variables known to impact food consumption, mental health, and academic performance such as poverty and food insecurity.",
      "authors": "Rei Shimizu; Matthew James Cuellar",
      "author_ids": "118730; 114139",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:40:14.385878+00:00"
    },
    {
      "input_index": 1530,
      "record_key": "SSWR:2023-P-0348",
      "source_database": "SSWR",
      "record_id": "2023-P-0348",
      "year": 2023,
      "title": "The Relationships between Parenting and Mental Health and Substance Use Outcomes Among Queer Children and Adolescents: A Systematic Review",
      "abstract": "Background and Purpose : Queer youth (those who identify as lesbian, gay, bisexual pansexual, queer, and other identities) face stigma from heterosexism and various stressors (e.g., harassment, rejection, discrimination) compared to heterosexual youth, contributing to mental and behavioral health disparities. Queer youth have high rates of depression, anxiety, suicidality, and substance use/abuse. Extant research shows that the parents of queer youth play important roles in shaping these outcomes in positive and negative ways (e.g., parental acceptance and affirmation vs. parental rejection); however, this evidence is scattered across various fields and a systematic review to integrate recent evidence on this topic has not been completed. Such information could inform the development of interventions targeting youth, parents, families, and other contexts to address disparities. Given the importance of parents in shaping outcomes for queer youth, we undertook a systematic review to synthesize evidence on the relationships between parenting factors and mental health and substance use outcomes. Methods : We followed the PRISMA 2020 standards in conducting this systematic review. Studies were included in the review if they collected data from queer youth (ages 12-25), examined the relationship between one or more parenting variables and one or more mental/behavioral health outcome, collected data in the United States, and were completed since January 1, 2011. Searches were performed in 7 databases (APA PsycInfo, CINAHL, ProQuest Dissertations & Theses Global, PubMed, Sociological Abstracts, Social Services Abstracts, and Web of Science) using an expert-informed search string. Following duplicate removal and double-independent screening, 37 studies were included in the review. Relevant data were extracted from the studies, which were then synthesized using narrative thematic synthesis. Results : Overall, studies suggest that queer youth with supportive/accepting parents were at lower risk of negative mental health outcomes (i.e., depression, suicidality) and substance use. However, findings were mixed, especially for substance use outcomes with several studies finding no effects. Further, some studies found different effects for fathers and mothers or between sexual identity groups (bisexual vs. gay/lesbian). There is also some evidence that parenting may moderate the links between bullying or victimization and youth mental health outcomes. Importantly, studies were limited in the parenting variables they focused on. Most studies (57%) focused on the effects of general parent social support or overall feelings of parental acceptance or rejection; only 20% of studies examined other aspects of parenting (e.g., parental monitoring, parenting style). Few studies (21%) examined parental acceptance/rejection or parental behaviors (e.g., preparation for bias) specific to sexual orientation. Most studies were cross-sectional (67%), and very few studies examined mediating or moderating processes. Conclusions and Implications : Our review suggests that parenting can have important linkages with queer youth mental health and substance use outcomes. Yet, more studies are needed that measure and test a broader range of parenting behaviors, especially those specific to promoting youth positive sexual identity. Moving forward, longitudinal studies that examine more fine-grained processes between parents and queer youth will be important to develop effective interventions that reduce health disparities.",
      "authors": "Melissa Lippold; William J. Hall; Roger Mills-Koonce; Denise Yookong Williams; Melissa Jenkins; Hayden Dawes; Kyle Gouchoe-Hanas",
      "author_ids": "111249; 114421; 123907; 123908; 115867; 120740; 123909",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "review",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Review"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:40:17.771381+00:00"
    },
    {
      "input_index": 1531,
      "record_key": "SSWR:2023-U-0029",
      "source_database": "SSWR",
      "record_id": "2023-U-0029",
      "year": 2023,
      "title": "The Weaving Healthy Families Program to Prevent Substance Misuse and Mental Health Disparities While Promoting Parenting, Family Resilience, and Communal Mastery",
      "abstract": "Background and Purpose: Historical oppression (including discrimination), along with community and family resilience (including parenting), are well-documented factors driving the disproportionate health inequities experienced by U.S. Indigenous peoples. Inequities in health differ by sex and span from mental and behavioral factors (i.e., alcohol and other drug (AOD) use, anxiety, depression, and suicide), relational factors (i.e., parenting and family and community resilience), and structural factors (i.e., as discrimination and historical oppression). This purpose of this presentation is to examine pilot results from the culturally grounded Weaving Healthy Families (WHF) program (clinical trial NCT03924167) to prevent AOD abuse while improving wellness and family resilience. We longitudinally examine changes in outcomes across ecological levels before and after participation in the WHF intervention program. First, we examine changes in behavioral outcomes and relational outcomes before and after participation in the WHF program, as well as sex difference for each outcome. Next, we examine how differing levels of historical oppression moderate differences in key outcomes. Methods: This nonexperimental and longitudinal design used repeated measures regression analysis and generalized estimating equations (GEE) with the adults and adolescents of 8 Indigenous families ( n = 24) to examine pretest data, posttest data, and data at 6, 9, and 12 months after completion of the WHF program. First, we examined changes in mental and behavioral outcomes (i.e., AOD use, symptoms of anxiety, dysfunctional attitudes associated with depression, and suicide ideation) and relational outcomes (i.e., parental quality, family resilience, and communal mastery) before and after participation in the WHF program and noted sex differences. Next, we examined differences in the outcomes before and after the WHF program for participants reporting high and low levels of historical oppression: AOD use, symptoms of anxiety, parental quality, communal mastery, and discrimination. Results: We observed a nearly threefold decline in alcohol use, and significant declines in drug use, dysfunctional attitudes, symptoms of anxiety, and suicidal ideation. Alcohol use and dysfunctional attitudes declined significantly more for men than women. We observed significant improvements over time in parenting quality, communal mastery and in family resilience after accounting for sex. Parenting improved significantly more for men than women. When examining historical oppression’s differential effects on outcomes, we observed significant effect modification by historical oppression in the changes in alcohol use, drug use, discrimination, communal mastery, symptoms of anxiety, positive parenting, and poor parental monitoring. Conclusions and Implications: Preliminary results of the WHF program indicate it may be a promising culturally grounded prevention program to address AOD use, dysfunctional attitudes related to depression, suicidal ideation, and symptoms of anxiety as well as promote parenting, family resilience, and communal mastery. Results support the integration sex differences and of historical oppression as a primary factor to prevent substance abuse while promoting mental, familial, and community factors to redress health inequities and promote health and wellness.",
      "authors": "Catherine McKinley; Leia Y. Saltzman; Katherine P. Theall",
      "author_ids": "123248; 112957; 118757",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:40:21.109682+00:00"
    },
    {
      "input_index": 1532,
      "record_key": "SSWR:2023-P-0157",
      "source_database": "SSWR",
      "record_id": "2023-P-0157",
      "year": 2023,
      "title": "Understanding the Deleterious Impact of Sports- and Physical Activity-Related Concussions on Mental Health Among Adolescents: Findings from a Population-Based Study",
      "abstract": "Background and Purpose: Depression and suicidal behaviors are common mental health problems among adolescents in the United States (U.S.). On the one hand, research has shown that engaging in organized sports and/or physical activity is protective against mental health outcomes. On the other hand, research suggests that adolescents who participate in school sports and/or physical activity are at greater risk of experiencing sports- or physical activity-related concussion (SPAC). While a large body of research has focused on examining the association between SPAC on mental health outcomes among college students, few studies have investigated the impact of SPAC on mental health outcomes among adolescents. Thus, the objective of this study was to investigate the cross-sectional association between SPAC and depression and suicidal behaviors among adolescent high school students in the U.S. Methods: This study used data from the 2017 and 2019 Youth Risk Behavior Survey, a biennial, school-based, nationally representative survey of adolescents in grades 9 to 12 (N = 14,496). The outcome variables examined were symptoms of depression and suicidal behaviors (suicidal ideation, suicide plan, and suicide attempts). The main explanatory variable examined was SPAC and was measured based on response to the question, “During the past 12 months, how many times did you have a concussion from playing a sport or being physically active?” A concussion is when a blow or jolt to the head causes problems such as headaches, dizziness, being dazed or confused, difficulty remembering or concentrating, vomiting, blurred vision, or being knocked out. Data were analyzed using chi-square test of association and binary logistic regression. Results: Of the 14,496 adolescents, about a third (34.3%) had depressive symptoms, 17.1% reported experiencing suicidal ideation, 14.4% made a suicide plan, and 7.0% attempted suicide during the past 12 months. About one in seven adolescents (13.6%) experienced SPAC during the past year. Controlling for demographic, risk, and protective factors, adolescents who had SPAC had 1.29 times higher odds of experiencing symptoms of depression (Adjusted odds ratio ( AOR) =1.29, p =.003, 95% CI=1.09-1.52), 1.32 times higher odds of experiencing suicidal ideation ( AOR =1.32, p =.001, 95% CI=1.13-1.55), 1.26 times higher odds of making a suicide plan ( AOR =1.26, p =.005, 95% CI=1.07-1.47), and 1.56 times higher odds of making a suicide attempt during the past year ( AOR =1.56, p <.001, 95% CI=1.28-1.89) when compared to their counterparts who did not have SPAC. Victimization and substance use factors were all positively associated with the symptoms of depression and suicidal behaviors. However, adolescents who played on a sports team or described their academic performance as mostly A’s or B’s were less likely to report symptoms of depression, suicidal ideation, suicide plan, or suicide attempt. Conclusions and Implications: The findings of this study highlight the increased risk for adverse mental health outcomes among adolescents who experienced SPAC. Providing resources for adolescents to engage in physical activity and sports teams may help prevent the onset of depression and suicidal behaviors; however, resources must also be available to monitor any concussions related to these activities to support students' emotional well-being.",
      "authors": "Phillip Baiden; Devon Ziminski; Hannah Szlyk; Lucinda Okine; Henry K Onyeaka; Chioma Muoghalu Muoghalu; Patricia Cavazos-Rehg; JaNiene Peoples",
      "author_ids": "113715; 123522; 115769; 121981; 121988; 123523; 115340; 122638",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:40:24.720071+00:00"
    },
    {
      "input_index": 1533,
      "record_key": "SSWR:2023-P-0104",
      "source_database": "SSWR",
      "record_id": "2023-P-0104",
      "year": 2023,
      "title": "Using Path Analysis to Model Suicide Intervention Skill Development",
      "abstract": "Background and Purpose The COVID pandemic has brought heightened attention to mental health disorders and suicide, as well as persistent social inequalities that increase suicide risk among vulnerable populations. In 2020, suicide was the 12th leading cause of death and the 3 rd leading cause among youth ages 15-24 (Drapeau & McIntosh, 2021). Higher suicide risk has been found for people who are immigrants, homeless, have substance use disorders, or identify as sexual or gender minorities (Amiri & Behnezhad, 2020; Ayano et al., 2019; Forte et al., 2018; Nystedt et al., 2019). Most social workers report encountering clients contemplating suicide but receive inadequate educational or professional preparation. To effectively use science to address this complex problem, battle iniquities, and build solutions, we engaged in state and local partnerships to provide and test a suicide intervention training model. This poster illustrates the mechanisms through which suicide intervention training facilitates practitioner skill development and confidence in using suicide-specific skills. Methods We used path analysis to model the change process among participants who completed an intensive suicide intervention training. Participants included 150 practitioners in a Midwestern state who were either current practitioners or preparing for this role. Reliable and validated scales were used to measure self-reported fear (Fear of Talking About Suicide Scale), how direct to be with the person (Problem-Solving Directness Scale), confidence (Suicide Counseling Confidence Scale), and suicide-specific intervention skills (Suicide Counseling Skills Inventory), before and following the intervention training. Graduate-level training was controlled in the model because it is likely to affect the level of change in skills. We also examined whether the path model demonstrated differences by race/ethnicity, gender/gender identity, and age. Results The path model found that the largest impact of training was that reducing participants’ fear of talking about suicide improved their confidence in intervening with potentially suicidal individuals. Fear reduction had a large effect on improving confidence in suicide counseling ( B = -7.65, z = -6.47, p < .001.) Reducing fear also had a significant, though much smaller direct effect on improvement in skills ( B = 0.08, z = 2.95, p = .003). In contrast, beliefs about using a more directive helping style and graduate-level training did not significantly affect improvement in suicide-specific skills. The model operated similarly regardless of race/ethnicity, gender, gender identity, or age. Fit indices, including the RMSEA index of less than .08, CFI of .92, SRMR of .08, and Chi-square goodness of fit test (p=.098), all indicate that model fits the data adequately. Conclusions and Implications: Reducing practitioners’ fear of talking about suicide had a strong impact on their confidence in helping individuals contemplating suicide and a smaller but significant impact on their skill development within a brief, intensive training program. Results offer implications for using science to help practitioners and trainees learn skills to respond appropriately to a highly complex and stigmatized population. The study also highlights methods for building and sustaining community-based research partnerships to strengthen the science of social work practice.",
      "authors": "Miriam J. Landsman; Carol Coohey",
      "author_ids": "108276; 111275",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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        "prompt_eval_count": 1591,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:40:28.136313+00:00"
    },
    {
      "input_index": 1536,
      "record_key": "SSWR:2023-U-0223",
      "source_database": "SSWR",
      "record_id": "2023-U-0223",
      "year": 2023,
      "title": "Youth Gang Suicidality Disparities: Intersectional Implications for Research and Practice",
      "abstract": "Background and Purpose: Suicide is the second leading cause of death among adolescents in the U.S. (CDC, 2019), and emerging evidence suggests gang-involved youth may be at elevated risk (Whaling & Sharkey, 2019). Given that suicide disparities are routinely documented for marginalized youth, one explanation for this elevated risk may be the multiple marginalized identities often held by gang-involved youth. Little is known about differences in suicidality prevalence between gang and non-gang youth, and how disparities emerge across social identities. Guided by an intersectional framework (Robards et al., 2020), this study aimed to 1) document gang and non-gang differences in suicidality prevalence; 2) examine subgroup differences across social identities (ethnoracial, socioeconomic, gender, sexual orientation); and 3) test whether having multiple marginalized identities influences the gang-suicidality link. Implications include building awareness of disparities and informing targeted prevention efforts. Methods: Data come from a statewide survey of students in 8 th , 10 th , and 12 th grades ( N =81,080). The sample was ethnoracially diverse, 51% female, 18% lesbian/gay, bisexual, or questioning (LGBQ), and 15 years old on average. Approximately 6% self-identified as gang involved. Suicidality was measured via three dichotomous indicators of any reports of suicidal ideation, planning, or attempts in the past 12 months. We hypothesized that gang-involved youth, and particularly those with marginalized identities, would have higher suicidality prevalence. Building on prior theorizing regarding potential health promoting effects of gang membership for multiply marginalized youth (Harper et al., 2008),we hypothesized that membership would reduce the likelihood of suicidality for those holding a greater number of marginalized identities. Chi-square tests, t-tests, and logistic regression models were used to test study hypotheses. Results: Approximately 20% of the sample reported suicidal ideation, 17% reported making plans, and 9% reported at least one attempt. Gang-involved youth had significantly higher prevalence across all three outcomes compared to non-gang youth. We also observed within- and between-group disparities. Notably, gang youth who were also poor, youth of color, or a gender or sexual minority had significantly higher suicidality prevalence compared to non-gang youth with these same identities; effects were strongest for gender and sexual minorities. Yet, moderation analyses found that having a greater number of marginalized identities decreased the likelihood of suicidality for gang youth comparatively. Conclusions and Implications: Findings highlight the complex and intersectional nature of youth gang membership and suicidality. While gang membership may increase suicide risk for certain singular identities (e.g., females), we also found evidence of moderation where membership may offer protective effects for those experiencing greater marginalization. Traditional approaches to research and practice with gang-involved youth center delinquency and legal system intervention with limited attention to health and well-being. Addressing suicidality disparities will require alternative approaches. Social work researchers and practitioners are uniquely positioned for this work given the profession’s commitment to addressing inequities that give rise to complex disparities. The consideration and application of intersectionality in suicide prevention, combined with research and policy efforts to reduce marginalization and reshape how we think about gang membership in the context of mental health, will be discussed.",
      "authors": "Asia Sarah Bishop; Paula S. Nurius; Christopher M. Fleming; Ashley Rousson; Reed Klein",
      "author_ids": "116473; 108293; 116468; 118003; 123655",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
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      "database_method": "quantitative",
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      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "prompt_eval_count": 1647,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:40:38.045417+00:00"
    },
    {
      "input_index": 1537,
      "record_key": "SWRD:110604",
      "source_database": "SWRD",
      "record_id": 110604,
      "year": 2023,
      "title": "\"Their Facebook Posts Were Going Viral\": Social Media in the Aftermath of an Adolescent Suicide",
      "abstract": "Fifteen percent of adolescents lose a peer to suicide. Suicide exposure elevates an adolescent's risk of depression, anxiety, posttraumatic stress disorder, and suicidality. After a death, schools are faced with the task of supporting students' grief while simultaneously preventing adverse outcomes, including suicide. Although social media is an integral component of modern adolescent life, little is known about its impact on suicide loss survivors. This mixed-methods study (N = 34) explored adolescents' perspectives on the role of social media following a peer's suicide death. Thematic analysis identified four themes related to social media: communication about the death, commemoration of the deceased, support and comfort, and the cause of additional challenges. Implications for schools and clinicians include the need for safe messaging, responsive communication, and education about suicide grief and self-care.",
      "authors": "Miriek, Rebecca G; Miriek, Rebecca G; Whitmore, Elizabeth; Berkowitz, Larry; Watkinson, Ailsa M",
      "author_ids": "",
      "journal_or_venue": "School Social Work Journal",
      "doi": null,
      "record_type": "Journal Article",
      "database_method": "Qualitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
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        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:40:40.368818+00:00"
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    {
      "input_index": 1538,
      "record_key": "SWRD:58726",
      "source_database": "SWRD",
      "record_id": 58726,
      "year": 2023,
      "title": "A cognitive-behavioral suicide prevention treatment for adults with schizophrenia spectrum disorders in community mental health: preliminary findings of an open pilot study",
      "abstract": "Suicide is a leading cause of death among schizophrenia spectrum disorder populations. This open pilot study examined a modified cognitive-behavioral suicide prevention treatment for clients in community mental health. Providers (n = 5) were trained to deliver the treatment and clients (n = 5) received it in 10 individual therapy sessions. Clients experienced improvements in suicide ideation, depression, hopelessness, general symptoms of psychosis, entrapment, defeat, approaches to coping, psychological stress, impulsivity, and the number of treatment barriers from baseline to post-treatment. Qualitative findings reinforced quantitative results of client improvements and provided important suggestions to strengthen the intervention and its delivery in community mental health.",
      "authors": "Bornheimer, Lindsay A.; Verdugo, Juliann Li; Krasnick, Julie; Jeffers, Nakea; Storey, Frank; King, Cheryl A.; Taylor, Stephan F.; Florence, Timothy; Himle, Joseph A.",
      "author_ids": "",
      "journal_or_venue": "Social Work in Mental Health",
      "doi": "10.1080/15332985.2023.2186736",
      "record_type": "journal-article",
      "database_method": "Mixed-Methods",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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        "prompt_eval_count": 1075,
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      "screened_at": "2026-08-02T18:40:42.719745+00:00"
    },
    {
      "input_index": 1541,
      "record_key": "SWRD:86102",
      "source_database": "SWRD",
      "record_id": 86102,
      "year": 2023,
      "title": "After a Suicide Death in a High School: Exploring Students’ Perspectives",
      "abstract": "By the time they leave high school, 17% of adolescents will have experienced the suicide death of a friend, peer, or classmate. While some will be unaffected or experience a brief period of distress following the death, for others the death will cause significant disruption and distress, even increasing their risk of suicidal thoughts and behaviors. It is essential for social workers to be able to support at-risk adolescents after this type of loss. To do this, it is critical to understand the ways that adolescents experience the death, grieve, and recover from the loss. This qualitative study explored adolescents’ experiences with grief and loss following an adolescent suicide death in the United States. Thematic analysis of semi-structured interviews with young adults (N = 13) who had been exposed to the suicide death of a peer, classmate, or friend while in high school examined themes about their processing of the death, yielding four themes about sense-making and making meaning about the death. Implications for social workers, schools, and suicide postvention researchers are identified and discussed.",
      "authors": "Mirick R.G.; Berkowitz L.",
      "author_ids": "",
      "journal_or_venue": "Journal of Social Work in End-Of-Life & Palliative Care",
      "doi": "10.1080/15524256.2023.2256481",
      "record_type": "journal-article",
      "database_method": "Qualitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
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        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T18:40:50.265594+00:00"
    },
    {
      "input_index": 1542,
      "record_key": "SWRD:62209",
      "source_database": "SWRD",
      "record_id": 62209,
      "year": 2023,
      "title": "Applying behavioural activation (BA) and simulation-based learning (SBL) approaches to enhance MSW students' competence in suicide risk assessment, prevention, and intervention (SRAPI)",
      "abstract": "Providing adequate training on suicide assessment and intervention for students is of utmost importance in social work education. Given students' anxiety around working with clients who have potential risk of suicide, scholars underline the benefits of experiential learning to enhance competence in MSW students in suicide risk assessment, prevention, and intervention (SRAPI). This paper illustrates how a required advanced mental health practice course has utilized simulation-based learning (SBL) and behavioural activation (BA) to foster specific skill building in SRAPI. Using a flipped classroom approach permitted students to increase knowledge related to suicide and BA using a self-guided online format. They also had opportunities to apply the online learning to classroom learning through practice activities. SBL was an innovative pedagogical approach that was critical for SRAPI training as it provides students with opportunities to engage in simulated practice with no harm to real clients. Using BA, students learned to conduct detailed functional analysis of suicide risks with corresponding graded tasks to mitigate suicidal risk. This paper discusses lessons learned from the SRAPI training and makes suggestions for future research and educational policies in social work education.",
      "authors": "Lee, Eunjung; Kourgiantakis, Toula",
      "author_ids": "",
      "journal_or_venue": "Social Work Education",
      "doi": "10.1080/02615479.2021.1976136",
      "record_type": "journal-article",
      "database_method": null,
      "database_is_scientific": true,
      "database_is_empirical": false,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:40:52.972320+00:00"
    },
    {
      "input_index": 1543,
      "record_key": "SWRD:58182",
      "source_database": "SWRD",
      "record_id": 58182,
      "year": 2023,
      "title": "Applying the Disclosure Decision-Making Model to Suicide-Related Disclosure: A Theory-Informed Multilevel Social Network Analysis",
      "abstract": "Objective: Because many people with mood disorders experience but do not share their suicidal thoughts with others, suicide prevention efforts may be less effective with this population. Unfortunately, study of suicide-related disclosure has been relatively acontextual and atheoretical-two qualities that may impede identification of factors that can influence disclosure. This study applies the disclosure decision-making model (DD-MM) to explain suicide-related disclosure intent-a critical precursor to disclosure behavior. Method: The sample included 41 people with a mood disorder and history of suicidal crisis in community-based mental health treatment in Los Angeles County (Level 2) who nominated 332 social network members (Level 1). Survey and social network methods were used to collect individual (Level 2) and relational (Level 1) information, respectively. Multilevel modeling was used examine associations between DD-MM constructs and disclosure intent. Results: Individuals who perceived greater suicide stigma reported lower disclosure intent. Individuals reported higher disclosure intent to network members when their relationship was stronger, when they expected more positive postdisclosure outcomes, and when they felt more efficacious about communicating their suicidal thoughts. Conclusions: Our results are consistent with the DD-MM. Consequently, the DD-MM should be regarded as a promising framework that may help guide future disclosure decision-making research and programs to better support disclosure.",
      "authors": "Fulginiti, Anthony",
      "author_ids": "",
      "journal_or_venue": "Journal of the Society for Social Work and Research",
      "doi": "10.1086/716613",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2661517541,
        "prompt_eval_count": 1197,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:40:55.635643+00:00"
    },
    {
      "input_index": 1544,
      "record_key": "SWRD:58743",
      "source_database": "SWRD",
      "record_id": 58743,
      "year": 2023,
      "title": "Association between Loneliness, Mental Health Symptoms, and Treatment Use among Emerging Adults",
      "abstract": "Loneliness research has focused primarily on older adult populations. There is limited research on how loneliness and social support impact young people's mental health and mental health services use. This article reports an assessment of whether loneliness and social support are associated with mental health services use and mental health symptoms (psychological distress and suicidal ideation) among emerging adults. A subsample of emerging adults ages 18 to 29 (N = 307) was drawn from the 2017 Survey of Police-Public Encounters, a cross-sectional, general population survey administered to residents of New York City and Baltimore. Ordinary least squares and binary logistic regression analyses were performed to model associations between loneliness and mental health symptoms and services use outcomes. Emerging adults with higher levels of loneliness reported higher levels of distress and suicidal ideation. Having more social support, experiencing higher levels of distress, and suicidal ideation were associated with increased odds for using services. First-generation American emerging adults and Black emerging adults were less likely to use services than their U.S.-born and non-Black counterparts. The significant impact of loneliness on mental health symptoms and the effect of social support on service use highlight the importance of developing interventions to prevent and reduce loneliness over the life course.",
      "authors": "Bessaha, Melissa; Mushonga, Dawnsha; Fedina, Lisa; DeVylder, Jordan",
      "author_ids": "",
      "journal_or_venue": "Health & Social Work",
      "doi": "10.1093/hsw/hlad005",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2600448250,
        "prompt_eval_count": 1174,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:40:58.237716+00:00"
    },
    {
      "input_index": 1545,
      "record_key": "SWRD:60731",
      "source_database": "SWRD",
      "record_id": 60731,
      "year": 2023,
      "title": "Associations of financial hardship with suicidal ideation among bereaved cancer caregivers",
      "abstract": "Purpose To examine associations between financial hardship and suicidal ideation among bereaved informal caregivers of cancer patients. Design Longitudinal cohort study Sample 173 informal caregivers of advanced cancer patients Methods Caregivers were interviewed a median 3.1 months before and 6.5 months after the death of the patient they cared for. Logistic regression models estimated associations between caregiver-perceived pre-loss and post-loss financial hardship due to the patient's illness and post-loss suicidal ideation. Findings Suicidal ideation was identified in 12% (n = 21) of the sample pre-loss, rising to 20% (n = 34) post-loss (p=.049). Pre-loss financial hardship (OR = 3.4, 95% CI = 1.5-7.4, p=.002) and post-loss financial hardship (OR = 3.7, 95% CI = 1.7-8.2, p=.001) were each bivariately associated with post-loss suicidal ideation. In multivariable models adjusting for pre-loss suicidal ideation, psychiatric diagnosis, and spousal relationship to the patient, post-loss financial hardship remained significantly associated with post-loss suicidal ideation (AOR = 3.6, 95% CI = 1.4-8.8, p=.006). Conclusion Among a cohort of cancer caregivers followed from active caregiving into bereavement, post-loss financial hardship was associated with suicidal ideation in bereavement. Implications Economic policies that financially benefit caregivers may represent promising strategies for preventing suicidal thoughts and behaviors.",
      "authors": "Viola, Martin; Gang, James; Maciejewski, Paul K.; Prigerson, Holly G.",
      "author_ids": "",
      "journal_or_venue": "Journal of Psychosocial Oncology",
      "doi": "10.1080/07347332.2022.2067803",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2657757959,
        "prompt_eval_count": 1267,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:41:00.898258+00:00"
    },
    {
      "input_index": 1546,
      "record_key": "SWRD:62872",
      "source_database": "SWRD",
      "record_id": 62872,
      "year": 2023,
      "title": "Clinician Perspectives of the Evidence Underpinning Suicide Risk Assessment: A Mixed Methods Study",
      "abstract": "In recent years, suicide risk assessment has become the subject of a vigorous academic debate, due in part to several meta-analyses that have cast doubt on the accuracy of risk categorisation. Little is known about how clinicians make sense of this academic debate. However, it is anticipated that it may pose a tension due to organisational expectations that multidisciplinary health professionals, including social workers, assess and manage suicide risk. As part of a larger mixed methods study to be reported elsewhere, we conducted a qualitative study aiming to explore clinician perspectives on the evidence underpinning suicide risk assessment before and after being presented with the results of two meta-analyses. Findings highlight three modes of reasoning: academic, emotive, and experiential. Perceptions of accuracy of assessing suicide risk at baseline interviews and after hearing the evidence were influenced by heuristics and cognitive biases. IMPLICATIONS Mental health practitioners, including social workers, employed in mental health settings may be more likely to use experiential reasoning to inform their practice in suicide risk assessment. Social work practitioners in general health settings may be more likely to use academic reasoning when making decisions about suicide risk assessment. Further research is required on how social workers and other mental health professionals can best respond to the crisis of suicide.",
      "authors": "Grant, Kellie; Whitwam, Louisa; Martin, Jennifer; White, Jennifer; Haines, Terry",
      "author_ids": "",
      "journal_or_venue": "Australian Social Work",
      "doi": "10.1080/0312407x.2021.1874030",
      "record_type": "journal-article",
      "database_method": "Qualitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2607100208,
        "prompt_eval_count": 1182,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:41:03.506987+00:00",
      "screening_source": "Primary screen; blind audit agreement",
      "accuracy_audit": {
        "sample_group": "Qualitative",
        "random_seed": 20260802,
        "blind_screening": {
          "is_relevant": true,
          "relevance_rationale": "The study centrally focuses on clinician perspectives and reasoning regarding suicide risk assessment, which is a specific component of suicide prevention and practice.",
          "evidence_class": "Empirical",
          "empirical_method": "Qualitative",
          "classification_rationale": "Although described as part of a mixed methods study, the abstract explicitly states that 'we conducted a qualitative study' and reports findings derived from interviews (modes of reasoning, heuristics), making Qualitative the best-supported method for the reported data.",
          "confidence": "High"
        },
        "full_label_agreement": true
      }
    },
    {
      "input_index": 1547,
      "record_key": "SWRD:57798",
      "source_database": "SWRD",
      "record_id": 57798,
      "year": 2023,
      "title": "Clinicians' Perspectives When Responding to Suicidal Behaviors Among Latino Adolescents",
      "abstract": "Latino families in new destination states within the United States face significant burdens that adversely impact the suicide risk among their adolescents. Many of these adolescents' lives depend on the clinical social work services they receive. Little is known regarding how clinicians providing services in new destination states conceptualize Latino adolescent suicidality and what strategies they use to intervene. This qualitative study explored clinicians' experiences and understanding of suicidal behaviors among Latino adolescents and the strategies used to intervene in a new destination state. We situate the study within the unique history of Latino populations in new destination states in the United States and how that history intersects with clinical service accessibility and delivery. Ten clinicians working in mental health were interviewed. The data were examined using thematic analysis. Three themes were identified: (1) there is a lot, (2) trying to go above and beyond, and (3) hurdles. Overall, the results highlight clinicians' need and desire for more support. Based on the findings, we offer recommendations for addressing service delivery challenges to increase the accessibility and quality of suicide prevention services for Latino families. We also provide clinicians with suggestions for suicide prevention intervention strategies that may be received well among Latino clients.",
      "authors": "Villarreal-Otalora, Tatiana; Guzman, Camila A. Pulgar; Channer, Bianca",
      "author_ids": "",
      "journal_or_venue": "Clinical Social Work Journal",
      "doi": "10.1007/s10615-023-00904-z",
      "record_type": "journal-article",
      "database_method": "Qualitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2594182167,
        "prompt_eval_count": 1159,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:41:06.102611+00:00"
    },
    {
      "input_index": 1548,
      "record_key": "SWRD:59626",
      "source_database": "SWRD",
      "record_id": 59626,
      "year": 2023,
      "title": "Deaths of Despair and Population Aging in Missouri",
      "abstract": "Recent declines in life expectancy in the US, especially for middle-aged White persons, have called attention to mortality from deaths of despair - deaths due to alcohol, drugs, and suicide. Using data from the Centers for Disease Control and the U.S. Census Bureau, this paper examined deaths of despair by race/ethnicity, age, cause of death, birth cohort, and sex in Missouri. We focused on Area Agencies on Aging as geographic units of interest to increase usefulness of our findings to public administrators. Deaths of despair began trending up for all age groups beginning in 2007-2009, with the sharpest increases occurring for Black or African American non-Hispanics beginning in 2013-2015. The most dramatic increases occurred for the population age 50-59 in St. Louis City and Area Agency on Aging regions in southern Missouri. For older adults, considerable variation in rates, trends, and cause of deaths of despair is evident across the state.",
      "authors": "Sun, Peter C.; Lawlor, Edward F.; McBride, Timothy D.; Morrow-Howell, Nancy; Park, Sojung",
      "author_ids": "",
      "journal_or_venue": "Journal of Gerontological Social Work",
      "doi": "10.1080/01634372.2022.2130491",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2331240250,
        "prompt_eval_count": 1123,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:41:08.435194+00:00"
    },
    {
      "input_index": 1550,
      "record_key": "SWRD:58956",
      "source_database": "SWRD",
      "record_id": 58956,
      "year": 2023,
      "title": "Depression and Suicidal Behavior Comorbidity in Patients Admitted to Substance-Use Residential Treatment in Aguascalientes, Mexico",
      "abstract": "PurposeEpidemiological studies show that depressive and substance use disorders are salient risk factors for suicidal behavior. In residential centers in Mexico City, 75.72% of the patients are diagnosed with comorbidity of substance use and psychiatric disorders; however, the specific prevalence of depression and suicidal behavior in this population has not been reported. This study aims to inform the comorbidity of depression and suicidal behavior in crystal users in residential centers in the state of Aguascalientes, Mexico.MethodA brief survey was applied to measure substance use patterns, suicidal behavior, and depression symptoms using the Depression Scale of the Center of Epidemiological Studies (CES-D-R). The sample included 343 participants.ResultsThe results show that of the 23.3% of participants who reported depressive symptoms, 65% showed suicidal ideation, 46% suicide planning, and 43% suicidal attempt.DiscussionsThese results show the importance of implementing components that address depression and suicidal behavior in interventions for substance use.ConclusionsCurrently, no specialized interventions are developed to treat substance use disorders with crystal methamphetamine and, at the same time, treat others mental problems like depression and suicidal behavior. We conclude that the development of this intervention is necessary and urgent.",
      "authors": "Martinez, Kalina Isela Martinez; Aguilar, Yancarlo Lizandro Ojeda; Villafuerte, Jafet Hernandez; Contreras-Perez, Maria Eugenia",
      "author_ids": "",
      "journal_or_venue": "Journal of Evidence-Based Social Work",
      "doi": "10.1080/26408066.2023.2172368",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2614585208,
        "prompt_eval_count": 1189,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:41:13.408001+00:00"
    },
    {
      "input_index": 1551,
      "record_key": "SWRD:76199",
      "source_database": "SWRD",
      "record_id": 76199,
      "year": 2023,
      "title": "Differential Associations Among Cyberbullying Victimization, Parental Monitoring, and Suicidal Thoughts and Behaviors in Male and Female College Students",
      "abstract": "Purpose: This study aimed to examine the role of parental monitoring and help seeking in the relationship between cyberbullying victimization and suicidal thoughts and behaviors in male and female college students. Method: Data were collected for 336 college students (71.72% female and 28.28% male) aged 18 to 24 or older years from two universities in the Midwest and the South Central regions. Results: Logistic regression indicated the interaction term of cyberbullying victimization and parental monitoring was negatively related to suicidal thoughts and behaviors in a male group (B = −.155, p <.05, Exp(B) =.86). Discussion: Male students whose parents monitored about being safe on the computer had dramatically fewer suicidal thoughts/behaviors. In both male and female groups, seeking professional help was not a significant moderator that weakened the relationship. Conclusion: There is a need for additional research on the importance of prevention and intervention efforts to foster open dialogue between students and their parents.",
      "authors": "Jaegoo Lee; Jinwon Kim; Heekyung Lee; Jinhee Park; Jason Mallonee; Jeoung Min Lee",
      "author_ids": "",
      "journal_or_venue": "Journal of Evidence-Based Social Work",
      "doi": "10.1080/26408066.2023.2230204",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:41:15.881152+00:00"
    },
    {
      "input_index": 1552,
      "record_key": "SWRD:86145",
      "source_database": "SWRD",
      "record_id": 86145,
      "year": 2023,
      "title": "Effects of health-related quality of life and long-term care insurance infrastructure on suicidal ideation among older Korean adults",
      "abstract": "This study examines the effects of health-related quality of life (HRQoL), long-term care insurance (LTCI) infrastructure, and the interactions between HRQoL and LTCI infrastructure on suicidal ideation (SI) in older Korean adults. This study used data collected from the 2017 Korea Community Health Survey (CHS) and administrative data. Multilevel logistic regression analysis revealed that higher HRQoL significantly lowered the risk of SI, but LTCI infrastructure was not strongly associated with the risk of SI. Furthermore, the interaction effect of HRQoL and LTCI infrastructure was significantly associated with SI. These results suggest that LTCI infrastructure helps to reduce the risk of SI among older adults.",
      "authors": "Changsook Lee; Sun-Young Heo",
      "author_ids": "",
      "journal_or_venue": "Asia Pacific Journal of Social Work and Development",
      "doi": "10.1080/02185385.2022.2108127",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:41:18.229416+00:00"
    },
    {
      "input_index": 1554,
      "record_key": "SWRD:57884",
      "source_database": "SWRD",
      "record_id": 57884,
      "year": 2023,
      "title": "Experiences of Health Professionals regarding Youth Suicide Attempts: A Study on the Context of Gender and Hegemonic Masculinity in Turkey",
      "abstract": "In preventing youth suicides, health professionals' evaluations and experiences regarding youth suicide attempts are important. This study was aimed at discovering the evaluations and experiences of health professionals regarding youth suicide attempts in the context of gender and hegemonic masculinity. Within the scope of the study, the qualitative research method and phenomenological design were used and 12 health professionals in Ankara Turkey. The data collected using the semi-structured interview form were analyzed with the MAXQDA. The following two main themes emerged in the study: (a) gender and hegemonic masculinity as factors leading to oppression on young people (b) caring for young people who have attempted suicide; experiences. Consequently, health professionals stated that gender, and hegemonic masculinity patterns were effective in youth suicide attempts, that they were faced with ethical dilemmas while intervening with young people, that young people were exposed to violence perpetrated by their relatives, and that young people experienced such emotions as pain, compassion, empathy, and stress during all these processes. Studies in the future should include prevention studies on the evaluations and experiences of health and social service professionals regarding youth suicide attempts in different social contexts, their coping styles and social services.",
      "authors": "Kucukkaraca, Nilgun; Kocak, Yasemin Ertan",
      "author_ids": "",
      "journal_or_venue": "Journal of Social Service Research",
      "doi": "10.1080/01488376.2023.2270997",
      "record_type": "journal-article",
      "database_method": "Qualitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:41:23.144558+00:00"
    },
    {
      "input_index": 1555,
      "record_key": "SWRD:109697",
      "source_database": "SWRD",
      "record_id": 109697,
      "year": 2023,
      "title": "FORMER À L’ÉVALUATION DU RISQUE SUICIDAIRE EN TRAVAIL SOCIAL : LA SIMULATION PAR LES PAIRS",
      "abstract": "La rencontre avec la personne suicidaire en travail social est à la fois inévitable et fortement anxiogène. Pourtant, la formation universitaire en matière de suicide demeure facultative. Elle est tributaire de décisions arbitraires de la part d’écoles ou de départements. Elle s’effectue parfois entre enseignant(e)s dans les programmes de formation eux-mêmes. Cette faiblesse pédagogique devrait questionner le travail social à un double niveau. D’une part, elle nuit à la protection de l’intégrité de la personne en détresse suicidaire lorsque cette dernière rencontre une travailleuse ou un travailleur social. D’autre part, elle nuit à la travailleuse ou au travailleur social en fragilisant son intégrité psychique dans un contexte à fort risque d’autolétalité. La formation en travail social en matière de suicide doit être améliorée en conséquence. Le présent article présente un récit d’enseignement à l’évaluation du risque suicidaire qui contribue à la réflexion collective sur ce projet d’amélioration. Il décrit une pédagogie axée sur la simulation par les pairs qui met en lumière une interface riche et complexe entre les connaissances, l’acquisition de compétences et la régulation de soi pour la détresse suicidaire.",
      "authors": "Simard, Sébastien; Carpenter-Aeby, Tracy",
      "author_ids": "",
      "journal_or_venue": "Canadian Social Work Review",
      "doi": "10.7202/1100665ar",
      "record_type": "journal-article",
      "database_method": null,
      "database_is_scientific": true,
      "database_is_empirical": false,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:41:25.727935+00:00"
    },
    {
      "input_index": 1556,
      "record_key": "SWRD:58644",
      "source_database": "SWRD",
      "record_id": 58644,
      "year": 2023,
      "title": "How can social workers facilitate suicide prevention in primary care? Findings from a national survey of primary care physicians",
      "abstract": "There are currently no national data regarding U.S. Primary Care Physicians' (PCPs') suicide screening practices. This study surveyed 302 U.S. PCPs about their current suicide screening practices to identify service gaps and intervention points for social workers. Although one-third of PCPs reported providing screening and safety planning, few were using evidence-based tools. Factors that increased the likelihood of routine screening were belief in the importance of screening (p < .01), time (p < .01), and access to co-located behavioral health (p < .01). Findings support the role of social workers in primary care and suggest areas for training and collaboration.",
      "authors": "Christensen, Mary; Fontanella, Cynthia A.; Campo, John V.; Culp, Stacey L.",
      "author_ids": "",
      "journal_or_venue": "Social Work in Health Care",
      "doi": "10.1080/00981389.2023.2193227",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T18:41:28.052739+00:00"
    },
    {
      "input_index": 1558,
      "record_key": "SWRD:116064",
      "source_database": "SWRD",
      "record_id": 116064,
      "year": 2023,
      "title": "How much is enough? Suicide training for MSW students",
      "abstract": "Suicide rates among all age groups are on the rise. The most current rates available from 2015 show that suicide rates continue to rise more than 2% each year. Studies have consistently shown that nearly 70% of those who attempt suicide met with a medical or mental health provider in the six months prior to their attempt. Changes in health care provision have allowed more people to access mental health care, meaning that those social workers on the front lines need to be able to recognize and manage suicide risk. As many social workers are vital parts of health care teams, the importance of including suicide content in MSW training programs is evident. The current research employed a mixed-methods, two study design to determine MSW student response to suicide content and their perceptions of their ability to work with clients experiencing suicidal thoughts. The results show MSW students are keenly aware of the possibility of working with these clients and the information they received",
      "authors": "Aisling Quest; Aisling Quest; Aisling Quest; Aisling Quest; Randall Nedegaard; Randall Nedegaard; Randall Nedegaard; Randall Nedegaard; Randall Nedegaard; Randall Nedegaard; Randall Nedegaard; Randall Nedegaard; Caitlin Koch; Caitlin Koch; Caitlin Koch; Caitlin Koch; Caitlin Koch",
      "author_ids": "",
      "journal_or_venue": "Journal of Social Work Education and Practice",
      "doi": "dc/5e5186dd63",
      "record_type": "fetch_failed",
      "database_method": "Mixed-Methods",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2322703542,
        "prompt_eval_count": 1109,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:41:33.172832+00:00"
    },
    {
      "input_index": 1559,
      "record_key": "SWRD:72922",
      "source_database": "SWRD",
      "record_id": 72922,
      "year": 2023,
      "title": "Investigating the Prevalence of Psychological Distress and Its Associated Factors Among Indonesian Adolescents: A Cross-Sectional Study",
      "abstract": "This study aims to estimate the prevalence and associated factors of psychological distress (PD) among Indonesian adolescents. The nationally representative data from the Global School-based Students Health Survey conducted in Indonesia in 2015 were used in this study. The sample consists of 8698 school-aged adolescents with a median age of 14. The prevalence of PD was 7.3%, which was higher among female (8.1%) than male (6.2%) students. Factors that independently increase the likelihood of PD include older age, female gender, experience bullying 3 or more days in a month, serious injuries, having suicide ideations or a suicide plan, often or always feeling hungry, not eating fruit in the past 30 days, and engaging in sedentary behavior (p < 0.005). In addition, parental emotional support and having 2 or more close friends were independently protective against PD (p < 0.005). The finding of 7.3% of Indonesian adolescents with PD is relatively lower than the rates reported in other countries, despite using similar tools and databases. Factors that increase the likelihood of adolescent PD should be reduced or avoided, while parental emotional support and having more close friends should be encouraged to possibly decrease distresses.",
      "authors": "Marthoenis M.; Schouler-Ocak M.",
      "author_ids": "",
      "journal_or_venue": "Child & Adolescent Social Work Journal",
      "doi": "10.1007/s10560-022-00818-8",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2672525209,
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        "eval_count": 24
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      "screened_at": "2026-08-02T18:41:35.847039+00:00"
    },
    {
      "input_index": 1560,
      "record_key": "SWRD:110609",
      "source_database": "SWRD",
      "record_id": 110609,
      "year": 2023,
      "title": "Listening to Youth: Student Perspectives on the SOS Signs of Suicide Program",
      "abstract": "Youth suicide is a critical public health issue. School-based suicide prevention programs are one strategy to address youth suicide. This research study explores students' (N = 2,806) perspectives on the SOS Signs of Suicide program, a school-based suicide prevention program for youth in grades six through twelve that includes education and screening. Most youth supported the implementation of SOS (84.2%) and universal screening (86.3%) by the school and reported that they did not experience increased stress and/or anxiety (90.3%) or sadness (93.8%) because of the screening process. Feedback on the SOS process was generally positive (80%), with some youth (20.7%) offering constructive feedback directed toward improvement of the program. A small number of youth (0.9%) had negative experiences but screening was viewed positively by most youth, with 55.5 percent feeling generally positive about the experience; 9.5 percent describing it as simple and easy; and 9.2 percent identifying it as educational, sparking insight and reflection. Some youth (6.2%) offered critical feedback on the screening process, and a few (3.7%) said that it evoked negative feelings, describing it as uncomfortable or scary. Students who were identified as at risk were more likely to experience the screening process as stressful, provoking anxiety or sadness. Implications for school administrators who are considering implementing SOS and universal screening, as well as for mental health professionals supporting the SOS program, are identified and discussed.",
      "authors": "Westhues, Anne; Miriek, Rebecca G; Mirick, Rebecca G; Mirick, Rebecca G; Cote, Denyse; Miriek, Rebecca G; Lecomte, Roland; McCauley, James; McCauley, James; Theriault, Luc; Mccauley, James; McCauley, James",
      "author_ids": "",
      "journal_or_venue": "School Social Work Journal",
      "doi": null,
      "record_type": "Journal Article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "prompt_eval_count": 1234,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:41:38.463557+00:00"
    },
    {
      "input_index": 1561,
      "record_key": "SWRD:59060",
      "source_database": "SWRD",
      "record_id": 59060,
      "year": 2023,
      "title": "Male suicide cases in Bangladesh: Lensing through Durkheim's sociological typology",
      "abstract": "Durkheim's classic Le Suicide provides the most astounding perspective in the sociological analysis of suicide. Using macro-level statistical data, he analyzed the suicide patterns of different populations and groups with reference to socio-cultural factors and social structures. His model comes with a four-fold typology of suicide: anomic, egoistic, altruistic, and fatalistic. This classification of suicide provides a means for analyzing the structural conditions in society with regard to the causes of suicide and the pathways for meaningful empirical research in sociology Moreover, suicide as a topic gradually waned from the mainstream sociological focus. Nonetheless, we attempted to understand the individual cases of suicide by explicating the essence form Durkheim's four-fold schema. In doing so, we contextualized 20 male suicide cases from Bangladesh through qualitative semi-structured research interviews with persons close to deceased males and characterized their relevance to Durkheim's typology. We conclude that explicating Durkheim's model at the individual level has potential for rejuvenating the sociology of suicide in the field of suicide research.",
      "authors": "Khan, Anisur Rahman; Arendse, Najuwa",
      "author_ids": "",
      "journal_or_venue": "Journal of Human Behavior in the Social Environment",
      "doi": "10.1080/10911359.2022.2164543",
      "record_type": "journal-article",
      "database_method": "Qualitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2337228834,
        "prompt_eval_count": 1138,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:41:40.802408+00:00"
    },
    {
      "input_index": 1562,
      "record_key": "SWRD:59777",
      "source_database": "SWRD",
      "record_id": 59777,
      "year": 2023,
      "title": "Mental Health Problems amongst Left-behind Adolescents in China: Serial Mediation Roles of Parent-Adolescent Communication and School Bullying Victimisation",
      "abstract": "Background Adolescent mental health is a global public health concern and parental migration has been identified as a risk factor. However, the effect mechanism remained unclear. Methods A total of 2,737 participants (mean = 11.93, SD = 1.23) were recruited from twelve schools in migrant-sending areas in Zhejiang and Anhui provinces. The participants responded to items in Child Depression Inventory, Parent-Adolescent Communication Scale, Olweus Bully or Victim Questionnaire and socio-demographic questions. Serial multiple mediation models were analysed using the bootstrapping method. Results Current and previous left-behind (LB) experience were significantly associated with higher risks of depression, non-suicidal self-injury and suicidal ideation (p < 0.05). Mother-adolescent communication and school bullying victimisation, in serial order, mediated the effect of current LB status on mental health (p < 0.05). In terms of previously LB adolescents, parent-adolescent communication was a standalone mediator (p < 0.01) and the serial mediation effect of parent-adolescent communication and school bullying victimisation was significant. Conclusions Lack of parent-adolescent communication and school bullying victimisation acted as risk factors for the negative effect of LB status or experience on adolescent mental health. The importance of these two interpersonal factors motivates future intervention initiatives to support the mental health of LB adolescents from an integrated perspective. center dot Current and previous left-behind (LB) experience imposes risks to adolescent mental health. center dot Mother-adolescent communication mediated the effect of LB experience on mental health. center dot School bullying victimisation mediated the effect of current LB status on mental health. center dot Parent-adolescent communication and school bullying victimisation are serial mediators.",
      "authors": "Xie, Qian-Wen; Zhao, Guanlan; Lu, Jingjing; Chen, Roujia; Xu, Jiayao; Wang, Menmen; Akezhuoli, Hailati; Wang, Feng; Zhou, Xudong",
      "author_ids": "",
      "journal_or_venue": "British Journal of Social Work",
      "doi": "10.1093/bjsw/bcac168",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2856345208,
        "prompt_eval_count": 1311,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:41:43.660385+00:00"
    },
    {
      "input_index": 1566,
      "record_key": "SWRD:59190",
      "source_database": "SWRD",
      "record_id": 59190,
      "year": 2023,
      "title": "Pandemic financial hardships and suicide risk in a nationally representative sample of young adults",
      "abstract": "Using a nationally representative sample of young adults, this study examines COVID-induced financial hardship and its association with suicide risk (N = 1,087). About 40% experienced one or more financial hardship, a third reported having suicidal ideation, and 1.57% reported suicide attempt. The association between financial hardship and suicide risk was cumulative: Those reporting four or more financial hardships were 2.61 times more likely to report suicidal ideation and 24.27 times more likely to report a suicide attempt. The finding that COVID-related financial insecurity was associated with drastically elevated suicide risks highlights the need to assess financial hardship for suicide risk.",
      "authors": "Chen, Zibei; Fedina, Lisa; DeVylder, Jordan; Lemieux, Catherine M.; King, Cheryl; Abbott, Kristen",
      "author_ids": "",
      "journal_or_venue": "Social Work in Mental Health",
      "doi": "10.1080/15332985.2022.2161861",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2324513208,
        "prompt_eval_count": 1060,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:41:53.911141+00:00"
    },
    {
      "input_index": 1568,
      "record_key": "SWRD:57525",
      "source_database": "SWRD",
      "record_id": 57525,
      "year": 2023,
      "title": "Queering a life worth living: A gender affirming care model for suicidal transgender emerging adults",
      "abstract": "The transgender and gender diverse (TGD) population have suicide rates approximately nine times greater than the general population. The gender affirming care model proposed in this case study is based on college-enrolled emerging adults and derived from the complimentary theories of gender minority stress theory and dialectical behavior therapy to integrate a TGD-centered approach that aims to reduce suicidality while increasing gender congruence. It also highlights how higher education administration and practitioners could be more responsive in their interactions and support for the TGD community to reduce suicidality and improve overall mental health.",
      "authors": "Haggerty, Zan",
      "author_ids": "",
      "journal_or_venue": "Sexual and Gender Diversity in Social Services",
      "doi": "10.1080/10538720.2023.2291707",
      "record_type": "journal-article",
      "database_method": null,
      "database_is_scientific": true,
      "database_is_empirical": false,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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        "prompt_eval_count": 1039,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:41:58.727716+00:00"
    },
    {
      "input_index": 1569,
      "record_key": "SWRD:58981",
      "source_database": "SWRD",
      "record_id": 58981,
      "year": 2023,
      "title": "Reimagining Suicide Prevention as a Social Justice Issue: Getting Back to Social Work's Roots",
      "abstract": null,
      "authors": "Hightower, Heath; Almeida, Joanna; Anderson, Juliana",
      "author_ids": "",
      "journal_or_venue": "Social Work",
      "doi": "10.1093/sw/swad005",
      "record_type": "journal-article",
      "database_method": null,
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_only",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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        "prompt_eval_count": 937,
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      "screened_at": "2026-08-02T18:42:00.779268+00:00"
    },
    {
      "input_index": 1570,
      "record_key": "SWRD:58435",
      "source_database": "SWRD",
      "record_id": 58435,
      "year": 2023,
      "title": "Resilience as a Protective Factor in Older Adult Suicide: A Rapid Review",
      "abstract": "Nearly 700,000 suicide deaths occur each year. One in every five suicide death occurs among adults over 60 years of age or older. As the aging population increases rapidly, there is a need to understand protective factors to prevent older adult suicide. This study used the rapid review methodology to search literature from 1997 to 2022, examining whether resilience was a protective factor. The literature search was conducted over the following six databases for peer-reviewed journals and gray literature including Abstracts in Social Gerontology, Academic Search Premier, APA PsycInfo, CINAHL Complete, MEDLINE, and SocINDEX with Full Text. A total of six peer-reviewed journal articles met the inclusion criteria. The conclusion of the articles suggested resilience may be a protective factor in older adult suicide. Despite its underpinning, resilience in suicide prevention literature is lacking. More studies should examine resilience and its constructs as part of the effort to prevent older adult suicide.",
      "authors": "Jeong, Haelim; Noh, Hyunjin",
      "author_ids": "",
      "journal_or_venue": "Journal of Gerontological Social Work",
      "doi": "10.1080/01634372.2023.2202729",
      "record_type": "journal-article",
      "database_method": "Review",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Review"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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        "prompt_eval_count": 1122,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:42:03.184278+00:00"
    },
    {
      "input_index": 1571,
      "record_key": "SWRD:62255",
      "source_database": "SWRD",
      "record_id": 62255,
      "year": 2023,
      "title": "Safety Planning for Youth With Suicide Risk: A Clinical Audit",
      "abstract": "This quality improvement activity examined Safety Planning Intervention (SPI) over two 3-monthly periods for presentations from 13-17-year-olds with suicidal risk to a regional hospital Emergency Department (ED). We collected patient demography, presentation characteristics, presentation rate, and clinician use of SPI, including those under Emergency Examination Authorities (EEAs). An education workshop was offered between the audits, aimed to increase clinician (social work, psychology, nursing, and psychiatry) knowledge of SPIs. The annual ED presentation rate for suicide risk for 15-17-year-olds was 1,520 per 100,000 persons. More presentations were female, non-Indigenous persons, and fewer than half presented voluntarily. Most presentations were for suicide attempt followed by suicide threat. In the first audit clinicians initiated SPIs in fewer than 50% of cases and completed SPIs in 15%. Whereas in the second audit where SPIs were initiated by clinicians in 69% of cases and fully completed in 49%, less than half the presentations with EEAs received a completed SPI. Indigenous persons, although a lower proportion of presentations, were overrepresented for the population. Following the education workshop, there was an improvement in SPI completion, reflecting the benefits of education and training to clinical staff. Lastly, this study highlights the benefit of conducting audits as quality improvement activities for patient care. IMPLICATIONS The international literature indicates an increase in child and youth suicide attempts. This increase requires preparedness from social workers and other clinicians (psychology, nursing, and psychiatry) who offer front-line healthcare for these presentations. Safety plans are best-practice and tailored strengths-based plans undertaken between a clinician and client so that the client feels confident knowing where to go and to whom to talk to avoid further suicide attempts. Social workers play an important role in undertaking safety plans with clients (especially those who are particularly vulnerable) in hospital and community settings to maximise client outcomes.",
      "authors": "Jacups, Susan P.; Kozlowski, Wawrzyniec (Lawrence)",
      "author_ids": "",
      "journal_or_venue": "Australian Social Work",
      "doi": "10.1080/0312407x.2021.1950788",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:42:06.051471+00:00"
    },
    {
      "input_index": 1572,
      "record_key": "SWRD:89273",
      "source_database": "SWRD",
      "record_id": 89273,
      "year": 2023,
      "title": "School-Based Postvention Services: Exploring the Perspectives of Students",
      "abstract": "Adolescent suicide is a public health issue with 15 percent of adolescents experiencing the suicide loss of a classmate, acquaintance, or friend. This article reports findings from an online survey of individuals (N = 40) who lost a peer to suicide in middle or high school. The most frequently provided school-based postvention responses were school counselors, outside grief counselors, education on depression and suicide, and assemblies. Participants identified the following student needs from schools following a student suicide death: genuineness and sincerity of response, easy-to-access supports, recognition that students need help and support, awareness that students have different needs following a death, opportunities for commemoration, and flexibility in terms of academic requirements and expectations. Implications for schools are discussed, including the importance of resources for teachers and other staff supporting students, a trauma-informed response, and the careful consideration of the balance of suicide prevention and grief. Most important, it is essential for schools to recognize the magnitude of the impact of a suicide death on students, and that students need help and support from the school.",
      "authors": "Mirick, Rebecca G.; Berkowitz, Lawrence",
      "author_ids": "",
      "journal_or_venue": "Children & Schools",
      "doi": "10.1093/cs/cdad020",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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        "eval_count": 24
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      "screened_at": "2026-08-02T18:42:08.349101+00:00"
    },
    {
      "input_index": 1573,
      "record_key": "SWRD:72986",
      "source_database": "SWRD",
      "record_id": 72986,
      "year": 2023,
      "title": "Self-disclosures in online crisis counselling: levelling asymmetries while maintaining client-focus",
      "abstract": "While self-disclosures are often cautioned against in social work practice, research on crisis helplines has shown that self-disclosures can be connected to positive outcomes. Based on conversation analysis of 38 online chats, drawn from a larger corpus of crisis helpline interactions, the current paper unpacks the details of how trained volunteer counsellors use self-disclosures to support work with clients. The findings demonstrate how vague and general self-disclosures maintain a focus on the client and offer clients opportunities rather than requirements to learn. In online talk about suicide, self-disclosures are beneficial because they provide a way to display investment and understanding, which may be more difficult without verbal resources. On the other hand, self-disclosures often require clients to wait for counsellors to type in a time-sensitive situation. Showing this, the study contributes knowledge on interactional resources in online communication, in particular the work whereby counsellors and clients manage asymmetries connected to who knows, who can share, and who decides about courses of actions.",
      "authors": "Iversen C.",
      "author_ids": "",
      "journal_or_venue": "Nordic Social Work Research",
      "doi": "10.1080/2156857x.2023.2236629",
      "record_type": "journal-article",
      "database_method": "Qualitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:42:10.748827+00:00"
    },
    {
      "input_index": 1574,
      "record_key": "SWRD:58166",
      "source_database": "SWRD",
      "record_id": 58166,
      "year": 2023,
      "title": "Sex Differences in Suicide Ideation: Mediating Effects of Alcohol Abuse/Dependence on Suicide Ideation through Psychological Distress and Hopelessness",
      "abstract": "This article aims to investigate the impact of psychological distress and hopelessness as mediators in the relationship between alcohol use disorder (AUD) and suicidal ideation among young adults. The study employed data from the 2019 National Survey on Drug Use and Health, focusing on participants aged 18 to 25. The PROCESS macro was used to conduct a moderated mediation analysis. The findings revealed that AUD, psychological distress, and hopelessness were all significant risk factors for suicidal ideation among young adults. Furthermore, psychological distress and hopelessness served as significant mediators in the relationship between AUD and suicidal ideation. The study highlights the need for interventions and treatments that address co-occurring alcohol use and psychological distress/hopelessness in both sexes, for young adults at risk of suicide. In summary, the study underscores the importance of recognizing the underlying factors that contribute to suicidal ideation among young adults, especially those with AUD, psychological distress, and hopelessness.",
      "authors": "Kim, Yi Jin; Burlaka, Viktor; Yoon, Susan",
      "author_ids": "",
      "journal_or_venue": "Health & Social Work",
      "doi": "10.1093/hsw/hlad012",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T18:42:13.059072+00:00"
    },
    {
      "input_index": 1575,
      "record_key": "SWRD:58481",
      "source_database": "SWRD",
      "record_id": 58481,
      "year": 2023,
      "title": "Social Workers' Perspectives on Extreme Risk Protection Orders",
      "abstract": "Extreme risk protection orders (ERPOs), which allow for the temporary restriction of firearm access for individuals at substantial risk of harming themselves and/or others, are a promising policy tool to address increasing rates of firearm-related suicide, homicide, and mass shootings. Social workers frequently assess clients at risk of firearm-related harm, positioning social workers to play a key role in ERPO implementation. This study sought to understand social workers' perspectives on ERPOs. Authors invited 6,910 licensed social workers in Washington state to participate in a survey in May and June of 2021 about facilitators and barriers to their willingness to counsel clients' family members, contact law enforcement, or independently file ERPOs for clients at risk of harm to self (HTS) or others (HTO). Of the 1,381 survey participants, most were willing to counsel (96 percent for HTS; 96 percent HTO), contact law enforcement (84 percent for HTS; 87 percent for HTO), or independently file an ERPO (78 percent for HTS; 79 percent for HTO). Common barriers associated with willingness were lack of understanding about the ERPO process and concerns with involving the legal system/law enforcement. Key facilitators included training social workers about ERPOs and availability of legal experts for consultations. Social workers are willing to incorporate ERPOs into their practice for clients, but remaining barriers need to be addressed to support the practice.",
      "authors": "Conrick, Kelsey M.; Gause, Emma; Rivara, Frederick P.; Rowhani-Rahbar, Ali; Moore, Megan",
      "author_ids": "",
      "journal_or_venue": "Social Work",
      "doi": "10.1093/sw/swad012",
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T18:42:15.745559+00:00"
    },
    {
      "input_index": 1576,
      "record_key": "SWRD:86129",
      "source_database": "SWRD",
      "record_id": 86129,
      "year": 2023,
      "title": "Sociodemographic Variables Associated with Constructs of the Interpersonal–Psychological Theory of Suicidal Behaviour",
      "abstract": "The Interpersonal–Psychological Theory of Suicidal Behaviour proposes that a number of distal and proximal risk factors moderate the pathway to suicidal behaviour. Distal risk factors include social, demographic and neurobiological correlates. The aim of the present study was to explore the sociodemographic variables associated with constructs of the Interpersonal–Psychological Theory of Suicidal Behaviour. In the study, I employed a cross-sectional survey design method to recruit 239 South African mental health outpatients aged 18–68 years. The participants completed a sociodemographic questionnaire, the interpersonal needs questionnaire, the interpersonal hopelessness scale and the acquired capability for suicide scale. Multiple regression analyses indicated that scores on the perceived burdensomeness subscale of the interpersonal needs questionnaire were positively associated with females, being unemployed and a lower level of educational attainment, whereas scores on the Thwarted Belongingness subscale and the interpersonal hopelessness scale were not associated with any of the sociodemographic variables. Scores on the acquired capability for suicide scale were found to be positively associated with younger ages, being male, and being employed. The study findings indicate that gender, age, unemployment and lower levels of education were implicated in the development of the perceived burdensomeness scale and the acquired capability for suicide scale. The implications of the findings for social work practice are discussed.",
      "authors": "Naidoo S.",
      "author_ids": "",
      "journal_or_venue": "Southern African Journal of Social Work and Social Development",
      "doi": "10.25159/2708-9355/11235",
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T18:42:18.326541+00:00"
    },
    {
      "input_index": 1577,
      "record_key": "SWRD:58222",
      "source_database": "SWRD",
      "record_id": 58222,
      "year": 2023,
      "title": "Strategies for Teaching Suicide Content in Social Work Education: A Survey of Social Work Instructors",
      "abstract": "Suicide is a major public health issue in the United States and schools of social work have an important role to play in educating future social workers in suicide prevention. This article describes the results of a survey of BSW and MSW practice instructors (N = 259) exploring the strategies used to teach suicide content, including resources used to support their teaching and assignments to evaluate student competency with suicide prevention knowledge and skills. Most instructors (74.1%) use written resources such as practice textbooks and journal articles to support their teaching, although there are some differences between the practices of BSW versus MSW instructors. Fewer (34.0%) used an assessment of student competency working with clients with suicidal thoughts and behaviors. Implications for social work practice instructors are described, including the need to stay current on best practices in suicide assessment and intervention, expand the use of written resources for diverse groups, the use of culture in suicide assessment, maintaining up-to-date, current resources for students, and developing assignments which can effectively evaluate student competency and skill working with clients with suicidal thoughts and behaviors.",
      "authors": "Mirick, Rebecca",
      "author_ids": "",
      "journal_or_venue": "Journal of Teaching in Social Work",
      "doi": "10.1080/08841233.2023.2207090",
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      "database_is_scientific": true,
      "database_is_empirical": true,
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      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:42:20.746614+00:00"
    },
    {
      "input_index": 1578,
      "record_key": "SWRD:58466",
      "source_database": "SWRD",
      "record_id": 58466,
      "year": 2023,
      "title": "Strategies to Survive: Engaging Transgender and Gender Diverse Older Adults Experiencing Suicidality and Dissociative States",
      "abstract": "Although nascent literature finds higher rates of suicide among older TGD adults than their cisgender peers, research about suicide and suicidality in TGD populations emphasizes the experiences of younger adults and adolescents, while the experiences of older adults remain largely unexamined. Although minority stress theory emerged as a necessary departure from psychoanalysis' emphasis on individual pathology and played an instrumental role in the widespread recognition of the impacts of societal oppression on the mental health of the TGD community, the minority stress model does not clearly suggest strategies to heal from these accumulated traumatic experiences. There is merit in the work of some psychoanalytic theorists for working with TGD populations, despite the rejection of psychoanalytic theory for its pathologization of TGD identities. For example, the works of Donald Winnicott and Phillip Bromberg compliment minority stress theory because they see social conditions and internal experience as inseparable, providing a useful guide for clinical practice with adults who have experienced trauma over the course of a lifetime. This paper uses case vignettes from the author's clinical experience to demonstrate the application of these theories in therapeutic work with TGD older adults who experience dissociation and suicidality. Recommendations are provided for clinical practice that integrate both minority stress model and Bromberg and Winnicott's theories about healing from trauma.",
      "authors": "Smith, Emil K.",
      "author_ids": "",
      "journal_or_venue": "Clinical Social Work Journal",
      "doi": "10.1007/s10615-023-00867-1",
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        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T18:42:23.377946+00:00"
    },
    {
      "input_index": 1579,
      "record_key": "SWRD:57868",
      "source_database": "SWRD",
      "record_id": 57868,
      "year": 2023,
      "title": "Suicidality and discriminatory experiences with healthcare providers in LGBT emerging adults",
      "abstract": "Suicide is a leading cause of death in emerging adults who identify as lesbian, gay, bisexual, and/or transgender (LGBT). This study examines discriminatory healthcare experiences and suicidality in LGBT adults, aged 18-24 (n = 90), who completed a health needs assessment in the Southeastern US. Regression indicated that gender identity, gender identity treatment discrimination, and discriminatory behaviors by providers accounted for 29% of variance in past suicide attempt(s). Individuals reporting being blamed for their health status were more likely to report a history of suicide attempts (p = 0.017). Providers need training to provide care competently to LGBT emerging adults.",
      "authors": "Draheim, Amanda A.; Brands, Susan; Griffin, James; Kridel, Matthew; Wallace, Catherine; Stepleman, Lara M.; Drescher, Christopher F.",
      "author_ids": "",
      "journal_or_venue": "Sexual and Gender Diversity in Social Services",
      "doi": "10.1080/10538720.2023.2267485",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:42:25.702323+00:00"
    },
    {
      "input_index": 1580,
      "record_key": "SWRD:58551",
      "source_database": "SWRD",
      "record_id": 58551,
      "year": 2023,
      "title": "Suicide and Hospice Caregivers: A Case Study",
      "abstract": "In 2020, hospices supported 1.72 million Medicare patients and their caregivers. The end-of-life experience can be difficult for caregivers and many experience anxiety, depression, and suicidality. Little literature has explored the role of hospice social workers in addressing and treating caregivers' suicidal thoughts and behaviors. This paper will explore the topic of hospice caregiver suicide, using a case study to illustrate relevant issues, practices, and needs. Implications for hospice social work practice are included.",
      "authors": "Mirick, Rebecca G.; Wladkowski, Stephanie P.",
      "author_ids": "",
      "journal_or_venue": "Journal of Social Work in End-Of-Life & Palliative Care",
      "doi": "10.1080/15524256.2023.2198157",
      "record_type": "journal-article",
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      "database_is_scientific": true,
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      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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        "prompt_eval_count": 1024,
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      "screened_at": "2026-08-02T18:42:27.994488+00:00"
    },
    {
      "input_index": 1581,
      "record_key": "SWRD:60827",
      "source_database": "SWRD",
      "record_id": 60827,
      "year": 2023,
      "title": "Suicide gatekeeper training outcomes in educational and religious settings",
      "abstract": "A Summary: Question, Persuade, and Refer (QPR) training also known as gatekeeper training, is a short and effective method for spreading awareness and preparing community members to actively engage in preventing suicide, through appropriate knowledge and actions. This study's purpose was to explore differences in QPR gatekeeper training in educational and religious settings. Outcomes of focus were changes in participants' self-rated readiness, willingness, and ability to help a person at risk of suicide. Measures were administered at baseline and after the training for participants in educational settings (N = 747) and in religious settings (N = 698). Findings: Results were statistically significant for educational settings [lambda = .37, F (1,776) = 1297.69, p = <.001] and for religious settings [lambda = .30, F (1,724) = 1690.23, p = <.001]. Strong training effects were noted in both settings. Application: Suicide prevention gatekeeper training is a ripe opportunity for meso and macro practice in social work. Gatekeeper training can enable social workers to extend their reach far beyond direct practice through empowering community members with awareness of suicide risk factors as well as with confidence to actively intervene with those who may be at risk of suicide. in this way, social workers can enhance connectedness in communities to help prevent death by suicide.",
      "authors": "Wood, David S.; Ohri, Faheem; Hudnall, Greg; Cahoon, Linda",
      "author_ids": "",
      "journal_or_venue": "Journal of Human Behavior in the Social Environment",
      "doi": "10.1080/10911359.2022.2049414",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:42:30.615396+00:00"
    },
    {
      "input_index": 1582,
      "record_key": "SWRD:59762",
      "source_database": "SWRD",
      "record_id": 59762,
      "year": 2023,
      "title": "Suicide Risk amongst University Students of Social Work in Spain",
      "abstract": "This article aims to detect the risk of suicide amongst Social Work students at Spanish universities. In total, 511 students, mostly women, completed an online questionnaire whose results show that 28.8 per cent admitted suicidal ideation, 15.3 per cent planned to commit suicide and 24.9 per cent presented a suicide risk. This risk is associated with depression, lower social support and lower life satisfaction. The findings of the study can be used to improve student support services at universities. Suicide is a phenomenon existing amongst university students worldwide, generally associated with mental health problems. Although the evidence has revealed a greater psychosocial vulnerability amongst Social Work students, there are few studies that address this reality. This work, thus, has focused on detecting the risk of suicide amongst undergraduate Social Work students at Spanish universities. A total of 511 students (89 per cent female) at eighteen Spanish universities completed an online questionnaire assessing both support and risk factors for suicide. A total of 28.8 per cent reported suicidal ideation, 15.3 per cent planned suicide and 24.9 per cent presented suicide risk. Logistic regression analysis showed that this risk was, understandably, associated with higher depressive symptomatology, lower perceived social support and lower life satisfaction. The results obtained indicate the prevalence of the risk of suicide ideation, planning and the imminent risk of suicide amongst Social Work students at Spanish universities, and this study's findings have specific implications for the university Social Work community, and for governmental, academic and university bodies in general.",
      "authors": "Reina-Aguilar, Pastora; Maria Diaz-Jimenez, Rosa; Caravaca-Sanchez, Francisco",
      "author_ids": "",
      "journal_or_venue": "British Journal of Social Work",
      "doi": "10.1093/bjsw/bcac179",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:42:33.227822+00:00"
    },
    {
      "input_index": 1584,
      "record_key": "SWRD:76196",
      "source_database": "SWRD",
      "record_id": 76196,
      "year": 2023,
      "title": "The Impact of Suicidality and Spirituality on Substance Use Day Treatment Discharge",
      "abstract": "Purpose: Although spirituality seems to protect against suicidality and substance misuse, in 2022 81% of United States residents believe in God and yet prevalence of these global health issues are increasing. 12-Step programs are inherently spiritual in their approach to recovery. Method: We used a clinically mined dataset built from everyday clinical data that a substance use day treatment program in a midwestern state of the USA originally collected for their treatment purposes. Data included information from 444 client files from three day treatment sites within the same agency. Using logistic regression, we analyzed the relationships between suicidality, spirituality, and treatment discharge. Results: Suicidality and spirituality, including 12-Step involvement prior to treatment, did not have a statistically significant effect on substance use day treatment discharge. However, treatment length and age were associated with completed treatment. Discussion and Conclusion: While spirituality and suicidality are important concepts with relevance to recovery, they did not affect whether clients completed substance use day treatment. However, because recovery is not just about abstinence or risk reduction, suicidality and spiritually likely have relevance for the overall recovery process.",
      "authors": "E. Brown H.; B. Dennis C.",
      "author_ids": "",
      "journal_or_venue": "Journal of Evidence-Based Social Work",
      "doi": "10.1080/26408066.2023.2230186",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
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      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:42:38.268016+00:00"
    },
    {
      "input_index": 1585,
      "record_key": "SWRD:61228",
      "source_database": "SWRD",
      "record_id": 61228,
      "year": 2023,
      "title": "The lived experience of wounded helpers: A phenomenological study of social workers working with suicidal cases in mental health settings in Hong Kong",
      "abstract": "This study explores the grief of social workers who experience the death of clients in community mental health settings. \"The ten participants represented three occupational categories: social work administrators, senior social workers team leaders and clinical leaders), and novice and frontline social workers.\" A phenomenological research approach was adopted, and semi-structured interviews were conducted to explore the types of grief experienced by the participants. Researchers found that the grief of these \"wounded helpers\" took various forms: guilt, shock, panic, anger, shame, loss, sadness, helplessness, regret, fear, and anxiousness. In addition, some suffered from debilitating flashbacks. Their experiences produced psychological pain that took a long time to fade. Studies have shown that the grief and suffering of those in the helping professions are strongly connected to their perceived professional identity and their understanding of what constitutes professionalism. Based on our findings, we finally discuss the lessons that can be learned from this group of social workers who experienced recovery from traumatic situations in their career.",
      "authors": "Hung, King Lun; Ku, Hok Bun; Leung, Sameul S. M.",
      "author_ids": "",
      "journal_or_venue": "Qualitative Social Work",
      "doi": "10.1177/14733250211064811",
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      "database_method": "Qualitative",
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      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T18:42:40.570699+00:00"
    },
    {
      "input_index": 1586,
      "record_key": "SWRD:60268",
      "source_database": "SWRD",
      "record_id": 60268,
      "year": 2023,
      "title": "The Role of Social Work in Confronting the Farmer Suicide Crisis: Best Practice Recommendations and a Call to Action",
      "abstract": "Although estimates of prevalence vary, suicide rates among farmers are high and pose an important challenge for mental health policy and practice. The lack of mental health resources in many rural communities is a significant barrier to improving farmer mental health outcomes. The current paper will review (1) current findings related to the psychosocial functioning of agriculturalists including rates of suicide and common mental health concerns within this population; (2) describe stressors and risk factors associated with mental health symptoms in rural and agricultural communities; and (3) discuss barriers associated with accessing mental health treatment. This article also includes recommendations for increasing the cultural competence of social work practitioners working with rural communities. Finally, existing research on using technology and workforce development approaches for increasing access to mental health in rural communities is presented and recommendations for future research are explored.",
      "authors": "Nason, Erica E.; Blankenship, Abby S.; Benevides, Elizabeth; Stump, Katherine",
      "author_ids": "",
      "journal_or_venue": "Social Work in Public Health",
      "doi": "10.1080/19371918.2022.2093305",
      "record_type": "journal-article",
      "database_method": null,
      "database_is_scientific": true,
      "database_is_empirical": false,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:42:42.841718+00:00"
    },
    {
      "input_index": 1587,
      "record_key": "SWRD:60729",
      "source_database": "SWRD",
      "record_id": 60729,
      "year": 2023,
      "title": "Traditional and cyberbullying victimization and adverse mental and behavioural outcomes among school adolescents from Saint Vincent and the Grenadines",
      "abstract": "Exposure to traditional (offline) and cyber (online) bullying among adolescents is a major public health problem globally. However, little is known about traditional and cyberbullying victimization in relation to adverse mental and behavioral outcomes among in-school adolescents in the Caribbean, which prompted the study. Data from 1,877 adolescents (mean age: 15.4 years, SD = 1.4) that participated in a cross-sectional national school survey in 2018 in Saint Vincent and the Grenadines were analyzed. Students responded in a classroom setting to self-administered questions on traditional and cyberbullying victimization, as well as adverse mental and behavioral outcomes. Indicate that 20.5% of students reported traditional bullying victimization only, 5.8% cyberbullying only and 9.8% combined traditional and cyberbullying victimization in the past 12 months. Combined traditional and cyberbullying victimization had the highest odds, and traditional bullying victimization only and cyberbullying victimization only had both the second highest odds of 10 adverse mental health outcomes (loneliness, anxiety, suicidal ideation, suicide plan, suicide attempt, current cigarette smoking, current other tobacco use, ever drunk, trouble from drinking, and/or current cannabis use) and combined traditional and cyberbullying victimization had the highest odds, cyberbullying victimization only had the second highest odds and traditional bullying victimization only the third highest odds of eight adverse behavioral outcomes (school truancy, physically attacked, in a physical fight, injury, ever sex, multiple sexual partners, non-condom use and/or leisure-time sedentary behavior). Combined traditional and cyberbullying victimization, followed by cyberbullying victimization only and traditional bullying victimization only increased the odds of adverse mental health and behavioral outcomes.",
      "authors": "Pengpid, Supa; Peltzer, Karl",
      "author_ids": "",
      "journal_or_venue": "Journal of Human Behavior in the Social Environment",
      "doi": "10.1080/10911359.2022.2062512",
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        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T18:42:45.747946+00:00"
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    {
      "input_index": 1588,
      "record_key": "SWRD:58190",
      "source_database": "SWRD",
      "record_id": 58190,
      "year": 2023,
      "title": "Trusted Adults as a Protective Factor for Bullying and Suicide Attempts Among Youth Across Differences in Race, Sexual Orientation, and Gender Identity",
      "abstract": "Objective: Bullying victimization commonly occurs among young adults and negatively influences their psychosocial functioning. Using the stress-buffering hypothesis as a theoretical framework, this study examines school bullying and online bullying, their relationships with suicide attempts, and the protective role of supportive adults (i.e., parents, teachers). Method: We used multiple regression analyses to identify the association between bullying and suicide attempts and the moderation effects of the availability of support from parents and teachers in a sample of 5,351 Colorado students ages 14-18 (M=15.7 years, SD=1.2). We examined differences across race, sexual orientation, and gender identity. Results: School bullying and online bullying were associated with students' suicide attempts. Asian and African American students reported fewer suicide attempts than white students. Compared to their cisgender heterosexual peers, cisgender lesbian, gay, and bisexual (LGB) students and transgender LGB youth were more likely to attempt suicide. Only parental support moderated the relationship between bullying and suicide attempts. Conclusions: Results contribute to research exploring the role of parental support in the relationship between experiences of being bullied and suicidality. Findings underscore the need for implementing evidence-based interventions that involve trusted adults and promote their role in reducing youth bullying and suicide risk.",
      "authors": "Park, In Young; Walls, N. Eugene; Atteberry-Ash, Brittanie; Kattari, Leo",
      "author_ids": "",
      "journal_or_venue": "Journal of the Society for Social Work and Research",
      "doi": "10.1086/716241",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2598015750,
        "prompt_eval_count": 1197,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:42:48.347728+00:00"
    },
    {
      "input_index": 1589,
      "record_key": "SWRD:62039",
      "source_database": "SWRD",
      "record_id": 62039,
      "year": 2023,
      "title": "Understanding past experiences of suicidal ideation and behavior in the life narratives of transgender older adults",
      "abstract": "Transgender people (collectively referred to here as trans) experience disproportionate rates of suicidal ideation and behavior (plans and attempts) attributed to complex constellations of structural and individual factors. Interpretive methods in suicide research elucidate and contextualize intricate patterns of risk factors and strategies for recovery. The life narratives of trans older adults offer unique insights into past suicidal behavior and recovery after distress has diminished and perspective has been gained. This study aimed to illuminate the lived experiences of suicidal ideation and behavior in the biographical interviews of 14 trans older adults as part of the project To Survive on This Shore (N = 88). Data analysis was conducted using a two-phase narrative analysis. Trans older adults contextualized suicide attempts, plans, ideation, and recovery as navigating impossible to possible paths. Impossible paths were seen as hopelessness in their life direction, often after a significant loss. Possible paths were described as pathways to recovery from crises. Transitions from impossible to possible paths were narrated as a turning point or moment of strength combined with outreach to family, friends, or mental health professionals. Narrative approaches hold the potential to illuminate pathways to well-being among trans persons with lived experiences of suicidal ideation and behavior. For social work practitioners, therapeutic narrative work around past suicidal ideation and behavior with trans older adults holds promise for suicidal prevention by identifying important supportive resources and previously used coping skills in crises.",
      "authors": "Gaveras, Eleni M.; Fabbre, Vanessa D.; Gillani, Braveheart; Sloan, Steff",
      "author_ids": "",
      "journal_or_venue": "Qualitative Social Work",
      "doi": "10.1177/14733250211051783",
      "record_type": "journal-article",
      "database_method": "Qualitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2623262500,
        "prompt_eval_count": 1209,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:42:50.972805+00:00",
      "screening_source": "Primary screen; blind audit agreement",
      "accuracy_audit": {
        "sample_group": "Qualitative",
        "random_seed": 20260802,
        "blind_screening": {
          "is_relevant": true,
          "relevance_rationale": "The study centrally focuses on the lived experiences of suicidal ideation and behavior among transgender older adults, analyzing narratives related to suicide attempts, plans, and recovery.",
          "evidence_class": "Empirical",
          "empirical_method": "Qualitative",
          "classification_rationale": "The abstract describes a primary data analysis using interpretive narrative methods on biographical interviews with 14 participants, which constitutes qualitative empirical research.",
          "confidence": "High"
        },
        "full_label_agreement": true
      }
    },
    {
      "input_index": 1590,
      "record_key": "SWRD:59809",
      "source_database": "SWRD",
      "record_id": 59809,
      "year": 2023,
      "title": "Understanding the complexity regarding the behavioral health risks that Latinx women experience within a national context",
      "abstract": "There has been an increase in awareness as it relates to women's health, particularly regarding psychosocial health risks as it relates to social determinants of health in communities of color. However, there have been minimal studies conducted that have examined the overall health and wellbeing of women representing the Latinx community. Using data from the 2018 National Survey on Drug Use and Health (NSDUH), the following study examines self-reported overall health in a national sample of Latinx women. The primary aim of this study is to: (1) examine the experiences that Latinx women are having with psychosocial risks factors (i.e. smoking, substance use, depression, and suicidal ideation) within a national sample; and (2) identify the social determinants of health that Latinx women are experiencing in rural and urban communities.",
      "authors": "Coles, D. Crystal; Sawyer, Jason; Perkins, Nathan H.",
      "author_ids": "",
      "journal_or_venue": "Journal of Human Behavior in the Social Environment",
      "doi": "10.1080/10911359.2022.2113583",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2332176916,
        "prompt_eval_count": 1095,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:42:53.307462+00:00"
    },
    {
      "input_index": 1591,
      "record_key": "SWRD:88918",
      "source_database": "SWRD",
      "record_id": 88918,
      "year": 2023,
      "title": "Universal School-Based Screenings for Depression and Suicide: Identifying Students at Risk of Suicide",
      "abstract": "Schools have an important role to play in adolescent suicide prevention. This article describes universal screenings for depression and suicidality as one component of the Signs of Suicide (SOS) program in middle and high schools following the suicide death of a student in the past few years. Of the students screened (N = 7,429), 11.0 percent of youth were identified as at risk by the screening tool; 17.3 percent received a same-day secondary screen with a mental health professional. (Students without an at-risk screen could request a meeting with a mental health professional, so more students received secondary screenings than screened at risk.) Characteristics associated with an at-risk screen on the screening tool were identified. Girls were twice as likely to be identified as at risk than boys, and students exposed to a suicide death in the past year were 1.3 times more likely to have an at-risk screen. There was no difference in at-risk screens for middle versus high school students, but middle schoolers were more likely to receive a secondary screening due to help seeking from school staff. The article concludes with a discussion of the implications for school administrators at middle and high schools, including recommendations to screen with both a screening tool and an option to speak to an adult, strategies for planning for secondary screenings, and advantages to universal screening following the suicide death of a student.",
      "authors": "Mirick, Rebecca G.; Berkowitz, Larry; Mccauley, James; Bridger, Joanna",
      "author_ids": "",
      "journal_or_venue": "Children & Schools",
      "doi": "10.1093/cs/cdad003",
      "record_type": "journal-article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2625611625,
        "prompt_eval_count": 1204,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:42:55.934364+00:00"
    },
    {
      "input_index": 1592,
      "record_key": "SSWR:2024-U-0598",
      "source_database": "SSWR",
      "record_id": "2024-U-0598",
      "year": 2024,
      "title": "\"Being Able to be Myself\": Useful Aspects of Inpatient Psychiatric Care from Perspectives of LGBTQ Youth Previously Hospitalized for Suicide Attempts",
      "abstract": "Background: Suicide is the second leading cause of death among youth ages 10-24 (CDC, 2020) and lesbian, gay, bisexual, transgender, and queer (LGBTQ) youth are disproportionately at risk. LGBTQ youth are more than four times as likely to attempt suicide than their non-LGBTQ counterparts (Johns et al., 2019; Johns et al., 2020), with rates continuing to rise. Given that a prior suicide attempt is one of the most robust predictors of death by suicide (e.g., CDC, 2013; Brendel, 2013) and the most common reason for admission to inpatient psychiatric units (e.g., Plemmons, 2018), it is critical to understand the ways in which inpatient psychiatric care facilitates stabilization and recovery following a suicide attempt from perspectives of LGBTQ youth themselves. Methods: During the first phase of a larger intervention development study, semi-structured interviews were conducted with 15 youth who had been psychiatrically hospitalized for a suicide attempt within the past six months. Participants were asked about their experiences of inpatient psychiatric care following a suicide attempt. Because most youth (60%, n=9) identified as members of the LGBTQ community, qualitative secondary analysis (QSA; Heaton (2004)) was used to explore experiences of LGBTQ youth specifically (n=9). Data were analyzed using a combination of deductive and inductive applied thematic analysis (Guest et al., 2011). Results: Participants (n=9) ranged in age from 12-17 years old (M=14.5, SD=1.7). The sample was predominantly nonbinary/gender non-conforming (55.6% nonbinary/gender non-conforming (22.2% gay/lesbian cisgender; 22.2%) and white (55.6% white, 11.1% American Indian/Alaska Native; 11.1% multiracial, and 22.2% Hispanic/Latinx). Qualitative analyses produced several salient themes pertaining to inpatient psychiatric staff behavior, care standards, and therapeutic processes that facilitate stabilization and recovery following a suicide attempt. Specifically, observable demonstrations of respect by staff related to gender identity and sexual orientation influenced decision-making processes related to a) whether youth disclosed this information to unit staff b) whether youth disclosed this information or ‘come out’ to other people (e.g., family members). Youth who were already ‘out’ to family members and experiencing dismissive invalidation as a result expressed a desire for more parent/caregiver guidance consistent with LGBTQ affirming care as a standard component of treatment provided by unit staff. Youth who had not disclosed information about their gender identity or sexual orientation to parents/caregivers or staff cited a perceived lack of safety, fears of rejection, and inducing disappointment as primary reasons. Youth who were able to acknowledge these parts of their identities considered this process an integral and foundational component of their mental health treatment and attempt recovery trajectories. Conclusion/Implications: Findings highlight the importance of providing LGBTQ affirming care during inpatient psychiatric stays for youth recovering from a suicide attempt. With the marked proliferation of anti-LGBTQ legislation in most states across the country, it is critical for health care organizations to institutionalize and codify LGBTQ affirming care as the only acceptable standard of care for youth in inpatient psychiatric settings, as well as other settings in which care is provided.",
      "authors": "Saira Afzal; James Bunting; Abigail Ross",
      "author_ids": "123770; 125221; 118393",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3647998083,
        "prompt_eval_count": 1666,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:42:59.584037+00:00"
    },
    {
      "input_index": 1596,
      "record_key": "SSWR:2024-P-0317",
      "source_database": "SSWR",
      "record_id": "2024-P-0317",
      "year": 2024,
      "title": "\"You Just Try to Hang in There...\": Experiences of Parents with a Child in Suicidal Crisis during the COVID-19 Pandemic",
      "abstract": "Background: Suicide is currently the 2 nd leading cause of death among youth ages 10-24, with rates continuing to rise exponentially. An emerging--yet substantial--body of research indicates that the COVID-19 pandemic only exacerbated this crisis, particularly among youth of color. While parental support has been shown to buffer against suicide risk and parent-child communication has been shown to be protective against youth anxiety and depression during the COVID-19 pandemic specifically, little is known about the ways in which the COVID-19 pandemic affected parents/caregivers and their capacity to support their children who experienced a suicidal crisis during COVID-19. Methods: As part of a larger intervention development study, semi-structured interviews were conducted with 15 parents/caregivers whose child had been psychiatrically hospitalized for a suicide attempt within the previous six months. All data collection occurred between November 2021 and June 2022. Interviews were designed to elicit perspectives on the ways in which COVID-19 impacted their family, their child’s mental health, precipitants to the hospitalization, and their experiences of inpatient psychiatric care. Data were analyzed in Atlas.ti using reflective thematic analysis. Results: Analyses produced several salient themes related to isolation, distress, and uncertainty. In general, parents reported that pandemic-related distress (e.g., school closures, discontinuation of activities, inability to see family/friends) functioned to exacerbate their children’s mental health symptoms, with isolation due to pandemic-related public health precautions identified as a main trigger. Although a few parents indicated that COVID-19 had a positive impact on their relationships with their child, as it bolstered a sense of connection, most parents described a pervasive sense of loss that spanned multiple domains, including loss of financial stability, loss of predictability/normalcy, loss of support networks and school-based resources, and deaths of family members due to COVID-19. These losses, and the associated grief experienced, generally increased global family distress, with parents reporting exhaustion and fear, which invariably affected their abilities to support their children. Navigating changes in health care delivery systems (e.g., hospitals with different visitation policies, deciding between virtual and in-person outpatient treatment options), both on the unit itself and when securing post-hospitalization follow up care, also contributed to pandemic-related fatigue experienced by parents/caregivers in this sample. Conclusions: Findings from this study indicate that the COVID-19 pandemic impacted parents and caregivers tasked with supporting youth in suicidal crises. Parents and caregivers described experiencing increased feelings of isolation and distress due to the pandemic, and in that context dealt with finding help for a child in suicidal crisis. With public health precautions designed to mitigate spread of COVID-19 diminishing external support networks such as family, friends, and school resources, additional responsibilities were placed on parents. Implications for supporting parents and caregivers of youth in suicidal crisis will be discussed, including ways the health care system can enhance parental and caregiver capacity for supporting suicidal youth during COVID-19 and beyond.",
      "authors": "Saira Afzal; James Bunting; Abigail Ross",
      "author_ids": "123770; 125221; 118393",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3315833250,
        "prompt_eval_count": 1564,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:43:13.030208+00:00"
    },
    {
      "input_index": 1597,
      "record_key": "SSWR:2024-G-0058",
      "source_database": "SSWR",
      "record_id": "2024-G-0058",
      "year": 2024,
      "title": "A Case Study Evaluation of Accord Services for High-Utilizers of Alternative Mental Health Crisis Services",
      "abstract": "Background and Purpose: In June 2021, the Albany County Crisis Officials Responding and Diverting (ACCORD) program was piloted in rural areas of Albany County, NY. While evaluation of the first-year implementation suggests that the program may help address the needs of individuals with serious mental illnesses, the data also suggests that there are clients who received ACCORD crisis intervention services multiple times. Through a case study of a ‘high program utilizer’ (30+ crisis intervention services), this paper aims to highlight programmatic (i.e., ACCORD program specific) and system (i.e., services and systems in the community) gaps that may help enhance the effectiveness of a program such as ACCORD. Methods: One client was selected for this study for receiving crisis intervention services 30+ times over the span of July 2021 to June 2022. Services include phone support, crisis intervention, and follow-up contact with the client or hospital for status updates. The client was a middle-aged white woman diagnosed with major depression disorder (MDD) and borderline personality disorder (BPD) and was a known client of the Albany County Department of Mental Health for utilizing outpatient mental health services. A timeline of the events was constructed based on an in-depth analysis of the ACCORD service fieldnotes of this particular client that an ACCORD social worker completed. Findings: Three major themes emerged. First, client-initiated ACCORD services on several occasions after experiencing stressors related to outpatient therapy services (e.g., missed appointments, perceived confrontation from a therapist, and lack of social support). This coincided with the client subsequently contacting ACCORD services. Second, ACCORD mental health professionals provide competent and appropriate judgment in disposition determination for the client’s need for further assessment at a local hospital or safety planning to remain in the community. Third, the client has several clustered ACCORD services resulting in transportation to the emergency room with suicidal ideation despite prior utilization of phone support to manage a crisis. Conclusions and Implications: The ACCORD program provides vital mental health services to rural Albany County, with phone support and access for clients who previously utilized police. Findings highlight the importance of ACCORD members continuing to use strengths-based and motivational interviewing skills (i.e. active listening, validating, and engagement in coping skills) to effectively mitigate combativeness and further threats to harm themselves or others. Additionally, the COVID-19 pandemic has exacerbated hospital staff shortages and access to inpatient psychiatric beds. Therefore, we recommend expanding community-based mental health, such as ACCORD and crisis case management services. This will promote accessibility, reduce the risk of repeated crisis contact, and decrease strain on other emergency services. Future research ideas include outlining specific intervention differences between high-utilizers compared to previously unknown clients.",
      "authors": "Timothy Campbell; Tomoko Udo; Jordan Dyett; Preston Roberts; Denard Cummings; Carmen Morano",
      "author_ids": "125411; 125408; 125391; 125409; 125410; 108136",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Sig",
      "database_method": "other",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3122178125,
        "prompt_eval_count": 1493,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:43:16.154483+00:00"
    },
    {
      "input_index": 1598,
      "record_key": "SSWR:2024-O-0001",
      "source_database": "SSWR",
      "record_id": "2024-O-0001",
      "year": 2024,
      "title": "A Cognitive Behavioral Approach to Suicide Prevention Among Adults with Psychosis: Stakeholder Involvement and an Open Pilot Trial in Community Mental Health",
      "abstract": "Background and Purpose: Suicide is among a leading cause of death for individuals with schizophrenia spectrum disorders (SSDs). Despite a growing body of literature documenting associations between psychosis symptoms, suicide ideation and attempt, evidence-informed interventions aiming to prevent suicide are lacking for individuals experiencing psychosis symptoms. Cognitive Behavioral Suicide Prevention for psychosis (CBSPp) is one of few suicide-focused interventions tailored for psychosis symptoms and was developed in the United Kingdom. To date, investigations of CBSPp have shown promising improvements in psychiatric outcomes and our team sought to modify the treatment for delivery in US community mental health (CMH) settings. This abstract presents on Aim 1 of a NIMH-funded pilot effectiveness clinical trial (R34) study, involving modifications to the treatment with use of stakeholder input and an open pilot trial for preliminary testing prior to a clinical trial. Methods: A total of 25 adult stakeholders participated in the modification phase, including 6 clients with SSDs and recent suicide ideation or attempt, 7 peer advocates, and 12 mental health providers in CMH. All stakeholders attended a qualitative in-depth interview with research staff to explore perspectives about the need for CBSPp, treatment barriers, sustainability facilitators, and areas for improvements. Qualitative interviews were transcribed, coded in Dedoose using an open-coding technique to generate themes across questions, and analyzed using grounded theory methods. Qualitative stakeholder findings were presented to a panel of scholarly experts in suicide and psychosis research, intervention research, and implementation science for additional feedback prior to finalizing a final list of modifications. Modifications were implemented systematically and preliminarily testing in an open pilot trial of 5 mental health providers and 5 clients with SSDs and recent suicide ideation or attempt. Clients received 10 individual therapy sessions across 10 weeks by trained CBSPp providers and completed clinical assessments at multiple timepoints (baseline, mid-treatment, post-treatment, and follow-up). In addition, participants attended a qualitative in-depth interview with research staff at post-treatment to explore CBSPp experiences and areas for further modification. Quantitative data were analyzed in SPSS28 and qualitative were coded in Dedoose, similar to methods of the stakeholder modification data. Results: Emerging themes from stakeholders in the modification phase identified logistic, perceptual, and clinical challenges in introducing a treatment innovation. Final CBSPp modifications include tailoring CBSPp content and protocol for psychosis clients in CMH, increasing the feasibility of provider training, and enhancing client engagement to boost content and provide added support to clients. In the open pilot trial, clients made improvements in suicide ideation, depression, hopelessness, general symptoms of psychosis, entrapment, defeat, coping, psychological stress, and impulsivity from baseline to post-treatment. Implications and Conclusions: Consistent with prior literature, buy-in and stakeholder support in the implementation of a treatment innovation emerged as important factors. Stakeholder involvement was essential in the modification process and open pilot findings reinforced the potential of CBSPp as a suicide prevention approach in CMH. A clinical trial is currently underway and future research will continue to examine the effectiveness and implementation of CBSPp on a larger scale and across various clinical settings.",
      "authors": "Lindsay A. Bornheimer; Juliann Li Verdugo; Nakea Jeffers; Katie Hoener; Melisa Tasker; Krista DeWeese; Timothy Florence; Cheryl King; Stephan Taylor; Joseph Himle",
      "author_ids": "114170; 121000; 124625; 124626; 124627; 124628; 124629; 122158; 124630; 129704",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "mixed_methods",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3432794583,
        "prompt_eval_count": 1591,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:43:19.589586+00:00"
    },
    {
      "input_index": 1600,
      "record_key": "SSWR:2024-U-0017",
      "source_database": "SSWR",
      "record_id": "2024-U-0017",
      "year": 2024,
      "title": "A Computerized Simulated Training Tool for Suicide Prevention: Potential for Utility and Scalability in Social Work Education and Practice Settings",
      "abstract": "Background and Purpose: Suicide is a critical public health concern and a leading cause of preventable death worldwide. Social workers are well-positioned to engage in suicide prevention efforts as leading providers of behavioral health services in the United States, yet implementation of efforts depend on skill acquisition and providers often report feeling unprepared. Innovative technologies and simulation-based trainings with virtual clients are emerging in the behavioral healthcare field and provide opportunities to gain and apply skills through a combination of didactic content, practicing skills, and evaluation of skills. This pilot study explored the acceptability, feasibility, and preliminary effectiveness of three suicide prevention-focused simulations with virtual clients among social work student trainees. Methods: A total of 22 students were recruited from a Master of Social Work (MSW) program in a midwestern region of the United States. Students were registered in a suicide-prevention elective course and after providing informed consent, completed pre- and post-test surveys, and engaged with three simulated trainings: 1) suicide risk assessment, 2) safety planning, and 3) motivating a client to treatment. Quantitative and qualitative data were collected and analyzed to examine hypotheses of the simulations being perceived as acceptable, experienced as feasible, adhered to, and producing improvements in skill perception and application with virtual clients over time . Results: The majority of students (73%) reported having little to no coursework or formal training experience in suicide assessment or prevention approaches, and all (100%) expressed a desire for greater presence of suicide prevention training in MSW program curriculum. Students reported high acceptability scores, and usage data supported the feasibility of simulation engagement. Perceived readiness to use skills with a client and performance scores significantly improved from the first to third virtual client session for all three simulations (perceived readiness effect sizes calculated to be large for suicide assessment (1.11), large for safety planning (1.13), and medium for motivating to treatment (0.64); performance score effect sizes calculated to be large for suicide assessment (1.27), safety planning (1.14), and motivating to treatment (1.46)) . Importantly, performance scores aligned with participant perceptions of preparedness and skill acquisition. Qualitative findings reinforced and expanded upon the above results, with themes emerging about the simulation experience being realistic, challenging, providing helpful feedback, and more. Implications and Conclusions: Findings indicate the promising utility, effectiveness, and scalability of this simulated technology innovation. Implications point towards a strong desire and need for greater suicide prevention training and the importance of strategic planning for the implementation of a simulated training innovation in social work training programs and practice settings. Future research will examine the effectiveness and implementation of simulations on a larger scale and investigate comparisons between this simulated suicide prevention training versus a comparable in-person training.",
      "authors": "Lindsay A. Bornheimer; Juliann Li Verdugo; Laura Humm; Barbara Hiltz; Matthew James Smith",
      "author_ids": "114170; 121000; 115862; 121002; 108112",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "mixed_methods",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3135101667,
        "prompt_eval_count": 1499,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:43:26.343026+00:00"
    },
    {
      "input_index": 1601,
      "record_key": "SSWR:2024-U-0646",
      "source_database": "SSWR",
      "record_id": "2024-U-0646",
      "year": 2024,
      "title": "A Critical Examination of Risk and Protective Factors for Suicidality Among First-Generation Latinx Immigrant Youth from the Northern Triangle: A Latent Profile Analysis",
      "abstract": "Background and Purpose: Central American immigrant youth specifically from the Northern Triangle (NT; El Salvador, Guatemala, Honduras) are a unique, vulnerable, and increasing and emerging population within first-generation Latinx immigrants in the U.S. Indeed, 77% of immigrant youth apprehended at the U.S.-Mexico border in 2021, and 90% in 2019, hailed from the NT, highlighting the NT youth immigration-related crisis currently being faced in the U.S. First-generation Latinx immigrant youth from the NT face unique risks for stressors across the phases of migration (i.e., forced family separation, victimization, immigrant-related stress and discrimination), which may encourage suicidality. Yet, psychosocial buffering resources (i.e., social support, sense of ethnic identity) during post-migration have strong potential to prevent suicidality through mitigating the negative effects of past stressors. Given the rise in suicidality and that it is the third leading cause of death among U.S. Latinx youth, understanding the intervenable psychosocial factors associated with suicidality, specifically among NT immigrant youth, whom are an emerging and intersectionally vulnerable U.S. population, is an urgent gap in the scientific literature. Methods: Primary surveys assessing stressors across the phases of migration (i.e., pre- to post-migration victimization and family separation), immigrant-related minority stress (i.e., immigrant-related discrimination and negative stress-related feelings), psychosocial buffering factors (i.e., family, peer, and school support, and ethnic identity importance), and suicidal ideation were administered to first-generation Latinx immigrant youth from the NT (N=172). Latent profile analysis was then conducted to identify latent profiles that varied at the intersections of post-migration immigrant minority stress and psychosocial buffering factors. Chi-square and logistic regression were conducted to examine the associations of stressors and latent profile membership with suicidality. Results: On average, youth were 17.6 years old and had been living in the U.S. for 2.7 years. Youth were primarily heterosexual (92%), female (63%), and born in El Salvador (76%). A three latent-profile model emerged, characterized by post-migration 1) moderate immigrant minority stress/low psychosocial buffering ( weak resources ), 2) moderate immigrant minority stress/moderate psychosocial buffering ( average resources ), and 3) low immigrant minority stress/high psychosocial buffering ( strong resources ). Logistic regression revealed that youth in the strong resources group were significantly less likely to experience suicidality compared to youth in the average and weak resources groups. The weak resources group did not differ from the average resources group on suicidality. The effect of post-migration victimization on suicidality was significant in bivariate analysis, but attenuated in multivariable analysis. Pre-migration victimization and family separation were not significantly associated with suicidality, and in-transit migration victimization prevalence was too low for valid statistical assessment. Conclusions and Implications: This study is among the first to reveal that NT immigrant youth may require strong social supports (i.e., family, peer, and school support), and highly affirming environments (i.e., low immigrant minority stress) that celebrate, welcome, and embrace their cultural and ethnic identities to experience optimal mental health that mitigates the negative effects of past traumas, such as post-migration victimization, and ultimately prevents suicidality. Further research is warranted to address trauma and promote resilience and healing in this emerging and vulnerable population.",
      "authors": "John Salerno; Christina Getrich; Jessica Fish; Yecenia Castillo; Susana Edmiston; Pedro Sandoval; Elizabeth Aparicio; Craig Fryer; Bradley Boekeloo",
      "author_ids": "120793; 125874; 119417; 125875; 125876; 125877; 112434; 125878; 120795",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3589366292,
        "prompt_eval_count": 1673,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:43:29.934026+00:00"
    },
    {
      "input_index": 1602,
      "record_key": "SSWR:2024-P-0405",
      "source_database": "SSWR",
      "record_id": "2024-P-0405",
      "year": 2024,
      "title": "A Nationwide Look at Protective Factors of Suicide Ideation Among Youth in the Child Welfare System",
      "abstract": "Background/Purpose: Suicide is a major public health concern. For youth aging from 10 – 14, suicide is the second highest cause of death. Youth in the child welfare system are at a heightened risk of suicidal ideation, yet limited research on suicide prevention has been conducted with this population. Further, the few existing studies have focused on identifying risk factors, and scarce research has examined protective factors. Recognizing the protective factors associated with suicide among youth involved with the child welfare system aligns well with social work values and can inform strengths-based suicide prevention strategies. Therefore, this study aimed to examine various protective factors (resilience, positive peer relationships, future expectations, relationships with a caregiver, school engagement, prosocial skills) for suicidal ideation among youth involved with the child welfare system. Methods: Using the first wave of the National Survey of Child and Adolescent Well-Being (NSCAW), this study included 1,019 adolescents (aged 11 and older) in the child welfare system. To measure suicidal ideation, one specific item in the Children’s Depressive Inventory was used, which asked if the young person thought about killing themselves in the past two weeks. Resilience was measured using the Resiliency Scale. Relationship with peers was measured using the Loneliness and Social Dissatisfaction Questionnaire for Young Children. Adolescent future expectation was measured using the Expectations About Employment, Education, and Life Span Section from Adolescent Health Survey. School engagement was assessed using the Drug Free Schools (DFSCA) Outcome Study Questions. Caregiver-youth relationships were measured using the Rochester Assessment Package for Schools, and youth prosocial skills were assessed using the Social Skills Rating System. Youth gender and race were included as control variables. Binary logistic regression was conducted using SPSS. Results: Results of the binary logistic regression suggest that children’s relationship with their caregiver and their peers to be significant protective factors of suicide ideation for children aged 11-16 involved with the child welfare system. For each unit increase in a child’s positive relationship with their peers was associated with a 43.4% decrease in the odds of the child experiencing suicide ideation (OR = .57, p = <.001). Additionally, each unit increase in a child’s relationship with their caregiver suggests a 59.1% decrease in the odds of a child reporting suicide ideation (OR = .41, p = <.001). Conclusions and Implications: Given that most existing literature and intervention on youth suicide are geared towards the general population, our findings expand on the youth suicide research by identifying a specific population of youth who are at an increased risk for suicide. Our findings suggest that positive relationships with caregivers and peers serve as key protective factors for suicidal ideation among youth involved with the child welfare system. Thus, bolstering positive caregiver and peer networks and supporting youth to build strong and healthy relationships with their caregivers and peers may be critical intervention points to prevent suicide among youths involved with the child welfare system.",
      "authors": "Sarah Parmenter; Haelim Jeong; Dalhee Yoon; Susan Yoon",
      "author_ids": "124585; 123519; 114911; 113084",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3324627833,
        "prompt_eval_count": 1545,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:43:33.260406+00:00"
    },
    {
      "input_index": 1603,
      "record_key": "SSWR:2024-U-0275",
      "source_database": "SSWR",
      "record_id": "2024-U-0275",
      "year": 2024,
      "title": "Adapting Youth-Nominated Support Teams to  Prevent Suicide Among Youth with Emerging Psychosis",
      "abstract": "Background and Purpose : An estimated 5% of people with schizophrenia die by suicide, giving this diagnosis one of the highest suicide rates of any mental health condition. Suicide risk appears to be highest early in the course of illness and may be particularly elevated for individuals at clinical high risk for psychosis (CHR). Despite the CHR population’s high risk of suicidality, current standards of treatment inadequately address suicide risk among youth in the early stages of psychosis. The Youth-Nominated Support Team (YST) is a brief intervention based on social support and health behavior models, developed to reduce suicide risk among adolescents with recent suicidal ideation and/or suicide attempts, and is the first intervention with demonstrated efficacy in reducing mortality among suicidal adolescents. We used qualitative methodology to adapt the YST intervention for youth receiving services through CHR services in preparation for a randomized trial of the adapted intervention. Methods : We conducted a series of focus groups with clients at CHR, their family members, and clinicians who worked in CHR clinics (N=30), to discuss the adaptation of the YST intervention. A framework analysis was conducted using Dedoose software. The coding framework was developed in accordance with the a priori themes of the focus group, which were further refined as additional concepts were identified in the transcripts. This established a set of emergent themes related to potential adaptations. Following the steps from the Delphi method, the identified themes were presented to a team of study investigators and outside consultants to rank and discuss the feasibility of the adaptations. Results. Focus group participants identified several key methodological innovations that may improve the acceptability and potential effectiveness of the YST intervention for the CHR population (YST-CHR). Recommended adaptations include greater involvement of the client in the psychoeducational sessions between the clinician and support persons, integration of web-based and telehealth methods, and incorporation of a support-person role for individuals with lived experience of psychosis, among others. The final adapted YST-CHR approach will be presented in the context of these and other consensus meeting recommendations. Conclusions and Implications . Youth receiving services for CHR and psychosis spectrum diagnoses are at elevated risk for suicide yet have rarely benefited from targeted interventions intended to meet their unique clinical needs. The adaptation of YST, one of relatively few evidence-based interventions for suicidal behavior among youth, provides an important new clinical tool to help alleviate this risk. The adapted YST-CHR will be examined in a small feasibility trial followed by a larger multi-site randomized clinical trial to determine its efficacy.",
      "authors": "Jordan E. DeVylder; Samantha Jay; Yerim Ryu; Jason Schiffman",
      "author_ids": "112063; 125218; 125219; 116147",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3091875666,
        "prompt_eval_count": 1427,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:43:36.354006+00:00"
    },
    {
      "input_index": 1604,
      "record_key": "SSWR:2024-P-0646",
      "source_database": "SSWR",
      "record_id": "2024-P-0646",
      "year": 2024,
      "title": "An Interdisciplinary Simulation Approach to Overdose Prevention for Students Working with Children, Adolescents and Transition-Aged Youth",
      "abstract": "Background and Purpose: Opioid abuse and overdose are a national problem. According to the New York State Department of Health, there were 211 deaths related to heroin and synthetic opioids use in 2019 for 18 to 24 year olds. Additionally, in 2019, Emergency Medical Services administered naloxone to 1286 children and young adults between 0 to 24. NASW and CSWE have published guides for substance use in social work practice. Nonetheless, researchers have questioned whether social work students are adequately prepared to work with adolescents and young adults who have substance abuse disorders. Nurses and social workers often work together to address problems associated with substance abuse disorders. Nursing education has historically used simulations to supplement student learning. As our profession reflects on the next 30 years of social work science, we acknowledge a need for interdisciplinary collaboration to supplement student education and expand research addressing the intersection between adolescent mental health and substance use disorders. Methods: The Interdisciplinary Education and Training Experience (IDEATE) is a Health Resources and Services Administration (HRSA) funded integrated behavioral health fellowship that trains master’s level social work and psychiatric nurse practitioner students to work with children, adolescents, and transition age youth at Adelphi University. As a part of this program, we developed a virtual simulation based on a Zero Overdose seminar. We utilized Kolb’s Experiential Learning and Isenberg's Curriculum Integration Framework as guiding theories in case formulation and simulation structure. The simulation case focused on a standardized patient who was an 18-year-old on the LGBTQ spectrum with a history of Major Depressive Disorder, marijuana, and fentanyl use. Students, faculty observers, and student actors were administered a 5-point Likert scale (1=strongly disagree to 5=strongly agree) to assess student ability to (1) recognize signs and symptoms of opioid use, (2) use standardized screening tools to assess for overdose, suicidality, and for safety planning (3) build rapport, educate the patient on overdose risks, (4) discuss harm reduction strategies with them and (5) work with their interdisciplinary partner. Results: Twenty-four students completed the simulation and evaluation. Students reported high mean scores in all areas, 4.2 - 4.3. In contrast, faculty members reported high means in signs and symptoms (4.5), building rapport (4.4), safety planning (4.0), and education on overdose risk (4.2) and lower mean scores in student use of overdose screening tools (2.9) and interdisciplinary teamwork (3.3). Student actors reported the lowest mean scores in signs and symptoms (4.3) and building rapport with their partner (3.7). Conclusions and Implications: Specialized professional training programs have the potential to improve student competence in treating children and young adults with substance use disorders. Our data shows the limitations of self-report and the need for triangulation to counter student bias. Additionally, it shows the importance of having different avenues for students to obtain feedback. Future research should include more experimental designed intervention studies to better understand pre and post outcomes of educational interventions and retention of knowledge gained from simulation.",
      "authors": "Chireau White; Chrisann Newranksy; Elizabeth Palley; Marissa Abram",
      "author_ids": "124542; 125937; 124544; 124543",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "other",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3383798333,
        "prompt_eval_count": 1582,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:43:39.739834+00:00"
    },
    {
      "input_index": 1606,
      "record_key": "SSWR:2024-U-0150",
      "source_database": "SSWR",
      "record_id": "2024-U-0150",
      "year": 2024,
      "title": "Associations of Suicide Attempts and Gender Identity Conversion Therapy Among Transgender and Non-Binary Individuals",
      "abstract": "Background and Purpose : Affirmation of gender identity is critical for mental and overall wellbeing of transgender and nonbinary (TNB) persons. Gender identity conversion efforts (GICE), an outlawed practice for licensed professionals in numerous U.S. jurisdictions, has been associated with exacerbated mental health and substance use outcomes. Limited previous literature examining GICE exposure and wellbeing has been criticized for failing to distinguish mental health outcomes for TNB persons before or after GICE. Our study builds on current literature by examining differences in TNB persons’ psychosocial risk indicators based on their GICE exposure, accounting for pre-GICE mental wellbeing. Methods : We conducted a secondary data analysis using the 2015 U.S. Transgender Survey (N=25,810), the largest available national survey aimed at understanding TNB persons’ experiences. Using logistic regression models, we examined how GICE exposure (disaggregated by temporal precedence of suicide attempts) is related to psychological distress (Kessler-6), extra-medical prescription use, healthcare and public restroom avoidance, housing instability, incarceration, and intimate partner violence (IPV). Covariates included age, race, gender identity, sexual orientation, education, employment status, income, and (de)transitioning experiences. The average age of the participants was 31 with most participants identifying as transwomen (32.9%) and transmen (29.0%) followed by nonbinary participants. Regarding race, most identified as white (81.9%) followed by biracial (5.6%) and Latinx (5.3%) participants. Results : GICE exposure was reported by 8.3% of the participants among whom 55.0% indicated suicide attempt initiation following GICE. Participants who first attempted suicide within the same year as GICE exposure were more likely to experience severe psychological distress (aOR=6.7), avoidance of doctors due to anticipation of disrespect (aOR=6.4), avoidance of bathrooms out of fear (aOR=6.1), emotional IPV (aOR=5.8), physical IPV (aOR=5.1), housing instability (aOR=7.8), and incarceration (aOR=9.9) relative to participants who experienced no GICE and no suicide (NGNS) (p>.001). Similarly, participants who attempted suicide for the first-time post-GICE were significantly more likely to engage in extra-medical use of prescription substances (aOR=2.3), and experience severe psychological distress (aOR=3.4), avoidance of doctors due to anticipation of disrespect (aOR=2.9) and bathrooms out of fear (aOR=1.9), emotional IPV (aOR=4.3), physical IPV (aOR=4.5), and housing instability (aOR=3.0) compared to the NGNS participants (p>.001). Conclusions and Implications: Findings suggest those who attempted suicide for the first time within a year of or post-GICE exposure were at the highest risk for most outcomes. Although participants with a pre-GICE suicide attempt and those who attempted suicide without GICE exposure were also more likely to experience some poorer outcomes compared to NGNS, those who initiated suicide attempt post or within the same year of GICE had the highest risk profiles. While causality cannot be inferred, the temporal order of our findings suggests that GICE exposure may have a long-term detrimental role in many facets of TNB persons’ lives, especially for those who attempt suicide for the first time close to or post-GICE. Our findings provide further support for outlawing GICE, and for more research to better understand the mechanisms through which GICE exposure maybe associated with poorer wellbeing.",
      "authors": "Tural Mammadli; Jarrod Call; D.L. Whitfield; Brendon Holloway; Eugene Walls",
      "author_ids": "123138; 119194; 124779; 124305; 119338",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3633248167,
        "prompt_eval_count": 1698,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:43:46.524070+00:00"
    },
    {
      "input_index": 1607,
      "record_key": "SSWR:2024-U-0440",
      "source_database": "SSWR",
      "record_id": "2024-U-0440",
      "year": 2024,
      "title": "Building a Culturally Responsive Ecosystem for Black Communities through a Community Collaborative Board",
      "abstract": "Background The Centers for Disease Control Prevention, Congressional Black Caucus, and the National Institute of Mental Health have called attention to the increasing rates of suicide among Black youth. Recent CDC data denotes a 36.6% increase in suicides among Black individuals aged 10-24. To respond to this call, diverse practitioners and researchers received funding to implement the CA-LINC: A Culturally Adapted Care Coordination Suicide Detection and Intervention Model for Black Youth Project in Mecklenburg County, NC. Due to the need to engage the community in decolonizing the research process, CA-LINC is grounded in Community Based Participatory Research (CBPR) methodology. Pinto et al.’s (2011) CCB structure and procedure framework guided the formation and engagement of the Black Youth Mental Wellness Community Collaborative Board (BYMW CCB). The purpose of this study was twofold. First, to explore processes and factors important to the development of CCB’s with Black communities when conducting community based research. Second, engage the CCB in deconstructing the research process specifically as it pertains to navigating structural barriers to centering Black youth wellness in the community. Methods Data used consisted of responses from three group listening sessions (in-person and virtual) and a Qualtrics administered survey with 12 members of the CCB. Although the BYMW CCB continues to operate, this present analysis is for the period of July 2022- April 2023 of the CA-LINC study. A deductive, theory-driven approach was used to create original codes from listening sessions responses. The academic and community co-chair systematically identified the survey questions related to Pinto et al.’s (2011) CCB framework. Due to the nature of the open-ended questions, the data underwent open coding. Thematic content analysis was employed to identify major themes. Results The themes emerged around the six domains of Pinto’s model were: (a) building trust, (b) collective decision making, (c) intentional collaborative partnerships (d) culturally responsive sharing of knowledge (e) compensation and funding. Some of the themes that emerged from the listening sessions were: (a) repairing harm, (b) prioritizing Black youth (c) recruitment barriers (d) unmet community needs, (e) creating a community of care. A number of lessons were discovered that might enhance future development and implementation of CCBs specific for research with Black communities. Conclusions/Implications Pinto’s framework was instrumental to the creation of the BYMW CCB and setting a foundation for developing a culturally responsive ecosystem to meet the needs of Black youth and families in Mecklenburg County. The BYMW CCB recommended strategies to mitigate power and control barriers that were presented during recruitment of Black youth and parents/caregivers for focus groups. As a result, modifications of recruitment strategies to the Institutional Review Board were made for both aims of the study. The ongoing efforts of the CCB is imperative to advance equity in research with Black communities and to support inclusive mental wellness practices for Black youth and families.",
      "authors": "Michelle Vance; Rehaana Herbert",
      "author_ids": "119790; 125512",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3345518875,
        "prompt_eval_count": 1556,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:43:49.871421+00:00"
    },
    {
      "input_index": 1608,
      "record_key": "SSWR:2024-P-0247",
      "source_database": "SSWR",
      "record_id": "2024-P-0247",
      "year": 2024,
      "title": "Bullying Victimization and Suicidal Thoughts Among African American Adolescents in Southside of Chicago: Emotional Distress and Neighborhood Conditions",
      "abstract": "Background Numerous cases of victims of bullying taking their own lives have been reported in the media. The media publicity around the suicide of adolescents who are victims of bullying led to the assumption that bullying victimization leads to suicide. A growing body of research findings provides evidence that bullying victimization plays a significant role in children’s and adolescents’ suicidal thoughts and behaviors. Despite the significant relationship between bullying victimization and suicidality, victims at risk of suicidality frequently experience emotional distress, which would trigger suicidal thoughts and behaviors. A strong association between bullying victimization and emotional distress (e.g., depression and anxiety) has been reported in the research literature. Moreover, emotional distress, particularly depression and hopelessness, is among the strongest predictors of suicidal thoughts. The rates of bullying victimization and suicidality have reportedly been high among African American adolescents. For African American youth in low-income and low-resourced urban neighborhoods, suicidality might be a serious concern, given that high levels of internalizing problems have been reported among urban youth. For these adolescents, the linkage between bullying victimization and suicidality may be influenced by the condition of their neighborhood. The study aims to examine neighborhood conditions as a moderated mediated model of the association between bullying victimization, emotional distress, and suicidal thoughts. Method The sample comprised 414 African American youth (ages 12-17) in Chicago’s Southside. From 2013 to 2014, participants were recruited from four low-income neighborhoods consisting of predominantly African American residents. The participants were recruited from three high schools, one church youth group, two community youth programs, and four public venues. The participants completed the questionnaires in these locations, which took up to 45 minutes to complete. Variables included suicidal thoughts, bullying victimization, emotional distress, neighborhood conditions, age, sex, and receiving government assistance. Analyses included descriptive statistics, bivariate correlations, and multivariate regression analyses. Result The study found that bullying victimization was not directly associated with suicidal thoughts. However, bullying victimization was positively associated with emotional distress, which was related to suicidal thoughts. Moreover, emotional distress as a mediator of the association between bullying victimization and suicidal thoughts was observed when neighborhood conditions were a moderator. Conclusions/Implications Schoolteachers, social workers, psychologists, community centers, and church staff need to collaborate to deliver programming to increase information about bullying, including the risk and protective factors associated with this type of violence. Next, practitioners, such as social workers and school psychologists should consider screening the youth at risk for bullying to identify victims of bullying. Assessing youths’ vulnerabilities and the degree to which they have experienced bullying perpetration and feel emotional distress is critical. Also, suppose therapists have information indicating that youth might reside in potentially low-income/high-crime residential areas, such as neighborhoods with houses that have broken windows or windows with bars. In that case, they can benefit from being aware of such living conditions and taking them into account when planning appropriate interventions. Furthermore, cost-effective programs that are culturally feasible, easy to implement, and sustainable are needed.",
      "authors": "Viktor Burlaka; Jun Sung Hong; Jungtae Choi; Julia Burlaka; Christina Marsack-Topolewski; Dexter R. Voisin",
      "author_ids": "113592; 110327; 117845; 125085; 121441; 109206",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3325755083,
        "prompt_eval_count": 1564,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:43:53.199001+00:00",
      "screening_source": "Primary screen; blind audit agreement",
      "accuracy_audit": {
        "sample_group": "Quantitative",
        "random_seed": 20260802,
        "blind_screening": {
          "is_relevant": true,
          "relevance_rationale": "The study explicitly investigates suicidal thoughts as a primary outcome in relation to bullying victimization, emotional distress, and neighborhood conditions among African American adolescents.",
          "evidence_class": "Empirical",
          "empirical_method": "Quantitative",
          "classification_rationale": "The abstract describes a specific sample of 414 participants, data collection via questionnaires, and statistical analyses including descriptive statistics, correlations, and multivariate regression.",
          "confidence": "High"
        },
        "full_label_agreement": true
      }
    },
    {
      "input_index": 1609,
      "record_key": "SSWR:2024-P-0228",
      "source_database": "SSWR",
      "record_id": "2024-P-0228",
      "year": 2024,
      "title": "Can Parent and Peer Attachment Attenuate the Impact of Sexual Violence on Suicide Risk Among Youth Experiencing Homelessness?",
      "abstract": "Background and purpose : Youth experiencing homelessness were especially vulnerable to sexual violence. Rates vary across studies, but one Korean study found that almost 30% of youth experiencing homelessness are exposed to sexual violence. Sexual violence carries many adverse outcomes including risk of suicide. Impact of sexual violence can be even more detrimental for these youth experiencing homelessness as they lack the fundamental protection from their family. On the flip side, however, the fact that they lack essential social support signifies that emotional support and caring from significant others can act as more powerful protectors for these runaway youth in dealing with such traumatic events. The Risk Amplification and Abatement Model (RAMM) emphasized that unaccompanied youth can still maintain supportive relationships with their families and peers such positive contacts can abate the risk. Nevertheless, the protective role of such positive contacts among runaway youth with sexual violence exposure have not been examined in Korea. We specified the positive contacts into parent and peer attachment and examined whether the adverse impact of sexual violence exposure on suicide risk was alleviated when there was higher parent or peer attachment. Methods: Data from random sample 241 youth experiencing homelessness were used for this study. The sample consist of 51.7% male and 48.3% female. The independent variable is sexual violence exposure including rape, attempted rape, sexual assault, stalking. Suicide risk is measure with Beck’s Scale for Suicidal Ideation (SSI). Sex, age, education level, subjective standard of living, family structure and experience of domestic violence were included as covariates. The association between sexual violence exposure and suicide risk were examined first and then the interaction terms of sexual violence and parent attachment and peer attachment were included in the regression model to test moderation effect. Results : Approximately 19.9% were victims of sexual violence and 28.6% had thought about suicide in this sample. Female runaway youth were more vulnerable to sexual violence. Results from the multiple regression model showed that sexual violence exposure significantly increased suicide risk, but its impact was alleviated when peer attachment was high. On the contrary, the moderating effect of parent attachment was not significant. Instead, low parent attachment was a significant risk factor for suicide risk among runaway youth. Conclusion and implications: Findings of this study showed that runaway youths were at higher risk of sexual violence, and it significantly increased suicide risk. Fortunately, the detrimental impact of sexual violence can be buffered if they have strong bonding and positive support from their peers. However, different from what we expected, parent attachment did not have any moderation effect in this relationship. Such finding is still accountable that runaway youth’s relationship with their parents has less positive effect as their reason to leave home can be largely due to negative relationship with their parents. What is significant here is that peers can play a significant role in preventing suicide among these runaway youths. Youths experiencing homelessness may find help and emotional support from their friends in the absence of support from their parents.",
      "authors": "Jae Yop Kim; Dong Hyeon Kim",
      "author_ids": "109959; 125034",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3353638959,
        "prompt_eval_count": 1527,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:43:56.554390+00:00"
    },
    {
      "input_index": 1611,
      "record_key": "SSWR:2024-U-0724",
      "source_database": "SSWR",
      "record_id": "2024-U-0724",
      "year": 2024,
      "title": "Connections between Homeless Youth, Gangs, and Mental Health: A Secondary Data Analysis",
      "abstract": "Background: In 2022 the Office of Juvenile Justice and Delinquency Prevention published their funding from 2017 to 2019 has doubled from $3.5 million to $7.4 million to identify and address gang activity. Gang violence is a public health that requires cross sector attention to allow best approaches in supporting youth who become involved in gangs. There is scant research on youth experiencing housing insecurity and gang involvement/affiliation although many times the two correlate. Wood et al., in 2017 mentioned that knowledge on individuals who affiliate with gangs versus those who are currently in gangs is very limited. As individuals identify with being affiliated or currently in a gang, often these young people are excluded from services even though they often have complex unmet mental health needs. Past research shows that youth gang affiliation is positively associated to alcohol and drug use as well as challenging behaviors and negatively associated to coping skills. Methods: This study is a secondary data analysis from data that was originally collected by the Homeless Youth Risk and Resilience Survey (HYRRS). The survey was created by a team of researchers across seven major cities that include: Denver, Houston, Los Angeles, New York City, Phoenix, San Jose, and St. Louis. A uniform survey instrument was used to throughout the recruitment of roughly 200 young adults per city through drop in centers, shelters, and transitional housing programs. All participants were between the age of 18-26 and experienced some type of housing insecurity. For this study, we will be exploring data from 278 participants who reported past or present membership in a gang. Results: Of the 278 participants, majority reported as male (80%) and either Black/AA (42%), Latino (18%), or multi-racial (20%). 49.3% reported they are currently active members of a gang, while 50.4% reported past membership in a gang. PHQ9 scores indicated that former members had higher rates of moderate to severe depression (60%) than current members (46%). Former members also had higher rates of suicidal thoughts (36%) and suicidal attempts (23%) than current members (27%, 16% respectively). When asked from whom they would seek help, \"intimate partner\" was selected the most by both former (33%) and current (28%) members and a \"phone helpline\" was selected the least (8%, 11% respectively). Conclusion and Implication: Both former and current gang members have alarmingly high rates of depression, suicidal ideation, and suicidal attempts. Differences between the groups show that former members of gangs had higher rates of all three mental health indicators. In addition, the help seeking data showed both groups prefer to seek help from intimate partners over helplines. These results show that further research on these differences is crucial to understand how to address mental health for this population. Policies and practices around providing mental health support to individuals who affiliate or are involved with gangs should reflect research and input from this community. In addition, the opportunity to democratize knowledge to those who individuals seek help from can be instrumental in addressing challenges these individuals face.",
      "authors": "Riya Bhatt; Anil Arora; Jody Gardner",
      "author_ids": "124007; 122736; 125782",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3385079084,
        "prompt_eval_count": 1587,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:44:03.038568+00:00"
    },
    {
      "input_index": 1613,
      "record_key": "SSWR:2024-U-0447",
      "source_database": "SSWR",
      "record_id": "2024-U-0447",
      "year": 2024,
      "title": "Correlates of 12-Month Suicide Ideation, Plan and Attempts Among Middle and High School Students in Ghana",
      "abstract": "Background and Purpose Suicide is a serious public health issue with more deaths worldwide than malaria, and HIV/AIDS in 2019 according to the World Health Organization. Almost nine out of ten adolescents who died by suicide in 2019 were from low- and middle-income countries. In Ghana, there is a crisis of non-fatal suicide behaviors among younger ages. We know little about the epidemiology of suicide ideation, plan and attempts among middle school students in Ghana including the years preceding high school. This study explores the onset, characteristics, and recent patterns of suicide behavior in the last 12-months among Ghanaian middle and high school students. Methods This study used the World Health Organization Global school-based student health survey (GSHS, 2012) which is a nationwide survey of middle and high school students in Ghana. The survey has self-reported measures on suicide ideation, plan and attempt in the last 12-months as well as several psychological and psychosocial factors related to mental health, substance use, poverty, sexual behavior, interpersonal relationships, and family structure. Bi-variate and Multivariate analysis analyses were performed using Statistical Package for the Social Sciences (SPSS version 25) to assess the correlates of suicide ideation, plan, and attempt. Logistic regressions were also conducted to determine predictive risk and protective factors of suicide behaviors. Results The study found high prevalence of 12-month suicidal ideation (19%), plan (22%) and attempt (25%) than previously reported. There was a higher prevalence of suicide ideation, plan and attempts among middle school students than high school students though only suicide attempt between the two groups were significant (28.4%>22.3%; X 2 =17.1, p<0.001). The study found being male [AOR=1.53; CI=1.21-1.95], worry [AOR=2.45; CI=1.84-3.26], bullying [AOR=1.58; CI=1.23-2.03] and experiencing physical attack [AOR=1.45; CI=1.13-1.85] as significant risk factors for ideation after adjusting for other factors. The study also found being worried [AOR=1.93; CI=1.50-2.49] and physical attack [AOR=1.53; CI=1.22-1.93] as significantly increasing the odds of making a suicide plan after adjusting for other factors. Among attempters, being worried [AOR=1.98; CI=1.52-2.57], bullying [AOR=1.56; CI=1.23-1.98], physical attack [AOR=2.01; CI=1.59-2.53] and early onset of sexual intercourse [AOR=1.60; CI=1.26-2.03] were significant risk factors. The study also found that the number of close friends was protective factors for suicidal plan [AOR=0.58; CI=0.43-0.80] and attempt [AOR=0.54; CI=0.39-0.74]. Conclusions and Implications The study suggests suicide behaviors are high among middle school students in Ghana and occurring at much younger ages than previously thought. This finding highlights a potential suicide crisis among preteens which warrants attention. Additional studies are needed to observe these increasing trends, identify risk, protective and precipitating factors to help prevent suicide among these children. This study also provides the opportunity to learn more about the linkages between suicide behavior and the several psychological and psychosocial factors related to mental health, substance use, poverty, sexual behavior, interpersonal relationships, and family structure in order to design appropriate suicide intervention and prevention strategies for this population.",
      "authors": "Enoch Azasu; Sean Joe",
      "author_ids": "123341; 109205",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3668825292,
        "prompt_eval_count": 1773,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:44:09.786839+00:00"
    },
    {
      "input_index": 1614,
      "record_key": "SSWR:2024-P-0139",
      "source_database": "SSWR",
      "record_id": "2024-P-0139",
      "year": 2024,
      "title": "Deaths of Despair Among US Young Adults: Risk Factors Associated with Suicidal Behaviors between 2015-2019",
      "abstract": "Despite the increased use of non-medical prescription drugs (NMPD) as the risk factor of suicide, little is known about links between use of other non-medical prescription drugs and suicidality among young adults aged 18 to 25 old in the United States. This study examined prevalence of the use of different NMPDs and the relationship of the drug use with young adult suicidality. Race and gender were also analyzed as potential factors that contributed to prevalence of suicidality among young adults. Data were from individuals aged 18 to 25 ( N = 69,916) in the 2015 - 2019 National Surveys on Drug Use and Health. Weighted logistic regression analyses were used to estimate odds for suicidal thoughts, suicidal plans, and suicide attempts among young adults who engaged in non-medical prescription opioid use, non-medical prescription stimulant, tranquilizer, and sedative use, and other drugs use in the past year. In particular, young adults who engaged in non-medical prescription opioid use reported a significantly higher prevalence of suicide ideation, suicide plans, and suicide attempts than their counterparts who do not use the non-medical prescription opioid. Misuse of the non-medical prescription opioid among young adults was associated with 65% higher odds for having suicidal thoughts (OR = 1.65, 95% CI 1.41, 1.93, p < .001), with 51% higher odds for having suicidal plans (OR = 1.51, 95% CI 1.18, 1.92, p = .001), and with 39% higher odds for attempting suicide (OR = 1.39, 95% CI 1.08, 1.79, p < .05) in the past year. Marijuana and other drugs use was associated with 56% and 39% higher odds, respectively, for having suicidal thoughts. Interaction analysis reported that the non-medical prescription opioid use was associated with 67% higher odds among Black young adults for having suicidal thoughts compared to other racial groups. Findings indicated that misuse of non-prescription opioid places young adults at risk for suicide, with Black young adults being at higher risk. Further research is necessary to delineate factors that leave young adults vulnerable to the drug use and inform mental health prevention efforts.",
      "authors": "Seungbin Oh; Isabella Farago; Julia Starrett; Emily Heo; Hyeouk Chris Hahm",
      "author_ids": "124860; 124861; 124862; 124863; 108114",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3138450500,
        "prompt_eval_count": 1450,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:44:12.926998+00:00"
    },
    {
      "input_index": 1615,
      "record_key": "SSWR:2024-U-0411",
      "source_database": "SSWR",
      "record_id": "2024-U-0411",
      "year": 2024,
      "title": "Depression and Student Loan Debts: A Qualitative Study of User Posts in an Online Community",
      "abstract": "Background. One in five people in the US suffers from depression every year. Depression has been positively associated with financial difficulties, including student loan debts (Richardson et al., 2017; Sinha, 2022). The purpose of this phenomenological qualitative study was to explore stressors (factors or events that cause emotional or psychological distress and exacerbate the symptoms) that compound the burden of student loan debt among individuals who reported their experiences of depression in an online community. Methods. Data were obtained from an online community (r/depression). Fifty posts were randomly chosen from the 149 posts that indicated experience with student loans. In-vivo, topic, emotion, and content-based first-order coding were utilized. Saturation was reached after 40 posts. Axial coding was then employed to examine the interconnectedness between various topics. To test the accuracy of the coding, another person who was not involved in the coding process vetted the codes and second-order themes. Results. Findings indicated that posts that reflected financial security (e.g., had jobs, manageable finances, received friends and family support, and did not have mounting debt) revealed fewer symptoms of depression. Only 10 % of the total posts had positive sentiments and they showed positive outcomes like improved health status, enhanced confidence/motivation, and coping with their challenges. Posts expressing multiple stressors at once or showed hindering factors such as financial hardship (27%), struggle during the job/finding a job (23%), unforgettable negative past experiences (13%), other health problems along with depression (12%), unforgettable happy life from the past (10%), and struggle for connection (11%), etc.) tended to have a more difficult time coping with their challenges and experience a broader range of negative emotions like sadness (72%), fear (14%), and anger (13%). These posts also revealed having negative outcomes like low self-esteem/procrastination (43%), reduced motivation/interest/sleep/appetite (25%), suicidal thoughts (18%), addiction dependency (8%), and avoiding others and loneliness (6%). Forty percent of posts focused on seeking assistance to deal with the situation and a lack of appropriate support was making them feel hopeless and helpless. Conclusion. Findings suggest that data from online communities may provide nuanced insights into people’s behaviors, in this case individual posts identifying depressions or depressive symptoms on student loan debts. Findings demonstrated that financial security and strong social networks lead to positive emotions. In contrast, financial difficulties, health problems, negative past experiences, and a lack of support contribute to increased distress in the presence of both student loan debt and depression. Consequently, these hindering factors induce negative feelings that may worsen depressive symptoms. Mental illness posts expressed sadness, fear, and negativity; therefore, for policymakers and practitioners to reduce the mental burden of student debt, they must address increased levels of sadness, fear, and anger. Strategic interventions on online platforms that can offer therapeutic services, career guidance, or both, which will enable in-depth research on the impact of a support system on individuals with mental health issues and student debt.",
      "authors": "Lalita Dhal; Gaurav Ranjan Sinha",
      "author_ids": "125472; 118633",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3382614708,
        "prompt_eval_count": 1565,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:44:16.312027+00:00"
    },
    {
      "input_index": 1616,
      "record_key": "SSWR:2024-U-0090",
      "source_database": "SSWR",
      "record_id": "2024-U-0090",
      "year": 2024,
      "title": "Developing a Suicide Risk Forecasting Tool for Youth and Examining Potential Racial Biases in Algorithmic Prediction",
      "abstract": "Background and Purpose: Suicide is the second leading cause of death among American youth ages 14-18, according to the CDC. Nearly 20% of high school students report serious thoughts of suicide, and 9% report suicide attempts, per the National Alliance on Mental Illness. Identifying and intervening with youth at risk of suicide is a top public health priority, yet identifying the causes of youth suicide risk with accuracy and in real-time remains a substantial challenge. Technological advances such as the availability of “big data” and artificial intelligence tools have the potential to transform how we predict youth suicide. But ethical concerns about bias in predictive models and methodological challenges to using these tools effectively persist. This study aims to develop a forecasting tool to identify youth at risk of attempting suicide and explore potential biases within algorithms related to race. The study objectives were to: (a) determine whether machine learning can be used to predict suicide attempts with and without suicidal ideation and plans using the Youth Risk Behavior Surveillance Survey (YRBS) national survey, (b) examine whether the prediction rates differ by race/ethnicity, and (c) evaluate the main variables impacting suicide attempts by race/ethnicity. Methods: This study analyzed data from the YRBS collected in 2015, 2017, and 2019 in public/private schools in all 50 states and the District of Columbia. Survey respondents included a representative sample of 9th-12th grade students (n=32,377) attending public/private schools. Survey questions assessed the extent to which youth engaged in risk behaviors, including unintentional injury, tobacco or vapor use, alcohol, and other drug use, as well as youths’ experiences regarding suicide behaviors in the past year. Suicide attempt prediction and variable analyses were conducted using XGBoost and Shapley Additive Explanations. Results: Eight percent of the 32,377 participants self-reported a suicide attempt. XGBoost produced the highest F1 measure with 80.84% against an independent test set when suicidal behaviors (ideation, plans) are present in the data. XGBoost also achieved positive predictive value and sensitivity scores of 73.80% and 88.35%, respectively. When a history of suicidal behaviors is not present, XGBoost still produced the highest F1 measure with 66.19% against an independent test set with positive predictive value and sensitivity scores of 57.16% and 78.70%, respectively. SHAP analysis showed that suicidal ideation and plans had the greatest significant impact on the model’s performance, followed by the ability to concentrate. Conclusions and Implications: Machine learning analyses indicated the predictive accuracy of the model was strongest when a history of suicide behaviors was included, a finding observed across all racial/ethnic groups. A decrease in prediction performance occurred when suicide ideation and plans were removed from the model. The monitoring of these risk behaviors must be taken seriously for adolescents that engage in suicide attempts. When suicidal behaviors are absent, additional data sources that capture risk behaviors are needed. To prevent suicide deaths in youth populations, future research on assessing suicide risk should incorporate supplementary data sources like Electronic Health Records that capture other risk behaviors linked to suicidal behavior.",
      "authors": "Michael A. Lindsey; Arielle H. Sheftall; Andrew F. Cleek; John Dixon; Ashley Fuss; Jill A. Rabinowitz; Tracy M. Grogan",
      "author_ids": "109175; 120302; 114704; 124839; 124840; 124841; 122558",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3383799541,
        "prompt_eval_count": 1612,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:44:19.697492+00:00"
    },
    {
      "input_index": 1618,
      "record_key": "SSWR:2024-P-0579",
      "source_database": "SSWR",
      "record_id": "2024-P-0579",
      "year": 2024,
      "title": "Differences in Suicide Risk Reduction for Underrepresented Minority Youth in a Community Based Psychoeducation Program",
      "abstract": "Background: This research seeks to explore differences in risk at baseline and differences in risk reduction for underrepresented gender, sexual, and racial minorities. An adapted version of the evidence-based Love Notes, a manualized relationship education curriculum designed for youth and young adults with an addition of a suicide-based module, was implemented. These efforts were also informed by Wyman’s (2014) commentary that addressing suicide in childhood or adolescence may prevent the later onset of suicide risk and that larger changes in suicide risk—a less frequent yet high-risk condition—could be possible through targeting more common but lower risk conditions. To address a connection between adverse childhood experiences (ACES) and suicidal behavior, the team developed a suicide-related module—in addition to modules on human trafficking and consent in sexual behavior—to add to Love Notes . The suicide prevention module instructed youth about the prevalence of suicidal ideation, how to know if they need to ask for help, and what to do if they or a peer is thinking about suicide. The module ended with a discussion-based activity about applying these concepts to youth suicide risk and a demonstration of crisis resources commonly available. Previous research has identified that overall, youth who participated in Love Notes experienced a reduction in suicide risk. Methods: This was a convenience sample of youth affiliated with residential and community-based organizations serving at-risk youth. Youth ages 14 to 24 completed this 16-session adaptation of Love Notes . Data were collected at two points, baseline and immediate post-intervention, in the setting participants received the intervention. Sample of youth ( N= 181) were between the ages of 14 and 24. Of these participants, 36.46% were white, 63.54% were Black or other races, 51.93% identified as female, 44.75% identified as male, and 3.31% identified as transgender. Participants identified their sexuality as 80.66% heterosexual and 19.34% LGBTQ. Suicidal thoughts and behaviors were measured by using a modified version of the Columbia Suicide Severity Rating Scale (Posner et al., 2008). Youth were asked about their desire to die, ideation, planning, intent, and attempt in the past month and ever in their life. Chi-square analyses and logistic analyses were run to examine differences from baseline to post-intervention. Results: The analysis reveals differences in suicidal ideation, intent, plan, and attempt in the past month by sexual orientation. Additionally, the analysis shows differences in suicidal ideation, intent, plan, and attempt in the past year by sexual orientation, gender identity, and race. Implications: The findings suggest that additional research should be conducted to determine the impact of the intervention across other geographical areas. Findings cannot be compared to a control group and cannot be generalized across populations. Additionally, suicide was assessed based on dichotomous reports of whether someone had experienced five differentiating levels of suicidal thoughts or behaviors in their lifetime and within the past month. Additional suicide assessments could elucidate more specific variations of a suicidal experience, such as specific thoughts related to suicide and how those might impact the connection to help-seeking.",
      "authors": "Amanda Minogue; Becky F. Antle; Ashley R. Logsdon; Laura Frey; Anita P. Barbee",
      "author_ids": "125786; 114633; 122008; 114862; 114632",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3341335000,
        "prompt_eval_count": 1582,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:44:26.421668+00:00"
    },
    {
      "input_index": 1619,
      "record_key": "SSWR:2024-P-0076",
      "source_database": "SSWR",
      "record_id": "2024-P-0076",
      "year": 2024,
      "title": "Differential Associations Among Cyberbullying Victimization, Parental Monitoring, and Suicidal Thoughts/Behaviors in Male and Female College Students",
      "abstract": "Background and Purpose Little research has reported the role of parental monitor and help seeking in the relationship between cyberbullying (CV) and suicidal thoughts/behaviors (SU) among college students. There is a growing awareness of the importance of CV and its relationship to SU, particularly what may serve as a protective factor in the relationship for female and male college students. Thus, this study examined if parental monitoring and help seeking moderate the relationship between CV and SU among male and female students based on general strain theory. Methods The data was collected at two universities via an online survey in fall 2021. A total 336 college students (females = 241, males = 95) are included in the study. The ages in both groups were 18-24 years old or older. In the female and male groups, 68.9% and 87.4%, respectfully were heterosexual. Logistic regression was used to examine the association between CV and SU, which included the interaction terms for the two moderators: Parental monitoring and help seeking. Results For females, CV was positively associated with SU ( B = .070, p < .05) and help seeking was negatively related to SU ( B = -.121, p < .01), However, parental monitoring and help seeking were not a significant moderator in the relationship between the two. For males, CV was positively related to SU ( B = .203, p < .05). The interaction term of CV and parental monitoring was negatively related to SU ( B = -.155, p < .05). But help seeking were not a significant moderator in the model. Conclusions and Implications The results provide evidence of differential associations among CV, parental monitoring, help seeking and SU in female and male college students. Male college students whose parents monitored about being safe on the computer had dramatically fewer suicidal thoughts/behaviors. Campus mental health providers may consider fostering open dialogue with parents related to student experiences of cyberbullying, particularly for male students.",
      "authors": "Jaegoo Lee; Jinwon Kim; Heekyung Lee; Jinhee Park; Jason Mallonee; Jeoung Min Lee",
      "author_ids": "111090; 124729; 123371; 123370; 122110; 115406",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2847662292,
        "prompt_eval_count": 1360,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:44:29.270397+00:00"
    },
    {
      "input_index": 1620,
      "record_key": "SSWR:2024-P-0090",
      "source_database": "SSWR",
      "record_id": "2024-P-0090",
      "year": 2024,
      "title": "Ecological Factors of Telemental Healthcare Utilization Among Adolescents with Increased Substance Use during the COVID-19 Pandemic: The Moderating Effect of Gender",
      "abstract": "Background Studies have documented the high need and demand for mental health services for adolescents with substance use problems during the pandemic. The circumstances identified in the literature point to various internal and external adolescent risk factors at multiple levels (i.e., individual, relationship, community, societal) that converge to impact adolescents’ perceptions of mental health and their help-seeking behaviors. However, little is known about how these risk factors are associated with high school adolescents’ uptake of telemental heathcare (TMHC) during the COVID-19 pandemic. Further research is warranted to examine individual (e.g., depression and suicidality), family (e.g., child physical and psychological maltreatment), school (e.g., feeling connected to others), and community (e.g., virtual access to resources and connectedness) factors that might influence adolescents to seek help—particularly those who perceive that they are susceptible to substance use and mental health issues. Utilizing the ecological systems theory and the Health Belief Model, we hypothesized that adolescents are more likely to seek and experience TMHC if they perceive that they are susceptible to mental health problems or substance misuse. This study examined (a) whether adolescents’ ecological risk factors (depression, suicide attempts, parental emotional abuse, parental physical abuse, low virtual connectedness, and not feeling close to people at school) and substance use during the COVID-19 pandemic would drive adolescents to use TMHC services and (b) whether these associations would be moderated by gender. Methods Data were drawn from the Adolescent Behaviors and Experiences Survey collected by the U.S. Centers for Disease Control and Prevention from January to June 2021. A hierarchical multiple logistic regression analysis was conducted using a national sample of 1,460 students in Grades 9–12 in the United States who reported having used more alcohol and/or drugs during the pandemic than before it started. Results The results showed that only 15.3% of students sought TMHC (84.7% did not). Among them, 13.4% were males and 16.9% were females. Students reporting increased substance use during the pandemic were more likely to use TMHC if they experienced more severe mental health problems (e.g., suicide attempts [OR=1.96, p <.001]) compared with other ecological factors, such as issues with their family, school, or community. An analysis of the moderating effect showed a significant result (OR=.74, 95, p <.05): the closer male students felt to people at school, the more likely they were to seek TMHC, whereas the closer female students felt to people at school, the less likely they were to seek TMHC. Implications/Conclusions The findings highlighted that feeling close to people at school is an important aspect of understanding the help-seeking behavior of female and male adolescent substance users. More strategies to increase the utilization of mental healthcare must be considered for adolescents. Moreover, due to differences between male and female adolescents in help-seeking behaviors, it is important to consider differentiated treatment strategies and screening tools.",
      "authors": "Youn Kyoung (Lily) KIM; Eusebius Small; Rachel Pounders; Salimata Fall; Wendy Wilson",
      "author_ids": "113286; 111390; 124759; 124760; 124539",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3378493875,
        "prompt_eval_count": 1574,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:44:32.651401+00:00"
    },
    {
      "input_index": 1622,
      "record_key": "SSWR:2024-U-0412",
      "source_database": "SSWR",
      "record_id": "2024-U-0412",
      "year": 2024,
      "title": "Effects of Anxiety and Student Loan Debts Among Users of an Online Community",
      "abstract": "Purpose. Anxiety disorders affect 40 million adults in the US every year. Financial stressors, such as debt, may create additional burden for the people with symptoms of anxiety. In recent years student loan debt has emerged as a critical stressor that may worsen the symptoms of anxiety. Understanding the coexisting effects of anxiety and student loan debts can inform the current and future practice and policy interventions. Thus, the purpose of this qualitative study was to describe the coexisting effects of anxiety and student loan debts among users of an online mental health community. The coexisting effects of anxiety and student loan debt was guided by two aspects of the DSM-5 definition on anxiety: (a) The individual fears that he or she will act in a way (or show anxiety symptoms) that will be embarrassing and humiliating. (b) Exposure to the feared situation (in this case student loan debt) almost invariably provokes anxiety, which may take the form of aggravating the long-term effects of anxiety. Methods. Data were collected from an online social network, r/Anxiety on Reddit. Fifty posts were randomly selected and qualitatively analyzed to understand the coexisting effects of anxiety and student loan debt. First cycle coding led to over 100 codes through elemental and affective coding methods. Second cycle coding was done using grounded theory methods. Six major themes emerged: debt, failure, fearfulness, unemployment, anxiety, and therapy. Results. User posts described multiple vulnerabilities, including experiences of severe economic hardship, not being able to find employment, sufficient employment, or sustain employment, suicidal ideation, fear of losing housing, fear of embarrassing their family and themselves, and characteristics relates to other potential mental health and DSM-5 diagnoses. Users also expressed fearfulness, racing heartbeat, shortness of breath, sadness, not wanting to do anything because of anxiety over student loan and the inability to pay. Users’ posts also demonstrated struggles to gain the practical help they felt they needed to address their economic difficulties or therapeutic support that might have helped with their co-existing effects of anxiety and student loan debt. Users’ posts also revealed fear of seeking professional assistance with their anxiety or other mental health challenges that would affect their ability to receive gainful employment. Conclusion. Findings suggested that student loan debt trigger symptoms of anxiety, suicidal ideation, and other negative feelings, emotions, and symptoms related to other DSM-5 diagnoses. Findings have implications for social work practice and policy interventions. As the findings highlighted, interventions to mitigate the coexisting effects of anxiety and student loan debt should include providing practical advice about career choices (job market, job opportunities, salary vs student loan debt), employment support, practical advice about repaying student loan debt before they become insurmountable. Most importantly, there is a need for encouraging mental health or psychosocial support seeking among individuals who face stigma or have fear of approaching social workers or counsellors for addressing the burdens of anxiety and student loans.",
      "authors": "Corey Ingram",
      "author_ids": "125473",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3163914250,
        "prompt_eval_count": 1519,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:44:38.889997+00:00"
    },
    {
      "input_index": 1624,
      "record_key": "SSWR:2024-P-0371",
      "source_database": "SSWR",
      "record_id": "2024-P-0371",
      "year": 2024,
      "title": "Experiences of Peer Support Providers Supporting Family Members Bereaved By Suicide: A Qualitative Study in South Korea",
      "abstract": "Background and Purpose: Family members who experience the sudden and unexpected loss of a loved one to suicide face complicated psychosocial and physical suffering. Peer support services could help these bereaved families who struggle to express their grief due to societal stigma related to bereavement and coping with loss. The benefits of receiving peer support are widely documented in the literature. However, the benefits and challenges experienced by peer support providers among families bereaved by suicide remained understudied. This study aimed to understand the benefits and challenges of peer support providers who serve people who lost a family member to suicide in South Korea. Methods: Eight family members (two men and six women) bereaved by suicide who provided peer support were recruited through community agencies for suicide survivors using purposive sampling. All participants provided bereaved families with daily emotional support by in-person visits or phone calls for 3 months. In-depth interviews were conducted to explore their experiences as a peer support provider. Their ages ranged from 29 and 69 years. The elapsed time since their loss varied across participants from 2 years and 4 months to 25 years and 5 months, with a mean of 9 years and 10 months. Participants’ relationship with their deceased family member varied: child ( n = 3), spouse ( n = 2), parent ( n = 2), or sibling ( n = 1). Inductive thematic analysis approach was used to systematically identify key theme from the qualitative data. Results: Thematic analysis of peer support providers’ accounts identified four main themes and 11 subthemes: (a) reevaluating my loss and grief (feeling comforted by sharing grief experiences with peers, reducing my suffering by better understanding the deceased and accepting the death); (b) enhancing recovery in my daily life (developing a routine in daily life, finding the meaning and purpose of life); (c) feeling frustrated when facing challenges (being reminded of the pain of bereavement, having conflict with peers due to different perspectives on grief experiences, and facing crisis situations that trigger distress); and (d) recognizing personal growth (feeling rewarded and valued as a helpful person, being grateful for current life, improved self-esteem through a strong sense of achievement, and being motivated to pursue social action for families bereaved by suicide). Participants felt comforted and reduced their suffering by providing peer support. Although they faced practical challenges of being a peer support provider, they reported enhanced recovery and personal growth by feeling valued and improving their self-esteem. Conclusion: Findings suggest that providers of peer support to a family bereaved by suicide benefit by soothing their grief, promoting their recovery in daily life, and achieving personal growth alongside increased self-esteem despite the frustration and challenges of providing peer support. Implications for social work practice center on developing and providing timely guidelines and qualified training that minimize the risk for mental health issues and addressing the providers’ grief and recovery throughout the process of providing peer support.",
      "authors": "Min Jung Kim; Hyungkyong Jee; Chaerim Park; Jiye Han",
      "author_ids": "110245; 123694; 125317; 125318",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3331999000,
        "prompt_eval_count": 1527,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:44:45.579854+00:00"
    },
    {
      "input_index": 1625,
      "record_key": "SSWR:2024-P-0285",
      "source_database": "SSWR",
      "record_id": "2024-P-0285",
      "year": 2024,
      "title": "Exploring Suicide Risk Among Homeless Adults in Texas: Investigating Factors Influencing Suicide Ideation and the Need for Safety Planning",
      "abstract": "Background and Purpose: Suicide is a serious public health issue among homeless populations globally. The Centers for Disease Control and Prevention (CDC) reported that in 2020, approximately 12.2 million individuals reported suicide ideation, 1.2 million individuals attempted suicide, and 45,979 individuals died by suicide. Previous research has shown that homeless individuals are at a much greater risk, with suicide rates ten times higher than the general population. However, suicide ideation rates are severely underreported among the homeless population in the United States. Nonetheless, little is known about how these factors correlate with suicide ideation among the homeless population in the South and the importance of having a safety plan to help cope with suicide ideation. Thus, this study explores the risk factors influencing suicide ideation and the need for safety planning among Texas homeless adults. Method: A total of 1,664 (aged 18-74) homeless adults were selected from a state-funded Healthy Community Collaborative Program (HCC) that completed their adult needs and strengths assessment (ANSA) in the fiscal year of September 2021 to December 2022. The outcome variable was suicide ideation (no evidence/evidence of ideation). The predictors were all binary and included suicide risk, self-injurious behaviors, other self-harm, suicide history, anxiety, depression, substance use, family/friend suicide history, criminal history, impulse problems, and interpersonal problems. Other covariates included age, sex, race, and ethnicity. Multivariate logistic regression examined the association between suicide ideation and the risk factors mentioned above. Results: Overall, 62% of the sample were males, 59% were White, and 81% were not Hispanic or Latino, with a mean age of 40. Homeless adults with a history of suicide risk and needing a safety plan had 3.8 times greater odds of suicide ideation ( p < 0.01). Homeless adults with previous suicide history (OR=1.59; p < 0.05), having depression (OR=6.67; p < 0.01), family/friend history with suicide (OR=3.01; p < 0.01), and interpersonal problems (OR=1.81; p < 0.05) reported higher odds of experiencing suicide ideation compared to individuals who did report these risk factors. Conclusions and Implications: This study showed that homeless adults who reported suicide risk and the need for a suicide safety plan along with several significant risk factors had increased odds of suicide ideation. Homeless service providers across Texas should implement an effective suicide care system that includes personal safety plans for individuals. These safety plans should identify warning signs, coping strategies, crisis management, and mental health services, promote healthy distractions, and remove means of suicide to decrease the risks of suicide ideation, planning, and attempts among homeless adults. Such comprehensive suicide care plans can be critical in mitigating the risks of suicide among homeless populations.",
      "authors": "Sumaita Choudhury; Sharon Choi; Yehyang Lee; Stacey Stevens Manser",
      "author_ids": "123632; 123630; 123631; 110507",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3355259875,
        "prompt_eval_count": 1570,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:44:48.938186+00:00",
      "independent_manual_spot_check": {
        "random_seed": 20260803,
        "agreement": true,
        "manual_screening": {
          "is_relevant": true,
          "evidence_class": "Empirical",
          "empirical_method": "Quantitative"
        },
        "rationale": "Suicide ideation is the stated outcome in a multivariable logistic-regression study."
      }
    },
    {
      "input_index": 1629,
      "record_key": "SSWR:2024-U-0072",
      "source_database": "SSWR",
      "record_id": "2024-U-0072",
      "year": 2024,
      "title": "Factors Associated with Suicide Risk Behavior Outcomes Among Black Middle  School Adolescents",
      "abstract": "Background and Purpose Suicide rates for early adolescent self-identifying Black populations, ages 10-14, have extraordinarily risen in the United States over the last two decades resulting in suicide becoming the second leading cause of death for this population. Despite the increased suicide rates for Black youth populations, less is known about the early adolescent or middle school population, necessitating an examination of this younger population. Researchers are implementing a ground-level approach to build a more encompassing understanding of suicidality for Black youth populations and to advance racial justice. This study assesses associations between seven explanatory variables (sex, weapon carrying, weight perceptions, grades, grade level, bullying at school, cyberbullying) and suicide ideation, planning, and attempts and identifies associations with suicidality as a composite measure among a national sample of Black middle school adolescents (BMSA). Methods Data were extracted from the national 2019 Middle School Youth Risk Behavior Survey. Descriptive statistics were calculated, and associations between suicide ideation, planning, and attempts were explored. A network graphical representation of polychoric and tetrachoric correlations across suicidality outcomes and explanatory variables was performed. A multivariable, multinomial logistic regression model estimated associations between explanatory variables and suicide ideation (with and without planning) and planning (with and without ideation). Both suicide attempt and a composite suicidality metric were explored using independent logistic models with multiple imputation. Results The sample included 7,643 self-identifying BMSA. Our findings indicate approximately 28% reported suicidality. Prevalence rates were found of about one in four BMSA for suicidal ideation, one in six for suicidal planning, and one in ten for attempting suicide. These results indicate that BMSA reported higher rates of suicide ideation than the Black high school adolescent population but relatively similar rates of planning and attempts. BMSA females, victims of cyberbullying, and carrying a weapon, experienced significantly higher odds of all suicidality outcome measures. Results indicated significant associations between observable environmental, behavioral, and demographic factors and suicide risk behavior outcomes among a national sample of BMSA. Conclusion and Implications Our findings support a recommendation for separate sampling and examination of suicide risk factors and outcomes among Black youth. Further research on early adolescent Black youth is necessary to inform interventions to decrease suicide risk. Practical implications for identifying and screening suicidality among BMSA to guide suicide prevention efforts are necessary. Findings validate the need for informed approaches to suicide screening and prevention efforts to reduce suicide risk outcomes, especially when identifiable environmental factors are strongly associated with those outcomes. Further research is needed to explore bullying experiences and weapon carrying as these are strongly associated with suicide-risk behavior outcomes for this population, with a larger burden among female BMSAs. This research supports the ground-level approach to suicide prevention and intervention and provides additional insight into factors associated with variability in suicide risk behavior outcomes among early adolescent Black populations.",
      "authors": "Sonyia Richardson; Laura Gunn",
      "author_ids": "120570; 124795",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3410043708,
        "prompt_eval_count": 1527,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:45:02.530711+00:00"
    },
    {
      "input_index": 1630,
      "record_key": "SSWR:2024-P-0342",
      "source_database": "SSWR",
      "record_id": "2024-P-0342",
      "year": 2024,
      "title": "Fatal Wagers: Identification of Gambling As a Precipitating Factor in Deaths By Suicide in the National Violent Death Reporting System",
      "abstract": "Background Previous research shows that the introduction of gambling venues is associated with increases in the number of deaths by suicide in surrounding areas. However, to date there is little research on how gambling is identified as a precipitating factor in deaths by suicide in administratively collected data. Death by suicide is one of the most devastating and costly correlates of problem gambling and has serious implications for public health. Due to sparse collection of data relevant to gambling harm, the US is poorly positioned to measure the social costs of gambling market liberalization. Improving the recording of information that is relevant to harms caused by gambling would help address this problem. The current study uses administratively collected data from the National Violent Death Reporting System to detect mentions of gambling in deaths by suicide. The current research is motivated by two questions: 1) How often is gambling mentioned as a precipitating factor to death by suicide in the US? And 2) Is the mention of gambling in death by suicide reports associated with state, demographic or case characteristics? Methods The current study used data from the National Violent Death Reporting System Restricted Access Datafile from January 1, 2003 to December 31, 2020. Deaths by suicide associated with gambling were determined through a text string search of the coroner/medical examiner reports and law enforcement reports. Cases selected by the text string search were then screened by the study team to identify cases where gambling was discussed as a precipitating factor to the death. Bivariate associations were tested between deaths by suicide associated with gambling and demographic categories including reported race, sex, age, state of residence, sexual identity, and marital status. Case characteristics examined included known mental health diagnosis, substance use disorder, financial problems, employment problems, relationship problems, and cases where the death was precipitated by another crime. States were compared across gambling policy and state revenues derived from gambling. Results Results show that approximately 1235 of 711,343 completed deaths by suicide identify gambling as a precipitating factor. Gambling as a precipitating factor was disproportionately high among victims identifying as Asian or Pacific Islander, 40–55-year-olds, men, and victims experiencing financial problems, and/or relationship problems. Gambling as a precipitating factor was more common in states with greater availability of gambling opportunities, with Nevada showing mentions of gambling at approximately 10 times the national average rate. Conclusions Higher numbers of deaths by suicide that identify gambling as precipitating factor in states with high gambling revenues suggests that there are real and measurable public health burdens associated with the current expansion of gambling markets in the US. Results of the current study suggest that those identifying as Asian or Pacific Islander, men, and middle-aged adults may be disproportionately hurt by this expansion. The low number of cases identified and the lack of agreement between cases found through the search string and relevant coding categories (“other addiction”) suggest problems in the current recording of issues related to gambling in the NVDRS.",
      "authors": "Mark van der Maas",
      "author_ids": "123323",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3293227417,
        "prompt_eval_count": 1536,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:45:05.826079+00:00"
    },
    {
      "input_index": 1631,
      "record_key": "SSWR:2024-U-0248",
      "source_database": "SSWR",
      "record_id": "2024-U-0248",
      "year": 2024,
      "title": "Firearms and Suicide Completion Among Persons Recently Released from Psychiatric Hospitalization",
      "abstract": "Background and Purpose: There is a high risk for suicide completion among persons recently released from psychiatric hospitalization. Firearm-related suicide and firearm violence is the leading cause of death among adults in the United States. In this study, we use the most comprehensive, restricted database available for firearm-related fatalities to examine associations with suicide completion among persons who were released from a psychiatric hospital less than 30 days prior to their death. Method: Data is from the National Violent Death Reporting System (NVDRS), which includes all violent deaths from 44 states and territories in the U.S., between the years 2003 and 2019. NVDRS data includes reports from death certificates, coroners, law enforcement, and toxicology reports. Our sample included persons that were released from a psychiatric hospital no more than 30 days prior to their death (N = 2,556). Suicide completion was a binary measure, constructed from information available in death certificates, responding officer reports, and coroner reports. Demographic measures included gender, age, race/ethnicity, education level, and marital status. Circumstances associated with death included firearm use, prior drug or alcohol use problems, prior diagnosis for a major depressive disorder, history of suicidal thoughts, and history of suicide attempts. A logistic regression model examined associations with suicide completions following release from a psychiatric hospital. Results: Results showed that odds of suicide completion, compared to other manners of death, were higher when a firearm was involved (OR = 1.82, p < .01). Among demographics, odds of suicide completions were higher among men (OR = 1.87, p < .01), persons older in age (OR = 1.01, p < .05), and those with higher levels of education (OR = 1.98, p < .05). Odds of suicide completions were higher among those with a prior diagnosis for a major depressive disorder (OR = 1.65, p < .01), history of suicidal thoughts (OR = 2.87, p < .01), and history of suicide attempts (OR = 2.04, p < .01). Odds of suicide completions were lower among persons with prior drug or alcohol use problems (OR = 0.34, p < .01). Marital status was not associated with suicide completion. Follow up analyses showed handguns (opposed to shotguns or rifles) were involved in 73% of all firearm-related suicide completions, and firearms used in suicide completions belonged to the decedent in only slightly more than half of all cases. Conclusion and Implications: Among persons recently released from a psychiatric hospital, suicide completion was more likely to include the use of a firearm than any other type of death. These results underscore the importance of addressing gun violence in the United States, especially among persons with psychiatric disabilities. Social work researchers and practitioners can address this issue through the analysis of, and advocacy for, policies that limit access to firearms. Recent policies on the subject include state/federal “red flag” policies which limit people in crisis from accessing firearms and implements universal standard assessment of access to firearms prior to psychiatric discharge.",
      "authors": "Orion P. Mowbray; Zachary Cooper; Mariam Fatehi; Oluwayomi Paseda; Jay D. O'Shields",
      "author_ids": "110801; 123255; 118122; 121727; 114959",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3391346875,
        "prompt_eval_count": 1593,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:45:09.219261+00:00",
      "screening_source": "Primary screen; blind audit agreement",
      "accuracy_audit": {
        "sample_group": "Quantitative",
        "random_seed": 20260802,
        "blind_screening": {
          "is_relevant": true,
          "relevance_rationale": "The study explicitly analyzes suicide completion rates and associated risk factors among individuals recently released from psychiatric hospitalization, making suicide a central substantive focus.",
          "evidence_class": "Empirical",
          "empirical_method": "Quantitative",
          "classification_rationale": "The abstract describes the use of secondary administrative data (NVDRS) and statistical analysis (logistic regression) to examine associations with suicide completion, which constitutes a quantitative empirical study.",
          "confidence": "High"
        },
        "full_label_agreement": true
      }
    },
    {
      "input_index": 1632,
      "record_key": "SSWR:2024-P-0256",
      "source_database": "SSWR",
      "record_id": "2024-P-0256",
      "year": 2024,
      "title": "Global Trends of Violence: How Democracy and Capitalism Are Relevant to Justifiability of Inward and Outward Violence",
      "abstract": "Background and purpose: At the global level, violence is recognized as a serious human rights violation and public health issue because regardless of its manifestations, violence has a physical and mental impact on persons who are directly or indirectly involved. Macro-level factors such as democracy and capitalism may impact violence. It remains unclear whether the direction of violence (i.e., inward violence such as suicide or outward violence such as violence against others) has been examined at a global-scale and with regards to a countries’ economic and political values (i.e., democracy, capitalism).. Whether violence has increased or decreased throughout the last few centuries remains to be debated. This study compares Organisation for Economic Co-operation and Development (OECD) and non-OECD countries to examine the association between democracy and capitalism and the direction of violence, therefore, suggesting macro-level factors associated with the direction of violence. Methods: This study is a secondary data analysis using the World Values Survey (WVS). Data from 84,638 individual respondents across 57 countries (12 OECD countries and 45 non-OECD countries) were analyzed. To examine the preferences for democracy and capitalisms associated with the justification of suicide and violence against others, this study used multigroup logistic regression with robust maximum likelihood estimation using Mplus ver. 8. Results: The constrained model, which assumes all parameters to be equal between OECD and Non-OECD countries, demonstrated that the data fit the model adequately (χ2 = 1262.21, df = 8, p < .001, CFI = 0.945, RMSEA = 0.044, and SRMR = 0.021). Regarding OECD countries, democracy was positively associated with the justifiability of suicide ( β = 0.042, p < .001), while capitalism was negatively associated with the justifiability of suicide ( β = -0.074, p < .001). Further, both democracy ( β = -0.176, p < .001) and capitalism ( β = -0.015, p < .05) were negatively associated with the justifiability of violence against. In non-OECD countries, democracy ( β = -0.03, p < .001) and capitalism ( β = -0.04, p < .001) were negatively associated with justifiability of suicide. Further, democracy ( β = -0.103, p < .001) and capitalism ( β = -0.063, p < .001) were negatively associated with justifiability of violence against others. Conclusions and Implications: To our knowledge, this is the first study to examine how democracy and capitalism are associated with the direction of violence in OECD and non-OECD countries. As OECD values democracy and market economy, a set of international standards is offered to solve social, economic, and public health problems. Overall, both preference for democracy and capitalism decreased the justification of violence in both OECD and non-OECD countries. However, there was one exception among OECD countries; preference for democracy increased the tendency to justify suicide. In OECD countries, where democracy is relatively more developed, self-control, independence, and taking responsibility for oneself, may become internalized, increasing the justification of suicide.",
      "authors": "Yangjin Park; Jingyeong Song; Pa Thor; Sejung Yang",
      "author_ids": "118734; 125093; 120896; 118712",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "eval_count": 24
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      "screened_at": "2026-08-02T18:45:12.608633+00:00"
    },
    {
      "input_index": 1633,
      "record_key": "SSWR:2024-P-0336",
      "source_database": "SSWR",
      "record_id": "2024-P-0336",
      "year": 2024,
      "title": "Grief after Suicide: Effect of the Local Outreach to Suicide Survivors (LOSS) Program in Singapore",
      "abstract": "Background: The Local Outreach to Suicide Survivors (LOSS) program, a grief support postvention that provides individual and group counseling and support services to those who have lost a loved one to suicide. This program launched in 2006 by Samaritans of Singapore (SOS) is the only suicide postvention and specialist counseling service in Singapore. In 2020, Singapore’s suicide rate increased by a 13% compared to the suicide deaths in 2019 (SOS, 2021). Amidst psychological distress and social isolation brought by the COVID-19 pandemic, suicide behavior has been the nation’s highest court since 2012. This pilot study aims to evaluate the first suicide postvention program in Singapore and its impact on suicide survivors of sudden death or loss. Methods: The study used a mixed-methods design to facilitate the triangulation and integration of qualitative and quantitative data. Data was collected through pre-and post-test surveys and semi-structured interviews as a means of gaining a rich understanding of participants’ grief experiences, impact of the suicide death, social adjustment, psychosocial well-being, and overall experiences with LOSS. Purposeful sampling was used to identify recent suicide survivors who had lost a loved one within the past 6 months to suicide seeking bereavement services from SOS. A total of 6 suicide survivors participated in the study. All participants were Chinese, and the average age was 45 years old. The average duration for counseling and services from the LOSS program was around 8 months. The questionnaire consisted of demographics, the Grief Experiences Inventory Questions (Barrett & Scott, 1989), the Impact of Event Scale Revised (Weiss, 2007), and the Social Adjustment Scale (Weissman et al., 2001). Pre-and post-test scores were analyzed using paired-samples t-tests, and thematic analysis was utilized for the interview data. Results: The findings showed the top three dimensions of grief were “search for explanation”, “guilt”, and “unique reactions”. There was a significant difference in the Impact of Event (IES) scores between pre-intervention ( M =38.17) and post-intervention ( M =20.17; t(10)=3.12, p =0.010), indicating the survivors’ post-traumatic stress after the loss was reduced after the LOSS program. All participants expressed benefitting from the individual counseling and support group, especially the chance to connect with other survivors. Besides emotional reactions of grief, survivors reported somatic symptoms like trouble with sleep and difficulty concentrating. Increased sleep and ability to do household chores were indicative of “feeling better” for them. Conclusions/Implications: Based on these findings, the current study highlights that social workers can administer assessment tools that measure grief and trauma since suicide survivors may try to settle practical matters first and focus only on the improvement of their somatic symptoms. With regard to practical matters, suicide and life insurance may be a complicated topic for survivors to understand and navigate on their own. Thus, a guidebook for survivors on the practical issues after a suicide death may be beneficial. Furthermore, exposure to suicide death, particularly a close family member, is a risk for suicidal ideation so social workers should continue to monitor for suicidal ideation in survivors as well.",
      "authors": "Jungup Lee; Seyoung Oh; Lynn Chiang",
      "author_ids": "112535; 121050; 125262",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "mixed_methods",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3374484333,
        "prompt_eval_count": 1620,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:45:15.984820+00:00"
    },
    {
      "input_index": 1634,
      "record_key": "SSWR:2024-G-0036",
      "source_database": "SSWR",
      "record_id": "2024-G-0036",
      "year": 2024,
      "title": "Harnessing the Clinician-Researcher Role: Rapid Qualitative Observations and Resultant Adaptations from the Emergency Department Longitudinal Integrated Care (ED-LINC) Randomized Clinical Trial",
      "abstract": "Background and Purpose: The landscape of work can change quickly in the timeline of intervention research. The Emergency Department Longitudinal Integrated Care (ED-LINC) randomized trial utilizes a social work-led collaborative care intervention for patients with opioid use disorder (OUD) in the Emergency Department (ED). ED-LINC intervention conceptualization took place prior to COVID and the rise of fentanyl. In the ED-LINC pilot phase, 90% of participants used heroin while most current ED-LINC intervention participants endorse fentanyl use. This investigation aims to describe a systematic rapid qualitative approach positioning clinicians on the research team as participant-observers during routine patient care, documenting reflections and adapting protocol and intervention design in real-time. Methods: The interdisciplinary ED-LINC intervention team regularly discussed clinical observations and necessary real-time unplanned modifications to the intervention during clinical case conferences. Utilizing the Rapid Assessment Procedure Informed Clinical Ethnography (RAPICE) method, staff reflected on the feasibility, utility, and saliency of the planned and piloted intervention given the current landscape and changing patient needs. As clinician-researchers, the team worked with qualitative content experts to analyze RAPICE reflections and adapt the ED-LINC intervention and study protocol. Results: From 4/12/2022 to 11/30/2022, 30 patients at Harborview Medical Center were recruited and randomized to the EDLINC intervention. Thematic analysis of RAPICE reflections from this initial sample of intervention participants revealed five domains for adaptation: 1) suicide risk assessment and safety planning, 2) engagement as a targeted piece of intervention, 3) a patient-driven and component-based intervention design, 4) MOUD discussion and approach, and 5) collaborative care framework using measurement-based care. Presented themes informed adaptation of ED-LINC from a stepped-care intervention assuming desire for treatment to a harm-reduction-oriented component-based design anchoring on individualized goal-planning. RAPICE themes also prompted the study team to include innovative fentanyl-based measures in longitudinal outcome data and expanded suicide risk assessment procedures to include specific overdose prevention dimensions. Conclusions and Implications: The traditional knowledge creation processes in intervention research are proving less effective in a world of rapidly developing crises such as the opioid epidemic. Given the evolving social landscape, the ways of harnessing the clinician-researcher role within teams of investigators who are also involved in direct care deserve additional attention. Rapid assessment procedures like RAPICE provide a structure for making timely adaptations to ensure that study interventions and protocols produce salient and generalizable results.",
      "authors": "Kayla Lovett; Lauren Whiteside; Lawrence A. Palinkas; Craig Field; Michael Light; Mark McGovern; Caleb Banta-Green; Douglas Zatzick",
      "author_ids": "125469; 116247; 109932; 112069; 123476; 125470; 125471; 116254",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Sig",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3243878417,
        "prompt_eval_count": 1472,
        "eval_count": 27
      },
      "screened_at": "2026-08-02T18:45:19.230399+00:00"
    },
    {
      "input_index": 1636,
      "record_key": "SSWR:2024-U-0418",
      "source_database": "SSWR",
      "record_id": "2024-U-0418",
      "year": 2024,
      "title": "Impact of Cyberbullying Victimization on Suicide Risk Among Adolescents: The Mediator Role of Mental Health during the COVID-19 Pandemic",
      "abstract": "Background and Purpose Recently, cyberbullying has become a serious social problem in the U.S., particularly among adolescents. The COVID-19 pandemic increased social media usage, with 23.2% of U.S. teenagers reporting they had been cyberbullied in 2021. Previous studies have shown a link between cyberbullying and suicide, making addressing the problem and identifying potential protective and risk factors necessary. This study aimed to investigate the association between cyberbullying victimization (CV) and suicide risk, including suicidal ideation (SI), plan (SP), and attempt (SA), and to assess the potential mediation effects of poor mental health (PMH) and poor mental health during the pandemic (PMHP) among adolescents. Methods This study used data from the 2021 Adolescent Behaviors and Experiences Survey (ABES), which was conducted to provide nationally representative data during a time when many students were attending school virtually due to COVID-19. A total of 7,998 students submitted surveys of which 7,689 had complete data. CV was the primary independent variable. Dependent variables were dichotomized SI, SP, and SA, assessed by asking if participants considered, made a plan, or attempted suicide during the past year. Data were weighted according to ABES analytic guidelines. We estimated OLS and binary logistic models to regress CV and PMH/PMHP on suicide risk. Mediation effects were assessed using the Sobel-Goodman test with bootstrapped standard errors. Results Of 7,689 adolescents, 13.8% experienced CV. Both PMH and PMHP partially mediated the associations between CV and SI, SP, and SA. CV adolescents were more likely to have SI compared to non-CV that decomposed into a direct effect of CV (aOR=2.16, p <.001) and an indirect effect of PMH (aOR=1.60, p <.001), indicating there was a 60% increase in the odds of SI caused by the indirect effect of CV, mediated through its effects on PMH. Thirty eight percent of the total effect of CV on SI was mediated by its effect on PMH. The effect of CV on SI was also mediated by PMHP (aOR=1.57, p <.001), with thirty seven percent of the total effect of CV on SI mediated by PMHP. Similarly, CV adolescents were more likely to make SP (aOR=2.66, 2.75, p <.001) with an indirect effect of PMH (aOR=1.51, p <.001) and PMHP (aOR=1.52, p <.001) each. About a third of the effect of CV on SP was mediated by its effect on PMH or PMHP. CV adolescents were also more likely to attempt suicide (aOR=2.97, 3.00, p <.001), again mediated through the indirect effect of PMH (aOR=1.54, p <.001) and PMHP (aOR=1.45, p <.001). Conclusions and Implications CV significantly increased the odds of SI, SP, and SA directly as well as indirectly through worsening or exacerbating PMH/PMHP. Adolescence is a critical period for development, and PMH in adolescence may adversely affect long-term development and mental health. Therefore, intervening and preventing CV is critical for teenagers' mental well-being and development, particularly given findings on suicide risk. During the pandemic, students had limited access to school-based help. Subsequent continued use of online teaching warrants development and implementation of a system to provide appropriate interventions even in non-face-to-face situations.",
      "authors": "Jieun Lee",
      "author_ids": "120655",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3664301750,
        "prompt_eval_count": 1741,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:45:26.119048+00:00"
    },
    {
      "input_index": 1637,
      "record_key": "SSWR:2024-P-0025",
      "source_database": "SSWR",
      "record_id": "2024-P-0025",
      "year": 2024,
      "title": "Impact of Parent Help-Seeking Intentions on Youth Help-Seeking Intentions in Mexico",
      "abstract": "Background and Purpose Suicide rates in some parts of Mexico doubled between 2010 and 2020 (Hermosillo-de-la-Torre et al., 2020), and among Mexican females, the 15-19 year-old age group had the highest rate of suicide in 2017 (INEGI, 2019). Studies in the US suggest that suicidal ideation is linked to lower intentions to seek help (Calear et al., 2014) and that more than half of adolescents with suicide-related outcomes did not seek any services in the past year (Husky et al., 2012). Due to the connection between suicidality and reduced help-seeking among adolescents in the US, further research is needed on this topic in Mexico. The current study aims to assess connections between parent and youth help-seeking intentions (HSI) in Mexico as they relate to suicidal thinking. Methods Data were collected from parent and youth dyads in Mexico. Parents were contacted via email, and eligible participants needed to be living in Mexico, speak Spanish, and have a child between the ages of 14-17 who could also complete the survey. Surveys were administered online through Qualtrics and included various demographic, health and well-being, suicide prevention, and health literacy questions. The final sample consisted of 373 parent-child dyads with at least one dyad living every state in Mexico. Help-seeking intentions for both parents and youth were measured using a modified 9-item version of the General Help Seeking Questionnaire, which asked specifically about seeking help for suicidal thoughts. Respondents were asked to rate their likelihood of seeking help from nine help sources on a scale from 0=extremely unlikely to 3=extremely likely. Help sources included multiple categories of family members, friends, and professionals. Ordinary Least Squares regression analyses were conducted to assess whether parent HSI predicted youth HSI. Controls included age, sex, family socioeconomic status, whether the family lived in a rural location, and youth well-being (self-reported using the Warwick-Edinburgh Mental Wellbeing Scale). Results Our findings confirmed our hypothesis, with parent HSI being a significant predictor of youth HSI ( b = 0.50, d = 0.47, p < 0.001, adj. r2 = 0.36). Interestingly, similar patterns of help-seeking preference were discovered between parents and youth. For example, youth were most likely to seek help from a parent, followed by a mental health professional, a partner, another relative, and then a friend. Parents were almost equally likely to seek help from a mental health professional and a partner, followed by a parent, a friend, and another relative. Conclusions and Implications Knowing that parent help-seeking intentions are linked to adolescent help-seeking intentions may be of benefit to health professionals, community leaders, and researchers. Parent-focused help-seeking improvement programs may serve to have an indirect positive impact on adolescent HSI, thus reducing risk for suicidality among teens in Mexico. Further research should expound on the directionality of this connection, use random sampling so results can be generalized, and consider replicating aspects of this project among populations in Mexico who were not eligible for this study (i.e., those without internet access, families with younger teenagers, etc.).",
      "authors": "Steven Hoffman; Kyleigh Hatch; David S. Wood",
      "author_ids": "112394; 124636; 114455",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3380077417,
        "prompt_eval_count": 1619,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:45:29.500951+00:00"
    },
    {
      "input_index": 1638,
      "record_key": "SSWR:2024-U-0045",
      "source_database": "SSWR",
      "record_id": "2024-U-0045",
      "year": 2024,
      "title": "Improvements in Social Work Students' Comfort and Confidence Following a Virtual Suicide Prevention Training",
      "abstract": "Background and Purpose : Suicide is a serious and costly public health issue that is widely considered to be preventable with effective intervention. M ost graduate social work programs offer only limited training on suicide prevention. The purpose of this study was to explore whether a one-day virtual training on suicide prevention impacted Master’s of Social Work (MSW) students’ attitudes towards suicide, their self-reported confidence and comfort in suicide risk assessment and prevention, and their beliefs about their role in suicide prevention. Methods : Participants were 20 MSW students in a virtual interdisciplinary seminar on suicide prevention in the Fall of 2020. All attendees received pre-training materials and attended a didactic seminar. Then, MSW students engaged in small group role plays to practice suicide screening and risk assessment. Study participants completed pre- and post-test assessments using the Attitudes to Suicide Preventions scale (ASP) and additional questions measuring their self-reported comfort and confidence with suicide risk assessment and their beliefs about their role in suicide prevention. Paired-samples t-tests were conducted to determine statistically significant changes between pre- and post-test assessments. Data were managed and analyzed using IBM SPSS Statistics version 27. The study was approved by the overseeing University’s Institutional Review Board and informed consent was obtained from all participants. Results : There were statistically significant increases in students’ agreement that they had sufficient training in how to ask patients about suicidal thoughts and behaviors from pre-test (M = 3.55, SD = 0.76) to post-test (M = 4.40, SD = 0.50, t = -4.68, p < 0.001) and in students’ agreement that they had sufficient training to assess level of suicide risk from pre-test (M = 2.90, SD = 0.85) to post-test (M = 4.30, SD = 0.66, t = -6.66, p < 0.001). There were also statistically significant increases in students’ confidence in their ability to detect suicidal ideation from pre-test (M = 3.32, SD = 0.75) to post-test (M = 4.21, SD = 0.63, t = -4.16, p < 0.01) and in students’ comfort asking about symptoms of suicide ideation from pre-test (M = 3.65, SD = 0.81) to post-test (M = 4.55, SD = 0.61, t = -3.94, p < 0.01). With regard to the ASP scale, the mean score decreased (indicating less negative attitudes) from pre-test (M = 29.00, SD = 5.12) to post-test (M = 27.76, SD = 5.18) but this change was not statistically significant; t(17) = 1.08, p = 0.30. Conclusions and Implications : Our findings demonstrate that it is possible to increase social workers’ comfort and confidence in suicide prevention by providing training during their graduate social work education. Virtual suicide prevention training reduces logistical challenges to implementation and may offer increased access to geographically dispersed groups of learners. Participants reported substantial perceived impact following the training, indicating the feasibility, acceptability, and efficacy of this delivery mode. Given our results, there is a strong rationale to bring this intervention to scale and embed it into social work curricula as a brief module in an existing course.",
      "authors": "Sky Gavis-Hughson; Christina M. Sellers; Rebekah S. Halmo; Eileen Dacey; Cali-Ryan R. Collin; Jennifer M. Putney",
      "author_ids": "123516; 116177; 121588; 124721; 122300; 116572",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3653961417,
        "prompt_eval_count": 1679,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:45:33.157039+00:00"
    },
    {
      "input_index": 1639,
      "record_key": "SSWR:2024-P-0169",
      "source_database": "SSWR",
      "record_id": "2024-P-0169",
      "year": 2024,
      "title": "Intimate Partner Violence and Suicidality Among Women: How Is the Connection Measured?",
      "abstract": "Background : Intimate partner violence (IPV) and suicide are both devastating and preventable public health crises, each affecting millions of individuals, families, and communities. Despite the robust literature linking IPV and suicidality among women through empirical correlations and theoretical connections, few researchers make intentional efforts to connect the occurrence of IPV with suicidality via measurement. In most inquiries, these phenomenon are measured separately. As such, the true nature of the association is not well-established and connections between IPV and suicidality are made via statistical tests rather than through how suicidality is measured among survivors of IPV. Purpose : The purpose of this study was to assess whether women reported suicidality as a result of the IPV they experienced. Women in this study were also asked about suicidality as a result of their experiences of childhood maltreatment. Finally, the relation between sociodemographic characteristics (e.g., age, length of relationship), measures of IPV (e.g., physical, psychological, stalking), and measures of well-being (e.g., depressive symptoms, PTSD, resilience, empowerment) and women’s reports of suicidality due to IPV were examined. Methods : This study utilized data from a two-year study of women who experienced IPV and received civil legal services (N=150). Women reported whether they had any suicidal thoughts, made suicidal gestures, developed a plan for suicide, or attempted suicide as a result of the IPV and/or any childhood abuse they experienced. Other measures included sociodemographic characteristics, standardized scales to assess various forms of IPV, and standardized measures of well-being. Analyses were performed using three groups for comparison (no suicidality, lifetime-only suicidality, both past year and lifetime suicidality). One-way analysis of variance with post-hoc comparisons was used to examine group mean differences for continuous variables. Chi-square analyses were used with categorical variables. Results : Over half of the sample reported no history of suicidality ( n =83; 55.33%) and 67 women (44.67%) reported any suicidality as a result of IPV. Of the women who reported any suicidality due to IPV, 32 (21.33%) reported suicidality in the past year. Exactly half ( n =75) of the sample reported a history of child maltreatment. Of those, 44 (58.67%) reported suicidal thoughts as a result of any abuse or neglect they experienced. The mean value of physical IPV was significantly different between women who reported both lifetime and past year suicidality and women who reported no suicidality ( M =55.34 vs 44.35, respectively; p =.027). The mean value for measures of well-being were significantly different between women who reported lifetime and past year suicidality and women who reported no suicidality. Women who reported suicidality reported more depressive and PTSD symptoms and less resilience and empowerment. Conclusion : Women who experience IPV often report higher rates of suicidality but these two concepts are rarely measured in ways that allow us to explicitly attribute suicidality as a cause of IPV victimization. It is important that researchers attempt to provide a more in-depth understanding of the relationship between IPV and suicidality. Focusing on suicidality as a result of IPV has implications for interventions, as these are arguably different than intervention efforts among other populations.",
      "authors": "Lynette M. Renner",
      "author_ids": "113619",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3374478583,
        "prompt_eval_count": 1628,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:45:36.533259+00:00"
    },
    {
      "input_index": 1643,
      "record_key": "SSWR:2024-U-0330",
      "source_database": "SSWR",
      "record_id": "2024-U-0330",
      "year": 2024,
      "title": "Masculinity and Afrocentric Worldview: Assessing Risk and Protective Factors of Self-Reliance and Ubuntu on Young Black Men's Suicide Ideation",
      "abstract": "Background: In the United States, young Black men are disproportionately represented among those experiencing disabling and persistent episodes of emotional distress that, when left untreated, correlate to a higher incidence of premature mortality. Past literature suggests particularly for Black men, gender norms of Western masculinity, specifically of self-reliance, may also be an underlying factor. Conversely, an Afrocentric worldview among Black Americans has been demonstrated to have an important buffering effect against forms of emotional distress. The Afrocentric construct Ubuntu, which comprises humanness, compassion, and interdependence, has been well discussed as an important cultural factor providing mental health buffering effects. Still, while prior research has established a positive relationship between Afrocentric values and psychological well-being, there remains a scarcity of research specific to the relationship between the Afrocentric worldview and Black American suicide protective factors. Thus, the present study addressed gaps in the literature by examining associations between Ubuntu, self-reliance, and suicide ideation among emerging adult Black American men ages 18-24. Methods: Researchers conducted a national cross-sectional online survey of self-identifying Black American young adult men aged 18 -24 (N= 428) from June to July 2022 using Qualtrics Panels, a leading enterprise survey technology platform. To measure suicide ideation, a single screening question on suicide risk from the Patient Health Questionnaire-9 (PHQ-9) was utilized. To measure Ubuntu, Matsuzawa’s (2020) Ubuntu African Humanism scale was used. Self-reliance was measured with the self-reliance scale of the Conformity to Masculine Norms Inventory (Mahalik et al., 2003). Analytically, logistic regression analysis was employed to identify potential correlates between Ubuntu and suicide ideation considering the control variables of the study (i.e., age, socioeconomic status), with results reported as odds ratio (OR) along with corresponding 95% confidence intervals —associations with p-values equal to or less than 0.05 were considered statistically significant. Results: The ordinal logistic regression model showed a correct classification of 76.5%, R 2 = .45, χ 2 (5) = 69.82, p < .001. The change of reporting suicide ideation was higher among participants who reported more reported more self-reliance (OR = 1.28, p = .042), while it was lower among participants who reported more Ubuntu (OR = 0.61, p = .025). Results demonstrated that after controlling for the role of household income, and age, increasing values of self-reliance corresponded to increased odds of suicide ideation among participants. On the other hand, increased values of Ubuntu corresponded to decreasing odds of suicide ideation. Discussion: The findings of this study are consistent with previous research on the role of masculinity norms as risk factors associated with suicide ideation in Black American men. Additionally, these findings advance proof of mechanism scholarship of the role Afrocentric norms may have as a protective factor in the Mental health of Black men. Overall, study findings have implications for future research, implications for suicide prevention practice, and institutional policies.",
      "authors": "Husain Lateef",
      "author_ids": "115465",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "prompt_eval_count": 1601,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:45:49.857212+00:00"
    },
    {
      "input_index": 1647,
      "record_key": "SSWR:2024-P-0408",
      "source_database": "SSWR",
      "record_id": "2024-P-0408",
      "year": 2024,
      "title": "National Guidelines for Workplace Suicide Prevention: Social Work’s Role in Moving Prevention Upstream",
      "abstract": "Background/ Purpose: The National Workplace Suicide Prevention Guidelines (Guidelines) were developed through an exploratory study with 200+ stakeholders from Human Resources, Employee Assistance Programs, employment lawyers, safety and wellness professionals, peer specialists, and people with suicide lived experience. Results helped to develop Guidelines to move workplaces, including health and social services, to become bold leaders aspiring to zero suicide in the workplace. Dr. Frey co-authored the Guidelines and co-leads the National Committee for Workplace Suicide Prevention. The recent US Surgeon General’s new Framework for Workplace Mental Health and Well-being solidifies the need for more social workers to serve as partners helping to reduce suicide deaths across the country. This paper describes results from the Guidelines national roll-out pledge process and survey. Methods : The Guidelines launched October 2019. The website ( www.WorkplaceSuicidePrevention.com ) asks workplaces to pledge to make suicide prevention a health and safety priority and complete a brief survey. The survey asks how workplaces are implementing the Guidelines, barriers faced and next steps to become suicide informed and move prevention efforts upstream. Since launching, over 1600 work organizations took the pledge and 253 completed the survey. Descriptive and bivariate analyses were used to compare the perceived priority of Guidelines across organization size and participants’ workplace roles. Rapid qualitative coding was used to analyze open-ended responses. Res ults : Workplaces included small (42%), mid- (33%) and large-sized (25%) organizations, diverse industries, with the largest group representing healthcare and social assistance (45%), and persons completing the survey were primarily leaders or HR professionals (52%). Responses included non-profit (44%), for-profit (34%), and government workplaces (23%). One-third of respondents indicated they were exposed to a workplace suicide during the prior year. Overall, commitment to suicide prevention was strong with 80% of respondents indicating their workplace was completely committed to implementing the Guidelines. Practices ranked highest priority included upstream actions such as bold leadership that cultivates a caring culture, communication that increases awareness, and downstream actions such as mental health and crisis resources. Leaders and HR professionals ranked communication as a significantly higher priority than respondents in other positions (t=-2.87, p =0.004) and smaller workplaces prioritized all Guidelines more than medium and large organizations (e.g. Leadership: F=8.67, p <0.001). For implementation, 42% were offering training, 32% were sharing resources, 15% offered EAP (15%), and 12% offered peer support. Implementation barriers included time (36%), competing priorities (33%), and cost (27%). The majority reported that that wellness and safety programs included mental health literacy and emotional resilience in addition to noting that leadership is aware of psychosocial hazards and actively working to reduce job strain and toxicity. Upstream work was expressed in the qualitative data as well. One respondent said, “With so much focus on individuals, I really like the organization approach for true culture change.” Conclusions : Social workers continue to be sought by workplaces in diverse roles (HR, EAP, DE&I, management) and bold leadership is needed to support leaders regarding Guidelines implementation to provide a pathway to comprehensive, upstream workplace suicide prevention, creating a more psychologically safe and well working community.",
      "authors": "Jodi Jacobson Frey; Yali Deng; Amanda Mosby",
      "author_ids": "113662; 123465; 119817",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "mixed_methods",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3447959709,
        "prompt_eval_count": 1618,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:46:03.961477+00:00"
    },
    {
      "input_index": 1648,
      "record_key": "SSWR:2024-U-0586",
      "source_database": "SSWR",
      "record_id": "2024-U-0586",
      "year": 2024,
      "title": "Parent and Caregiver Perspectives on Youth Suicide and Systems of Care",
      "abstract": "Background and Purpose: Suicide is the second leading cause of death for Canadian youth aged 15-24, and most youth who die by suicide have at least one mental health concern. Canadian youth have the highest rates of mental health (20%) and substance use (12%) concerns, and the most unmet mental health care needs. Parents of youth who die by suicide describe challenges finding appropriate youth mental health care, poor quality of care, and inadequate involvement in their youth’s treatment. For sexual and gender minority youth and Black Indigenous People of Colour, there are higher suicide risks associated with racism and discrimination. Half of Ontario youth who die by suicide visited emergency in the year preceding their death with increased risks post-discharge partly because of the lack of continuity of care and limited referrals to community mental health care. The aim of this study was to examine how parents/caregivers describe systems of care that engaged with their youth prior to the suicide to improve service access, quality of mental health care, and reduce the rates of suicide in youth. Methods: This qualitative study used an interpretative phenomenological approach (IPA) which recommends samples of 5-15 to provide a deeper understanding of the phenomenon. Participants were eligible to participate if they were an Ontario parent/caregiver of a youth under 26 who died by suicide in the last 5 years. Recruitment was through bereavement centres, and we conducted virtual semi-structured interviews. We analyzed data using an iterative process for IPA which identifies meaning statements and connections across the sample to generate themes. Results: The sample included 13 participants (n=9 mothers, n=4 fathers). Ten parents had a son and three had a daughter who died by suicide aged 12-25. We identified the following themes from parent statements: (1) it is important to make our youths’ voices heard, (2) to reduce stigma and improve treatment, mental health concerns need to be treated as an illness, not bad youth behaviour or a parenting problem, (3) schools need to listen to youth and adequately address bullying, (4) there are anti-racism school policies, but they are not consistently applied, (5) suicidal youth are often too low risk for hospital and too high risk for community agencies, (6) there is a need for more compassionate care for youth and caregivers, (7) gender norms negatively affect youth, (8) youth are dying because of a broken system, (9) consent and privacy laws exclude caregivers who are usually the most important source of support, and (10) there is limited support for parents until after our youth die. Conclusion and Implications: Our study identified 10 themes connected to bullying, racism, stigma, discrimination, quality of care in different systems, inequitable access to services, family involvement in treatment, inequitable policies, and service gaps. These findings have implications for social workers who are one of the largest mental health professions in the U.S. and Canada. It is important to strengthen social work education and training to improve policies and services for youth in distress and their families.",
      "authors": "Toula Kourgiantakis; Jori Jones; Eunjung Lee; Shelley L. Craig; Carrie Lau; Deborah Cooper; David Cooper; Marjorie Johnston; Jonathan B. Singer; Juveria Zaheer",
      "author_ids": "117619; 125730; 112089; 109193; 125731; 125732; 125733; 125734; 108916; 125735",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3355844417,
        "prompt_eval_count": 1556,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:46:07.319114+00:00"
    },
    {
      "input_index": 1649,
      "record_key": "SSWR:2024-U-0628",
      "source_database": "SSWR",
      "record_id": "2024-U-0628",
      "year": 2024,
      "title": "Participatory Development of a Complex Cross-Site Logic Model for Community-Based Peer Support Programs Serving Veterans",
      "abstract": "Background and Purpose Veterans experience significant challenges during the community reintegration process following military service, including economic insecurity, relationship difficulties, anxiety, substance abuse, depression, a lack of meaning purpose, and social isolation. Peer support programs, which emphasize the importance of camaraderie and social cohesion through shared lived experience and mentorship, are a promising intervention for veterans and their family members. There is however a lack of well-articulated program logic within many such programs, which tend to use non-traditional strategies of engagement and support. Both the Aspen Institute (Anderson, 2005) and the Kellogg Foundation (2004) have emphasized the importance of logic modeling as a practical strategy to help programs define a theory of change to explain the relationship between program activities and desired outcomes. This study describes the use of a participatory process to create a comprehensive logic model across multiple heterogeneous peer support programs serving veterans. Methods This study used an approach drawing from participatory models of qualitative research to develop consensus-driven logic models for 11 veteran peer support programs. Though all programs are funded through the same mechanism, each was given maximum latitude to create its own unique program services and operational features. Administrators and staff met with researchers to design and build accurate logic models for each program. The research team then used a team-based process of qualitative content analysis to search for common elements across all programs, with the goal of building a unified theory of change/logic model across all 11 programs. The resulting super-logic model was shared with program staff for member checking. Results Ecological systems theory was used as a framework to organize study findings. Nine output domains were identified, documenting intervention strategies at various levels of support. Micro-level outputs include individual mentorship, crisis support services, advocacy, and primary outreach. Mezzo-system outputs incorporate support groups, training, and family engagement domains. Lastly, macro-level outputs emphasize community education and volunteerism as primary functions in peer programming. The nine common outputs were linked to short, medium, and long-term projected outcomes. Common themes across short and medium outcomes are reducing isolation, addressing basic needs, and building camaraderie. Ultimately the super logic model's purpose is to demonstrate the relationship of interventions to long-term goals across a complex array of heterogenous programs. Strengthening the veteran community and supporting pro-social reintegration, empowerment, hope, and suicide reduction emerged as the primary long-term outcomes. Conclusion Peer support programs are an effective intervention for veterans yet need better explication regarding the theories of change. The super-logic model provides heterogeneous organizations serving veterans with a cohesive conceptual framework for replication while maintaining flexibility in service delivery. Implications for social work practice, policy and research with veteran programs are significant. While this super-logic model is not prescriptive, it provides social workers and other professionals with important knowledge regarding the program goals, interventions, and projected outcomes of veteran peer support programs.",
      "authors": "Eric R. Hardiman; Sarah Wagner; Judith Fenlon; Natalie Turner",
      "author_ids": "109673; 125830; 125831; 118736",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3272493958,
        "prompt_eval_count": 1516,
        "eval_count": 27
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      "screened_at": "2026-08-02T18:46:10.593522+00:00"
    },
    {
      "input_index": 1650,
      "record_key": "SSWR:2024-P-0546",
      "source_database": "SSWR",
      "record_id": "2024-P-0546",
      "year": 2024,
      "title": "Pathways from ACEs and Age to Mental Health Seeking Among Black Youth",
      "abstract": "Background: Adverse childhood experiences (ACEs), and mental health problems degrade Black youth’s life quality and increase the likelihood of suicidal thoughts and behaviors. ACEs: sexual and physical abuse or neglect and violence exposure are risk factors for suicide. The impact of ACEs seems most evident in the context of mental health with ACEs accounting for nearly 40% of cases of depression, and 30% of cases of anxiety, in the United States, which are associated with increased rates of suicide. Despite the seriousness of mental health among young people they remain the least likely to seek help when problems arise, even though these problems can hinder their everyday functioning and well-being. The current study seeks to understand how ACEs influences mental health seeking behaviors via suicidal behaviors among Black youth. We propose four hypotheses: (a) Higher ACEs will be associated with suicide ideation and planning, (b) Age will be associated with suicide ideation and planning, (c) Suicide ideation and planning will be associated with suicide attempts, (d) Suicide attempts will be associated with mental health behavior seeking, and (e) ACEs will be indirectly and associated with both suicide attempts and mental health behavior seeking. Methods: Using a sample of Black youth (18 to 24) (N=350) collected via online, we utilized a path analysis to examine the direct and indirect effects of ACEs and age on suicidal behaviors and mental seeking behaviors. The average age of the sample is 21 (SD: 1.91) and youth resided in the Midwestern United States. Qualtrics respondents were recruited from March 15 to April 13, 2023, by a requested Qualtrics panel. We used a path analysis to examine the direct and indirect effects of ACEs and Age on mental health seeking behaviors via suicidal behaviors. Results: Among Black youth, ACEs was positive and directly associated with suicide ideation (b =0.28, p<.001) and planning (b =0.30, p<.001). Suicide planning was positive and directly associated with suicide attempts (b =0.37, p<.001). ACEs were negative and indirectly associated with mental health seeking behaviors (b =0.03, p<.05) and suicide attempts (b =0.03, p<.001). Conclusion: Considerations for studying ACEs as well as their impact on the health and well-being and support for Black youth is needed to enhance their quality of life as well as the context of their lives are discussed. Future research may want to consider how suicidal behaviors, ACEs and other barriers prevent Black youth from seeking health care. Understanding these barriers can potentially help with the development of culturally relevant interventions that are needed to support the health and well-being of Black youth.",
      "authors": "Camille R. Quinn; Brianna Smith; Donte T. Boyd; Ed-Dee Williams",
      "author_ids": "113009; 120693; 115665; 117601",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "prompt_eval_count": 1514,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:46:13.785105+00:00"
    },
    {
      "input_index": 1651,
      "record_key": "SSWR:2024-P-0639",
      "source_database": "SSWR",
      "record_id": "2024-P-0639",
      "year": 2024,
      "title": "Pathways to Resiliency and Empowerment: A Novel Approach to Understanding Adolescents Living with HIV",
      "abstract": "Background and Purpose : It is estimated that over thirty-five million people around the world live with Human Immunodeficiency Virus (HIV), and over 71% live in sub-Saharan Africa. Despite scientific gains in HIV prevention, Uganda is still one of the countries seriously affected by the HIV/AIDS epidemic. HIV is a highly stigmatized disease with social ridicule and discrimination, leading to depression, trauma, and severe mental health problems. Further, HIV/AIDS epidemic is often a component of related synergistically interacting epidemics that give rise to other poor health outcomes, food insecurity, unemployment, and adherence to antiretroviral therapy (ART). Despite the scientific discoveries and knowledge, we know very little about pathways to resilience and empowerment adolescents employ to manage the disease. Utilizing resilience theory, the study explored adolescents’ lived experiences and strategies to cope with a severe and highly stigmatized disease. Using the components of resilience, which involve the processes of responding to adversity, the study examines resilience’s empowering ability to uncover the individual’s capacity to bounce back after experiencing difficulties. Methods : Using a qualitative interpretive phenomenological approach (IPA), the study examines the lived experiences of youth ages 18 to 24 living with HIV in Uganda. Data were collected through partnerships with local health clinics after Institutional Review Board (IRB) requirements. Six focus groups (N=31) that met between December 2020 to May 2021 provided the data for analysis. Participants included young men, women, men having sex with men (MSM), sex workers, and perinatally infected young people who receive/d services at the local private and government run clinics. Participants were screened for eligibility, and informed consent was provided before the study. All focus group sessions were audio-recorded with approval from the participants, transcribed verbatim, and subsequently analyzed using the grounded theory approach. Data triangulation was conducted through checking and rechecking to ensure that the findings were corroborated. A follow-up focus group with the participants was done to strengthen the validity and reliability of the data. Results : The findings indicate that adolescents living with HIV went through several pathways in their HIV experiences: 1) denial, 2) despair, 3) suicidal ideation, and 4) substance use, 5) acceptance, 6) resilience, 7) empowerment, which were seldom linear. Resilience was arrived at after acceptance of the reality of HIV, their health, and physical needs, as well as receiving the needed support. Further, the youth had the resolve to educate and spread knowledge about HIV prevention, and muster the courage to advocate for their rights and the wellbeing of others. This point of empowerment was developed through various mechanisms of social support, familial support, social media, and health clinic support. Conclusions and Implications : HIV management is a complex web of synergistically interacting components within a social context involving fighting stigma, self-discovery, and an aptitude to beat the odds. Social work researchers, advocates and policymakers, and programs must develop interventions to bolster individuals’ inherent determination to be better and overcome the social, physical, and health headwinds that stand in the way.",
      "authors": "Eusebius Small; Bonita B. Sharma; Betty Tonui; Simon Mwima; Moses Okumu",
      "author_ids": "111390; 112321; 117483; 118251; 116117",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3357422000,
        "prompt_eval_count": 1575,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:46:17.144224+00:00",
      "screening_source": "Primary screen; blind audit agreement",
      "accuracy_audit": {
        "sample_group": "Qualitative",
        "random_seed": 20260802,
        "blind_screening": {
          "is_relevant": true,
          "relevance_rationale": "Suicidal ideation is explicitly identified as a distinct pathway/outcome in the results of adolescents living with HIV.",
          "evidence_class": "Empirical",
          "empirical_method": "Qualitative",
          "classification_rationale": "The study uses focus groups and qualitative interpretive phenomenological analysis to explore lived experiences, including suicidal ideation.",
          "confidence": "High"
        },
        "full_label_agreement": true
      }
    },
    {
      "input_index": 1652,
      "record_key": "SSWR:2024-P-0030",
      "source_database": "SSWR",
      "record_id": "2024-P-0030",
      "year": 2024,
      "title": "Pathways to Suicide Attempts Among High Schoolers: Findings from a Population-Based Study",
      "abstract": "Background and Purpose: Suicide is the second leading cause of death in the U.S. for adolescents ages 14 to 18. Years of data from the Youth Risk Behavior Surveillance (YRBS) indicate high rates of suicidal consideration for this age group. Since not all who consider suicide will attempt suicide, despite decades of research, predicting the transition from suicidal consideration to suicidal action continues to elude. Guided by the Interpersonal Theory of Suicide, this study examined 18 risk factors associated with suicide consideration, planning, and attempts. Also, this study examined the path of suicide consideration to attempts via planning among high-school-aged adolescents. Methods: Data were drawn from the YRBS year 2019. The YRBS is a cross-sectional, school-based national survey conducted by the Centers for Disease Control and Prevention every two years to examine health-risk behaviors contributing to the leading causes of death and disability among U.S. adolescents. The study sample (n= 13,677) comprised high school students between 9 th and 12 th grades, majority White (50.37%) and female (50.9%). Multiple imputations chained equations were used for missing data (MICE). A path analysis was conducted in Mplus version 8. Results: Among study participants, 19.6% considered suicide, 16% planned suicide, and 10.1% attempted suicide more than once. Regarding risk factors, adolescents reported that 9.34% skipped school due to safety, 11.32% experienced forced sexual intercourse, 13.3% carried weapons, 22% engaged in fighting, and 36.7% experienced hopelessness. Path analysis showed that (a) risk factors had unique associations with suicide consideration, planning, and attempts, (b) suicide consideration (b = 0.337, p =.021) and suicide planning (b = 0.477, p =.025) had a direct association with suicide attempts, and (c) suicide planning had an indirect association between consideration and attempts (b = 0.244, p =.014). The goodness-of-fit test showed that the model fits data well (CFI=1.00, RMSEA<.001, and SRMR<.001). Conclusion and Implications: Study results emphasize that risk factors associated with suicide-risk behaviors among this adolescent population are heterogeneous and should not be addressed with “one size fits all” strategies. In addition, research findings provide empirical support for the mediating role of suicide planning on the association between suicide consideration and attempts in a national high school sample. Findings raise awareness of important pathways that may be distinct to this population and are key to accurate assessment, screening, and identification of risk factors in preventing suicidal behaviors among adolescents.",
      "authors": "Regina T. Praetorius; Danielle Harrell; Yangjin Park",
      "author_ids": "113665; 124652; 118734",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3317695708,
        "prompt_eval_count": 1527,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:46:20.463638+00:00"
    },
    {
      "input_index": 1653,
      "record_key": "SSWR:2024-P-0719",
      "source_database": "SSWR",
      "record_id": "2024-P-0719",
      "year": 2024,
      "title": "Peer Role(s) across State 9-8-8 Mental Health Crisis Legislation: A Qualitative Study",
      "abstract": "Background and Purpose: The National Suicide Hotline Designation Act of 2020 (9-8-8) is a monumental social policy that aims to create a robust mental health crisis care system as an alternative to 9-1-1. Social workers have historically been utilized as an effective and affordable role in mental health crisis settings, but due to 9-8-8’s significant systems expansion goals, mental health peers are rapidly being hired as an additional cost-effective and culturally competent resource. Despite the increasing utilization of peers, there are substantial gaps in research on mental health peers in crisis settings. This study sought to understand how states define mental health peer roles, peer credentialing requirements, and what inter/multidisciplinary crisis care settings peers are named to work in. This study team was led by a community leader in mental health crisis peer work, and a social welfare policy scholar. Methods: This study utilized qualitative data from state-level 9-8-8, Medicaid reimbursement, and peer certification legislation that had been passed between July 2020-February 2023. States were included if they had enacted 9-8-8 legislation that identified peers or a synonymous role. We utilized discourse analysis to analyze the relationship of these three policy types for each state and compared states’ peer policy landscapes. Results: We identified 23 states that had enacted 9-8-8 legislation. Of those 23 states, 14 named peers and/or 5 synonymous roles (e.g., community mental health navigators). Those 14 were analyzed in order of enactment date to identify how each state defined peers, and eligible roles or crisis care spaces for peers (e.g., call centers, mobile crisis teams). All states that defined peers in their 9-8-8 legislation and identified Medicaid as at least one funding method for mental health peer services also had pre-existing peer certification legislation. Within each state that had peer certification legislation, language from this policy type at times conflicted with 9-8-8 language regarding peer definitions or required experience. Significant variation also existed across states regarding recovery requirements for peer certification. Some states did not include periods of recovery, while others included stipulations such as no hospitalizations for mental health related issues for at least two years. Conclusions and Implications: Despite 9-8-8’s significance, only 23 states have successfully passed legislation to meet federal requirements. Of these states, significant discrepancies exist across states regarding how each defines mental health peers, as well as how they are being operationalized. This creates potential complications in the future regarding implementation and evaluation of peers across states. Additionally, variability also exists regarding hiring eligibility based on the prevalence or absence of credentialing legislation, as well as what credentialing requirements that at times conflict with that state’s more recent 9-8-8 legislation. These significant differences within and across states pose potential equity issues in peer roles and hiring practices. Further research in social policy is required, as well as the significant need to engage mental health peers across states in research and policy spaces.",
      "authors": "Sarah Porter; Jess Stohlmann-Rainey",
      "author_ids": "123844; 126060",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:46:23.994535+00:00"
    },
    {
      "input_index": 1655,
      "record_key": "SSWR:2024-U-0185",
      "source_database": "SSWR",
      "record_id": "2024-U-0185",
      "year": 2024,
      "title": "Predicting Suicidal Ideation Among Native American High Schoolers in California",
      "abstract": "Background/Purpose: Suicide is a racialized health disparity as Native American young die by suicide at a disproportionately higher rate compared to their white counterparts. Despite prevention efforts, suicide continues to be the leading cause of non-accidental death for Native American young people. This shortcoming has urged a (re)examination of key theoretical constructs to better direct suicide prevention efforts in tribal communities. Mainstream suicidology has been criticized for overemphasizing a psycho-centric conceptualization of suicide-related behavior. This paper uses Indigenous Wholistic Theory to guide a (re)examination of the multi-level factors that may influence suicidal ideation among Native American young people in California. This theoretical framework introduces and situates the multi-level factors that may influence suicide-related behavior in a manner culturally relevant to the lived experienced of Native American youth. A computational, algorithmic approach is employed to identify which combination of wholistic factors can predict suicidal ideation among Native American high schoolers in California. Methods: Data and Sample: The California Health Kids Survey (CHKS) is a school-based, multi-modular survey administered annually to students across California. Data was drawn from self-identified Native American high schoolers in grades nine through twelve from the 2019-2020 school year (N = 2,609). Measure of Suicidal Ideation: The presence of suicidal ideation was measured using a self-reported response. Participants were asked “During the last 12 months, did you ever seriously consider attempting suicide?” (0 = No; 1 = Yes). Predictors of Suicidal Ideation: For the individual domain, factors included: sex: gender minority status and sexual minority status; academic performance; and substance use stratified according to lifetime use of alcohol, tobaccos and vapes, cannabis and use of other drugs. For the emotional-social domain, factors included: foster care placement; school-based victimization; parent education level; internalization of positive substance use education; and access to alcohol and other drugs. For the mental-political domain, factors included depressive symptoms. For the physical-economic, factors included: homelessness; and breakfast consumption. Statistical Analysis: To select the optimal predictors of suicidal ideation, least absolute shrinkage and selection operator (lasso) penalized regression was employed. Lasso regression shrinks the coefficients of the least influential variables to zero, effectively removing them from the model to identify the best subset of predictors. Results: Using lasso regression with a mean lambda of 0.0078412, the model identified ten out of the 17 predictors that were significant in predicting which Native American high schoolers would report experiencing suicidal ideation. These predictors included: depressive symptoms; school-based victimization; sexual and gender minority status; lifetime use of alcohol, vapes, and cannabis; breakfast consumption; access to alcohol and other drugs; and parent education level. Conclusions: This study identifies multi-level factors that are relevant in (re)conceptualizing suicide-related behavior among Native American youth beyond a psycho-centric model. The multiplicity of multi-level factors found in this study highlights the need for a culturally relevant understanding of suicidal ideation among Native American high school students. By identifying those at risk, practitioners can intervene early and prevent suicide through culture-based approaches.",
      "authors": "Valentín Quiroz Sierra",
      "author_ids": "125013",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "eval_count": 24
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      "screened_at": "2026-08-02T18:46:30.839761+00:00"
    },
    {
      "input_index": 1657,
      "record_key": "SSWR:2024-P-0464",
      "source_database": "SSWR",
      "record_id": "2024-P-0464",
      "year": 2024,
      "title": "Psychological and Socio-Ecological Correlates of Suicide Behavior Among Middle School Students in the Greater Accra Region of Ghana",
      "abstract": "Background and Purpose Suicide is a serious public health issue with more deaths worldwide than malaria, and HIV/AIDS in 2019 according to the World Health Organization. Almost nine out of ten adolescents who died by suicide in 2019 were from low- and middle-income countries. In Ghana, we know little about the epidemiology of suicide ideation, plan and attempts among middle school students in Ghana including the years preceding high school. This study explores the onset, characteristics, and recent patterns of suicide behavior among Ghanaian middle school students. Methods Paper based surveys were administered to a sample (n=800) of middle school students in the Greater Accra region of Ghana. Self-reported measures on suicide ideation, plan and attempt as well as several psychological and psychosocial factors related to mental health, substance use, poverty, sexual behavior, interpersonal relationships, and family structure were employed. Bi-variate and Multivariate analysis analyses were performed using Statistical Package for the Social Sciences (SPSS version 25) to assess the correlates of suicide ideation, plan, and attempt. Logistic regressions were also conducted to determine risk and protective factors of suicidal behaviors. Results This study found that 1 out of 4 adolescents have experienced suicide ideation in their lifetime and 1 out of 5 have experienced suicide ideation in the last 12 months. Girls had significantly higher lifetime ( χ 2 = 3.89, p<0.05) and 12-month ( χ 2 = 3.5, p<0.05) suicide ideation rates than boys. More importantly, the study found stress significantly increasing the odds of suicide behaviors in the last 12 months (β = 1.14; CI = 1.05 – 1.24, p<0.05) and parental support significantly reducing the odds of suicide behaviors in the last 12 months (β = 0.86; CI = 0.81 – 0.91, p<0.05). Additionally, we found significant associations between sexual intercourse, dating, hunger, substance use, suicide stigma and suicide behaviors. Conclusions and Implications The study suggests suicidal behaviors are high among middle school students in Ghana and occurring at much younger ages than previously thought. This finding highlights a potential emerging suicide crisis among preteens which warrants attention. Additional studies are needed to observe these increasing trends, identify risk, protective and precipitating factors to help prevent suicide among these children. The findings regarding the protective role of parental support, suggest sets a family-based suicide prevention interventions might be effective. Future research much consider the opportunity to learn more about the linkages between children’s suicide behaviors when designing appropriate suicide intervention and prevention strategies for this population.",
      "authors": "Emmanuel Quarshie; Enoch Azasu; Marcus Larnyoh; Elizabeth Ali; Sean Joe",
      "author_ids": "125518; 123341; 125519; 125520; 109205",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3183297084,
        "prompt_eval_count": 1507,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:46:37.906699+00:00"
    },
    {
      "input_index": 1658,
      "record_key": "SSWR:2024-P-0061",
      "source_database": "SSWR",
      "record_id": "2024-P-0061",
      "year": 2024,
      "title": "Racial and Ethnic Differences in Early School Experiences As a Predictor of Suicidal Ideation during Adolescence",
      "abstract": "Background and Purpose: Suicide is the second leading cause of death among adolescents, with an average of 8 adolescents (between ages 10 and 19) dying by suicide every day. Although this figure represents adolescents who died by suicide, it is important to recognize that many more engage in serious thoughts about killing themselves. Suicidal ideation is one of the most prevalent of the suicide-related behaviors and is a predominant reason for adolescent hospitalizations over the last decade. As minority adolescent suicide rates continue to rise, focusing on early school experiences, offers a contextual perspective to suicide risk. Limited research has focused on school experiences such as school anxiety, school connection, peer bullying, and suspensions/expulsions simultaneously despite an emerging body of evidence showing that several aspects of school life effects emotional health. As such, this study examined racial/ethnic differences in suicidal ideation and in the effect of early school experiences on suicidal ideation among adolescents. Methods: Data were drawn from Future Families and Child Wellbeing Study which includes a large sample of children who are disproportionately from minority and disadvantaged backgrounds. This longitudinal birth cohort study recruited parent-child dyads in 20 U.S. cities between 1998-2000. Data collection occurred at child’s birth, and subsequent waves were collected at ages 1, 3, 5, 9, and 15. Data from age 9 and age 15 interviews were used for this longitudinal study. The analytic sample ( n =2,453) consisted of 55% males with an average age of 15.32 years ( SD = .019). The racial/ethnic breakdown was 36% Black, 34% Hispanic, 24% White, and 6% Other. Data were analyzed using chi-square and multivariate logistic regression. Results: Among adolescents, 5.4% reported suicidal ideation. Hispanic (41.7%) and Black (31%) adolescents had higher rates of suicidal ideation than their White (19.9%) counterparts, but racial/ethnic differences were not statistically significant ( χ 2 =5.582, p =0.570). In the full sample, there were no significant predictors ( F (8,2)=0.45, p =.828). Stratified by race/ethnicity, for Black adolescents, the odds of suicidal ideation were 1.49 times higher with every one-point increase in the number of schools attended since 1 st grade. In addition, higher rates of school anxiety increased the odds of suicidal ideation by 1.06. The odds of suicidal ideation for Black females were 31% lower than for Black males. White adolescents who had been suspended or expelled had fifteen times higher odds of suicidal ideation compared to White peers who had not been suspended/expelled ( A OR = 15.58 [1.82-18.14]). Alternatively, school connections decreased the odds of suicidal ideation by 23% ( A OR =.778 [.64-.94]) for White adolescents. There were no significant predictors for Hispanic or Other-Race adolescents. Conclusion and Implications: Research findings provide empirical support for the effects of early school experiences on suicidal ideation among adolescents across racial/ethnic groups. Findings raise awareness to important racial processes that may be distinct to adolescents and are key to accurate assessment, screening, and identification of risk and protective factors in those who are at risk of self-harm. Assessing early school experiences can inform school-based interventions designed to promote mental health and support healthy coping strategies.",
      "authors": "Danielle Harrell; Angela Hall; Aundraea Brown",
      "author_ids": "124652; 124700; 124701",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "prompt_eval_count": 1688,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:46:41.562190+00:00"
    },
    {
      "input_index": 1660,
      "record_key": "SSWR:2024-P-0531",
      "source_database": "SSWR",
      "record_id": "2024-P-0531",
      "year": 2024,
      "title": "Racial Discrimination and Mental Health: The Direct and Moderating Effects of Social Support By Sources on Asian American Youth",
      "abstract": "Purpose: Asian American (AA) youth experience detrimental effects of racial discrimination as much as any other racially minoritized group in the U.S. Extant research has identified the distress-alleviating role of social support associated with racially minoritized status. Previous efforts are limited, however, by predominantly focusing on cross-sectional data and their tendency to ignore different sources of support and the differential implications across social groups. This four-wave longitudinal study examines whether and how the burden of racial discrimination is moderated by social support from different sources (i.e., family, school, community, and religious organization) with mental health outcomes (i.e., depressive symptoms and suicidal thoughts). We further examine how these moderating effects vary by nativity (U.S.-born vs. foreign-born) and biological sex (i.e., female vs. male) across Filipino American (FA) and Korean American (KA) youth. Methods: Data are from the Midwest Longitudinal Study of Asian American Families (MLSAAF) project, a longitudinal survey of FA and KA youth and their parents living in a Midwest metropolitan area. This study used four waves of youth data. The first wave was collected in 2014 from 378 FA youth and 408 KA youth ( N =786). Stepwise mixed effects regression models first examined (1) the impact of racial discrimination, each source of support on mental health outcomes, (2) two-way interaction effects (discrimination × each source of support) and (3) three-way interaction effects (discrimination × each source of support × nativity or biological sex). Results: Social support, regardless of its sources, was predictive of better mental health outcomes. We also found differential distress-moderating effects of social support by its sources across ethnicity. That is, school and community support buffered the negative effect of racial discrimination on depressive symptoms among KA youth, while it was religious support for FA youth. These differential impacts further varied by nativity but not by biological sex, particularly among FA youth. That is, the mitigating effect of community support on depressive symptoms was significant only among U.S.-born FA youth (vs. Foreign-born FA). Conclusions and Implications: The findings have scholarly and practical implications related to healthy AA youth development. First, the findings underscore the multi-dimensional nature of social support and its influence by ethnicity. That is, religious support that has been salient among FA group seems to be beneficial in dealing with the burden of racial discrimination, while for KA group, one of the most separated AA subgroups, social support from the society (e.g., community and school) were particularly protective against the negative experience of racial discrimination . The study further demonstrates that among FA youth, U.S.-born only benefited from community support in reducing the psychological tolls of racial discrimination. This finding is significant because U.S.-born and FA youth in particular have reported more mental health struggles than their foreign-born counterparts and other AA subgroups. This study highlights the significance of group specific social support interventions to be meaningfully effective in helping AA youth to respond to racial discrimination.",
      "authors": "Michael Park; In Young Park; Yoonsun Choi; Julia R. Henly",
      "author_ids": "116205; 115234; 110891; 108422",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "eval_count": 24
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      "screened_at": "2026-08-02T18:46:48.311478+00:00"
    },
    {
      "input_index": 1661,
      "record_key": "SSWR:2024-U-0696",
      "source_database": "SSWR",
      "record_id": "2024-U-0696",
      "year": 2024,
      "title": "Racial Trauma and Suicidal Ideation Among Ethnoracially Minoritized College Students: The Moderating Effect of the College Environment",
      "abstract": "Background and Purpose: Suicide is a public health issue and is the second common cause of death among college-age students. Rates of suicide have disproportionally increased among ethnoracially minoritized college students. The increase in suicide among college-age students may be attributed to depression, trauma, and other mental health issues. Yet, there are few studies that have examined the relationships between racial trauma and suicidal ideations among ethnoracially minoritized college students. Therefore, the purposes of this study were to: (1) determine if there was a relationship between racial trauma and suicidal indications among a sample of ethnoracially minoritized college students, controlling for depression and anxiety and (2) determine if sense of belonging and being on a college campus where racism is being address moderates the relationship between racial trauma and suicidal ideations. Methods: Data and samples. A secondary data analysis of the 2021-2022 Health Minds Study (HMS) was conducted. The analytic sample consisted of 5542 ethnoracially minoritized students who completed survey. Of the sample,18.10% were African Americans, 38.45% were Asians and 43.45% were Hispanics, and 14.44% of the sample reported having suicidal ideations within the past year. Measures. Racial Trauma was measured by a modified version of Trauma Symptoms of Discrimination Scale (TSDS; William et al., 2018), which consisted of 7 items rated on a four-point Likert scale, where 1= “never” and 4 = “often”. Suicidal ideation was measured by the following question: “In the past year, did you ever seriously think about attempting suicide?”. Anti-racism was measured by the following question “I believe my school actively works towards combating racism within the campus community”, which was rated on a six-point Likert scale, where 1 = “strongly disagree” and 6 = “strongly agree”. Sense of Belonging was measured using five items rated on six-point Likert Scale, where 1= “strongly agree” and 5= “agree”. Analysis: 1) First using logistic regression examine the relationship between racial trauma and suicidal ideation. 2) Then adding interaction effect in logistic regression model to examine the moderating effect of anti-racism activities and sense of belonging. Results: The results indicated that racial trauma is associated with suicidal ideation and this association held true across the race/ethnic groups. College actively addressing racism and sense of belonging moderated the effects of racial trauma on suicidal ideation across the race/ethnic groups. In other words, students who attend colleges actively addressing racism and students who have a higher sense of belonging are less likely to have suicidal ideations although they experienced racial trauma. Conclusions and Implications: There is a relationship between racial trauma and suicidal ideations among ethnoracially minoritized college students. To lower the risk of suicidal ideation among this group, it is important for colleges to address racism and enhance student sense of belonging.",
      "authors": "Antoinette Farmer; Yuhan Wei",
      "author_ids": "109879; 120061",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3398554542,
        "prompt_eval_count": 1576,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:46:51.711837+00:00"
    },
    {
      "input_index": 1662,
      "record_key": "SSWR:2024-P-0056",
      "source_database": "SSWR",
      "record_id": "2024-P-0056",
      "year": 2024,
      "title": "Reasons to Live: A Technology-Guided Analysis of Potential Protective Factors in Suicidality",
      "abstract": "Background and Purpose: Suicide prevention scholarship has focused primarily on why people die by suicide, but improving our understanding of what keeps suicidal people from killing themselves has great potential to improve individual and population-based approaches to suicide prevention. Both theory and practice have focused on why people want to die. For example, the dominant theories in suicide prevention are collectively called, \"ideation-to-action\" theories (Klonsky et al, 2018). These theories try to explain how people become suicidal and then what compels them to make fatal or near-fatal suicide attempts. Theoretical frameworks have been driven by the need to understand why people attempt suicide or die. Clinical models are informed by research on suicidal thoughts and behaviors (which are informed by theory) as well as risk prevention models. The current study uses a novel approach to understanding how people in the general public decided not to attempt suicide. We report on analysis of a naturally occurring dataset that provides a window into the lived experiences of people who considered dying by suicide but did not. In September 2020, a Reddit user named firegate2233 asked: “Formerly suicidal redditors, what’s something that kept you alive a little while longer and helped you to get through the dark times in your lives?” More than 15,000 people responded in one day. Methods: This study was approved by the [anonymized university] Institutional Review Board (protocol [anonymized]). Prior to conducting this research we spoke with the original Reddit poster, firegate2233, to verify that he was comfortable with our intended use of the discussion thread he had initiated. All data were anonymized before analysis. In this study, we conducted a computationally assisted content analysis of this large dataset. First, we used a computational analysis called topic modeling to distill a set of proposed thematic categories from the Reddit responses. This method uses techniques from computational linguistics to find commonalities in a large dataset, simliar to factor analysis. Then, two suicide subject matter experts reviewed, refined, and labeled a set of categories and their descriptions based on the topics identified by topic modeling. Results: The computational content analysis identified 30 topics and human review organized those into four themes related to why someone decided not to attempt suicide: (a) selflessness, (b) hopefulness about the future, (c) sensory pleasures, and (d) fear of being worse off. Conclusions and Implications: These findings provide an understanding of reasons for living and dying as well as implications for clinical practice. The four themes that emerged from the data complement the categories found in contemporary ideation-to-action frameworks (Klonsky, et al. 2018). For example, our analysis found that people identified hopefulness about the future as their reason for not attempting. This provides a direct contrast with the theoretical construct of hopelessness that is found in most suicide theories and suicide risk assessments. These findings provide a first step at identifying a list of factors that might reduce rather than increase risk. It also provides insight for scholars involved in advancing theoretical frameworks around suicide.",
      "authors": "Jonathan B. Singer",
      "author_ids": "108916",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3365876334,
        "prompt_eval_count": 1565,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:46:55.079506+00:00"
    },
    {
      "input_index": 1663,
      "record_key": "SSWR:2024-U-0015",
      "source_database": "SSWR",
      "record_id": "2024-U-0015",
      "year": 2024,
      "title": "Recommendations from Women Veterans for Strengthening Veterans Crisis Line Services for Women Veterans",
      "abstract": "Background and Purpose Women veterans represent an underrecognized and growing population with unique suicide prevention needs. The Veterans Crisis Line (VCL) is available as a free crisis intervention resource for veterans and their supports 24 hours/day, 7 days/week. Whereas women make up the majority of callers to civilian crisis hotlines, women represent only approximately 15% of VCL veteran users. We know little about the ways in which VCL functions for the growing population of women veterans. The purpose of this study was to understand women veterans’ experiences with VCL and identify recommendations for strengthening VCL services specifically for this population. Methods We conducted in-depth qualitative interviews, via telephone, with 26 women veterans from across the country who had contacted VCL within the 12 months prior to study recruitment. Interviews were audio-recorded and transcribed verbatim. We used team-based inductive content analysis to code the transcript data and identify themes. Results A primary concern that led to hesitance and challenges around interacting with VCL was not knowing what to expect from the call, specifically with regards to responder gender, scope of services and alignment with veteran needs/desires, and potential unwanted consequences or intervention. Women expressed concerns about hearing a man’s voice due to trauma triggers from violence perpetrated by men; they recommended that VCL provide a way for women veterans to be able to select the gender of the responder who takes their call. Women also recommended that there be more information provided to potential callers about what to expect from the VCL call, including options for anonymity and choice around intervention. Further, participants recommended that VCL callers be provided with options with regards to follow-up contact from VCL after the VCL call; and that VCL responders have competence in responding to issues of gender-based violence. Conclusions and Implications Findings from this study highlight unique needs and considerations of women veterans and can be used to strengthen VCL services specifically for this population. The recommendations are consistent with principles of trauma-informed and gender-sensitive care, in particular around individual choice, information, and recognition of trauma triggers. The study is informed by input from a multi-stakeholder advisory board that includes veterans and program representatives, and the research team for this study works closely with VCL operations partners and leadership to ensure that findings can rapidly be implemented into policy and programming. Findings may also be applicable to services for women veterans beyond VCL and to suicide and crisis hotlines for other populations who may have similar concerns and needs.",
      "authors": "Melissa E. Dichter; Lindsey Monteith; Aneeza Agha; Lauren Krishnamurti; Katherine Iverson; Ann Elizabeth Montgomery",
      "author_ids": "114604; 122025; 122028; 122022; 122027; 116275",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3116308625,
        "prompt_eval_count": 1431,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:46:58.197165+00:00"
    },
    {
      "input_index": 1665,
      "record_key": "SSWR:2024-U-0535",
      "source_database": "SSWR",
      "record_id": "2024-U-0535",
      "year": 2024,
      "title": "Relationships between Internalized Stigma and Depression and Suicide Risk Among Queer Youth in the United States: A Systematic Review and Meta-Analysis",
      "abstract": "Background: Queer youth experience high rates of depression and suicidality. These disparities stem from stigma-based stressors, including internalized stigma (i.e., negative social views that minoritized individuals internalize about their own identity). Given the importance of this factor in understanding mental health disparities among queer youth, we completed a systematic review and meta-analysis examining the relationships between internalized stigma and outcomes of depression and suicide risk (i.e., suicidal ideation, suicidal behavior, non-suicidal self-injury). Methods: We followed the PRISMA standards. Six bibliographic databases were searched for studies in the United States from 2008 to 2022. Dual independent screening of search results was performed based on a priori inclusion criteria. Results: A total of 22 studies were included for data extraction and review. Most studies examined general internalized homophobia, with few examining internalized biphobia or transphobia. Many studies examined depression as an outcome, few studies examined suicidal ideation or behavior, and no studies examined non-suicidal self-injury. Meta-analyses model results show the association between general internalized queer stigma and depressive symptoms ranged r = 0.21, 95% CI [0.16, 0.25] to r = 0.25, 95% CI [0.21, 0.30], the latter reflecting more uniform measures of depression. The association between internalized transphobia and depressive outcomes was small and positive ( r = 0.21, 95% CI [-0.24, 0.67]). General internalized queer stigma and suicidal ideation had a very weak positive association ( r = 0.07, 95% CI [-0.27, 0.41]) and an even smaller, weaker positive association with suicide attempt ( r = 0.02, 95% CI [0.01, 0.03]). Conclusions and Implications: Implications for clinical practice, policy, and future research are discussed.",
      "authors": "Denise Yookong Williams; William J. Hall; Hayden Dawes; Ankur Srivastava; Spenser R. Radtke; Wan-Ting Chen; Jeremy Goldbach",
      "author_ids": "123908; 114421; 120740; 116373; 123899; 123769; 110332",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "review",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Review"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2849390125,
        "prompt_eval_count": 1376,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:47:04.719460+00:00"
    },
    {
      "input_index": 1666,
      "record_key": "SSWR:2024-U-0066",
      "source_database": "SSWR",
      "record_id": "2024-U-0066",
      "year": 2024,
      "title": "Risk-Related Outcomes and Gender Detransitioning: Interpersonal Coercion, Structural Barriers, or Identity-Related Reasons?",
      "abstract": "Background and Purpose: An increasing number of people (particularly young people) are seeking gender affirmation (GA) services. It is well documented that GA services are associated with numerous positive outcomes including enhanced quality of life, improved body image and satisfaction, and increased psychological functioning. With more GA services being delivered, the issue of detransitioning has started to receive media coverage – often sensationalized and used to support transphobic legislation and policy. Research on detransitioning lags behind this increased media coverage. This study utilizes a large, national sample of TNB people to examine the relationships between a series of psychosocial risks and different rationale for gender detransitioning. Unlike existing research which fails to differentiate reasons for detransitioning, we disaggregate those who detransition into groups based on rationale (i.e., interpersonal pressure, structural barriers, and identity-related reasons) to determine differential risk profiles and demonstrate the complexity of detransitioning. We anticipated that those who detransition because of interpersonal coercion and structural barriers would demonstrate higher likelihoods for negative psychosocial risks, while those who transition for identity-based reasons would not be significantly different than TNB people who had never transitioned in the first place. Methods: This study is a secondary data analysis of the 2015 U.S. Transgender Survey – the largest existing dataset of TNB adults that includes questions regarding reasons for detransitioning. The analytic sample of 26,026 TNB-identified adults living in the U.S. includes a range of gender identities with the largest being transwomen (33.0%), transmen (28.9%), and nonbinary individuals who were assigned female at birth (28.5%). The sample is predominantly White (81.9%) with bi/multiracial (5.6%) and Latinx individuals (5.3%) representing the next largest racial categories. It includes respondents who never transitioned (32.2%), who transitioned but never detransitioned (53.8%), and who detransitioned (8.0%). Logistic regression models were constructed using demographic (e.g., age, gender identity, race, education) along with the (de)transitioning variables of interest. Dependent variables include illegal drug use, suicidality, intimate partner violence, homelessness, arrests, and fear of seeing a doctor or using the restroom because of transphobic reactions. Results: Compared to those who never transitioned those who detransition due to (a) interpersonal coercion were at increased likelihood on all 10 psychosocial risks (OR=1.8-5.1), (b) structural barriers were at increased likelihood on 9 of the 10 risks (OR=1.7-6.9), and (c) identity-related reason were at increased likelihood on none of the risks. Conclusions and Implications: While future research on detransitioning is needed to better understand the experience, failure to disaggregate detransitioners by the reason runs the risk of drawing erroneous conclusions and furthering a harmful narrative. The results underscore the importance of advocacy to challenge both macro- (structural barriers) and micro-level (interpersonal coercion) forms of transphobia. The results provide support for TNB scholars who argued that transitioning and detransitioning may be part of the process of discernment of one’s gender identity for some TNB people and demonstrates that those who detransition because of identity-related reasons do not appear to be at greater risks than those TNB people who never transitioned in the first place.",
      "authors": "N. Eugene Walls; Jarrod Call; Brendon Holloway; Tural Mammadli; D.L. Whitfield",
      "author_ids": "108751; 119194; 124305; 123138; 124779",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3572310666,
        "prompt_eval_count": 1658,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:47:08.293509+00:00"
    },
    {
      "input_index": 1667,
      "record_key": "SSWR:2024-U-0241",
      "source_database": "SSWR",
      "record_id": "2024-U-0241",
      "year": 2024,
      "title": "Stigma of Suicide's Effects on Gatekeeping Behaviors Among Latinos",
      "abstract": "Background and Purpose: Gatekeepers, such as parents, serve a crucial role in assisting individuals contemplating suicide by identifying risk factors, symptoms, and facilitating access to mental health services. In 2020, suicide was the second leading cause of death for Latinos in the U.S. ages 10-14 and 25-34, and the third leading cause among Latinos ages 15-24. In Mexico, age-standardized death by suicide rates have increased by about 26% from 1999 to 2019, with a 43% increase among females during that time. Due to the rise of suicide ideation and attempts in the last two decades among Latinos, the purpose of this study was to assess the relationship between suicide stigma and gatekeeping among a nationwide sample of parent and youth dyads in Mexico. Methods : Data for this study was collected from parent-youth dyads living in Mexico via online surveys. Sampling initially targeted families living in primarily rural Mexican states and was later expanded to all Mexican states. Inclusion criteria for this study included a household in Mexico consisting of at least one parent/guardian, and one youth between the ages of 14-17. The final sample consisted of 373 parent-youth dyads, or 746 individuals. Results: T-tests indicated gender difference in gatekeeper behavior ( t = 2.34, p <.05) between males (M = 5.86, SD = 1.38) and females (M = 6.20, SD = 1.22) with males reporting less gatekeeping behaviors than females. Linear regressions revealed that stigma of suicide scores were predictive of gatekeeper behavior scores within each gatekeeping domain: preparedness ( b = - 0.45, p < 0.05), likelihood ( b = -0.17, p < 0.05), and self-efficacy ( b = -0.32, p < 0.05). Help-seeking behaviors were also predictive of gatekeeping behaviors by each subscale: preparedness ( b = 0.10, p < 0.01), likelihood ( b = 0.04, p < 0.01), and self-efficacy ( b = 0.06, p < 0.01) Conclusions and Implications: Among our sample, higher levels of suicide stigma predicted lower gatekeeping behaviors. Higher help-seeking behaviors, within our sample, predicted higher gatekeeping behaviors. Our findings in Mexico are aligned with other studies around the world that suggest cultural stigma of mental illness is a barrier to help-seeking behaviors. Stigma based on cultural beliefs and attitudes regarding mental illness may likewise negatively affect gatekeeping behaviors. Other studies have suggested that Latino parents are less likely to recognize suicide-risk symptoms and have knowledge of available treatments, which can also contribute to lower utilization of mental health services and help-seeking behaviors related to gatekeeping. Future studies could examine more around stigma of mental health issues in Mexico to better understand how cultural factors in Mexico influence gatekeeper behaviors, which can better culturally inform gatekeeper trainings and interventions for parents, caregivers, teachers, and other gatekeepers in Mexico.",
      "authors": "Elizabeth Byers; Steven Hoffman",
      "author_ids": "125151; 112394",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3403367416,
        "prompt_eval_count": 1602,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:47:11.698968+00:00"
    },
    {
      "input_index": 1668,
      "record_key": "SSWR:2024-P-0073",
      "source_database": "SSWR",
      "record_id": "2024-P-0073",
      "year": 2024,
      "title": "Students Spoke! Perceived Mental Health of High School Students during the Pandemic in the United States",
      "abstract": "Background and Purpose: The COVID-19 pandemic disrupted school dynamics, the nature of familial and social relationships, and normative development paths for U.S. students. The mental health (MH) impact of these disruptions was determined by individual, familial, structural factors. It is critical to examine these risk factors as they may have negatively impacted high school students' perceived MH during the pandemic. This study examines factors that determined the perceived MH status of U.S. high school students in grades 9-12 during the COVID-19 pandemic. Methods: A secondary, cross-sectional data analysis was conducted using the Adolescent Behaviors and Experiences Survey data from the Centers for Disease Control and Prevention, gathered in 2021. The targeted population consisted of students who attended public, private, and Catholic schools. This study's covariates were age, race and ethnicity, gender, and sexual orientation. The independent variables were parental job loss, suicidal ideation, and access to healthcare services (i.e., mental and physical). The dependent variable is perceived MH status. In this study, descriptives, frequencies, independent t-tests, one-way analysis of variances (ANOVA), and multivariate regression were conducted to understand better the perceived MH of students. Results: More than two-thirds (75.3%) of students between grades 9-12 reported some level of perceived poor MH status. A statistical ly significant difference was reported by gender, females ( M = 3.31) reported worse MH than males ( M = 2.48), [ t (6969.543) = 28.855, p <.001]. Those who did not identify as heterosexual ( M = 3.72) had worse perceived mental health than heterosexual participants ( M = 2.72), [ t (2931.895) = -31.264, p <.001]. The first ANOVA test that was conducted focused on age and perceived MH status. Results indicated a statistical significance between age groups on perceived MH status, [ F (4,7193) = 2.457, p= 0.044], with 14 years old and younger and 18 years old and older having the worst perceived MH. A second ANOVA for race/ethnicity was also conducted on perceived MH status, with results demonstrating a statistically significant difference between race/ethnicity groups on perceived MH status, [ F (4,7141) = 29.566, p <0.001] with Indian/Alaskan Native/ Asian/ Native Hawaiian having worst perceived MH status. The covariates and independent variables were regressed on perceived MH through multivariate linear regression. The results were statistically significant, [ F (14, 6375) =119.319; p <.000], which explained 20.8% ( R 2 =.208) of the results. All covariate and independent variables were significant in the regression except for African American (AA) and suicide ideation. Conclusions and implications: This research study found several factors that influenced high school students' perceived MH status during the COVID-19 pandemic. The findings indicate it is crucial to explore the perceived MH of students when a crisis arises, so school systems can respond accordingly by providing support. AA reported better mental health; however, historically the AA community has had lower rates of seeking support to address mental health due to the stigma and distrust for service providers. School social workers must ensure that they create preventative interventions at tier 1 and tier 2 levels of the multi-tiered systems that address MH and risk factors to support students when a crisis arises.",
      "authors": "Marjorie Colindres; Yigermal Demissie Ayalew; Katrina Herweh",
      "author_ids": "124722; 124723; 124724",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3646478667,
        "prompt_eval_count": 1718,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:47:15.347054+00:00"
    },
    {
      "input_index": 1669,
      "record_key": "SSWR:2024-U-0099",
      "source_database": "SSWR",
      "record_id": "2024-U-0099",
      "year": 2024,
      "title": "Suicidal Ideation and Behaviors in Young Children: Findings from a Chart Review",
      "abstract": "Background and Purpose: Preschool age suicidality is the strongest predictor of school age suicidality, suggesting that it is more than a short-term phenomenon. To respond to increased reports of early childhood suicidality among outpatient population of children ages 2-7, this chart review study aimed to identify 1) ways in which early childhood suicidality manifests; and 2) correlates, such as contextual factors and diagnostic co-morbidities, among children treated for of suicidality. Methods: The study includes 51 charts/children who had a safety plan developed during the course of their treatment in a community early childhood mental health center from Jan. 2019 – Sept. 2022. Based on current literature, we developed five categories of suicidal manifestation: passive suicidal ideation (general statements of wanting to die; e.g., “I wish I were dead”), active suicidal ideation (plan of how to die; e.g., “I want to run in front of a car and die”), suicidal behavior (e.g., choking oneself), preoccupation with death (death themes in play, drawing, and repetitive talking), and non-suicidal self-injury (e.g., repeated acts of biting/hitting/scratching). All 51 charts were coded independently by two raters. Any coding discrepancies in suicidal manifestation were discussed to reach agreement. Results: The majority of the sample was male (75%), White (71%), with 37% receiving Medicaid and 16% living in a foster or adoptive placement or with a kinship caregiver. The average (SD) age was 60.55 (12.30) months at intake, ranging from 21 to 81 months. About one-third of the sample ( n =17) exhibited suicidal behaviors; 35 children (69%) expressed either active ( n =11) or passive ( n = 24) suicide ideation; 19 (37%) demonstrated non-suicidal self-injury; and 7 (14%) exhibited a preoccupation with death. Children with suicidal self-harming behaviors and/or active suicide ideation ( n =23, 45%), compared to those without such suicidal manifestation ( n =28, 55%), were more verbally aggressive (83% vs. 61%, p = .08), likely to be expelled from preschool (17% vs. 4%, p = .09), and referred due to suicidal behavior (26% vs. 7%, p = .06), but no difference was found in clinical diagnoses. Children identified as suicidal at treatment initiation ( n =25, 49%), compared to those identified during treatment ( n =26, 51%), tended to be more physically aggressive (96% vs. 73%, p < .05), endorse sadness (56% vs. 31%, p = .07), exhibit negative self-talk (24% vs. 4%, p < .05 ), and be affected by trauma (88% vs. 69%, p = .10), however, there was no difference in clinical diagnoses. Conclusions and Implications: The categorization of suicidality relied on documentation recorded in the chart by treating clinicians, affecting its validity. The relatively small sample size might compromise our statistical findings. Nevertheless, our study provides a rare opportunity to understand the nature of early childhood suicidality and its complex contextual and comorbid conditions. Future research utilizing standardized measures may provide a better clarity, assisting professionals tasked with identifying suicidal thoughts and behaviors in young children and intervening to ensure their safety and relief from distress.",
      "authors": "Meeyoung O. Min; Devon Musson Rose; Chloe Lehman; Jennifer Mitchell; Malinda Freitag",
      "author_ids": "108284; 122337; 124876; 124107; 124877",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3663886750,
        "prompt_eval_count": 1701,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:47:19.012277+00:00"
    },
    {
      "input_index": 1670,
      "record_key": "SSWR:2024-P-0151",
      "source_database": "SSWR",
      "record_id": "2024-P-0151",
      "year": 2024,
      "title": "Suicide Involving Intimate Partner Problems Among Immigrants in the U.S",
      "abstract": "Background : Individuals facing intimate partner problems (IPP) such as divorce, conflict, and violence often experience mental health issues, including suicidal thoughts and behaviors. According to the 2019 National Violent Death Reporting System (NVDRS), 25% of suicides were linked to IPP in the US. Immigrants are particularly at risk of mental health problems and suicide due to the stress of acculturation, adding to the limited access to health care services. Although immigrants with IPP are increasingly vulnerable to suicidal thoughts, there have been few studies made to understand the comprehensive risk factors for suicide among this population. This study aims to identify distinct patterns of risk factors among immigrant suicide victims with IPP and determine if these patterns vary significantly based on sociodemographic characteristics, methods of suicide, and suicide disclosure patterns. Methods : Data comprised seventeen waves of the NVDRS from 2003–2019, which includes 3,177 immigrant suicide victims facing IPP. A latent class analysis was conducted to identify groups of immigrant suicide victims based on seven dichotomous items reflecting the types of problems they had before committing suicide: mental health problem; depressed mood; alcohol problem; substance use; other addiction; current mental health treatment, and; mental health history. The number of latent classes was determined based on several goodness-of-fit statistics and substantial distinctions among classes. Differences across classes were examined by demographic and event characteristics subsequently. Results : Three-class solution was identified: Low Risk (66.9%, n =2,126), with a low likelihood of having depressed mood; Mental Health (MH, 26.6%, n =844) with high probabilities of having mental health problem, and current and previous treatment experiences; Alcohol (6.5%, n =207) with a high probability of having alcohol problems and moderate probabilities of having substance and MH problems. More females were in the MH, while more males were in Alcohol. More Whites belonged to both MH and Alcohol, and more Hispanics were in Alcohol. More divorced ones were in MH, while never married were represented more in Low Risk. MH used firearms as a method of suicide more than Low Risk did. MH attempted suicide the most, followed by Alcohol. MH and Alcohol had history of suicidal thoughts and disclosed their suicidal thoughts more than Low Risk. Conclusions : This study is a first-of-its-kind attempt to understand the distinctive patterns of risk factors among immigrant suicide victims with IPP using a robust national data set. Results demonstrate that immigrant suicide victims with IPP show unique risk factors as associated with their demographic and suicidal event characteristics. These findings can inform the development of assessment tools and targeted services and programs for preventing immigrant suicide, especially among individuals struggling with IPP. For example, social work practitioners working in marriage counseling, domestic violence, and health care settings may identify warning signs and tailor their service provision to the needs of different subgroups. Given the descriptive/exploratory nature of this study, future research needs to examine the process and mechanisms of immigrants with IPP being exposed to the idea of suicide and considering seriously committing it as influenced by the multitude of risk factors.",
      "authors": "Jeongsuk Kim; Woojong Kim; Hyunkag Cho, PhD",
      "author_ids": "116364; 118231; 109452",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3368742792,
        "prompt_eval_count": 1562,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:47:22.383623+00:00",
      "screening_source": "Primary screen; blind audit agreement",
      "accuracy_audit": {
        "sample_group": "Quantitative",
        "random_seed": 20260802,
        "blind_screening": {
          "is_relevant": true,
          "relevance_rationale": "The study explicitly analyzes suicide victims among immigrants facing intimate partner problems, identifying distinct patterns of risk factors and demographic characteristics associated with suicide death.",
          "evidence_class": "Empirical",
          "empirical_method": "Quantitative",
          "classification_rationale": "The research utilizes secondary analysis of administrative data from the National Violent Death Reporting System (NVDRS) employing latent class analysis to identify statistical patterns among suicide victims.",
          "confidence": "High"
        },
        "full_label_agreement": true
      }
    },
    {
      "input_index": 1671,
      "record_key": "SSWR:2024-U-0653",
      "source_database": "SSWR",
      "record_id": "2024-U-0653",
      "year": 2024,
      "title": "Suicide Prevention & Digital Interventions: A Meta-Analysis and Clinical Implications",
      "abstract": "Background and Purpose: Over the past decade there has been a proliferation of digital-based mobile interventions in suicide prevention. These interventions hold significant promise in addressing known barriers for individuals experiencing suicidality in receiving treatment, including affordable cost, wider availability, and less stigma. Prior meta-analyses in this field are limited and the results have been mixed. The current systematic review and meta-analysis aimed to provide an up-to-date summary of the effectiveness of digital interventions designed to address suicidality as well as provide key subgroup analyses relating to variables of age, gender, and control group type. Methods: A search for English-language peer-reviewed articles was conducted using five health-related databases. The searches were restricted to research articles published before January 1, 2022. Randomized controlled trials of the effectiveness of suicide prevention interventions that used digital-based mobile technology (apps/online programs) were included. Interventions needed to have been designed or adapted to specifically address some aspect of suicidality, and a primary outcome of a suicide variable needed to be reported. PRISMA reporting guidelines were adhered to and the review’s protocol was preregistered with PROSPERO (CRD42021230901). Three researchers extracted data using a custom spreadsheet, and risk of bias within selected studies was assessed using the Cochrane risk-of bias tool for randomized trials. Extracted data were analyzed using random-effects Restricted Maximum Likelihood model in Stata 17. Suicidal ideation was used as the primary outcome and the analysis focused on the time-point of post treatment. Subgroup analyses were planned a priori and included comparisons of the age category of study participants (adolescents vs. adults), missing data handling (ITT vs. non-ITT), and control group (TAU vs. active control). A meta-regression analysis was performed to examine the relation between intervention effect and gender. Results: The search yielded 4317 articles. After deletion of duplicates, and screening according to the inclusion and exclusion criteria, 16 articles were identified. Risk of bias results found studies to largely be moderate-to-low quality. The random-effects model indicated a small but significant effect of treatment upon suicidal ideation, k=16, g=0.11 (95% CI: 0-0.23), p=.049. The test of heterogeneity showed that the effect sizes among studies varied significantly. Subgroup analyses found the interventions to have a significant effect on adults (g=0.15, 95% CI: 0.03, 0.28, p=.01) but not adolescents (g=-0.11, 95% CI: -0.26, 0.04, p=.17). The online interventions showed better effects compared to waitlist control (g=0.17, 95% CI: 0.04, 0.30, p=.01) but no significant difference compared to active control (g=-0.04, 95% CI: -0.11, 0.04, p=.36). No significant relation was observed between the proportion of gender (male) and the effect size between studies. Conclusions and Implications: This study significantly contributes to the evidence base confirming the effectiveness of digital interventions for suicide prevention. This presentation will present recommendations for clinicians and policy makers to consider the adoption of these digital interventions in practice. In addition, research recommendations and needs to examine the effectiveness of these interventions across vulnerable subgroups and guide further intervention development in this field will be explored.",
      "authors": "Sean Burr; Miao Yu; Robin E. Gearing; Dana Alonzo; Danny Clark",
      "author_ids": "125893; 116464; 109445; 118433; 121219",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "review",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Review"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3627431542,
        "prompt_eval_count": 1677,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:47:26.012839+00:00"
    },
    {
      "input_index": 1672,
      "record_key": "SSWR:2024-P-0217",
      "source_database": "SSWR",
      "record_id": "2024-P-0217",
      "year": 2024,
      "title": "Suicide Risk in Black Adolescents: The Role of Thwarted Belongingness and Interpersonal Discrimination in Predicting Suicide Ideation",
      "abstract": "Background: Black youth suicide is a significant public health concern in the United States, particularly among those aged 0-24. Understanding the underlying mechanisms of suicide ideation and behaviors is crucial to developing prevention strategies, yet few suicide frameworks apply theoretically grounded risk factors for suicide germane to black youth. The Interpersonal Theory of Suicide (IPTS) explains the role of perceived burdensomeness and thwarted belongingness in suicide ideation and behaviors. Recent studies highlight using IPTS as a framework to assess the heightened suicide mortality rates among black youth in the US. Using IPTS, this study aims to explore links between thwarted belongingness, discrimination, and suicide risk among black youth. Method: The study used logistic regression analyses on a sample of 1,070 black youth from the National Survey of American Life-Adolescent (NSAL-A) to evaluate suicide risk among black youth, focusing on the interplay between thwarted belongingness, interpersonal discrimination, and suicide risk. The construct of thwarted belongingness was operationalized based on school involvement, peer, and family emotional support questions, including self-report measures on social emotional support from family and friends. Youth also reported on their experiences with interpersonal discrimination, and engagement in suicide behaviors. Descriptive statistics were utilized to summarize the study sample's characteristics, while logistic regression models were implemented to estimate the association between perceived belongingness, interpersonal discrimination, and suicide risk among black youth. The analysis controlled for confounding factors, including age, gender identity, and mental health history. Results: Our model explained 18.67% of the variance in suicidal ideation (p < 0.001). Findings revealed that gender identity was a significant predictor of suicidal ideation, with females having 2.23 times the odds of experiencing suicidal ideation than males (p < 0.01). Moreover, black adolescents who reported experiencing frequent discrimination (10+ instances) had 3.90 times the odds of suicidal ideation (p < 0.05) compared to those who did not report discrimination. We also found that black adolescents with a mood disorder had 4.92 times the odds of experiencing suicidal ideation (p < 0.05) compared to those without a mood disorder. Emotional support from family had a protective effect, with individuals who reported receiving emotional support having 46% lower odds of suicidal ideation (p < 0.01). Similarly, sport involvement had a protective effect, with individuals reporting sports involvement having 45% lower odds of suicidal ideation (p < 0.05). However, factors such as race/ethnicity, age, household income, and peer social support did not show significant associations with suicidal ideation in this model. Conclusion and Implications: Findings align with IPTS and highlight the need to address mental health concerns, enhance social support systems, foster inclusive and equitable environments, and develop gender identity-specific approaches in suicide prevention programming for black adolescents. Targeted interventions aimed at reducing discrimination, promoting emotional support from family, and encouraging sports involvement could potentially serve as effective suicide prevention strategies among black adolescents. Further research is needed to confirm the ongoing relevance and reliability of these findings, as other variables not considered in this research may also be essential and require exploration.",
      "authors": "Brittney Singletary",
      "author_ids": "121178",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
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      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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      "screened_at": "2026-08-02T18:47:29.397367+00:00"
    },
    {
      "input_index": 1673,
      "record_key": "SSWR:2024-U-0131",
      "source_database": "SSWR",
      "record_id": "2024-U-0131",
      "year": 2024,
      "title": "Supporting Social Emotional Learning and Wellbeing of Displaced Adolescents from the Middle East: A Pilot Evaluation of the ‘Forward with Peers’ Intervention",
      "abstract": "Background: First- and second-generation Arab immigrants and refugees from the Middle East and North Africa (MENA) face a constellation of intersecting risk factors for poor mental health and educational outcomes in the U.S. A growing literature points to the critical role schools can play in promoting healthy development, improved psychosocial wellbeing, and enhanced resilience among this population, but few evaluations have examined the feasibility and effectiveness of culturally adapted, school-based interventions. Aim: We conducted a pilot evaluation of a culturally adapted social and emotional learning and life skills program, Forward with Peers (FwP), and examined its potential effectiveness for first- and second-generation immigrant and refugee students from the MENA region. Methods: FwP was evaluated across three high schools in the Detroit Metropolitan Area. Within each school, one Arabic class was randomly assigned to receive FwP programming and another served as a control arm. The pilot evaluation sought to examine changes in several mental health and psychosocial outcomes of interest, including resilience, suicide ideation, loneliness, social support, hope, and school belonging. Results: Improvements in overall perceived social support (P=0.045) and perceived social support from someone special in one’s life (0.042) were statistically significant in the treatment as compared to the control group. Comparative improvements were also marginally significant for resilience (P=0.095) and perceived social support from family (P=0.074). The analysis further showed non-significant marginal decreases in loneliness and suicide ideation, and improvements in school belonging. Conclusion: Findings highlight the potential of FwP and support the growing interest in establishing efficacy of school-based, culturally appropriate SEL programming to improve psychosocial wellbeing among Arab refugee and immigrant adolescents.",
      "authors": "Ilana Seff; Lindsay Stark; Ali Ali; Danielle Sarraf; Wafa Hassan; Carine Allaf",
      "author_ids": "120529; 117420; 124937; 124938; 124939; 122813",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Unknown",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2803734542,
        "prompt_eval_count": 1299,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:47:32.202801+00:00"
    },
    {
      "input_index": 1676,
      "record_key": "SSWR:2024-U-0581",
      "source_database": "SSWR",
      "record_id": "2024-U-0581",
      "year": 2024,
      "title": "Testing Contextually Enhanced Interpersonal Psychological Theory of Suicide Behavior Among Middle School Students in the Greater Accra Region of Ghana. Azasu E, Quarshie E, Louis, W., & Joe, S",
      "abstract": "Background : Suicide is a serious public health issue surpassing malaria and HIV/AIDS deaths globally in 2019, according to the World Health Organization. During the same year, nine out of ten adolescents died by suicide in low- and middle-income countries. In Ghana, specifically, non-fatal suicidal behaviors among adolescents are prevalent. Joiner’s Interpersonal Psychological Theory of Suicidal Behavior (IPTSB) has been widely applied to explain non-fatal suicide behaviors arising when an individual experiences perceived burdensomeness and thwarted belongingness. However, it diminishes the role of contextual factors in suicide behavior. Using a sample of 800 middle school students in Ghana and applying a theoretical-driven analytic approach, this paper seeks to examine the robustness of an enhanced IPTSB model, which includes sociocultural variables of traditional beliefs, suicide stigma, and religiosity. Methods: Paper-based survey with self-reported measures on suicide ideation, plan, and an attempt was administered to a sample (n=800) of middle school students in Ghana. This survey also included the Interpersonal Needs questionnaire that measured the elements of the IPTSB model. Structural Equation Modelling tested the applicability of the ITPSB model to suicidal behavior among the sample using Mplus. The analysis observed the overall fit for the model (RMSEA, CFI, TLI, and SRMR) with the cutoff points as specified by Hu & Bentler (1999). The associations among the predictors (suicide stigma, religiosity, traditional beliefs) and outcomes (suicide ideation and attempt) were tested for significance. A chi-square difference analysis was also conducted to determine the improved significance of the main ITPS model versus the modified model having the sociocultural variables. Results: The results demonstrated that an enhanced IPTS model was excellent at explaining 12-month (RMSEA = .03, CFI = .99, TLI = .96, and SRMR = .11) and lifetime suicide (RMSEA = .02, CFI = .99, TLI = .98, and SRMR = .09) among the sample. The chi-square difference ( χ 2 = 130.97, [df = 7] p < .001) was significant, hence supporting the hypothesis that the enhanced IPTSB model is better at explaining 12-month suicide risk among middle school students in Ghana than the original IPTSB model. The study also found that suicide stigma was significantly associated with increased 12-month suicide ideation (β = 0.14, CI = 0.08 – 0.20; p<0.05) and lifetime ideation (β = 0.11, CI = 0.01 – 0.06; p<0.05). Conclusions: This study presents the first sociocultural variables of the enhanced ITPSB model of suicide risk among an African sample of Black adolescents. The results of this study support evidence for all the components of the theory and its association with suicide behaviors, specifically the pathways of suicide behavior as explained by the model. The positive relationship between stigma and increased suicide risk suggests that the criminalization and cultural taboo of suicidal behavior foster a context in which those in psychiatric crisis experience possible increased isolation because they cannot disclose their ideation to family or kinship network while suffering. These results set the stage for future qualitative studies to understand the mechanisms by which these sociocultural variables influence suicide ideation.",
      "authors": "Enoch Azasu; Woodjerry Louis; Sean Joe",
      "author_ids": "123341; 125727; 109205",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3643816750,
        "prompt_eval_count": 1681,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:47:42.443998+00:00"
    },
    {
      "input_index": 1677,
      "record_key": "SSWR:2024-P-0466",
      "source_database": "SSWR",
      "record_id": "2024-P-0466",
      "year": 2024,
      "title": "Testing the Applicability of the Interpersonal Psychological Theory of Suicide Behavior Among Middle School Students in the Greater Accra Region of Ghana",
      "abstract": "Background and Purpose: Suicide among children and Adolescents is a serious public health concern according to the World Health Organization, particularly in low- and middle-income countries. Although the Interpersonal Psychological Theory of Suicidal Behavior (IPTS) is widely applied to explain non-fatal suicide behaviors, it is yet to be tested empirically with a Ghanaian sample. The theory posits that suicide desire develops when an individual experience perceived burdensomeness, thwarted belongingness, and has acquired the capability to self-harm. The authors sampled 800 middle school students in the Greater Accra Region to test the utility of the IPTS. The findings of this study will lead to a better understanding of how suicide behavior is occurring among this young generation of Ghanaians and subsequently inform prevention and intervention of suicide to save adolescent lives. Methods: Paper-based surveys were administered to a sample (n=800) of middle school students in the Greater Accra region of Ghana, which has self-reported measures on suicide ideation, plan, and attempt, and the Interpersonal Needs questionnaire, which measures the elements of the IPTS model. Structural Equation Modelling (SEM) was performed using Mplus to test the applicability of the ITPS model to suicidal behavior among the sample. The analysis observed the overall fit for the model (RMSEA, CFI, TLI, and SRMR), which was compared with the cutoff points as specified by Hu & Bentler (1999), while the associations among the predictors (perceived burdensomeness and thwarted belongingness) and outcomes (suicide ideation, plan, and attempt) were tested for significance. Results: The study found that Joiner’s Interpersonal psychological theory of suicide (ITPS) was significant for explaining 12-month ( χ 2 = 358.04 [df = 10] p < .001, RMSEA = .08, CFI = .98, TLI = .85, and SRMR = .02), and lifetime ( χ 2 = 366.76 [df = 10] p < .001, RMSEA = .14, CFI = .95, TLI = .56, and SRMR = .02) suicide behaviors among middle school students in the Greater Accra region of Ghana. The study found that 12-month suicide attempt was significantly associated with increased 12-month Suicide ideation (β = 0.61; CI=0.46 – 0.74, p<0.05); increased Acquired capability (β = 0.02; CI=0.00 – 0.05, p<0.05); and increased Perceived Burdensomeness (β = 0.03; CI=0.02 – 0.05, p<0.05). In addition, 12-month suicide ideation was significantly associated with increased thwarted belongingness (β = 0.02; CI=0.01 – 0.03, p<0.05), and increased perceived burdensomeness (β = 0.02; CI=0.01 – 0.03, p<0.05). Conclusions and Implications: This study is the first to test the IPTS among middle school students in the Greater Region of Ghana. While the use of SEM makes it one of the most methodology robust study of suicide behavior among a Ghanaian adolescent sample. The findings of this study support evidence for all the components of the theory and its association with suicide behaviors, specifically the pathways of suicide behavior as explained by the model. This study provides new information for Ghanaian policy makers who are interested in setting the right policies and interventions that may work to reduce suicide behavior in the population.",
      "authors": "Enoch Azasu; Emmanuel Quarshie; Sean Joe",
      "author_ids": "123341; 125518; 109205",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3652838334,
        "prompt_eval_count": 1746,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:47:46.098696+00:00"
    },
    {
      "input_index": 1678,
      "record_key": "SSWR:2024-P-0629",
      "source_database": "SSWR",
      "record_id": "2024-P-0629",
      "year": 2024,
      "title": "The Association of Sociodemographic Characteristics and Mental Health Symptoms Among a National Sample of Canadian Adolescents and Young Adults",
      "abstract": "Background/Purpose: Mental health is a crucial aspect of overall health, and poor mental health has a significant impact on both morbidity and mortality. Co-occurring mental health symptoms, defined as when individual experiences two or more mental health conditions, can complicate diagnosis, treatment, and overall management of mental health issues among adolescents and young adults. Individuals with comorbid mental health conditions may have a higher risk of negative outcomes, including hospitalization, suicide, and substance abuse, because the presence of multiple disorders can make it more challenging to manage symptoms and can increase the risk of complications. Similarly, with comorbid psychiatric conditions, there is often difficulty with diagnosis, complexity in treatment planning, and limited availability of tailored preventative and treatment programs. There is limited research in Canada about comorbid psychiatric conditions across sociodemographic identifiers. The overall objective of this study is to investigate the sociodemographic characteristics that are associated with poor mental health and co-occurring mental health symptoms among a sample of Canadian adolescents and young adults and to explore differences between demographic groups. Methods: Data were collected using a cross-sectional design from 2,731 adolescents and young adults from the Canadian Study of Adolescent Health Behaviors. Participants were recruited using a non-probability sampling method and was aimed at Canadians aged between 16 and 30. The average age of participants was 22.9 (SD=3.9), 54% identified as cisgender girls or women, 58% identified as heterosexual, 63% identified as White, and 44% had an education of high school or less. Mental health measures included the General Anxiety Disorder scale (GAD-2) for anxiety, and the Patient Health Questionnaire (PHQ-2) for depression, any self-reported lifetime diagnosis of mental illness, non-suicidal self-injury, suicidal ideation, and number of suicide attempts. A composite mental health variable was created based on the number of mental health concerns/symptoms to examine co-occurring mental health symptoms. Sociodemographic variables in the analysis included age, gender, sexual orientation, race/ethnicity, relationship status, and the highest level of education completed. To examine associations between sociodemographic characteristics and mental health symptoms logistic and Poisson regressions analyses were utilized. Results: In our sample, 68% of participants had at least one symptom of poor mental health, 51% screened positive for anxiety, 37% screened positive for depression, 26% experienced suicidal ideation, and 3% had a suicide attempt. Regression results suggest that mental health is worse among the younger groups of adolescents and young adults and that certain groups including girls/women, LGBTQ+, racialized, and Indigenous groups have higher rates of mental health symptoms and co-occurring mental health symptoms. Conclusions and Implications: The results show that many adolescents and young adults experience mental health challenges, including co-occurring mental health symptoms, and certain groups experience worse mental health, including girls and women, Indigenous and racialized youth, LGBTQ+ youth, and those with lower education. Social workers should be aware of the higher rates of poor mental health in adolescents and young adults in Canada. The findings highlight the need for targeted interventions, including mental health services focused on adolescents and young adults.",
      "authors": "Nelson Pang; Kyle Ganson",
      "author_ids": "119894; 119473",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3410434250,
        "prompt_eval_count": 1609,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:47:49.510852+00:00"
    },
    {
      "input_index": 1679,
      "record_key": "SSWR:2024-U-0040",
      "source_database": "SSWR",
      "record_id": "2024-U-0040",
      "year": 2024,
      "title": "The Associations between Intimate Partner Violence and Mental Health Among Sexual Minority Men: A Systematic Review and Meta-Analysis",
      "abstract": "Background and purpose A growing body of research highlights the high prevalence of intimate partner violence (IPV) among sexual minority men (SMM) with nearly one in three SMM experiencing IPV in their lifetime. Evidence also suggests that experiencing IPV is associated with adverse health outcomes including physical injuries, HIV/STIs, substance use, mental health distress, and even life-threatening consequences. This systematic review and meta-analysis aimed to synthesize evidence on the association between exposure to IPV and negative mental health outcomes (depressive symptoms, anxiety, stress, etc.) among SMM and provide pooled estimates to inform future IPV and mental health interventions and services. Methods Following the PRISMA guideline, we conducted a systematic literature search of electronic databases (PubMed, MEDLINE, Embase, PsycInfo, Web of Science, and CINAHL) for studies that examined the association between IPV and mental health outcomes among SMM. Studies were included if they: (1) assessed IPV, (2) reported at least one mental health outcome, (3) were conducted among SMM, and (4) were published in English. Three reviewers independently screened the titles and abstracts and extracted the data. Discrepancies were resolved by group consensus. Random effects meta-analysis was conducted to calculate pooled adjusted odds ratios (ORs) as summary measures of effect size with 95% confidence interval (CIs). We also assessed heterogeneity using I 2 statistics. All analyses were conducted using meta package in R version 4.2.1. Results Our search identified 21 studies that met eligibility criteria; over half were conducted in the United States ( n =11); the remainder were conducted in the United Kingdom, Guatemala, Kenya, Nigeria, China, Mexico, Gambia, Burkina Faso, and Togo. All studies were cross-sectional in design. There was inconsistency in IPV measures and IPV recall periods, and studies reported a wide range of mental health outcomes using PHQ-9/GAD-7, Perceived Stress Scale, and the Suicide Behaviors Questionnaire-Revised scale. Overall, included studies consistently suggested that experiencing IPV was associated with an increased risk of depression, anxiety, PSTD, and suicidal ideation. Meta-analysis among 12 studies of 18,454 SMM revealed a pooled OR of 1.69 (95%CI: 1.40-2.05) for depressive symptoms. The I 2 statistics suggested moderate heterogeneity ( I 2 =78.6%, p <0.01). Subgroup analysis on the effect of specific types of IPV on mental health and the associations between IPV and other mental health outcomes were not conducted due to the limited data available. Conclusion This systematic review and meta-analysis is the first to provide collective evidence on the association between IPV and mental health outcomes among SMM. The review identified critical gaps in understanding IPV and mental well-being among SMM in low- and middle-income countries. Additional research is needed to explore the effects of IPV in these settings using standardized tools to measure IPV, and the effects of different types of IPV on mental well-being among SMM. Future studies should also consider longitudinal and qualitative designs. Importantly, research that investigates mechanisms underlying the associations between IPV and mental health issues among SMM would lend itself to improved IPV screening in healthcare settings, and the identification of key targets for IPV prevention and treatment interventions with this population.",
      "authors": "Chenglin Hong; Yilin Wang; Yuqing Wang; Sreelakshmi Pushpanadh; Rob Stephenson; Brian Keum; Jeremy Goldbach; Ian W. Holloway",
      "author_ids": "121886; 124702; 124703; 124704; 118052; 124705; 110332; 111926",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "review",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Review"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3358607958,
        "prompt_eval_count": 1631,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:47:52.870826+00:00",
      "screening_source": "Primary screen; blind audit agreement",
      "accuracy_audit": {
        "sample_group": "Review",
        "random_seed": 20260802,
        "blind_screening": {
          "is_relevant": true,
          "relevance_rationale": "The abstract explicitly reports that the meta-analysis found an association between intimate partner violence and suicidal ideation among sexual minority men, making suicide a distinct analyzed outcome.",
          "evidence_class": "Empirical",
          "empirical_method": "Review",
          "classification_rationale": "The study is identified as a systematic review and meta-analysis that synthesizes primary data to provide pooled estimates, fitting the definition of an empirical review.",
          "confidence": "High"
        },
        "full_label_agreement": true
      }
    },
    {
      "input_index": 1680,
      "record_key": "SSWR:2024-U-0147",
      "source_database": "SSWR",
      "record_id": "2024-U-0147",
      "year": 2024,
      "title": "The Burden of Not Belonging: Grounding the Interpersonal Theory of Suicide in the Voices of Latinx and Black Youth",
      "abstract": "Background Recentering and democratizing knowledge in suicide research requires community-engaged research, which social work scholars are uniquely equipped to do. This presentation aims to discuss the results of a qualitative study designed and carried out by social work scholars, examining the meaning Latinx and Black adolescents ascribed to the constructs of belongingness and burdensomeness proposed in the interpersonal theory of suicide (IPTS), one of the most used suicide theories in the world. The IPTS postulates that suicide ideation is caused by thwarted belongingness (no one cares) and perceived burdensomeness (I am a burden to others). Still, to move from ideation to attempts, the capability to die is necessary. We investigated the constructs associated with suicide ideation among Latinx and Black adolescents, an understudied population in suicide research. The findings from this study have implications for suicide prevention and intervention strategies targeting Latinx and Black youth by grounding theoretical constructs in the experiences of these youths. In this study, we use Latinx as a gender-inclusive term for individuals from Central and Latin America. Methods To answer the research question of what is the meaning Latinx and Black adolescents ascribed to belongingness and burdensomeness, we conducted a qualitative exploratory study using five focus groups with 29 self-identified Latinx and Black adolescents aged 13-17 years from community centers in New York City. We also explored their views about social media and these constructs. Adolescents and parents were consented. The interview guide was informed by the IPTS theory and used the interpersonal needs questionnaire (INQ-15). The INQ was created by the developers of the IPTS to operationalize the constructs of belongingness and burdensomeness to aid in the understanding of the etiology of suicide ideation and the identification of risk in clinical practice We conducted template analysis to analyze the data. Results Themes highlighted congruent dimensions with the IPTS belongingness and burdensomeness, such as caring, self-worth, and liability. Notably, new themes emerged, reflecting the distinctive experiences of these youths. For example, the family was at the center of the belongingness construct. Cultural and language dissonance was perceived as the root of the lack of belongingness to the families. Being loved for who they are, was also a new dimension of belongingness. Cultural aspects of burdensomeness, such as the financial burden that adolescents feared to impose on their families and unmet cultural parental expectations, highlighted dimensions not found in the existing IPTS theoretical constructs. Notably, the burden of not belonging was the most important factor associated with adolescents’ distress. Conclusions and Implications. The voices of Latinx and Black youths have been historically underrepresented in suicide research. Asking these youths about their views regarding the constructs of the IPTS to understand the etiology of suicide ideation can enhance the development of intervention strategies to increase protective factors and decrease risk factors for suicide behaviors relevant to this youth. Social workers strengthen their social justice mission when they engage the communities for whom the mental health interventions would be targeted.",
      "authors": "Carolina Vélez-Grau; Marya Gwadz, PhD; Ifrah Magan",
      "author_ids": "122784; 119637; 113379",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3416071792,
        "prompt_eval_count": 1557,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:47:56.289384+00:00"
    },
    {
      "input_index": 1684,
      "record_key": "SSWR:2024-P-0323",
      "source_database": "SSWR",
      "record_id": "2024-P-0323",
      "year": 2024,
      "title": "The Impact of Parental Suicide Stigma on Youth Suicide Stigma in Mexico",
      "abstract": "Background and Purpose: Suicide is a global health concern. Recent data indicates that 703,000 people die by suicide annually worldwide. A particular area of concern is the prevalence of suicide among youth. As of 2019, suicide was the fourth leading cause of death worldwide for individuals ages 15-29. Latino youth may constitute a particularly vulnerable population as research indicates that suicide behaviors among Latinos have increased drastically over the last decade. In 2020, suicide was the third leading cause of death for Latino youth ages 15-24. Reducing suicide stigma is a key factor in promoting youth help-seeking behaviors regarding suicidality. Additionally, previous research suggests that a relationship with a trusted adult influences the likelihood of an adolescent contacting a suicide crisis line. This study seeks to understand if parent suicide stigma is related to their child’s suicide stigma. Method: Data was collected via email from 373 parent-child dyads. The final sample included dyads from each Mexican state. Youth participants needed to be between the ages of 14-17 and living with at least one parent/guardian who was also willing to complete a survey. The Stigma of Suicide Scale Short Form was used to measure suicide stigma among adult and youth participants independently. Results: Approximately 48% of youth participants were female and 52% were male; whereas 71% of adult participants were female and 29% were male. The primary variable of interest, parent suicide stigma, was a statistically significant predictor of youth suicide stigma ( b = 0.74, p < 0.001). Youth gender was also a predictor of youth suicide stigma ( b = 0.22, p < 0.01). The final regression model accounted for 49% of the variance seen in youth suicide stigma within this study (R 2 = 0.49). Conclusion and Implications: These results align with previous research suggesting that parent and youth stigma scores would be positively correlated. Interestingly, average parent stigma scores were lower than youth stigma scores across all but one question on the suicide stigma scale. This could be due to the disparity in the gender of adult participants compared to youth participants. The adult sample had a disproportionately large number of female participants compared to the youth sample. This could be influential as research shows males are more likely than females to exhibit suicide stigma. If future research reinforces the findings of this study, suicide stigma programs might be more effective if targeted at the entire family unit, rather than just adolescents. Additionally, researchers may consider studying the role of parental influence in the development of youth suicide stigma from a young age. Further research could also potentially inform our understanding of generational decreases in suicide stigma.",
      "authors": "Julianne Croft; Steven Hoffman; David S. Wood",
      "author_ids": "125236; 112394; 114455",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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      "screened_at": "2026-08-02T18:48:09.653469+00:00"
    },
    {
      "input_index": 1686,
      "record_key": "SSWR:2024-P-0423",
      "source_database": "SSWR",
      "record_id": "2024-P-0423",
      "year": 2024,
      "title": "The Outcomes of Gender and Sexuality Alliances for LGBTQ+ Youth: A Scoping Review",
      "abstract": "Background and Purpose: LGBTQ+ youth are at heightened risk for violence and victimization, homelessness, and lack of familial and peer support—contributing to poorer mental and behavioral health outcomes, including depression, anxiety, and suicidal ideation, as well as behaviors such as substance misuse and self-harm. Minority Stress Theory (Meyer, 2003) posits that identity-based stressors create the health disparities experienced by marginalized communities. Gender and Sexuality Alliances (GSAs)—formerly called Gay/Straight Alliances—can protect against negative mental and behavioral health outcomes for LGBTQ+ youth. GSAs are clubs for LGBTQ+ students and allies with the goal to create ‘safe spaces’ in school settings. This scoping review searched for and synthesized current literature regarding outcomes GSAs can have for LGBTQ+ youth. Methods: Research articles were identified from Academic Search Complete, APA PsychInfo, LGBTQ+ Source, and ERIC using the search terms: “LGBTQ youth” and “gay straight alliance in schools” and “outcomes or benefits or effects or impact or effectiveness or consequences”. The search did not limit any results based on a publication date range. In total, 46 articles were imported into Covidence for screening, 32 of which went to full-text review, and in total nine articles were included in the study. The Mixed Methods Appraisal Tool (MMAT) was used for quality assessment and a data extraction tool was used to compile data for thematic analysis. Results: Using MMAT for critical appraisal, four articles (44%) had appropriately rigorous studies with strong research questions, appropriate sampling, and measurements with low risk for bias. Further, four articles (44%) also scored 80% regarding methodological approach and rigor, and one article (11%) scored 60% regarding methodological approach and rigor. Regarding thematic analysis, five articles (55%) reported data regarding victimization and/or bullying. Four articles (44%) reported on school climate and environment, mental health disparities and help-seeking behaviors, perceived support from the community and social connectedness, and GSA presence and functioning. Two articles (22%) reported on school-related indices (i.e., grades and truancy), substance use, coming out and feelings of safety, resources provided by GSAs, and advocacy and social justice. One article (11%) reported on future voting plans. Thematic evidence supports GSAs lessening mental health disparities, increasing positive school outcomes, increasing social connectedness, and lessening victimization in queer youth. Conclusions and Implications: Results suggest that GSAs provide protective factors for LGBTQ+ youth against mental health disparities, among other positive outcomes. GSAs are beneficial for all youth, promoting positive school climates, as well as improving school related indices (i.e., truancy, grades). Future studies on GSAs in different parts of the United States would result in a broader, and thus more generalizable, body of research. Such research would provide valuable data that could positively impact school systems who provide less access to GSAs or other clubs that provide a safe space for LGBTQ+ youth. Future studies should also focus on the mental health outcomes of keeping GSAs available to combat factors that negatively impact LGBTQ+ youths’ mental and behavioral health.",
      "authors": "Mel McDonald; Lauren McInroy; Mo Yee Lee",
      "author_ids": "125155; 112726; 109044",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "review",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Review"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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        "eval_count": 24
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      "screened_at": "2026-08-02T18:48:16.405809+00:00"
    },
    {
      "input_index": 1687,
      "record_key": "SSWR:2024-P-0159",
      "source_database": "SSWR",
      "record_id": "2024-P-0159",
      "year": 2024,
      "title": "The Relationship between Depression and Suicide Ideation Among Rural Elderly in South Korea: The Moderating Effects of Gender and Health Literacy",
      "abstract": "Background: South Korea has the highest suicide rate among OECD member countries. The elderly suicide rate (41.7) is higher than the OECD average (17.2), and the suicide attempt rate in rural areas (35.3%) exceeds that of urban areas (16.8%) (OECD, 2023; Ministry of Health & Welfare, 2018, 2022). This phenomenon is due to urbanization, aging, and a lack of health and welfare infrastructure. As depression predicts suicidal ideation (Beghi et al., 2021), this study investigates the moderating effects of gender and health literacy on the relationship between depression and suicidal ideation. Suicide prevention initiatives should incorporate gender differences, and health literacy is crucial for the elderly who face challenges in comprehending health-related information in rural areas. Methods: This study analyzed the samples of 2,840 elderly 65 or older living in Chungcheongbuk-do from the 2021 Health Community Survey. Depression is assessed using the Patient Health Questionnaire (PHQ-9), which has a Cronbach's alpha of .8. Suicidal ideation (‘0 = no’ or ‘1 = yes’), gender (‘0 = male’ or ‘1 = female), and health literacy (‘0 = very easy or easy’ or ‘1 = very difficult or difficult’) are dummy coded. Moderation effects are analyzed using the PROCESS Macro Model 1 with 5,000 bootstrap samples. Results: Of the sample, 15.5% reported depression symptoms, 11.4% reported experiencing suicidal ideation, and 31.1% showed low health literacy. Depression was significantly associated with suicidal ideation after four covariates (e.g., age, income). The relationship between depression and suicidal ideation was moderated by gender ( B = -.14, p < .05) and health literacy ( B = -.18, p < .01). The slope of suicidal ideation among females was significantly higher than that among males as the level of depression increased, and that among those with low health literacy was higher than those with high health literacy. Implications: The results suggest that social welfare services should consider gender and health literacy when developing suicide prevention strategies among rural elderly. Prioritizing health literacy programs for the female elderly is imperative because their depression symptoms often manifest as changes in appetite and sleep patterns, and accessing psychiatric care is challenging due to low anonymity in rural communities. Intervention programs to enhance health literacy should also be actively linked with health and welfare agencies. References Beghi, M., Butera, E., Cerri, C. G., Cornaggia, C. M., Febbo, F., Mollica, A., ... & Lozupone, M. (2021). Suicidal behaviour in older age: A systematic review of risk factors associated to suicide attempts and completed suicides. Neuroscience & Biobehavioral Reviews, 127, 193–211. doi: 10.1016/j.neubiorev.2021.04.011 Ministry of Health and Welfare. (2018). 2018 National Survey on Suicide. Sejong: Republic of Korea. Ministry of Health and Welfare, & Korea Foundation For Suicide Prevention. (2022). White paper suicide prevention . Seoul: Republic of Korea. OECD (2023), Suicide rates (indicator). doi: 10.1787/a82f3459-en",
      "authors": "Soo Mi Jang; Hyung Mi Ha; Jihyeong Jeong",
      "author_ids": "114915; 124915; 124911",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:48:20.098420+00:00"
    },
    {
      "input_index": 1688,
      "record_key": "SSWR:2024-U-0154",
      "source_database": "SSWR",
      "record_id": "2024-U-0154",
      "year": 2024,
      "title": "The Tribal Reservation Adolescents Study: Findings from a Mixed Methods Social Network Study",
      "abstract": "Background: Social relations and multigenerational networks remain a salient fixture of American Indian (AI) culture, survival, and thriving. Research in other populations has demonstrated how social networks impact youth risk and resilience, but data are lacking among AI adolescents. Settler colonialism’s historical and contemporary impacts lead some AI youth to early initiation of substance use, along with high risk for suicide and witnessing and experiencing violence. Aims of this study were to describe peer, kin and community social networks and associations with risk and protection for substance use, violence, and suicide among adolescents in a reservation community. Methods: Social network surveys were completed by 9th and 10th graders (N = 263) at three high schools on a Northern Plains reservation. Social network measures were adapted for reservation-based AI youth. Following an explanatory sequential mixed methods design, qualitative interviews were conducted with a subsample of participants (n = 16) to interpret findings from their individual and school networks. Participants for the qualitative interviews were randomly selected after stratifying by gender and risk levels for substance use, violence, and suicidality. Results: Dominant theories suggest network formation and maintenance tied to racial homophily, but in our study 93% of networks were Native and tie formation was not significantly related to race. Youth nominated more family members than what has been found among non-Native adolescents. Students demonstrated similar in-degree centrality, a measure of how many times an individual was nominated by someone in their school network. And school networks varied by size and density. We observed a direct association between the number of peers in a student's social network who use alcohol, tobacco, or marijuana and the likelihood of the student engaging in such activities. Conversely, a higher number of individuals in a student's network who discourage substance use correlated with a lower likelihood of the student engaging in such activities. Notably, marijuana exhibited the most robust influence on the likelihood of substance use. Results suggest that having a higher proportion of family in a youth’s network was a protective factor against suicide ideation. For some, having a higher proportion of family members or more school-based peers in a network was protective against exposure to violence. Implications: Variation in networks across schools suggests unique community contexts that may make a universal approach to prevention development and implementation less effective. Findings also suggest that ways of defining family relations varied across students. This has implications for future measurement of family networks with this population. And finally, similar in-degree within networks suggests that prevailing key opinion leader social network interventions may not work in this population. Historical and environmental factors contribute to health inequities in this population, but an aggravating factor is the lack of prevention strategies that leverage contextual and cultural strengths of AI communities to optimize effectiveness and sustainability. This presentation aligns with the conference theme by centering Indigenous communities within an innovative mixed methods social network study and implications for prevention programming to promote health equity with this population.",
      "authors": "Katie Schultz; Jerreed Ivanich; Lauren White",
      "author_ids": "113355; 124976; 124977",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "mixed_methods",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "prompt_eval_count": 1521,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:48:23.271169+00:00"
    },
    {
      "input_index": 1689,
      "record_key": "SSWR:2024-P-0300",
      "source_database": "SSWR",
      "record_id": "2024-P-0300",
      "year": 2024,
      "title": "Time Modified DBT Skills Groups for Adolescents: A Rapid Review",
      "abstract": "Background and Purpose Suicidal ideation and self-harm are growing concerns among adolescents. Nearly 20% of high school students have seriously thought about suicide and/or have a diagnosable mental health disorder. Dialectical behavioral therapy (DBT) is an established therapy known for its clinical utility for individuals experiencing suicidal behaviors/ideations, self-harm behaviors, and borderline personality disorder. Since its development, DBT has shown benefits for substance use, PTSD, depression, and eating disorders. DBT has also been modified to serve adolescents and their families/caregivers (DBT-A). Given the current needs among adolescents, DBT-A is a promising therapy for both adolescents and their families. When provided to fidelity, DBT-A produces positive outcomes such as reducing suicidal ideation, self-harming behaviors, depression, and increasing emotional regulation. Outcomes related to time-modified DBT-A skill groups (e.g., less than 24-weeks) are still largely understudied. This review explores the impact on treatment outcomes when time modifications have been implemented Methods We employ a systematic searching approach utilizing a variety of academic databases (i.e., Medline and series of Ebsco databases). Peer-reviewed literature focused on abbreviated DBT and skills groups with youth populations published between January 2000 to July 2022 is included. Additional eligibility criteria included published in English and within the designated timeframe, used a youth sample under the age of 18, and involved an DBT-A group that had been abbreviated in length. Originally 203 studies were exported following the database search, 23 met inclusion criteria for the review. Results Of the 23 included studies, 21 utilized different samples with a total of 1,412 adolescent participants under age 18. Of this sample, 967 (68.48%) were identified as girls/female. Studies on average met for 13 weeks. Studies in inpatient settings used the shortest groups (e.g., 2 weeks) whereas outpatient settings met for average of 13 weeks. Many studies indicated promising clinical outcomes that included reductions in suicidal ideation, self-harm, and depression. This is consistent with previous DBT-A studies that implemented the 6-month standard length. Among those that included a comparison group, the DBT-A group was noted as yielding higher reductions in rates of depression and suicidal ideation. Three studies followed up with DBT-A participants and highlighted that skills learned during the DBT-A time modified skills group were retained 16-weeks to a year following completion . Conclusion and Implications The findings of this review indicate that DBT-A time modified skill groups yield positive outcomes for adolescents experiencing suicidal ideations and engaging in self-harm. This is an important finding as abbreviated time DBT-A groups can assist in the need for DBT services among youth and common barriers perspective recipients face (e.g., time restraints, attention/engagement). DBT-A with time modifications can open the door for more opportunities to reach adolescents who may not be able to qualify for standard DBT-A due to restrictions with insurance and/or financial concerns that come with long-term therapy. With respect to comprehensive DBT programs (i.e., DBT to fidelity), symptom presentation should be considered for each adolescent prior to enrollment into a modified DBT-A group.",
      "authors": "MacKenzie Dallenbach; Kimberly Moeller; Ashley Givens",
      "author_ids": "125190; 125191; 114569",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "review",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Review"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "prompt_eval_count": 1611,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:48:26.696402+00:00"
    },
    {
      "input_index": 1690,
      "record_key": "SSWR:2024-O-0047",
      "source_database": "SSWR",
      "record_id": "2024-O-0047",
      "year": 2024,
      "title": "Types of Racism-Based Experiences and Suicide Risk Among Black Emerging Adults",
      "abstract": "Background and Purpose: Suicide risk (thinking about, planning, and attempting) has become a growing public health concern for Black emerging adult college students in America due statistically significant recent changes in suicide rates among young Black Americans during the period during 2018-2021. Suicide rates increased recent 23% increased rates among this population. A growing body of Suicide rates among Black persons aged 10–24 and 25-44 years increased about 37 and 23 percent respectively during this period, while Whites experienced an overall age- adjusted rate decline. A growing body of evidence makes plain that exposure to racism-based events also represents a major public health problem for Black emerging adults in the United States (U.S.) given the widespread prevalence of such events and related mental and behavioral health consequences. This cross-sectional study investigated the type of racism-based experiences (i.e. hostile racism, aversive-hostile racism and avoidant racism) among Black emerging adults and its relationship to suicide risk. Method: Computer assisted surveys were administered to a sample (N = 300) of Black emerging adult college students 18 to 29 years of age. Lifetime suicidal behavior was assessed using questions from the National Comorbidity Survey. The 18-item Classes of Racism Frequency of Racial Experiences (CRFRE) measure was used to assess the frequency of an individual’s exposure to three classes of racism. Univariate, bivariate, and binomial logistic regression analyses were used to examine the association between the sociodemographic, trauma, mental health, and the abovementioned racism factors and lifetime suicidal ideation and suicide attempt. All the analyses were conducted using the Statistical Package for the Social Sciences (SPSS) version 27. Results: Over two quarters of participants reported experiencing moderately high levels of anxiety, exposure to hostile racism, exposure to aversive-hostile racism, and exposure to avoidant racism. Regression analysis revealed that increase in lifetime trauma was associated with an increased likelihood of experiencing suicidal ideation (AOR=4.14; 95% CI 1.90, 8.99), an increase in exposure to hostile racism was associated with an increased likelihood of experiencing suicidal ideation (AOR=1.15; 95% CI 1.06, 1.25), and an increase in exposure to aversive-hostile racism was associated with an reduced likelihood of experiencing suicidal ideation (AOR=0.90; 95% CI 0.83, 0.96). Only an increase in exposure to hostile racism was associated with an increased likelihood of experiencing a suicide attempt (AOR=1.13; 95% CI 1.03, 1.24). Conclusions and Implications: Trauma including multiple of racism-based traumatic experiences, especially hostile racism, significantly elevates Black emerging adults suicide risk and should take seriously. These findings are novel and the implications for research, practice, and policy are discussed.",
      "authors": "Sean Joe; Enoch Azasu; Robert O. Motley Jr.",
      "author_ids": "109205; 123341; 115991",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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        "prompt_eval_count": 1551,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:48:30.029234+00:00"
    },
    {
      "input_index": 1693,
      "record_key": "SSWR:2024-U-0212",
      "source_database": "SSWR",
      "record_id": "2024-U-0212",
      "year": 2024,
      "title": "Understanding the Effects of Perceived Racial Discrimination on Suicidal Behaviors Among Racial and Ethnic Minority Adolescents in the United States",
      "abstract": "Background and objectives : Suicide has been identified as the second leading cause of death among adolescents in the United States (U.S.). While the rate of death by suicide among adolescents in the U.S. declined in 2019 and 2020, this trend was not observed across all races/ethnicities, as racial/ethnic minority adolescents saw the highest increase in death by suicide over the same period. Although documented rates of suicide attempts among racial/ethnic minority adolescents are high, these estimates are likely underestimated due to cultural stigma in reporting suicidal behaviors among racial/ethnic minority adolescents. Research also indicates that perceived racial discrimination (PRD) is a major social determinant of health and a critical driver of systemic inequities in health outcomes. Although studies have examined the impact of PRD on mental health outcomes among adults, there is a dearth of research investigating the effects of PRD on suicidal behaviors among racial/ethnic minority adolescents using a nationally representative sample. Therefore, the objectives of this study were to investigate: 1) the prevalence of PRD, and 2) the effects of PRD on suicidal behaviors among racial/ethnic minority adolescents in the U.S. Guided by minority stress theory and intersectionality, we hypothesized that racial/ethnic minority adolescents who experienced PRD would have higher odds of reporting past-year suicidal ideation, suicide planning, and suicide attempts than their counterparts who did not experience PRD. Methods : Data for this study came from the 2021 Adolescent Behaviors and Experiences Survey conducted by the CDC between January-June 2021. Data from a sample of 3,241 racial/ethnic minority adolescents (53.7% female) were analyzed. The outcome variables examined included suicidal ideation, suicide planning, and suicide attempts and were all measured as binary variables. The main explanatory variable examined was PRD, and was measured using an item from the Perceptions of Racism in Children and Youth scale. Binary logistic regression models were fitted to examine the effects of PRD on each outcome variable after controlling for demographic characteristics, cyberbullying victimization, feelings of sadness/hopelessness, and poor mental health during the pandemic. Results : About 21% of racial/ethnic minority adolescents reported experiencing PRD. Controlling for other factors, racial/ethnic minority adolescents who experienced PRD had 1.57 times higher odds of experiencing suicidal ideation (95% C.I.=1.09-2.25), 1.64 times higher odds of making a suicide plan (95% C.I.=1.09-2.49), and 1.67 times higher odds of attempting suicide (95% C.I.=1.04-2.68) during the past year. Other factors associated with suicidal behaviors included self-identifying as lesbian/gay, bisexual; experiencing cyberbullying; feeling sad or hopeless; and poor mental health during the pandemic. Conclusions : The findings of this study extend past research by using a nationally representative sample and demonstrate that racial/ethnic minority adolescents who experienced PRD were more likely to report suicidal behaviors over and above other well-established risk factors for suicidal behaviors. In addition to screening for mental health problems such as depression and anxiety, school social workers and clinicians should screen for and consider the impact of discrimination and racism, particularly among racial/ethnic minority adolescents. Future studies that employ longitudinal designs are needed to elucidate the mechanisms underlying these associations.",
      "authors": "Phillip Baiden; Catherine A. LaBrenz; Henry K Onyeaka; Bethany Wood; Edinam Gobodzo; Vera Mets; Lindsay Taliaferro",
      "author_ids": "113715; 115734; 121988; 119991; 125076; 125077; 125078",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "eval_count": 24
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      "screened_at": "2026-08-02T18:48:40.182665+00:00"
    },
    {
      "input_index": 1694,
      "record_key": "SSWR:2024-P-0287",
      "source_database": "SSWR",
      "record_id": "2024-P-0287",
      "year": 2024,
      "title": "Understanding the Role of Peer Victimization As an Adverse Childhood Experience in Predicting Behavior Problems across Racial/Ethnic Groups",
      "abstract": "Background/purpose: Adverse childhood experiences (ACEs) are potentially traumatic events that occur before age 18 and are associated with long-term behavior problems, including internal and external behaviors and substance abuse. While the original 10 ACE items focus on child maltreatment and household dysfunction, recent research began to explore other adversities beyond family level, such as peer victimization or bullying. Peer victimization, especially among adolescents, is a common and traumatic experience associated with negative outcomes. Despite increasing evidence that peer victimization should be considered along with ACEs, the predictability of peer victimization as an ACE on behavior outcomes is not well-studied. Additionally, there may be racial/ethnic differences in peer victimization experiences and its effects, as ACEs are known to vary by race and ethnicity. Furthermore, most ACEs studies focus on long-term effects in later adulthood, less is known about the immediate influences on behavior outcomes in childhood and adolescence. In sum, this study aims to examine: (1) whether peer victimization could predict concurrently internal and external behavior problems and substance use during adolescence; (2) whether peer victimization experience vary by race/ethnicity, and (3) whether the outcomes of peer victimization vary by race/ethnicity. Methods: Data and samples: Data from the 2019 Youth Risk Behavior Survey (YRBS) were used to examine adverse behavioral outcomes associated with peer victimization, with a nationally representative sample of students in grades 9–12 from the 50 U.S. states and the District of Columbia (N = 13,677). Measures: The dependent variables for this research include depression, suicidal ideation and attempts, physical fighting during the past 12 months, and current cigarette use, e-vapor use, alcohol use, binge drinking, and marijuana use during the past 30 days. The predictor variable is peer victimization (“Have you ever been bullied on school property during the past 12 months?”). The interaction term bullied*race/ethnicity was used to test whether negative behavior outcomes associated with peer victimization vary across racial/ethnic groups. All outcome variables and predictor variable are dichotomous coded. Weighted descriptive and logistic regression analyses were conducted, controlling for gender and grade level. Results: The findings revealed that 19.7% students reported being bullied on school property within the past 12 months. White students reported the highest prevalence of peer victimization, followed by other races, Hispanic, and African American students. Controlled for race/ethnicity, gender, and grade level, peer victimization predicted all outcome variables. Significant interaction terms were only found for currently alcohol drinking between White and all other races students and physical fighting between White and African American students. Conclusion/implication: Peer victimization is associated with multiple behavior problems during adolescence, including depression, suicidal ideation and attempts, aggression, and substance use. White students were more likely to report being bullied compared to racial/ethnic minority students. Despite higher prevalence of peer victimization among Whites, most behavioral outcomes associated with bullying were not vary across race and ethnicity. Future research should focus on identifying protective factors can buffer the negative effects of bullying for White adolescents.",
      "authors": "Xiyao LIU",
      "author_ids": "125166",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
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      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "eval_count": 24
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      "screened_at": "2026-08-02T18:48:43.549559+00:00",
      "independent_manual_spot_check": {
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        "manual_screening": {
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          "evidence_class": "Empirical",
          "empirical_method": "Quantitative"
        },
        "rationale": "Suicidal ideation and attempts are explicit dependent variables analyzed using weighted logistic regression."
      }
    },
    {
      "input_index": 1695,
      "record_key": "SSWR:2024-P-0459",
      "source_database": "SSWR",
      "record_id": "2024-P-0459",
      "year": 2024,
      "title": "Unraveling Collegiate Resiliency: Risk and Protective Factors Among Non-Traditional Students and Veterans",
      "abstract": "Background: Veterans represent a growing subgroup of non-traditional students at universities and colleges across the United States. Despite this increased presence, research remains limited regarding positive indicators of well-being, risk factors, suicidality, and how these variables may be distinct from non-traditional students who are not veterans. Many existing depictions of veteran student needs represent a narrow focus, with conflicting findings indicating that students with veteran status are either at increased risk for suicide or report adverse mental health outcomes that occur at a rate matching civilian counterparts. The purpose of the present study was to identify how veteran and non-traditional students may differ in measures of risk and protection. In pursuit of this goal, research was guided by the following question: How do veteran students differ from other non-traditional student groups on indicators of both risk and success? Methods: Using student data from the Fall 2020 and Spring 2021 administration of the American College Health Association’s (ACHA) National College Health Assessment (NCHA) (n = 33,855), analysis of variance was used to examine differences between veteran students and other non-traditional students. Five distinct measures of risk and protection were used for analysis: the Connor-Davidson Resilience Scale 2 (CD-RISC2), the Diener Flourishing Scale, the Suicide Behavior Questionnaire-Revised (SBQ-R), the UCLA Loneliness Scale, and the Kessler 6 (K6) Non-Specific Psychological Distress Score. Results: Veteran students reported higher resilience, less psychological distress, and less loneliness when compared to non-traditional student peers. No statistically significant differences were found in suicidality or positive well-being. No significant differences were found in any measure between those veterans who reported serving in a geographic area of hazardous duty and those who had not. Conclusion: Notable distinctions exist between veterans and non-veteran peers within the non-traditional student category on measures of psychological distress, loneliness, and resilience. In general, results suggest that veteran students, including those with and without hazardous duty experience, may experience less risk and greater resilience than other non-traditional students. However, the benefits of resilience do not translate to changes in overall suicidality or perceptions of positive well-being.",
      "authors": "Josh Bylotas",
      "author_ids": "123497",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:48:46.446763+00:00"
    },
    {
      "input_index": 1696,
      "record_key": "SSWR:2024-G-0032",
      "source_database": "SSWR",
      "record_id": "2024-G-0032",
      "year": 2024,
      "title": "Utility of Service Records to Describe Services Provided and Outcomes after a Non-Police Mental Crisis Intervention",
      "abstract": "Background: Alternative mental health crisis response programs designed to reduce law enforcement presence are increasingly being implemented across the United States. The Albany County Crisis Officials Responding and Diverting (ACCORD) program is an alternative currently being implemented in Albany County, NY. This paper describes the results of a comprehensive descriptive analysis of ACCORD service records during the first-year of the ACCORD program, including the number of types of services provided, the nature of crises, and characteristics of the clients, as well as the rates of repeat service utilization and hospitalization will be presented. Methods : Details on each service interaction and client information were extracted from the ACCORD fieldnotes. These included sociodemographic characteristics of the clients, primary reasons for requesting the ACCORD team, methods of services (e.g., on scene, phone), known mental health and other conditions, and outcomes of the service. Means and standard deviation (for continuous variables), and frequency and percentage (for categorical variables) were calculated for each of key measures. Results: In the period June 2021-June 2022, ACCORD provided 325 crisis response intervention services and 212 follow-up services to 191 unique individuals. Of those 86.9% were reported no prior history of utilizing other mental health services by the county. The most frequent reasons for ACCORD dispatch included: suicidal behaviors (25.1% with 89.6% involving suicidal ideation), domestic incidence (17.3%), and someone exhibiting behavioral distress such as having a panic attack, a PTSD episode, or a severe depressive episode (26.4%). Twenty-seven percent of the patients required multiple crisis response interventions. Transportation of the patient to the hospital was needed for 32.0% of cases, with 84.6% resulting in involuntary admission. Among those with hospitalization records, 19.8% of clients being hospitalized more than once. Many crisis cases were resolved on the scene (65.6%) by providing a safety plan, service and treatment recommendations, service linkages, and treatment plan to address the immediate needs of the patients. Hospitalization was the outcome for 38.2% of cases. The team also provided patients additional resource and service referrals, as well as called hospitals and other providers for care coordination albeit with a limited capacity (~12% of follow-up services). Implications: To our knowledge, this is the first comprehensive evaluation study of non-police mental crisis response models in the United States. Our findings support the ACCORD’s potential to address gaps in mental health services in a historically underserved community. We also identified a missed opportunity where the ACCORD may be able to better support particularly high-risk individuals with evidence-based social work case management models such as critical time intervention.",
      "authors": "Tomoko Udo; Preston Roberts; Jordan Dyett; Denard Cummings; Timothy Campbell; Carmen Morano",
      "author_ids": "125408; 125409; 125391; 125410; 125411; 108136",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Sig",
      "database_method": "quantitative",
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      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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        "prompt_eval_count": 1503,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:48:49.584284+00:00"
    },
    {
      "input_index": 1698,
      "record_key": "SSWR:2024-U-0260",
      "source_database": "SSWR",
      "record_id": "2024-U-0260",
      "year": 2024,
      "title": "Violence and Suicide in a Nationally Representative Sample of Youth Aged 12-17: What Does It Mean to be at-Risk?",
      "abstract": "Background. Suicide attempts and school violence, including gun violence, have increased dramatically among youth aged 12-17 since 2019. Gun violence and suicide are now leading causes of death in this cohort. While coarse grouping variables like race, socioeconomic status, and rural/urban location are linked to violence and suicide risk, variable-centered analyses may elide complexity in data, including the presence of unique subgroups, or classes, with distinct patterns of behavior. To improve outcomes for youth vulnerable to violence engagement and suicide, this study applied latent class analysis (LCA) to investigate heterogeneity in patterns of violence and suicide risk behavior and modeled geographic, demographic, and family-level predictors of latent class membership. Methods. Data were drawn from the 2021 National Survey on Drug Use and Health. The dataset included n=10,743 youth aged 12-17. Latent class indicators included previous year fighting at school, attacking a classmate, arrest, carrying a gun, suicide ideation, and suicide plan. First, an iterative mixture-modelling approach tested latent class models with an additional class specified at each iteration. Model fit was assessed with AIC, BIC, ssBIC, entropy, and substantive utility and interpretability. Second, following LCA model identification, latent class membership was modeled as a categorical dependent variable and regressed on geographic, demographic, and family-level predictors. Results. A four-class solution best fit the data. A suicide risk class (n=1,172) had high probabilities of suicide ideation (p=0.98) and plan (p=0.58). A violence and suicide risk class (n=236) was had high probabilities of fighting at school (p=.072), attacking a classmate (p=0.58), suicide ideation (p=0.98), plan (p=0.78), and the second-highest probability of carrying a gun (p=0.19). A carceral risk class (n=483) had the highest probability of carrying a gun (p=.33), high probabilities of fighting at school (p=.73) and arrest (p=.90), and moderate probabilities of attacking a classmate (p=.43). A large, low-risk class (n=8,833), had the lowest (p<.09) probabilities of all indicators. Compared to the low-risk class, the suicide risk class had lower odds of being male (OR=0.32), Black (OR=0.66) or from a two-parent home (OR=0.73). The violence and suicide risk class had lower odds of being male (OR=0.60) and higher odds of rural location (OR=1.87). The carceral risk class had lower odds of a living in a two-parent home (OR=0.55) and higher odds of being male (OR=3.13), Black (OR=1.90) and below the poverty line (OR=1.57). Conclusions: One low-risk class and three classes with heterogenous patterns of violence and suicide risk behavior were evident in these data. The violence and suicide risk class was more likely to be female and from a rural area, where mental health service availability may be limited. The carceral risk class, with the highest probabilities of arrest and carrying guns and greater odds of being male, Black, and in poverty, reflected the persistent racial disparities afflicting Black boys. The suicide risk class had low probabilities of violence engagement and were more likely to be girls from single parent homes. Results highlight the imperative for nuanced, finely targeted interventions to support youth with distinct vulnerabilities to violence and suicide risk behavior.",
      "authors": "Nicholas U. Barr",
      "author_ids": "114068",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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      "screened_at": "2026-08-02T18:48:56.878573+00:00"
    },
    {
      "input_index": 1699,
      "record_key": "SSWR:2024-U-0124",
      "source_database": "SSWR",
      "record_id": "2024-U-0124",
      "year": 2024,
      "title": "What Are Social Workers' Training, General Knowledge, and Assessment Practices for Firearms?",
      "abstract": "Background and Purpose: Firearm violence is a public health crisis. In 2018, there were approximately 393 million firearms in the U.S. and firearm purchases escalated by 4.3 million excess purchases during the Covid pandemic. A national poll found 44% of homes have a firearm and a firearm in the home increases the risk of homicide by 170% and suicide by 460% because many adults admit to storing their gun unlocked and loaded. Social workers’ clients are from high-risk groups and especially vulnerable for injury or death when they have access to firearms, but few studies have been conducted on social work training and practices regarding firearm assessment. This study sought to answer the following research questions: (1) How much training has been given on assessing firearm access? (2) What is their general knowledge about firearm risks? (3) How do social workers integrate firearm assessment into practice? Methods: After IRB approval, an online, anonymous, quantitative survey was created by the research team and posted on NASW’s social media forum inviting social work students and social workers to participate. The survey was posted on three occasions over a six- month time period. The survey was created by the research team. There were 139 participants. Results: Results indicate that most social work students or social workers have not received any firearm assessment training in their CSWE accredited programs (89.6%), in continuing education (68.1%), and/or in their internship (72.6%). A majority of participants did not know the serious risks for suicide and homicide from guns in the home or that many gun owners keep at least one firearm unlocked and loaded. Most participants do not ask all clients about firearm access or storage but do ask suicidal (80.1%) and aggressive clients (51.2%). Only 31.1% discussed firearms with parents of youth 0-21 years and only 40% assessed victims of IPV, even though they are high risk groups. Participants who had received training and had more knowledge on the topic, were significantly more likely to assess clients’ firearm access and safety. Conclusions and Implications: Firearm access and safe storage play an important role in many clients’ lives, and it is highly likely that practicing social workers can prevent lethal violence by having conversations about access and safe storage, with all clients but especially with high-risk clients. In addition, educating and training students and practicing social workers needs to occur during social work programs, in CEU courses, and at Internships. These trainings need to educate social workers about firearm dangers, high risk groups, and best practices for firearm assessment and safety discussions. NASW published a brief in 2017, to provide information about firearms’ discussions with parents, however findings from this study suggest that social workers are not reading or implementing their practice recommendations. This information needs to be updated and expanded. Additionally, more research is needed regarding firearms’ assessment and safety for social workers. These skills are the next form of cultural competence and clinician safety practices and need to be prioritized by the profession.",
      "authors": "Lisa Rapp-McCall; Robert Lucio",
      "author_ids": "124934; 124935",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
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      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:49:00.281831+00:00"
    },
    {
      "input_index": 1703,
      "record_key": "SWRD:57780",
      "source_database": "SWRD",
      "record_id": 57780,
      "year": 2024,
      "title": "'I just want you to listen': People who have experienced suicidal ideation/attempts talk about what they want from their crisis teams",
      "abstract": "This article uses data from a doctoral thesis concerning service users' views on what works for them in relation to their mental health wellness following a suicidal ideation/attempt in Aotearoa New Zealand. In particular, it focuses on the experiences of service users regarding mental health crisis team responses and what they wanted from their crisis teams specifically. Participants indicated that what they wanted was to feel heard, respected and not judged, consistent with the core conditions of therapeutic alliance within such professions as social work, counselling and psychology. Social work has a valuable role to play in emphasising and advocating for social, contextual and non-medical responses within crisis teams and service delivery.",
      "authors": "Staniforth, Barbara; Ali, Behiye; Adamson, Carole",
      "author_ids": "",
      "journal_or_venue": "Qualitative Social Work",
      "doi": "10.1177/14733250231212114",
      "record_type": "Article",
      "database_method": "Qualitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:49:12.848706+00:00"
    },
    {
      "input_index": 1705,
      "record_key": "SWRD:56776",
      "source_database": "SWRD",
      "record_id": 56776,
      "year": 2024,
      "title": "A pilot study: Exploring suicidal ideation among non-offending adults with sexual attraction to minors, through their online forum posts",
      "abstract": "center dot An emerging field of research seeks to understand the experiences of non-offending adults who experience sexual attraction towards children. Research indicates that this largely hidden population can experience significant mental ill health and suicidal ideation, yet are reluctant to seek professional mental health support. Furthermore, mental ill health has been identified as a factor that can increase the likelihood of offending. This study, undertaken by a social work practitioner researcher, aimed to assist in understanding suicidality factors within this population, and to identify how statutory mental health services could be developed for this client group, thus contributing to child protection and suicide prevention agendas. A qualitative analysis was undertaken of data gathered from an online forum used by adults who have sexual attraction towards children, and are committed to non-offending. The data related to forum members' experiences of suicidality, and key themes were identified through thematic analysis. center dot Findings: The study found that a pattern of suicidal ideation commonly appears to manifest and identified risk and protective factors that can influence suicidality. The benefits of peer support and the strengths and limitations of professional support were also identified. center dot Applications: The findings from this study contribute to an improved understanding of this client group for mental health practitioners. The findings also lay the foundation for further investigations, to inform the development of mental health services to facilitate improved outcomes for this client group, and for child protection.",
      "authors": "Murphy, Rachel",
      "author_ids": "",
      "journal_or_venue": "Journal of Social Work",
      "doi": "10.1177/14680173241240973",
      "record_type": "Article",
      "database_method": "Qualitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T18:49:17.837434+00:00"
    },
    {
      "input_index": 1706,
      "record_key": "SWRD:72745",
      "source_database": "SWRD",
      "record_id": 72745,
      "year": 2024,
      "title": "A trans-conceptual model for suicide prevention in social work practice: military and veteran populations as an example",
      "abstract": "Despite the multi-disciplinarity of suicidology, social work’s contribution to the conceptual framing of suicide has been limited. Consequently, modern prevention efforts insufficiently reflect person in environment and systems perspectives that are foundational to social work practice. This article centers the potential for social work to serve a critical role within the theoretical framing and conceptualization of suicide. Building upon contemporary suicidological perspectives like the interpersonal theory of suicide and critical responses, such as the cultural-structural theory of suicide, a trans-conceptual model for social work practice is presented. Application is highlighted through the example of military personnel and veterans.",
      "authors": "Bylotas J.",
      "author_ids": "",
      "journal_or_venue": "Social Work in Mental Health",
      "doi": "10.1080/15332985.2023.2244624",
      "record_type": "Journal Article",
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      "database_is_scientific": true,
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      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T18:49:20.143234+00:00"
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    {
      "input_index": 1707,
      "record_key": "SWRD:56851",
      "source_database": "SWRD",
      "record_id": 56851,
      "year": 2024,
      "title": "Addressing gun violence through social work education",
      "abstract": "Gun violence is a critical public health issue in the United States, with firearms involved in over 48,000 deaths in 2021. However, social workers receive limited training to address the risks and impacts of gun violence despite frequently working with affected populations. This paper examines how social work education can better prepare students through a framework developed by the Police Executive Research Forum categorizing gun violence into four types: suicide, criminal homicide, domestic violence homicide, and mass shootings. Each section explores prevention and intervention strategies related to each category and innovative recommendations for integrating these topics into social work curricula and field placements. A comprehensive approach addressing prevention and intervention strategies across the areas of suicide, homicide, domestic violence, and mass shootings is key to producing social workers ready to effectively address gun violence. This paper provides specific examples of assignments, class discussions, field experiences, and other educational strategies for training social work students to meet this urgent need. Enhanced education around gun violence will equip social workers to advocate for policy changes, educate communities, provide trauma-informed care, and collaborate with multidisciplinary partners to promote safety and well-being.",
      "authors": "Hawley-Bernardez, Alicia; Patton, Joy; Meza, Carol; Gibbons, Greg",
      "author_ids": "",
      "journal_or_venue": "Social Work Education",
      "doi": "10.1080/02615479.2024.2334788",
      "record_type": "Article; Early Access",
      "database_method": null,
      "database_is_scientific": true,
      "database_is_empirical": false,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:49:22.645670+00:00"
    },
    {
      "input_index": 1708,
      "record_key": "SWRD:58690",
      "source_database": "SWRD",
      "record_id": 58690,
      "year": 2024,
      "title": "Addressing Suicide Risk: A Systematic Review of Motivational Interviewing Infused Interventions",
      "abstract": "Purpose: Brief interventions have been applied to the problem of suicide. This systematic review quantitatively and qualitatively examined the effectiveness of motivational interviewing (MI)-infused interventions. Methods: PRISMA guidelines were followed throughout. Results: 147 studies were initially identified, with nine meeting the final inclusion criteria. All studies blended MI with other interventions and were primarily located in triage settings. MI-infused interventions were not significantly stronger in lowering suicidal ideation or behavior. However, such interventions were significantly more likely to result in follow-up care post intervention. Discussion: MI-infused interventions are not linked to statistically significantly lowered risk for suicide ideation or behavior despite increased mental health-seeking behavior post intervention. However, MI-infused interventions may be valuable for suicidal behavior in hospital settings because they increase a key intervention target: following up with mental health care. The literature on MI-infused interventions for suicide is in an early stage with many unanswered questions.",
      "authors": "Lundahl, Brad; Howey, Whitney; Dilanchian, Aundrea; Garcia, Myra J.; Patin, Kara; Moleni, Kristina; Burke, Brian",
      "author_ids": "",
      "journal_or_venue": "Research on Social Work Practice",
      "doi": "10.1177/10497315231163500",
      "record_type": "Review",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Review"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T18:49:25.093645+00:00",
      "screening_source": "Primary screen; blind audit agreement",
      "accuracy_audit": {
        "sample_group": "Review",
        "random_seed": 20260802,
        "blind_screening": {
          "is_relevant": true,
          "relevance_rationale": "The study explicitly focuses on the effectiveness of motivational interviewing interventions for reducing suicidal ideation and behavior, making suicide risk a central outcome.",
          "evidence_class": "Empirical",
          "empirical_method": "Review",
          "classification_rationale": "The abstract identifies the work as a systematic review following PRISMA guidelines that synthesizes data from multiple studies to evaluate intervention effectiveness.",
          "confidence": "High"
        },
        "full_label_agreement": true
      }
    },
    {
      "input_index": 1710,
      "record_key": "SWRD:536",
      "source_database": "SWRD",
      "record_id": 536,
      "year": 2024,
      "title": "Barriers to a trauma-informed approach to suicide: experiences of practicing clinicians",
      "abstract": "Many clients with suicidal thoughts and behaviors will also have a history of trauma. Little is known about the ways that mental health clinicians implement a trauma informed approach (TIA) with this population or the challenges they encounter in this work. This qualitative study of clinicians (N = 30) explored the use of TIAs to address suicidal thoughts and behaviors. Thematic analysis identified barriers to the use of a TIA with individuals with suicidal thoughts and behaviors: insufficient knowledge and skills (n = 30), systemic barriers (n = 28), and a lack of integration of the fields of trauma and suicide (n = 26). Implications for clinicians, educators, and organizations are discussed.",
      "authors": "Mirick, Rebecca G.; Bridger, Joanna; Mccauley, James",
      "author_ids": "",
      "journal_or_venue": "Social Work in Mental Health",
      "doi": "10.1080/15332985.2024.2447798",
      "record_type": "Article; Early Access",
      "database_method": "Qualitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
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      "model": "qwen3.6:27b",
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        "prompt_eval_count": 1066,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:49:30.040798+00:00",
      "screening_source": "Primary screen; blind audit agreement",
      "accuracy_audit": {
        "sample_group": "Qualitative",
        "random_seed": 20260802,
        "blind_screening": {
          "is_relevant": true,
          "relevance_rationale": "The study explicitly focuses on clinicians' experiences and barriers regarding the implementation of trauma-informed approaches for clients with suicidal thoughts and behaviors, making suicide a central substantive focus.",
          "evidence_class": "Empirical",
          "empirical_method": "Qualitative",
          "classification_rationale": "The abstract describes a qualitative study involving thematic analysis of data from 30 clinicians, which constitutes primary empirical research using qualitative methods.",
          "confidence": "High"
        },
        "full_label_agreement": true
      }
    },
    {
      "input_index": 1712,
      "record_key": "SWRD:55662",
      "source_database": "SWRD",
      "record_id": 55662,
      "year": 2024,
      "title": "Campaign against living miserably: A look from social learning theory (SLT)",
      "abstract": "The Campaign Against Living Miserably (CALM) aims at advocating against suicide and changing the way mental health is addressed in everyday conversation. Social learning theory (SLT) explains how people imitate others' behaviors-for example, through a process called learning by imitation. Observation and imitation are vital aspects of how people develop behaviors and habits. One of these behaviors is highly negative and controversial: suicide and the unhealthy mental health relationships that come with it. People can emulate the death of another by copying their behavior, sometimes without even entirely meaning to do so. This paper applies the tenets of SLT-i.e. attention, retention, reproduction, and motivation-to aspects of CALM and to the negative impacts of phenomena such as social media influencers (SMIs) and celebrity suicides. What makes this approach interesting is that the CALM campaign can benefit from the use of one of the longest-established theories in the fields of psychology and communication. More precisely, regarding mental health and the media, most studies have focused on how social media is causing depression or anxiety. This is why this manuscript adds fresh insights by using key SLT precepts to raise awareness as to how these suicidal thoughts and symptoms form.",
      "authors": "O'Leary, Olivia; Matusitz, Jonathan",
      "author_ids": "",
      "journal_or_venue": "Journal of Human Behavior in the Social Environment",
      "doi": "10.1080/10911359.2024.2412099",
      "record_type": "Article; Early Access",
      "database_method": null,
      "database_is_scientific": true,
      "database_is_empirical": false,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2735341666,
        "prompt_eval_count": 1162,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:49:36.342799+00:00"
    },
    {
      "input_index": 1713,
      "record_key": "SWRD:55711",
      "source_database": "SWRD",
      "record_id": 55711,
      "year": 2024,
      "title": "Clinical Confidence in Risk Assessments of Suicidal Clients: An Intervention Study",
      "abstract": "This paper reports on factors associated with clinician confidence in the assessment of suicide risk and the ability of an educational intervention aimed at improving decision-making in experienced clinicians to influence clinical confidence. Two aspects of clinical confidence were considered: (1) outcome-based confidence regarding the ultimate decision whether or not the client required hospitalization due to suicide risk; and (2) process-based confidence regarding clinician performance during an interview. The intervention combined: risk assessment interviews with simulated clients; classroom-based education on decision-making science; practice-based self-monitoring with the aid of wearable technology; and classroom-based group and individual opportunities to engage in discussions regarding clinical decision-making. Results revealed that while there was wide variability in clinician decisions regarding hospitalization, participants were equally confident in their suicide risk assessment process and clinical performance regardless of the final decision. Confidence in clinical decision-making was negatively associated with psychological stress and physiological stress, as well as emotional exhaustion on the Maslach Burnout Inventory (MBI) and positively associated with the personal achievement scale of the MBI. Confidence in clinical performance was negatively associated with psychological stress and both emotional exhaustion and depersonalization on the MBI. Confidence in clinical decision-making did not significantly increase following the educational intervention, however, there were some modest increases in confidence in clinical performance that approached statistical significance. These findings raise new questions regarding clinical confidence, separating different aspects of clinical confidence and investigating further the association between clinical confidence and client outcomes in social work.",
      "authors": "Regehr, Cheryl; Birze, Arija",
      "author_ids": "",
      "journal_or_venue": "Clinical Social Work Journal",
      "doi": "10.1007/s10615-024-00965-8",
      "record_type": "Article; Early Access",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2818998792,
        "prompt_eval_count": 1216,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:49:39.163041+00:00"
    },
    {
      "input_index": 1714,
      "record_key": "SWRD:58110",
      "source_database": "SWRD",
      "record_id": 58110,
      "year": 2024,
      "title": "Collaborative depression care sensitive to the needs of underserved patients with cancer: Feasibility, acceptability and outcomes",
      "abstract": "PurposeA single-arm trial evaluated the feasibility, acceptability, and outcomes of COPE-D, a collaborative care intervention for underserved cancer patients with depression.MethodsBilingual (Spanish and English) care managers provided counseling and/or medication management in consultation with physicians. Outcomes were treatment improvement (& GE; 5-point reduction in PHQ-9), treatment response (& GE; 50% reduction in PHQ-9), suicidal ideation resolution, and changes in depression (PHQ-9), anxiety (GAD-2), sleep disturbance (PSQI), global mental and physical health (PROMIS), social isolation (PROMIS), and qualitative feedback.Results193 patients consented to participate. 165 initiated and 141 completed treatment, with 65% and 56% achieving treatment improvement and response, respectively. Outcomes did not differ by ethnicity (31% Hispanic), cancer stage (71% stages III-IV), income, or education. Suicidal ideation, depression, anxiety, sleep disturbance, and social isolation also improved. Qualitative feedback was largely positive.ConclusionCOPE-D improved depression and quality of life among underserved patients, with acceptable retention rates.",
      "authors": "Price, Sarah; Hamann, Heidi A.; Halaby, Laila; Trejo, Juanita; Rogers, Fernanda Corella; Weihs, Karen",
      "author_ids": "",
      "journal_or_venue": "Journal of Psychosocial Oncology",
      "doi": "10.1080/07347332.2023.2224314",
      "record_type": "Article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "prompt_eval_count": 1183,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:49:41.908953+00:00"
    },
    {
      "input_index": 1715,
      "record_key": "SWRD:58703",
      "source_database": "SWRD",
      "record_id": 58703,
      "year": 2024,
      "title": "Computerized Suicide Prevention Clinical Training Simulations: A Pilot Study",
      "abstract": "Purpose: Mental health providers are well-positioned to engage in suicide prevention efforts, yet implementation depends on skill acquisition and providers often report feeling underprepared. This pilot study explored the acceptability, feasibility, and preliminary effectiveness of three suicide prevention-focused simulations with virtual clients. Method: Students (n = 22) were recruited from a Master of Social Work program, completed pre- and post-test surveys, and engaged with three simulated trainings: (1) suicide risk assessment, (2) safety planning, and (3) motivating a client to treatment. Results: Simulations were reported to be acceptable and feasible, with strong student desire and need for greater suicide prevention training. We observed significant improvements over time in clinical skills via simulated training scores and perceptions of clinical preparedness. Discussion: Preliminary findings indicate simulated training with virtual clients is promising and suggest the three suicide prevention simulations may be useful, scalable, and effective in social work training programs and beyond.",
      "authors": "Bornheimer, Lindsay A.; Li Verdugo, Juliann; Humm, Laura; Steacy, Chris; Krasnick, Julie; Grumet, Julie Goldstein; Aikens, James E.; Gold, Katherine J.; Hiltz, Barbara; Smith, Matthew J.",
      "author_ids": "",
      "journal_or_venue": "Research on Social Work Practice",
      "doi": "10.1177/10497315231161563",
      "record_type": "Article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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      "screened_at": "2026-08-02T18:49:44.709727+00:00"
    },
    {
      "input_index": 1716,
      "record_key": "SWRD:72152",
      "source_database": "SWRD",
      "record_id": 72152,
      "year": 2024,
      "title": "Cyber Victimization, Traditional Victimization, and Suicidal Ideation: The Role of Left-Behind Status Among Adolescents in Rural China",
      "abstract": "Although numerous studies have investigated the psychological outcomes of peer victimization, little is known about differences in the negative effects of traditional victimization and cyber victimization, especially among left-behind and non-left-behind adolescents in rural China. We aimed to examine a model explaining how traditional victimization and cyber victimization influence suicidal ideation mediated by emotional distress in rural China, with left-behind status as a moderator. Data were collected via random, multistage, stratified-cluster sampling in schools in a rural region of Hunan province, China. The sample included 697 adolescents in Grades 7–9 (boys = 53.8%). Structural equation modeling and multigroup comparison analysis were performed to test a pre-formulated conceptual model. In the full sample, both traditional and cyber victimization were associated with students’ emotional distress, which was also associated with suicidal ideation. Among left-behind adolescents, only traditional victimization was associated with emotional distress and suicidal ideation. For non-left-behind adolescents, both traditional victimization and cyber victimization were significantly associated with emotional distress, and cyber victimization’s association with emotional distress was even slightly stronger than traditional victimization’s. Our study expands the current understanding of the differential effects of traditional and cyber victimization among subgroups of children. The findings further suggest that the focus should not be solely on left-behind children; the psychological health of non-left-behind children also warrants attention. Additionally, the study provides considerable implications for practice.",
      "authors": "Han Xie; Aron Shlonsky; Yizhe Jiang; Kunjie Cui",
      "author_ids": "",
      "journal_or_venue": "Child & Adolescent Social Work Journal",
      "doi": "10.1007/s10560-024-01002-w",
      "record_type": "Journal Article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
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      "screened_at": "2026-08-02T18:49:47.895257+00:00"
    },
    {
      "input_index": 1717,
      "record_key": "SWRD:102447",
      "source_database": "SWRD",
      "record_id": 102447,
      "year": 2024,
      "title": "Death on the Farm: How I Learned that Social Work (and Everyone) Should Care about Farmer Suicide",
      "abstract": "Farmers and farm families are not often seen as a vulnerable population in need of social work services. This narrative reflection describes how I, a child of the suburbs, came to be involved in research examining stress and suicide rates in farmers. Through a chance conversation with a colleague, I began to learn about the high rates of suicide and multiple stressors among farmers. Together with collaborators from Cooperative Extension, we have begun working to develop suicide prevention and intervention initiatives. Through this process I learned about the rich potential for collaboration with scholars and service providers in the agricultural sector and have grown in commitment to this work. Farmers provide the food, fiber, and fuel we all need; their needs and challenges are of relevance to all of us. I believe social work should turn its attention to this vulnerable population in curriculum, direct practice, advocacy, and research.",
      "authors": "Ketayun H.; Mahasweta M",
      "author_ids": "",
      "journal_or_venue": "Reflections: Narratives of Professional Helping",
      "doi": null,
      "record_type": "Article",
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      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T18:49:50.692114+00:00"
    },
    {
      "input_index": 1718,
      "record_key": "SWRD:71931",
      "source_database": "SWRD",
      "record_id": 71931,
      "year": 2024,
      "title": "Deaths of Despair in Black and White: Gun Violence, Political Economy, and the Case for Macro Intervention",
      "abstract": "This article argues that elevated levels of gun homicide and gun suicide among younger black men and middle-aged white men, respectively, are the consequences of a political economy that produces widespread despair among the most vulnerable segments of the laboring classes. Understood in this way, these phenomena share a common etiology whose roots can be traced to two major, temporally distinct developments: (1) postwar shifts in the political economy that redefined central cities as sites of black dislocation, and (2) the more recent intensification of globalization and investor class power that has redefined smaller cities, towns, and rural communities as sites of white dislocation. These transformations have rendered working-class blacks and whites (and others) vulnerable to a wide range of maladies and adverse social outcomes, including involvement in gun violence. In addition to examining these political-economic transformations and their effects on black and white working-class communities, this article also explores the divergent racialized manifestations of gun violence within these demographic groups. While micro and mezzo interventions are typically stressed to respond to these issues, their ultimate resolution requires recognition of their common roots in conditions of structurally imposed despair and the concomitant remedy of those conditions at the macro level.",
      "authors": "Aspholm R.R.; Aguilar N.; Vil C.S.",
      "author_ids": "",
      "journal_or_venue": "Advances in Social Work",
      "doi": "10.18060/27396",
      "record_type": "Journal Article",
      "database_method": null,
      "database_is_scientific": true,
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      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
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      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:49:54.156848+00:00"
    },
    {
      "input_index": 1720,
      "record_key": "SWRD:56613",
      "source_database": "SWRD",
      "record_id": 56613,
      "year": 2024,
      "title": "Development of the Mobile Application to Prevent Suicide (MAPS), a Personalized Smartphone App for Suicide Prevention: Feedback from Individual Interviews",
      "abstract": "The goal of this study was to explore preferences regarding the Mobile Application to Prevent Suicide (MAPS), an ecological momentary intervention smartphone app. We conducted individual interviews with 10 adults hospitalized for suicidal ideation or behavior. In these interviews, we asked about participants' preferences associated with smartphone apps for suicide prevention in general and requested feedback on the specific features of the MAPS intervention. We used line-by-line inductive coding to create a codebook and identify where codes were most prominently displayed. Participants expressed interest in personalized, targeted approaches to suicide prevention, psychoeducation, access to coping strategies, and direct access to crisis services. Involving individuals with lived experience in the early stages is an essential step in the development of a smartphone app for suicide prevention.",
      "authors": "Schatten, Heather T.; Kimble, Sara K.; Alboukrek, Daniel; Carosa, Catarina L.; Hughes, Christopher D.; Armey, Michael F.; Miller, Ivan W.; Elwy, A. Rani; Primack, Jennifer",
      "author_ids": "",
      "journal_or_venue": "Journal of Technology in Human Services",
      "doi": "10.1080/15228835.2024.2351416",
      "record_type": "Article",
      "database_method": "Qualitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:49:59.914477+00:00"
    },
    {
      "input_index": 1722,
      "record_key": "SWRD:110600",
      "source_database": "SWRD",
      "record_id": 110600,
      "year": 2024,
      "title": "Esperanza: Increasing Equity and Access in Mental Health Services for Adolescents",
      "abstract": "This study evaluated a curriculum-based training on Youth Mental Health First Aid (YMHFA) for a Catholic school system in South Texas. It addressed underdeveloped areas of YMHFA literature by providing this training within the cultural context of religious institutions that predominantly serve Latinx youth. Catholic schools in South Texas have documented a rise in mental health concerns among their students. In 2018 the Health Resources and Services Administration designated the geographic area of the study as a high-need area experiencing a shortage of mental health professionals. The students served by the system identified as 70-percent Hispanic/Latinx. Teachers and staff at Catholic schools (n = 243) within this area received YMHFA training. Pretest/posttest results showed an increase in both confidence and knowledge. Data suggested that the training was impactful in reducing participants' mental health biases and instilling confidence to reach out to students, ask about suicide, and connect students with community resources for support.",
      "authors": "Henderson, Marissa M; Shores, Susan; Bowie-Viverette, April C; Bowie-Viverette, April C; Glazier, Wendy; Diehl, Lisa; Coronado, Ramon; Gomez, Rebecca J; Chapman, Tamara; Gomez, Rebecca J; Pon, Gordon; Cuevas, Mo; Groulx, Lionel-Henri; Healy, Deborah; O'Donnell, Kristen; Gagne, Marie-Helene; Martinez-Gollar, Lupita; Bouchard, Camil",
      "author_ids": "",
      "journal_or_venue": "School Social Work Journal",
      "doi": null,
      "record_type": "Journal Article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T18:50:06.258127+00:00"
    },
    {
      "input_index": 1723,
      "record_key": "SWRD:72278",
      "source_database": "SWRD",
      "record_id": 72278,
      "year": 2024,
      "title": "Examining the relationship between religious volunteering and mental health screeners among firefighters",
      "abstract": "Firefighters experience a high level of traumatic incidents in their work. This high level of exposure puts them at risk for trauma-related symptoms. These trauma symptoms include PTSD, suicide risk, alcohol misuse, and depression, and anxiety. Furthermore, repeated exposure has been found to lead to desensitization, flashbacks, irritability, and PTSD. Exposure to natural disasters may also impact ecospirituality. A survey was designed to include the Life Events Checklist, PHQ-9, GAD-7, PCL-5, and the SBQ-R. This survey was administered to firefighters from Northwest Florida in the fall of 2020 and spring of 2021. Participants were found to have higher levels of PTSD, anxiety, depression, and suicidal risk than the general population. Participants were further asked about their volunteering for religious organization activity. A significant relationship was found between volunteering for religious organization and mental health screeners. Religious volunteering predicted lower levels of PTSD symptoms, depression, and anxiety. The effect size was small.",
      "authors": "Herzog J.R.; Dillard D.; King E.; Rotunda R.; O’Dare K.; Dilks J.",
      "author_ids": "",
      "journal_or_venue": "Journal of Religion & Spirituality in Social Work",
      "doi": "10.1080/15426432.2024.2416579",
      "record_type": "Journal Article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
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      "screening": {
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        "evidence_class": "Empirical",
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T18:50:09.397035+00:00"
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    {
      "input_index": 1724,
      "record_key": "SWRD:57032",
      "source_database": "SWRD",
      "record_id": 57032,
      "year": 2024,
      "title": "Exploring Teen Suicide Rates through the Lens of Macro Risk Factors",
      "abstract": "As the second leading cause of death in teenagers, suicide has been a consistent public health issue for the past decade. Our goal is to understand the relationship between increasing teen suicide rates by state policies. We explore links between macro-level risk factors and state suicide rates. Risk factors explored include state behavioral health spending, child access policies for firearms, insurance coverage, tax revenue from tobacco and alcohol, school spending per pupil, pupil support services funding, and teacher spending. This research shows a relationship between pupil support spending, any child access law, required legislation, and lower teen suicide rates. The results from this study can aid in the understanding of macro-level influences on teen suicide; empowering advocates, lawmakers, and researchers to develop informed interventions and policies. Increasing multi-level understanding around suicide can provide an opportunity to slow or stop suicide rates.",
      "authors": "Godshall, Katherine C.; Hansel, Tonya Cross; Brewer, Kathryne",
      "author_ids": "",
      "journal_or_venue": "Social Work in Public Health",
      "doi": "10.1080/19371918.2024.2324145",
      "record_type": "Article",
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      "database_is_scientific": true,
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      "screening_basis": "title_and_abstract",
      "screening": {
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        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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    {
      "input_index": 1725,
      "record_key": "SWRD:56885",
      "source_database": "SWRD",
      "record_id": 56885,
      "year": 2024,
      "title": "Factors behind suicides in Muslim countries: a global ecological study",
      "abstract": "This study examines the relationship between suicide rates and social, political, and economic factors in Muslim-majority countries, considering the influence of Islam and unique socio-cultural factors. Conducted from January to December 2022, it covered 46 countries, collecting data on suicide rates, income, Human Development Index (HDI), poverty rate, life expectancy, literacy rate, and political system. Suicide rates in Muslim-majority countries could be predicted based on HDI, poverty rates, life expectancy, and literacy rates. Frequency of suicide rates varied across continents, with the highest rates in Africa. Culturally sensitive suicide prevention programs are crucial for Muslim-majority countries.",
      "authors": "Shoib, Sheikh; Tayyeb, Muhammad; Armiya'u, Aishatu Yusha'u; Raaj, Shaeraine; Elmahi, Osman Kamal Osman; Swed, Sarya; Saeed, Fahimeh; Nahidi, Mahsa; Bashir, Aadil; Chandradasa, Miyuru",
      "author_ids": "",
      "journal_or_venue": "Social Work in Mental Health",
      "doi": "10.1080/15332985.2024.2323040",
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      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T18:50:15.161165+00:00"
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    {
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      "record_key": "SWRD:601",
      "source_database": "SWRD",
      "record_id": 601,
      "year": 2024,
      "title": "Factors That Influence MSW Students' Referral Decisions for Depression: A Factorial Survey",
      "abstract": "Purpose Depression is one of the most commonly treated conditions in mental health practice. However, outcomes have been poor and social workers face a host of treatment-related dilemmas.Method This study used factorial survey methodology to disentangle the effects of client, practice, and respondent characteristics on master's in social work (MSW) students' antidepressant referral decisions. A total of 426 (n = 426) MSW students each judged three unique vignette scenarios yielding 1,266 (n = 1,266) judgments analyzed using multilevel model analyses.Results Findings suggest that the decision to refer was most influenced by previous response to antidepressant treatment, symptom profiles with suicidal ideations and anxiety, and recurrent episodes of depression. To a lesser degree, respondents' personal use of psychotropic medications and beliefs about physician prescribing patterns also influenced antidepressant referral decisions.Discussion This study illuminates the complex effects of clinical and non-clinical factors on MSW students' antidepressant referral decisions.",
      "authors": "Murphy, Melissa G.; Lacasse, Jeffrey R.; Schelbe, Lisa",
      "author_ids": "",
      "journal_or_venue": "Research on Social Work Practice",
      "doi": "10.1177/10497315241303845",
      "record_type": "Article; Early Access",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "prompt_eval_count": 1134,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:50:17.847029+00:00"
    },
    {
      "input_index": 1727,
      "record_key": "SWRD:71938",
      "source_database": "SWRD",
      "record_id": 71938,
      "year": 2024,
      "title": "Firearm Access and Safe Storage: What are Social Workers’ Training and Assessment Practices with Clients?",
      "abstract": "Social workers often work with clients who are at elevated risk for firearm victimization or perpetration due to their personal risk factors. But are they talking to their clients about firearms? Research on social workers’ firearm assessment or discussions with clients about safe storage is scarce. This study sought to better understand social workers' and students’ firearms training, beliefs, general knowledge, and application to practice. An anonymous, online, quantitative survey was completed by 139 social workers and students. Most social work practitioners and students had zero hours of training regarding firearms in their social work programs, their internship, and/or from continuing education units (CEUs). Those that had training asked clients about firearms. Besides asking suicidal and aggressive clients, most social workers were not routinely asking other high-risk clients about their access to firearms or their storage practices. Over half of the participants said they would be interested in future training. Social workers have unique skills and key connections with high-risk clients who are vulnerable to firearm-related risks. They have the potential to prevent gun violence, but only if they receive thorough, effective training on firearms assessment and safe storage practices.",
      "authors": "Rapp-Mccall L.; Lucio R.",
      "author_ids": "",
      "journal_or_venue": "Advances in Social Work",
      "doi": "10.18060/27395",
      "record_type": "Journal Article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3054135000,
        "prompt_eval_count": 1152,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:50:20.902771+00:00"
    },
    {
      "input_index": 1731,
      "record_key": "SWRD:55773",
      "source_database": "SWRD",
      "record_id": 55773,
      "year": 2024,
      "title": "Identifying depression, diabetes distress, and suicidality among adolescents with diabetes",
      "abstract": "This study explored the frequency of adolescents with diabetes who endorse suicidality on the Patient Health Questionnaire (PHQ-9) with varying degrees of depression scores. Additionally, compared whether diabetes distress levels from the Problem Areas in Diabetes-Teen (PAID-T) assessment tool is associated with and without suicidal ideation. Chi(2) analysis was used to assess differences in subjects with or without suicidal ideation based on depression severity. Since all the data were nonparametrically distributed (Shapiro-Wilk test, p < .05), Kruskal-Wallis test assessed differences in continuous variables. Overall, 27 of 355 adolescents screened endorsed suicidal ideation. Both PHQ-9 [13 (9-17.8) vs 1 (0-4.5)] and PAID-T [88 (61.8-104.5) vs 40 (30-58.8)] scores were significantly higher in patients with suicidal ideation. The frequency of suicidal ideation increased with the severity of depression. The frequency of severe depression was higher in adolescents with type 2 diabetes (n = 48) than in type 1, but there was no difference in suicidality. Adolescents with no demonstrable or minimal depression can still have potential suicidal ideation. Suicidality is a separate construct that should be screened routinely and apart from any measures screening for distress or adjustment disorders associated with adolescents experiencing life-long chronic conditions in a healthcare follow-up setting.",
      "authors": "Glick, Bethany A.; Hong, K. Ming Chan; Hoffman, Robert P.",
      "author_ids": "",
      "journal_or_venue": "Social Work in Health Care",
      "doi": "10.1080/00981389.2024.2400883",
      "record_type": "Article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "eval_count": 24
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      "screened_at": "2026-08-02T18:50:32.843559+00:00"
    },
    {
      "input_index": 1732,
      "record_key": "SWRD:56723",
      "source_database": "SWRD",
      "record_id": 56723,
      "year": 2024,
      "title": "Increasing Engagement of College Students at Risk for Suicide in Online Intervention: A Qualitative Analysis",
      "abstract": "This study aimed to identify barriers and facilitators to engaging with online interventions among 24 ethnoracially diverse college students self-identifying as being at risk for suicide. Thematic analysis was used to identify codes from focus groups. Participants shared mixed perceptions about online intervention use and effectiveness. Regarding barriers, they mentioned lack of motivation/self-discipline, artificiality, and lack of perceived need. Participants reported promotional information, incentives, and normalizing peer usage to facilitate uptake. Lastly, they mentioned program design, human coaching, and reminders to increase retention. These insights inform future research aimed at developing online intervention engagement models to increase uptake and retention.",
      "authors": "Reyes-Portillo, Jazmin A.; Judd, Emily; Martin, Grace; Kalver, Avi; Taveras, Lizbeth; Rette, Danielle; Lekas, Helen-Maria; Escobar, Melissa; Coyle-Eastwick, Samantha; King, Cheryl A.; Masia Warner, Carrie",
      "author_ids": "",
      "journal_or_venue": "Journal of Technology in Human Services",
      "doi": "10.1080/15228835.2024.2343699",
      "record_type": "Article",
      "database_method": "Qualitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "eval_count": 24
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      "screened_at": "2026-08-02T18:50:35.485463+00:00"
    },
    {
      "input_index": 1733,
      "record_key": "SWRD:58202",
      "source_database": "SWRD",
      "record_id": 58202,
      "year": 2024,
      "title": "Interventions for Adolescent Suicide Ideation and Suicide Attempts in Latin America and Spain: A Systematic Review",
      "abstract": "Purpose: Adolescents are particularly vulnerable to suicide attempts, which is a major risk factor for completed suicide in this age group. However, most research on suicide prevention interventions comes from high-income countries with predominantly white participants and English protocols. This study examines interventions that have been tested in Latin America and Spain. Methods: A systematic review was conducted to include interventions aimed at reducing suicide ideation, attempts, and increasing knowledge about it in these regions. Results: Sixteen articles were selected, and Dialectical Behaviour Therapy, Problem Solving Therapy, and Trauma-Focused Cognitive Behavioural Therapy were found to be more effective than standard treatments or wait-list conditions in reducing the outcomes. Discussion: This review highlights the need for more research on preventive interventions in Latin America and Spain. While all interventions evaluated were effective, further research and replication studies are necessary to strengthen the evidence base for these interventions.",
      "authors": "Canizares, Catalina; Macgowan, Mark J.",
      "author_ids": "",
      "journal_or_venue": "Research on Social Work Practice",
      "doi": "10.1177/10497315231178462",
      "record_type": "Review",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Review"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2708415125,
        "prompt_eval_count": 1107,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:50:38.195284+00:00"
    },
    {
      "input_index": 1734,
      "record_key": "SWRD:997",
      "source_database": "SWRD",
      "record_id": 997,
      "year": 2024,
      "title": "Interventions Targeting the Mental Health and Well-being of Care-Experienced Children and Young People: Mixed-Methods Systematic Review with Stakeholder Consultation to Inform Transportability and Adaptability to UK Context",
      "abstract": "Care-experienced children and young people are at increased risk of poor mental health and well-being, and suicide-related outcomes. There is an evidence-base for intervention effectiveness, but this is primarily from the USA. The present systematic review synthesised evidence for international interventions, exploring potential transportability and adaptability to the UK. We constructed an evidence map, and syntheses of intervention effectiveness, process evaluations and economic evaluations. We conducted seven stakeholder consultations with care-experienced young people, carers and professionals, to appraise transportability and adaptability. We identified sixty-four interventions, with 124 associated study reports. Seventy-seven were from the USA. There was limited effectiveness in targeting mental health, although there were promising approaches. Few approaches targeted well-being and suicide. Context factors, identified by the review and confirmed by stakeholders, may inhibit delivery: insufficient resources; time, emotional and cognitive burden; challenging interprofessional relationships; non-responsiveness to young people's needs; and discounting of carers' knowledge. Stakeholders recommended peer mentoring by other care-experienced individuals and system-change models that facilitate an attachment and/or trauma-informed ethos. Adaptation of existing approaches may be required to account for the context factors. Further intervention work is needed to target well-being and suicide. Children and young people that have been in care can have poorer mental health and well-being compared to those who have not been. There has been an increase in the number of programmes to improve the mental health of this group, but they have mainly been delivered in the USA. This means, we don't know if these approaches will likely work in the UK. We undertook one of the first reviews of international programmes, to understand what works, what the challenges might be in delivering them and encouraging people to take part, and how they might be adapted to the UK. In total, we found sixty-four programmes. Overall, it was not clear if they worked, but some individual programmes were promising. We shared our findings with care-experienced young people, carers and professionals to see which ones they would prioritise in the UK. Participants in these groups felt that the most promising approaches would be peer mentoring by other care-experienced young people and making social and health care practice more attachment and trauma-informed. However, some changes would be beneficial to make them work locally. They also felt that more work is needed to develop programmes that improve well-being and prevent suicide.",
      "authors": "Evans, Rhiannon; MacDonald, Sarah; Trubey, Rob; Melendez-Torres, G. J.; Robling, Michael; Willis, Simone; Boffey, Maria; Wooders, Charlotte; Vinnicombe, Soo; Noyes, Jane",
      "author_ids": "",
      "journal_or_venue": "British Journal of Social Work",
      "doi": "10.1093/bjsw/bcae061",
      "record_type": "Article",
      "database_method": "Review",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Review"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3601908292,
        "prompt_eval_count": 1441,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:50:41.798902+00:00"
    },
    {
      "input_index": 1736,
      "record_key": "SWRD:117123",
      "source_database": "SWRD",
      "record_id": 117123,
      "year": 2024,
      "title": "Managing Suicidal Thoughts with DBT-Informed Social Work Counseling: Reflections on Working with a Filipino Young Adult",
      "abstract": "Suicidal thoughts often serve as a precursor to suicide, which is a leading cause of death globally. In the Philippines, social work service users frequently present suicidal thoughts as an area of concern, yet the absence of standardized protocols and supportive systems complicates the role of Filipino social workers. Guided by Rolfe et al.’s Critical Reflection Model, this paper contemplates a social work helping process with a service user living with passive suicidal thoughts. Using a single case presentation, the paper illustrates the application of Dialectical Behavior Therapy (DBT)-informed social work counseling as an approach. Preliminary observations from the case suggest notable reductions in distress levels and underscore the importance of adapting and replicating the approach across diverse contexts. Additionally, the paper offers relevant practice insights drawn from the experience. It concludes with recommendations for advancing practice and future research in this criti",
      "authors": "Alain Matteo Meneses; Alain Matteo Meneses; Alain Matteo Meneses; Alain Matteo Meneses",
      "author_ids": "",
      "journal_or_venue": "ASEAN Social Work Journal",
      "doi": "dc/68811e6c14",
      "record_type": "Journal Article",
      "database_method": "Qualitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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      "screened_at": "2026-08-02T18:50:47.469476+00:00"
    },
    {
      "input_index": 1737,
      "record_key": "SWRD:57890",
      "source_database": "SWRD",
      "record_id": 57890,
      "year": 2024,
      "title": "Measuring the effect of economic indicators of low and middle-income countries on suicide rates by using panel data analysis method",
      "abstract": "Suicide is the ending of one's own life for economic, psychological, and social reasons. Suicide cases worldwide occur mostly in low- and middle-income countries. The aim of this study is to examine the effect of economic indicators of low and middle-income countries on suicide rates by panel data analysis method. The dependent variable is the (crude) suicide rate. The independent variables are gross domestic product, per capita income, general unemployment rate, poverty level, and Gini index value. In the study, two different econometric models were developed. In Model 1, it was predicted that a 1% increase in the poverty level of countries in the middle-income group could lead to an increase of 0.66% in the suicide rate. In Model-2, it was estimated that a 1% increase in the per capita income of low-income countries would cause a 0.52% decrease in the suicide rate. It was predicted that a possible increase of 1% in the Gini index value would cause an increase of 0.24% and 0.32% in the suicide rates of middle- and low-income countries, respectively. Although there are various factors affecting the suicide rate in society, there are often economic reasons at the root of the problem. The consequences of the unequal distribution of income in a poorer society can be more devastating. Although the results of the study are important in terms of revealing the effect of economic indicators on suicide rates more research is needed in this area.",
      "authors": "Kalender, Selin; Senol, Osman; Kisi, Merve",
      "author_ids": "",
      "journal_or_venue": "Journal of Human Behavior in the Social Environment",
      "doi": "10.1080/10911359.2023.2268139",
      "record_type": "Article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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        "prompt_eval_count": 1238,
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      "screened_at": "2026-08-02T18:50:50.543378+00:00"
    },
    {
      "input_index": 1738,
      "record_key": "SWRD:71738",
      "source_database": "SWRD",
      "record_id": 71738,
      "year": 2024,
      "title": "Mental Health Service Utilization, School Experiences, and Religious Involvement Among a National Sample of Black Adolescents Who Attempted Suicide: Examining Within and Cross-Race Group Differences",
      "abstract": "Prior suicide attempt serves as one of the strongest predictors of future suicide attempt and risk for death by suicide among youth. Disparities, however, persist in determining which groups have access to services following an attempt. Thus, we compare the experiences of Black youth with a history of lifetime suicide attempt to youth from other race groups who also attempted suicide in efforts to identify both gaps in treatment and promising opportunities for prevention and intervention. This study is a secondary analysis of cross-sectional data from 7704 youth ages 12–17 who participated in the 2004–2019 National Survey on Drug Use and Health (NSDUH). The NSDUH is a national survey of households in the US. Cross-race and within-group sex comparisons for Black youth were assessed across 24 separate indicators of mental health service utilization, school engagement, and religious involvement. Findings indicate that 35.83% of Black youth with a history of lifetime suicide attempt received treatment from a therapist within the past year, while nearly 52% of White youth reported receiving treatment from a therapist within this same timeframe. Notably, 57% of Black youth who attempted suicide were insured through Medicaid or CHIP, though Asian, Multiracial and White youth were more likely to have private insurance. Forty percent of Black youth who previously attempted suicide strongly agreed that their religious beliefs were important to them; this percentage is far greater than reports provided by youth from all other race groups. Black youth also attended religious services more often when compared to youth of other races. Black boys with a history of lifetime suicide attempt were less likely to report seeing a therapist within the past year relative to Black girls. Suicide prevention interventions should integrate concepts that are most important to Black youth to ensure that mental health services are culturally salient, economically feasible, and readily accessible.",
      "authors": "Goodwill J.R.; Yasui M.",
      "author_ids": "",
      "journal_or_venue": "Child & Adolescent Social Work Journal",
      "doi": "10.1007/s10560-022-00888-8",
      "record_type": "Journal Article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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        "eval_count": 24
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      "screened_at": "2026-08-02T18:50:53.818764+00:00"
    },
    {
      "input_index": 1740,
      "record_key": "SWRD:757",
      "source_database": "SWRD",
      "record_id": 757,
      "year": 2024,
      "title": "Native HeArts: Digital Storytelling Through Indigenous Art",
      "abstract": "Health disparities for Native/Indigenous youth are perpetuated by systemic bias and racism. Both the scientific literature and media play a role in maintaining disparities by telling stories through narrative or numbers that invalidate Indigenous knowledge and ways of systematic investigation, intervention, and communication regarding health and well-being. Youth were mentored by Indigenous artists to develop culturally relevant digital stories that speak to community wellness efforts, strengths, and resilience in regard to substance abuse and suicide prevention (from youth perspectives) to target root causes of health disparities by shifting narrative power to decolonial Indigenous philosophies. Together, we developed an intervention that targets the underlying root causes of health disparities by transforming the very structures upon which health interventions hinge. The realm of communication is one of these structures that is ripe with possibilities for new conceptions that uplift strength-based narratives through digital media. We created an intervention that emphasizes possibilities through positive images of Indigenous people, effectively addressing community issues by building community-based narrative power.",
      "authors": "DeMaria, Jaelyn; Straits, Kee J. E.",
      "author_ids": "",
      "journal_or_venue": "Journal of Community Practice",
      "doi": "10.1080/10705422.2024.2429758",
      "record_type": "Article",
      "database_method": null,
      "database_is_scientific": true,
      "database_is_empirical": false,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:51:00.012795+00:00",
      "screening_source": "Primary screen; blind audit agreement",
      "accuracy_audit": {
        "sample_group": "Relevant Non-empirical",
        "random_seed": 20260802,
        "blind_screening": {
          "is_relevant": true,
          "relevance_rationale": "The abstract explicitly identifies suicide prevention as a central focus of the digital storytelling intervention developed for Indigenous youth.",
          "evidence_class": "Non-empirical",
          "empirical_method": "Not applicable",
          "classification_rationale": "The text describes the development and conceptual framework of an intervention but does not report on data collection, analysis, or empirical results from a study.",
          "confidence": "High"
        },
        "full_label_agreement": true
      }
    },
    {
      "input_index": 1741,
      "record_key": "SWRD:117119",
      "source_database": "SWRD",
      "record_id": 117119,
      "year": 2024,
      "title": "Navigating Suicidal Crisis in a Traditional Setting of Kyrgyzstan",
      "abstract": "The Case Study of Azat (name is changed) represents a joint effort of data gathering from the Researcher, the Social Pedagogue and other community members from one of the remote local schools in Kyrgyzstan. By using phenomenological research methods including non-structured interviews (n=3), observations and field trips, the researcher strived to understand and describe the essence of the phenomenon of suicide in a conservative country, like Kyrgyzstan. The study highlights the challenging circumstances faced by Azat, a 14-year-old residing in a village in Kyrgyzstan. Azat's family grapples with financial instability, parent’s labor migration, and sibling abuse, all of which have led to distressing experiences for him, including two suicide attempts. The analysis emphasizes the significance of understanding ecological systems and societal constructs in social work practice. It underscores the vital role of social workers in advocating for marginalized individuals like Azat, with sugges",
      "authors": "Leila Salimova; Leila Salimova",
      "author_ids": "",
      "journal_or_venue": "ASEAN Social Work Journal",
      "doi": "dc/b777b0b6ec",
      "record_type": "Journal Article",
      "database_method": "Qualitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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        "attempt": 1,
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        "eval_count": 27
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      "screened_at": "2026-08-02T18:51:02.904898+00:00",
      "screening_source": "Primary screen; blind audit agreement",
      "accuracy_audit": {
        "sample_group": "Qualitative",
        "random_seed": 20260802,
        "blind_screening": {
          "is_relevant": true,
          "relevance_rationale": "The study focuses on a specific case of suicidal crisis and suicide attempts, analyzing the phenomenon of suicide within a cultural context.",
          "evidence_class": "Empirical",
          "empirical_method": "Qualitative",
          "classification_rationale": "The abstract explicitly describes using phenomenological research methods, including non-structured interviews and observations, to analyze primary data from a case study.",
          "confidence": "High"
        },
        "full_label_agreement": true
      }
    },
    {
      "input_index": 1742,
      "record_key": "SWRD:72353",
      "source_database": "SWRD",
      "record_id": 72353,
      "year": 2024,
      "title": "Navigating suicidality: swedish social workers’ approaches to identifying and supporting suicidal clients",
      "abstract": "This study examines how Swedish social workers across various social work agencies identify and support suicidal clients. Thematic analysis of interviews with seven social workers reveals a reliance on strong client relationships and past experiences with suicidal clients. The social workers consistently assess severity of suicidal intent in clients. Despite variations in roles, social workers generally express comfort in dealing with suicidal clients by using intuition, discretion and professional and organizational logics to support suicidal clients in personalized ways. The exercise of professional discretion and interventions varies based on roles, work conditions, and relationships with suicidal clients. Notably, social workers in addiction recovery outpatient care exhibit a high degree of discretionary power, while youth treatment workers in residential care units prioritize continuity of care, involving psychiatry when needed. Case workers often view psychiatry as responsible for decisions about suicidal clients and routinely refer them to psychiatric care.",
      "authors": "Gunnarsson N.V.; Hedman K.",
      "author_ids": "",
      "journal_or_venue": "Nordic Social Work Research",
      "doi": "10.1080/2156857x.2024.2405599",
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      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T18:51:05.611899+00:00"
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    {
      "input_index": 1744,
      "record_key": "SWRD:56221",
      "source_database": "SWRD",
      "record_id": 56221,
      "year": 2024,
      "title": "Peer-support groups for suicide loss survivors: a systematic review",
      "abstract": "Despite the increase in research on suicide bereavement, the effectiveness of peer-support group programs in promoting the grief process and mental health of suicide loss survivors remains unclear. The goal of our study was to determine the effectiveness of peer-support group programs for suicide loss survivors. A systematic review (PROSPERO ID: CRD42022307591) of articles published from January 2000 to December 2021 was applied in the databases PubMed, Web of Science, Scopus, and SciELO. Articles written in English, Spanish, or Portuguese with full text availability were included in this review to perform a narrative synthesis of the results and a bias analysis. 12 qualitative and two quantitative studies, were selected. No evidence of efficacy in reducing suicidal behavior was found. Qualitative studies highlighted that these types of groups provide social support, enabling individuals to cope with grief and mitigating psychological discomfort. In conclusion, from evidence-based medicine, results on peer-support groups for suicide loss survivors has a low level of certainty and an insufficient grade of recommendation. Nevertheless, qualitative studies indicate the potential benefits of these programs. The prevailing use of qualitative methodologies accounts for a participatory and subjective epistemology, typical of community programs such as peer-support programs. Finally, both quantitative and qualitative perspectives are necessary for the integration and validation of mutual support groups for suicide survivors in public mental health services.",
      "authors": "Inostroza, Carolina; Rubio-Ramirez, Francisca; Bustos, Claudio; Quijada, Yanet; Fernandez, Dany; Buhring, Vasily; Vargas, Belen; Riquelme, Alejandro; Araya, Maria Paz",
      "author_ids": "",
      "journal_or_venue": "Social Work with Groups",
      "doi": "10.1080/01609513.2023.2249053",
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        "empirical_method": "Review"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T18:51:11.682330+00:00",
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        "rationale": "The suicide-loss intervention review reports a registered systematic search, study selection, synthesis, and bias assessment."
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    {
      "input_index": 1745,
      "record_key": "SWRD:72127",
      "source_database": "SWRD",
      "record_id": 72127,
      "year": 2024,
      "title": "Poly-Victimisation and Health Risk Behaviors amongst Street Children in Zimbabwe",
      "abstract": "This paper explores how poly-victimisation affects health and influences street children’s behavior in Harare Metropolitan Province in Zimbabwe. There are many studies on street children in Zimbabwe, but little is known about how multiple forms of violence affect their physical and mental health. The study has problematized poly-victimisation from the theoretical lens of psychoanalytic theory, as the traumatic events experienced by street children can have a negative impact on their physical and mental health. A survey in the form of a questionnaire was used to gather data from 202 street children between the ages of 6–18 years who were purposively selected for this study. The findings indicated that most street children are experiencing physical, sexual, emotional and psychological abuse. This drives them to indulge in substance use, alcohol consumption, suicide idealism, and risky sexual activities. Recommendations for this study have been derived from the findings that seek to improve social work policy in Zimbabwe.",
      "authors": "Gunhidzirai C.; Constance Gunhidzirai; Constance Gunhidzirai; Patel L.; Leila Patel; Leila Patel",
      "author_ids": "",
      "journal_or_venue": "Social Work and Society",
      "doi": null,
      "record_type": "Journal Article",
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      "database_is_empirical": true,
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T18:51:14.623755+00:00"
    },
    {
      "input_index": 1747,
      "record_key": "SWRD:71706",
      "source_database": "SWRD",
      "record_id": 71706,
      "year": 2024,
      "title": "Screening and Assessment of Suicidal Behavior in Transition-Age Youth with Foster Care Involvement",
      "abstract": "Transition-age youth with foster care involvement (TAY, ages 17–22) are at heightened risk for suicidal behavior. Despite this, mental health screenings are not standardized across child welfare (CW) systems and existing assessment tools are not designed for use with this specific population. As such, TAY are unlikely to be adequately screened for suicide risk and connected with needed services. In this paper, we sought to identify screening and assessment tools that could be effective for use with TAY in CW settings. Using PubMed and PsycINFO, we conducted a search of the current literature to identify some of the most commonly used screening and assessment tools for youth. We then narrowed our focus to those tools that met predefined inclusion criteria indicating appropriateness of use for TAY in CW settings. As a result of this process, we identified one brief screening tool (the ASQ) and four assessments (the SIQ-JR, the C-SSRS, the SHBQ, and the SPS) that demonstrated specific promise for use with TAY. The strengths and limitations of the tools are discussed in detail, as well as the ways that each could be used most effectively in CW settings. We highlight three key points intended to guide social work practice and policy: (1) systematic, routine assessment of mental health and suicide risk across CW settings is critical; (2) the protocol for assessing suicidal behavior in TAY must account for the wide variations in context and service provision; and (3) CW workers administering assessments must be thoughtfully trained on risk identification and the protocol implementation.",
      "authors": "Katz C.C.; Gopalan G.; Wall E.; Leoni-Hughes H.; Pargiter T.; Collins D.",
      "author_ids": "",
      "journal_or_venue": "Child & Adolescent Social Work Journal",
      "doi": "10.1007/s10560-023-00913-4",
      "record_type": "Journal Article",
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      "model": "qwen3.6:27b",
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      "screened_at": "2026-08-02T18:51:20.752473+00:00",
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        "rationale": "The suicide-screening paper uses a database search and predefined inclusion criteria to synthesize assessment tools."
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    },
    {
      "input_index": 1748,
      "record_key": "SWRD:60094",
      "source_database": "SWRD",
      "record_id": 60094,
      "year": 2024,
      "title": "Social work practice instructors' preparedness and readiness to teach suicide content",
      "abstract": "Suicide is a major public health issue worldwide, with approximately 46,000 individuals dying by suicide each year in the United States alone. To prepare a mental health workforce to work effectively with individuals with suicidal thoughts and behaviors, schools of social work must teach students to use evidence-based practices for suicide prevention, intervention, and postvention. This descriptive study includes undergraduate and graduate practice instructors (N = 267) at accredited American colleges and universities. Participants described their level of knowledge about 21 suicide competencies (e.g. safety planning, evidence-based interventions, means safety conversations) and then completed a survey of evidence-based practices in suicide prevention. While high levels of perceived knowledge were found in some areas, there were differences between undergraduate and graduate instructors perceived knowledge, and knowledge levels were low in areas such as culture, working with loss survivors, and means safety. Knowledge of evidence-based practices was inconsistent, with as many as half endorsing several non-evidence-based practices. Implications for schools of social work are discussed, including the need for increased leadership in suicide prevention from national social work organizations, more support for practice instructors to teach suicide content, and an increased focus on suicide postvention skills.",
      "authors": "Mirick, Rebecca G.",
      "author_ids": "",
      "journal_or_venue": "Social Work Education",
      "doi": "10.1080/02615479.2022.2102162",
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      "database_is_scientific": true,
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T18:51:23.805158+00:00"
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    {
      "input_index": 1749,
      "record_key": "SWRD:56048",
      "source_database": "SWRD",
      "record_id": 56048,
      "year": 2024,
      "title": "State-Level Income Inequality as a Determinant of Suicide Mortality in the United States",
      "abstract": "Income inequality has been increasing for decades and is now known to be related to many downstream health outcomes, where greater inequality is a predictor of poorer health. Results of investigations into the relationship between income inequality and suicidality have been mixed. This study leverages the most recent data available from the National Longitudinal Mortality Study to investigate the relationship between state-level income inequality and suicide mortality. A series of rigorously controlled logistic regression models, employing multiple measures of inequality, and various suicide mortality case-control specifications are used to investigate the phenomenon. Results indicate that the odds of suicide mortality increase with inequality, and this result is invariant across all models. A reduction in the Gini coefficient from the highest to lowest values of income inequality observed in U.S. states may reduce the odds of suicide mortality by 20 percent to 55 percent or more. Findings have application for social workers and other mental health professionals with respect to clinical assessment and treatment. Likewise, community organizers, policy advocates, and legislators should be aware that policy solutions reducing income inequality in the United States are a mechanism for alleviating the suicide mortality burden.",
      "authors": "Irish, Andrew J.",
      "author_ids": "",
      "journal_or_venue": "Social Work",
      "doi": "10.1093/sw/swae035",
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      "database_is_empirical": true,
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
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      "screened_at": "2026-08-02T18:51:26.801264+00:00"
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    {
      "input_index": 1751,
      "record_key": "SWRD:55812",
      "source_database": "SWRD",
      "record_id": 55812,
      "year": 2024,
      "title": "Suicide in Stroke Survivors and Social Work",
      "abstract": null,
      "authors": "Yokoi, Teruo; Oguma, Erina; Inagaki, Kayo; Fukuda, Toshihide",
      "author_ids": "",
      "journal_or_venue": "Health & Social Work",
      "doi": "10.1093/hsw/hlae029",
      "record_type": "Editorial Material",
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      "screening_basis": "title_only",
      "screening": {
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        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T18:51:32.063942+00:00"
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    {
      "input_index": 1752,
      "record_key": "SWRD:58007",
      "source_database": "SWRD",
      "record_id": 58007,
      "year": 2024,
      "title": "Suicide prevention and intervention education in Australian social work qualifying courses: are students adequately prepared for the workforce?",
      "abstract": "Suicide is complex and multifactorial, with social, cultural, and economic components, exacerbated by inequalities, social injustice, marginalization important contexts, along with the immediate presenting crisis. Social workers are uniquely equipped for suicide crisis support, employed across clinical and non-clinical settings. However, how social workers access pre- service suicide education and training at the university qualifying level is poorly understood. Despite taking on roles in which they will be required to respond to suicidal people immediately upon graduation. All Australian qualifying social work programs are required to adhere to the Australian Social Work Education and Accreditation Standards (ASWEAS). These standards identify that mental health content is to be embedded in Australian university curriculum. However, there are no clear directions regarding inclusion of suicide prevention in social work curriculum. An analysis of suicide-related education within 33 Australian universities with accredited social work qualifying degrees revealed that 1484 subjects are offered across all pre-service qualifying awards, only one currently offers standalone suicide focused subject. The focus on standalone suicide prevention reflects that suicide is not always connected to a mental ill-health presentation. Seeking to explore if targeted training to Social Work students on suicide intervention, postvention, and prevention occurs including recommendations for curriculum development.",
      "authors": "Pryor, Rebecca; Wayland, Sarah; Maple, Myfanwy",
      "author_ids": "",
      "journal_or_venue": "Social Work Education",
      "doi": "10.1080/02615479.2023.2258140",
      "record_type": "Article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T18:51:35.057261+00:00"
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    {
      "input_index": 1753,
      "record_key": "SWRD:55996",
      "source_database": "SWRD",
      "record_id": 55996,
      "year": 2024,
      "title": "Suicide Prevention Training for Social Work Students in Rural Practicum Placements: Current Opportunities and Areas for Growth",
      "abstract": "Students and practicum instructors in a primarily rural state were surveyed about suicide prevention practice and training opportunities provided to social work trainees during their practicum placements. A cross-sectional, electronic survey was administered to N = 86 students and N = 64 practicum instructors and descriptive statistics were analyzed. Most students (87.1%) and practicum instructors (86.6%) felt that students should have the opportunity to engage with suicidal clients while in practicum. Many students reported having had contact with a suicidal client while in practicum (70.6%) and had engaged in some sort of practice related to suicide prevention (82.6%). The most frequently reported practice behaviors were suicidal inquiry (62.8%), risk assessment (60.7%), disposition planning (51.0%), and safety planning (49.0%). Over half (52.9%) had not used any evidence-based tools for screening and follow-up and only one quarter (25.5%) had provided postvention services. Many students (72.9%) were concerned about iatrogenic risk. Although most practicum instructors felt comfortable addressing suicide prevention in supervision (74.4%), many (64.1%) also reported the desire for additional training. Although students appear to have opportunities to engage in suicide prevention in practicum, there are specific knowledge and practice gaps regarding evidence-based tools, postvention, and the \"myth\" of iatrogenic risk.",
      "authors": "Christensen, Mary",
      "author_ids": "",
      "journal_or_venue": "Journal of Teaching in Social Work",
      "doi": "10.1080/08841233.2024.2374233",
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      "database_is_scientific": true,
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      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T18:51:38.158737+00:00"
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    {
      "input_index": 1754,
      "record_key": "SWRD:59396",
      "source_database": "SWRD",
      "record_id": 59396,
      "year": 2024,
      "title": "Teaching Note-A Survey of Suicide Content in Social Work Programs",
      "abstract": "Although suicide has been identified as a major public health issue in the United States, social work education has not yet clearly determined its role in suicide prevention. There has been a dearth of research on suicide content and education within social work programs, particularly baccalaureate programs. This teaching note presents the result of a cross-sectional survey of social work practice instructors (N=289) from Bachelor of Social Work (46.7%) and Master of Social Work (53.3%) programs. Almost all participants (87.5%) include suicide content in some of their practice courses. Teaching practices about suicide in suicide education are described, including frequency that topics and competencies are taught, factors affecting the inclusion of suicide content in the classroom, and instructors' perceptions of student competence on completion of the course. Implications for social work education are identified, including the need to increase continuing education for practice instructors, and to expand coverage of some topics, such as evidence-based practices, and the role of culture in suicide assessment.",
      "authors": "Mirick, Rebecca. G.",
      "author_ids": "",
      "journal_or_venue": "Journal of Social Work Education",
      "doi": "10.1080/10437797.2022.2119063",
      "record_type": "Article",
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      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T18:51:40.910662+00:00"
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    {
      "input_index": 1757,
      "record_key": "SWRD:57733",
      "source_database": "SWRD",
      "record_id": 57733,
      "year": 2024,
      "title": "The Imposition of a Coerced Autonomy: Suicidal \"Bad Girls,\" Human Service Professionals, and Gender Bias",
      "abstract": "Through a thematic analysis of four cases of suicide by young women identified from the National Coronial Information System, I apply a gendered lens to understanding the ways in which human service professionals' expectations of feminine behavior, led them to view these young women as \"bad girls\" and imposed a disempowering \"coerced autonomy\" framework onto them. In this framework, the girls were held responsible for factors that caused their distress but were denied self-determination in their diagnosis and/or treatment. I aim to broaden our understanding of how gendered expectations can have fatal consequences.",
      "authors": "Townsend, Harriet",
      "author_ids": "",
      "journal_or_venue": "Affilia-Feminist Inquiry in Social Work",
      "doi": "10.1177/08861099231209760",
      "record_type": "Article",
      "database_method": "Qualitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T18:51:49.896761+00:00"
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    {
      "input_index": 1758,
      "record_key": "SWRD:55661",
      "source_database": "SWRD",
      "record_id": 55661,
      "year": 2024,
      "title": "The relationship between violent political rhetoric and suicide rates",
      "abstract": "Among the groupings of Social Work Grand Challenges is Individual and Family Well-Being. One threat to individual and family well-being is suicide. Between 2011 and 2022 over half a million Americans committed suicide. Suicide has profound effects on family members. Recent research has found violent political rhetoric (VPR) as an aspect of the social environment is associated with violence, including mass shootings and police shootings of civilians, both threats to individual and family well-being. No studies have investigated the possible relationship between VPR and suicide rates. This study, a secondary analysis of publicly available data, addresses this absence. The dependent variable was suicide rates in the U.S. Census regions. Independent variables included census region populations, VPR, gun ownership, and temperature. Panel analysis methods with Driscoll-Kraay robust standard errors were used. Statistically significant relationships between suicide rates and VPR, changes in gun ownership, and temperature were found, with between-region differences. Violent political rhetoric appears to be associated with increasing suicide rates, and these relationships may differ between regions. Implications of these findings for future research and for social work efforts to combat the effects of VPR and potentially reduce suicide rates, especially for populations targeted by VPR, are considered.",
      "authors": "Nugent, William R.; Lee, Jaydah Brianna",
      "author_ids": "",
      "journal_or_venue": "Journal of Human Behavior in the Social Environment",
      "doi": "10.1080/10911359.2024.2410301",
      "record_type": "Article; Early Access",
      "database_method": "Quantitative",
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      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T18:51:52.979399+00:00"
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    {
      "input_index": 1759,
      "record_key": "SWRD:52151",
      "source_database": "SWRD",
      "record_id": 52151,
      "year": 2024,
      "title": "The Relationship of Opioid Misuse and Suicidality Among Adolescents With Disabilities",
      "abstract": "Adolescents experience higher risk for opioid misuse and suicide, and those with disabilities are disproportionately vulnerable to suicide risk. Using secondary data, this study presents findings on nonmedical prescription opioid use (NMPOU) and suicidality among adolescents with and without disabilities (N = 10,676). Results indicated NMPOU was associated with higher odds for serious thoughts of suicide. Having a disability was associated with higher odds for having a plan for suicide and having a suicide attempt. Adolescents with disabilities who engaged in NMPOU had over 3 times the likelihood for serious thoughts of suicide. Social work services can be tailored for adolescents with disabilities within the context of the family unit to address the impact of the opioid epidemic using a disability-oriented framework.",
      "authors": "Marsack-Topolewski, Christina N.; Chan, Keith T.",
      "author_ids": "",
      "journal_or_venue": "Families in Society",
      "doi": "10.1177/10443894241229168",
      "record_type": "Article; Early Access",
      "database_method": "Quantitative",
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      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T18:51:55.761545+00:00"
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    {
      "input_index": 1760,
      "record_key": "SWRD:72377",
      "source_database": "SWRD",
      "record_id": 72377,
      "year": 2024,
      "title": "The Role of Resilience as a Mediating Factor between Adverse Childhood Experience and Mental Health in Adolescents Receiving Child Welfare Services in Nova Scotia",
      "abstract": "While the relationship between adverse childhood experiences (ACEs) and mental health problems (depression, suicidal thoughts, PTSD, and functional impairments) among youth is well studied, there is less known about the mediating role played by resilience for youth receiving child welfare services. This study explored the mediating effects of resilience in relationship to ACEs and mental health outcomes for youth receiving child welfare services. Participants and setting: The study included 251 participants (14–19 years of age, 58% female) receiving child welfare services from the government of Nova Scotia, Canada. A cross-sectional design was used with seven measures administered to youth through phone interviews. Risk exposure was measured using the ACEs scale while resilience was assessed with the CYRM-17. Mental health outcomes included depression symptoms (BDI-II), suicidal thoughts (SBQ-R), post traumatic stress reactions (PTSRS), and functional impairment (IATSS). Structure equation modelling (SEM) and general linear model (GLM) were used to analyze the data. Resilience directly affects mental health outcomes (β = − 0.409, p <.001) and indirectly mediates the effect of ACEs on outcomes (β = 0.236, P <.001). Resilience showed different patterns in terms of sex and education. The youth who identified themselves as non-binary and were not enrolled in an educational program had lower levels of resilience. Resilience decreases the risk of mental health problems among youth receiving child welfare services. The impact of resources to build relational, caregiver, and social-contextual resilience may be influenced by a youth’s sexual identity and engagement in education.",
      "authors": "Shahidi M.; Ungar M.; Wedyaswari M.; Shojaee M.",
      "author_ids": "",
      "journal_or_venue": "Child & Adolescent Social Work Journal",
      "doi": "10.1007/s10560-024-00979-8",
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    {
      "input_index": 1761,
      "record_key": "SWRD:105267",
      "source_database": "SWRD",
      "record_id": 105267,
      "year": 2024,
      "title": "The trauma-suicide connection among racial and ethnically diverse lesbian, gay, and bisexual adults: Examining the roles of intersectional discrimination and complex posttraumatic stress disorder.",
      "abstract": "Aim: We sought: (a) to explore the roles of complex posttraumatic stress disorder (CPTSD), racism, and heterosexist discrimination in linking exposure to traumatic events and lifetime suicide attempt among sexually diverse racial and ethnic minority adults; and (b) to explore differences by race/ethnicity. Methods: We used structural equation modeling methods (moderated mediation analysis) to analyze a sample of sexually diverse racial and ethnic minority adults from the National Epidemiological Study of Alcohol and Related Conditions (NESARC-III) dataset (n = 632). Descriptive results are included for underpowered subgroups. Results: We found significant differences by racial/ethnic identity, with CPTSD mediating associations between trauma exposure and suicide attempt status among Hispanic respondents, but not Black respondents. Furthermore, racism and heterosexist discrimination amplified the effects of trauma exposure on CPTSD symptoms among Hispanic respondents. Conclusion: CPTSD may be an important mechanism in the trauma-suicide connection among some sexually diverse racial and ethnic minority people. These findings have important implications for suicide prevention work among sexually diverse populations, including the need for interventions that integrate traumatic stress treatment and employ an intersectional approach, addressing the influence of racism and heterosexism, particularly for Latinx and Hispanic groups.",
      "authors": "Ellis, Émilie; Gutierrez, Dumayi",
      "author_ids": "",
      "journal_or_venue": "Sexual and Gender Diversity in Social Services",
      "doi": "10.1080/29933021.2024.2323503",
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    {
      "input_index": 1762,
      "record_key": "SWRD:56137",
      "source_database": "SWRD",
      "record_id": 56137,
      "year": 2024,
      "title": "Trauma-Informed Practice with Individuals with Suicidal Thoughts and Behaviors",
      "abstract": "Trauma-informed practices are recommended when working with individuals with suicidal thoughts and behaviors due to the strong relationship between trauma and suicidality, but there is a dearth of information on how a trauma-informed approach is applied to work with this population. Practicing clinicians were recruited from professional networks, listservs, trainings, and through colleagues and word of mouth. This qualitative study (N = 30) explores clinicians' understanding of trauma-informed practice and identifies ways that clinicians apply SAMHSA's six principles of trauma-informed care to their work with clients with suicidal thoughts and behaviors. Using thematic analysis, the following themes emerged from the interviews with practitioners: the creation of a strong working alliance characterized by relational safety; the use of collaboration and client empowerment strategies; the need for awareness of cultural, gender, and historical factors; the use of transparency and informed consent about disclosures related to suicide; an understanding of the scope and impact of trauma, and the use of peer support. The implications of this work for practicing clinicians is discussed, including the role of continuing education, the need to develop more peer support programs, and the importance of building trauma-informed organizations and agencies.",
      "authors": "Mirick, Rebecca G.; Bridger, Joanna; Mccauley, James",
      "author_ids": "",
      "journal_or_venue": "Clinical Social Work Journal",
      "doi": "10.1007/s10615-024-00955-w",
      "record_type": "Article; Early Access",
      "database_method": "Quantitative",
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      "database_is_empirical": true,
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        "evidence_class": "Empirical",
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      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T18:52:05.716343+00:00",
      "screening_source": "Primary screen; blind audit agreement",
      "accuracy_audit": {
        "sample_group": "Qualitative",
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          "is_relevant": true,
          "relevance_rationale": "The study explicitly focuses on clinicians' practices with individuals experiencing suicidal thoughts and behaviors, making suicide a central population and substantive focus.",
          "evidence_class": "Empirical",
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          "classification_rationale": "The abstract describes a qualitative study involving interviews with 30 practitioners and thematic analysis of their responses.",
          "confidence": "High"
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    {
      "input_index": 1763,
      "record_key": "SWRD:71965",
      "source_database": "SWRD",
      "record_id": 71965,
      "year": 2024,
      "title": "Trauma-Informed School-Based Postvention Services: Support to Students Following a Suicide Death",
      "abstract": "This paper highlights the role of school social workers and other school-based mental health professionals in postvention activities, supports and services provided by the school following a student’s suicide death. Reflecting the traumatic nature of the unexpected death of a student in the school community, the described postvention activities use SAMHSA’s trauma-informed principles to frame the school’s decision-making, actions, and supports for youth. Although best practice guidelines are available, most social workers have little training or practice experience in these types of services. This paper uses the authors’ practice experiences supporting schools following a suicide death, postvention guidelines, and trauma-informed principles to describe a social worker’s role in supporting students, staff, and the community following a death. A case study is used to illustrate this approach and provide a deeper understanding of a social worker’s role following an unexpected death. This paper can support social workers in learning more about postvention needs, considering their role in postvention services, and framing a suicide death as an experience needing a trauma-informed response.",
      "authors": "Mirick R.G.; Bridger J.; McCauley J.",
      "author_ids": "",
      "journal_or_venue": "Clinical Social Work Journal",
      "doi": "10.1007/s10615-023-00887-x",
      "record_type": "Journal Article",
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      "screening_basis": "title_and_abstract",
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        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T18:52:08.508951+00:00"
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    {
      "input_index": 1765,
      "record_key": "SWRD:89223",
      "source_database": "SWRD",
      "record_id": 89223,
      "year": 2024,
      "title": "Understanding Different Forms of Gun Violence in American Schools: An Analysis from 1980 to 2019",
      "abstract": "Scholars theorize that the nature of school gun violence varies across school settings. Yet, there is a lack of statistical research testing this idea. This study investigates contextual factors associated with six forms of school gun incidents (N = 1,238) over a 40-year period (1980-2019) in the United States. To conduct the analyses, school, community, and state-level data were linked to school gun incidents recorded in a comprehensive K-12 school gun violence database. Results indicate that the most common form of school gun violence stems from school-related conflicts. Gun incidents from school-related conflicts (odds ratio [OR] = 2.22, p < .01) and suicides (OR = 3.08, p < .01) are also more likely to occur in high schools. Large cities (OR = 4.75, p < .001), midsize cities (OR = 2.35, p < .01), and suburbs (OR = 2.74, p < .05) report more school gun violence driven by criminal activity, whereas school gun violence from suicide and indiscriminate school shootings has a higher probability of occurring in rural schools and areas with comparatively low poverty. This study offers suggestive evidence that an emphasis on alleviating school conflicts may reduce school gun violence overall but that separate strategies may also be needed across different types of school contexts.",
      "authors": "Hamlin, Daniel E.",
      "author_ids": "",
      "journal_or_venue": "Children & Schools",
      "doi": "10.1093/cs/cdae027",
      "record_type": "Article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T18:52:14.762700+00:00"
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    {
      "input_index": 1766,
      "record_key": "SWRD:707",
      "source_database": "SWRD",
      "record_id": 707,
      "year": 2024,
      "title": "Using a Mediation Moderation Model to Examine Exposure to Videos of Police Use of Force in Media, Police Contact Anxiety, Grit, and Suicidality Among Black Emerging Adult College Students",
      "abstract": "Objective: Suicidality (thinking about, planning, and attempt) is a growing public health concern for Black emerging adult college students in the United States due to increased rates among this population. The goal of this cross-sectional study is to examine the mediating role of police contact anxiety (PCA) and the moderating role of grit in the relationship between exposure to videos of police use of force in the media (i.e., television and Internet) and suicidality. Method: We administered computer-assisted surveys to 300 Black emerging adult college students ages 18-29 years. Results: Mediation analysis revealed that the effect of exposure to videos of police use of force on suicidality was partially mediated by PCA. Moderation analyses found that exposure to videos of police use of force only predicted suicidality at a low level of grit. Conclusions: These findings highlight the psychological toll of exposure to police use of force in media and grit's protective role. Implications for research, practice, and policy are discussed.",
      "authors": "Motley Jr, Robert O.; Simmons, Erik; Clifton, Maribeth; Azasu, Enoch; Walker, Danielle T.; Johnson, Carnayla",
      "author_ids": "",
      "journal_or_venue": "Journal of the Society for Social Work and Research",
      "doi": "10.1086/722584",
      "record_type": "Article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T18:52:17.898608+00:00"
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    {
      "input_index": 1767,
      "record_key": "SWRD:72729",
      "source_database": "SWRD",
      "record_id": 72729,
      "year": 2024,
      "title": "Using modern technologies for prevention of suicidal behavior among adolescents",
      "abstract": "The study aimed to examine the effectiveness of an intervention using a smartphone application for psychological self-help among adolescents at risk of suicidal behavior. Over 12 weeks, a proprietary program was implemented for children aged 13–15. The questionnaire results of the experimental and control groups were compared using the independent samples t-test. The research results underscore the practical significance of employing self-help psychological apps as an additional tool in working with youth at risk of suicidal behavior. Integrating such technologies into adolescent interventions can contribute to enhancing the effectiveness of psychological support and preventing negative mental health consequences.",
      "authors": "Li A.; Aimaganbetova O.; Baktybayev Z.; Koishibayeva M.; Makhmutov A.; Murzagulova M.",
      "author_ids": "",
      "journal_or_venue": "Social Work in Mental Health",
      "doi": "10.1080/15332985.2023.2247514",
      "record_type": "Journal Article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
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      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T18:52:20.554542+00:00"
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    {
      "input_index": 1770,
      "record_key": "SWRD:71734",
      "source_database": "SWRD",
      "record_id": 71734,
      "year": 2024,
      "title": "Youth Gang Membership, Marginalized Identities, and Suicidality Disparities: Intersectional Implications for Research and Practice",
      "abstract": "Suicide is the second leading cause of death among adolescents in the U.S., and emerging evidence indicates that gang-involved youth may be at elevated risk. Yet, little is known about suicidality prevalence among subgroups of gang and non-gang youth due to limited measures of social identity in previous studies. Guided by an intersectional framework, this study examined gang and non-gang differences in suicidality across an array of social identities and tested the effect of gang membership on suicidality within the context of cumulative marginalization. Data come from a statewide, school-based sample of adolescents in the 8th, 10th, and 12th grades (N = 81,080). Chi-square and independent samples t-tests examined group differences in rates of self-reported suicidal ideation, planning, and attempts. Logistic regression models tested the moderating effect of multiple marginalized identities on the gang-suicidality link. Gang-involved youth reported significantly higher suicidality compared to non-gang youth, with between-group disparities observed across singular marginalized identities. However, moderation analyses found that the effect of gang membership on suicidal ideation and planning was less salient in the context of cumulative marginalization. Findings suggest that gang-involved youth represent a unique and diverse population at risk of suicide. At the same time, gang membership may also offer some degree of protection against early stages of suicide for those with a greater number of marginalized identities. Implications for social work science and practice within an intersectional framework are discussed.",
      "authors": "Bishop A.S.; Nurius P.S.; Fleming C.M.; Klein R.T.; Rousson A.N.",
      "author_ids": "",
      "journal_or_venue": "Child & Adolescent Social Work Journal",
      "doi": "10.1007/s10560-022-00902-z",
      "record_type": "Journal Article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:52:30.011373+00:00"
    },
    {
      "input_index": 1771,
      "record_key": "SSWR:2025-U-0127",
      "source_database": "SSWR",
      "record_id": "2025-U-0127",
      "year": 2025,
      "title": "\"I Want to be a Part of Something That Helps Youth like Me.\" a Just Practice Approach to Understanding Suicide Thoughts, and Decisions and the Inclination to Help-Seeking Behaviors Among Young Adults",
      "abstract": "Suicide rates among young adults (YAs) in the U.S. have fluctuated though there have been nationwide efforts to reduce suicide rates. Gaps exist when current suicide prevention inadequately addresses young adults’ needs when they seek help during their crisis moments. School personnel training increases knowledge and confidence but not necessarily YAs seeking help. Effective suicide prevention requires more comprehensive approaches that consider incorporating YAs' perspectives, voices in culturally relevant suicide interventions for YAs. In light of this context, the study aims to explore the question: How do both personal and broad contextual factors contribute to or inhibit suicide thoughts and decisions among YAs in Oregon?”. The study employed a participatory action research approach led by an interdisciplinary team of university and community-based suicide prevention scholars, activists, leaders, and practitioners who sought to engage YAs with lived experiences with suicide and substance use in the development of prevention and intervention strategies. The study had several components, including a young adult task-force (N=4) that met regularly and helped design core aspects of the project itself, a series of virtual focus group discussions (N=4) with YAs, and follow-up interviews with task force members as a final evaluation of the project. Participants for this study were recruited through social networks of the interdisciplinary research team, the young adult task force members, listservs from community partners, and on social media. Participants were of diverse background, race, and gender identities and socio-economic status. The focus group discussions occurred on the Zoom platform and in-person taskforce member meetings with participants' consent for recordings and transcriptions. Generated transcripts were analyzed using ATLAS.ti 23.2.1 for Mac software to identify emergent themes. The emphasis was on understanding the suicide thoughts and decisions from the participants' viewpoints. Through the study, young adults described three significant experiences related to suicide thoughts and decision-making: (1) the specific factors that contributed to their suicide thoughts, (2) their inclination in seeking help, and (3) the factors that helped them connect to their desire to live. Notably, participants described the participatory action research process itself as a one of the protective factors that contributed to their wanting to live. Empowering young adults (YAs) to actively share their perspectives and lived experiences with suicidality or subtle suicide, rather than passively participating as research subjects, may alleviate feelings of burden and enhance family social support. This approach is crucial for effective intervention and prevention efforts within this demographic. Together these findings align directly with a Just Practice framework, emphasizing meaning, context, power, history, and possibility in social-justice oriented practice. Each of these components of the Just Practice framework can help us to ask how a social-justice informed approach to suicide prevention and intervention might better support the needs that our young adults are experiencing. With this understanding, the study advocates for a holistic approach to suicide prevention and intervention, grounded in social work frameworks, to address the evolving trends in suicide and contribute to contemporary strategies for suicide prevention in the United States.",
      "authors": "Antonia R.G. Alvarez; Thao Nguyen",
      "author_ids": "116551; 126397",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "qualitative",
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      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:52:33.933613+00:00"
    },
    {
      "input_index": 1773,
      "record_key": "SSWR:2025-P-0324",
      "source_database": "SSWR",
      "record_id": "2025-P-0324",
      "year": 2025,
      "title": "\"Suicide Prevention Can Do Work Beyond Preventing Suicide\": Evaluating a Campus-Wide Suicide Prevention Program",
      "abstract": "Background : Young adults aged 18-29 in the US continue to face an escalated risk of suicide ideation (Curtin & Garnett, 2023). In an effort to respond to these risks, the student health and counseling center developed a virtual suicide prevention training program. The suicide prevention program focuses on increasing student and school-based staff’s knowledge and skills in recognizing risk factors, warning signs of suicidal thoughts, offering support to peers experiencing mental health crises, as well as introducing resources available on and off campus for suicide prevention. In this first year of the program, a series of Listening Sessions was offered, to seek feedback from students about the program, to incorporate their voices and perspectives on what suicide prevention means to them, and to better understand how to engage various students’ communities in discussions surrounding suicide prevention. This preliminary evaluative report discusses the findings from these suicide prevention Listening Sessions, as well as identifying recommendations for suicide prevention efforts more broadly. Methods: The Listening Sessions were developed and facilitated by an interdisciplinary research team within the school of social work and the student health and counseling center. Student participants ( n = 19) identified with diverse racial, ethnic, and sexual orientations, and included both undergraduate students and graduate students alike. The Listening Sessions took place both in person and virtually. Each listening session was 1-3 hours long and was a combination of facilitated discussions and guided engagement in the training modules. The discussions centered on feedback on the modules, needs or gaps in the training and resources provided, and intersections between substance use and suicide. There was also an emphasis on culturally and community-specific feedback about barriers to seeking and receiving services and what recommendations they had for better engaging with communities about this work. Each participant was asked to complete a consent form as well as a demographic survey in addition to the pre/post-test survey that accompanies the suicide prevention modules. Participants were given snacks, drinks, and fidget toys, and $10 incentive gift cards for participation. Results and Implications: Preliminary findings from the students’ participation emphasized the importance of a social justice lens in suicide prevention initiatives, providing macro-level contexts and societal influences on suicide risk. These contextual factors should focus on diversity, historical trauma, racism, and other forms of oppression as the connect to risk factors, and warning signs among young adults. Secondly, understanding factors affecting suicide ideation among different student communities/groups such as international students, autistic students, veteran students, or student athletes has proven helpful for both students in and out of such communities in helping themselves and offering support to peers. Thirdly, campus-wide suicide prevention needs to emphasize and understand the intersectionality among the community members. There is a need for more integrated services, resources, and responses to attend to the needs of students from multiple targeted identity backgrounds. Importantly, the findings indicate that suicide prevention efforts can impact more than just suicide risk among college students by creating opportunities for discussion, connection, mutual aid and collective support.",
      "authors": "Antonia R.G. Alvarez; Thao Nguyen",
      "author_ids": "116551; 126397",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "qualitative",
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      "screening_basis": "title_and_abstract",
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      "model": "qwen3.6:27b",
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      "screened_at": "2026-08-02T18:52:41.339290+00:00"
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    {
      "input_index": 1775,
      "record_key": "SSWR:2025-P-0668",
      "source_database": "SSWR",
      "record_id": "2025-P-0668",
      "year": 2025,
      "title": "(SEE VIRTUAL POSTER GALLERY) \"Acting As the Face of a Broken System\": Challenges Experienced By Mobile Crisis Workers",
      "abstract": "Background and Purpose In recent years, national interest in improving mental health crisis response services has increased. A large body of research, as well as high-profile media coverage, has demonstrated the harm that can occur when police officers respond to mental health crises, including arrest, use of force, or even death. In efforts to reduce reliance on police for addressing mental health crises, 2020 legislation established the nationwide 988 Suicide & Crisis Hotline to redirect calls to trained mental health professionals, including social workers. Among such interventions are mobile crisis teams, which respond to mental health crises in community settings. The growing recognition that mobile crisis teams are a critical component to comprehensive crisis response systems has been unaccompanied by an increase in the mobile crisis workforce. Furthermore, we know of no prior research that attempts to understand factors that may disincentivize entry into or promote staff turnover in this field. This study represents a first step toward understanding the challenges faced by mobile crisis workers so that service systems can improve working conditions and increase a sufficient and stable mobile crisis workforce. Methods This study used qualitative thematic analysis to analyze mobile crisis worker perspectives on job challenges. Part of a nationwide survey of mobile crisis workers (n = 369), study data were drawn from responses to open-ended questions about mobile crisis workers’ perceptions of challenges faced in their work. Codes were developed through an iterative inductive-deductive process and all data were coded by two researchers. Inter-rater reliability was assessed throughout, and conflicts were reconciled based on discussion and consensus. In accordance with methodological guidelines, we used tables and matrices to promote understanding of codes, their relationships to one another, and ultimately themes. Reflexive dialogue, research triangulation, and data triangulation were used to promote authenticity. Results Findings indicated that mobile crisis workers face challenges across five primary domains, including 1) the nature of mobile crisis work, 2) resource constraints, 3) the workplace environment and workforce, 4) psychological impacts on workers, and 5) structural and systemic factors. Notably, service user characteristics were infrequently referenced. Challenges related to the nature of mobile crisis work (e.g., unpredictability and uncertainty, involuntary hospitalization, and decision-making), were best understood in the context of the other four domains. For example, unpredictability and uncertainty was exacerbated by varied levels of training among colleagues (i.e., workplace and workforce challenges), which reflects the need for universal training standards (i.e., structural and systemic challenges). Conclusions and Implications Based on these findings, we conclude that ensuring an adequate mobile crisis workforce will require serious improvements in working conditions for mobile crisis workers, increased investment in community mental health service systems, development and implementation of a standardized mobile crisis training program, and comprehensive education on mobile crisis services for partnering agencies and the surrounding community. In lieu of focus on clinical capacity building to address challenges related directly to the service user population, policy makers should consider policy and administrative changes to foster an adequate and stable crisis intervention workforce.",
      "authors": "Priya Gupta; Leah A. Jacobs; Kathryn Luk; Toya Jones",
      "author_ids": "126738; 113225; 125173; 127438",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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    {
      "input_index": 1777,
      "record_key": "SSWR:2025-P-0161",
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      "record_id": "2025-P-0161",
      "year": 2025,
      "title": "(SEE VIRTUAL POSTER GALLERY) Feasibility, Acceptability, and Initial Impact of a Community-Level Capacity-Building Mental Health Initiative for Migrant Arrivals",
      "abstract": "Background: Since August 2022, Chicago has received more than 37,000 migrants by buses from border states or arriving from other states by other means. Many of the asylum-seeking migrants have fled to the United States due to violence, persecution, poverty, or other human rights abuses. The session presents findings from a community-level, capacity-building mental health initiative implemented with 499 participants. Participants were Spanish-speaking frontline staff or volunteers working directly with migrant arrivals in emergency shelters, community-based organizations, or residing in temporary landing zones in police precincts throughout the Chicagoland area and collar counties. Participant staff roles include case managers, residential aids, community navigators, and volunteers. Staff participating in the intervention were not required to have any prior mental health knowledge or clinical training. Study objective: The intervention was designed to integrate universal mental health promotion and crisis prevention strategies to the city/state’s migrant crisis response to reduce adjustment distress and suicidality among arrivals. The intervention was also designed to provide emotional support to frontline staff working with high stress, trauma-impacted arrivals. The full intervention included a two-part, six-hour in-person training followed by five months of onsite and virtual reflective consultation with a licensed mental health provider to support implementation and buffer emotional burnout experienced by staff. Methods: The study reflects five cohorts (n = 499) who completed the professional development intervention over two days between December 2022 and March 2024. All participants were asked to complete a survey at the end of each training. Part 1 (n = 462) and Part 2 (n = 375) survey data was completed in Spanish or English, capturing the acceptability of the training content, knowledge/skills retention, and feasibility of implementing a mental health training intervention with non-clinical community providers. The data was analyzed using IBM SPSS Statistics (Version 29) analytics software. Results. All five cohorts reported high levels of satisfaction with the training (98%), learning new information/skills relevant to their work (97%), and increased confidence serving migrants (96%). Participants learned how to lead a small emotional wellness group for migrants (98%) and felt confident with facilitation of groups (93%). Paired sample t-tests showed knowledge pre- and post-training significantly improved across all areas with large effect sizes (e.g., knowledge of strategies to calm distressed individuals (t(456) = -26.16, p<.001, d = -1.22). Conclusion and Implications. The findings provided evidence of the acceptability of the training curriculum designed to equip frontline staff with the skills to promote mental health and prevent mental health crises. Results showed participants had greater understanding of the term mental health and confidence to implement strategies to support the mental health of migrant arrivals. Participants overwhelmingly found the content relevant and its delivery in Spanish as necessary to support immediate implementation. These data provide efficacy evidence that can be leveraged to justify future proposals to sustain and scale up Illinois’ mental health supports for migrants and other communities impacted by migration trauma. The findings also provide initial evidence to support community-level, capacity-building approaches to mental health promotion through a public health lens.",
      "authors": "Aimee Hilado; Rebecca Ford-Paz; Yvita Bustos; Elizabeth Charleston; Samantha Martinez",
      "author_ids": "126325; 126326; 126327; 126328; 126329",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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    {
      "input_index": 1778,
      "record_key": "SSWR:2025-P-0202",
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      "record_id": "2025-P-0202",
      "year": 2025,
      "title": "(SEE VIRTUAL POSTER GALLERY) Identity-Based Discrimination and Suicide Risk for Sexual Minority College Students",
      "abstract": "Background/Purpose: Suicide is a major public health issue in the United States and the JED Foundation reports upwards of 25.5% of college students aged 18 to 24 years old have seriously considered suicide in the past month. The most recent American College Health Association (ACHA) National College Health Assessment found 27.6% of students screened positive for suicidal risk and 2.5% had a serious suicide attempt in the past year. Traditional-aged college students are among those at greatest risk, and lesbian, gay, bisexual, transgender, and queer or questioning (LGBTQ) students face some of the highest risk and mental health issues compared to their cis-hetero peers. Building upon Joiner’s interpersonal psychological theory of suicide, Crenshaw’s concept of intersectionality and Meyer’s minority stress theory provide a framework to explore experiences of discrimination, risk and protective factors, and how these may relate to suicide risk for sexual minority college students. Methods: Using publicly available secondary data from the Healthy Minds Study (HMS, 2021-2022), a latent class analysis (LCA) was conducted on a subsample of sexual minority college students to explore if distinct latent classes emerged based on the following measures: suicidal thoughts and behaviors (STB), risk and protective factors, experiences of discrimination, race, ethnicity, and gender minority status. Risk factors included in the analysis were self-injurious behaviors, depression, loneliness. Protective factors included were psychological well-being, resilience, sense of belonging, sources of social support, and exercise. Results: From the sample of N = 10,169 sexual minority college students, 86.48% ( n = 8,794) were 18-24 years old. A total 25.57% ( n = 2,600) had STB, which was roughly twice that found within the larger full sample ( N = 95,860; 12.90%; n = 12,367). The sexual minority college students experienced multiple forms of identity-based discrimination; 15.45% ( n = 1,571) had gender-based discrimination, 8.53% ( n = 867) sexuality-based discrimination, 6.01% ( n = 611) race-based discrimination, and 5.93% ( n = 603) culture-based discrimination. Three distinct classes emerged from the LCA and were named: 1) the Average Resilience and Well-Being group (47%; n = 4,735), which was characterized by fewer risk factors and more protective factors and least identity-based discrimination; 2) the Discriminated Against group (6%; n = 626), which was the most racially and ethnically diverse and had the highest discrimination and financial stress; and 3) the Mental Health Needs group (47%; n = 4,808) which had the most STB, most depression, self-injurious behaviors, and loneliness, and least protective factors Conclusion: Findings contribute to the growing empirical evidence that multiple marginalized identities and experiences of discrimination may relate to suicide risk. Results provide a foundation for future research that could aid in suicide prevention with LGBTQ people going forward. Findings suggest that identity-based discrimination may be an important factor involved in suicide risk for this group, and suicide risk assessments could be improved to detect risk more accurately. Future research should examine unique risk and protective factors for LGBTQ people and higher education institutions could target identity-based discrimination as part of their overall suicide prevention strategies.",
      "authors": "Kelley Cook",
      "author_ids": "123975",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:53:00.721590+00:00"
    },
    {
      "input_index": 1779,
      "record_key": "SSWR:2025-P-0061",
      "source_database": "SSWR",
      "record_id": "2025-P-0061",
      "year": 2025,
      "title": "(SEE VIRTUAL POSTER GALLERY) Income Inequality and Suicidality in the United States",
      "abstract": "Background/Purpose: Income inequality has been increasing for decades and is now known to be related to many downstream health outcomes. Much research has found greater inequality to be a predictor of poorer health. However, results of investigations into the specific relationship between income inequality and suicidality have been mixed. This has been true of research on the United States and internationally. Methods: This study leverages the most recent data available from the nationally representative National Longitudinal Mortality Study to investigate the relationship between state-level income inequality and suicide mortality. A series of rigorously controlled logistic regression models, employing multiple measures of inequality, and multiple suicide mortality case-control specifications were used to investigate the phenomenon. Results: Results indicate that the odds of suicide mortality increase with inequality and this result is invariant across all models meaning this relationship is robust to various sets of controls and to all specifications of income inequality. A reduction in the Gini coefficient from the highest to lowest values of income inequality observed in U.S. states may reduce the odds of suicide mortality by 20-55% or more. Conclusion and Implications: Findings have application for social workers and other mental health professionals with respect to clinical assessment and treatment. Likewise, community organizers, policy advocates, and legislators should be aware that policy solutions reducing income inequality in the U.S. are a mechanism for alleviating the suicide mortality burden, one of the leading causes of death in the nation.",
      "authors": "Andrew Irish",
      "author_ids": "118346",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T18:53:03.553300+00:00"
    },
    {
      "input_index": 1780,
      "record_key": "SSWR:2025-P-0416",
      "source_database": "SSWR",
      "record_id": "2025-P-0416",
      "year": 2025,
      "title": "(SEE VIRTUAL POSTER GALLERY) Loss Experience of Family Survivors of Suicide in South Korea: The Pain of Muganjiok",
      "abstract": "Background: Suicide is a serious public health concern worldwide. This issue is particularly grave in South Korea, which has reported the highest suicide rate among OECD countries. It is known that the suicide of one individual influences family, friends, and other relationships. Family survivors of suicide are at an increased risk of suicide themselves, as they are likely to experience worsened mental health. This may include grief and loss, along with complex emotional responses such as anger, despair, and self-blame; therefore, attention at the societal level is required. This study aims to explore the loss experiences of family survivors of suicide and discuss the implications for mental health policies and practices. Method: The participants were family survivors of suicide who had been in the bereavement period for at least three months or more. They were purposefully selected participants with the assistance of case managers from mental health welfare centers. Starting in April 2023, seven individual in-depth interviews lasting approximately 60 to 90 minutes with the children, parents, spouse, and siblings of the deceased were conducted. The authors utilized semi-structured questionnaires, asking questions such as, “How has your and your family’s life changed after the suicide?” The collected data was analyzed using Stake's (1995) case study method, which focuses on the similarities and differences between cases. We performed continued comparative analyses to identify and categorize meaningful codes. To ensure rigor in our study, we adhered to Lincoln and Guba’s (1985) principles of truth values, applicability, consistency, and neutrality. Results: The participants were five women and two men ranging in age from the teens to the 60s and consisting of a variety of occupations. The collected data was examined under the overarching theme “The life of family survivors of suicide left behind: A hell of constant suffering.” This was further divided into two categories – “Can’t understand or say suicide” and “Complex emotions are intertwined and mixed up” – supporting 12 sub-categories (“Dead full of doubts,” “Suicide: secrets that can’t be told to anyone,” “ Shocked by unbelievable reality,” “Emptiness and loneliness,” “Struggling with longing,” “The death of the deceased seems to be my responsibility,” “Sorry for everything and regret it,” and “Having a hard time and hitting the wall,” etc.) and 55 concepts. Implications: This study highlights the need for active support and the provision of psychosocial services in mental health welfare centers for family survivors of suicide. It is necessary to diversify the programs such as self-help groups for bereaved families and group programs considering the entire life cycle. Mental health welfare centers should collaborate with administrative welfare centers, hospitals, and public health centers to facilitate easier access to their services for family survivors of suicide. Government-level approaches should consider improving social awareness and enhancing the accessibility of services for family survivors of suicide who are reluctant to seek help due to social prejudice and stigma in South Korea. Note: Muganjiok is one of the hells described in Buddhism, referring to a hell where suffering is continuous without any interstice.",
      "authors": "Soo Mi Jang; Hyung Mi Ha; Jihyeong Jeong",
      "author_ids": "114915; 124915; 124911",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T18:53:07.415912+00:00"
    },
    {
      "input_index": 1782,
      "record_key": "SSWR:2025-P-0235",
      "source_database": "SSWR",
      "record_id": "2025-P-0235",
      "year": 2025,
      "title": "(SEE VIRTUAL POSTER GALLERY) Research Trend Analysis of Suicide Among Adolescents in South Korea",
      "abstract": "Background and Purpose Defined as the deliberate act of inflicting fatal self-injury with the intention of death, suicide stands as a profound and urgent concern, particularly among adolescents. This vulnerable demographic is struggling with numerous societal pressures, academic demands, and emotional challenges, making them especially susceptible to the risks of suicide. Nowhere is this vulnerability more apparent than in South Korea, which consistently reports one of the highest suicide rates globally, with adolescents comprising a significant portion of those affected. Given this reality, our research examined the evolving dynamics of adolescent suicide within the framework of South Korea. This research trend study explored the changing dynamics of adolescent suicide and underscored the interrelated factors affecting adolescent suicide across individual, familial, school, peer, and neighborhood domains in South Korean literature. Methods Data Collection : A total of 486 peer-reviewed articles published in Korean between January 1992 and December 2021 were gathered using two search terms: \"suicide\" and \"adolescent,\" along with their synonymous terms. Data Analysis : Our analysis proceeded in three stages. Initially, during the data preprocessing stage, we normalized the text and removed stop-words. Next, we conducted unigram frequency analysis to identify keywords that frequently co-occur within the text. Lastly, bigram frequency analysis was employed to determine the frequency of unique word pairs and their overall interconnectedness within the text. Results Unigram keyword analysis of related words showed that in South Korean literature, the term “family” frequently appeared with environment, adolescent, school, violence, and maltreatment; “social” most frequently co-appeared with support, issues, culture, relationship, and welfare; “school” occurred with violence, life, suicide, and teacher. As visualized in the Bigram network plot, adolescent suicide encompasses a spectrum of topics, including suicide ideation, attempts, behavior, and impulsivity. Over the past 30 years, a greater emphasis has been on specifying risk factors (e.g., depression and anxiety, academic stress, school violence) than identifying protective factors (e.g., social support). Over time, the individual/psychopathological view on adolescent suicide in the 1990s and early 2000s (e.g., alcohol dependency, behavioral problems, depression patients, mental disorders) gradually shifted towards a more social/preventive approach (e.g., suicide prevention, program development, family environment, social support, social community). Conclusion and Implications The greater focus on the risk factors in adolescent suicide research indicates a need for a shift in implementing a strength-based approach that detects unique protective factors concerning the “reason-to-live” for adolescents rather than merely eliminating factors related to the “reason-to-die.” An overview of the knowledge structure in adolescent suicide research may highlight the complexity of this issue, further furnishing scientific evidence to inform strategies for intervention against adolescent suicide through South Korea’s National Plan on Suicide. Back to: ePoster Presentations XII << Previous Abstract | Next Abstract >>",
      "authors": "Yoonsun Han; Hayoung Donnelly; Suna Kim",
      "author_ids": "110715; 125585; 126463",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "review",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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        "eval_count": 24
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      "screened_at": "2026-08-02T18:53:14.374197+00:00"
    },
    {
      "input_index": 1783,
      "record_key": "SSWR:2025-P-0125",
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      "record_id": "2025-P-0125",
      "year": 2025,
      "title": "(SEE VIRTUAL POSTER GALLERY) The Impact of Childhood Violence Exposure on Suicidality Among Adolescents and Young Adults Living with HIV/Aids in Zimbabwe",
      "abstract": "Background and Purpose International research has demonstrated the association between lifetime suicidality and childhood neglect, though this same association is left unexplored in African countries and for those living with HIV/AIDS. To address these gaps, this study sought to examine the relationship between childhood violence and suicidality among adolescents and young adults (AYA) living with HIV/AIDS in Zimbabwe. We hypothesize that AYA who experienced any form of childhood violence (i.e., childhood emotional, physical, and sexual violence) will have an increased risk of suicide compared to AYA who have not experienced childhood violence, after controlling for covariates. Methodology Data from the 2017 Zimbabwe Violence Against Children Survey (ZVACS). The sample size was n=249 adolescents and young adults living with HIV. The independent variables included childhood physical violence (PV), childhood sexual violence (SV), childhood emotional violence (EV), and any childhood violence that was dichotomously coded as “no” or “yes.” Suicide risk was assessed by asking AYA whether they ever experienced (1) thoughts of killing themselves, (2) attempts to end their lives, (3) intentional harming of themselves (coded yes or no). Covariates included sex, age, highest level of education, marital status, and number of close friends. Two logistic regression models (unadjusted and adjusted) were performed to determine significant associations between independent and dependent variables. Multicollinearity was checked to ensure parsimonious models. A significance level of .05 was used to determine statistical significance for multivariate analyses. Results Before and after adjustment of the models, AYA living with HIV/AIDS who experienced childhood emotional violence (EV) had higher odds of reporting suicide risk compared to those who did not experience childhood emotional violence (OR=3.62 [CI=1.60--8.15], aOR=4.29 [CI=1.57--11.77]). Similarly, AYA living with HIV/AIDS who experienced childhood sexual violence had higher odds of suicide risk relative to those who did not experience childhood sexual violence (OR=3.75 [CI=1.44--9.80], aOR=3.44 [CI=1.14--10.39]). AYA living with HIV/AIDS who experienced any form of childhood violence had higher odds of suicide risk than the unadjusted model (OR=3.62 [CI=1.60--8.15]). However, after adjustment of the model, AYA living with HIV/AIDS who experienced any childhood violence had lower odds of suicide risk compared to those who did not experience any form of childhood violence (OR=0.33 [CI=0.18--0.63). Finally, childhood physical violence was not significantly associated with suicide risk before and after covariate adjustment. Conclusion and Implications The significant finding is that in both models, AYA living with HIV/AIDS who experienced childhood emotional violence (EV) had higher odds of reporting suicide risk compared to those who did not experience childhood emotional violence. This correlates with past findings across countries that non-HIV/AIDS adults who have experienced emotional abuse and/or emotional neglect in childhood have higher rates of all suicidality. While it is known that these findings cross age and culture, more exploration into the specific variables that associate the abuse/neglect with suicidality is needed to consider preventative measures. Further, given that all childhood violence actually is associated with lower later suicide in HIV/AIDS AYA, this need be further understood to further enhance preventative measures.",
      "authors": "Brittany Stahnke; Edson Chipalo; Ikenna Odii; Violent Nkwanzi; Simon Mwima",
      "author_ids": "126250; 120504; 126251; 117874; 118251",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T18:53:18.375237+00:00"
    },
    {
      "input_index": 1784,
      "record_key": "SSWR:2025-P-0693",
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      "record_id": "2025-P-0693",
      "year": 2025,
      "title": "(SEE VIRTUAL POSTER GALLERY) The Relationship between Violent Political Rhetoric and Suicide Rates in the US",
      "abstract": "Background and Purpose : Between 2011 and 2022, about 539,810 Americans took their lives via suicide. In 2022 at least 49,449 persons died by suicide, and between 2011 and 2022 the adjusted suicide rate in the United States increased from 39,518 to about 49,449. The numbers recorded for 2022 were the highest ever recorded. Numerous factors have been found to be associated with suicide, including individual level factors such as depression, hopelessness, drug use and gun ownership. Environmental and contextual factors have also been found to be associated with suicide rates, such as temperature and discrimination, and there have been periodicities found in suicide rates. Recent research has shown violent political rhetoric (VPR) is associated with mass shootings and police killings of civilians. Recent research on VPR has found that the rates of VPR in the United States have profoundly increased to levels not seen since the Civil War. These findings led the author to speculate that there may be a relationship between VPR and suicide rates. The current study explored this yet to be investigated relationship. Methods : This study was a secondary analysis of suicide rate data from the Centers for Disease Control online database. Data on suicide rates for each of the four Census Regions was obtained for the years 2011 through 2019. Data were also obtained on variables previously found to be associated with suicide, including temperature and gun ownership rates, and VPR data were obtained from a recent study of VPR in the US. The data analyses used both bias corrected panel model and multi-level analysis methods. There were four panels, one for each of the four US Census Regions, and 105 monthly measures of suicide rates. Preliminary analyses revealed strong 12-month and 6-month periodicities in suicide rates in all four regions, so terms for these periodicities were included in analyses. Results : Both the panel and two-level hierarchical linear models were statistically significant beyond the 0.0001 level. Results further showed VPR associated with suicide rates in all four census regions, controlling for all other variables in the models. Statistical interaction terms indicated the relationship between VPR and suicide rates was strongest in the Southern Census region, and weakest in the Northeastern Region. It was also found that gun ownership, temperature, and 12- and 6-month periodicities were statistically significantly associated with suicide rates. Post analysis tests of assumptions of the panel and multilevel models were consistent with model assumptions being met. Conclusions and Implications : The author speculates that VPR may evoke fear and a sense of vulnerability in those targeted by the VPR. This may then lead to a sense of feeling trapped and hopeless, which can lead to suicidal thinking and other suicidal behaviors. These findings suggest social workers need to develop methods and programs to reduce the use of VPR by political and media leaders. The results further suggest social workers collaborate with media figures to humanize persons targeted by VPR, which frequently dehumanizes the targets of the VPR. Other implications are considered and discussed.",
      "authors": "William R. Nugent",
      "author_ids": "108960",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
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        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
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      "screened_at": "2026-08-02T18:53:22.099897+00:00"
    },
    {
      "input_index": 1785,
      "record_key": "SSWR:2025-P-0052",
      "source_database": "SSWR",
      "record_id": "2025-P-0052",
      "year": 2025,
      "title": "(SEE VIRTUAL POSTER GALLERY) The Role of Alcohol Use in the Relationship between Bullying Victimization and Suicidality: Differences between Gay/Lesbian and Bisexual Youth",
      "abstract": "Background and Purpose: Sexual minority youth experience disproportionate rates of bullying victimization (e.g., Cenat et al., 2015; Jackman et al., 2020). Bullying happens at school, but is also prevalent electronically (Gonzales, 2014). Youth may cope with bullying by using substances (e.g, Coulter et al., 2018; Huebner et al., 2014), particularly alcohol, which can increase risk of mental health issues, such as suicidality (e.g., Poorolajal et al., 2016). In addition, bullying victimization is linked to suicide, especially in sexual minority youth (e.g., Ahuja et al., 2015). Some studies show that bisexual youth experience worse outcomes than gay/lesbian (monsexual) youth, particularly regarding alcohol use and suicidality ( Fish, 2021; Horwitz et al., 2021). The purpose of this study is to examine the mediation effects of alcohol use on the relationship being bullying victimization (in-person and electronically) and attempting suicide. In addition, we tested the equivalence of model paths between gay/lesbian (monosexual) youth and bisexual youth. Methods: Using data from the 2017 Youth Risk Behavior Survey (Centers for Disease Control and Prevention [CDC], 2017), we: 1) conducted a mediational SEM path analysis to examine the relationship between bullying victimizaton and suicide attempts among 1,494 lesbian, gay, and bisexual young people, 2) tested whether alcohol use mediated that relationship, and 3) examined potential differences in relationship pathways for bisexual youth vs. gay/lesbian youth using multigroup path models. Results: Over three quarters (76%) of youth identified as bisexual vs. gay/lesbian (24%). Average age of participants was 16 yrs. The majority identified as female (76%) and BIPOC (60%). Thirty-one percent of the sample had experienced bullying in some form. We found significant direct effects of being bullied electronically with alcohol use ( b =.52, p<.001). We also found significant direct effects of being bullied in person and electronically with suicide attempts ( b =.250, p<.001; b =.334, p<.001) and a direct effect of alcohol use with suicide attempts ( b =.095, p<.001). Alcohol use mediated the relationship between being bullied electronically with suicide attempts, but not for being bullied in person. Multigroup models showed that paths differed for gay/lesbian and bisexual youth with alcohol use mediating the relationship between electronic bullying and suicide attempts for bisexual youth, but not for gay/lesbian youth. . Implications: Prevention interventions that focus on the connections between victimization, suicidality and substance use may be more effective than those centered on preventing one outcome, especially for sexual minority youth who experience disproportionate rates of victimization in adolescence. Additionally, understanding that the risk factors for sexual minority youth may differ based on individual identity is important to promoting positive outcomes and overall wellbeing for sexual minority youth.",
      "authors": "Traci Wike; Leah Bouchard",
      "author_ids": "112849; 119201",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3876133334,
        "prompt_eval_count": 1621,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:53:25.978319+00:00"
    },
    {
      "input_index": 1787,
      "record_key": "SSWR:2025-P-0084",
      "source_database": "SSWR",
      "record_id": "2025-P-0084",
      "year": 2025,
      "title": "A Randomized Controlled Trial of an Integrated Alcohol and Suicide Intervention for Suicidal Teens (iASIST)",
      "abstract": "Background and Purpose : Suicide deaths have increased significantly over the last decade, disproportionately affecting adolescents. Alcohol use is a risk factor for suicide and alcohol use and suicidal thoughts and behavior (STB) are functionally interrelated with a demonstrated bidirectional relationship among adolescents. Despite the relationship between alcohol use and STBs, they are typically treated separately. The risk for suicide is elevated following discharge from inpatient psychiatric care, highlighting the need for interventions that address both alcohol use and STB in an integrated fashion during and immediately following hospitalization. The purpose of this study was to test the feasibility, acceptability, and preliminary effectiveness of an integrated Alcohol and Suicide Intervention for Suicidal Teens (iASIST). A secondary aim was to explore intervention effects at 3-month follow-up on alcohol, drug, and suicide-related outcomes relative to an Attention-matched Comparison condition focused on sleep, diet, and exercise. Methods: We conducted a two-group pilot randomized controlled trial of iASIST relative to an attention-matched comparison condition. Participants (N=40) were recruited from an inpatient psychiatric unit of a general pediatric hospital in northeastern United States (62% female; M age = 15.82, SD = 1.06) psychiatrically hospitalized following STB. iASIST involves three components: 1) an individual intervention with the adolescent that explores alcohol use as a risk factor for continued STB and creates a complementary change plan, 2) a subsequent family intervention in which the interventionist facilitates a discussion between the adolescent and parent about the change plan to strengthen the adolescent’s self-efficacy and commitment to the change plan, and the parent’s ability to support their child to reduce or stop drinking, and 3) a post-discharge mHealth booster to adolescents focused on strengthening their commitment to the change plan, and to parents focused on their commitment, confidence, and ability to support their adolescent in reducing or stopping drinking. Results: iASIST was determined to be acceptable . More than 90% of participants reported that the in-person intervention components were somewhat or very useful. Satisfaction with in-person content averaged 3.30 or greater (out of 4) for youth and 3.42 or greater for parents. Fidelity to the iASIST model was very favorable, with nearly all components delivered 100% of the time; least consistent were conversations about summarizing goals (77%) and addressing participant concerns (64%). Mixed models indicated that, for days of alcohol use, binge drinking, vaping cannabis, and vaping nicotine , both groups had significant decreases in substance use over the 3-month follow-up period. Post-intervention group differences were not found. In terms of cannabis use, however, iASIST participants significantly improved over time. Finally, iASIST participants showed a significant decrease in suicide plans from baseline (88%) to follow-up (38%). Conclusion and Implications: Study findings suggest a larger RCT is warranted to test the effectiveness of the iASIST intervention. iASIST shows promise in its ability to target the problems of alcohol use and STB in an integrated fashion with a high-risk adolescent population receiving acute psychiatric care. Social workers are well positioned to deliver these integrated interventions.",
      "authors": "Christina M. Sellers; Anthony Spirito; Shirley Yen; Jordan Braciszewski; Kimberly H. McManama O'Brien",
      "author_ids": "116177; 113789; 126171; 126172; 110756",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3719232083,
        "prompt_eval_count": 1593,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:53:33.382967+00:00"
    },
    {
      "input_index": 1789,
      "record_key": "SSWR:2025-P-0128",
      "source_database": "SSWR",
      "record_id": "2025-P-0128",
      "year": 2025,
      "title": "Analyzing Three Decades of Youth Suicidality Trends: A Meta-Analysis of Yrbs Data",
      "abstract": "Background In the United States, adolescent suicide ranks as the second leading cause of death. As a developmental phase, adolescence is marked by increased impulsivity and emotional instability, which can precipitate suicidal tendencies. Suicidality, which includes Suicide Ideation (SI), Suicide Plans (SP), and Suicide Attempts (SA), is closely linked to mortality risks among adolescents. Longitudinal data from the National Youth Risk Behavior Survey (YRBS), provides an in-depth, 30-year, nationwide presents a detailed account of behaviors and overall health of American high school students, has served as the foundation for myriad scientific investigations. Utilizing these extensive studies and findings, we conducted a meta-analysis to delve into the intricacies of youth suicidality. Our primary purpose was to glean new insights and knowledge from this analysis. Methods The meta-analysis was performed on English-language, peer-reviewed articles from YRBS for 1991-2021, sourced from databases including PubMed, PsycINFO, Scopus, and Web of Science, focusing on youth suicidality. Our study utilized data from the CDC's YRBS, a 30-year national survey monitoring U.S. high school students' health, particularly analyzing the last 17 years of data from 1,729,728 students in grades 9-12 to explore health risk behaviors impacting SI, SP, and SA. Out of 2,894 articles, 28 met the criteria for an in-depth analysis. These articles assessed SI, SP and SA among YRBS participants. Results To facilitate analysis, the factors found by previous influence to influence SI, SP, and SA in adolescents were categorized into six groups: substance abuse, victimization, sexual identity, physical health, mental health, and external & complex factors. Complex ties between suicidal behaviors and risk factors were identified through odds ratios (ORs), adjusted odds ratios (AORs), and adjusted prevalence ratios (APRs). Notably, the meta-analysis showed that current marijuana and opioid use significantly raises the risk of SA (RRR = 3.23). Sexual victimization and simultaneous online and offline bullying increase SA risk (OR = 6.23 and AOR > 5.4, respectively). Sexual orientation mismatch elevates SA risk (APR = 1.7), while a sexual minority identity might lower it (AOR = 0.91). American Indian/Alaskan Native males with dual gender identities are at a considerably higher risk for suicidal ideation (SI) (AOR = 19.25). Regular physical activity acts as a protective factor against SI, whereas concussions, particularly in males, amplify SI and SA risks (OR = 1.98). Previous mental health service use correlates with increased SI (RRR = 1.82) and SA risks (RRR = 2.89), with sadness linked more strongly to suicidal behaviors than depression (AOR = 9.2 for SA). Conclusions The YRBS provides valuable insight into American youth, detailing factors linked to suicide risk. Our meta-analysis highlights the complex impact of various factors on youth suicide rates, emphasizing the importance of tackling individual, social, and systemic aspects in prevention and intervention strategies. It underscores the need to mitigate risk factors and offer support that is tailored to the needs of at-risk youth. Aiming to 'Strengthen Social Impact through Collaborative Research,' this project combines data science with social work goals to enhance youth well-being and identify predictors of youth suicide.",
      "authors": "Sangmi Kim; Hong-Jun Yoon; Gang Seob Jung; J. Douglas Coatsworth",
      "author_ids": "126247; 126249; 126248; 114600",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "review",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Review"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 4158510417,
        "prompt_eval_count": 1661,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:53:41.120174+00:00"
    },
    {
      "input_index": 1791,
      "record_key": "SSWR:2025-U-0279",
      "source_database": "SSWR",
      "record_id": "2025-U-0279",
      "year": 2025,
      "title": "Association between Polyvictimization and Multiple Suicide Attempts Among Sexual Minority Adolescents: Findings from the 2015-2021 National Youth Risk Behavior Survey",
      "abstract": "Background and objectives: Suicide among adolescents in the United States is a major public health concern. Research indicates that compared to their heterosexual peers, sexual minority adolescents are at significant risk of experiencing multiple forms of victimization and engaging in suicidal thoughts and behaviors (STBs). Although studies have examined the association between polyvictimization and STBs among adolescents, few studies have investigated the association between polyvictimization and multiple suicide attempts among sexual minority adolescents using a large and nationally representative sample. Drawing on the interpersonal-psychological theory of suicide—which postulates that the exposure to painful experiences increases the likelihood of suicide attempts (non-lethal and lethal), the objectives of this study were to examine: 1) the prevalence of polyvictimization among sexual minority adolescents, and 2) the cross-sectional association between polyvictimization and multiple suicide attempts among sexual minority adolescents. Methods : Data for this study came from the 2015-2021 national Youth Risk Behavior Survey. The sample comprised of 10,092 adolescents ages 14-18 who self-identified as gay or lesbian, bisexual, or questioning. The outcome variable investigated was multiple suicide attempts and was measured as no attempt, single attempt, and multiple attempts. The main explanatory variable was polyvictimization, which was measured using five items: school bullying, cyberbullying, forced sexual intercourse, physical fighting, and being threatened with or injured with a weapon. Multinomial logistic regression was conducted to examine the association between polyvictimization and multiple suicide attempts after controlling for demographic factors, feeling sad/hopeless, and substance use. Results: Of the 10,092 sexual minority adolescents examined, 10.4% attempted suicide once and 12% attempted suicide multiple times during the past 12 months. More than half experienced at least one form of victimization: 14% experienced three or more forms of victimization, 14.5% experienced two forms of victimization, and 24.5% experienced one form of victimization. Controlling for the effects of demographic factors, feeling sad/hopeless, and substance use, the risk of multiple suicide attempts was 10.91 times higher for sexual minority adolescents who experienced three or more forms of victimization ( RRR =10.91, 95% CI=7.64-15.56), 3.83 times higher for those who experienced two forms victimization ( RRR =3.83, 95% CI=2.62-5.61), and 2.59 times higher for those who experienced one form of victimization ( RRR =2.59, 95% CI=1.78-3.76) when compared to their non-victimized sexual minority counterparts. Compared to sexual minority adolescents who self-identified as non-Hispanic White, the risk of multiple suicide attempts was 2.48 times higher for their counterparts who self-identified as non-Hispanic Black ( RRR =2.48, 95% CI=1.82-3.39), 1.66 times higher for their counterparts who self-identified as “Other” race/ethnicity ( RRR =1.66, 95% CI=1.18-2.35), and 1.47 times higher for their counterparts who self-identified as Hispanic ( RRR =1.47, 95% CI=1.17-1.84). Conclusions: School social workers and counselors working with sexual minority adolescents should be aware that exposure to multiple forms of victimization among sexual minority adolescents significantly increases their risk of multiple suicide attempts over and above known risk factors for suicide attempts. The findings of this study highlight the importance of screening for polivictimization in suicide assessments because the exposure to painful and provocative experiences may increase multiple suicide attempts for sexual minority adolescents.",
      "authors": "Phillip Baiden; Carolina Vélez-Grau; Meghan Romanelli; Christina M. Sellers; Catherine A. LaBrenz",
      "author_ids": "113715; 122784; 117067; 116177; 115734",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 4311076458,
        "prompt_eval_count": 1769,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:53:49.202736+00:00"
    },
    {
      "input_index": 1792,
      "record_key": "SSWR:2025-P-0194",
      "source_database": "SSWR",
      "record_id": "2025-P-0194",
      "year": 2025,
      "title": "Association of Intellectual and Developmental Disabilities with Mental Health and Neurologic Disorders Among U.S. Adult Emergency Department Patients",
      "abstract": "Background and Purpose: Adults with intellectual and developmental disabilities (IDDs) display high prevalence of dual mental health and neurologic comorbidities and poor access to neuropsychiatric care. Little is known about the role of the emergency department (ED) in meeting these needs because there are few national data sources regarding U.S. adults with IDDs. This analysis helps to fill this research gap by examining the prevalence of mental health and neurologic diagnoses among adults with versus without IDDs visiting the ED. Methods: We conducted a cross-sectional study of ED visits at U.S. hospitals in 2019 using the Nationwide ED Sample (NEDS). Validated algorithms were used to identify and compare mental health and neurologic diagnoses among ED patients older than age 18 with versus without diagnosed IDDs (intellectual disability, autism spectrum disorder, cerebral palsy) at the time of visit. We examined diagnosed mental health or neurologic condition, including depression, anxiety, schizophrenia, suicidality, seizure, dementia, and sleep disorder in different patient populations. Results: We identified 558,408 and 112,593,527 (weighted) ED visits for adults with and without IDDs, respectively. Patients with IDDs were more likely to be younger than age 65 (86.7% vs 73.9%), male (58.9% vs 43.2%), White (69.7% vs 58.8%), and to pay with Medicaid (62.9% vs 29.5%) or Medicare (52.7% vs 30.2%) (p<.001). Patients with IDDs had a 5.72 (95% CI, 5.05-6.40) percentage point greater likelihood of a principal visit diagnosis of mental health disorder, with accompanying higher probabilities of suicidality (0.76, 0.62-0.90), neurologic disorder (3.82, 3.61-4.03), and seizure disorder (3.74, 3.53-3.95) as the primary reason for their visits. Patients with intellectual disabilities displayed 193% greater likelihood of comorbid dementia (p<.001). Early dementia was particularly prevalent among patients living with Down Syndrome. Among those ages 45-49, patients living with Down Syndrome displayed nearly one hundred times the dementia diagnosis rate observed among other patients in the same age range, and 2.67 times the rates observed among general-population patients over age 70. Conclusions and implications: Public discourse regarding persons with IDD frequently focuses on the needs of children, adolescents, and young adults, with the richest array of services available to children and youth through public school systems. The needs of adults with IDD, including older adults, receive less attention, at-times leading policymakers and the public to overlook the distinctive challenges associated with IDD in adult medical care. We find that adults living with IDDs are substantially more likely to experience mental health and neurologic disorders as indicated causes of their ED encounters. Challenges related to early dementia are particularly great among persons with Down syndrome. Such patterns underscore the need to prepare emergency departments, families, and social service providers in addressing these challenges, and the need for service systems for persons with IDDs that provide appropriate services and care at every life stage.",
      "authors": "Harold Pollack; Hefei Wen; Derek S. Brown; Brandon Tabman; Kristen A. Berg; Lauren Peterson; Kenton Johnston",
      "author_ids": "110405; 126384; 111215; 126385; 113330; 125771; 126386",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 4124668750,
        "prompt_eval_count": 1650,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:53:53.328260+00:00"
    },
    {
      "input_index": 1793,
      "record_key": "SSWR:2025-U-0822",
      "source_database": "SSWR",
      "record_id": "2025-U-0822",
      "year": 2025,
      "title": "Attitudes Towards Youth and Adult Suicide, Results from a Community Survey in Harris County",
      "abstract": "Background: During the COVID-19 pandemic suicide deaths increased among Latinx and African American youth. These groups have historically experienced lower rates of suicide as well as faced barriers to accessing mental health care. Limited research exists examining attitudes towards suicide and suicide prevention in under-resourced communities and whether attitudes towards youth and adult suicide differs. The current study investigates attitudes towards youth and adult suicide and its prevention in Harris County, Texas. Additionally, the study investigates whether race and ethnicity predict familiarity with suicide and whether this familiarity has any relationship to knowledge of the local crisis line. Methods: The study’s data is from a recent survey in Harris County, Texas. The survey targeted 10 zip codes that had been disproportionally impacted by COVID, suicide deaths, and low mental health service utilization. Surveys were administered at community events using iPads or participants’ cell phones. Items measuring attitude towards suicide and suicide prevention were taken from Suicide Prevention Gatekeeper Training Program QPR Knowledge Quiz measure (Tompkins et al., 2009). The authors adapted this measure so that general attitudes could be assessed as well as attitudes by age cohort (adult versus youth suicides). An additional two items were added asking about exposures to suicide in the neighborhood and awareness of the local suicide prevention hotline. Multiple linear and logistic regression analyses were conducted as well as Chi-Square tests with IBM SPSS (version 29). Results: Survey respondents (n=285) were predominately individuals who identified as female (82%). Latinx were over half of the sample (53%) followed by African Americans (28%) Asians/Others (11%) and Caucasians (7%). Results of the multiple regression analyses found gender to be the only significant predictor across the three models. Males were found to have a more positive attitude towards suicide and prevention than women for youth suicide (F = 2.29, p = .01, β =1.28, p =.01 ), adult suicide (F = 2.19, p = .01, β =1.29, p =. 01), and all-ages suicide (F=2.18, p = . 01, β =1.32, p =.01). For familiarity of suicide, 72% of respondents reported no awareness and 28% indicated they had heard of at least a single occurrence. Results of the logistical regression found no impact of demographic factors on familiarity to suicide. Sixty percent of respondents knew of the local crisis line Results of the Chi-squared test examining the association between familiarity to suicides and awareness of the suicide crisis line found no statistical association. Implications: This study’s primary results indicate the importance of gender in attitudes towards suicide and its treatment across age groups. The result was not what was hypothesized as traditionally men are less engaged in formal mental health care. Given that this sample is largely drawn from Latinx respondents it will be important that further research looks into possible understandings of this finding. This study’s findings also suggest that suicide prevention efforts could be aimed at all ages, as there appeared to be no differences in attitudes towards youth and adult suicide.",
      "authors": "Sean Burr; Robin E. Gearing",
      "author_ids": "125893; 109445",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3696928041,
        "prompt_eval_count": 1577,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:53:57.026411+00:00"
    },
    {
      "input_index": 1795,
      "record_key": "SSWR:2025-P-0830",
      "source_database": "SSWR",
      "record_id": "2025-P-0830",
      "year": 2025,
      "title": "Beyond the General Population: Suicidality in Foster Youth Versus Various Family Structures",
      "abstract": "Background and Purpose: Prior literature indicates that youth in the foster care system have a higher risk for suicidal behavior than their peers in the general population. However, most of these studies focus on fatal suicides rather than non-fatal or suicidal ideation. They also typically compare foster youth to the general youth population, but given the growing complexity of American families, this may result in an overestimated suicide likelihood among foster youth. Despite extensive research on youth suicide and prevention programs, few studies have explored the impact of family structure on youth suicide risk. Our study aims to address this gap by comparing foster youth to other family structures for a more detailed understanding of their suicide risk. This approach illuminates how these risks may vary not only by family structure, but also by race/ethnicity, gender identity, and location. Methods: Drawing on large cross-sectional panel data from Illinois, the Illinois Youth Survey (IYS), we investigated the prevalence of foster care youth’s (ages 13-19) suicidal ideation, compared to other family structures. Our sample consisted of students in 9th-12th grade who were asked if they had seriously considered attempting suicide in the past 12 months. This sample was majority male (51.2%) and majority white (62.4%) with an average age of approximately 15 years old. Five different family structures were identified, (1) youth who lived in a two-parent household, (2) youth who lived with foster parent(s) or in a group home, (3) youth who lived with one parent, (4) youth who lived with their grandparent(s), and (5) youth who lived with legal guardian(s). We utilized logistic regression analysis to help independently assess the risk of suicidality, specifically the presence or absence of suicidal ideation, across youth with various family structures. Other predictors including gender identity, geography, race/ethnicity, GPA, and post-graduation plans were also assessed. Results: Generally, family structure did have an impact on youth’s rates of suicidality. Our most notable findings show that foster youth were approximately 4 times more likely to have considered suicide in the past 12 months than their peers living in two parent households. Youth living with a legal guardian were 3 times more likely. Notably, Native American/American Indian youth had elevated rates of suicidality across almost all family structures, except those living with grandparents. Foster youth in rural areas and single parent households in Chicago also had higher suicidality rates. Conclusion and Implications: These findings align with prior literature on rates of suicidality among foster youth but offer a more nuanced understanding by quantifying the increased likelihood relative to other family structures. Gaining insight into specific subsets of youth at higher suicidality risk is crucial for targeting interventions in schools, clinical settings, and policy making. It also emphasizes the need for further research among youth from various family structures.",
      "authors": "William J. Schneider; Lucy Kovacevic",
      "author_ids": "112961; 122919",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3469098416,
        "prompt_eval_count": 1523,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:54:04.207296+00:00"
    },
    {
      "input_index": 1796,
      "record_key": "SSWR:2025-P-0515",
      "source_database": "SSWR",
      "record_id": "2025-P-0515",
      "year": 2025,
      "title": "Bridging Clinical and Scientific Gaps: A Systematic Review of Trauma-Informed Care for Transgender Individuals in India",
      "abstract": "Background and Purpose: This presentation summarises a systematic review that assesses healthcare disparities for transgender individuals in India, alongside insights into transgender mental health issues globally, particularly in the United States. In accordance with the Sustainable Development Goals' inclusivity principle of \"Leave No One Behind,\" it emphasises the widespread prevalence of trauma within transgender communities, notably severe socio-familial adversities in the U.S. that lead to homelessness and mental health crises among LGBTQ+ youth. This review highlights a critical shortage of specialised health services for transgender individuals in India, exacerbated by cultural and systemic barriers. There is an urgent need for enhanced research and understanding to develop policies and clinical practices that address the trauma experienced by this community. Implementing trauma-informed care is crucial for improving health outcomes and ensuring the full societal participation of transgender individuals, aligning with global human rights standards. Method: This systematic review focused on the trauma and mental health challenges of transgender individuals in India. We conducted a detailed search across multiple electronic databases including PsycINFO, ProQuest, Cochrane CENTRAL, and Medline, restricted to peer-reviewed journals in English. Search terms such as 'transgender,' 'trauma,' 'mental health,' 'discrimination,' 'abuse,' and 'healthcare access' were used to ensure comprehensive coverage of relevant studies. The inclusion criteria, based on the PICO framework, targeted societal discrimination, abuse, healthcare accessibility, and mental health outcomes. Initially, 19,200 records were identified and screened using Covidence software to facilitate data extraction and review management. Results : Seven pivotal studies were included in the review, focusing on mental health disparities among transgender individuals in India. These studies targeted trauma-informed care interventions in clinical settings, aiming to reduce discrimination, violence, and improve healthcare access. Analysis of a comprehensive survey involving 4,072 individuals, including 485 transgender respondents, revealed significant barriers to HIV services (aOR: 3.80), increased instances of gender-based violence (aOR: 2.63), and severe mental health symptoms. Additionally, a literacy study across Indian states highlighted pronounced disparities, with literacy rates varying from over 84% in Kerala and Mizoram to as low as 44.35% in Bihar, indicating substantial regional differences in health education accessibility. The review also reveals significant gaps in the clinical and academic understanding of transgender trauma in India, highlighted by alarming statistics such as a 50% suicide attempt rate by the age of twenty. Conclusion: The systematic review identifies significant challenges for transgender individuals in India, including pervasive trauma histories, mental health disparities, systemic discrimination, limited healthcare access, and a notable deficiency in specialised services and clinical understanding, necessitating urgent implementation of trauma-informed care and inclusive policy reforms. Such efforts could aim to establish a more inclusive and empathetic healthcare framework, thereby enhancing discourse on gender equality and mental health and highlighting the importance of trauma-informed care in improving the mental well-being of India's transgender population.",
      "authors": "Santhoshraj Srinivasan; J. Douglas Coatsworth",
      "author_ids": "127049; 114600",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "review",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Review"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3666855416,
        "prompt_eval_count": 1545,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:54:07.875467+00:00",
      "screening_source": "Primary screen; blind audit agreement",
      "accuracy_audit": {
        "sample_group": "Review",
        "random_seed": 20260802,
        "blind_screening": {
          "is_relevant": true,
          "relevance_rationale": "The abstract explicitly reports a '50% suicide attempt rate' as a key finding from the included studies, making suicidality a distinctly analyzed and reported component of the mental health outcomes.",
          "evidence_class": "Empirical",
          "empirical_method": "Review",
          "classification_rationale": "The record is explicitly identified as a systematic review that conducted a structured search, screening, and synthesis of primary studies.",
          "confidence": "High"
        },
        "full_label_agreement": true
      }
    },
    {
      "input_index": 1797,
      "record_key": "SSWR:2025-O-0017",
      "source_database": "SSWR",
      "record_id": "2025-O-0017",
      "year": 2025,
      "title": "Can the Zero Suicide Framework be Applied to a Youth-Serving Behavioral Health System of Care?: Lessons Learned from a Statewide Implementation",
      "abstract": "The US is in the midst of a youth mental health crisis with rates of youth suicide rising 62% between 2007 and 2021. In 2023, the CDC reported 22% of high schoolers seriously considered suicide in the last year. Zero Suicide (ZS) is an evidence-based, suicide prevention model focused on creating organizational policies that help providers put an intentional focus on suicide prevention in their service delivery. Predominantly implemented in clinical care settings, the ZS framework has been shown to significantly decrease risk for repeated suicide attempts and positively impact organizations’ comfort and knowledge in suicide prevention within adult-serving, clinical settings. In 2022, New Jersey’s Department of Children and Families’ Children’s System of Care (CSOC) began integrating the ZS framework in a new context: one that serves youth within a public behavioral health system. We conducted a pilot evaluation of ZS’s implementation by CSOC to identify barriers, challenges and needed supports for integrating the ZS framework, specifically within primarily non-clinical, youth-serving, behavioral health programs. The pilot implementation included 36 children’s behavioral health agencies with service reach across all 21 counties in NJ, including care management, family support, and out of home youth residential programs. An explanatory, sequential, mixed methods study that included quantitative analysis of a satisfaction survey and validated ZS survey instruments, as well as qualitative analysis of focus groups to interpret findings, was conducted. Baseline and follow-up validated assessments were used to measure organization and staff readiness to enact suicide prevention strategies. Focus groups with both frontline and leadership staff were conducted to better understand barriers and facilitators to implementing the ZS framework in this novel setting. Quantitative data revealed 94% of providers felt more confident and competent addressing suicide with clients because of the ZS framework, with 72% believing their organization experienced a culture shift. While previous studies have shown adult-serving providers often report strong comprehensive suicide safety planning protocols, only 6% of responding providers in our study reported having strong practices in place related to safety planning and lethal means restriction. In focus groups, providers noted that specific, translational challenges arose within the youth-serving context, such as balancing both the youth and caregivers in care plans and decisions (e.g., needing family buy-in, navigating culturally specific suicide-related stigma, and providing resources like parent support groups). To adapt this framework to a statewide, public behavioral health system, focus groups also revealed support was needed to create more standardized processes within the network (e.g., creating more cohesion in hospital and crisis center triage and referral). Zero Suicide is a promising model for preventing suicide within youth-serving behavioral health settings. When expanding the model to these settings, consideration should be given to family context, standardization of processes, and adaptation of risk reduction models. The context of this evaluation allowed DCF policymakers to measure organizational readiness, while giving providers opportunities to share areas of need in a collaborative approach to evaluation. We are continuing to measure the long-term outcomes of this program on reducing overall youth suicide risk, attempts and deaths.",
      "authors": "Shireena McGee; Jessica Borden; Shannon Hegarty; Ashley Costello; Pamela Lilleston",
      "author_ids": "127028; 123423; 127029; 127030; 120904",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "mixed_methods",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3704622000,
        "prompt_eval_count": 1566,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:54:11.581523+00:00"
    },
    {
      "input_index": 1798,
      "record_key": "SSWR:2025-U-0455",
      "source_database": "SSWR",
      "record_id": "2025-U-0455",
      "year": 2025,
      "title": "Childhood Adversities and Suicidal Ideation Among Young Adults with Serious Mental Illnesses: The Mediating Roles of Perceived Stress, Dispositional Hope, and  Mental Health Hope",
      "abstract": "Background and Purpose: Rates of suicidality are high among young people and minoritized groups are disproportionately affected. Despite evidence that adverse childhood experiences (ACEs) may increase suicide-related risk, the mechanisms through which ACEs may impact suicidal ideation (SI) are not well known, especially among minoritized and low-income young adults with serious mental illnesses (SMI). This study examines whether ACEs influence SI during young adulthood, and whether they do so through mediators of perceived stress, dispositional hope, and mental health hope. Methods: The sample includes 114 young adults diagnosed with SMI (schizophrenia spectrum, major depressive, and bipolar disorders) who participated in a larger NIMH-funded randomized trial. We used prior validated scales (e.g., Cohen’s Perceived Stress Scale, ACE-IQ) and measures unique to the study (e.g., mental health hope); all demonstrated strong psychometric properties. After exploring preliminary bivariate relationships among variables, a structural equation model (SEM) was evaluated. Analyses were conducted in Mplus using robust maximum likelihood estimation and missing data were treated using full information maximum likelihood. Sociodemographic factors (age, sex, race and ethnicity) were treated as covariates. Confidence intervals (CI) are presented in the form of margins of error (MOEs), which are the half-width of the 95% CI. Results: The sample is 66% male and 42% identify as Black, 38% Latinx, and 19% Multiracial; the mean age was 26.7 (SD=3.9). The SEM was statistically just-identified, so indices of global fit are moot. Young adults with more ACEs reported higher perceived stress (b=0.97, MOE=0.78, p =0.01), which in turn, was associated with more frequent SI (b=0.28, MOE=0.16, p =0.001). Higher perceived stress was associated with less dispositional hope (b=-0.53, MOE=0.22, p <0.001) and mental health hope (b=-0.24, MOE=0.11, p <0.001). Although dispositional hope was negatively associated with SI on a bivariate level ( r =-0.28, p <0.01), neither dispositional nor mental health hope were significantly associated with SI in the SEM. Additionally, we found no two-way interactions between (1) ACEs and hope (dispositional or mental health hope) and (2) perceived stress and hope in relation to SI. This suggests that over and above perceived stress, dispositional hope may not have a significant protective effect against SI. Conclusions and Implications: Young adults with more ACEs reported increased perceived stress, which in turn, was associated with more SI. This suggests that the association between ACEs and SI may be explained by the mechanism of higher perceived stress, further advancing a ‘science of how.’ T his is consistent with facets of the ‘Stress-Sensitization’ framework (McLaughlin et al., 2010), which posits that exposure to ACEs may increase negative responses to subsequent life stressors and impact one’s capacity to cope with stress, heightening the risk of SI. Thus, addressing stress-related processes may be one important target for suicide prevention efforts in the context of ACEs. Policy interventions focused on changing environments that are stress and trauma-inducing are needed to reduce the occurrence of ACEs and their negative sequelae. This involves confronting structural racism and poverty as mechanisms that produce and exacerbate adverse conditions, which contribute to inequities in risk factors and resources to mitigate risk.",
      "authors": "Aaron Rodwin; Moiyattu Banya; Rei Shimizu; James J. Jaccard, PhD; Michael A. Lindsey; Michelle R. Munson",
      "author_ids": "120155; 125264; 118730; 113134; 109175; 108275",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 4008638625,
        "prompt_eval_count": 1733,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:54:15.591593+00:00"
    },
    {
      "input_index": 1800,
      "record_key": "SSWR:2025-P-0193",
      "source_database": "SSWR",
      "record_id": "2025-P-0193",
      "year": 2025,
      "title": "College Student Polyvictimization: The Role of Resilience and Social Support in Suicidal Thoughts/Behaviors",
      "abstract": "Background Polyvictimization refers to individuals’ exposure to multiple types of victimization, including physical abuse/neglect, emotional abuse, sexual abuse, violence, or bullying experiences (Finkelhor et al., 2005). The scientific literature indicates that individuals who have experienced childhood adversity are more likely to be vulnerable to bullying victimization in school and college (Hamby et al., 2018; Jenkins et al., 2021; Reisen et al., 2019), and polyvictimized individuals are more prone to exhibit risky health behaviors, such as mental distress, drug use, risky sexual behaviors, and suicidal behaviors (Alexander et al., 2018; Cénat et al., 2021). According to the Schematic Appraisals Model of Suicide (SAMS; Johnson et al., 2008), individuals experiencing a stressful life event may develop self-perceived defeat (i.e., a sense of failed struggle) and entrapment (i.e., a feeling that all escape routes are blocked), potentially increasing suicidality. However, positive self-appraisal, acting as a protective factor, can mitigate the likelihood of defeat and entrapment, thereby reducing suicidality. The stress and coping theory posits that cognitive appraisal can be either positive or negative (Smith & Lazarus, 1990). Applying the Schematic Appraisal Model of Suicide framework, this study examines whether resilience acts as a mediator and perceived social support as a moderator in understanding the relationship between polyvictimization and suicidal thoughts/behaviors among college students. Methods The 790 samples (ages 18-31) were collected from four universities across the mid-western, south-central, and southern U.S. regions using a cross-sectional study and convenience sampling. This was a self-administered online survey conducted using Qualtrics and QuestionPro from November 2022 to January 2023. The independent variable was polyvictimization (abusive childhood experience + bullying victimization), the dependent variable was suicidal thoughts/behaviors, resilience was a mediator, and perceived social support was a moderator. To examine this study, a moderated mediation model was employed by using PROCESS Macro 4.2 (Model 4 & 5) in SPSS 29.0 software (Hayes, 2022). Results Results showed that polyvictimization was associated with suicidal thoughts/behaviors (c’: β = 4.53, SE = .57, 95% BCa CI [3.413, 5.64]). Resilience mediated the effect of polyvictimization on suicidal thoughts/behaviors (ab: β = .347, SE = .16, 95% BCa CI [.053, .679]). Also, perceived social support had a significant moderating effect on the association between polyvictimization and suicidal thoughts/behaviors ( β = -.071, SE = .034, 95% BCa CI [-.138, -.004]). Conclusions and Implications Results indicate a positive association between polyvictimization and suicidal thoughts/behaviors. Resilience shows an indirect association between polyvictimization and suicidal thoughts/behaviors. Perceived social support, as a moderator, explains the association between polyvictimization and suicidal thoughts/behaviors. For polyvictimized college students, both resilience and perceived social support can serve as protective factors against suicidal thoughts/behaviors. The study provides insight for implementing campus-wide intervention programs to enhance college students’ resilience and interaction skills, contributing to preventing polyvictimized individuals’ suicidal thoughts/behaviors.",
      "authors": "Jeoung Min Lee",
      "author_ids": "115406",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 4002463458,
        "prompt_eval_count": 1707,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:54:23.294002+00:00"
    },
    {
      "input_index": 1802,
      "record_key": "SSWR:2025-P-0677",
      "source_database": "SSWR",
      "record_id": "2025-P-0677",
      "year": 2025,
      "title": "Comparisons of Suicidality in a Community Sample Including Adolescents with a History of Foster Care Involvement",
      "abstract": "Background: Evans et al. (2017) meta-analysis pointed to higher risk for suicidality among system involved youth but called for more research. This study involved a broader sample of young people (ages 14-24) all of whom had experienced some form of adversity including child welfare involvement in the past or present. We used baseline data from a larger intervention study to help vulnerable youth reduce high risk sexual, interpersonally violent and suicidal behavior. We added the suicide prevention module to the evidence based, Love Notes, curriculum intervention after a collaboration with youth to expand skills needed for well-being. This analysis sought to explore differences at baseline in suicidal thoughts and behaviors (STBs) between youth who had a past or current experience of out of home care (OOHC) with a matched sample of youth with no state involvement. Methods: This sample of youth were affiliated with residential and community-based organizations serving system-involved and impoverished youth who completed the baseline and follow-up surveys and intervention. In this sample of youth (N=507), 34.12% had past or current experience with OOHC. Seventy-eight percent were Black or other races, 60% identified as female, 22.5% were LGBQ and 3.61% identified as nonbinary or transgender. Suicidal thoughts and behaviors were measured by using a modified version of the Columbia Suicide Severity Rating Scale (Posner et al., 2008). Youth were asked about their desire to die as well as suicidal ideation, planning, intent, and attempts in the past month and ever in their life. Chi-square analyses were run to examine differences in STBs in youth with past or current experience of OOHC and youth without state involvement. Results: The initial analysis reveals differences in STBs for youth with past or current experience of OOHC and youth without state involvement. For youth in this sample, in their lifetime 42% had experienced a desire to die, 35% had suicidal ideation or had planned to die by suicide, 29% had ever intended to die by suicide and 26% had ever attempted suicide. System involved youth were significantly more likely than other youth to have had the desire to die (58% vs 34%), Chi Square = 25.49, p < .001, suicidal ideation (51% vs. 27%), Chi Square = 24.81, p< .001; developed a plan (48% vs. 28%), Chi Square 18,75, p < .001; had an intention to die (43% vs. 21%), Chi Square = 26.07, p < .001 or made a suicidal attempt (40% vs. 18%), Chi Square – 25.79, p < .001. Implications: The findings confirm studies that find that system involved youth are at higher risk for suicidality but expands on previous research by comparing those with both past and current involvement from ages 14-24 to another highly oppressed and traumatized group of youth. More analyses will be conducted to assess system involved youth response to the intervention. This study is a testament to the importance of involving young people through collaboration in developing interventions aimed at giving them tools for empowerment.",
      "authors": "Amanda Minogue; Anita P. Barbee",
      "author_ids": "125786; 114632",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3772205750,
        "prompt_eval_count": 1636,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:54:30.757986+00:00"
    },
    {
      "input_index": 1803,
      "record_key": "SSWR:2025-U-0799",
      "source_database": "SSWR",
      "record_id": "2025-U-0799",
      "year": 2025,
      "title": "Demographic and Socioenvironmental Profile of Latine Service Users in the National Early Psychosis Intervention Network (EPINET)",
      "abstract": "Background and Purpose The U.S. Latine population is the fastest growing ethnoracial category in the country, yet not enough information is available about this group within the scope of early psychosis services. There is some evidence of disparities related to access to care, pathways to care, and service use for Latines experiencing recent-onset psychosis. Important cultural and socioenvironmental factors have been shown to be important in the pathways to mental health care, engagement with services, and outcomes. The national Early Psychosis Intervention Network (EPINET) presents a unique opportunity to consider the diversity within Latines as it relates to service outcomes. This study aims to examine the demographic, cultural, and socioenvironmental characteristics of Latines entering the EPINET network and how they compare with non-Latine white service users. Methods The EPINET National Data Coordinating Center harmonizes and aggregates data collected as part of treatment in EPINET clinics from eight regional hubs across the US. The current study is an analysis of the national EPINET data and includes the baseline data of 987 Latine service users and 1527 non-Latine white individuals. Analyses included descriptives, t-tests, chi squared, and regression analyses controlling for age and hub. Outcomes evaluated between the ethnic groups include duration of psychosis before entering CSC program, primary diagnosis, housing circumstances, health insurance type, referral source, legal issues, mental health hospitalization, use of crisis services, suicide attempts, and self-injurious behavior. Results Latines in early psychosis programs were slightly younger in years ( M =20.63) than their NL white peers ( M =22.14) but had a shorter time in months ( M =11.61) between onset of psychotic symptoms and enrollment in an EPINET program compared to NL whites ( M =15.83; all t-tests p<.001). Latines were concentrated in hubs based in California (14.5%), Texas (13.8%), New York (32.4%), and one representing multiple states including Florida (16.4%). The majority of white individuals had commercial insurance (61.5%) whereas a majority of Latines had Medicaid (61.3%). In terms of housing, 90.6% of Latines lived with family compared to 79.4% of whites. The top referral sources for both groups were inpatient mental health and outpatient mental health settings. Latines were more likely than their white peers to have had encounters with a crisis stabilization unit (OR=3.26, p <.001) prior to program intake but less likely to report self-injurious behavior (OR=.67, p >.05). Conclusions and Implications Building information on a robust ethnoracial subpopulation of individuals experiencing early psychosis is crucial to providing equitable evidence-based care. Results were in line with limited research on mental health service disparities that Latines experience. Both strengths (high percentage of Latines living with family, living in ethnically-dense areas) and challenges were identified in the current analysis. Social workers can play a crucial role in ensuring early psychosis services are culturally responsive and structural barriers to care are minimized.",
      "authors": "Ana T. Flores",
      "author_ids": "120128",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3714604792,
        "prompt_eval_count": 1595,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:54:34.474165+00:00"
    },
    {
      "input_index": 1804,
      "record_key": "SSWR:2025-P-0116",
      "source_database": "SSWR",
      "record_id": "2025-P-0116",
      "year": 2025,
      "title": "Disability Status, History of Suspensions, and Early Suicide Risk Among Children",
      "abstract": "Background and Purpose: Although suicidal behaviors in young children (ages 5-12) are rare, in 2021 in the U.S., suicide was the fifth leading cause of death among this population. Research supports that children with disabilities are at elevated risk for suicide-related behaviors in comparison to their general education peers, but what is lacking is research investigations that focuses on the effect of cumulative risks such as disability status, history of suspension/expulsion, negative peer relationships, and school disconnection in relation to early suicide risk. According to the cumulative risk model, exploring risk factors within children is of utmost importance to understanding how certain factors, in culmination, correlate to depict specific adverse outcomes. As such, this study examined disability status, negative peer relationships, and school disconnection on suicidal ideation and attempts among children with and without a history of suspension/expulsion. Methods: Data used were from the Future of Families and Child Wellbeing Study which includes a large sample of children disproportionately from minoritized and disadvantaged backgrounds. This longitudinal birth cohort study recruited parent-child dyads in 20 U.S. cities with populations >200,000. Data collection occurred at child’s birth (baseline), and again at ages 1, 3, 5, 9, 15, and 22. Baseline (1998-2000) and age 9 (2007-2010) interview data were used. Analytic sample ( n =2,463) consisted of 52% males with an average age of 9.3 years ( SD = .37). Racial/ethnic breakdown was 81% non-White (Black & Hispanic) and 19% White. Data were analyzed using multivariate logistic regression, including subgroup analysis for children with and without a history of suspensions/expulsions. Results: Among children, 2% experienced suicidal ideation and 2% experienced suicide attempts. Ten percent had a disability status, and when looking exclusively at children with a history of suspensions/expulsions by age 9 disability status increased to 19%. N egative peer relationships ( AOR = 1.12; 95% CI = 1.01-1.25 p = .020) and being male ( AOR = 2.26; 95% CI = 1.06-4.82 p = .034 ) were associated with suicidal ideation in children without a history of suspension and expulsion. In addition, disability status was not statistically associated ( AOR = 2.15; 95% CI = 0.87-5.36; p = .099). On the contrary, children with a history of suspension/expulsion and a disability status had three times higher odds of suicidal ideation ( AOR = 3.02; 95% CI = 1.07-8.47; p = .036) in comparison to children with no disability status. For suicide attempts, we found similar patterns of associations; however, the overall model fit of children with ( X 2 (14, n =456)=22.65, p = .066) and without ( X 2 (14, n =2,007)=23.02, p = .060) a history of suspension/expulsion were not statistically significant. Conclusion and Implications: Research findings provide empirical support for the effect of cumulative risk factors on suicide ideation in children which fills in critical gaps in the literature. Findings raise awareness to important developmental risks that are key to accurate assessment and screening in preventing early suicide risk. Assessing cumulative risks among children can inform school-based interventions designed to promote mental health and suicide prevention.",
      "authors": "Danielle Harrell; Ambra Green; Janine Shuman; Aundraea Brown",
      "author_ids": "124652; 126236; 126237; 124701",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 4127532333,
        "prompt_eval_count": 1730,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:54:38.603325+00:00"
    },
    {
      "input_index": 1805,
      "record_key": "SSWR:2025-P-0645",
      "source_database": "SSWR",
      "record_id": "2025-P-0645",
      "year": 2025,
      "title": "Effectiveness of Dialectical Behavior Therapy in Schools and Barriers and Facilitators to Implementation: A Rapid Scoping Review",
      "abstract": "Background and Purpose: Youth are experiencing an unprecedented mental health crisis, with increasing rates of suicide, self-harm, anxiety, and depression. Abrupt changes, such as social isolation during the COVID-19 pandemic, have caused increased loneliness and depression. According to CDC data, 22% of high school students seriously considered suicide, 18% made a suicide plan and 10% attempted suicide in the US in 2021. Exacerbating this crisis are persistent barriers to behavioral health care access including provider shortage, transportation, cost, and stigma. One solution is increasing school based mental health supports. Embedding services within schools avoids many barriers. One promising approach is Dialectical Behavior Therapy. DBT was originally developed for treating highly suicidal patients with borderline personality disorder but has since been used to target multiple mental health conditions. DBT skills in schools include tiered approaches across a continuum of care, ranging from teaching DBT skills to ALL students in the general classroom curriculum to integrating DBT strategies in individual counseling. Despite the effectiveness of DBT, research evaluating DBT and its adaptations in schools remains limited. Research has focused largely on pilot feasibility studies with limited data on student and school outcomes. This highlights a critical need to assess evidence for DBT interventions in school settings. This review supports future research on DBT interventions in schools with the goal of establishing DBT informed approaches in schools as an evidence-based intervention to improve youth mental health. Methods: A systematic literature search was conducted identifying studies for a DBT scoping review. Databases searched included: PubMed, Scopus, Web of Science, APA PsycINFO via EBSCOhost, and Applied Social Sciences Index & Abstracts (ASSIA) via ProQuest. Authors also searched reference lists of included publications, contacted DBT developers for missing articles, and hand searched Discover Psychology and Google Scholar. Quantitative, qualitative and mixed methods designs were included with no date restriction. Search results were imported into a joint EndNote Library and duplicates deleted. Results were then imported into Covidence, a systematic review screening tool. Titles and abstracts were independently screened by six reviewers. Eligible articles for full-text review were screened by three reviewers. At each step reviewers discussed incongruent results until a conclusion was reached. Results were tabulated with information included about title, authors, date, study design, population, sample size, intervention, comparison condition, main outcome, and secondary outcomes for each article reviewed. Results: Results demonstrate the state of the evidence for the use of DBT skills in all school settings from universal to targeted interventions, from elementary through higher education. Specifically, results illustrate use of DBT skills in schools and effect on mental health and academic outcomes. Results describe acceptability, feasibility, barriers and facilitators to implementation, and needed adaptations. Conclusions and Implications: DBT skills when used in school-based settings have the potential to address a variety of mental health problems and promote overall wellness and resilience for all students. Future research should continue to explore efficacy and effectiveness, and feasible methods for implementation of DBT skills in schools, especially in under-resourced areas with high risk and health disparities.",
      "authors": "Bridget Bailey; Kathryn Williams; Carrie W. Rishel; Sara Bravo Peterec; Bailey Dyson",
      "author_ids": "113477; 124986; 108749; 127388; 127389",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "review",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Review"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T18:54:42.333323+00:00"
    },
    {
      "input_index": 1806,
      "record_key": "SSWR:2025-P-0829",
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      "record_id": "2025-P-0829",
      "year": 2025,
      "title": "Embracing Diversity: Recognizing Gender Expression, Discrimination, Victimization, and Mental Health Disparities Among LGB Men and Women",
      "abstract": "Significance/Purpose. Gender expression is how individuals express their gender, often through feminine and masculine expression. Traditional gender expression expects men to display masculinity and women to embody femininity. Non-traditional gender expression is often defined as having opposite sex's characteristics, such that women being masculine and men being feminine. Non-traditional gender expression in gay and bisexual men has been linked to increased discrimination, victimization, and negative mental health outcomes (SAMHSA, 2023; Sanchez & Vilain, 2012). However, research on non-traditional gender expression in LGB women has not found the same effect. Previous research suggests that non-traditional gender expression in LGB women serves as a protective factor (Craig & LaCroix, 2011), but this has yet to be determined. The study aimed to examine (1) the association between gender expressions (i.e., traditional vs non-traditional) and discrimination and victimization; and (2) the effect of discrimination and victimization on mental health in LGB men and women. The study hypothesized that non-traditional gender expression will be associated with higher levels of discrimination and victimization. It was also hypothesized that discrimination and victimization experiences will increase risk for mental health problems. Methods. Utilizing data from the Generations: A Study of the Life and Health of LGB People in a Changing Society study from 2016-2019, the current cross-sectional study used data from Wave 1. Participants were 1,424 LGB individuals ages 18 and over with biological males ( n = 674) and females ( n = 750). The gender expression manifested in physical appearance and behavioral mannerisms were measured. For each gender expression variable, responses were recoded into three gender expression categories (masculine, feminine, and equally feminine and masculine). All data on variables were collected from self-report measures including discrimination (9 items, alpha = .91), victimization (6 items, alpha = .82), psychological distress (6 items, alpha = .89), suicidal behavior (yes/no), and self-harm (yes/no). All analyses were stratified by biological sex and biologically male and female samples were analyzed separately. A series of one-way ANOVA, multiple linear regression analyses, and binary logistic regression analyses were utilized. Results. Having non-traditional gender expression in both physical appearance and mannerisms was associated with more discrimination among both men and women. Such that, LGB women with any masculine gender expression and LGB men who present with any feminine gender expression experience higher levels of discrimination. Further, men with equally feminine and masculine gender expression consistently experienced more discrimination. Higher levels of discrimination predicted higher levels of psychological distress, suicidal ideation, and self-harm behaviors in both genders. Additionally, more victimization experiences predicted more suicidal ideation in both genders. However, higher victimization experiences predicted higher levels of psychological distress in men but not in women. Conclusion and Implications. The study highlights gender disparities in acceptable gender expression and strengthens previous research on discrimination’s impact on mental health outcomes. These findings underscore the importance of acknowledging individual differences within LGB communities to provide gender-affirming healthcare. Healthcare providers should consider non-traditional gender expression’s impact on discrimination and mental health well-being in LGB individuals to address their mental health concerns.",
      "authors": "Kong Yang; Juye Ji",
      "author_ids": "127761; 108489",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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        "prompt_eval_count": 1637,
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      "screened_at": "2026-08-02T18:54:46.078800+00:00"
    },
    {
      "input_index": 1807,
      "record_key": "SSWR:2025-U-0459",
      "source_database": "SSWR",
      "record_id": "2025-U-0459",
      "year": 2025,
      "title": "Ethnic Identity. Thwarted Belongingness, and Perceived Burdensomeness Among Latinx and Black Youth",
      "abstract": "Background and Purpose : Historically, the suicide field has relied heavily on psychiatric symptoms to explain suicide risk and intervene. Critical suicidology calls us to focus on sociocultural and contextual factors as a way to increase health equity in suicide research for which the social work profession is uniquely equipped. In this study, we focus on ethnic identity—a developmentally and culturally important task among ethnoracially minoritized adolescents—in the suicide context. Ethnic identity encompasses belongingness to one's ethnic group and positively affects self-esteem and well-being. The interpersonal theory of suicide proposes that thwarted belongingness (TB) and perceived burdensomeness (PB) caused individuals to think about suicide. We examined the association between ethnic identity, TB, and PB among a group of Latinx and Black adolescents and their impact on their mental health. We hypothesize that a stronger ethnic identity would be a protective factor against feelings of TB and PB, thus providing an opportunity to strengthen ethnic identity as a way to reduce suicide ideation risk. Methods : We recruited Latinx and Black adolescents (N=61) from community centers in New York City as part of a supplemental cross-sectional and exploratory study to understand TB and PB among these youth. Inclusion criteria included: 1) self-identifying as Latinx or Black ethnicity, 2) being between 13 and 17 years old, 3) reporting a score of <10 on the Patient Health Questionnaire-Adolescent, and 4) speaking English or Spanish. Ethnic identity was measured with the Multigroup Ethnic Identity Measure (MEIM), and TB and PB were measured with the Interpersonal Needs Questionnaire (INQ-15). We collected sociodemographic characteristics. Bivariate relations among the ethnic identity and interpersonal factors of suicide TB and PB and linear multiple regression models were used to evaluate the association between ethnic identity (MEIM total score) as an independent variable and TB and PB as separate dependent variables. For each, we first fit an unadjusted model and then an adjusted model controlling for gender, age, ethnicity, language, income, and country of origin. Analyses were conducted in SPSS Version 29. Results : Participants’ mean age was 15.1 (SD=1.4). Most participants were male (72.1%) and self-identified as Latinx (75.4%). In the adjusted model, individuals with higher total MEIM scores have lower expected levels of TB (b = -0.56, 95%CI = (-1.09, -0.03), p =.039). In addition, higher income was associated with higher TB (b = 0.01, 95%CI = (.001, .020), p =.043). In the unadjusted and adjusted model of MEIM and PB, PB was not significant. Yet, in the adjusted model, Spanish as a preferred language was associated with lower perceived burdensomeness (b = -1.13, 95%CI = (-1.96, -0.30), p=0.009). Conclusions and Implications : In a non-clinical sample of Latinx and Black youth, strong ethnic identity was associated with low TB, an indicator of suicide ideation, but not with PB. These findings may suggest that strengthening ethnic identity could reduce TB and, in turn, reduce suicide ideation. Incorporating ethnic identity—including the Spanish language for Latinx youth—in the assessment and prevention of suicide ideation may prove valuable and relevant to ethnoracially minoritized youth.",
      "authors": "Carolina Vélez-Grau; Melissa McTernan; Michael A. Lindsey; Laura Mufson",
      "author_ids": "122784; 125347; 109175; 122785",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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        "eval_count": 24
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      "screened_at": "2026-08-02T18:54:50.297316+00:00"
    },
    {
      "input_index": 1809,
      "record_key": "SSWR:2025-P-0291",
      "source_database": "SSWR",
      "record_id": "2025-P-0291",
      "year": 2025,
      "title": "Examining the Relationship between Food Insecurity and Risk of Sexual Violence Among College Students",
      "abstract": "Background: College students are at an increased risk of experiencing gender-based violence (GBV) and are victimized at a high rate. College students are also at an increased risk of experiencing food insecurity, with many campuses reporting food insecurity prevalence around four times the national average. Because students are at a higher risk of experiencing these social justice issues; challenges that can be intensified in the insulated environment of college. It is necessary to begin to understand how different social justice issues like food insecurity and GBV impact students; and intersect with each other. The current study sought to explore the relationship between unique risks of sexual violence, including food insecurity. Methods: This study is a secondary data analysis using data collected from a larger longitudinal campus-wide project. This project took a cohort study approach to understand the behavioral and psychological health of undergraduate students at a Mid-Atlantic university. Students were provided a $10 incentive for participation. Students were asked questions about experiencing food insecurity, their mental well-being, substance use, and whether they had experienced sexual violence in the last 12 months. Results: Results of a correlation analysis demonstrated a significant relationship between sexual violence, food insecurity, mental well-being, and substance use. A regression analysis demonstrated that all predictor variables were significant predictors of sexual violence: negative mental well-being, β = .814, t(179) = 6.221, p < .001; how often someone drinks, β = .995, t(157) = 5.209, p < .001 ;number of drinks, β=.996, t(145)=4.867, p<.001; experiencing depression β=.771, t(179)=6.115, p<.001; depression diagnosis β=-.832, t(179)=-8.395, p<.001; and suicidal ideation β=.471, t(179)=4.504, p<.001. Food insecurity was also a significant predictor of sexual violence, β=-.526, t(179)=-4.687, p<.001. In addition, food insecurity had a significant interaction effect with mental well-being, drinking frequency, drinking amount, experiencing and being diagnosed with depression, and suicidal ideation, in predicting whether a student experiences sexual violence. Discussion: The current study established a significant relationship between food insecurity, sexual violence, mental well-being, substance use, depression, and suicidal ideation. The negative mental health effects of food insecurity have demonstrated the potential to increase the risk of sexual violence. The direct relationship between food insecurity and sexual violence can be more challenging to explain. Students experiencing food insecurity may be more vulnerable to coercion for food. Food insecurity may also lead people to choose professions that make them more vulnerable to victimization (i.e. sex work; this statement is not demonizing sex work but rather pointing out that predators may target sex workers). Because food insecure students face stigma and shame, they may not have many relationships. And when presented with an opportunity to have a relationship with someone, is willing to accept toxic behavior that may include coercion and non-consensual sexual activity. Universities contribute to the higher prevalence of food insecurity and sexual violence by not addressing the role of institutional factors in the prevalence of both of these issues.",
      "authors": "Adrienne Baldwin-White; spit For Science; spit For Science",
      "author_ids": "117304; 126590; 126590",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "prompt_eval_count": 1636,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:54:58.115054+00:00"
    },
    {
      "input_index": 1810,
      "record_key": "SSWR:2025-U-0041",
      "source_database": "SSWR",
      "record_id": "2025-U-0041",
      "year": 2025,
      "title": "Exploring Suicide Stigma Among Adolescents in the Greater Accra Region of Ghana: The Role of Age, Mental Health Stigma, and Traditional Beliefs",
      "abstract": "Background and Purpose: Suicide is a global public health issue, with Africa experiencing a suicide rate of 6.98 per 100,000 in 2019. Studies highlight high suicide behaviors among Ghanaian adolescents, influenced by sociocultural practices and traditional beliefs. Suicide stigma, rooted in societal norms and cultural taboos, contributes to silence and barriers in seeking help. Understanding suicide stigma's complexities among adolescents is crucial, considering the formative nature of this period and its impact on mental health awareness and help-seeking behaviors. Mental health stigma exacerbates these challenges, perpetuating silence and discrimination. Traditional beliefs in Ghana influence attitudes towards suicide, necessitating culturally sensitive interventions. This study aimed to investigate the relationships between age, sex, mental health stigma, traditional beliefs, and suicide stigma among junior high school students in Greater Accra, contributing valuable insights for reducing stigma and fostering supportive environments for Ghanaian adolescents' mental well-being. Methods: Participants for this study were sampled from six selected junior high schools (JHS) in the Greater Accra Region of Ghana, specifically from the Ada, Weija, and Sege districts, resulting in an 82% participation rate out of 975 initially approached students. Inclusion criteria required junior high school students without known cognitive or learning difficulties. Privacy during surveys was ensured by seating students at least 4 feet apart in their classrooms, and participants received educational materials and refreshments worth GH¢20.00 (US$2.00) as compensation. Ethical approval was obtained, and data collection included demographic variables (age, sex), sociocultural variables (parental information, ethnic group, religious affiliation), and measures of Suicide Stigma, traditional beliefs, and mental health stigma using validated scales. Data analysis involved descriptive analysis, bi-variate, and multivariate analyses using IBM SPSS Statistics, with Multiple Linear Regression to assess relationships between variables. Results: The results revealed several noteworthy findings that contribute to our understanding of suicide stigma and provide implications for interventions and mental health promotion efforts. The study found significant positive correlations between suicide stigma and both mental health stigma and traditional beliefs. This highlights the interconnectedness of these factors and emphasizes the need for comprehensive approaches to address suicide stigma. Furthermore, the multiple linear regression analysis demonstrated that after controlling for age, sex, and other factors, both mental health stigma and traditional beliefs remained significant correlates of suicide stigma. Conclusions and Implications: The results of this study highlight the need for targeted interventions to reduce suicide stigma among adolescents in Ghana. Addressing mental health stigma, challenging traditional beliefs, and fostering supportive environments are crucial in promoting mental health awareness and creating a culture that embraces open discussions about suicide prevention. By implementing comprehensive strategies, Ghana can take significant strides towards supporting the mental well-being of its adolescents and reducing the stigma associated with suicide. Future research and collaborative efforts are warranted to further advance our understanding and refine intervention approaches in this important area of study.",
      "authors": "Enoch Azasu",
      "author_ids": "123341",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "eval_count": 24
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      "screened_at": "2026-08-02T18:55:02.086408+00:00"
    },
    {
      "input_index": 1811,
      "record_key": "SSWR:2025-U-0150",
      "source_database": "SSWR",
      "record_id": "2025-U-0150",
      "year": 2025,
      "title": "Exploring the Predictive Role of ACEs on Suicidal Ideation and Behaviors Among Midwest Youth",
      "abstract": "Background and Purpose: The escalating concern over the mental health crisis among youth, particularly in the context of trauma and PTSD, underscores an urgent need for research into its implications on suicidal ideation and behaviors. With the utilization of primary data, this study is anchored in the Midwest, aiming to understand the extent to which adverse childhood experiences (ACEs) serve as a predictor for suicidal tendencies among the youth demographic. The exploration extends to understanding how social connectedness and PTSD symptoms are associated with this relationship. The primary research question investigates the predictive capability of ACEs, PTSD, and social connectedness for suicidal ideation and behaviors. It was hypothesized that higher ACEs and PTSD would be associated with a greater likelihood of suicidal ideation and behaviors while higher social connectedness would be associated with less of a likelihood for suicidal tendencies. Methods: Data comes from a cross-sectional Midwestern study of Black emerging adults 18 to 24 (N= 362) who have experiences with mental health, racism, and sexual health. The average age of the sample was 21. Participants were recruited using Qualtrics Panels, an online survey delivery service used to recruit study participants. Data were collected via standardized instruments, including the Columbia-Suicide Severity Rating Scale (C-SSRS) for suicidal ideation, the PTSD Checklist for DSM-5 (PCL-5; α = .581) for assessing PTSD symptoms, the Social Connectedness Scale (α = .901) for evaluating social ties, and the ACEs questionnaire for traumatic childhood experiences (α = . 0.745). Logistic regression was conducted. Results: The sample was predominantly female (76.6%) and Black American or African American (82.5%), with the majority from Midwest states like Ohio (28%), Illinois (20.1%), and Michigan (14.4%). Logistic regression analyses revealed that adverse childhood experiences (ACEs) significantly predict suicidal ideation and behaviors; for every unit increase in ACEs score, the odds of suicidal ideation increase by 20.3% (OR = 1.203, 95% CI [1.077, 1.343], p < .001). Social connectedness emerged as a significant protective factor; higher levels of connectedness were associated with a 62% reduction in the odds of suicidal behavior (OR = 0.380, 95% CI [0.258, 0.561], p < .001). PTSD symptoms were not a significant predictor of suicidal tendencies in the model (OR = 0.863, 95% CI [0.580, 1.283], p = .466). Conclusions and Implications: The study's outcomes indicate that while PTSD symptoms are a critical area of concern for youth mental health, the factors of adverse childhood experiences and social connectedness play more substantial roles in predicting suicidal ideation and behaviors. The findings highlight the need for interventions focusing on mitigating ACEs' impacts and enhancing social ties among youth. Recommended strategies include developing targeted support and community programs to strengthen social connections and address trauma's root causes. Policy recommendations emphasize integrating mental health education and services into schools and community centers. Future research should assess long-term effects and intervention efficacy in improving social connectivity and reducing suicidal tendencies in traumatized youth.",
      "authors": "Juan Benavides; Akeem Modeste-James; Donte T. Boyd; Camille R. Quinn",
      "author_ids": "123658; 124691; 115665; 113009",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "eval_count": 24
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      "screened_at": "2026-08-02T18:55:06.014837+00:00"
    },
    {
      "input_index": 1813,
      "record_key": "SSWR:2025-P-0097",
      "source_database": "SSWR",
      "record_id": "2025-P-0097",
      "year": 2025,
      "title": "Exposure to Suicide in Veterans and the Impact on Increased Suicide Risk",
      "abstract": "Background and Purpose: Suicide remains an enduring challenge within the U.S. veteran population despite significant efforts aimed at reducing risk. The Veterans Affairs (VA) 2023 National Veterans Suicide Prevention Annual Report has found a continued rise in the rate of veteran suicides over the past ten years. While the CDC reported an increase in suicide rates in the civilian population of 4.5% from 2020-2021 (Welder & Stone, 2023), the most recent VA report found that the veteran suicide rate increased by 11.6% for the same year (Department of Veterans Affairs, 2023). Research is needed to further understand the factors that may play a role in identifying and reducing risk of suicide. It is well known that exposure to suicide creates vulnerability to self-harm behaviors. Given the rates of suicide in the veteran population, it is likely veterans are exposed to suicide at high rates. The purpose of this study was to explore rates of suicide exposure in veterans and its impact on suicide risk. Methods: Data were collected from 3,188 Southern California Veterans. An online survey approach was utilized for data collection. Potential participants received an invitation to participate in the study and were provided with a link to complete the survey online. The survey took approximately 30 to 60 minutes to complete. All participants received a $25 gift card. Participants were asked to indicate whether they had known anyone who had died by suicide, how many people they knew whose cause of death was suicide and how many had prior service. Suicide was measured using the Suicide Behaviors Questionnaire Revised. Odds ratios were calculated to determine whether knowing someone who died by suicide increased odds of meeting the diagnostic criteria for suicide risk. Results : Sixty percent of veterans had exposure to suicide, knowing at least one person who died by suicide. Of those, 27% indicated knowing one individual whose cause of death was suicide while 29%, 19%, 9% reported knowing two, three and four people who died by suicide, respectively. Seventeen percent of the sample indicated knowing more than five individuals who took their own life. Over 70% reported at least one of these individuals was someone who had served. Individuals who knew at least one person who died by suicide had two times the odds of meeting the diagnostic criteria for suicide risk. Conclusion and Implications: While most suicide prevention focuses on mental health issues and crisis management, both important elements of prevention, more work is needed to look holistically at the complex factors that create risk. Findings here demonstrate suicide exposure to highly prevalent in the veteran population and causes increased risk for suicide. Screening for suicide exposure may be an important element to identifying risk. Interventions focusing on reducing risk after suicide exposure may also be a way to expand suicide prevention. Research should continue to explore the role suicide exposure may play in creating susceptibility to suicide risk.",
      "authors": "Sarah Kintzle",
      "author_ids": "110041",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "prompt_eval_count": 1517,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:55:13.789289+00:00"
    },
    {
      "input_index": 1814,
      "record_key": "SSWR:2025-U-0650",
      "source_database": "SSWR",
      "record_id": "2025-U-0650",
      "year": 2025,
      "title": "Harnessing Community Strengths: Social Support Dynamics and Suicide Prevention Among Alaska Native Youth",
      "abstract": "Background and Purpose: Alaska Native (AN) youth experience disproportionately high rates of youth suicide, and have an abundance of social resources, which are often more plentiful and preferred than clinical care. Recent suicide prevention scholarship emphasizes the importance of building on local resources and strengthening social ties. This study uses survey data to report “support profiles” for AN youth, including people in their community (parents, other family members, friends, and service providers like clinicians and teachers), who they give and receive support from. Methods : Cross sectional survey data, collected as part of a participatory intervention study focused on Promoting Community Conversations About Research to End Suicide (PC CARES), was used to describe the types (types (i.e., category), quantities (i.e., distribution and average number), sources (i.e., from whom), and frequencies (i.e., how often) of social support that AN young people (15-29) in rural and remote Alaska villages report giving and receiving. We also examined if these “support profiles” differ by age and gender. Results: We find that: 1) most ANs reported receiving and giving nearly all supports, 2) compared with females, males reported giving and receiving fewer supports on average, 3) family was the most selected support, followed by close friends, and with service providers giving the least support, and 4) family (e.g., parents, siblings, and grandparents) provided support regularly (i.e., monthly or more). There were notably few differences by gender or age in self-reports of actions related to suicide prevention, except for differences by gender for offering interpersonal support to others. Findings inform future avenues for interventions targeted toward AN youth, particularly in relation to appropriate and useful support for young AN men. Conclusions and Implications: Overall, this study highlights the preventative actions already happening through existing social support networks in rural AN communities and identifies common supportive and preventative actions and interactions. We underscore how community-based suicide prevention strategies may fruitfully engage existing social support networks to share prevention information, amplify community-based interpersonal support, reduce suicide risk and promote help-seeking for young people. Enhancing already existing relationships and resources, this study underscores the untapped potential of engaging with families and community members in prevention strategies to strengthen intergenerational support networks and home and community safety.",
      "authors": "Lauren White",
      "author_ids": "124977",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3354705375,
        "prompt_eval_count": 1394,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:55:17.145669+00:00"
    },
    {
      "input_index": 1815,
      "record_key": "SSWR:2025-P-0853",
      "source_database": "SSWR",
      "record_id": "2025-P-0853",
      "year": 2025,
      "title": "Hopelessness and Childhood Trauma Experiences in the Relationship between Technology-Facilitated Sexual Violence and Suicidal Ideation Among Young Women in South Korea: A Moderated Mediation Model",
      "abstract": "B ackground and purpose The rapid advancement of digital technology has given rise to various new social issues. One is technology-facilitated sexual violence (TFSV). Many women, especially women in their 20s and 30s, have a higher incidence of victimization than other age groups. Victims feel threatened and helpless because they perceive TFSV as an uncontrollable and unilateral crime that can target them at anytime and anywhere, and explicit sexual information can be rapidly disseminated without their consent. It can ultimately have a severe impact on their mental health. Rose and Abramson’s hopelessness theory of depression explains that negative life events can trigger suicidal ideation through hopelessness, and negative early life experiences can further exacerbate the magnitude of this influence. However, research on the combined effects of TFSV (a proximal negative life event) and childhood maltreatment (a distal negative early life experience) on suicidal ideation is limited. Therefore, this study examined the relationship between TFSV and suicidal ideation among South Korean women in their 20s and 30s based on the hopelessness theory of depression. Methods The data was directly collected, and the sample consisted of 309 women from South Korea. The independent variable, TFSV, was measured by the Sexual Violence Victimization Scale. Suicidal ideation, a dependent variable, was assessed using a modified version of the Scale for Suicidal Ideation. Hopelessness, a mediating variable, was gauged through a modified version of Beck’s Hopelessness Scale, and childhood trauma experiences (CTE), a moderating variable, were assessed with the Childhood Trauma Questionnaire. The moderated mediation analysis was conducted using Model 7 in the SPSS PROCESS Macro program to verify the research model. Results The results showed that 55.7% had experienced TFSV at least once. Participants with a history of TFSV reported higher levels of suicidal ideation. Bootstrapped mediation analysis showed that hopelessness partially mediated the relationship between TFSV and suicidal ideation ( = .048, 95% CI [.0062, .1035]). Moreover, the effect of the interaction between TFSV and CTE was statistically significant ( = .025, t = 3.045, p < .01), and the overall model was significant ( F = 16.415, p < .001). Conclusion TFSV is an emerging concept and a relatively new issue in Korea. However, a significant number of women in their 20s and 30s in South Korea have experienced direct and indirect TFSV, and they experience hopelessness and depressive symptoms. The findings indicated that exposure to TFSV not only directly increased suicidal ideation but also indirectly through feelings of hopelessness. Furthermore, individuals with a history of CTE are reported to have a higher likelihood of developing a negative cognitive and inferential style, as well as lower resilience that leads to hopelessness. These findings suggest that professional counselors and social workers working with victims of TFSV need to assess hopelessness and history of CTE and consider interventions to address their feelings of hopelessness. Programs and policies targeting women in their 20s and 30s experiencing mental distress due to negative life events, such as TFSV, should prioritize addressing hopelessness to reduce its impact.",
      "authors": "Boyoung Nam; Sujeong Yu; Dong Hyeon Kim; Sung Min Kweon; Chansu Min",
      "author_ids": "115613; 123534; 125034; 125586; 127810",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 4084543375,
        "prompt_eval_count": 1652,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:55:21.232733+00:00"
    },
    {
      "input_index": 1816,
      "record_key": "SSWR:2025-P-0624",
      "source_database": "SSWR",
      "record_id": "2025-P-0624",
      "year": 2025,
      "title": "Innovative Dissemination Strategies: Amplifying Suicide Prevention Research through Academic-Community Partnerships",
      "abstract": "Background and Purpose: Suicide is a leading cause of death globally, and despite growing literature and expanded awareness initiatives, death rates continue to increase. Traditional approaches to suicide prevention often focus on clinical interventions targeting individuals at heightened risk. While these efforts are crucial, they alone are insufficient to address the multifaceted nature of suicide. Given the need for broader community engagement and awareness, there has been a growing emphasis on the importance of community-based approaches in suicide prevention. Partnerships between academic institutions, healthcare providers, and community organizations offer a promising avenue to expand public awareness and education, promote community resources, and ultimately prevent suicide death. Methods: As part of an NIMH-funded pilot effectiveness clinical trial, an academic-community collaborative team collected stakeholder (e.g., provider, client, leadership) input to modify and preliminarily test a cognitive behavioral suicide prevention treatment for adults with psychosis for delivery in a community mental health setting. Following the first aim of the study, the team was awarded a Promoting Academic and Community Engagement (PACE) Dissemination grant from Michigan Institute for Clinical and Health Research (MICHR) at the University of Michigan (U-M) to creatively disseminate findings from the research to the community at large. Community-centered dissemination efforts included developing informative materials and hosting engaging events with facilitated activities in multiple locations to reach a diverse audience. Events (n=6) aimed to raise awareness, foster dialogue, and promote community. Results: Over 450 community members of diverse ages, backgrounds, and experiences attended at least one of the six events hosted. Attendees spoke to members of our academic-community partnership team, to one another, and spent time reading about our suicide prevention research. The majority of time was observed being spent contributing to art projects and reading suicide prevention resource information on giveaway items (e.g., pamphlets, stickers, pens, and water bottles). Nearly every attendee expressed sincere gratitude for the partnership, resources, and art projects. Conclusions and Implications: The collaborative design and implementation of our events was an innovative approach to disseminating research findings within a community context, especially given academic research findings are most often disseminated in scholarly journals and conferences. Continued collaboration, intentional dissemination, and collaborative resource sharing are essential parts of community-based participatory research (CBPR). This partnership highlights the diverse set of skills, perspectives, and resources that come together to engage community members in the dissemination of research. These findings highlight the importance of partnership between academic and community research partners and provide a foundation for the need to investigate benefits of similar collaborations in other fields of health education.",
      "authors": "Nicholas Brdar; Maura Campbell; Katie Hoener; Timothy Florence; Lindsay A. Bornheimer",
      "author_ids": "126265; 127336; 124626; 124629; 114170",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "other",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3989958166,
        "prompt_eval_count": 1443,
        "eval_count": 27
      },
      "screened_at": "2026-08-02T18:55:25.224249+00:00"
    },
    {
      "input_index": 1817,
      "record_key": "SSWR:2025-U-0429",
      "source_database": "SSWR",
      "record_id": "2025-U-0429",
      "year": 2025,
      "title": "Institutional Betrayal (IB) Experiences Following Sexual Violence Trauma Among Women in Taiwan",
      "abstract": "Background: Sexual violence is a significant issue in Taiwan, with approximately 1 in 24 individuals having experienced it. Despite the #MeToo movements of 2020 and 2023 in Taiwan, a 2023 national survey indicated that only 30% of survivors sought formal assistance. Recent studies have shed light on the phenomenon of \"institutional betrayal (IB),\" whereby survivors encounter inadequate support or rejection from formal systems, potentially leading to secondary trauma or re-victimization. These adverse help-seeking experiences can erode survivors' trust in seeking assistance, impeding their recovery and perpetuating silence surrounding their experiences. This study aims to investigate IB experiences among female sexual violence survivors across various institutions following the #MeToo wave in Asia, addressing a notable research gap in the field of sexual violence in Taiwan. Methods: Qualitative interviews were conducted with 31 women (aged 20-50) in Taiwan who had experienced sexual violence incidents at least one year before the interview. The interviews took place between December 2023 and March 2024, utilizing purposive and snowball sampling methods. Each interview lasted up to 90 minutes and aimed to explore the survivors' experiences and their associated outcomes. Thematic analysis was employed, with the research team comprising both sexual violence survivors and non-survivors as coders. Results: The study revealed that 14 out of 30 participants encountered IB following their experiences of sexual violence. These instances of IB originated from various formal institutions in Taiwan, including education, healthcare, social services, law enforcement, and the judiciary. Five themes emerged from the analysis: 1) Participants encountered multiple instances of IB across various institutions, leading to cumulative experiences of betrayal. 2) Various forms of IB experiences: punitive actions against survivors (e.g., violation of privacy) , institutional negligence in addressing or preventing sexual violence (e.g., cover-ups, failure to respond adequately, normalizing abusive situations, etc.), and a hostile societal culture (e.g., perpetuation of rape culture). 3) IB not only exacerbated the sexual violence trauma but was often perceived as more substantial than the events themselves, resulting in heightened dissociation, anxiety, trauma-related symptoms, and increased risk of suicidal ideation among survivors. 4) Initial interactions with support systems are crucial for trust-building and re-victimization prevention. 5) The emergence of the \"secondary IB\" phenomenon : Despite lacking direct engagement with formal service institutions, survivors may develop feelings of mistrust and betrayal towards existing systems and resources based on indirect observations from media and community narratives. Conclusions and Implications: This study makes a significant contribution to the literature by examining IB following sexual violence trauma within the context of #MeToo in Taiwan, a region with limited prior research on this subject. The findings confirm the presence of IB and uncover the concept of \"secondary IB.\" Further research in this area is imperative to comprehend how media coverage of IB affects survivors in the broader community, particularly amidst ongoing social movements such as #MeToo, which amplify discussions on sexual violence. These findings emphasize the pressing need to develop practical, trauma-informed healing strategies at the institutional level, benefiting the public and professionals in various sectors.",
      "authors": "Wan-Jung (Wendy) Hsieh; Xi-Hua Ye; Jung Hsueh; Kung-Shiun Kuo",
      "author_ids": "113743; 126800; 126801; 126802",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 4051536459,
        "prompt_eval_count": 1589,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:55:29.277161+00:00"
    },
    {
      "input_index": 1818,
      "record_key": "SSWR:2025-P-0370",
      "source_database": "SSWR",
      "record_id": "2025-P-0370",
      "year": 2025,
      "title": "Investigating the Mediating Role of Psychological Distress in the Relationship between Cyberbullying Victimization and Adolescent Suicide Risk: A Structural Equation Modeling Approach",
      "abstract": "Background/Purpose: Cyberbullying has emerged as a serious social concern, particularly among adolescents. Exposure to cyberbullying has been shown to be correlated with many adverse outcomes among adolescents. This study aims to explore the relationship between cyberbullying victimization and suicide risk and to assess the potential mediating effects of psychological distress among adolescents. This study also seeks to rigorously assess the measurement models ensuring the validity and reliability of the instruments, given the complex nature of adolescents’ psychological distress and suicide risk. Methods: Data from the Youth Risk Behavior Survey (YRBS) 2021 was analyzed to investigate the relationship between cyberbullying victimization, psychological distress, and suicide risk among adolescents. The study sample comprised 12,837 adolescents, and the analysis utilized the Mplus software. By employing confirmatory factor analysis, the underlying structure of these latent constructs was validated. Two latent variables were constructed: suicide risk (SR) and psychological distress (PD). SR was indicated by suicidal ideation and suicide plan, while PD was indicated by feelings of sadness or hopelessness, poor mental health (depression and anxiety), and difficulty concentrating. A structural equation model (SEM) with weighted least squares mean and variance estimation was employed. Bootstrap resampling was used to assess the robustness of parameter estimates. Results: The SEM analysis revealed a good fit to the data: χ²(7) = 79.137, p < 0.001; RMSEA = 0.028 (90% CI [0.023, 0.034]); CFI = 0.998; TLI = 0.996. SR latent variable was significantly associated with both suicidal ideation (β = 0.976, p < 0.001) and suicide plan (β = 0.915, p < 0.001). Similarly, the PD latent variable exhibited significant associations with feelings of sadness or hopelessness (β = 0.928, p < 0.001), poor mental health (β = 0.712, p < 0.001), and difficulty concentrating (β = 0.602, p < 0.001). Additionally, cyberbullying victimization showed a significant indirect effect on SR (β = 0.272, p < 0.001) through PD. The direct effect of cyberbullying victimization on SR was also significant (β = 0.044, p < 0.001). These findings suggest that cyberbullying victimization is associated with an increased risk of suicidal ideation and suicide planning, partially mediated by psychological distress. Conclusions/Implications: This study used a large national sample of U.S. adolescents to examine the impact of cyberbullying victimization on their psychological distress and suicide risk. Since the data this study utilized was collected during the pandemic, this study suggests representative examination and insight into the impact of cyberbullying on adolescents in the context of the pandemic. The intricate relationship between cyberbullying victimization, psychological distress, and suicide risk among adolescents underscores the necessity for comprehensive interventions and support programs. Targeting psychological distress directly can potentially alleviate the detrimental impacts of cyberbullying on adolescent suicide risk. Given the crucial developmental stage of adolescence and its susceptibility to long-term effects, addressing psychological distress becomes paramount in safeguarding mental well-being and overall development. Therefore, proactive measures aimed at intervention and prevention of cyberbullying are imperative, especially in light of the concerning findings regarding suicide risk.",
      "authors": "Jieun Lee; Hyeyoung Kang",
      "author_ids": "120655; 126748",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 4467046375,
        "prompt_eval_count": 1693,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:55:33.746300+00:00"
    },
    {
      "input_index": 1819,
      "record_key": "SSWR:2025-U-0608",
      "source_database": "SSWR",
      "record_id": "2025-U-0608",
      "year": 2025,
      "title": "Latent Profiles of Psychosocial Risk and Associations with Suicidality in Military Veterans",
      "abstract": "Background and Purpose : Military veterans are at increased risk for suicide relative to their civilian counterparts, but half of veterans do not seek services through the Veterans Health Administration (VHA) and are under-represented in the veterans’ literature. Suicide risk is contingent on a constellation of protective factors, including a sense of purpose and social connection, and risk factors like depression, PTSD, and the related but distinct construct of moral injury. Military veterans are also a heterogenous population, and variable-centered analyses may elide important subgroup differences. This study applied a person centered, latent profile analytic (LPA) approach to investigate heterogeneity in patterns of risk and protective factor variables in a community sample of VHA enrolled and non- enrolled veterans (n=3,180). The study aimed to 1) model latent profiles across risk and protective factor variables; 2) test associations between latent profiles and a suicide risk outcome variable; 3) examine associations between demographic and VHA service use characteristics and latent profile membership. Analyses: To address aim 1, an iterative LPA model fitting process assuming independence of continuous indicator variables tested additional profiles at each iteration across parsimony and separation indices. To address aim 2, latent profiles from the best fitting solution were specified as independent variables in a logistic regression model with suicide risk as outcome. To address aim 3, a multinomial logistic regression model tested associations between demographic characteristics, VHA service use, and latent class membership. Results: LPA fit indices supported a 5-profile solution to the data, including a normative profile reproducing full sample averages, three high-risk classes, and one low-risk class. The highest risk class had the highest depression scores, lowest purpose and social support scores, and 6 times the suicide risk odds compared to the normative class (OR=5.91, 95% CI: 4.25, 8.22). Membership in this profile was associated with age (OR 0.98, 95% CI: 0.97, 0.99), high school level education (OR 1.60, 95% CI: 1.17, 2.20), and VHA utilization of both mental and physical health services (OR=2.77, 95% CI: 1.94, 3.97). The lowest risk class had the lowest odds of using VHA mental or physical health services (OR=0.21, 95% CI: 0.10, 0.45). Conclusions and Implications: Results showed considerable nuance across latent profile and suicide risk outcomes. Risk and protective factors varied significantly between profiles, but profiles with higher depression scores had lower protective factor scores and greater odds of suicide risk compared to the normative profile and profiles with higher PTSD and moral injury scores. Consistent with previous literature, older, married, White, nondeployed veterans were more likely to be in the lowest risk profile. This profile was less likely to use VHA physical or mental health services compared to the normative or high-risk profiles, but it is unclear whether this dynamic reflects a healthier subgroup overall or a preference for alternative service providers. Future studies must investigate this understudied subgroup in much greater depth. Finally, the profile comprising younger veterans with low educational attainment and VHA mental and physical service use requires close monitoring and support to prevent suicide deaths.",
      "authors": "Nicholas U. Barr; Steven Pace; Alexandra Slemaker; Eva Alday; Sarah Kintzle",
      "author_ids": "114068; 127377; 127378; 117306; 110041",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 4040199209,
        "prompt_eval_count": 1633,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:55:37.788280+00:00"
    },
    {
      "input_index": 1820,
      "record_key": "SSWR:2025-U-0589",
      "source_database": "SSWR",
      "record_id": "2025-U-0589",
      "year": 2025,
      "title": "Leaving Patriarchal, Non-Affirming, High Demand Religion: Understanding Sexual Minority Women's Mental Health and Social Connectedness during Faith Transition",
      "abstract": "Background and Purpose: “ Patriarchal, Non-Affirming, High Demand Religion” (PNAHDR) encompasses religious institutions characterized by stringent membership requirements, male- dominated power and authority structures, and a commitment to heteronormative doctrines that marginalize sexual and gender minority identities and ideologies. The Church of Jesus Christ of Latter-Day Saints (TCJCLDS/Mormon Church) exemplifies a PNAHDR, promoting anti-LGBTQ doctrine and othering or discrediting members who leave the religion, impacting mental health and familial and community connectedness. Queer post-Mormon individuals who identify as women (past or presently) experience heightened marginalization due to this intersection of gender, queer identity, and post-Mormon religious status. Existing research on queer women and faith transition from PNAHDR is minimal and significantly underrepresented. Therefore, this study’s purpose is to better understand post-Mormon queer women’s mental health and social connectedness during religious transition. Research questions include: 1) What is the prevalence of anxiety and depression symptoms among queer women during faith transition from PNAHDR? 2) How does anxiety and depression symptom prevalence relate to social connectedness? and 3) What differences exist in mental health symptoms by sexual orientation? Methods: We conducted an online mixed methods survey via social media and post-Mormon groups. Approximately 747 adult women who identify as LGBTQ+ and were previously affiliated with TCJCLDS responded. The survey included multiple choice, Likert scale, and short answer questions about mental health and social/community connectedness during and post faith transition. Correlation and significance tests were completed for the research questions on anxiety, depression, and social connectedness. Results: Respondents reported statistically significant anxiety (nervousness, intense worry, and/or feeling on edge) and depression (hopelessness and suicidal ideation) during their faith transitions. The majority (84%) reported frequent anxiety and over half (56%) reported hopelessness. Many (71.6%) experienced suicidal ideation during faith transition, with lesbian participants reporting significantly higher rates than bisexual and other non-lesbian queer identified participants. However, high suicide ideation rates were seen across the sample. Most participants frequently feared rejection from family and friends (86.7%) and experienced a loss of connection (82.3%). Anxiety, hopelessness, and suicide ideation were significantly correlated with both fear of rejection and loss of connection. Conclusions and Implications : Post-Mormon queer women experience unique marginalization based on the intersection between queer identity, gender, and post-Mormon out-group identity. Results of this study show that many queer women experience significantly heightened anxiety, depression, suicidality, fear of rejection, and loss of community when leaving PNAHDR. More research is needed to understand their experiences, increase mental health and community support, and better amplify marginalized queer voices.",
      "authors": "Linda Cahoon; Angie Wootton; Heather K. Horton",
      "author_ids": "127323; 121965; 109765",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "mixed_methods",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 4064330208,
        "prompt_eval_count": 1534,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:55:41.855136+00:00"
    },
    {
      "input_index": 1821,
      "record_key": "SSWR:2025-U-0520",
      "source_database": "SSWR",
      "record_id": "2025-U-0520",
      "year": 2025,
      "title": "Leveraging Implementation Science to Expand Suicide Prevention to Primary Care",
      "abstract": "Background and Purpose: The prevention of adolescent death by suicide is a critical public health issue. Most suicidal youth (90%) meet with their primary care provider within months preceding a suicide attempt. Yet, their elevated risk for suicide is rarely detected. When it is discovered, adolescents are most often sent to emergency departments where they face extensive wait times and limited, if any, coordinated after care. Integration of evidence-based suicide interventions can expand prevention of adolescent suicide efforts to primary care. However, primary care settings are still variable in their integration of behavioral health care and access to external resources. Little is known about the most effective strategies to successfully implement crisis-oriented suicide prevention interventions in primary care settings. The purpose of this study was to examine determinants of the implementation of an evidence-based suicide prevention intervention in primary care. Methods : Using a multiple case study design, four clinics were sampled with varying intensity of behavioral health integration and contextual characteristics. Each clinic successfully integrated the evidence-based intervention - Family Based Crisis Intervention (FBCI) – and reduced emergency department referrals for suicidal ideation by 90%. Interdisciplinary participants (N=25) working in a participating clinic completed electronic surveys including measures of implementation (i.e., leadership, climate) and participated in semi-structured qualitative interviews eliciting implementation determinants pre- and post-adoption of FBCI. Guided by the Consolidated Framework for Implementation Research (CFIR), a multiphase hybrid inductive-deductive analytic strategy informed individual case summaries integrating both inductive qualitative thematic coding and descriptive quantitative data. The CFIR also guided case by category matrices that informed the cross-case analyses. Results : Implementation-focused supervision provided critical and effective ongoing support to social workers’ using FBCI and consultation to the clinic leadership for integration of suicide screening procedures. However, rigid and overburdened clinical workflows inhibited FBCI implementation on multiple levels from interprofessional communication during handoffs to behavioral health staff to poor access to physical meeting space. Previous experience with suicide screening and higher levels of behavioral health integration eased FBCI implementation. While other sites, with easy emergency department access and lower behavioral health integration, required differential strategies to support implementation. The primary responsibility of delivery was with the behavioral health coordinators who were most often social workers. Yet, these coordinators reported this high level of responsibility for meeting the crisis needs of suicidal adolescents is combined with insufficient autonomy and limited resources (particularly time) within the clinical workflow and within their limited hours. Conclusions and Implications : Clinical supervision provided social workers with critical and responsive support that helped social workers to navigate their primary responsibility for adolescents and to identify potential solutions to encountered implementation barriers (e.g., rigid clinical workflows). Inclusion of increased support and strategies targeting adaptations to clinical workflow and increased resources for social workers can potentially further improve suicide prevention efforts in primary care.",
      "authors": "Mimi Choy-Brown; Mari Tarantino; Leslie Moreland; Moira Harrison; Elizabeth Wharf; Abigail Ross",
      "author_ids": "113861; 127152; 127153; 127154; 127155; 118393",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "mixed_methods",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3825026000,
        "prompt_eval_count": 1492,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:55:45.681868+00:00"
    },
    {
      "input_index": 1824,
      "record_key": "SSWR:2025-U-0486",
      "source_database": "SSWR",
      "record_id": "2025-U-0486",
      "year": 2025,
      "title": "Life Is Precious: Culturally-Responsive Interventions for Latina Adolescents at Risk of Suicide",
      "abstract": "Background and Purpose: The increasing prevalence of suicidal thoughts and behaviors (STBs) among U.S. Latina adolescents requires greater attention to promising stakeholder-informed, culturally-responsive, community-based interventions. Life is Precious (LIP), a treatment-adjunctive afterschool-model program, was designed to provide creative arts therapy, educational supports, family and wellness support, and case management to Latina adolescents experiencing STBs. This quasi-experimental pilot study explored the impact of LIP on clinical and school-related outcomes.The 12-month study explored the impact of LIP on suicidal ideation, depressive symptoms, class grades, and school functioning. Methods: Latina adolescents ages 12-18 who were newly enrolled in LIP and receiving outpatient treatment (n=31) were compared with those in usual care (UC) receiving outpatient treatment only (n=12). The Suicidal Ideation Questionnaire (SIQ), Patient Health Questionnaire-9 (PHQ-9), class performance (mean grade), and school functioning (Youth Social Adjustment Scale) were administered longitudinally. Longitudinal linear mixed models were used to estimate intervention effect sizes, and exact logistic models were used to calculate adjusted risk ratios for SIQ-25%, SIQ-50%, and 5-point PHQ-9 clinically significant improvements. Results: The direction of the estimated impact of LIP was toward greater reduction in suicidal ideation and depressive symptoms, and greater improvement in mean grades and school functioning, compared to UC, with small-to-moderate but nonsignificant effect sizes (0.19-0.51) favoring LIP. Additionally, almost twice as many LIP participants compared to UC achieved clinically significant improvements on the SIQ and PHQ-9, and were significantly more likely to avoid failing a class when measured as a categorical outcome. Conclusion and Implications: The positive impact of LIP on clinical and school-related outcomes offers preliminary support for this treatment-adjunctive community-based program to supplement outpatient mental health treatment and improve outcomes. Additional research is needed to further evaluate its effectiveness in reducing STBs and improving school-related outcomes among Latina adolescents, as well as to explore factors that may influence program effectiveness.",
      "authors": "Daniela Tuda; Ana Stefancic; Elaina Montague",
      "author_ids": "121233; 110355; 127090",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3399905583,
        "prompt_eval_count": 1383,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:55:57.133193+00:00"
    },
    {
      "input_index": 1825,
      "record_key": "SSWR:2025-P-0305",
      "source_database": "SSWR",
      "record_id": "2025-P-0305",
      "year": 2025,
      "title": "Long COVID-19 to Essential Healthcare Workers: Material Hardship and Mental Health",
      "abstract": "Background and Purpose: The COVID-19 pandemic has highlighted the fact that many lower-wage workers perform critical and essential tasks while receiving insufficient compensation, and therefore, struggle to make ends meet. During the pandemic, the U.S. federal government implemented robust cash transfer programs— the Coronavirus Aid, Relief, and Economic Security Act (March 2020), COVID-related Tax Relief (late December 2020), and the American Rescue Plan Act (ARPA, early March 2021)—to tackle public health and socioeconomic challenges. While studies indicated a reduction in material hardship and improved mental health among households following these programs (Cooney & Shaefer, 2021), there remains a gap in understanding the long-term effects, particularly among essential healthcare workers. This study aims to investigate changes in material hardship and mental health among full-time essential hospital workers from 2021 (immediately after the implementation of Tax Relief and ARPA) to 2022 (one year after the government's cash transfers). Methods: Data came from pooled data combining Wave 4 (collected March – May 2021) and Wave 5 (February – March 2022) surveys of hospital service, clerical, and technical workers at large hospital systems in Western Pennsylvania. The analytic sample included full-time workers who worked 40 regular hours and who did not hold a second job outside the hospital (N=288). Respondents from Waves 4 and 5 were compared regarding material hardships and mental health. Material hardships were measured through self-reports on difficulties affording (1) utility bills, (2) housing, (3) medical treatment, and (4) food. Mental health symptoms were measured using self-reported scales of (1) stress, (2) depression, (3) suicidal ideation, (4) anxiety, and (5) COVID-19 related post-traumatic stress disorder (PTSD). To account for observed differences between respondents from Waves 4 and 5, inverse probability weighting was applied, adjusting for age, gender, race, educational attainment, having a child in the household, household income (in March 2023 $), public benefit receipt, hourly wage (in March 2023 $), and overtime work hours. Results: Full-time essential hospital workers tend to experience more difficulties affording medical treatment (Odds ratio=2.21, p=0.005) in 2022 compared to workers from 2021 . This finding remained consistent after controlling for perceived physical health and adjusting it in the inverse probability weight estimator. Hardships in utility bill payment, housing, and food did not differ between workers in 2021 and 2022. Regarding mental health, workers in 2022 reported higher levels of stress (B=2.05, p=0.000), as well as higher possibilities of depressive symptoms (Odds ratio=1.89, p=0.027) and anxiety (Odds ratio=2.28, p=0.004). However, there was no significant differences in suicidal ideation and PTSD symptoms between workers in 2021 and 2022. Conclusions and Implications: The findings suggest that the positive effects of one-time cash transfer programs on the well-being of full-time essential hospital workers may not be sustained over time, particularly in certain aspects such as medical hardship, stress, depression, and anxiety. By highlighting adverse well-being outcomes among lower-wage full-time workers following the cessation of cash transfer programs, this study underscores the necessity for continuous income support for lower-wage workers, whose employment does not ensure their material well-being and mental health.",
      "authors": "Soobin Kim; Jihee Woo",
      "author_ids": "119130; 119090",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 4409862500,
        "prompt_eval_count": 1705,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:56:01.545647+00:00"
    },
    {
      "input_index": 1826,
      "record_key": "SSWR:2025-P-0802",
      "source_database": "SSWR",
      "record_id": "2025-P-0802",
      "year": 2025,
      "title": "Looking Beyond Suicide: A Qualitative Content Analysis of Suicide Notes in a Rural Community",
      "abstract": "Background and Purpose: The World Health Organization (WHO) estimates that 800,000 individuals die by suicide every year (WHO, 2019). In addition, suicide rates have increased nationwide and most rapidly in rural counties. Within the United States, suicide and related behaviors account for approximately 40,000 deaths and 575,000 emergency room visits annually. For most non-suicidal people, it is hard to understand why someone would want to die by suicide. It has been argued that suicide notes are an invaluable starting point for assessing and predicting suicide and parasuicidal behavior. Consequently, researchers have recommended examining national mortality statistics, psychological autopsies, nonfatal suicide attempts, and records such as suicide notes to get insight into the suicidal mindset. Over the last six decades, studies of suicide notes have been a significant focus of suicide research, focusing on patterns in the notes' wording. Methods: This research aimed to interpret the content and meaning of suicide notes to identify any valuable information for the purpose of suicide prevention in rural communities. To aid in developing the understanding of suicide, Leenaars and the Multidimensional Theory of Suicide (MTS) was utilized. This research used a qualitative content analysis approach to analyze the suicide notes which consisted of seven suicide notes obtained from a police department in a rural community in a southern state. A coding list was developed based on the MTS and consisted of eight discrete clusters grouped into five intrapsychic and three interpersonal aspects. The analysis included an account of the stories that the suicide notes told using a six-phase content analysis approach. Results: This study's findings support the MTS, which identifies two components that explain suicidal behavior. Moreover, the model implies that the desire to die by suicide is linked to intrapsychic and interpersonal elements. Even though each decedent left a unique suicide note, all seven suicide notes coincided with one of the two elements. The warning sign themes that emerged from this study are ideation, hopelessness, and mood. In addition, the themes found in this study that correlate with suicide risk factors are themes of health, environment, and history. Conclusions and Implications: The study results add to the growing research of suicide and may help better prepare social workers and mental health providers working with rural clients at risk for suicide or displaying warning signs with the perspective of individuals who have died by suicide. A more profound understanding was formulated for improving how individuals respond to suicide warning signs and risk factors in rural settings. This research further supports the need for a better understanding of recognizing the signs, particularly for underserved populations such as rural communities.",
      "authors": "Nadia Moreno; Crystal Garcia",
      "author_ids": "121311; 124549",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3724347250,
        "prompt_eval_count": 1465,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:56:05.271754+00:00"
    },
    {
      "input_index": 1828,
      "record_key": "SSWR:2025-P-0511",
      "source_database": "SSWR",
      "record_id": "2025-P-0511",
      "year": 2025,
      "title": "Model Minority Myth, School and Socio-Economic Achievement, and Mental Health of Filipino American and Korean American Youth",
      "abstract": "Purpose: Asian Americans are often labeled as a \"model minority,\" characterized by high academic and socioeconomic success, commonly credited to cultural priorities on diligence, education, and a commitment to meritocratic ideals. Despite these stereotypes, as a minoritized group, Asian Americans face racism and many struggle with multifaceted challenges. For example, Asian Americans show a bimodal distribution in socioeconomic status (SES) and youth adjustments and those who struggle are overshadowed by high-achieving individuals. Cognitive dissonance theory suggests that this divergence between the stereotype and their experiences can produce significant mental discomfort. However, there is limited research exploring the effects of the internalized model minority stereotype (MMS) on the mental health of Asian American youth. Additionally, there are even fewer studies that investigate how these effects differ based on academic achievement or SES. This proposed study aims to explore the relationships between the internalized MMS and mental health outcomes, and how these relationships differ according to grade point average (GPA) and family SES among two major Asian American subgroups, i.e., Filipino American (FA) and Korean American (KA) youth. Methods: Data are from the Midwest Longitudinal Study of Asian American Families project that survey-interviewed 378 FA and 408 KA youth at Wave 1 in 2014 ( M age.Wave1 = 15). This study used data from Wave 2 (2016) to Wave 4 (2022). Stepwise mixed-effects regression models first examined: (1) the impact of the internalized MMS—MMS-achievement (the stereotype of Asian Americans as hardworking and achievement-oriented) and MMS-mobility (the stereotype that Asian Americans face no socio-economic barriers)—on mental health outcomes (i.e., depressive symptoms, suicidal thoughts, and self-harm); and (2) two-way interaction effects (i.e., MMS×GPA and MMS×SES). Results: MMS-achievement was significantly associated with increased depressive symptoms, while MMS-mobility was related to decreased depressive symptoms among KA youth. For FA youth, no direct effects of MMS on mental health outcomes were observed. As expected, a higher GPA was consistently predictive of fewer mental health problems across ethnicity. Similarly, higher SES was associated with fewer self-harming behaviors among FA youth. When additionally considering the interaction effects between MMS and GPA, we found that MMS-achievement significantly predicted an increase in depressive symptoms among FA youth with lower GPA ( b = .12, p < .05) but not among those with higher GPA. No significant interaction effects were found between MMS and GPA. Conclusions and Implications: The study findings offer both scholarly and practical implications for promoting healthy development among Asian American youth. First, the results highlight the multi-dimensional nature of MMS and its variant impact across ethnicity. Specifically, among KA youth, MMS-achievement appears to be detrimental, while MMS-mobility seems to have a protective effect against mental health struggles. Additionally, the study revealed that among FA youth, the negative impact of MMS-achievement is contingent on their academic achievement levels. More critically, these findings can inform frontline social workers and school staff—who have been identified as contributors to the stereotyping of Asian American students—about the adverse consequences of this practice, thereby aiding them in better supporting this population.",
      "authors": "Michael Park; Yuanyuan Yang; Bryan Gu; Yoonsun Choi",
      "author_ids": "116205; 120026; 126701; 110891",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 4138267083,
        "prompt_eval_count": 1623,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:56:13.228680+00:00"
    },
    {
      "input_index": 1832,
      "record_key": "SSWR:2025-U-0372",
      "source_database": "SSWR",
      "record_id": "2025-U-0372",
      "year": 2025,
      "title": "Polyvictimization and Suicidal Thoughts and Behaviors Among Adolescents: Findings from the 2017-2021 National Youth Risk Behavior Survey",
      "abstract": "Background: Suicide is a major public health issue in the United States. and ranks as the second leading cause of death among adolescents. Identifying factors that increase the risk of suicidal thoughts and behaviors (STBs; i.e., suicidal ideation, suicide planning, and suicide attempts) among adolescents is crucial and could help prevent future STBs, including death by suicide. Several studies have documented the association between single forms of victimization, such as bullying (school and cyber), sexual violence, and STBs among adolescents. Although studies have investigated the association between victimization and STBs, few studies have examined the association between polyvictimization and STBs among adolescents using nationally representative samples. The objectives of this study were to examine trends in polyvictimization and STBs among adolescents and the cross-sectional association between polyvictimization and STBs among adolescents. Methods: Data for this study came from the 2017-2021 Youth Risk Behavior Survey. A sample of 45,423 adolescents aged 14-18 (50.1% female) was analyzed. The outcome variables investigated in this study included STBs during the past 12 months, and each was measured as a binary variable. The primary explanatory variable examined was polyvictimization (victim of school bullying, cyberbullying, SV, and being threatened with or injured with a weapon on school property) within the past 12 months. The main analysis involves using complementary log-log models to estimate the association between polyvictimization and STBs while simultaneously controlling for the effects of symptoms of depression, substance use, and demographic characteristics. Results: Of the 45,423 adolescents, 19.8% experienced suicidal ideation, 16% made a suicide plan, and 9.8% attempted suicide at least once during the past 12 months. About 5% of adolescents experienced three or more forms of victimization. There was a statistically significant upward trend in the proportion of adolescents who experienced each STBs from 2017 to 2021 (suicidal ideation: from 17.6% in 2017 to 21.2% in 2021; suicide planning: from 13.9% in 2017 to 17.2% in 2021; and suicide attempts: from 7.8% in 2017 to 11.2% in 2021). The proportion of adolescents who experienced two or more forms of victimization was consistent from 2017 to 2021. Controlling for other factors, adolescents who experienced three or more forms of victimization had 2.73 times higher odds of experiencing suicidal ideation (A OR =2.73, 95% CI=2.42-3.09), 2.86 times higher odds of making a suicide plan (A OR =2.86, 95% CI=2.51-3.25), and 4.7 times higher odds of making a suicide attempt (A OR =4.70, 95% CI=4.00-5.11) when compared to adolescents who did not experience victimization. Self-identifying as a lesbian/gay, bisexual, or “other/questioning, symptoms of depression, cigarette smoking, alcohol, and marijuana use were significantly associated with higher odds of suicidal ideation, suicide plan, and suicide attempts. Implications : We found a dose-response association between polyvictimization and STBs with adolescents who experienced three or more forms of victimization having the greatest likelihood of experiencing suicidal ideation, making a suicide plan, or attempting suicide during the past year. The findings of this study indicate the importance of examining multiple forms of victimization. Clinicians may consider including suicide screening when working with clients who experience polyvictimization.",
      "authors": "Amanda Minogue; Phillip Baiden; Christina M. Sellers; Catherine A. LaBrenz; Yangjin Park; Selina Ansah-Koi; Catalina Cañizares",
      "author_ids": "125786; 113715; 116177; 115734; 118734; 126855; 122573",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 4528184125,
        "prompt_eval_count": 1763,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:56:30.277858+00:00"
    },
    {
      "input_index": 1833,
      "record_key": "SSWR:2025-P-0123",
      "source_database": "SSWR",
      "record_id": "2025-P-0123",
      "year": 2025,
      "title": "Predicting Adolescent Suicidal Ideation: The Role of Physical Activity Evaluated through Machine Learning Models",
      "abstract": "Background and Purpose In the U.S., suicide is the second leading cause of death among adolescents. Adolescence is a risk-prone period, marked by impulsivity and emotional volatility, which can fuel suicidal thoughts. Although physical activity may mitigate this risk, its impact in the context of cyberbullying and increased screen time—a challenge of the digital age—warrants further investigation. In this study, we used XGBoost, a machine learning method, to analyze Youth Risk Behavior Survey (YRBS) data and predict the effects of risk factors on youth suicidal ideation. Physical activity emerged as a key variable, consistently registering the highest F-score and demonstrating significant predictive importance across models. This work indicates that machine learning can enhance suicide prevention strategies by underscoring the protective role of physical activity for young people in today's digital landscape. Research Questions: How do cyberbullying and screen time impact suicidal ideation in adolescents? Could consistent physical activity offset the effects of cyberbullying and screen time on adolescents' suicidal thoughts? Methods This study utilized the 2021 YRBS to examine health risk behaviors among U.S. high school students in grades 9 through 12. To predict suicidal ideation, the study analyzed data from 3,760 students, focusing on demographic variables such as age, gender, sexual orientation, and race/ethnicity. Additionally, it considered factors related to youths' physical activity, screen time, cyberbullying, depression, and being overweight to predict suicidal thoughts in adolescents. The variables were explored using the XGBoost algorithm running in Google Colab and statistical analysis in SPSS 27.0. Results The XGBoost model correctly predicted 3,008 cases and inaccurately predicted 752 cases, achieving an accuracy rate of 75.93%. The XGBoost model's analysis indicates that depression is a primary node, significantly influencing initial predictions of suicidal ideation. Leaf node values suggest a strong correlation between an increased likelihood of suicidal thoughts and experiences of depression, cyberbullying, or minority sexual identity, with the highest risk level reflected by a value of 0.426880735. In contrast, the negative value of -0.0577540025 intimates a just-below threshold risk. Physical activity (PHY_ACT_7), with the top F score of approximately 345 in the YRBS dataset, emerges as a critical predictor, indicating its overarching influence in the model. Target plots correlate minimal physical activity with the highest ideation risk (0.410) and the most active group with the lowest (0.207), accentuating the potential of physical activity as a significant factor in mental health interventions for adolescents at risk of suicide. Conclusions and Implications This study highlights the important role of physical activity in reducing suicidal thoughts among youth and urges stakeholders such as educational institutions, healthcare providers, community organizations, and families to integrate physical activity into mental health strategies. It advocates for policies and programs that prioritize physical activity to prevent youth suicide. In accordance with the goal of ‘Strengthening Social Impact through Collaborative Research,' this study shows the value of collaborations between social scientists and data scientists to understand the factors predicting suicide in adolescents, thereby contributing to the Grand Challenge of Social Work, ‘Ensuring Healthy Development for Adolescents.’",
      "authors": "Sangmi Kim; Gang Seob Jung; Hong-Jun Yoon",
      "author_ids": "126247; 126248; 126249",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 4106094000,
        "prompt_eval_count": 1619,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:56:34.385428+00:00"
    },
    {
      "input_index": 1835,
      "record_key": "SSWR:2025-U-0305",
      "source_database": "SSWR",
      "record_id": "2025-U-0305",
      "year": 2025,
      "title": "Preventing Youth Suicide By Improving Care: Adapting the Family-Based Crisis Intervention for Use in Inpatient Psychiatric Settings",
      "abstract": "Background and Purpose : Suicide is the second leading cause of death among youth ages 10-24 (CDC WISQARS, 2023). Within this age group, rates of suicide attempts and deaths have increased substantially over the past 10 years, with disproportionate increases among ethnoracially and sexually minoritized groups (CDC WISQARS, 2023). Although nearly all youth who present to Emergency Departments (EDs) following a suicide attempt are psychiatrically hospitalized, currently there are no evidence-based psychiatric inpatient treatments that have been shown to reduce the frequency of suicide-related behaviors or suicide attempts following discharge (Knesper et al., 2010). The Family-Based Crisis Intervention (FBCI) is a brief evidence-based intervention developed to reduce suicide risk among adolescents with recent suicidal ideation and/or suicide attempts (SI/SA). Originally developed for use in the Emergency Department, FBCI is a family-based intervention that seeks to reduce youth SI/SA risk by targeting known mechanisms of suicide risk: family empowerment, family communication, and perceived belongingness. This paper describes preliminary findings from a two-phased study designed to 1) adapt FBCI for use on inpatient psychiatric settings (FBCI-IP) and 2) examine the feasibility, acceptability, appropriateness, and preliminary efficacy of the adapted intervention through a small randomized clinical trial (N=25). Methods : The ADAPT framework (Moore et al., 2021) guided the approach to adapting FBCI for use within inpatient psychiatric settings. In the first phase of this study, 45 participants (15 service providers, 15 youth recently hospitalized for SI/SA, and 15 caregivers of youth recently hospitalized for SI/SA) were interviewed about their experiences with providing and receiving inpatient psychiatric care, their perspectives on family involvement in treatment, and contextual considerations when delivering FBCI on inpatient psychiatric units. Data were analyzed using thematic analysis (Braun & Clark, 2016; 2019) and informed systematic modifications to FBCI content and training, supervision protocols, and technical assistance practices. Modifications are reported using the FRAME (Wiltsey-Stirman et al., 2019), an expanded framework for reporting adaptations and modifications to evidence-based interventions. In the second phase of the study, FBCI-IP outcomes of interest were examined through a small randomized clinical trial (N=25). Results. Study participants and stakeholders identified several key methodological innovations that improved the acceptability, feasibility, appropriateness, and potential effectiveness of FBCI-IP. Recommended adaptations pertained to 1) sequencing and dosing of intervention elements to maximize feasibility, acceptability, and impact of core functions, 2) modifications to training, technical assistance, and supervision protocols to support clinicians with varying levels of practice experience, and 3) development of a new post-discharge bridging module that facilitates access to and acquisition of follow up care. Preliminary analyses of outcomes of interest show that FBCI-IP is feasible, acceptable, and appropriate to deliver within inpatient psychiatric settings, yielding gains in hypothesized putative intervention mechanisms (family empowerment, family communication, perceived belongingness) and patient/family satisfaction with care. Conclusions and Implications . Youth receiving inpatient psychiatric care for SI/SA are at elevated risk for suicide following discharge. FBCI-IP provides an important new clinical tool to help alleviate this risk. The influence of organizational protocols and policies on intervention adaptation and research activities will also be discussed.",
      "authors": "Saira Afzal; Ijun Hong; Abigail Ross",
      "author_ids": "123770; 122556; 118393",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "mixed_methods",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 4214334583,
        "prompt_eval_count": 1675,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:56:42.808663+00:00"
    },
    {
      "input_index": 1836,
      "record_key": "SSWR:2025-U-0132",
      "source_database": "SSWR",
      "record_id": "2025-U-0132",
      "year": 2025,
      "title": "Protective Factors Related to Psychological Distress and Suicidal Ideation in College Student Survivors of Intimate Partner Violence",
      "abstract": "Background and Purpose: Intimate partner violence (IPV) impacts survivors across the life course, with significant impacts on emerging adults, including students attending institutions of higher education. Survivors of IPV may experience psychological distress, post-traumatic stress disorder (PTSD), anxiety, depression, and suicidal ideation. Despite a growing body of research on the negative impacts of IPV on the mental health of both undergraduate and graduate college students, little work has explored the potential for protective factors that may mitigate symptoms. This study examined campus belonging, campus safety, flourishing, and resilience as protective factors in addressing psychological distress and suicidal ideation in college student survivors of IPV. Methods: We analyzed Fall 2019 panel data (n=35,220 after listwise deletion) from the National College Health Assessment (NCHA). The majority of participants were undergraduate students (79.35%) and identified as women ( 61.76% ), and heterosexual ( 82.25 %). Approximately 55% of participants identified as white, followed by Latinx (13.38%), Multiracial or another identity (12.5%), Asian (11.2%), and Black (7.84%). Multivariate regression analyses were employed to explore the relationship between IPV experiences and mental health outcomes. Additionally, interactions between protective factors and IPV experiences were included in these analyses, which were stratified for both undergraduate and graduate students. Results: Students who reported having no experiences of IPV had higher mean scores across all protective factors. Those who experienced IPV had higher levels of reported psychological distress and suicidal ideation. All protective factors (i.e., campus belonging, campus safety, flourishing, and resilience) were associated with less psychological distress and less suicidal ideation. For students with no IPV experiences, greater perceived campus belonging was associated with less psychological distress, protecting students who had not experienced IPV from psychological distress, but this protection was lessened for students who had IPV experiences. Greater perceived campus safety was associated with lower psychological distress, with a more pronounced effect observed among students with IPV experiences. The impact of flourishing on suicidal ideation was more substantial for students who had experienced IPV, indicating a greater protective effect for survivors. Finally, higher resilience was associated with fewer reports of suicidal ideation for students with no experience of IPV but not among those who had experienced IPV. These protective factors functioned similarly for undergraduate and graduate students, albeit with some noteworthy distinctions. Conclusions and Implications: Supporting college student survivors necessitates a comprehensive strategy, including early detection methods, customized interventions, nurturing a campus environment of support, advocating for protective measures, and enacting supportive university policies. Campus advocacy and prevention efforts should focus on creating safer environments and fostering a supportive community that responds effectively to incidents of IPV. Findings emphasize the crucial role of proactive screening to identify survivors who require mental health assistance. Recognizing campus belonging, safety, flourishing, and resilience as protective highlights the need for holistic approaches to student well-being.",
      "authors": "Lindsay Gezinski; Julia O'Connor; Rachel Voth Schrag",
      "author_ids": "110417; 115836; 117087",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "prompt_eval_count": 1542,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:56:46.810819+00:00"
    },
    {
      "input_index": 1837,
      "record_key": "SSWR:2025-P-0617",
      "source_database": "SSWR",
      "record_id": "2025-P-0617",
      "year": 2025,
      "title": "Racism As a Social Determinant of Suicidal Thoughts and Behaviors Among Pre-Adolescents in the United States:  An Investigation Using the Adolescent Brain Cognitive Development Study",
      "abstract": "Background and Purpose Suicide among adolescents has been identified as a major public health concern. Racism has also been recognized as a significant social determinant of health and has been found to increase the risk of adverse mental health outcomes, including depression, anxiety, psychological distress, and suicidal thoughts and behaviors (STBs). For adolescents of color, experiencing racism is a critical stressor to consider given the recent increase of suicide rates among minoritized racial/ethnic adolescents (Baiden et al., 2022; Bridge et al., 2018). While cross-sectional studies have investigated the effects of perceived racial discrimination on STBs among adolescents, few studies have used longitudinal data to examine these effects, particularly among pre-adolescents. This study investigates the association between the risk of racism and STBs among pre-adolescents. Methods This study analyzed data from the Adolescent Brain Cognitive Development (ABCD) study (2017-2020). The sample consisted of 10,301 pre-adolescents aged 11-12, with the risk of racism at Wave 1 as the main explanatory variable and STBs at Wave 2 as the outcome variable. Binary logistic regression was employed for the main analysis. Results Of the 10,301 pre-adolescents examined, 13.01% reported experiencing STBs. In terms of the risk of racism, 54.58% were classified as low risk, 42.54% as moderate risk, and 2.88% as high risk. Controlling for demographic characteristics, and risk and protective factors, pre-adolescents at high risk of racism had 3.76 times the odds of experiencing STBs [AOR=3.76, CI=2.18-6.49], and those at moderate risk had 2.36 times the odds [AOR=2.36, CI=1.52-3.66], compared to their low-risk counterparts. Accounting for the risk of racism, Black [AOR=0.44, CI=0.28, 0.70] and Latine [AOR=0.45, 95% CI=0.28, 0.71] adolescents had lower odds of STBs compared to their White counterparts. Parental acceptance and monitoring emerged as protective factors against the detrimental effects of racism on STBs. Conclusions and Implications The findings highlight the significant impact of racism on STBs among pre-adolescents, emphasizing the importance of addressing racial discrimination as a social work and public health issue. Given the unique findings of this study, social work researchers should directly measure experiences of racism rather than relying on race/ethnicity as proxies for racism. Furthermore, the protective role of parental acceptance and monitoring demonstrates the need for social practitioners to incorporate protective factors in mental health prevention and intervention. Finally, there is the need for targeted anti-racist policies to combat racism and promote protective familial relationships to mitigate pre-adolescent suicidality. Sources Baiden, P., LaBrenz, C. A., Onyeaka, H. K., Muoghalu, C., Nicholas, J. K., Spoor, S. P., Bock, E., & Taliaferro, L. A. (2022). Perceived racial discrimination and suicidal behaviors among racial and ethnic minority adolescents in the United States: Findings from the 2021 Adolescent Behaviors and Experiences Survey. Psychiatry Research , 317 , 114877. Bridge, J. A., Horowitz, L. M., Fontanella, C. A., Sheftall, A. H., Greenhouse, J., Kelleher, K. J., & Campo, J. V. (2018). Age-related racial disparity in suicide rates among US youths from 2001 through 2015. JAMA Pediatrics , 172 (7), 697–699.",
      "authors": "Bethany Wood; Angela Hall; Phillip Baiden",
      "author_ids": "119991; 124700; 113715",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "eval_count": 24
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      "screened_at": "2026-08-02T18:56:51.384225+00:00"
    },
    {
      "input_index": 1838,
      "record_key": "SSWR:2025-P-0612",
      "source_database": "SSWR",
      "record_id": "2025-P-0612",
      "year": 2025,
      "title": "Risk Factors and Attempt Characteristics Among Transition-Aged Youth and Young Adults Who Attempted Suicide",
      "abstract": "Background and Purpose: Suicide remains a pressing public health concern, particularly among transition-aged youth and young adults (TAY). Despite interdisciplinary efforts, suicide remains a leading cause of death for adolescents and emerging adults. This necessitates greater understandings about the trajectory of suicide thoughts, behavior, and risk for suicide death across one’s transition from adolescence through early adulthood. Understanding the progression of risk factors as it relates to developmental transitions and environmental changes is paramount to create effective prevention strategies specific to the needs of TAY populations. The current study sought to examine relationships between demographic and clinical characteristics among TAY who made a suicide attempt. Methods: Data were extracted from the electronic medical record (EMR) of 1,790 individuals 14 to 29 years of age who presented to an academic healthcare system in the Midwestern United States following a suicide attempt using an Electronic Medical Record Search Engine (EMERSE). Trained research assistants conducted chart reviews and coded quantitative and qualitative data from the EMR. Demographic characteristics (e.g., race, gender), clinical characteristics (e.g., diagnosis, history of attempt), and details pertaining to their recent suicide attempt (e.g., method, suicide intent) were examined using SPSS28. Results: On average, participants were 18.86 years of age (SD = 4.19), most often identified as female (68.3%) and white (74%), and had a 7-day length of stay in the hospital (SD = 7.27). Approximately 29% of patients only received care in the emergency department, while 37% were admitted to an inpatient psychiatric unit, 7.6% were admitted to a medical unit, and 25.8% were admitted to both medical and psychiatric units. Suicide intent, post-attempt symptoms/injuries, and medical intervention were all significantly associated with longer lengths of stay. Interestingly, there were no significant differences by age in suicide intent, post-attempt symptoms/injury, medical intervention, or length of stay. Conclusions and Implications: Findings highlight characteristics of TAY who attempted suicide and emphasize the consistent prevalence of intent, injury, intervention, and length of stay across ages. Currently, healthcare systems often distinguish their approach to psychiatric emergencies between pediatric and adult populations. However, these findings may suggest a need to better tailor intervention efforts for those in the transitional ages, particularly emerging adults. Future investigations will expand upon our exploratory results to test a longitudinal mediation model of suicide risk and behavior in this population. This research has strong potential to elucidate how risk evolves throughout the transition from adolescence to young adulthood to better inform suicide prevention approaches and tailoring within intervention efforts.",
      "authors": "Nicholas Brdar; Nidhi Tigadi; Sara Pasiak; Andrew Wylie; Lindsay A. Bornheimer",
      "author_ids": "126265; 127310; 127311; 127312; 114170",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3523459833,
        "prompt_eval_count": 1479,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:56:54.908864+00:00"
    },
    {
      "input_index": 1839,
      "record_key": "SSWR:2025-U-0303",
      "source_database": "SSWR",
      "record_id": "2025-U-0303",
      "year": 2025,
      "title": "Self-Reported Barriers to Substance Use Treatment and Recovery Support Services: A Latent Class Analysis",
      "abstract": "Background and Purpose: People at risk of an opioid overdose can experience multiple barriers to engaging in recovery support services. This study explores heterogeneity in self-reported treatment barriers among adults who use substances. Barriers were inclusive of motivational, logistical, service-related, and health-related barriers that participants cited for missing at least one treatment session in the past 30 days. Behavioral health and sociodemographic correlates of class membership are identified. Methods: Baseline data were collected from adults (N=291) enrolled in recovery support services in the Midwestern United States. Eleven indicators related to missing treatment were rated by participants, including fear of relapse, feeling unmotivated, perceiving a lack of benefit from treatment, treatment staff and facility-related barriers, health issues, work or childcare responsibilities, or social support issues. We tested two to seven class solutions, which were evaluated based on Bayesian Information Criteria (BIC), sample size-adjusted BIC (SABIC), Akaike’s Information Criteria (AIC), Consistent AIC (CAIC). Entropy values, with higher values indicating greater differentiation between classes, smallest class size, and interpretability of class solutions were evaluated. Next, all variables that showed significant associations with the class membership were initially included in the logistic regression model, based on the membership identified through LCA. We hypothesized that levels of self-reported unmet social and economic needs would be differentially associated with class membership . Stepwise variable selection was then applied to obtain the final mode, with the inclusion and retention criteria set at p-values of 0.25 and 0.15, respectively. Results: The two-class solution was optimal based on BIC and CAIC. The two-class solution had an entropy of 0.76, indicating adequate differentiation between classes , which we characterized as high barrier (79.7%, n=232) and low barrier (20.3%, n=59) subgroups. Larger class solutions had classes with 13 or fewer members (less than five per cent of the sample). Bivariate tests showed that the high barriers group significantly differed from the low barrier group by housing status, with unhoused individuals overrepresented, higher unmet basic needs, higher rates of past 30-day use of opioids, alcohol, or cannabis, higher rates of any lifetime psychoactive substance overdose, higher rates of depression, and higher rates of past 30-day suicidal ideation (all ps <.05). Class membership did not differ by race/ethnicity, gender, age, insurance, or employment status. The stepwise logistic regression model retained unmet basic needs, housing status, past 30-day suicidal ideation, past 30-day cannabis use, and lifetime overdose. Unmet basic needs ( aOR =1.02, 95%CI:1.00, 1.04) and suicidal ideation ( aOR =2.69, 95%CI: 1.15, 6.34) were statistically significantly associated with assignment to the high barrier class. Conclusions and Implications : Prior research using national surveys has identified latent subgroups of barriers for treatment naïve patients. This study builds on prior research by identifying patterns of treatment barriers for participants who are enrolled into treatment and recovery support services. Understanding perceived treatment barriers can be useful for tailoring outreach and engagement strategies to enhance participants’ motivation to engage in treatment and for identifying strategies to mitigate the influence of social factors that potentially impact treatment participation.",
      "authors": "Nathaniel Dell; Xiao Li; Hannah Szlyk; Patricia Cavazos-Rehg",
      "author_ids": "115314; 111315; 115769; 115340",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3790514291,
        "prompt_eval_count": 1655,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:56:58.700969+00:00"
    },
    {
      "input_index": 1840,
      "record_key": "SSWR:2025-P-0652",
      "source_database": "SSWR",
      "record_id": "2025-P-0652",
      "year": 2025,
      "title": "Sense of Belonging and Campus Climate? Influences in Upstanding Behavior When Witnessing Emotional Distress/Suicidal Thoughts",
      "abstract": "Background and Purpose: 20% of adults living with a mental illness and suicide is the third leading cause of death in the United States. In addition to mental illness and suicide, nonsuicidal self-injury (NSSI) is reported by 14-18% of young adults. To accommodate the high prevalence of mental health concerns, including suicidal thoughts and behaviors (STB) and NSSI, collegiate settings are increasing their campus mental health resources and services. Despite efforts, barriers to intervening behaviors stand between an individual and their motivation to intervene. The present study aims to investigate what individual characteristics are associated with an individual’s likelihood to intervene when witnessing another experiencing extreme emotional distress or thoughts of suicide? First, having a history of mental health, NSSI, and/or STB will be associated with higher rates of intervening behaviors compared to participants without such a history. Second, intervening behavior will be associated with a sense of belonging. Lastly, we will explore potential relationships between intervening behaviors, stigma, and campus climate. Methods: This study used cross-sectional survey data collected from college students (N=7,809) across the United States by the Healthy Minds Network during the 2022-2023 academic year. Intervening behavior was defined utilizing a self-reported, binary variable asking whether they intervened when witnessing someone experiencing significant emotional distress/thoughts of suicide. Utilizing IBM SPSS Statistics Version 29.0, logistic regression models (ɑ=0.05) were conducted to investigate individual differences (i.e., sense of belonging, age, history of STB, and NSSI) to intervening behavior. Cross-tabulations were conducted to investigate views on campus climate and stigma among participants who engaged in intervening behaviors. Results: In the current study, the second hypothesis was supported with sense of belonging being a significant predictor of intervening behavior ( OR =0.80; 95% CI = [0.74;0.87]). The first hypothesis was not supported, indicating there is no relationship between self-reported history of STB and NSSI with intervening behaviors. Within the sample, 30.93% of participants at least somewhat agreed that most people would think less of an individual who received mental health treatment, although only 2.6% thought this personally. 70.16% of participants at least somewhat believed they attended a campus that looks after one another. The majority of participants who intervened at least somewhat agreed that they are responsible for helping classmates (77.80%) and friends (94.87%) struggling. Conclusions and Implications : This study highlights the importance of a sense of belonging on college campuses and bringing awareness to mental health help-seeking to increase intervening behavior. Social work discipline upholds a holistic and strengths perspective, which emphasizes the importance of the surrounding environment such as having social support. Future research should incorporate the unique characteristics of college students, who are often more prone to making decisions based on peer interaction and support. Lastly, there is a need for qualitative studies to explore how having a history of STB and NSSI may influence one’s intervening behavior, as there may be underlying psychological constructs that may be inhibiting one’s decision to intervene.",
      "authors": "MacKenzie Dallenbach; Melissa Ticozzi; Haelim Jeong; Anthony Fulginiti",
      "author_ids": "125190; 127397; 123519; 112190",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3722800375,
        "prompt_eval_count": 1595,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:57:02.426028+00:00"
    },
    {
      "input_index": 1842,
      "record_key": "SSWR:2025-P-0766",
      "source_database": "SSWR",
      "record_id": "2025-P-0766",
      "year": 2025,
      "title": "Social Stigma, Financial Hardship, PTSD As Predicators of Suicidal Ideation Among Human Trafficking Survivors",
      "abstract": "Background: The social, economic, and psychological impacts of human trafficking on trafficking survivors are substantial and long-term. Trafficking survivors experience social stigma, economic hardship, and mental health problems after exiting trafficking situation which negatively affect their wellbeing and reintegration into their home communities. This study examined the association among social stigma, financial hardship, posttraumatic stress disorder (PTSD), and suicidal ideation among girls and women survivors of human trafficking. This study will contribute to the knowledge regarding mental health of trafficking survivors. Methods: This study conducted a secondary data analysis using a multivariate regression model. This study used a dataset that represents the evaluation data of a Ghana based intervention program. The main study was a mix method longitudinal study which was administered in three wave series. This study employed purposive sampling to recruit participants. For data collection this study utilized face-to-face interview method. The sample size of this present study included 144 female trafficking survivors aged from 23 to 34 years. The independent variables of this study included financial hardship and social stigma. The dependent variable was suicidal ideation. Control variables included age, education, and PTSD factors. In this study financial hardship refers to difficulty in living. Social stigma is defined by difficulty in getting back to the home community. The dependent variable suicidal ideation refers to the thoughts of committing suicide and of killing herself. This study measured suicidal ideation using a 4 item Ultra-short Suicidal Ideation scale. To measure financial hardship an 11 items Financial Management Condition scale was used. PTSD symptom was measure by utilizing a17 items Post-traumatic Stress Disorder Symptom Scale. Finally, social stigma was measured by the following question: How easy or difficult has it been to get back into the community after Lifeline? Data analysis included univariate, bivariate, and multivariate analysis. Results: The results of the study indicated that PTSD and financial hardship influence the suicidal ideation of the trafficking survivors. The bivariate analysis conducted using Pearson Correlation Coefficients reported that survivors with financial hardship were prone to suicidal ideation ( r = -0.20, p < 0.0143). Additionally, the multivariate regression results showed the model fit well with the data ( F = 2.61, p = 0.02) and also reported survivors with PTSD symptoms were prone to suicidal ideation ( β = 0.01937, p = 0.0097). Conclusion: The findings of this study suggest PTSD and economic hardship are significantly associated with suicidal ideation among trafficking survivors. These findings of this study will strengthen other studies those recommended mental health support to mitigate suicidal ideation among trafficking survivors as well as will advance the literature those have found a consistent trend of association between poverty and suicidality. Moreover, there is lack of available data on suicidal behavior among trafficking survivors in the context of Ghana. This study will encourage further research in this area which will lead to advancement of literature and data on suicidal behavior of trafficking survivors.",
      "authors": "Fahmida Afroz; David Okech",
      "author_ids": "124070; 109558",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3681864917,
        "prompt_eval_count": 1549,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:57:09.468912+00:00"
    },
    {
      "input_index": 1843,
      "record_key": "SSWR:2025-P-0549",
      "source_database": "SSWR",
      "record_id": "2025-P-0549",
      "year": 2025,
      "title": "Social Work Practitioners Training, Attitudes, and Actions Concerning Firearm Risk Assessment with Clients: A Call for Change",
      "abstract": "Background. In 2022, 48,117 people died by firearms in the United States (CDC, 2023), where firearms are the leading cause of death for children, especially Black children (Lee et al., 2022). Social workers are in contact with clients at risk of all types of firearm violence, including suicide, homicide, and accidents. Social workers have foundational training in assessment and intervention with at-risk clients, however, limited research suggests that most do not receive firearm-specific training and generally do not discuss firearms with clients (Slovak et al., 2008; Sperlich et al., 2022). This study adds to this small body of literature by assessing what practitioners know and what they do in their clinical practice to prevent firearm injuries. Methods. We recruited a sample of social workers across New York via online surveys that assessed firearm exposure, knowledge, attitudes, and behaviors with clients towards firearm violence assessment. Descriptive and multivariate analyses were conducted with SPSS. Results. The sample (N=260) was 80.8% female, average age of 41.47 years. 77% identified as white, 10.6% were Black, and 8.6% were mixed/other race; 7.1% were Latinx. The majority were MSWs (90.4%) who worked in a wide variety of practice settings. 54.6% had not received any training on firearm safety assessment in any context. The vast majority had received training on assessment for suicide lethality (93.1%); 6.9% indicated they had not. The majority (80.8%) had not received any training on assessing for risks of violence perpetration. The majority did not grow up around guns (71%), although 10.5% were gun owners themselves, 2% indicated they carried a concealed weapon, and 23.6% lived with a gunowner. Many reported having lost a close friend or relative due to firearms, by suicide (20.2%), homicide (21.4%), or accidental death (14.4%). The majority agreed or strongly agreed (76.4%) that gun violence was a problem in their community, and in the community in which they worked (80.9%). However, few reported discussing firearm access with clients (26.3%), providing firearm safety counseling (26.9%, or using a validated screening tool (19.6%). More reported discussing firearm removal with high-risk gun-owning clients (44.3%) and conducting risk assessment with high-risk clients (47.9%). Multiple regression modeling indicated that length of time in practice (Beta=0.23), having received training on firearm safety (Beta=0.28), and having confidence about talking to clients about firearms (Beta=0.38) were significantly associated with enacting behaviors to assess and intervene with clients at risk of firearm violence. Discussion. Very few studies to date have assessed what social work practitioners know and do about preventing firearm injury. These results confirm previous research indicating that social worker training regarding gun violence assessment and intervention is sorely lacking, with the result that many practitioners do not address firearm risks with clients, even those they deem at high-risk of injury. This has implications for social work education, the development of screening tools, and continuing education, and should serve as a clarion call to urgently address this omission in social worker preparation to reduce deaths, injuries, and traumatic losses to US families.",
      "authors": "Patricia Logan-Greene; Mickey S. Sperlich; Alexis Speck Glennon",
      "author_ids": "111353; 112958; 127144",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3982773500,
        "prompt_eval_count": 1678,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:57:13.452988+00:00"
    },
    {
      "input_index": 1845,
      "record_key": "SSWR:2025-U-0741",
      "source_database": "SSWR",
      "record_id": "2025-U-0741",
      "year": 2025,
      "title": "Suicidal and Delinquent Behavior Among African American Youth: Exploring the Role of ACEs and PTSD",
      "abstract": "Background and Purpose Black youth suicide has become a significant public health issue, with Black youth and young adults (BYYA) having the most considerable increase in suicide rate between 2007 and 2020. Specifically, Black youth suicide increased 144%, from 1.54 per 100,000 in 2007 to 3.77 per 100,000 in 2020. Others note from 2003 to 2017 that suicide rates among Black boys and girls only increased every year, with the most significant increase in rates among black youth from 15 to 17. Also, of note is the persistent suicide rates among Black youth in the legal system. Moreover, research indicates that the number of adverse childhood experiences (ACEs) and posttraumatic stress disorder (PTSD) are associated with a greater risk of suicidal ideation and attempts. The current study investigates the associations of delinquent behavior, ACEs and PTSD on BYYA suicidal attempts who are involved with the legal system. Methods The 362 study participants included BYYA ages 18 to 24. The data derives from a Midwestern study of young adult experiences with histories of legal system involvement, ACEs, PTSD, and suicidal behavior. Participants were recruited from across the U.S. through Qualtrics panels, an online survey delivery service used to recruit study participants, especially from difficult-to-reach populations. Participants were recruited through an email invitation from Qualtrics to complete the survey that took no more than 30 minutes. Participants were eligible to join if they identified as Black were between 14 and 24 years old and had histories of legal system involvement. BYYA average age is 21 (SD: 1.91) in the Midwestern U.S. Descriptive and multivariate statistics, including bivariate and multivariate regression were used to assess the associations of these study factors on the outcome variable: suicide attempts. Results Separate bivariate and multivariate results found that BYYA who engaged in delinquency were 5.81 times and 4.19 times more likely to attempt suicide than youth who did not respectively. Similarly, BYYA who had histories of PTSD were 3.95 times and 1.97 times more likely to attempt suicide. Last, BYYA with histories of ACEs were 1.31 times and 1.16 times more likely to engage in suicide attempts. Conclusion Consideration needs to be given to the racial and mental health disparities of BYYA who engage in delinquent behavior. Practitioners who work with BYYA need to consider the context of their delinquency to understand how it impacts their suicidality.",
      "authors": "Camille R. Quinn; Durrell Washington; Donte T. Boyd; Evelyn Coker; Ashima Saigal; Nelson Francoise",
      "author_ids": "113009; 120361; 115665; 124477; 127674; 127675",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3462571917,
        "prompt_eval_count": 1510,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:57:20.600327+00:00"
    },
    {
      "input_index": 1846,
      "record_key": "SSWR:2025-P-0811",
      "source_database": "SSWR",
      "record_id": "2025-P-0811",
      "year": 2025,
      "title": "Suicidal Ideation Among Persons on Parole: The Role of Residential Instability",
      "abstract": "Background and Significance: Growing evidence that suicidality disproportionately burdens persons on parole. One study suggests that rates of suicide were 6.75 times higher among persons on parole (POP) relative to the general public. This is concerning because there are over 4.5 million people under adult community supervision (or 1 in 55) in the U.S. POP experience numerous barriers that may impact successful reintegration into society. Residential instability may further add to these obstacles, as there may be limited opportunities for housing given their criminal history. The present study aimed to examine the impact of residential instability on suicidal ideation among persons on parole. Methods: The present cross-sectional study pooled data (2015–2019) from the National Survey on Drug Use and Health. A subsample of self-identified persons reported being on parole during the past 12 months ( N =1,725). Respondents who move 0-2 times in the past 12 months were considered residentially stable, while those who moved 3 or more times were considered residentially unstable. The main analysis included computing a multivariate binary logistic regression model to identify predictors of suicide ideation. Two models were computed independently: one for POP who were residentially stable and another for POP who were residentially unstable. Only independent variables that reached statistical significance of .05 at the bivariate level were included in building the multivariate model. Odd ratios and 95% confidence intervals were reported for the bivariate and multivariate results. All analyses were computed using SPSS version 27. Results: The majority of POP identified as being residentially stable, whereas 25% of the total sample identified as being residentially unstable. Binary logistic regression results for those who were residentially stable suggest that was having perceived unmet mental health needs, receiving mental health treatment, age, and marijuana use predicted suicide ideation. The next model revealed that age, methamphetamine use, sexual minority status, receiving prescription medication for mental health treatment, perceived unmet mental health needs, and receiving mental health treatment were significantly associated with suicide ideation among residentially unstable POP. The highest odds of reporting suicidal ideation among POP who were residentially stable and unstable was among respondents who reported having unmet mental health needs. Conclusions: The current study demonstrated further evidence of housing instability and experiencing suicidal ideation among POP, including those who identify as bisexual, being younger, those who engage in substance use, and those with unmet mental health needs. The importance of housing and residential stability underscores the need for these resources within community settings as a means of promoting successful outcomes within the POP population. Particular emphasis is placed on ensuring access to community mental health resources, as the lack of adequate support significantly increases the likelihood of experiencing suicidal ideation among both residentially stable and unstable POP.",
      "authors": "Javier F. Boyas; Leah McCoy; Pamela Valera",
      "author_ids": "109967; 127737; 110596",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3450255250,
        "prompt_eval_count": 1508,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:57:24.052052+00:00"
    },
    {
      "input_index": 1847,
      "record_key": "SSWR:2025-U-0028",
      "source_database": "SSWR",
      "record_id": "2025-U-0028",
      "year": 2025,
      "title": "Suicidality and Latent Subgroups of Substance Use Among Korean Adolescents",
      "abstract": "Background : Suicide is the leading cause for adolescent’s death in South Korea. Although the current body of literature on suicidality and substance use are in consensus that these two variables are significantly related to one another, the issue of directionality (e.g., suicidality on substance use, substance use on suicidality) still remains debatable. Given this literature gap, the current study attempted to add more empirical evidence on the directionality of substance use and suicidality, and how each component of suicidality (e.g., suicidal ideation, suicide plan, and suicide attempt) is connected to polysubstance use of Korean adolescents. As a result, this study aims to identify substance use classes in Korean adolescents and assess the impact of suicidality in each class. Methods : The 2022 Korea Youth Risk Behavior Survey, comprising 51,850 youths aged 12 to 18 was used for the analysis. The missing data was handled using a Full Information Maximum Likelihood approach. The Latent Class Analysis (LCA) was employed to identify subgroups of substance use, namely alcohol, traditional cigarettes, e-cigarettes, and heated tobacco products. Furthermore, the present study integrated BCH auxiliary variables (i.e., suicide ideation, suicide plan, suicide attempt) to evaluate equality across each type of latent layer. Once the classes are identified, multivariate logistic regression analysis was conducted to examine the connections between suicidality and different substance use subgroups. During these analyses, gender, school type, academic performance, and socioeconomic status were utilized as covariates. Results : Based on the LCA, the study sample was categorized into four substance use groups: Class 1 (“Severe Polysubstance Use Group”), Class 2 (“Alcohol-Only Use Group”), Class 3 (“E-cigarette Priority Polysubstance Use Group”), and Class 4 (“Conventional Polysubstance Use Group”). Suicidal ideation (OR = 2.2), and suicide attempts (OR = 3.1) were associated with an increased likelihood of belonging to Class 1 when compared to Class 2. Furthermore, suicidal ideation (OR = 2.0), suicidal plan (OR = 1.6), and suicide attempts (OR = 2.4) were all linked to an elevated likelihood of being part of Class 3 in comparison to Class 2. In addition, experiencing suicidal ideation (OR = 2.8) was related to a higher likelihood of being included in Class 4 when compared to Class 2. Experiencing suicidal planning (OR = 2.1) was associated with an increased likelihood of belonging to Class 3 compared to Class 1. Conclusion/Implication : As suicidality has been identified as a risk factor for Korean adolescent’s polysubstance use, an integrated intervention model should be developed to address both suicidal thoughts and/or behaviors and substance use simultaneously. At the practice level, the frontline social workers should continuously monitor the youths who were once at a risk of suicide along with their substance use patterns. Additionally, given that e-cigarette priority group was more vulnerable to suicidality than any other groups, future e-cigarette intervention program should discuss trauma and other psycho-, social-, and emotional-stressors to prevent adolescents from using e-cigarette and thinking of suicide.",
      "authors": "Serim Lee; Jinyung Kim",
      "author_ids": "120656; 120186",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3755458666,
        "prompt_eval_count": 1613,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:57:27.808959+00:00"
    },
    {
      "input_index": 1848,
      "record_key": "SSWR:2025-P-0445",
      "source_database": "SSWR",
      "record_id": "2025-P-0445",
      "year": 2025,
      "title": "Suicide Attempts Among Immigrants with Intimate Partner Problems: Associations with Mental Health and Substance Use and Variations By Race and Ethnicity",
      "abstract": "Background: Suicide research has demonstrated a higher prevalence of suicide among immigrants who experience intimate partner problems (IPP) such as infidelity, financial struggles, conflicts, and violence. However, this population has received less attention in understanding specific conditions and risk factors contributing to their suicidality, as well as their variations by race and ethnicity. Notably, examining suicidal thoughts and attempts in immigrants experiencing IPP could provide significant insights for identifying suicide risk and preventing fatalities. Accordingly, this study aims to examine how race and risk factors, such as mental health and substance use, are associated with suicidal thoughts and attempted suicide among immigrants with IPP who died by suicide. Methods : Data comprised 17 waves of the National Violent Death Reporting System from 2003–2019, which includes 3,177 immigrants who died by suicide facing IPP. We first conducted a latent class analysis (LCA) to classify immigrant suicide victims based on seven dichotomous: having mental health diagnosis, depressive mood, alcohol problem, substance abuse problems, other addictions; having current treatment; and having treatment history. Logistic regression analyses were conducted to examine the associations between suicide risk types and suicide attempt history, controlling for survivors’ gender, age, education, and marital status. Interaction terms between race/ethnicity and risk types were tested for moderating effects of race/ethnicity to examine diverse patterns among race groups. Results: The sample consisted of 40.1% Caucasian, 5.2% Black, 33.8% Hispanic, 17.6% Asian/Pacific Islander, and 3.3% Other Races. Three groups are Minor Risk group with a low likelihood of having depressed mood (66.9%, n=2,126); Mental Health group with high probabilities of having mental health problems and current and previous treatment experiences (MH, 26.6%, n=844); Alcohol group (6.5%, n=207) with a high probability of having alcohol problems. Females were more likely to have suicidal thoughts and attempt suicide than males. Older age was positively associated with having suicidal thoughts but negatively associated with attempting it. Compared to the Minor Risk group, the MH and Alcohol groups were more likely to have both suicidal thoughts and a history of attempts. In comparison to Whites, Blacks were less likely to have made previous attempts. Interaction terms between race and types of risks showed that survivors’ race and ethnicity moderated the relationship between types of risks and suicide attempts. In contrast to White victims in the MH group, Hispanics in the MH group were more likely to have made previous attempts. Conclusion : Findings show that immigrants' race/ethnicity and suicide risk factors, including mental health and alcohol problems, are associated with their previous history of suicide intention and attempts among immigrants with IPP. When considering that the MH group had mental health issues and treatment history, a higher likelihood of suicide attempts among Hispanics in the MH group may suggest their needs are not well treated or met compared to those of other race groups. Further research is warranted to comprehensively understand the unique needs and vulnerabilities faced by diverse immigrant groups experiencing IPP, particularly within the context of their racial background and mental health-related risk factors.",
      "authors": "Woojong Kim; Jeongsuk Kim; Maria Velez; Dorothy Miah",
      "author_ids": "118231; 116364; 126902; 126903",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3545272042,
        "prompt_eval_count": 1595,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:57:31.355737+00:00"
    },
    {
      "input_index": 1849,
      "record_key": "SSWR:2025-U-0071",
      "source_database": "SSWR",
      "record_id": "2025-U-0071",
      "year": 2025,
      "title": "Suicide Risk Profiles and Barriers to Help-Seeking Among College Students at Elevated Risk for Suicide and Not Engaged in Mental Health Services",
      "abstract": "Background and Purpose: Suicide is the second leading cause of death among college students, yet many students with elevated suicide risk do not seek professional help. Suicide risk factors are multifaceted, with clinical characteristics shown to vary across individuals, including alcohol use and misuse, impulsivity, depression, social disconnection and isolation, suicide ideation, and history of attempt. These clinical characteristics have been examined at length in research among college students, yet less is known about clinical profiles of risk and how these relate to professional help-seeking behavior. Importantly, there remains a gap in our understanding of how unique combinations of suicide risk factors (i.e., profiles of risk) relate with different types of help seeking barriers. This study's collaborative investigative team sought to identify suicide risk profiles among college students and examined these in relation to students’ perceived barriers to professional help-seeking. Methods: Data were obtained from college students (n=1,689) identified to be at elevated risk for suicide based at four US universities and participants originally participated in an online treatment linkage intervention study, Electronic Bridge to Mental Health (eBridge) for university students at heightened risk for suicide. Latent class analysis was performed to determine risk profiles, followed by examinations of differences in help-seeking barriers by profile groupings. Results: Findings revealed three student groupings: (1) moderate internalizing and externalizing symptoms (with low alcohol misuse), (2) highest internalizing and externalizing symptoms (with highest social disconnection), and (3) lowest internalizing symptoms and low externalizing (with highest social connection and alcohol misuse). Group 1 included the youngest and most racially and sexually diverse students, Group 2 endorsed the most help-seeking barriers, and Group 3 endorsed the fewest barriers. Group 2 is especially concerning, considering the severe clinical characteristics, high number of barriers, and low connectedness to others for potential support. Conclusions and Implications: Study findings highlight differences in suicide risk profiles and barriers to help-seeking among college students. Among this already high-risk sample of college students, there was a subgroup of students with particularly high internalizing and externalizing symptoms as well as high endorsement of social disconnection in comparison to the other groups who, in addition to appearing most reluctant to seek services, may also be the least likely to receive non-professional and peer support. Understanding differences in help-seeking barriers is important to inform tailored approaches to engaging college populations in mental health care. Future research is needed to examine differing approaches to outreach and intervention with tailoring for various risk profiles to address help-seeking barriers and unmet mental health treatment needs of students. Greater research is also needed by other collaborative investigative teams with multidisciplinary health and mental health expertise to inform suicide prevention in a more comprehensive and multi-level way.",
      "authors": "Lindsay A. Bornheimer; Nicholas Brdar; Hyun Jung Koo; Juliann Li Verdugo; Ewa Czyz; Daniel Eisenberg; Kai Zheng; Jacqueline Pistorello; Ronald Albucher; William Coryell; Todd Favorite; Cheryl King",
      "author_ids": "114170; 126265; 126266; 121000; 126267; 126268; 126269; 126270; 126271; 126272; 126273; 122158",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3426043167,
        "prompt_eval_count": 1495,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:57:34.785867+00:00"
    },
    {
      "input_index": 1850,
      "record_key": "SSWR:2025-P-0206",
      "source_database": "SSWR",
      "record_id": "2025-P-0206",
      "year": 2025,
      "title": "Syndemic Factors, Suicidal Ideation and HIV Treatment Adherence Among Gay Men Living with HIV in Taiwan",
      "abstract": "Background and Purpose: Men who have sex with men (MSM) living with HIV have been disproportionately affected by mental health problems compared to their heterosexual counterparts. Previous research has found that MSM living with HIV who have experienced syndemic factors, such as intimate partner violence, internalized HIV stigma, crystal meth use, and childhood sexual abuse, were more likely to report treatment non-adherence than those who have not experienced such syndemic factors. Suicidal ideation is the first step towards suicide and has been shown to predict later suicide plans and it has been a significant mental health issue among MSM living with HIV in Taiwan. Therefore, this study aimed to determine the association between syndemic factors and HIV treatment adherence by self-reported suicidal ideation among MSM living with HIV in Taiwan. Methods: From December 2021 to April 2022, 568 MSM living with HIV completed a cross-sectional online survey through collaborative partnerships with seven AIDS Services Organization in Taiwan. Informed consent was obtained prior to the survey. The online survey included socio-demographic characteristics, suicidal ideation, and four syndemic factors, such as childhood sexual abuse, intimate partner violence, internalized HIV stigma, and crystal meth use. HIV treatment adherence was measured on a 5- point Likert scale and then dichotomized into good or bad treatment adherence. Multivariable logistic regression analysis was conducted with HIV treatment adherence, controlling for socio-demographic characteristics. We compared the results based on suicidal ideation (yes/no, last week). Results: Participants’ mean age was 36.5 years. Majority of them lived with someone (69.9%), had a college degree or more (76.5%), had a full-time job (81.1%), and were single (60.9%). Among participants, 76.8% of them had no suicidal ideation, while almost a quarter of them reported having suicidal ideation (23.2). A majority of participants reported good HIV treatment adherence (81.9%). The prevalence of each syndemic factor was: childhood sexual abuse (31.3%, before age of 18), intimate partner violence (25.8%, last five years), high internalized HIV stigma (31.5%, present), and crystal meth use (29.9%, last six months). In multivariable logistic regression, among group without suicidal ideation, younger (AOR=0.95, 95% CI=0.92–0.99) and childhood sexual abuse (AOR=2.23, 95% CI=1.28–3.89) were associated with higher odds of HIV treatment non-adherence. Among group reporting suicidal ideation, detectable viral load (AOR=9.63, 95% CI=2.50–37.17) and internalized HIV stigma (AOR=2.87, 95% CI=1.02–8.06) were associated with higher odds of HIV treatment non-adherence. Conclusions and Implications: Our findings suggest that there is an intersection between HIV treatment adherence and suicidal ideation. Moreover, syndemic factors, such as childhood trauma and internalized HIV stigma, could deteriorate the association between treatment adherence and suicidal ideation. These results may have implications for social work practice. In order to enhance HIV treatment adherence, Taiwanese MSM living with HIV would benefit from the trauma-informed counselling and competent screening of suicidal ideation by social workers. Additionally, evidence-based research among MSM living HIV in Taiwan should further examine the effect of other syndemic factors on HIV treatment adherence.",
      "authors": "Deng-Min Chuang; Wei-Ting Zhang",
      "author_ids": "113649; 126408",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3944507792,
        "prompt_eval_count": 1693,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:57:38.732500+00:00"
    },
    {
      "input_index": 1852,
      "record_key": "SSWR:2025-P-0702",
      "source_database": "SSWR",
      "record_id": "2025-P-0702",
      "year": 2025,
      "title": "The Association between Interpersonal Factors, Stress, Anxiety, and Depression Among Junior High School Students in the Greater Accra Region of Ghana",
      "abstract": "Background and Purpose: Mental health issues among adolescents have become a growing concern worldwide, with significant implications for individual well-being and public health. Given that interpersonal factors (e.g., family belongingness, social support) greatly influence the mental health of Ghanaian adolescents and the extant high risk for untreated depression among this group, it is important to examine the role of these factors in stress, anxiety, and depression for early identification and treatment. While numerous studies have explored the impact of interpersonal factors on adolescent mental health globally, there is a paucity of research specifically focusing on the Ghanaian context. Our study aims to fill this gap by examining how thwarted belongingness and perceived burdensomeness, alongside other mental health factors, predict stress, anxiety, and depression in this demographic. This exploratory study, therefore, provides crucial insights into the complex interplay between interpersonal dynamics and mental health among junior high school students in the Greater Accra Region. Methods: Participants for this study were sampled from six selected junior high schools (JHS) in the Greater Accra Region of Ghana, specifically from the Ada, Weija, and Sege districts, resulting in an 82% participation rate out of 975 initially approached students. Thwarted belongingness was assessed using the Thwarted Belongingness Scale, which measures feelings of social disconnection and lack of belongingness. Perceived burdensomeness was evaluated using the Perceived Burdensomeness Scale, capturing perceptions of being a burden on others. Stress, anxiety, and depression levels were measured using standardized self-report questionnaires validated for use in the Ghanaian context. Data analysis involved descriptive analysis, bi-variate, and multivariate analyses using IBM SPSS Statistics, with Multiple Linear Regression to assess relationships between thwarted belongingness, perceived burdensomeness, and mental health outcomes. Results: In terms of depression, 14% of males and 19% of females were classified as having depression while the prevalence of perceived stress was also high (92%). The mean scores for thwarted belongingness and perceived burdensomeness were significantly higher among students with depression. Results from logistic regression showed that students with anxiety have over three times the odds of experiencing depression compared to those without anxiety (OR = 3.61, 95% CI: 2.45 - 5.34, p < .01). Thwarted belongingness and perceived burdensomeness were significantly associated with depression in the unadjusted models (OR = 1.02, 95% CI: 1.01 - 1.05, p < .05 for thwarted belongingness; OR = 1.03, 95% CI: 1.02 - 1.06, p < .01 for perceived burdensomeness). Furthermore, the adjusted model revealed a gender difference in the likelihood of experiencing depression, with male students having a significantly lower odds ratio (OR = 0.63, 95% CI: 0.41 - 0.96, p < .05) compared to female students. Conclusion and Implications: These findings challenge the universality of Interpersonal Theory of Suicide constructs among Ghanaian youth, emphasizing the need for culturally sensitive mental health research and intervention. This study contributes to adolescent mental health understanding in Ghana, highlighting cultural and developmental contexts' importance.",
      "authors": "Enoch Azasu; Abass Babatunde; Ali Lateef; Portia Nartey; Ebow Nketsiah; Graham Zulu; Dennis Boyd",
      "author_ids": "123341; 127533; 127534; 125004; 124467; 123887; 127535",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3647468333,
        "prompt_eval_count": 1634,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:57:45.995434+00:00"
    },
    {
      "input_index": 1854,
      "record_key": "SSWR:2025-U-0757",
      "source_database": "SSWR",
      "record_id": "2025-U-0757",
      "year": 2025,
      "title": "The Dispositions of Mental Health-Related 911 Calls with CIT Officers in Seattle: Arrest Rates and Community Linkages",
      "abstract": "Background and Purpose : The United States has the highest level of incarceration in the world leading to a call for change in police practice and training. Mental health-related 911-calls have continued to increase in recent years forcing policing agencies to evaluate their methods when it comes to addressing behavioral and mental crisis-related 911 calls. Crisis Intervention Training (or CIT) is a model adopted by police departments nationwide to better prepare officers for mental health crisis calls. We assessed the effectiveness of CIT by examining its association with arrest rate and linkages or referrals to community services. Methods : We reviewed a total of 3,560 dispatch 911-calls taking place between January 1 and December 31, 2023 in Seattle, Washington. All calls were mental health in nature and included people in behavioral crisis, suicidal/suicidality, or those in need of a welfare check. Disposition was the main dependent variable with three possible outcomes: arrest, community linkages, or other (refused services, citizen not located or not action necessary/possible). The predictors in the model included whether officer was CIT or not, their years of experience, race, and gender were all analyzed to find any relationships between the variables and the disposition. The main independent variable of the model was whether an officer was trained in CIT or not. Model covariates included: officer years of experience, officer race, and officer gender. Force was used less than 1% of the time (n=19) and therefore was not statistically feasible to include in the model. We analyzed the data using multivariable, multinomial logistic regression with “other” as the reference category, calculating relative risk ratios. Results : Community referrals and linkages were the most common disposition reported (52%), followed by arrest or emergency detention at 35%. In the multivariable model, we found officers with CIT were more likely to make community linkages and referrals (RRR= 1.2541, p=.026); CIT officers were also more likely to arrest (RRR=1.4171, p<.001), as compared to non-CIT officers, when responding to a mental health 911 call. The years of experience of the officer was also a significant predictor when it came to disposition (RRR=1.0149, p=.053); more specifically, those with fewer years of experience were more likely to refer to community linkages. Conclusions and Implications: The increase in community linkages and referrals by CIT officers aligns with current research covering mental health-related 911 calls answered by these officers; but despite expectations, our analysis found higher levels of calls being handled by CIT officers resulting in arrest, contrary to the purpose of the training. In a nation that has the highest level of incarceration and arrest rates, more research is needed to understand how CIT can be better refined to reduce rates of arrest and improve linkages to community services and referrals.",
      "authors": "Alison Stogsdill",
      "author_ids": "127710",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3669143916,
        "prompt_eval_count": 1555,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:57:53.284195+00:00"
    },
    {
      "input_index": 1856,
      "record_key": "SSWR:2025-P-0265",
      "source_database": "SSWR",
      "record_id": "2025-P-0265",
      "year": 2025,
      "title": "The Impact of Internalized Transphobia and Community Connectedness on Psychological Distress and Suicidality Among Transgender Adults",
      "abstract": "Background and Purpose: The transgender and gender nonconforming (TGNC) community faces pervasive challenges including stigma and discrimination, leading to high rates of mental health issues, including depression, anxiety, and suicidality. More research is needed to examine both risk and protective factors for these negative mental health outcomes. Based on the minority stress theory, the current study aimed to expand existing knowledge by investigating (1) the relationships between internalized transphobia, psychological distress, and suicidality, and (2) the relationships between community connectedness, psychological distress, and suicidality. Hypotheses predicted (1) positive associations between internalized transphobia and psychological distress and suicidality, and (2) negative associations between community connectedness and psychological distress and suicidality. Methods: A secondary data analysis was conducted using data from TransPop, a national survey of TGNC adults. Participants were recruited through Gallup, Inc., and a self-report questionnaire was administered via mail and email. Subscales of the Gender Minority Stress and Resiliency measure were used to assess the independent measures of internalized transphobia (Cronbach’s α = 0.87) and community connectedness (Cronbach’s α = 0.78). Dependent variables included psychological distress, measured using the Kessler-6 scale (Cronbach’s α = 0.91), and suicidality, assessed through a single-item question about previous attempts. Bivariate analyses were conducted to examine the relationships between independent and dependent variables. Based on the results of bivariate analyses, a multiple linear regression was used to examine the impact of internalized transphobia on psychological distress after controlling for age, race, gender identity, and income. Results: Participants (N=274) were primarily White (68.2%) with a mean age of 39.36 (SD = 16.89). Most of the participants identified as a transwoman/woman (43.8%), followed by 28.5% identifying as a transman/man, and 27.7% identifying as gender nonbinary. Over one third (36.3%) of participants reported a previous suicide attempt. At the bivariate level, internalized transphobia was significantly associated with psychological distress (r(261) = .30, p <.001) but not with suicidality. Community connectedness was neither associated with psychological distress nor suicidality at the bivariate level. Results of the multiple linear regression were statistically significant (F(7,255) = 14.49, p< .001), explaining 31% of the variance in psychological distress. Increased psychological distress was predicted by younger age (b= -0.15, p<.001), non-binary or woman/transwoman gender identity (b= 2.75, p<.001; b=2.18, p<.01), household income less than $40,000 (b=2.82, p<.001) and higher scores of internalized transphobia (b=0.23, p<.001). Conclusions and Implications: Results of these findings reveal that, while TGNC individuals are at increased risk of suicide attempts, such factors of internalized transphobia and community connectedness were not associated with a history of attempts. Furthermore, these findings contribute to the existing literature by highlighting the role of internalized transphobia on negative mental health outcomes and underscore the necessity for targeted interventions in social work practice, prioritizing younger individuals, nonbinary/transwoman identities, and those from lower-income backgrounds. Policy efforts should advocate for gender-affirming mental health care for the TGNC community. Future research should further explore the risk and protective factors for suicidality among this population.",
      "authors": "Rebecca Lazuka; Brittany Eghaneyan",
      "author_ids": "126548; 117446",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3994416375,
        "prompt_eval_count": 1744,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:58:00.661249+00:00"
    },
    {
      "input_index": 1857,
      "record_key": "SSWR:2025-U-0569",
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      "record_id": "2025-U-0569",
      "year": 2025,
      "title": "The Impact of Service Users' Race and Legal System Involvement on Coercive Mobile Crisis Interventions: An Institutional Racism Prevention Research Study",
      "abstract": "Background & Purpose : When police respond to behavioral health crises, results can be harmful, even fatal, for the person in crisis. In 2020, the national 988 Suicide & Crisis Hotline was created to redirect crisis calls from police to mental health professionals, including mobile crisis teams (MC). While advocates argue MC serves as a salutary alternative to calling the police, MC workers may still deploy coercive interventions, e.g., involuntary hospitalization or calling police. Furthermore, MC workers may unevenly deploy coercive interventions depending on factors such as race or criminal history. To date, the decision-making processes of MC workers is poorly understood, the potential for reproducing harm via purportedly alternative interventions has received little attention, and the risk of perpetuating institutional racism via new means remains. This study represents an effort to conduct what we call “institutional racism prevention research,” testing the impact of service users’ race and prior criminal legal system involvement (PCLI) on MC workers’ decisions to deploy coercive interventions. Methods: We used a 2x2 factorial vignette survey design to assess the impact of independent variables (race, PCLI) on a national sample of mobile crisis workers (n = 364). Participants were randomly assigned to one of four crisis vignettes. Language for each vignette was kept the same apart from the independent variables. To assess stability of decision-making across different levels of agitation, participants were given low- and high-agitation scenarios and asked to rate appropriateness, likelihood, and supervisor’s recommendation of deploying different interventions. We transformed intervention endorsement into a binary outcome (low vs. high endorsement) for the dependent variables of involuntary hospitalization and calling police. We assessed balance between treatment groups, used Van Buuren’s passive imputation to address missing data, and conducted mixed effects logistic regression to test the hypotheses that Black service users and service users with PCLI are at greater risk of coercive intervention compared to white service users and those with no PCLI. Results: For involuntary hospitalization, we found statistically significant increases in the probability of endorsement for Black service users with (p̂ = .37) and without PCLI (p̂ = .77) when compared to endorsement for their white counterparts (p̂ = .11 and p̂ = .04, respectively) in low-agitation scenarios. We found no differences in endorsing involuntary hospitalization when service user agitation was high. As for calling police, we found no statistically significant differences between vignettes featuring Black and white service users, with and without PCLI, across low- and high-agitation scenarios. Conclusions and Implications: Results support the hypothesis that compared to white service users, Black service users are at greater risk of involuntary hospitalization in low-agitation crisis situations. As agitation increases, the effect of race on deciding to involuntarily hospitalize decreases. Results fail to support the hypothesis that PCLI impacts decisions to deploy coercive interventions and the hypotheses that race and PCLI impact decisions to call police. Implications include the need for anti-racism training for MC workers in relation to race and the appropriateness of experimental vignette surveys as a strategy for institutional racism prevention research.",
      "authors": "Kathryn Luk; Leah A. Jacobs; Priya Gupta; Aaron Gottlieb; Nev Jones; Amy C. Watson; Thomas Miller",
      "author_ids": "125173; 113225; 126738; 117155; 125198; 109925; 126737",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3586188541,
        "prompt_eval_count": 1592,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:58:04.248889+00:00"
    },
    {
      "input_index": 1858,
      "record_key": "SSWR:2025-U-0050",
      "source_database": "SSWR",
      "record_id": "2025-U-0050",
      "year": 2025,
      "title": "The Impact of State-Level LGBTQ+ Equality Legislation on Suicidal Ideation, Suicide Planning, and Suicide Attempts Among Adolescents in the U.S",
      "abstract": "Background and Purpose : Suicide is the third leading cause of death among individuals aged 15-24. Adolescents marginalized based on their sexual orientation and/or gender identity are at higher risk for suicide than heterosexual and cisgender adolescents. Over the past decade, there has been an unprecedented increase in the number of anti-LGBTQ+ bills and laws, and in 2022, over 315 anti-LGBTQ+ bills were introduced to the State Legislature across the U.S. Prior research on the impact of anti-LGBTQ+ legislation on suicide has primarily focused on adults, leaving a gap in the literature on how anti-LGBTQ+ legislation affects adolescent suicide. The objectives of this study were to investigate: 1) the prevalence of suicidal ideation (SI), suicide planning (SP), and suicide attempts (SA) among a nationally representative sample of adolescents in U.S., and 2) the effects of state-level LGBTQ+ policies on SI, SP, and SA. Methods: Individual-level data from the 2021 Youth Risk Behavior Survey (YRBS) were merged with state-level data on LGBTQ+ policies from the Movement Advancement Project. Our analytic sample included 13,351 adolescents aged 14-18 (50.6% male). SI, SP, and SA in the past 12 months were dichotomous outcome variables. The exposure, state-level LGBTQ+ policies, was measured as a continuous variable considering laws and policies that protect or harm LGBTQ+ individuals. Higher scores indicate more protective LGBTQ+ policies. The main analysis involves the use of mixed-effects multilevel logistic regression to ascertain the effects of state-level LGTBQ+ policies on SI, SP, and SA after controlling for demographic characteristics, victim of school and cyberbullying, and feeling sad or hopeless. Results: Of the 13,351 adolescents, over 20% experienced SI, 17.8% made a SP, and 9.6% had a SA. State-level LGBTQ+ policies ranged from -12 to 42.5, with an average of 20.95 (SE=0.15). In the unadjusted model, a one unit increase in state-level LGBTQ+ policy score was significantly associated with lower odds of SI (p=.030), SP (p=.021), and SA (p=.035). However, when adding the individual level covariates to the models, SA lost its significance. In the fully adjusted models, each additional unit increase in state-level LGTBQ+ policy score was significantly associated with lower odds of SI ( aOR =0.99, p=.017) and SP ( aOR =0.99, p =.019). The percent of total variance in SI, SP, and SA due to state-level LGBTQ+ policy ranges between 1.3% to 2.4% Conclusions and Implications: Results from this study indicate the social environment in which adolescents live has implications for SI and SP over and above individual factors. Adolescents living in states with more protective LGBTQ+ legislation had lower odds of SI and SP relative to those living in states with more oppressive LGBTQ+ legislation. To our knowledge, this is the first study to assess the impact of LGBTQ+ legislation on the rates of SI, SP, and SA among adolescents. Given the increase in anti LGBTQ+ legislation put forth in recent years, social workers should advocate for protective LGBTQ+ legislation to support adolescents' mental health. In addition, clinical social workers should be aware of the suicide risk of adolescents in the context of new legislation.",
      "authors": "Christina M. Sellers; Phillip Baiden; Emma Cho; Julie Stubbs; Sky Gavis-Hughson; Joanna Almeida",
      "author_ids": "116177; 113715; 126221; 126222; 123516; 113288",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3860265542,
        "prompt_eval_count": 1694,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:58:08.110890+00:00"
    },
    {
      "input_index": 1859,
      "record_key": "SSWR:2025-U-0678",
      "source_database": "SSWR",
      "record_id": "2025-U-0678",
      "year": 2025,
      "title": "Trans Lifeline's Safe Hotlines Study: The Need to Advance Non-Carceral Mental Health Support Strategies",
      "abstract": "Background and Purpose: Crisis hotlines are a key resource for people who experience mental health crises. In 2022, 988 became accessible nationwide as an easy-to-remember number to access the National Suicide Prevention Hotline and related resources. Although it is advertised as an alternative to 911, many 988 calls – and other hotline calls – are re-routed to 911, where callers may experience police involvement and carceral responses such as arrest or involuntary commitment. In spring of 2022, a group of researchers and community members came together to design a mixed methods research project for the Safe Hotlines project. The purpose of the survey was to learn about the experiences and opinions of people who have sought support in the U.S. during difficult mental health situations, including a crisis, distress, and/or suicidality. We were interested in learning about help seeking experiences with hotlines or any other resource. Methods: In Phase 1, a survey was conducted (n=210) to hear directly from people about their help-seeking experiences during mental health crises. Convenience sampling strategies were used to invite hotline and non-hotline users to participate and to oversample folks with marginalized identities (due to the disproportionate impact for these populations). In Phase 2, interviews were conducted with a subsample of survey respondents who sought help from crisis hotlines. They were asked questions about their experiences calling crisis hotlines, seeking help from other sources, what an “ideal” hotline experience might look like, and whether they received police or emergency medical responder involvement (with or without consent) when they contacted the hotline. Results: In our final sample, 50.3% sought help from a crisis line, 77.2% sought help from their personal network, 45.6% sought help from community or alternative care, 73.6% sought help from professionals (like therapists or doctors), and only 14.5% sought help directly from 911 or other emergency response services (ERS). Yet ERS became involved for 19.8% of crisis hotline callers, 28.6% of those who sought help from their personal network, 15.8% of those who sought help from community or alternative care, and 14.3% of those who sought help from professional care. Among crisis hotline callers, 70.6% reported a harmful experiences with ERS, which was highest among all help-seekers. Our results reveal the harms and profound long-term impacts of carceral responses to mental health crises for marginalized people including involuntary hospitalization, arrest, forced medication or sedation, discrimination, violence or abuse, financial hardship, job or housing loss, school interruption, and post-traumatic stress symptoms after the intervention. When asked about what ideal hotline experiences could look like, participants advocated for more transparency (i.e., being informed about ERS involvement), consent for geolocation, and eliminating police involvement in crisis response services. Conclusions and Implications: The study results highlight the need for peer support and similar community-based anti-carceral responses, and the need for full consent and transparency for hotline users.",
      "authors": "Jane E. Palmer",
      "author_ids": "113618",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "mixed_methods",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3627642417,
        "prompt_eval_count": 1585,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:58:11.739862+00:00"
    },
    {
      "input_index": 1860,
      "record_key": "SSWR:2025-U-0682",
      "source_database": "SSWR",
      "record_id": "2025-U-0682",
      "year": 2025,
      "title": "Transforming Phone Line and Text Crisis Intervention for 2SLGBTQI+ Callers and Texters in Canada",
      "abstract": "Background and Purpose: Individuals who belong to the 2SLGBTQI+ community experience significant discrimination and are at a higher risk of suicide and poor mental health outcomes than heterosexual Canadians. 2SLGBTQI+ people are four times more likely to attempt suicide compared to their straight cisgender peers. They have shown hesitation in accessing crisis services due to the absence of 2SLGBTQI+ competent providers and barriers such as discrimination, transphobia, homophobia, and lack of 2SLGBTQI+2+ knowledge. Although evidence shows that suicide/crisis hotlines are effective at supporting individuals who are suicidal, there is limited research on how effective they are with 2SLGBTQI+ callers. Research objectives: 1) Explore the perspectives of stakeholders and frontline staff on gender affirming (GA) practices in suicide/crisis lines; 2) To understand how the gaps in services impact 2SLGBTQI+ callers and suicidality; 3) Identify what additional training is needed in GA practices in Canadian suicide/crisis hotlines to better support 2SLGBTQI+ callers; 4) To inform national research, suicide/crisis helplines, and suicide modalities in how they work with 2SLGBTQI+ callers. Methods: This qualitative study gathered the perspectives and wisdom of 10 frontline suicide/crisis intervention responders (N=10). Recruitment was conducted through social media (LinkedIn, Instagram, and Facebook), snowballing sampling, and six community organizations located in the Canadian Prairies. Data collection encompassed one-hour qualitative interview with each participant conducted on Zoom, recorded, and transcribed by Otter.AI. Data analysis followed the phenomenological research method and analysis by Clark Moustakas. Ethics certificate obtained at the University of Calgary (REB23-0926). Results: specific results in summary form. Our results reveal that most common training and suicide intervention models focused minimally on gender affirming care. Responders identified that they learn how to support 2SLGBTQI+ callers experientially/in practice and by self-directed learning vs. by crisis intervention gender affirming trainings at their agencies. Some challenges were identified: the mentality of one-model fits all, lack of effective data collection in hotlines, lack of training on gender affirming care, lack communication from agencies on their gender affirming positions (i.e., using 2SLGBTQI+ flags), lack of referrals to the right resources, or lack of inclusive language. Recommendations included: enhancing trainings on 2SLGBTQI+ suicide risk knowledge, gender studies, gender affirming care, integrating 2SLGBTQI+ in crisis intervention trainings and certifications, and promoting transgender and 2SLGBTQI+ specialized care. Conclusions and Implications: This qualitative study holds substantial benefits for service providers, 2SLGBTQI+ diverse callers, trainers, and academics. By addressing gaps in knowledge concerning best practices for suicide/crisis support for 2SLGBTQI+ people, helplines will enhance service for queer equity-deserving populations so their needs are met and suicide rates decrease in these communities.",
      "authors": "Monica Sesma-Vazquez (She/Ella); Mike Velthuis Kroeze; Melissa Mostert; Tara Collins",
      "author_ids": "125161; 127544; 127545; 123257",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3633018000,
        "prompt_eval_count": 1591,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:58:15.374961+00:00"
    },
    {
      "input_index": 1861,
      "record_key": "SSWR:2025-P-0791",
      "source_database": "SSWR",
      "record_id": "2025-P-0791",
      "year": 2025,
      "title": "Trends in Suicide Attempt By Race/Ethnicity Among College Students: Findings from Healthy Mind Study, 2014-2023",
      "abstract": "Background: Young adults are vulnerable to suicidal thoughts and behaviors due to the challenges related to the formation of new social relationships, exploration of self-identity, and financial independence. College and universities are vital settings for suicide prevention, considering a large proportion of young adults are enrolled in college. Unfortunately, a national study showed that suicidal ideation increased among college students for each racial/ethnic group from 2013 to 2021 (Lipson et al., 2022). However, it is unknown about the trend in suicide attempts, which is the most prominent risk factor of suicide death. This study aims to examine the trend in suicide attempts among college students by different racial and ethnic groups from 2014-2023. The results will help us identify potential disparities in suicide attempts and areas to focus prevention and intervention efforts. Methods: Data were from 617231 college students (age>18) surveyed in the Healthy Mind Study from 2014-2023. This is a nationally representative cross-sectional survey conducted annually among colleges and universities across the US. Participants were primarily female (55%) and white (59%), with a mean age of 23. Other racial and ethnic groups include Hispanic (14%), Black (10%), Asian (10%), multiracial (5%), and American Indian and Alaska Native (AIAN) students (0.3%). Past-year suicide attempt was measured using a binary question. The trend in prevalence of suicide attempt among the full sample and each racial/ethnic group will be visualized using graph. Logistic regression was used to analyze the trend by race/ethnicity. Survey year was included in the model as a continuous variable to estimate the linear trend. Then, both linear year variable and quadratic terms of year were included to assess an overall trend overtime and nonlinear variation. All models were controlled for gender and age. Statistical significance was set to p<0.05. Analysis was conducted using Stata 15.1. Survey weights were used. Results: Results indicate the weighted rate of overall suicide attempts is 1.4%. Logistic regression suggests that overall, there is a significant annual linear increase trend of suicide attempts (OR=1.43, P<0.001). Results stratified by race/ethnicity showed significant annual increase trends among White (OR=1.02, p=0.029), Hispanic (OR=1.07, p=0.009), Black (OR=1.12, p=0.002), AIAN (OR=1.27, p=0.049) college students. The quadratic term was only significant for White college students (OR=0.97, p<0.001). In addition, compared to white college students, Hispanic (OR=1.47, p<0.001), Black (OR=1.83, p<0.001), Asian (OR=1.23, p=0.001), Multiracial (OR=2.01, p<0.001) students have higher suicide attempts compared to White college students controlling for gender and age. Conclusion: This study found an overall increase trend in suicide attempts among White, Hispanic, Black, and AIAN college students. However, the increase is decelerating over time only for White college students, not for other racial/ethnic group students. Racial/ethnic difference disparities in suicide attempts is found. These findings indicate that college suicide prevention program should focus more on understanding and addressing this racial/ethnic disparities in suicide attempts. Potentially direction for practice or policies can be adapting suicide prevention, mental health services and institutional policies to be more culturally sensitive and inclusive for racial/ethnic minority students.",
      "authors": "Yali Deng",
      "author_ids": "123465",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3927705584,
        "prompt_eval_count": 1741,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:58:19.304040+00:00"
    },
    {
      "input_index": 1863,
      "record_key": "SSWR:2025-P-0858",
      "source_database": "SSWR",
      "record_id": "2025-P-0858",
      "year": 2025,
      "title": "Understanding Victims’ Lived Experiences Following Online Romance Scam Victimization in the United States",
      "abstract": "Background and Purpose: Online romance scams (ORS) occur when a scammer deceives victims using romantic relationships for financial gain. These scams that can begin on the Internet impact those users and threaten their financial, emotional, and physical well-being. Limited scholarship on ORS in the United States has been completed, and the gap poses a safety risk for all Internet users. With scam research focusing on U.S. populations, an imperative need grows to know how this fraud affects victims in this country. Using the lived experiences of adult U.S. victims, this researcher identifies qualitative findings from a mixed-method study that expand dating violence research and offer implications for research, practice, education, and policy. Methods: Nineteen semi-structured interviews informed by existing research were completed from November 2023 to March 2024 via teleconferencing with adult participants (age 18 or older) who had been victimized, lost any amount of money in an ORS, met the scammer on any Internet platform and lived in the U.S. The sample is majority-female (79%), White (White 58%; Black 21%, Asian 11%, and Other 10%), not Latino/a (90%), and college-educated (79%). The average age of participants was 53 years old. The financial loss reported was $2,504,300, with a mean loss of $139,126 (S.D. = $224,384). The researcher employed interpretative phenomenological analysis and reviewed all de-identified transcripts, then re-reviewed identifying emerging codes and themes in the data. Findings: Responses based on the lived experience of ORS victims identified consequences of ORS organized by these four themes: 1) health, 2) financial, 3) social, and 4) legal. Health consequences refer to the victim's mental health (M.H.) and physical health (P.H.) in the time following victimization, including three M.H. subthemes: emotional dysregulation, morbidities, and suicide, and three P.H. subthemes: physiological changes, medical-related debt, and sleep loss. Financial consequences include the events following victimization that impact their financial status, mobility, and well-being. Subthemes include loss of money, financial autonomy, and financial obligations. Social consequences mean the changes to social relationships and social status reported by ORS victims with identified subthemes: strained relationships, reluctance in new relationships, and stigma and bias. The final theme, legal consequences, are the events involving victims' civil and criminal involvement; they encompass subthemes: litigation, law enforcement encounters, and revictimization risks. Conclusion and Implications: These findings suggest that ORS victims experience complex and life-changing consequences post victimization. It highlights a form of technologically-facilitated violence that has been under researched in the U.S. Research implications suggest developing a conceptualization and theory based on U.S. ORS victimization. Policy implications advise for greater Internet platform reporting of ORS victimization trends. Educational implications recommend interdisciplinary professional education on ORS victimization for justice officials (e.g., lawyers, police, and judges) and help-service providers (e.g., social workers and victims advocates). Practice implications for professionals recommend for suicide screenings and comprehensive case management for victims. This research provides great insight into the consequences following ORS victimization and will help support individuals deceived by this devastating fraud.",
      "authors": "Rebecca Cole",
      "author_ids": "124402",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "prompt_eval_count": 1640,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:58:26.872089+00:00"
    },
    {
      "input_index": 1865,
      "record_key": "SSWR:2025-U-0156",
      "source_database": "SSWR",
      "record_id": "2025-U-0156",
      "year": 2025,
      "title": "Use of Safety Planning Among 9-8-8-Network Crisis Centers in Missouri:  A Mixed Methods Study",
      "abstract": "Background and Purpose: Suicide rates have been steadily increasing in the US over several decades. To reduce suicidality, the federal government aimed to improve access to crisis lines by replacing the 10-digit National Suicide Prevention Lifeline with the easy-to-remember number, 9-8-8. This initiative resulted in an influx of federal, state, and local funding for contracted nonprofit crisis centers in charge of implementing the crisis lines and corresponding increased requirements related to quality standards. Some of these standards include the use of Safety Planning, an evidence-based intervention for suicide prevention. As such, the national 988 policy change is an intervention that can affect both access and quality of care provided to callers. The aim of the current study was to understand organizational challenges and facilitators associated with using Safety Planning from the perspective of frontline crisis-line counselors and crisis-center management in the state of Missouri – a state recently ranked as a national leader on metrics of 988 access (e.g. answer rate, response time). Methods: Using a convergent triangulation mixed methods design, data were collected from July-November 2023. Crisis-line counselors and management from all six 988-participating crisis-centers in Missouri were invited to participate in an online survey, where workers responded to validated measures of appropriateness (IAM), feasibility (FIM), and acceptability (AIM) of Safety Planning. Qualitative semi-structured interviews were conducted with survey participants indicating interest. Interview questions were informed by the Consolidated Framework for Implementation Research (CFIR; e.g. outer- and inner-setting factors). For quantitative analyses, the authors fit three multiple regression models predicting IAM, FIM, and AIM scores with staff characteristics as predictors, including clustered errors and a random intercept for the organization. Qualitative coding followed the Twenty-First-Century flexible coding approach, combining deductive (codes derived from CFIR) and inductive methods. Six researchers independently coded interviews and met weekly to continuously compare themes, patterns, and concepts found in the data. Results: 77 crisis-line counselors and 20 managers completed the survey. Average scores on the IAM, FIM, and AIM were high (mean ≥ 4.3 on a 5-point scale), indicating the ease of using Safety Planning, although having graduate-level education was negatively associated with all measures. Twenty-eight interviews were conducted with crisis-center workers and management. Factors related to caller characteristics and their context (e.g., youth callers, callers not having insight into triggers, substance use, prior negative experience with crisis services) and the lack of capacity of social service systems emerged as challenges to implementing Safety Planning effectively. The adaptability of Safety Planning, strong leadership support, quality assurance systems, and informal support from co-workers emerged as facilitators. Participants emphasized the importance of positive reinforcement from management and being caller-centered. Conclusions and Implications: Among nonprofit crisis centers in Missouri, Safety Planning has been established as a core component of care provided to 988 callers, with strong organizational and leadership support. More work needs to be done to strengthen the capacity of social service systems and the continuum of care, as even ideal implementation of evidence-based practices among 988 crisis-line centers is insufficient to meet many callers’ needs.",
      "authors": "Morgan C. Shields; Danielle Adams; Theresa Anasti; Gabriela Musickant; Zohra Kantawala; Rachana Cheu; Ryan Lindsay; Byron Powell; Jonathan Purtle",
      "author_ids": "126475; 119494; 112571; 126476; 126477; 126478; 119521; 126479; 126480",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "mixed_methods",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3600536417,
        "prompt_eval_count": 1597,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:58:33.776480+00:00"
    },
    {
      "input_index": 1867,
      "record_key": "SSWR:2025-P-0723",
      "source_database": "SSWR",
      "record_id": "2025-P-0723",
      "year": 2025,
      "title": "Using an Ordinal Regression to Examine the Association between Housing Insecurity and Escalating Suicidal Behaviors Among Trans-Young Adults: A Structural Determinant Approach",
      "abstract": "Background: Homelessness is a serious public health issue that disproportionately burdens transgender and gender-diverse people (collectively referred to here as trans). It is known that trans people experience high rates of housing insecurity (homelessness or risk of homelessness) and suicidal behaviors, with emerging evidence of substantial co-occurrence. Gender minority discrimination experienced in families, public settings, and social services contributes to experiences of homelessness and the associated exposure to violence that exacerbates mental health problems, including PTSD, depression, and suicide. Among trans young adults of color, racism in the context of gender minority discrimination adds to risk exposure. These experiences, while housing insecure, often exacerbate prior trauma, family separation, and instability experienced earlier in life. Although conceptual models of gender minority stress and multi-minority stress suggest suicidal ideation and behavior as an outcome of multilevel drivers, there has been little examination of structural determinants such as housing. Thus, there is a need to investigate housing insecurity as a structural determinant of suicidal behavior among trans young adults. Methods: To examine the association between housing insecurity and suicide risk, this study conducts a secondary analysis of the 2015 USTS. Data analysis uses sequential ordinal regression to explore the relationship between housing insecurity and suicidal behaviors by increasing severity based on Jaccobucci et al. 2020. In contrast to a binomial logistic regression, an ordinal logistic regression assesses how factors contribute to a one-unit increase in a dependent variable with ordered categories. The use of an ordinal regression is a response to the research generating many risk factors for ideation and attempts separately but having less knowledge on what escalates suicide behaviors. An ordinal regression assumes that an individual must pass through less severe states (i.e., ideation) to reach more severe states (i.e., attempts). Results will not only give insight into how housing insecurity escalates suicide risk but also the validity of this assumption compared to other proposed models of suicidal behaviors, such as the fluidity vulnerability model of a suicidal model of suicidal behavior (Bryan et al., 2020). Results: Housing insecurity was associated with 1.5x (CI 1.42-1.70) the odds of escalating suicidal behaviors. Housing insecurity amplified suicide risk among trans men (OR=1.5, CI=1.24-1.80, z=-3.06) and illicit substance users (OR=1.51, CI=1.23-1.85, z=-2.31) as compared to housing secure trans young adults. Cumulative discrimination, depression, being kicked out by family members, and no family support for trans identity were associated with escalated suicidal behavior among both housing-secure and insecure trans young adults. Sexual orientation, community connections, education, race, and visual non-conformity were not significantly associated with increased odds of escalating suicidal behaviors. Conclusion : Trans young adults disproportionately experience housing insecurity and suicidal behaviors. Housing insecurity, cumulative discrimination, and family disruption contribute to suicide risk progression among trans young adults. Ongoing analysis is needed to understand better how housing insecurity amplifies suicide risk, particularly among trans men and illicit substance users. Further, there is a need to examine resilience factors and how housing-insecure trans young adults navigate and draw upon structural resources to de-escalate crises.",
      "authors": "Eleni Gaveras; Patrick Fowler, PhD",
      "author_ids": "115350; 109778",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3612735250,
        "prompt_eval_count": 1623,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:58:41.265772+00:00"
    },
    {
      "input_index": 1870,
      "record_key": "SSWR:2025-P-0144",
      "source_database": "SSWR",
      "record_id": "2025-P-0144",
      "year": 2025,
      "title": "Victimization, Suicidality, and Cultural Factors Among Latino Youth",
      "abstract": "Background and Purpose: Suicide is the second leading cause of youth death in the U.S., while this issue is under-studied among Latino youth. Particularly, research that focuses on victimization and cultural factors is lacking. To fill this research gap, this study aims to use a longitudinal Latino youth dataset to investigate the relationships among victimization, cultural factors, and suicidality in Latino youth. The present study seeks to answer three research questions: 1. What are the relationships between various types of victimization and youth’s suicidality? 2. How are cultural factors (i.e., Anglo orientation, Latino orientation, family support, and immigration status) linked to suicidality? 3. Do the cultural factors moderate the relationship between victimization and suicidality? Methods: Longitudinal data came from the Dating Violence Among Latino Adolescents (DAVILA) study, collected from a nationwide sample of Latino teenagers living in the U.S. At Wave 1, 1,525 Latino teenagers between the ages of 12 and 18 and their parents/guardians completed phone interviews between September 2011 and February 2012. Participants who agreed to be contacted again were interviewed again between February 2013 and August 2013. A total of 565 cases were included in this study. The sample reported a mean age of 14.76, and over half were female. About 27% of youth were immigrants. Independent variables included six types of victimization, including child maltreatment, dating violence, stalking, sexual violence, peer/sibling bullying, and conventional crime. The dependent variable was youth’s self-reported suicidality, assessed by the Brief Symptom Inventory. Moderators included Anglo and Latino orientation, measured by the Brief Acculturation Rating Scale for Mexican Americans-II, family support, assessed using the Multidimensional Scale of Perceived Social Support, and immigration status. Linear regression was employed for data analysis. Results: Although the specific types of victimization at Wave 1 were not associated with youth’s suicidality at Wave 2, family support was negatively associated with suicidality in three out of six models. Additionally, immigration status, family support, and Latino orientation moderated the associations between several types of victimization and suicidality. Specifically, compared to non-immigrant youth, immigrant youth reported increasing suicidality after high levels of child maltreatment and sexual violence. Youth who had a higher level of family support, as opposed to those who had a lower level of family support, reported a higher level of suicidality after more dating violence and conventional crime victimization. When youth had a higher level of Latino orientation, high levels of peer/sibling bullying and conventional crime victimization were associated with more suicidality, compared to youth having a lower level of Latino orientation. Conclusions and Implications: The findings suggest that family support, Latino orientation, and immigrant status modified the relationships between certain types of victimization and suicidality, which highlights the importance of cultural factors on Latino youth’s suicidality after victimization. The findings imply the crucial roles of culturally responsive research and practice when considering Latino youth’s victimization and suicidality.",
      "authors": "Yafan Chen; Chiara Sabina; Elizabeth Terrazas-Carrillo; Carlos Cuevas",
      "author_ids": "119132; 120085; 126293; 120086",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "prompt_eval_count": 1586,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:58:52.335309+00:00"
    },
    {
      "input_index": 1872,
      "record_key": "SSWR:2025-U-0306",
      "source_database": "SSWR",
      "record_id": "2025-U-0306",
      "year": 2025,
      "title": "What Factors Contribute to Black Youth's Mental Health in Chicago? a Dyadic Qualitative Investigation",
      "abstract": "BACKGROUND : Existing research that explores the mental health experiences of Black youth in Chicago is overwhelmingly focused on exposure to violence and its detrimental effects on adolescent development. As a result, few studies have carefully considered how suicide also persists as an understudied, yet overlooked form of violence among Black youth in this city. Even fewer have used this information to develop universal, school-based interventions. In an effort to redress these gaps we conducted qualitative interviews with Black families to learn what specific topics they believe should be included in the development of a culturally adapted, suicide prevention intervention. Understanding which factors Black families report as being most salient contributors to youth mental health will aid researchers and clinicians in developing interventions and clinical treatment options that align with their lived experiences. METHODS : We applied thematic analysis techniques to identify patterns in qualitative data collected from Black families in Chicago. In doing so we conducted a total of 22 one-on-one interviews with 11 dyads of Black adolescents and one of their parents. Families were recruited from community organizations, non-profit groups, local events, churches, and through word of mouth. Eligibility criteria required participants to (1) identify as Black American and (2) have a 6th - 8th grade student attending school in Chicago, IL. Interviewers included Black, Latinx, and multiracial researchers, some of whom were also Chicago natives. Further, we utilized the RADaR Technique (Watkins, 2017) to systematically organize and analyze the data. Iterative open and focused coding procedures were implemented, and consensus approaches were used to resolve disagreements throughout the coding process. All interviews were conducted online via Zoom from Fall 2023 to Winter 2024. RESULTS : We extracted primary themes from our analysis that highlight experiences of (1) educational inequities; (2) racism and racial violence; (3) interpersonal conflict with family; (4) interpersonal conflict in schools; and (5) community violence. Black middle school participants in our study identified disparate access to adequate schools as a structural, race-based stressor that uniquely impact Black youth’s mental health in the city. Other youth participants pointed to conflict with parents, friends, and other family members. Further, parents and youth both recognized to bullying to negatively impact Black youth’s mental health. Some students specifically named direct and vicarious encounters of racism and explained how watching harrowing events or deaths on the news shaped their psychological wellbeing. In some instances parents’ qualitative responses diverged from youth’s responses, particularly surrounding issues of familial conflict and interpersonal relationships. The areas of overlap and divergence reiterate the importance of probing for within-group differences in working to understand and incorporate perspectives from both Black youth and their parents today. CONCLUSIONS AND IMPLICATIONS : Black youth and their parents identified a series of individual and structural-level factors that adversely impact Black youth’s mental health and in Chicago. Findings generated from this study will be used to inform the development of a culturally adapted suicide prevention intervention that will be implemented among Black 6 th – 8 th grade students in the coming academic year.",
      "authors": "Janelle R. Goodwill; Ashley Aguilar; Miwa Yasui",
      "author_ids": "115600; 126739; 120020",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3575827500,
        "prompt_eval_count": 1554,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:58:59.690228+00:00"
    },
    {
      "input_index": 1874,
      "record_key": "SWRD:56910",
      "source_database": "SWRD",
      "record_id": 56910,
      "year": 2025,
      "title": "A conceptual framework for mobile-based cyberbullying-related youth suicide risk screening and intervention",
      "abstract": "The prevalence of cyberbullying and related suicide rate increases among youth demand a proactive and systematic response. This paper proposes a mobile-based Framework for Youth Suicide Screening and intervention (YSSI) to address the issue of youth suicide within the cyber environment. It draws on Vygotsky's sociocultural theory to understand the developmental stages of youth and employs Durkheim's concept of anomic suicide to frame suicide due to cyberbullying as a social fact that extends beyond individual problems. Additionally, the framework invokes Friedrich Engels' concept of social murder to highlight the urgent social responsibility of preventing youth suicide. The YSSI framework is designed for early detection and intervention, with mobile technology as a primary tool. It encompasses four stages: Stage 1 (Warning Signs), Stage 2 (Assessment), Stage 3 (Intervention), and Stage 4 (Follow-up). This framework emphasizes the critical role of community and family engagement in addressing youth suicide in the digital era. This engagement aims to provide support and guidance to youth, thereby strengthening their resilience to adversity associated with cyberbullying. In alignment with the objectives of the Grand Challenge for Social Work Initiative (GCSWI), the YSSI framework is dedicated to mitigating the negative effects of cyberbullying through collaborative social engagement and fostering a critical discourse on youth mental health and cyber well-being.",
      "authors": "Kim, Sangmi",
      "author_ids": "",
      "journal_or_venue": "Journal of Human Behavior in the Social Environment",
      "doi": "10.1080/10911359.2024.2318447",
      "record_type": "Article",
      "database_method": null,
      "database_is_scientific": true,
      "database_is_empirical": false,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2810372959,
        "prompt_eval_count": 1194,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:59:05.366190+00:00"
    },
    {
      "input_index": 1875,
      "record_key": "SWRD:54868",
      "source_database": "SWRD",
      "record_id": 54868,
      "year": 2025,
      "title": "A Latent Class Analysis of Personality Traits in Adults Experiencing Homelessness",
      "abstract": "This study distinguishes clinically and theoretically meaningful subgroups of people experiencing homelessness based on their endorsement of personality difficulties, using nationally representative data of the civilian, noninstitutionalized population of the United States, inclusive of those reporting past-year homelessness (N = 704). A bias-adjusted three-step latent class analysis was used to estimate latent class measurement models; classify cases into the optimal class solution; and, using a maximum likelihood method, test the association between demographic and behavioral health covariates with class membership. Results show that the four-class solution was optimal. The largest class (35.44%) had high probability of endorsing each personality difficulty and had high rates of behavioral health disorders. The second class (26.51%) had higher levels of antisocial traits and greater probability of endorsing substance use disorders relative to third and fourth classes. The third-largest class showed minimal personality difficulties (24.40%) and had the lowest probability of meeting criteria for each behavioral health disorder considered. The final class showed high levels of relational instability and identity diffusion (13.65%) and had higher levels of mood and anxiety disorders and suicide attempt relative to second and third classes. In conclusion, personality difficulties are commonly endorsed by adults experiencing homelessness and show differential relationships to behavioral health conditions.",
      "authors": "Dell, Nathaniel A.; Mancini, Michael; Vaughn, Michael G.; Maynard, Brandy R.; Huang, Jin",
      "author_ids": "",
      "journal_or_venue": "Social Work Research",
      "doi": "10.1093/swr/svaf004",
      "record_type": "Article; Early Access",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2769298583,
        "prompt_eval_count": 1185,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:59:08.137413+00:00"
    },
    {
      "input_index": 1876,
      "record_key": "SWRD:56161",
      "source_database": "SWRD",
      "record_id": 56161,
      "year": 2025,
      "title": "A powerful safety net: Social support moderates the association of quality of life deficits with suicidal ideation in long-term childhood cancer survivors",
      "abstract": "ObjectivesCancer survivors are at risk for suicidality. We aimed to expand the knowledge about protective factors and their interplay with risk factors by testing social support as a modifier of the association of Quality of Life (QoL) deficits with suicidal ideation.Research approachWe surveyed N = 633 childhood cancer survivors (CCS) using validated questionnaires (EORTC Core Quality of Life questionnaire QLQ-C30, Patient Health Questionnaire PHQ-9). The interaction of QoL and social support was investigated using multiple linear regression analysis.FindingsCCS reporting suicide attempts and current suicidal ideation (SI) had lower QoL. CCS with SI reported less social support. QoL and social support were independently associated with SI and interacted: among CCS with less social support, low QoL was more strongly associated with SI.ConclusionThe results highlight the need for interdisciplinary survivorship care, and to focus on risk and protective factors to strengthen suicide prevention.",
      "authors": "Schwinn, Tamara; Hirschmiller, Judith; Braehler, Elmar; Merzenich, Hiltrud; Faber, Joerg; Wild, Philipp S.; Beutel, Manfred E.; Ernst, Mareike",
      "author_ids": "",
      "journal_or_venue": "Journal of Psychosocial Oncology",
      "doi": "10.1080/07347332.2024.2379827",
      "record_type": "Article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "prompt_eval_count": 1137,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:59:10.653803+00:00"
    },
    {
      "input_index": 1877,
      "record_key": "SWRD:550",
      "source_database": "SWRD",
      "record_id": 550,
      "year": 2025,
      "title": "Acceptability and Feasibility of a Brief Online Suicide Prevention Training for School Staff",
      "abstract": "Suicide is a major public health issue for children and adolescents in the United States. It is essential to identify at-risk youth and connect them to services. Children and adolescents spend a large amount of time in school buildings with school staff and these adults are uniquely situated to recognize signs of depression, mental health challenges, and suicidal thoughts and/or behaviors. This study explored school staff's experiences (N = 4,493) with a 1-hour virtual suicide prevention course for K-12 school personnel, SOS Signs of Suicide for School Staff, which builds on SOS Signs of Suicide, a suicide prevention program for students in grades 6-12. Following the training, most participants reported knowledge of signs of suicide, confidence to have a caring conversation with a student, and the ability to safely connect a student with the appropriate school staff person. In the open-ended responses, most school staff (92.1%) provided positive feedback, demonstrating high levels of acceptability. Factors central to learning included interactive training structure, videos modeling student interactions, and the inclusion of the voices of youth with lived experience with suicide. These findings support the use of this interactive virtual suicide prevention training model to educate school staff in suicide prevention.",
      "authors": "Mirick, Rebecca G.",
      "author_ids": "",
      "journal_or_venue": "Journal of Technology in Human Services",
      "doi": "10.1080/15228835.2024.2447692",
      "record_type": "Article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "prompt_eval_count": 1171,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:59:13.395205+00:00"
    },
    {
      "input_index": 1878,
      "record_key": "SWRD:55146",
      "source_database": "SWRD",
      "record_id": 55146,
      "year": 2025,
      "title": "An Antioppressive Approach to Suicide Prevention: Uncharted Territories in Life Promotion Work",
      "abstract": null,
      "authors": "Williams, Denise Yookong",
      "author_ids": "",
      "journal_or_venue": "Social Work",
      "doi": "10.1093/sw/swaf010",
      "record_type": "Editorial Material",
      "database_method": null,
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_only",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 2236957875,
        "prompt_eval_count": 935,
        "eval_count": 24
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      "screened_at": "2026-08-02T18:59:15.633502+00:00"
    },
    {
      "input_index": 1879,
      "record_key": "SWRD:54943",
      "source_database": "SWRD",
      "record_id": 54943,
      "year": 2025,
      "title": "Assessing for Firearm Risks: A Rapid Review of Clinical Assessment Measures",
      "abstract": "Purpose: Social workers play a crucial role in assessing risks for harm to self and others, including firearm access. Given the growing concern of firearm violence, standardized assessment tools addressing firearm risks could improve social workers' assessments. Method: This rapid review identifies and evaluates available clinical assessment tools that include items related to firearms. Result: After searching five electronic databases, 15 assessment measures were identified and categorized into five domains: aggressive and violent behaviors, delinquent behaviors, familial attitudes and beliefs, dating or partner violence, and suicide. Discussion: The review highlights the limitations of current tools and underscores the importance of standardized assessments in providing social workers with validated frameworks to inform clinical decision making, while also calling for the development of more comprehensive, culturally informed measures. The review concludes with recommendations and suggestions for incorporating antiracist practices and cultural humility into clinical practice to address firearm-related risks and enhance safety.",
      "authors": "Collins, Christopher J.; Glennon, Alexis Speck; Logan-Greene, Patricia; Sperlich, Mickey; Seong, Eunsook",
      "author_ids": "",
      "journal_or_venue": "Research on Social Work Practice",
      "doi": "10.1177/10497315251329998",
      "record_type": "Article; Early Access",
      "database_method": null,
      "database_is_scientific": true,
      "database_is_empirical": false,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Review"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "prompt_eval_count": 1103,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T18:59:18.187378+00:00",
      "screening_source": "Primary screen; blind audit agreement",
      "accuracy_audit": {
        "sample_group": "Review",
        "random_seed": 20260802,
        "blind_screening": {
          "is_relevant": true,
          "relevance_rationale": "The abstract explicitly identifies suicide as one of the five distinct domains into which firearm risk assessment measures are categorized, making it a central component of the review's analysis.",
          "evidence_class": "Empirical",
          "empirical_method": "Review",
          "classification_rationale": "The study is identified as a rapid review that involves searching electronic databases and evaluating specific clinical assessment tools, which constitutes a systematic evidence synthesis method.",
          "confidence": "High"
        },
        "full_label_agreement": true
      }
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    {
      "input_index": 1880,
      "record_key": "SWRD:56904",
      "source_database": "SWRD",
      "record_id": 56904,
      "year": 2025,
      "title": "Culturally Responsive CBT and Mindfulness: Minimizing Suicidality in Correctional Settings",
      "abstract": "Individuals who are incarcerated are significantly more likely to experience mental illness and psychological distress than the general population. Many of these individuals do not have access to adequate mental health treatment. Rather than rehabilitation, correctional facilities focus on separating individuals deemed dangerous from the general population. With mental health being a primary topic in correctional settings, suicide mortality rates should be just as prevalent. While literature continues to document use of Cognitive Behavioral Therapy (CBT) and mindfulness separately, its documentation of both as a successful suicide prevention technique for this population is limited. The purpose of this paper is to explore how the use of CBT and mindfulness can prevent suicide for at-risk incarcerated individuals. CBT and mindfulness interventions can be potentially efficacious with individuals who are incarcerated and also at-risk for suicide.",
      "authors": "Tadros, Eman",
      "author_ids": "",
      "journal_or_venue": "Clinical Social Work Journal",
      "doi": "10.1007/s10615-024-00928-z",
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        "empirical_method": "Not applicable"
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      "model": "qwen3.6:27b",
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    {
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      "record_key": "SWRD:71035",
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      "year": 2025,
      "title": "Does Duration of Dialectical Behavioral Therapy for Adolescents (DBT-A) Skills Groups Affect Outcomes: A Rapid Review",
      "abstract": "Dialectical behavioral therapy (DBT) is an established therapy known for its clinical utility for individuals with a current or history of suicidal behaviors, nonsuicidal self-injury (NSSI), borderline personality disorder, and other disorders. Modification to serve adolescents and their families/caregivers (DBT-A) has similarly produced positive outcomes. This review explores the impact on treatment outcomes from time-modified DBT-A, which are still largely understudied. Utilizing PRISMA methodology, the review covers research from January 2000-July 2022, when the review was initially conducted, and examines 23 eligible studies. Findings review indicate that time modified DBT-A skills groups yield positive outcomes for adolescents when deemed clinically appropriate, alleviating common barriers youth face (e.g., time restraints, attention/engagement).",
      "authors": "Dallenbach M.L.; Moeller K.; Givens A.",
      "author_ids": "",
      "journal_or_venue": "Child & Adolescent Social Work Journal",
      "doi": "10.1007/s10560-024-00961-4",
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        "empirical_method": "Review"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T18:59:23.129192+00:00"
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    {
      "input_index": 1882,
      "record_key": "SWRD:71099",
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      "record_id": 71099,
      "year": 2025,
      "title": "Does Multidimensional Self-Concept Mediate the Relationship of Childhood Sexual Abuse and Bullying Victimization on Deliberate Self-Harm and Suicidal Ideation Among Adolescent Girls?",
      "abstract": "Childhood sexual abuse (CSA) and bullying victimization are well-established risk factors for deliberate self-harm (DSH) and suicidal ideation (SI). Research ties aspects of self-concept, such as self-esteem, with victimization and self-harm. Yet, there is limited evidence of the role of multidimensional self-concept in the victimization-self-harm association. Using a longitudinal sample of 422 adolescent girls from a large midwestern city, 35% with recently substantiated CSA-exposure and 51% with recent bullying victimization at baseline, we examined pathways from CSA-exposure and bullying victimization to subsequent DSH and SI, with global self-worth and five subscales of self-concept as mediators (social competence, close friendships, physical appearance, scholastic competence, and behavioral conduct). Data was collected from 2012 to 2015. CSA-exposure directly increased the risk of both SI (B.50, SE.23, p <.05) and DSH (B.53, SE.22, p < 5), while global self-worth fully mediated the relationship between bullying victimization, SI (B.21, SE.07, 95% BCB-CI 1.17–1.95, p <.01), and DSH (B.15, SE.06, 95% BCB-CI 1.10–1.69, p <.05), We found no evidence of mediation for the subscales model. Both CSA-exposure and bullying victimization directly reduced specific subscales of self-concept, while behavioral conduct increased the risk of DSH. The role of self-concept in the bullying/self-harm association and the direct effects of CSA-exposure on self-harm highlight areas of need in social work practice, specifically the need to incorporate an emphasis on trusting relationships, overall well-being, and the reduction of shame into trauma-informed therapy and bullying prevention efforts.",
      "authors": "Kennedy R.S.; Panlilio C.C.; Mullins C.A.; Alvarado C.; Font S.A.; Haag A.C.; Noll J.G.",
      "author_ids": "",
      "journal_or_venue": "Child & Adolescent Social Work Journal",
      "doi": "10.1007/s10560-023-00947-8",
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      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "record_key": "SWRD:567",
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      "record_id": 567,
      "year": 2025,
      "title": "Engaging in Lethal Means Safety (ELMS): An Evaluation of a Suicide Prevention Means Safety Training Program for Mental Health First Responders",
      "abstract": "Firearm-related suicide is a preventable yet leading cause of death in the United States, and screening for access to firearms in clinical settings is rare. The lack of screening in clinical practice may be compounded by the fact that clinicians are not often trained to effectively screen for access to lethal means. This article evaluates the effectiveness of the novel Engaging in Lethal Means Safety (ELMS) suicide prevention program. ELMS is a theoretically driven, empirically supported lethal means safety training program that trains mental health first responders in engaging clients in discussions of lethal means safety with a particular focus on firearm access and storage. Pretest, posttest, and one-month follow-up assessments measured knowledge of lethal means, confidence, and comfort in screening for access to lethal means, and future intent to counsel on means safety measures. All constructs increased significantly at posttest. Confidence was sustained at posttest. Comfort and intent to counsel levels decreased at follow-up but not to pretraining levels. Booster sessions are recommended for future iterations of the program to further sustain overall effects. Further, additional research using a treatment control is encouraged.",
      "authors": "Collins, Christopher",
      "author_ids": "",
      "journal_or_venue": "Health & Social Work",
      "doi": "10.1093/hsw/hlae044",
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      "screened_at": "2026-08-02T18:59:29.006457+00:00",
      "screening_source": "Primary screen; blind audit agreement",
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          "relevance_rationale": "The study evaluates a suicide prevention training program focused on lethal means safety and measures outcomes related to clinicians' knowledge, confidence, and intent to counsel on suicide risk factors.",
          "evidence_class": "Empirical",
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          "classification_rationale": "The abstract describes a pretest-posttest-follow-up evaluation with statistical analysis of changes in measured constructs (knowledge, confidence, comfort, intent), indicating a quantitative empirical design.",
          "confidence": "High"
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    },
    {
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      "record_key": "SWRD:55484",
      "source_database": "SWRD",
      "record_id": 55484,
      "year": 2025,
      "title": "Evaluation of a Suicide Counseling Skills Course for Social Work Students",
      "abstract": "Social work students often lack adequate training to effectively intervene with clients considering suicide. We describe integrating suicide counseling skills development into a course and evaluate whether it improves students' skills and confidence. The Suicide Counseling Skills Inventory and Suicide Counseling Confidence Scale were used to evaluate students' skills and confidence. Post-course data showed significant improvement in counseling skills and confidence among students in the intervention (effect sizes eta p2 = .24, eta p2 = .35). Their counseling skills were more like experts' skills post-course. Given the likelihood that social workers will encounter clients contemplating suicide, all students should be able to demonstrate basic suicide intervention skills. We describe strategies to include more suicide skill-building opportunities in social work programs.",
      "authors": "Coohey, Carol; Landsman, Miriam J.; Neblett, Keri",
      "author_ids": "",
      "journal_or_venue": "Journal of Social Work Education",
      "doi": "10.1080/10437797.2024.2431560",
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    {
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      "record_key": "SWRD:71188",
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      "year": 2025,
      "title": "Examining suicidality and substance use among Korean adolescents: a latent class analysis study",
      "abstract": "Given the ongoing concern related to suicidality and substance use among Korean adolescents, the current study aims to identify substance use classes in Korean adolescents and assess the impact of suicidality in each class. Using the Korea Youth Risk Behavior Survey (N = 51,850), the study sample was categorised into four groups: ‘Severe Polysubstance Use’, ‘Alcohol-Only Use’, ‘E-Cigarette Priority Polysubstance Use’, ‘Conventional Polysubstance Use’. While suicidal thoughts and attempts elevated the risk of severe polysubstance use when compared to alcohol-only users, the risk was lower with suicide plans. Conversely, suicide plans increased the likelihood of belonging to the e-cigarette priority polysubstance user compared to severe polysubstance users, while the likelihood decreased with suicidal ideation and attempts. The BCH results revealed that the e-cigarette priority polysubstance user group was generally more vulnerable to suicidality than any other group, but they were particularly at a higher risk of engaging in suicidal plans.",
      "authors": "Lee S.; Kim J.",
      "author_ids": "",
      "journal_or_venue": "Asia Pacific Journal of Social Work and Development",
      "doi": "10.1080/29949769.2024.2448971",
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      "year": 2025,
      "title": "Indigenous community level strengths for the promotion of wellbeing",
      "abstract": "As Alaska Native scholars, we share a short essay about lessons learned from a project that addresses suicide within rural Alaska Native communities. From this experience we provide a brief overview of the research study and explain why it is so important to (1) remain authentically engaged in Indigenous relationality, (2) center strengths-based approaches, and (3) focus on community level protective factors within research. From this work, we have learned that the way we address community concerns, and reveal community solutions plays a substantive role in ensuring the transference of Indigenous values, knowledge, practices and skills to younger generations that help them to have a strong sense of identity and belonging. We have also learned that research can serve to deepen our understanding of Indigenous relationality in real time and contribute to positive health and wellbeing among our communities at multiple levels. We hope to inspire others to think about and shift their approach to research within Indigenous communities so that we can collectively achieve the outcomes we desire.",
      "authors": "Peter, Evon Taa'aii; Apok, Charlene Aqpik; Ullrich, Jessica Saniguq; Black, Jessica",
      "author_ids": "",
      "journal_or_venue": "Qualitative Social Work",
      "doi": "10.1177/14733250241293542",
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        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
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      "record_key": "SWRD:55483",
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      "record_id": 55483,
      "year": 2025,
      "title": "Lay-health workers-led physical activity counseling in Ugandan people living with HIV and suicidal ideation",
      "abstract": "The aim of this one-group quasi-experimental study was to assess the efficacy of 8-week physical activity (PA) counseling program delivered by lay health workers (LHWs) in reducing suicidal ideation among people with HIV in Uganda. The counseling, based on the self-determination and motivational interviewing frameworks, consisted of 15-20 minute individual sessions for individuals from remote areas or 60-90 minute group sessions within the health center. Thirty-five (26 women, median age = 29.5years) participants completed the Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder-7 (GAD-7), HIV/AIDS Stress Scale (HSS), World Health Organization Disability Assessment Schedule-2 (WHODAS-2) and Simple PA Questionnaire pre- and post-intervention. Post-intervention only 2 of the 35 participants reported suicidal ideation (PHQ-9 item 9 >= 1) (p < 0.001). Significant reductions in GAD-7, PHQ-9, HSS, SIMPAQ sedentary and WHODAS-2 scores and an increase in SIMPAQ PA score were observed. LHWs-led PA counselling is promising in reducing suicidal ideation in most people with HIV in low-resourced settings.",
      "authors": "Vancampfort, Davy; Mugisha, James; Van Damme, Tine",
      "author_ids": "",
      "journal_or_venue": "Journal of HIV-AIDS & Social Services",
      "doi": "10.1080/15381501.2025.2453493",
      "record_type": "Article; Early Access",
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        "evidence_class": "Empirical",
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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    {
      "input_index": 1890,
      "record_key": "SWRD:107160",
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      "record_id": 107160,
      "year": 2025,
      "title": "Minority stress and mental health outcomes among lesbians, gay men, and bisexual men and women in croatia.",
      "abstract": "The study investigates the association between minority stress and various mental health outcomes of lesbian, gay, and bisexual (LGB) individuals in Croatia. The study also explores the moderating roles of gender and sexual orientation in association between minority stress and mental health outcomes. A total of 1403 cisgender LGB participants (65.9% identifying as women and 57.1% as gay) were surveyed online in May 2022. The questionnaire included the Minority Stress Scale, Depression, Anxiety, and Stress Scale-21 (DASS-21), Suicidal Ideations and Attempts Questionnaire, The CAGE questionnaire for alcohol and drug abuse, and the Questionnaire of Mental Health Continuum-Short Form (MHC-SF) for wellbeing. Structural equation modeling results indicated significant associations between minority stress and various mental health outcomes of LGB individuals. Specifically, minority stress was significantly associated with higher levels of depression, anxiety, stress, and suicidal ideations and attempts. It also predicted lower emotional, social, and psychological well-being. However, no significant association was found between minority stress and substance. Gender did not significantly moderate the relationship between minority stress and mental health outcomes, while sexual orientation did. The association between minority stress and anxiety symptoms was more severe among bisexual individuals compared to gay individuals. The study highlights the importance of addressing minority stress and the development of targeted support interventions aimed at improving the mental health outcomes of the LGB individuals in Croatia. (PsycInfo Database Record (c) 2025 APA, all rights reserved)",
      "authors": "Blažev, Mirta; Popov, Matea; Laginja, Paola; Juranović, Klara; Lončarić, Leonarda",
      "author_ids": "",
      "journal_or_venue": "Sexual and Gender Diversity in Social Services",
      "doi": "10.1080/29933021.2025.2469036",
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        "empirical_method": "Quantitative"
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    {
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      "record_key": "SWRD:89126",
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      "record_id": 89126,
      "year": 2025,
      "title": "No Signs or Symptoms? Ask My Friend! A Compelling Argument for Culturally Responsive School-Based Peer-Led Suicide Prevention Programs",
      "abstract": null,
      "authors": "Villavicencio-Hein, Carmen",
      "author_ids": "",
      "journal_or_venue": "Children & Schools",
      "doi": "10.1093/cs/cdaf014",
      "record_type": "Article; Early Access",
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        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
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      "screened_at": "2026-08-02T18:59:49.873571+00:00"
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    {
      "input_index": 1892,
      "record_key": "SWRD:55020",
      "source_database": "SWRD",
      "record_id": 55020,
      "year": 2025,
      "title": "Online patient simulation for suicide risk assessment: a pilot study assessing skills and confidence in MSW students",
      "abstract": "Online patient simulations (OPS) have emerged as a feasible and acceptable means of teaching clinical skills. In this pilot study, we tested the impact of an OPS on suicide risk assessment on the skills and confidence of MSW students, and assessed whether higher utilization of the OPS corresponded to greater skill acquisition. Participants were 16 MSW students enrolled in a semester-long elective course on understanding suicide. The OPS was embedded into the course and offered via SIMmersion. Wilcoxon tests were conducted to determine statistically significant changes in SIMmersion scores and self-reported confidence. Participants were grouped into low and high SIMmersion utilization groups and Mann-Whitney U tests were used to compare SIMmersion scores between groups. There was a significant increase from students' baseline to highest SIMmersion score and from baseline to last SIMmersion score. There was a significant difference in the highest SIMmersion score for the low versus high utilization group. Finally, participants' confidence significantly increased. These results offer preliminary evidence that OPS, embedded within a course on suicide, can be a safe, effective, and efficient tool in preparing MSW students to conduct suicide risk assessments. Future research should continue testing this intervention's effectiveness.",
      "authors": "Sellers, Christina M.; Gavis-Hughson, Sky; Iriarte, Antonia Diaz-Valdes; Dacey, Eileen; Collin, Cali-Ryan R.",
      "author_ids": "",
      "journal_or_venue": "Social Work Education",
      "doi": "10.1080/02615479.2025.2481065",
      "record_type": "Article; Early Access",
      "database_method": "Quantitative",
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T18:59:52.604948+00:00"
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    {
      "input_index": 1893,
      "record_key": "SWRD:71131",
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      "record_id": 71131,
      "year": 2025,
      "title": "Parent–Child Relationship Characteristics and Psychiatric Symptoms as Predictors of Passive Suicidal Ideation among Adolescents in Outpatient Substance Use Treatment",
      "abstract": "Adolescents with substance use disorders (SUDs) are at higher risk for negative outcomes including suicidal ideation (SI). This is due in part to high rates of comorbid psychiatric disorders among adolescents diagnosed with a SUD. Among adolescents, SI is a sign of psychological distress that may interfere with substance use treatment engagement and completion. Identification of factors that are significant predictors of SI among adolescents engaged in risky substance use can provide valuable information for customized treatment planning. The present study is a secondary analysis of data from a racially and ethnically diverse sample of 396 adolescents receiving outpatient substance use treatment services to identify predictors of SI. Hierarchical multiple regression analyses were conducted by entering variables sequentially in four blocks: (a) gender, (b) internalizing psychiatric symptoms, externalizing psychiatric symptoms, (c) drug abuse and dependence symptoms, alcohol abuse and dependence symptoms, and (d) negative parent relations, positive parent relations to determine the unique contribution of each block. This analysis revealed that internalizing psychiatric disorder symptoms, gender, and alcohol abuse and dependence symptoms were each significant predictors of mean SI scores. Overall, the results suggested that female clients entering substance abuse treatment may have higher levels of distress than male clients and require more careful screening. Additionally, tailored integrated treatment planning for clients with complex patterns of comorbid internalizing disorder symptoms and alcohol use disorder symptoms may lead to better overall treatment outcomes.",
      "authors": "Jacquie Lee; Jonathan G. Tubman",
      "author_ids": "",
      "journal_or_venue": "Child & Adolescent Social Work Journal",
      "doi": "10.1007/s10560-025-01010-4",
      "record_type": "Journal Article",
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        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
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      "screened_at": "2026-08-02T18:59:55.377374+00:00"
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    {
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      "record_key": "SWRD:71354",
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      "record_id": 71354,
      "year": 2025,
      "title": "Pathways from Bullying To Suicidal Ideation in Adolescents: A Serial Mediation Approach",
      "abstract": "The link between bullying and suicidal ideation in adolescents is well-entrenched in literature. Theoretical evidence suggests that coping strain and depression may mediate this association. The present study aims to determine whether coping strain and depression mediate the association between bullying and suicidal ideation in Pakistani adolescents. A total of 405 participants were approached via purposive sampling (M ± SD age = 15.74 ± 1.22 years) from Islamabad and Rawalpindi, Pakistan. General Health Questionnaire (GHQ-28), Multi-dimensional Peer Victimization Scale (MPVS), Coping Strain Scale from PS Scales (PSS-40), Depression Anxiety Stress Scale (DASS-21), and Multidimensional Scale of Perceived Social Support (MSPSS) were used to assess study variables. Bullying positively influenced suicidal ideation both directly and indirectly via coping strain and depression. Both variables were found to be serially mediated by coping strain and depression. The strain theory of suicide also posits important insights regarding the association of variables in adolescents, where bullying serially associated to coping strain first and then depression, which ultimately leads to suicidal ideation. These findings suggest that psychological interventions aimed at mitigating coping strain and depressive symptoms may be particularly effective in reducing suicidal ideation among individuals with a history of bullying victimization.",
      "authors": "Eman A.; Tauqeer A.; Ul Hassan S.M.; Bakhteyar A.A.; Arif L.",
      "author_ids": "",
      "journal_or_venue": "Child & Adolescent Social Work Journal",
      "doi": "10.1007/s10560-025-01015-z",
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    {
      "input_index": 1895,
      "record_key": "SWRD:55273",
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      "record_id": 55273,
      "year": 2025,
      "title": "Reflections from a Community Capacity Building Forum to Support People Bereaved by Suicide",
      "abstract": "An estimated half the population may be impacted by suicide loss. The combination of grief and trauma makes the experience particularly complex. Recognised as the most stigmatised of all sudden losses people bereaved by suicide are in sociocultural contexts that disrupt constructive grief processes and create barriers for help seeking and supportive responses. Effecting change in this context poses a significant health promotion challenge. Social workers in the South West Region of Western Australia sought to develop and deliver a unique postvention approach aimed at strengthening the self-support capacity of people bereaved by suicide while building broader community capacity for informal support. In this article, we provide an overview of a community capacity building approach, underpinned by a social work perspective, and report on findings from a reflective evaluative study of the experiences of community participants. The findings point to the value of good information and the desire to support people bereaved by suicide effectively. People identified the benefits of attending the Forum as increased awareness of grief and trauma, fostering empathy for self and others; increased understanding of the impacts of stigma on grief processes and informal support; and recognising shared experiences of suicide bereavement in the community.IMPLICATIONSCommunity approaches to suicide postvention can be done safely and are valuable to the people who participate.Social work skills for community engagement meet the needs of people bereaved by suicide and enhance the capacity of their informal supporters.Community conversations of suicide grief strengthen understandings and disrupt societal silences and stigmas.",
      "authors": "Carlon, Colleen; Tarrant, Jacquie; Eckersley, Marie; Vindin, Priscilla",
      "author_ids": "",
      "journal_or_venue": "Australian Social Work",
      "doi": "10.1080/0312407x.2024.2447289",
      "record_type": "Article; Early Access",
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    {
      "input_index": 1896,
      "record_key": "SWRD:57332",
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      "record_id": 57332,
      "year": 2025,
      "title": "Rethinking comorbidity: A case study of syndemic risk, eating disorders, and suicidal behaviors in adolescent girls of color",
      "abstract": "Decades of research have established a significant association between people struggling with an eating disorder and suicidal thoughts and behaviors. Despite a robust literature indicating a link between these two mental health conditions, few studies have explored how differential risk factors interact over time to produce this comorbidity. Using the lens of syndemic risk, this study applied a critical case study design to identify the social and contextual conditions that give rise to the circumstances in which eating disorders and suicidal behaviors cluster together. Specifically, we draw on life history and clinical ethnographic interviews with an adolescent and her mother to illustrate the intersections between psychosocial and structural processes. Through our analysis, we develop a model for syndemic risk that foregrounds poverty, racism, heterosexism, and gender oppression as critical to the production of mental health comorbidities. As we delineate in our findings, multiple forms of oppression led to a higher risk of exposure to stressful and traumatic experiences, including physical maltreatment, emotional abuse and neglect, sexual coercion, and peer victimization. These events contributed to the emergence of psychological and social vulnerabilities associated with heightened eating disorder and suicide risk. Ultimately, our qualitative study contributes to understanding how syndemic risk factors interact and mutually reinforce one another over time to shape comorbid psychopathology. In doing so, our findings shift understandings of mental illness as emerging from individual vulnerabilities to a conception of mental health that is framed within a multidimensional perspective.",
      "authors": "Gulbas, Lauren E.; Pavelka, Claragrace; Hausmann-Stabile, Carolina; Zayas, Luis H.",
      "author_ids": "",
      "journal_or_venue": "Qualitative Social Work",
      "doi": "10.1177/14733250231225170",
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    {
      "input_index": 1897,
      "record_key": "SWRD:55941",
      "source_database": "SWRD",
      "record_id": 55941,
      "year": 2025,
      "title": "Sexual violence, suicide, depression, self-esteem, and satisfaction with life among university students in Spain with a gender perspective: implications for social work",
      "abstract": "Current research aims to relate both categories by investigating sexual violence as a risk factor for suicide among college students in Spain (N = 2004). Overall, 13.7% reported having suffered sexual violence in the last year and 3.3% completed sexual penetration. Having suffered sexual violence and lower perceived social support are associated with higher risk of suicidal behaviors. Incorporation of preventive measures against sexual violence in the university environment, as well as the promotion of supportive actions on university campuses in Spain, as well as in other countries. Policy and social work implications are discussed.",
      "authors": "Reina-Aguilar, Pastora; Diaz-Jimenez, Rosa Maria; Caravaca-Sanchez, Francisco",
      "author_ids": "",
      "journal_or_venue": "Social Work in Mental Health",
      "doi": "10.1080/15332985.2024.2391400",
      "record_type": "Article",
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      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T19:00:06.204503+00:00"
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    {
      "input_index": 1898,
      "record_key": "SWRD:55038",
      "source_database": "SWRD",
      "record_id": 55038,
      "year": 2025,
      "title": "Sitting with Suicide: Mindfulness-Based Cognitive Therapy for Suicide Prevention in Military Veterans",
      "abstract": "With recent studies citing that as many as 44 Veterans die by suicide daily, Veteran suicide is a pressing public health concern (America's Warrior Partnership. (2022). Operation deep dive summary of interim report. https://e55c5558-502f-457d-8a07-a49806f5ff14.usrfiles.com/ugd/e55c55_086099607d86 49aa8b5227f106f24865.pdf). Despite this alarming statistic, few evidence-based psychotherapies specifically target suicide prevention. Mindfulness-based cognitive therapy for suicide prevention (MBCT-S) is a nine-week, manualized group intervention that integrates mindfulness-based cognitive therapy (MBCT) with the safety planning intervention to address suicidality. A randomized controlled trial (n = 140) found that MBCT-S significantly reduced suicide attempts, suicidal behaviors, and psychiatric hospitalizations among participating Veterans. To illustrate the application of this intervention and maintain participant anonymity, this paper presents a case composite highlighting the intervention's rationale and the facilitator's role in teaching Veterans the skill of staying present with intensely painful, harmful, and self-alienating experiences without resorting to suicidal behavior. The embodied presence of the MBCT-S facilitator emerges as a critical agent of change, fostering curiosity, compassion, and openness when addressing complex and isolating suicidal thoughts. This presence creates a foundation for connectedness within the group, which is essential for Veterans at risk of suicide. By illustrating these processes, the paper highlights the potential of MBCT-S to transform clinicians' capacity to support individuals in building equanimity and life-saving resilience.",
      "authors": "Miller, Rachael B.; Interian, Alejandro",
      "author_ids": "",
      "journal_or_venue": "Clinical Social Work Journal",
      "doi": "10.1007/s10615-025-00994-x",
      "record_type": "Article; Early Access",
      "database_method": "Mixed-Methods",
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        "evidence_class": "Non-empirical",
        "empirical_method": "Not applicable"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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    {
      "input_index": 1899,
      "record_key": "SWRD:71081",
      "source_database": "SWRD",
      "record_id": 71081,
      "year": 2025,
      "title": "Suicidal Ideation and Its Correlates Among Adolescents in Trinidad and Tobago",
      "abstract": "Suicide deaths, attempts, and ideation among minoritized adolescents are a global public health concern that is often inadequately addressed. Research is limited on suicide-related behaviors among adolescents in many developing countries, specifically in the Anglophone Caribbean, like the small island state of Trinidad and Tobago. This study aims to identify the prevalence and correlates of suicidal ideation among adolescents in Trinidad and Tobago. This is a secondary data analysis of a nationally representative sample of high school students (n = 3840) from Trinidad and Tobago using the Global School-Based Student Health Survey in 2017. Multivariate logistic regression assessed the association between correlates (e.g., gender, anxiety) and suicidal ideation in the past 12 months. The study found that 22.2% (16% males and 28% females) reported experiencing suicidal ideation during the past 12 months. In multivariate analyses, variables associated with higher odds for suicidal ideation were anxiety (OR 2.69, p <.001, 95% CI 2.08, 3.48), loneliness (OR 2.47, p <.001, 95% CI 1.91, 3.19), being bullied (OR 2.02, p <.001 CI 1.56, 2.59), and marijuana use (OR 2.20, p <.001, 95% CI 1.58, 3.06). Youth reporting parental understanding were half as likely to report suicidal ideation as their counterparts (OR.53, p <.001, 95% CI.42,.67). The findings highlight the need to implement school-based suicide prevention and intervention, employ more school social workers, and provide psychoeducation to parents to help them better understand suicidal ideation.",
      "authors": "Modeste-James A.; Huggins C.; Freedenthal S.; Bellamy J.L.",
      "author_ids": "",
      "journal_or_venue": "Child & Adolescent Social Work Journal",
      "doi": "10.1007/s10560-023-00953-w",
      "record_type": "Journal Article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
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        "evidence_class": "Empirical",
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T19:00:12.966146+00:00"
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    {
      "input_index": 1900,
      "record_key": "SWRD:55041",
      "source_database": "SWRD",
      "record_id": 55041,
      "year": 2025,
      "title": "The connection between parent and youth help-seeking intentions: Results from a nationwide dyad study",
      "abstract": "Suicide rates are increasing drastically, and help-seeking has been connected to reduced suicidal behavior, thus compounding the need for increased help-seeking intentions (HSI) among people throughout the world. It is relatively unclear how help-seeking differs across cultures, and culture-specific understanding is key for developing and implementing effective interventions. In this study, we analyzed HSI levels among youth and adults in parent-child dyads across Mexico using a linear regression, in order to predict the impact of parent HSI on youth HSI. Results indicated that parent HSI does predict youth HSI, and youth were found to be most likely to turn to parents and mental health professionals for help. Comparison of mean HSI showed that youth tend to lag behind parents in overall help-seeking. Community educators and mental health professionals might use this information to focus their efforts on increasing parent HSI as a means of assisting both parents and children. Further, building on youth's current strengths by increasing their tendencies to turn to parents and mental health professionals would provide a short-term action plan that may help increase HSI among youth.",
      "authors": "Hoffman, Steven; Hatch, Kyleigh; Wood, David S.; Jensen, Jonathan; Marsiglia, Flavio F.",
      "author_ids": "",
      "journal_or_venue": "Journal of Human Behavior in the Social Environment",
      "doi": "10.1080/10911359.2025.2478450",
      "record_type": "Article; Early Access",
      "database_method": "Quantitative",
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T19:00:15.775751+00:00"
    },
    {
      "input_index": 1901,
      "record_key": "SWRD:117208",
      "source_database": "SWRD",
      "record_id": 117208,
      "year": 2025,
      "title": "The Effects of a Co-Response Program on Patrol Call Volume for Mental Health Crisis-Related Calls: A Time Series Analysis",
      "abstract": "This study examines the impact of the Fayetteville Police Department’s (FPD) Crisis Intervention Response Team (CIRT) on trends in mental health crisis (MHC)-related calls assigned to patrol units through a series of interrupted time series analysis models (ITSA). CIRT, a co-response program pairing law enforcement with social workers, aims to respond to MHC-related calls and connect people in crisis to benefits and services. This study uses single-group ITSA to analyze changes in MHC-related calls assigned to the day shift (when CIRT was operational) and multi-group ITSA to compare the day shift with the night shift (which had no access to CIRT during the study period). Significant reductions were found in Intoxicated Person, Suicide Threat, and Welfare Concern calls following CIRT implementation, alongside an increase in Self-Initiated Follow-Up calls, indicating greater officer engagement in casework. However, no significant changes were observed for Loitering, Mental Health Crisis",
      "authors": "Mark Plassmeyer; Mark Plassmeyer",
      "author_ids": "",
      "journal_or_venue": "Journal of Forensic Social Work",
      "doi": "dc/a3820d8284",
      "record_type": "Journal Article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
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      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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      "screened_at": "2026-08-02T19:00:18.430893+00:00"
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    {
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      "record_key": "SWRD:71078",
      "source_database": "SWRD",
      "record_id": 71078,
      "year": 2025,
      "title": "The Prevalence and Association of Adverse Childhood Experiences with Suicide Risk Behaviors among Adolescents and Youth in Zimbabwe",
      "abstract": "Suicide poses a significant public health concern, particularly among adolescents and youth exposed to adverse childhood experiences (ACEs). However, little research exists on understanding ACEs’ prevalence and suicidality consequences in Zimbabwe. Therefore, this study examined the prevalence and association between individual and cumulative ACEs with suicide risk among adolescents and youth in Zimbabwe. The study utilized data from the 2017 Zimbabwe Violence Against Children Survey (ZVACS) for males and females aged 13 to 24 (N = 8,715). Prevalence estimates were determined using chi-square tests, and four logistic regression models were employed to assess the association between individual and cumulative ACEs with suicide risk. 31.8% of the participants reported lifetime suicidal ideations or attempts. Participants who experienced emotional violence (69.1%), sexual violence (58.4%), witnessed community violence (47.0%), witnessed physical violence (53.2%), experienced physical violence (44.6%), orphaned (38.8%) and experienced cumulative ACEs (35.3%) reported lifetime suicidal ideations or attempts. Similarly, experiencing individual ACEs (physical and sexual violence, witnessing physical and community violence, and being orphaned) and cumulative ACEs were significantly associated with a higher risk of reporting lifetime suicidal ideations or attempts among the participants in the regression models. These findings underscore the importance of implementing strategies for preventing ACEs and suicide risk behaviors and enforcing effective child welfare policies. Future research should conduct longitudinal designs to investigate the specific ACEs that contribute most strongly to increased suicide risk among adolescents and youth in Zimbabwe.",
      "authors": "Chipalo E.; Jeong H.",
      "author_ids": "",
      "journal_or_venue": "Child & Adolescent Social Work Journal",
      "doi": "10.1007/s10560-023-00958-5",
      "record_type": "Journal Article",
      "database_method": "Quantitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T19:00:21.129740+00:00"
    },
    {
      "input_index": 1903,
      "record_key": "SWRD:71039",
      "source_database": "SWRD",
      "record_id": 71039,
      "year": 2025,
      "title": "What Mental Health and Wellbeing Interventions Work for Which Children and Young People in Care? Systematic Review of Potential Outcome Inequities",
      "abstract": "Children and young people with care-experience (e.g. foster, kinship and residential care) report poorer mental health and wellbeing than the general population. Despite an emerging evidence-base for intervention, it is not clear if current approaches create, exacerbate or mitigate outcome inequities between different types of participants. We conducted a systematic review of international interventions targeting mental health, subjective wellbeing and suicide-related outcomes amongst care-experienced children and young people aged up to 25 years old. The review included a narrative synthesis of intervention inequities, exploring if they were more or less effective for different participant groups. Eight interventions, with 14 study reports, presented relevant data. Overall, there was no clear evidence that intervention participation could lead to inequitable impacts, being more or less effective for different groups. However, there was some tentative indication that individuals with lower exposure to maltreatment, fewer care placements, and increased baseline mental health problems, might be more responsive to intervention than other participants. There was limited evidence for wellbeing and no data availability for suicide. Future intervention evaluation should focus on assessing if there is potential to create, sustain or exacerbate inequities, and how approaches may be designed to mitigate this risk.",
      "authors": "Evans R.; Trubey R.; MacDonald S.; Noyes J.; Robling M.; Willis S.; Boffey M.; Wooders C.; Vinnicombe S.; Melendez-Torres G.J.",
      "author_ids": "",
      "journal_or_venue": "Child & Adolescent Social Work Journal",
      "doi": "10.1007/s10560-023-00956-7",
      "record_type": "Review",
      "database_method": "Review",
      "database_is_scientific": true,
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      "screening_basis": "title_and_abstract",
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        "evidence_class": "Empirical",
        "empirical_method": "Review"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T19:00:23.875590+00:00"
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    {
      "input_index": 1904,
      "record_key": "SWRD:56635",
      "source_database": "SWRD",
      "record_id": 56635,
      "year": 2025,
      "title": "Youth Suicide Attempts from the Perspective of Healthcare Professionals: A Qualitative Study, a Case of Turkey",
      "abstract": "This study was aimed at determining why youth attempt suicides, what the causes of such attempts are, and what methods are used in suicide attempts from the perspective of emergency medicine and mental healthcare professionals. Healthcare professionals provide first aid and treatment for young people who have attempted suicide. In this study, the qualitative research method and phenomenological design were used. In the interviews, a semi-structured interview form was used. According to the participating healthcare professionals' conclusions at the end of the study, youth is a trial and error period, young people do not always aim to die, they may attempt suicide for manipulative purposes or to call for help, and the method used in the suicide attempt may vary according to the purpose and sex. Healthcare professionals who participated in this study clearly stated that gender-based expectations cause suicide attempts in both male and female youth (both male and female youth to attempt suicide). It is recommended that in future studies, the focus should be on the opinions and experiences of all professionals working in the field of suicide attempts, and that gender-based experiences that may lead youth to attempt suicide should be further addressed.",
      "authors": "Kocak, Yasemin Ertan; Kucukkaraca, Nilgun",
      "author_ids": "",
      "journal_or_venue": "Journal of Social Service Research",
      "doi": "10.1080/01488376.2024.2349800",
      "record_type": "Article",
      "database_method": "Qualitative",
      "database_is_scientific": true,
      "database_is_empirical": true,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T19:00:26.371489+00:00"
    },
    {
      "input_index": 1905,
      "record_key": "SWRD:116055",
      "source_database": "SWRD",
      "record_id": 116055,
      "year": 2025,
      "title": "“Everyone in my immediate family…”: Students’ Experiences with Suicide",
      "abstract": "Background: Suicide is a prevalent issue that is faced across the life span and has been found to be the third leading cause of death in those aged 10 to 34 years old. As social workers working with clients who have faced suicidal ideation or experienced it in their life. As it stands there is a lack of social work education on suicide in curriculum in BSW and MSW programs. Methods: The purpose of this qualitative study was to share and explore the familial experiences of students regarding suicide. This study followed a content analysis approach to analyze the 38 reflective papers that came from an elective course in a MSW program. Results: Our analysis resulted in three new themes, 1. Stories of our Loves Ones, 2. Not Believing in Mental Health Struggles, and 3. How Can We Make it Through This? Conclusions: These results pointed towards social work educators needing to understand students’ experiences on suicide and how it relates to them seeking out taking these courses. Futu",
      "authors": "Toni Gallegos; Toni Gallegos; Toni Gallegos; Toni Gallegos; Toni Gallegos; Regina Praetorius; Regina Praetorius; Regina Praetorius; Regina Praetorius; Regina Praetorius; Zoya Chaturvedi; Zoya Chaturvedi; Zoya Chaturvedi; Zoya Chaturvedi; Zoya Chaturvedi",
      "author_ids": "",
      "journal_or_venue": "Journal of Social Work Education and Practice",
      "doi": "dc/0fb078e625",
      "record_type": "Journal Article",
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      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
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      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
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        "eval_count": 24
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      "screened_at": "2026-08-02T19:00:28.807972+00:00"
    },
    {
      "input_index": 1906,
      "record_key": "SSWR:2026-P-0227",
      "source_database": "SSWR",
      "record_id": "2026-P-0227",
      "year": 2026,
      "title": "\"Abused, Hopeless, and then It Made Me Think about Suicide\": Exploring the Integration of Gender-Based Violence and Suicidal Crisis Intervention Services Among Survivors",
      "abstract": "Background and Purpose : Gender-based violence (GBV), including intimate partner violence (IPV), is a significant global public health problem, linked to myriad outcomes, including adverse mental health such as suicidal behavior. In the Philippines, one in four ever-married women has experienced IPV and suicide rates have increased dramatically over the past several decades in the country, multiplying 9-fold among Filipino women. Access to mental health and IPV support services in the Philippines, however, is lacking. Survivors of GBV/IPV in the Philippines frequently report discrimination and inadequate services that lack proper evaluation, safety planning, and support. Similarly, mental health service utilization in the Philippines is low due to stigma and inaccessible care. In response, this study sought to explore the needs of survivors of GBV/IPV in relation to overlapping suicidal behaviors, and their perceptions of recommendations towards integration of crisis services and safety planning to prevent and address these dual risks. Methods : In 2025, participants were recruited from a local non-governmental organization serving survivors of GBV/IPV and human trafficking in Cebu, Philippines using purposive sampling to attend one 90-minute individual interview. Participants were eligible to participate if they identified as least 18 years of age, had previously experienced GBV/IPV, and had a history of suicidal behaviors, but were not actively in crisis. Participants included a total of 10 women, ranging from 27-51 years old. Interviews were transcribed in Cebuano and subsequently translated into English after which they were analyzed using thematic analysis (Braun & Clarke, 2006). Rigor was enhanced through reflective interview notes, post-interview debriefs, and regular team consultations with interviewers and transcript data coders. Results : Five themes were identified during the analytic process, including (1) physical and emotional safety, (2) responsive and consistent support, (3) an integrated service model, (4) peer and community involvement, and (5) addressing logistical challenges. Specifically, participants overwhelmingly emphasized the importance of physical and emotional safety, expressing the need for a non-judgmental and trusting space for clinical conversations. Grounding activities were recommended. Second, staff’s responsiveness to client needs and consistent check-ins were described as critical, especially in crisis situations. Third, almost all participants supported an integrated service model to address dual risks of GBV/IPV and suicidal behavior, primarily due to the connectedness of experiencing GBV/IPV and its impact on their mental health; some participants felt this could reduce unnecessary burdens and confusion in service delivery and safety planning. Fourth, peer support and community education, particularly through leveraging the experiential knowledge of peer survivors, were considered beneficial. Finally, participants considered proactively addressing logistic challenges, such as transportation as necessary to promoting consistent service access. Conclusions and Implications : Findings demonstrate the critical impact of provider support responses and its implications on safety and engagement in care as well as the support for streamlined interventions that address dual risks, including integrated safety planning and strategies to support survivor awareness of the linkages between experiences of GBV/IPV and suicidal behavior. Results additionally suggest the need to enhance service provision through potential inclusion of community psychoeducation and strategies that address structural barriers.",
      "authors": "Tina Jiwatram-Negron; Ran Hu; Genesis Dejan; Laura Cordisco Tsai",
      "author_ids": "114175; 118519; 128319; 111633",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "prompt_eval_count": 1599,
        "eval_count": 24
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      "screened_at": "2026-08-02T19:00:32.308916+00:00"
    },
    {
      "input_index": 1907,
      "record_key": "SSWR:2026-P-0901",
      "source_database": "SSWR",
      "record_id": "2026-P-0901",
      "year": 2026,
      "title": "\"I Feel Contaminated in Some Way\": Stigma, Mental Health, and Suicidality Among Sexual and Gender Minority Young People Living with HIV in Lima, Peru",
      "abstract": "Background and Purpose: Sexual and gender minority (SGM) young people living with HIV (LWH) in Peru face profound mental health challenges, shaped by intersecting forms of stigma, marginalization, and systemic neglect. While the HIV care infrastructure in Peru offers accessible, low-cost treatment, less attention has been given to the psychological toll of living with HIV in a context where discrimination based on sexual orientation and gender identity remains pervasive. This study explores how SGM young people living with HIV in Lima, Peru navigate intersectional stigma and how it shapes their mental well-being, including experiences of suicidality amid family rejection, negative healthcare interactions, and broader social isolation. Methods: This qualitative study draws from in-depth interviews with SGM young people (n=20) aged 18–29 who are LWH in Lima, Peru. Participants were recruited through LGBTIQ+ community organizations and networks using purposive and snowball sampling. Interviews were conducted in Spanish, transcribed, and analyzed using reflexive thematic analysis informed by constructivist grounded theory and intersectionality. Coding focused on themes of stigma (enacted, internalized, anticipated), emotional well-being, and engagement with healthcare services. Participants also completed an identity mapping activity that helped contextualize identity-based stressors. Results: Many participants shared experiences of deep emotional distress and suicidality, particularly around the time of their HIV diagnosis. For some, these feelings were exacerbated by a lack of emotional support from family or providers, internalized blame, or fears of long-term social exclusion. Across these accounts, stigma, whether anticipated, enacted, or internalized, was a central thread shaping participants’ mental health trajectories. Abandoning HIV treatment was described by some as a method for attempting suicide. Even those actively engaged in HIV care reported ongoing mental health challenges, suggesting that adherence does not equate to mental wellness. At the same time, the study identified moments of resistance and coping, such as forging affirming friendships, or leaning on family (biological and chosen) for support. Disclosure of HIV status, though rare, sometimes led to unexpected support from peers or even employers, which improved participants’ sense of safety and belonging. Conclusions and Implications: This study highlights the urgent need to integrate mental health care into HIV services for SGM young people in Peru. While biomedical treatment is largely accessible, mental well-being remains fragile, particularly soon after initial diagnosis. Findings suggest that suicidality is not only linked to individual coping but also to broader structural and relational dynamics, including stigma, loneliness, and a lack of culturally competent psychosocial support. There is a need for community-rooted and identity-affirming mental health interventions that recognize the intersecting pressures SGM young people LWH face. Future work should explore how regional, gender, and class-based differences shape risk and resilience across the HIV care continuum.",
      "authors": "Juan Jauregui",
      "author_ids": "123893",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3221622458,
        "prompt_eval_count": 1521,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T19:00:35.532472+00:00",
      "screening_source": "Primary screen; blind audit agreement",
      "accuracy_audit": {
        "sample_group": "Qualitative",
        "random_seed": 20260802,
        "blind_screening": {
          "is_relevant": true,
          "relevance_rationale": "The study explicitly investigates suicidality as a central outcome among sexual and gender minority young people living with HIV, analyzing how stigma influences these experiences.",
          "evidence_class": "Empirical",
          "empirical_method": "Qualitative",
          "classification_rationale": "The abstract describes an original qualitative study using in-depth interviews and reflexive thematic analysis to explore participants' experiences.",
          "confidence": "High"
        },
        "full_label_agreement": true
      }
    },
    {
      "input_index": 1909,
      "record_key": "SSWR:2026-U-0133",
      "source_database": "SSWR",
      "record_id": "2026-U-0133",
      "year": 2026,
      "title": "\"I Just Needed Somebody to Talk to\": The Role of the Veterans Crisis Line in Social Connection for Women Veterans",
      "abstract": "Background and Purpose: In 2023, the U.S. Surgeon General called the nation’s attention to an “epidemic of loneliness and isolation,” noting the adverse health impacts of social isolation and a need to invest in research to further understand, and policies and programs that support, social connection. Women veterans, as a minority among both the veteran population and among the non-veteran population of women, face particular risks of loneliness and social isolation. Among other impacts on health and wellbeing, loneliness and social isolation are contributors to suicidal ideation and behavior – also identified as a crisis among the veteran population and growing concern among the population of women veterans in particular. The Veterans Crisis Line (VCL) is a key component of the VA suicide prevention effort, offering free, telephone or text support 24-hours-per-day, 7-days-per-week. The objective of this study was to explore women veterans’ experiences with the VCL through analysis of VCL contact records and qualitative interviews with women veterans who had used VCL. Methods: We conducted in-depth qualitative telephone interviews with 26 women veterans from across the country who had contacted VCL within the 12 months prior to study recruitment. Interviews were audio-recorded and transcribed verbatim; we used team-based inductive content analysis to code the data and identify key themes. For this analysis, we examined data related to loneliness and social connection. Results: Participants spoke about reaching out to VCL due to a need for social connection in a moment of emotional distress. Women veterans spoke about the importance of being able to have a human connection at any time of day or night and the benefits of the VCL as a service to help in acute moments of distress when they did not feel that they could or wanted to turn to others in their lives. Conclusions and Impacts: Study findings reveal the importance of the VCL as a critical resource to intervene on loneliness and provide social connection in times of acute distress, to support women veterans to alleviate an emotional crisis state through human connection. Findings extend prior work on suicide prevention for women veterans and align with theories related to suicide risk and gender among this population. Findings hold implications for VCL policy and programming. Findings also hold implications for services outside of the VA and veteran populations, including for community-based crisis services and hotline services.",
      "authors": "Melissa E. Dichter; Lindsey Monteith; Aneeza Agha; Lauren Krishnamurti; Katherine Iverson; Claire Hoffmire; Ann Elizabeth Montgomery",
      "author_ids": "114604; 122025; 122028; 122022; 122027; 122024; 116275",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3129357667,
        "prompt_eval_count": 1405,
        "eval_count": 24
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      "screened_at": "2026-08-02T19:00:42.140146+00:00"
    },
    {
      "input_index": 1913,
      "record_key": "SSWR:2026-O-0018",
      "source_database": "SSWR",
      "record_id": "2026-O-0018",
      "year": 2026,
      "title": "A Cognitive-Behavioral Approach to Suicide Prevention Among Adults with Schizophrenia Spectrum Disorders",
      "abstract": "Background: Individuals with schizophrenia spectrum disorders (SSDs) are at elevated risk for suicide with data indicating a lifetime rate of suicide death. In addition to well-documented risk factors of hopelessness, depression, age, gender, substance use, previous suicide attempt, clinical insight, lethality of means, and longer duration of untreated psychosis, there has been growing evidence of SSD symptomatology, such as hallucinations and delusions, contributing to suicide thoughts and behaviors. Despite high suicide rates and specific symptom-level risk factors, there is a paucity of therapeutic suicide prevention approaches with tailoring suicide risk in relation to symptoms among individuals with SSDs. Cognitive Behavioral Suicide Prevention for psychosis (CBSPp) is one of few suicide-focused interventions tailored for psychosis symptoms and was developed in the United Kingdom. Our team modified a CBSPp for adult clients in a community mental health (CMH) setting with stakeholder input and conducted a pilot clinical trial to examine preliminary effectiveness, feasibility, and acceptability. Methods: This study involved a single-site randomized pilot trial with a planned enrollment of 60 adults meeting criteria for having a SSD and recent suicide ideation and/or attempt. Participants were randomized to either receive CBSPp or services as usual (SAU). A 4-wave design was used for clinical and cognitive assessments and qualitative interviews were conducted post-treatment with participants in the CBSPp group. Our primary objective was to determine whether CBSPp is feasible and acceptable, involving examinations of recruitment rate, treatment engagement and adherence, retention and completion rates, and experiences in the CBSPp treatment and overall study. Our secondary objective was to preliminarily evaluate whether modified CBSPp is associated with reductions in clinical (suicide ideation, suicide attempt, symptoms of psychosis, depression, and emergency/hospital service, hopelessness, defeat, and entrapment) and cognitive (information processing biases, appraisals, and schemas) outcomes in comparison to SAU from baseline to post-treatment assessment. Results: Final CBSPp modifications included tailoring CBSPp content and protocol for psychosis clients in CMH, increasing the feasibility of provider training, and enhancing client engagement to boost content and provide added support to clients. In the open pilot trial, clients made significant improvements in suicide ideation, depression, hopelessness, general symptoms of psychosis, entrapment, defeat, coping, psychological stress, and impulsivity from baseline to post-treatment. Clinical trial results are forthcoming as a step beyond the open pilot trial. Discussion: This randomized pilot trial provides clinically relevant information about whether CBSPp can improve SI/A, depression, and psychosis among adults with SSDs. In addition to increasing the existence of tailored behavioral interventions aiming to prevent suicide among individuals with SSDs , it is essential that more interventions are developed for and with Community Mental Health (CMH) settings given they are among the largest mental health service providers in the United States and deliver the majority of SSD care. Testing this modified cognitive-behavioral suicide prevention-focused intervention has potential for public health impact by increasing the intervention’s utility and usability in CMH and ultimately working towards reductions in premature suicide death.",
      "authors": "Lindsay A. Bornheimer; Nicholas Brdar; Maura Campbell; Cheryl King; Stephan Taylor; Joseph Himle; Timothy Florence",
      "author_ids": "114170; 126265; 127336; 122158; 124630; 129704; 124629",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3596981125,
        "prompt_eval_count": 1563,
        "eval_count": 24
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      "screened_at": "2026-08-02T19:00:56.442043+00:00"
    },
    {
      "input_index": 1914,
      "record_key": "SSWR:2026-O-0023",
      "source_database": "SSWR",
      "record_id": "2026-O-0023",
      "year": 2026,
      "title": "A Commotion in the Mind: Moral Injury, Stoicism, and Suicide Risk in US Military Veterans",
      "abstract": "Background: Despite numerous public health interventions and resources, suicide rates among U.S. military veterans have continued to rise. Recent estimates of suicide deaths among veterans are as high as 17.6 deaths by suicide per day—double that of their civilian counterparts. This persistent crisis underscores the need to explore new psychological and philosophical frameworks that may serve contribute to veteran suicide prevention efforts. One emerging area of interest is the relationship between moral injury—a psychological consequence of transgressing deeply held moral values—and stoicism, a philosophical tradition emphasizing resilience, self-discipline, and acceptance. This study examines associations between moral injury, stoicism, and suicide risk among U.S. veterans. Methods: This study employed a cross-sectional survey design with a diverse sample of veterans (n=3,176), including both Veterans Health Administration (VHA) service users and non-users, a subgroup understudied in the veteran’s behavioral health literature. A latent variable modeling approach was employed to test associations between moral injury, stoicism, and suicide risk. First, confirmatory factor models established factor structure and factor loadings for latent variables. Second, a structural equation model (SEM) was fitted to examine direct effects for moral injury on stoicism and suicide risk, the direct effect for stoicism on suicide risk, and the indirect effect for moral injury on suicide risk through the stoicism pathway. Demographic covariates included age, gender, race/ethnicity, marital status, and educational attainment. Results: The SEM showed good model fit to the data (CFI = 0.91, TLI = 0.89, RMSEA = 0.06). As hypothesized, moral injury was negatively associated with stoicism (B= -0.32, SE=0.02, p<0.001) and positively associated with suicide risk (B = 0.26, SE = 0.03, p < .001). Stoicism was negatively associated with suicide risk (B = -0.26, SE = 0.03, p < .001). We also detected a significant indirect effect for moral injury on suicide risk through the stoicism pathway suggesting stoicism buffered the relationship between moral injury and suicide risk (B = 0.10, SE = 0.01, p < .001). Among demographic variables, younger age, lower education levels, and being unmarried were associated with higher suicide risk. Conclusions and Implications: This is the first study to examine stoicism as a potential buffering factor in the relationship between moral injury and suicide risk among veterans. While moral injury contributes to suicidality through mechanisms such as guilt, shame, and loss of meaning, stoicism may mitigate these effects by fostering emotion regulation, values-based action, and acceptance of uncontrollable circumstances. These findings suggest that stoicism could be a culturally and philosophically congruent construct informing suicide prevention efforts in veteran populations. Future work should seek to clarify the stoicism construct and examine its potential for modification in military-connected populations.",
      "authors": "Nicholas U. Barr; Carl A. Castro; Kathleen McNamara",
      "author_ids": "114068; 114665; 116927",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3548884625,
        "prompt_eval_count": 1559,
        "eval_count": 24
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      "screened_at": "2026-08-02T19:00:59.992421+00:00"
    },
    {
      "input_index": 1915,
      "record_key": "SSWR:2026-F-0009",
      "source_database": "SSWR",
      "record_id": "2026-F-0009",
      "year": 2026,
      "title": "A Machine Learning Analysis of Socio-Ecological and Psychological Risk Factors for Suicide Among a Nationally Representative Sample of Ghanaian Junior High School Students",
      "abstract": "Background and Purpose: Suicide among adolescents is a critical global public health issue, particularly in low- and middle-income countries (LMICs) like Ghana, where mental health resources are scarce. Despite the growing recognition of adolescent suicide as a pressing concern, traditional methods for identifying suicide risk often fail to capture the complex interplay of socio-ecological and psychological factors. The advent of artificial intelligence (AI) and machine learning (ML) offers a transformative opportunity to improve suicide risk prediction and intervention strategies. This study aims to utilize AI/ML techniques to analyze socio-ecological and psychological risk factors for suicide among a nationally representative sample of Ghanaian junior high school students, offering culturally relevant, data-driven insights for targeted interventions. Methods: A cross-sectional survey was conducted with 1,703 junior high school students aged 12–18 years from rural, peri-urban, and urban areas across Ghana. Data on psychological factors (e.g., depression, anxiety) and socio-ecological factors (e.g., bullying, parental support) were collected using validated measures. Descriptive statistics, chi-square tests, and t-tests were used for preliminary analyses, while Random Forest and Logistic Regression models were employed for suicide risk prediction. Model performance was evaluated using accuracy, sensitivity, specificity, and feature importance analysis. Results: Psychological factors such as depression (r = .42, p < .01), anxiety (r = .38, p < .01), and perceived stress (r = .35, p < .01) were the strongest predictors of suicide risk, while parental support emerged as a significant protective factor (r = –.34, p < .01). The Random Forest model demonstrated good predictive performance (accuracy = 78.3%, AUC = 0.81). Gender differences were observed, with female students reporting higher levels of psychological distress than males. Conclusions and Implications: This study is the first to apply AI/ML techniques to a nationally representative dataset of Ghanaian adolescents for suicide risk prediction. The findings highlight the critical role of psychological and socio-ecological factors in shaping suicide risk and underscore the potential of AI/ML to provide scalable, precise tools for early identification of at-risk individuals. These insights can inform culturally relevant, evidence-based interventions to reduce adolescent suicide in Ghana and other LMICs.",
      "authors": "Enoch Azasu; Elizabeth Ali",
      "author_ids": "123341; 125520",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Flash",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3296028167,
        "prompt_eval_count": 1420,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T19:01:03.290628+00:00"
    },
    {
      "input_index": 1917,
      "record_key": "SSWR:2026-P-0175",
      "source_database": "SSWR",
      "record_id": "2026-P-0175",
      "year": 2026,
      "title": "A Systematic Review Examining the Relationship between Debt and the Mental Health Outcomes of Anxiety, Depression and Suicidality within the United States",
      "abstract": "Background and Purpose: In the United States, debt is a pervasive aspect of household finances, with over 77% of families with debt, including mortgages, credit cards, student loans, or medical debt (Aladangady et al., 2023). While debt is commonly examined in the context of financial and economic wellbeing, a growing body of literature explores its potential impact on mental health. Evidence is mixed: in some instances, debt is associated with increased risk of depression, anxiety, and suicidality, while in other cases, the relationship is less clear. Emerging research also suggests that different types of debt may exert differential effects on specific mental health outcomes. However, there has been no comprehensive review of the relationship between debt, depression, anxiety , and suicidality. This gap is problematic because without a synthesized understanding of how debt influences mental health, particularly across different debt types and mental health outcomes, interventions and policies may fail to address key drivers of psychological distress. This systematic review addresses that gap by examining the associations between debt and depression, anxiety, and suicidality. Methods: Following PRISMA guidelines, we systematically searched PsycINFO, SCOPUS, and Web of Science using keywords and synonyms for debt, depression, anxiety, and suicidality. Inclusion criteria required adult samples, quantitative results, and statistical association between debt and mental health outcomes. Two team members reviewed studies, with discrepancies resolved by a third. Results: Our search yielded 3,266 unique results for abstract screening. Of these, 235 studies were reviewed in full, and 40 were included in the final sample. Most were cross-sectional, utilized secondary data, and applied regression-based analysis. Debt types varied ; most studies used a summative measure of multiple forms of debt such as credit card, educational, mortgage, medical, and personal loans. Key findings included: 1) a strong positive association between debt and anxiety, depression, and/or suicidality; 2) u nsecured debts—such as credit card debt, payday loans, and medical bills—were most consistently associated with adverse outcomes ; . 3) secured debts like mortgages may act as protective factors, while educational debt, though often secured, was consistently linked to poorer mental health; and 4) financial stress and perceived strain mediated the relationship between debt and mental health, shaping individual responses to debt burden. Financial stress appears to be a key pathway linking debt to mental health outcomes. Conclusions/Implications: Multiple forms of unsecured debt had the most significant negative impact on mental health. Additionally, according to our findings, specific populations—young adults, veterans, older adults, and low-income families—experienced disproportionate debt-related distress. Our findings underscore the need for tailored policy responses that address both structural and individual risk factors to reduce the mental health burden of debt—particularly unsecured debt and its disproportionate impact on vulnerable populations. Future research should prioritize longitudinal and mixed-methods studies to explore causal pathways and lived experiences of indebted individuals.",
      "authors": "Kendra Rooney; Saige M. Addison; Lauren Gil Hayes; Chabli Hodge; Andrea Wilson; Crys Carman; Aislinn Conrad",
      "author_ids": "122086; 126285; 127980; 128194; 128195; 128196; 120390",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "review",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Review"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3539785000,
        "prompt_eval_count": 1550,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T19:01:10.621036+00:00"
    },
    {
      "input_index": 1919,
      "record_key": "SSWR:2026-U-0196",
      "source_database": "SSWR",
      "record_id": "2026-U-0196",
      "year": 2026,
      "title": "Adverse Childhood Experiences and Suicide Attempts Among High School Students: The Mediating Effects of Peer Victimization and Depression By Sex",
      "abstract": "Background Adolescents in the U.S. are at the highest risk of suicide. Peer victimization and depression have been identified as significant contributors to suicide attempts. Adolescents exposed to adverse childhood experiences (ACEs), such as abuse, neglect, or household dysfunction, are at even greater risk. Although research has established an association between ACEs and suicide attempts among adolescents, few studies have examined indirect influences of peer victimization and depression or whether the pathways from ACEs to suicide attempts differ by sex, although sex differences in ACEs, victimization, and mental health outcomes have been well-documented. Guided by the ecological systems perspective, this study examined the direct and indirect effects of ACEs on suicide attempts through four types of peer victimization and depression. The study also tested sex differences in these associations. Methods Data were drawn from the 2023 Youth Risk Behavior Survey. The final sample included 9,325 high school students in grades 9–12, after excluding cases with missing values (female 48.9%, male 51.1%; White 44.4%, Multiracial 26.2%, Black 11.5%, other 12.8%, Hispanic/Latino 5.1%). In the mediation path model, the exogenous variable was a composite score of eight binary ACE items: sexual abuse, emotional abuse, physical abuse, witnessing intimate partner violence, physical neglect, household substance abuse, household mental illness, and parental incarceration or detention. Mediators include four types of peer victimization (school bullying, cyberbullying, physical dating violence, and sexual dating violence) and depression. The endogenous variable was suicide attempts. Path analysis was conducted using Mplus 8.0 to examine both direct and indirect associations in the model. A group invariance test was also performed to compare these associations by sex. The path model demonstrated good fit (χ 2 = 468.48, p < .001, CFI = .95, TLI = .92, RMSEA = .04). Results Overall, females ( M = 2.77) had significantly higher average ACE scores than males ( M = 2.03), and a higher percentage of females experienced four or more ACEs (31% vs. 15.7%). Path analysis revealed a direct effect of ACEs on suicide attempts among high school students, with a stronger influence observed in females. Additionally, all four types of peer victimization and depression significantly mediated the relationship between ACEs and suicide attempts for both sexes. Notably, the indirect effects of ACEs on suicide attempts through sexual dating violence victimization and depression were stronger for males. Implication/Conclusions The findings highlight that ACEs are a serious public health concern given their impact on adolescent mental health problems through peer victimization. A key starting point is to advance ACE-related research using robust measures and rigorous methodologies to provide a foundation for effective prevention and intervention efforts. These results also underscore the need for gender-specific, trauma-informed interventions in school and community settings. Prevention strategies should prioritize the early identification of ACEs and address peer victimization and mental health, particularly depression. For males, targeted support addressing dating violence and its psychological impact is essential.",
      "authors": "Youn Kyoung (Lily) KIM; Jun Sung Hong; Rachel Pounders; Jessica Wilkes; Sean Brune; Miyoun Yang",
      "author_ids": "113286; 110327; 124759; 127359; 125770; 109270",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3582742750,
        "prompt_eval_count": 1608,
        "eval_count": 24
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      "screened_at": "2026-08-02T19:01:17.778191+00:00"
    },
    {
      "input_index": 1920,
      "record_key": "SSWR:2026-P-0645",
      "source_database": "SSWR",
      "record_id": "2026-P-0645",
      "year": 2026,
      "title": "Analysis of Socioeconomic Status on Behavioral Health in American Indian and Alaska Native (AI/AN) Populations: Examining Stress As a Moderator and Traditional Cultural Coping Practices to Mitigate Adverse Outcomes",
      "abstract": "Background : Research shows that AI/ANs have a lower life expectancy and quality of life compared to others, facing higher rates of chronic diseases and behavioral health issues. A national study indicated psychiatric disorders, particularly PTSD and substance use disorders, are more common among AI/ANs than non-Hispanic Whites (Soto et al., 2022). Socioeconomic determinants, like education and income, likely contribute to these increased issues. Socioeconomic status (SES), which includes income, education, occupational prestige, and social class perceptions, impacts quality of life and predicts health outcomes. Material resources define objective SES, while subjective SES reflects perceived position, influenced by income, education, and sometimes occupation status (Coustaury et al., 2023). This study examines subjective SES with household income and education as predictor variables. Socioeconomic challenges, among others, undermine cultural resilience in AI/ANs, worsening mental health disparities and heightening substance use and stress. Richardson et al. (2024) reported an increase in substance use during the COVID-19 pandemic; however, data on the impact of stress and how traditional coping practices mitigate disparities are limited. This study will examine SES, suicidal ideation, mental health issues (including depression and anxiety), and substance use (such as alcohol, tobacco, marijuana, and non-medical prescription drugs) in the AI/AN population during the pandemic. Methods : A total of 8,877 adults identifying as AI/AN were surveyed via the National Native American COVID-19 Needs Assessment (NACA) in 2021. This survey was conducted utilizing a Qualtrics platform, and a snowball sampling method was employed in collaboration with AI/AN stakeholders. The assessment examined various factors, including demographics, sources of COVID-19 pandemic stress, coping strategies, suicidal ideation, and behavioral health. Results : At least 42% reported pandemic-related stress across all income and education levels, but those earning less than $50,000 utilized traditional coping methods more than those earning $50,000. Ordinal logistic regression showed that AI/ANs with a household income of $50,000 or more and an associate or technical degree have an 8% lower likelihood of experiencing depression and a 12% lower likelihood of reporting pandemic-related stress compared to those with a H.S. diploma or GED (p< 0.05). However, they face a 23% greater likelihood of increased alcohol and non-medical prescription drug use due to pandemic-related stress (p< 0.05). Conversely, AI/ANs with an income of less than $50,000 and an H.S. diploma/GED or less have a 14% lower likelihood of suicidal ideation (p< 0.05). Still, this gap lessens by 15% (p< 0.05) with traditional cultural coping practices compared to those who do not practice them. Conclusions : During the COVID-19 pandemic, AI/ANs with higher household incomes reported increased levels of depression, substance use, and suicidal ideation compared to those with lower incomes. In addition, AI/ANs with higher incomes and bachelor’s degrees or higher reported fewer traditional coping practices and experienced greater stress. This research highlights the need for culturally responsive interventions and further studies on behavioral health disparities in the AI/AN community, particularly for a more nuanced understanding of the effects of household income and education.",
      "authors": "Matthew Frank; David Huh; Amelia R. Gavin; Karina Walters",
      "author_ids": "121540; 126752; 109846; 111095",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "eval_count": 24
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      "screened_at": "2026-08-02T19:01:21.522436+00:00"
    },
    {
      "input_index": 1921,
      "record_key": "SSWR:2026-U-0518",
      "source_database": "SSWR",
      "record_id": "2026-U-0518",
      "year": 2026,
      "title": "Anti-Transgender Legislation and Its Implications for Social Work: A Systematic Review",
      "abstract": "Background and Purpose: Within the first 14 weeks of 2025, a staggering 70 anti-transgender bills were introduced across 21 states, and 5 federal Executive Orders (EOs) restricting the rights of transgender people were signed. These policies have significant adverse effects; they are linked to increased rates of homicide and poor physical and mental health outcomes for transgender people. Notably, they exacerbate the mental health inequities experienced by transgender (vs. cisgender) people. Most anti-transgender policies target youth; however, little is known about how these policies affect the 5.5% of youth who are transgender or questioning their gender. Additionally, we are unaware of studies exploring the recent EOs' immediate impact. To fill this gap, this study integrates findings from (a) a systematic review and (b) a qualitative study of transgender youth, parents of transgender youth, and mental health providers just 2 months after the first anti-transgender EO was signed. Methods: We conducted a systematic review following PRISMA guidelines to search APA PsycINFO, ERIC, Proquest Political Science, PubMed, Scopus, Social Services Abstracts, and Sociological Abstracts for peer-reviewed journal articles published in English testing the association between state-level anti-transgender policies and transgender youth mental health. Papers were screened for eligibility, assessed for their risk of bias, and synthesized. To better understand the distinct effects of the 2025 anti-transgender EOs, we conducted a self-administered online survey of transgender youth (N=5), the parents of transgender youth (N=4), and mental health providers of transgender youth (N=31). The measure assessed how the sociopolitical climate of the first quarter of 2025 affected transgender youth, their parents, and their mental health providers, along with what supports were necessary. We qualitatively coded the results and conducted a thematic analysis to identify the effects of anti-transgender legislation and desired support. Results: The systematic review yielded 5,842 records, 14 of which were included in the final sample. The records were published between 2020 and 2025, with half of them published between 2024 and 2025, reflecting the recent exponential growth of proposed and enacted anti-transgender policies. Six of the records utilized qualitative methods, 5 used quantitative methods, and 3 used mixed methods. Anti-transgender policies were consistently found to be associated with negative mental health outcomes, with depression and suicidality being the most commonly assessed outcomes. The qualitative survey enriched this study by providing vital insight into the concerns and needs of transgender youth, their parents, and their mental health providers as they navigate the recent and rapid anti-transgender policy changes at the federal level. For example, as a result of the EOs, previously supportive parents shifted their stance on their child’s gender-affirming goals, and providers worried about the legal ramifications of providing gender-affirming care. Conclusions and Implications: Anti-transgender policies adversely affect transgender youth, their parents, and their providers. Social workers can lead transformative change by leaning on their ethics and values to integrate research, practice, and policy work to challenge anti-transgender legislation and mitigate the harm they cause.",
      "authors": "Patrick Mulkern; Caelyn Nordman; Madelaine Condon; Maggi Price",
      "author_ids": "129175; 129176; 129177; 124883",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "mixed_methods",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Review"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3627592042,
        "prompt_eval_count": 1601,
        "eval_count": 24
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      "screened_at": "2026-08-02T19:01:25.151743+00:00"
    },
    {
      "input_index": 1922,
      "record_key": "SSWR:2026-U-0368",
      "source_database": "SSWR",
      "record_id": "2026-U-0368",
      "year": 2026,
      "title": "Applying the Interpersonal Theory of Suicide to Middle Childhood: A Longitudinal Analysis Using the ABCD Study",
      "abstract": "Background: Suicide rates among children aged 5 to 11 years in the United States have increased over the past decade, with suicide now ranking as the eighth leading cause of death in this age group. Despite this concerning trend, most empirical research on suicidality has focused on adolescents and young adults, leaving early childhood relatively understudied. Similarly, prominent theories such as the Interpersonal Theory of Suicide (IPTS) have been extensively validated in older populations but remain largely untested among younger children. Given developmental differences, it is unclear whether key IPTS constructs—such as thwarted belongingness and acquired capability for suicide—manifest similarly in younger cohorts. This study provides a preliminary examination of these constructs using developmentally appropriate proxies within a large, nationally representative cohort of U.S. youth. Specifically, it evaluates whether early experiences of school connectedness and exposure to life stressors prospectively predict suicidal ideation, acquired capability for suicide, and subsequent suicide attempts over time. Method: Data were drawn from baseline, Wave I, and Wave II (2017–2020) of the Adolescent Brain Cognitive Development (ABCD) Study, a nationally representative U.S. cohort (n = 11,878; 48% female). Structural equation modeling (SEM) was used to examine longitudinal trajectories of suicidal ideation and suicide attempts, using constructs derived from the IPTS, specifically thwarted belongingness and acquired capability for suicide. Thwarted belongingness was modeled as a latent factor comprising school environment, school involvement, and school disengagement indicators at baseline. Suicidal ideation was assessed at Wave I and suicide attempts was assessed at Wave II through clinical indicators of past or present diagnoses, while acquired capability for suicide was measured at Wave I using a latent construct of life stressors (family strain, friendship loss, health stressors, and financial difficulties). Covariates included sex, race/ethnicity (White [reference], Black, Asian, American Indian/Native, and other), and household income. Results: Model fit indices indicated good fit (RMSEA = 0.023; CFI = 0.93; TLI = 0.92). Males had a negative association with belongingness (b = -0.653), while Black and Latinx youth reported higher associations with belongingness relative to White youth. Belongingness was negatively associated with suicidal ideation (b = -0.134), and suicidal ideation was positively associated with both capability for suicide (b = 0.155) and suicide attempts (b = 0.496). Capability for suicide at Wave I was significantly associated with suicide attempts at Wave II (b = 0.487). Indirect effects showed that belongingness predicted suicide attempts through suicidal ideation (b = -0.067), but not through capability. Suicidal ideation also indirectly predicted suicide attempts via capability for suicide (b = 0.027). Conclusion and Implications: Findings provide initial empirical support for applying the IPTS to middle childhood. Thwarted belongingness predicted using a life stressors suicidal ideation, which increased acquired capability for suicide and risk for suicide attempts over time. Results highlight the importance of promoting early social connectedness to reduce suicide risk. Interventions targeting school belongingness and early life stressors may prevent progression from suicidal thoughts to behaviors. Future research should refine IPTS constructs for younger populations and examine long-term trajectories into adolescence.",
      "authors": "Brittney Singletary; Tamika D. Gilreath; Michael A. Lindsey",
      "author_ids": "121178; 111773; 109175",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3580279542,
        "prompt_eval_count": 1652,
        "eval_count": 24
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      "screened_at": "2026-08-02T19:01:28.733825+00:00"
    },
    {
      "input_index": 1924,
      "record_key": "SSWR:2026-P-0769",
      "source_database": "SSWR",
      "record_id": "2026-P-0769",
      "year": 2026,
      "title": "Balancing Suicide Prevention Safety, Healing, and Wellness within Inpatient Psychiatric Care: Perspectives about Safety Measures, Unit Design, and Programming",
      "abstract": "Background and Purpose : Suicide remains a pressing public health concern and inpatient psychiatric units are common places for individuals with suicide thoughts and behavior to engage in care. Therefore, these settings serve as important environments for suicide prevention with opportunities for mental health professionals to assess risk and deliver interventions aiming to reduce risk and suicide outcomes. Although greater focus has been placed on patient safety and unit suicide prevention over the past decades, little research has focused on patients’ perspectives of safety measures and associated impact on the overall healing and therapeutic nature of the psychiatric inpatient environment. Beyond risk management and mitigation, inpatient environments must also aim to foster wellness and therapeutic practices, while simultaneously upholding the dignity and autonomy of patients. This study aimed to explore perceptions and environmental experiences in relation to suicide safety among patients admitted to an adult inpatient psychiatric unit. Methods : A total of 50 adults within 48 hours of discharge from an inpatient psychiatric unit gave informed consent to engage in a brief survey and qualitative interview with trained research staff. Questions pertained to perceptions and experiences in an inpatient psychiatric environment, with particular focus on public and private spaces on the unit. Clinical and demographic characteristics were explored quantitatively in SPSS, and qualitative data were analyzed using an open coding technique in Dedoose. Results : Most participants were hospitalized in relation to the experience of suicide ideation or attempt (n=41, 82%). The majority endorsed satisfaction with the healing and or/therapeutic nature of the unit (n=44, 88%), including art programming. Patients overall perceived the unit to be very safe (n=39, 78%) from a suicide prevention standpoint. Qualitative themes that emerged from patient interviews included the unit’s physical/environmental space (e.g., pleasant wall color), patient access (e.g., visitors), programming and policies (e.g., art activities), clinical care (e.g., addressing root issues), unit culture and values (e.g., inclusion), and staff/interpersonal interactions (e.g., attentive staff). Conclusions and Implications : An overarching aim in this work is to conduct research in this area where there is minimal literature to better align social work science with mental health practice. All themes represent the unit’s values placed on safe expression, comfort, privacy, and agency. Findings emphasize implications that patients validated and appreciated the importance suicide prevention and risk management in inpatient care, in addition to perceived wellness-focused programming to promote both healing and safety, particularly art activities. Inpatient psychiatric units should consider more ways to incorporate wellness-based groups/activities in programming that both enhance the therapeutic and healing experience for patients and help them feel more comfortable from a suicide safety standpoint.",
      "authors": "Nicholas Brdar; Lindsay A. Bornheimer; Alice Liu; Melissa Spencer; Andrew Wylie; Nidhi Tigadi; Alexandra Kelter; Maura Campbell; David Im",
      "author_ids": "126265; 114170; 129399; 129400; 127312; 127310; 129401; 127336; 129402",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "mixed_methods",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3324599625,
        "prompt_eval_count": 1479,
        "eval_count": 24
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      "screened_at": "2026-08-02T19:01:35.784070+00:00"
    },
    {
      "input_index": 1925,
      "record_key": "SSWR:2026-P-0891",
      "source_database": "SSWR",
      "record_id": "2026-P-0891",
      "year": 2026,
      "title": "Behind the Statistics: What Drives Suicide Risk in Asian American Emerging Adults?",
      "abstract": "Background and Purpose: Asian American emerging adults (AAEAs) face significant mental health challenges due to the intersection of cultural and developmental factors (Arnett, 2015; Chu et al., 2010). According to statistics published by the CDC, suicide is the second leading cause of death in AAEAs aged 18–30, and they are disproportionately affected by suicidal thoughts and behaviors (STBs) compared to other age groups (Goodwill & Zhou, 2020; Varma et al., 2021). Although existing research has examined risk factors across individual, interpersonal, family, and societal levels, studies that integrate these multilevel influences remain limited. This study aimed to investigate the combined effects of risk factors at all four levels on STBs among Asian American emerging adults. Methods: A national online survey was conducted with 349 Asian American emerging adults, recruited via CloudResearch’s Connect platform. The survey, hosted on Qualtrics, consisted of approximately 170 questions and took an average of 15 minutes to complete. Participants self-identified as Chinese (37%), Vietnamese (18%), Filipino (15%), Indian (12%), Korean (11%), Japanese (4%), or other Asian ethnicity (3%). Gender identities included male (49%), female (47%), and other (4%). The average age was 24.3 years (SD = 3.17). Most participants (81%) had experienced at least one recent stressful life event; 31% reported a mental illness diagnosis, 39% had received mental health treatment, and 5% had been hospitalized for a mental health condition. All variables, except four demographic items, were assessed using validated standardized instruments, including the Suicide Behaviors Questionnaire–Revised, Kessler Psychological Distress Scale, Unbearable Psychological Pain Scale, Asian Parenting Scale, Riverside Acculturation Stress Inventory, Everyday Discrimination Scale, and Interpersonal Needs Questionnaire. Results: Hierarchical regression models predicting STBs were built in five steps: demographic factors (step 1), individual-level factors (step 2), interpersonal factors (step 3), family-level factors (step 4), and societal-level factors (step 5). Model fit improved significantly at each step except step 4. Significant predictors in step 1 included being Filipino (vs. Chinese; b = 1.59, p = .002) and identifying as homosexual (vs. heterosexual; b = 1.83, p = .021). In step 2, non-suicidal self-injury (b = 2.35, p < .001), binge drinking (b = –.35, p = .05), smoking (b = 1.02, p = .02), prior mental health treatment (b = .98, p = .01), and psychological pain (b = .87, p < .001) were significant. In step 3, thwarted belongingness was significant (b = .31, p = .03). No family-level variables were significant in step 4. In step 5, everyday discrimination was significant (b = -.50, p = .02). The final model explained 48% of the variance in STBs, with individual-level factors being most significant. Conclusions and Implications: This study highlights the multifaceted nature of suicidal thoughts and behaviors among Asian American emerging adults, with individual-level factors such as psychological pain and self-injury contributing most strongly. These findings underscore the need for comprehensive, culturally responsive interventions that address individual distress alongside interpersonal challenges, discrimination, and minority stress. Integrated, multilevel approaches to suicide prevention may be especially effective for this underserved population.",
      "authors": "Yong Li",
      "author_ids": "111903",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3870085750,
        "prompt_eval_count": 1720,
        "eval_count": 24
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      "screened_at": "2026-08-02T19:01:39.656427+00:00"
    },
    {
      "input_index": 1928,
      "record_key": "SSWR:2026-P-0248",
      "source_database": "SSWR",
      "record_id": "2026-P-0248",
      "year": 2026,
      "title": "Breaking the Spiral of Silence : Addressing Suicide Item Non-Response through Equity-Informed Mental Health Policy",
      "abstract": "Background Suicide-related items in mental health surveys are vital for understanding risk, yet response rates remain low, leading to data bias and underrepresentation of vulnerable groups. This study focuses on two key factors shaping students’ response behavior: racial/ethnic background and experiences of discrimination. Grounded in Noelle-Neumann’s Spiral of Silence Theory (1974), which suggests that fear of isolation suppresses the expression of stigmatized views, the study conceptualizes suicide item non-response as a psychosocial coping mechanism. Marginalized students—especially those exposed to racial/ethnic discrimination—may perceive suicide questions as emotionally risky and choose not to respond. This study explores how race/ethnicity, age, sex assigned at birth, and perceived discrimination affect non-response patterns. Additionally, it examines how school-level contextual variation contributes to these behaviors. The research questions are as follows: How does race/ethnicity influence suicide item non-response? What roles do age and sex assigned at birth play in non-response? How does perceived racial discrimination shape suicide item non-response? Methods Data for this study were drawn from the 2023–2024 U.S. National Mental Health Survey, including 88,221 college students from institutions nationwide. Suicide item non-response was measured as a binary outcome. Independent variables included race/ethnicity, age, sex assigned at birth, and self-reported experiences of racial/ethnic discrimination. Generalized Linear Mixed Models were used to assess effects at both individual and school levels through four sequential models, accounting for contextual variation across educational environments. Results The analysis showed that between-school variance in suicide item non-response decreased from 0.403 in the Null Model to 0.202 in the final model, and the intraclass correlation coefficient (ICC) declined from 0.031 to 0.008. This indicates that non-response is more influenced by individual-level characteristics than institutional differences. Regarding race and ethnicity, students identifying as Black (OR = 1.586), Asian (OR = 1.226), Hispanic (OR = 1.171), and Other (OR = 1.337) were significantly more likely to skip suicide-related items compared to White students. Age was inversely associated with non-response; older students were less likely to skip these items (OR = 0.971, p < .001). Sex assigned at birth was not a statistically significant predictor in the final model (OR = 0.998). Most notably, students who reported experiencing racial or ethnic discrimination had a significantly higher likelihood of skipping suicide questions (OR = 1.183, p = 0.006). These findings suggest that non-response to suicide-related items may reflect a protective behavioral response to anticipated stigma or judgment, especially among racially and ethnically minoritized groups. Conclusion This study demonstrates that experiences of racial discrimination are significantly associated with suicide item non-response, particularly among students from minoritized racial/ethnic groups. Such non-response may not reflect disinterest or survey fatigue but rather a self-protective reaction to anticipated stigma or social judgment. These findings underscore the need for mental health surveys that ensure psychological safety, address structural inequities, and apply context-sensitive strategies. This research supports SSWR 2026’s theme by advancing more inclusive, equity-focused data collection and mental health research practices.",
      "authors": "Sangmi Kim; William R. Nugent",
      "author_ids": "126247; 108960",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3702022375,
        "prompt_eval_count": 1632,
        "eval_count": 24
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      "screened_at": "2026-08-02T19:01:50.988409+00:00"
    },
    {
      "input_index": 1929,
      "record_key": "SSWR:2026-F-0076",
      "source_database": "SSWR",
      "record_id": "2026-F-0076",
      "year": 2026,
      "title": "Caring While in Crisis: The Mental Health Toll of Medical Debt Among Healthcare Workers",
      "abstract": "Background and Purpose: Medical debt is a widespread and inequitable burden in the U.S., linked to financial insecurity, housing instability, and poor mental health outcomes such as depression, anxiety, and suicidal ideation (Collins et al., 2023; Han et al., 2024; Kluender et al., 2024; Wiltshire et al., 2020). While existing research has focused primarily on patients, less attention has been given to healthcare workers, many of whom ironically experience medical debt despite working in healthcare themselves and having employer-provided insurance (Himmelstein & Tsai, 2024; Kim et al., 2024). This study examines the extent of medical debt among hospital workers in Southwest Pennsylvania and investigates how the presence of debt is associated with mental health outcomes. Methods : Data were collected from 1,466 nurses, service, and technical workers employed in hospitals in Southwest Pennsylvania, through an online survey administered via Qualtrics in March 2022. The purposive sample included unionized and non-unionized workers, recruited through union outreach. The explanatory variable was medical debt status (having medical debt or not). Outcome variables included mental health outcomes (e.g., depression, anxiety, suicidal ideation, PTSD, professional quality of life (PROQOL)—burnout, secondary traumatic stress, and compassion satisfaction). Covariates used in propensity score matching (PSM) included sociodemographic characteristics (e.g., age, gender, education, race, marital status), material hardship variables, general health. PSM was applied to match workers with and without medical debt on these covariates to reduce potential biases. To examine the effects of medical debt on the outcomes, multivariate regression models were applied, incorporating the matching weights and all covariates. Results : One-third of the 1,466 hospital workers surveyed reported medical debt, most owing between $100 and $5,000 and carrying it for less than two years. Those with medical debt were more likely to be women, people of color, parents, and lower-income earners. They also reported greater material hardship and worse mental health outcomes, including higher rates of depression, anxiety, suicidal ideation, burnout, and secondary traumatic stress. Propensity score matching (PSM) achieved covariate balance between groups, reducing bias and eliminating significant baseline differences. Multivariate models using matching weights and covariates showed that medical debt was significantly associated with suicidal ideation (ATT=.070, 95% CI: [0.019, 0.121], p=.007), PTSD (ATT=.090, 95% CI: [0.017, 0.163], p=.015), and higher levels of burnout (ATT=.029, 95% CI: [0.001, 0.057], p=.043) and secondary traumatic stress (ATT=.070, 95% CI: [0.011, 0.130], p=.021). Conclusions and Implications : This study highlights the widespread and persistent nature of medical debt among hospital workers and its strong association with poor mental health outcomes, including suicidal ideation, PTSD, burnout, and secondary traumatic stress. The findings point to the urgent need for targeted policy reforms and workplace interventions that address both the financial and psychological toll of medical debt. Key steps include expanding access to affordable healthcare, improving the quality of employer-sponsored insurance, and providing timely, confidential mental health and financial support within hospital systems. Future research should examine the long-term effects of medical debt and evaluate the effectiveness of interventions aimed at preventing its accumulation and mitigating its consequences.",
      "authors": "Jihee Woo; Hollen Tillman; Kess Ballentine; Jeffrey Shook; Sara A. Goodkind",
      "author_ids": "119090; 129694; 118857; 109275; 108215",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Flash",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3841121375,
        "prompt_eval_count": 1719,
        "eval_count": 24
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      "screened_at": "2026-08-02T19:01:54.831148+00:00"
    },
    {
      "input_index": 1930,
      "record_key": "SSWR:2026-P-0780",
      "source_database": "SSWR",
      "record_id": "2026-P-0780",
      "year": 2026,
      "title": "Characterizing Online Activities Contributing to Suicide Mortality Among Youth",
      "abstract": "Background and Purpose. Suicide is the third leading cause of death among youth ages 10 - 24 in the U.S.A. In his 2021 advisory, the U.S. Surgeon General identified social media as a key factor in recent declines in youth mental health, as research links higher use of social media, longer screen times, and harmful online activities (e.g., cyberbullying) with youth suicide ideation. However, it remains unclear which online behaviors are linked with higher risk of youth suicide deaths . Since the population who die by suicide has different characteristics than those expressing suicidal ideation (e.g., gender, means of death), it is important to study factors related to suicide death as an epidemiologically distinct phenomenon. However, it is difficult to link information about social media usage to death records. Methods. Our mixed-methods approach responds to this challenge by developing a set of themes focused on risk factors for suicide mortality in online digital spaces and a framework to model these themes at scale. To analyze online activities among youth who have died by suicide, we use the NVDRS registry of suicide deaths in the U.S.A. NVDRS data include a narrative summary of the law enforcement and medicolegal investigations into each death. We analyze online activities described in 29,124 narratives among youth ages 10 to 24 in a ten year period when social media use among youth was high, from 2013 through 2022. First, our team of eight authors conducted a thematic analysis on these NVDRS narratives. We started with an inductive approach to describe online activities in the narratives, and then grouped these descriptions into 13 themes aligned with two suicide theories. Next, we prompted a large language model, Llama3.1-8B-Instruct, to detect each of these themes in NVDRS narratives. We developed a novel prompting approach to classify decedents' online engagement in the narratives and evaluated the performance of the LLM against 595 cases labeled by the authors. Using this data, we examined the demographic, social, and contextual variables associated with a given social media experience to better understand trends related to social media and adolescent suicide. Results. The 13 themes were related to harm to self, harm to others, interpersonal interactions, and activity levels online. The most common themes were Disclosure (44% of online activities), Online Conflict (13%), and Suicidal Content Consumption (11%). We find that many themes are likely driven by the COVID-19 stay-at-home lockdowns, including a rise in problems with online school, intensifying of online activity, and online relationships during the pandemic period. We also find a connection between online activities and greater lethality of means, as using a firearm for means of death was positively associated with the presence of online activities in the decedent’s narrative. Conclusion. The broad range of behaviors captured by our themes suggests that there are several key points of intervention that are often overlooked in analyses of suicide risk online. Our work has implications for suicide prevention research in computational and policy domains.",
      "authors": "Aparna Ananthasubramaniam",
      "author_ids": "129355",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "mixed_methods",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3488494250,
        "prompt_eval_count": 1560,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T19:01:58.321992+00:00"
    },
    {
      "input_index": 1931,
      "record_key": "SSWR:2026-P-0894",
      "source_database": "SSWR",
      "record_id": "2026-P-0894",
      "year": 2026,
      "title": "Clinical and Demographic Associations of Interpersonal Trauma Experiences in a Real-World Early Psychosis Sample",
      "abstract": "Background and Purpose: People with early psychosis (EP) often report previous trauma exposure, including interpersonal trauma experiences (ITE), which refers specifically to trauma directly caused by another person. In this project, we examined the association between ITE, symptom severity, and demographic characteristics in a real-world sample of people with early psychosis (EP) engaged in coordinated specialty care (CSC) programs in Massachusetts. Methods: The Life Events Checklist (LEC-5) was completed by 232 people enrolled in CSC for EP. The median age for study participants was 23 years (IQR = 20-25) with most participants identifying as white (64%), non-Hispanic (77%), heterosexual (79%) men (65%). About 80% of participants reported having never received Supplemental Security Income (SSI) and that at least one parent received a bachelor’s degree or higher. Suicidal ideation (SI) was endorsed by approximately 41% of participants, with 44% reporting a mental health hospitalization within the past six-months. The median time in treatment at the time the LEC-5 was completed was two months (IQR = 1-15). Five LEC-5 items were used to create a weighted total ITE burden score (physical assault, assault with a weapon, sexual assault, other unwanted sexual experiences, captivity). Wilcoxon rank sum tests and chi-square tests were used to assess group differences. A linear model (LM) examined whether ITE burden was associated with higher Colorado Symptom Index (CSI) scores. Results: Overall, 95 people reported experiencing at least one ITE. The ITE group had significantly higher CSI total scores ( W = 4567, p = < .001), including on items of depression ( X 2 (4) = 17.941, p = < .001) and hallucinations ( X 2 (4) = 12.198, p = 0.01), than those reporting no ITE. The ITE group also reported significantly more SI ( X 2 (1) = 7.0484, p = 0.007) than those reporting no ITE. The groups differed significantly in gender ( X 2 (2) = 10.545, p = 0.005) and sexual orientation ( X 2 (1) = 25.938, p = < .001). No significant group differences were found for age, race, ethnicity, parental education, SSI, mental health hospitalizations, time in CSC, and social or occupational functioning. Our LM examining whether ITE burden was a significant predictor of CSI total scores was significant ( F (6, 136) = 15.63, p = < .001, adj. R 2 = 0.38); model covariates included our significant between group findings, as well as variables shown to be correlated with CSI scores (time in treatment, occupational functioning scores). Conclusions: Our findings suggest that ITE is associated with greater clinical severity in people with EP. Those reporting ITE in our sample were more likely to identify as women, non-binary, or non-heterosexual. Total ITE burden scores remained a significant predictor of symptom severity after controlling for SI, time in treatment, occupational functioning, gender, and sexual orientation. More research is needed to examine whether specific types of ITE are associated with specific clinical outcomes, and whether clinically significant ITEs have an impact on specific CSC outcomes or treatment trajectories for people with EP.",
      "authors": "Jamie Fischer",
      "author_ids": "120705",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3772785750,
        "prompt_eval_count": 1684,
        "eval_count": 24
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      "screened_at": "2026-08-02T19:02:02.096535+00:00"
    },
    {
      "input_index": 1932,
      "record_key": "SSWR:2026-P-0375",
      "source_database": "SSWR",
      "record_id": "2026-P-0375",
      "year": 2026,
      "title": "Coercion in Mobile Crisis: An Exploratory Factor Analysis of Eight Interventions",
      "abstract": "Background & Purpose : Police involvement in behavioral health crises (BHCs) can result in harmful, even fatal outcomes, for people in crisis. In response, the 988 Suicide & Crisis Hotline was launched in 2020 to redirect crisis calls from police to mental health professionals, including mobile crisis (MC) teams. While MC teams are framed as a safer alternative to police, they may still deploy coercive interventions. Presently, MC workers’ intervention decisions are poorly understood and their potential for reproducing harm via purportedly alternative interventions remains. As coercion in mental healthcare encompasses a wide variety of practices across diverse service contexts and jurisdictions, it is necessary to describe which interventions constitute coercion during MC response. Methods: We conducted secondary analysis of an experimental 2x2 factorial vignette survey examining the impact of race and prior-criminal legal involvement on MC workers’ use of involuntary hospitalization and calling the police in a national sample of MC workers ( n = 369). Participants were randomly assigned to one of four crisis vignettes. Language for each vignette was the same apart from independent variables. To assess stability of decision-making across varying levels of agitation, participants were presented low- and high-agitation scenarios and rated appropriateness, likelihood, and supervisor’s recommendation of deploying eight different interventions. Intervention endorsement was binarized (low vs. high endorsement) for de-escalation, referral to community-based services (CBS), voluntary crisis stabilization services (CSS), voluntary CSS with involuntary hospitalization if caller declined, involuntary hospitalization, calling specially-trained law enforcement, calling any law enforcement, and calling a support person/peer. We conducted exploratory factor analysis (EFA) with varimax rotation to group MC interventions in both low- and high-agitation scenarios. Results: Data suitability for EFA was confirmed via Kaiser-Meyer-Olkin and Bartlett’s testing. Scree plot analysis indicated two latent factors in both low- and high-agitation scenarios: coercive and collaborative interventions. In the low-agitation scenario, collaborative interventions included de-escalation (Factor Loading [FL]: 0.53), referral to CBS (FL: 0.68), and referral to CSS (FL: 0.60), while coercive interventions included voluntary CSS with involuntary hospitalization if caller declined (FL: 0.75), involuntary hospitalization (FL: 0.80), and calling specially-trained (FL: 0.70) or any law enforcement (FL: 0.73). In the high-agitation scenario, collaborative interventions included de-escalation (FL: 0.63), referral to CBS (FL: 0.70), referral to CSS (FL: 0.80), and pursuit of involuntary hospitalization if voluntary CSS were declined (FL: 0.48), while coercive interventions included pursuit of involuntary hospitalization if voluntary CSS were declined (FL: 0.59), involuntary hospitalization (FL: 0.75), and calling specially-trained (FL: 0.62) or any law enforcement (FL: 0.57). Conclusions and Implications: Across both scenarios, involuntary hospitalization and police involvement (specially-trained and general) were classified as coercive interventions, while collaborative interventions included de-escalation, referrals to CBS, and voluntary CSS. Voluntary CSS services with pursuit of involuntary hospitalization if caller declined cross-loaded onto both factors in the high-agitation scenario, highlighting ethical tensions providers experience: such interventions may increase immediate safety while also inducing potential harm. Further exploration on circumstances providers deploy collaborative and coercive interventions is needed to reduce the use of coercion on people experiencing BHCs when possible.",
      "authors": "Kathryn Luk; Leah A. Jacobs",
      "author_ids": "125173; 113225",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3840045250,
        "prompt_eval_count": 1691,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T19:02:05.938204+00:00"
    },
    {
      "input_index": 1936,
      "record_key": "SSWR:2026-P-0386",
      "source_database": "SSWR",
      "record_id": "2026-P-0386",
      "year": 2026,
      "title": "Comparing a Machine Learning Algorithm to Two Jails’ Practice-As-Usual for Identifying Suicide Risk",
      "abstract": "Background: Suicide is the leading cause of death among individuals incarcerated in jails (Noonan, 2014). Incarceration is associated with suicide mortality post-release (Lim, et al., 2012). Few jails effectively screen for suicide risk (Boudreaux & Horowitz, 2014) and individuals may be less forthcoming with mental health needs during booking. New machine learning models could be utilized to improve suicide risk screening at jail booking, if evidence shows efficacy in identifying suicide risk, when compared to the jails’ current practices. This pilot study asked if a suicide risk algorithm, validated in out-patient health care settings, was more effective at identifying suicide risk in the year after jail, compared to the jails’ practice-as-usual (PAU). Methods: Two jails in one Midwestern state provided individual identifiers for every person booked during the 6-month period (9/2021-2/2022). Each jail also noted who screened positive for suicide risk using the jails’ (PAU). One jail used questions from the Columbia Suicide Severity Rating Scale, in combination with other questions. The second jail used a set of 10 suicide risk-related questions, developed in-house. Five years of pre-jail admission Medicaid encounter data (mental, physical, and pharmacy) was gathered from the State’s Medicaid Office. The Mental Health Research Network (MHRN) risk score (Simon, et al., 2018) used this data to assign a risk score for each individual. In addition, data on suicide attempts 1-year after jail release was gathered from the Medicaid encounter data. The jails’ PAU was then compared to the MHRN risk score using suicide attempts that occurred 30-, 90-, 180-, and 1-year after release. Below we only present the details for 90-days post-release. Results: There were 3,823 individuals screened positive (N = 1,136) or negative (N = 2,687) for suicide risk using the jails’ practice-as-usual. The MHRN risk score was also calculated for each case. At 90-days post booking, there was a significant difference between the number of suicide attempts between the positive and negative PAU screens (𝜒 2 = 15.354, p = <.001, V = .063) as well as the positive and negative MHRN risk scores (𝜒 2 = 68.018, p = <.001, V = .133). Positive MHRN risk scores (n = 704) predicted a higher proportion of suicide attempts 90 days post-booking (Positive Predictive Value (PPV): 5.1%), compared to positive PAU screens (PPV: 2.8%). Additionally, the Positive Likelihood Ratio (LR+) for MHRN is 3.3 (95% CI: 2.6, 4.0), while for PAU, LR+ is 1.8 (95% CI: 1.4, 2.2). This indicates that the MHRN screening tool is significantly more effective than PAU (p-value < 0.05). Similar patterns were also found at 30-, 180-, and 365-days post-booking. Conclusions: This study provides insight into the advantages of using machine learning models to improve suicide risk detection among a high-risk population of individuals who are detained in jail. Results reveal that the suicide risk algorithm performed better than both jails’ PAU screens 90 days post-booking. While these data support the use of machine learning models for suicide risk screening, the feasibility and implementation of this technology across jail systems need to be further explored.",
      "authors": "Athena Kheibari; Grant Victor; Bethany Hedden-Clayton; Philip Huynh; Erin Comartin; Sheryl Pimlott Kubiak; Brian K. Ahmedani; Hsueh-Han Yeh; Zachary Farrell; Diane Wisnieski",
      "author_ids": "114859; 117715; 126227; 124193; 110945; 109093; 110383; 124838; 128644; 128645",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3884290041,
        "prompt_eval_count": 1739,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T19:02:20.655273+00:00"
    },
    {
      "input_index": 1939,
      "record_key": "SSWR:2026-P-0592",
      "source_database": "SSWR",
      "record_id": "2026-P-0592",
      "year": 2026,
      "title": "Death By Suicide and Russian Roulette: Using National Registry Data to Inform Public Policy and Social Work Practice Among Young Adults",
      "abstract": "Background and Purpose Increasingly, Russian Roulette (RR) has garnered the attention of social workers, because it is actively promoted on social media with fatal consequences. There is limited epidemiological research on this phenomenon, and it is rarely acknowledged or treated in clinical or forensic settings. Administrative data provide a comprehensive understanding of demographic, psychological, and social factors that can inform public policy and social work interventions for RR. Previous research in the US showed that RR was associated with being male, under 30, and using substances. However, this research was not nationally representative and had small sample sizes. Our current study uses a large, nationally collected dataset of all officially recorded deaths by suicide over two decades to: 1) examine the demographic characteristics of individuals who die by RR; 2) explore differences in RR deaths versus other revolver deaths by suicide; 3) investigate factors and precipitating events contributing to RR deaths, and 4) differentiate RR deaths that appear to be largely impulsive risk-taking acts from those similar to other deaths by suicide. Methods This study used data from the National Violent Death Reporting System’s Restricted Access Datafile from January 1, 2003, to December 31, 2022. A text string search of coroner/medical examiner and law enforcement reports was used to identify RR deaths. Identified cases were screened by two researchers to confirm engagement in RR at time of death. Bivariate associations (Chi-square, ANOVA, t-tests) assessed differences between RR and non-RR revolver deaths by suicide across demographics (e.g., race/ethnicity, sex, age), specific case characteristics, and precipitating events, such as financial crises, relationship problems, and criminal activity. In-depth narrative analyses distinguished RR deaths that appeared to be spontaneous, risk-taking acts, from those similar to other revolver deaths by suicide. Results Results identified 534 cases of RR out of 45,388 revolver deaths by suicide. Rates of RR were significantly higher among people who were younger (mean age=28.49 vs. 59.02; p <.001), less educated (Χ 2 =198.388, p <.001), and Black, American Indian/Alaskan Native, and/or Hispanic (Χ 2 =576.896, p <.001). Almost all RR cases were men (98.3%). Mental health issues (Χ 2 =84.243, p < .001) and common precipitating factors for death by suicide were significantly lower, while positive toxicology for alcohol (Χ 2 =115.672, p < .001), amphetamines (Χ 2 =110.919, p < .001), cocaine (Χ 2 =58.108, p < .001), and marijuana (Χ 2 =148.151, p < .001) were significantly higher among individuals who died by RR. Narrative analyses found a substantial proportion of people who died by RR did not display active suicidality, and rather appeared to be engaging in impulsive, ego-based risk taking. Conclusions and Implications The current study shows that administrative datasets can be used to identify risk factors that contribute to RR. Given the popularity of social media and its ties to risky or self-injurious behaviors (e.g., TikTok Challenges), social work researchers should consider using these datasets to inform targeted prevention and intervention efforts. The findings also suggest that social workers need specialized training in recognizing that risk-taking behaviors may include lethal activities such as RR, which can inform standards and advocacy with young adults, their families, and communities.",
      "authors": "Ryan DiMeglio; Jackie Stanmyre; Lia Nower; Mark van der Maas",
      "author_ids": "129062; 121614; 110014; 123323",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 4020407792,
        "prompt_eval_count": 1708,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T19:02:32.161687+00:00"
    },
    {
      "input_index": 1940,
      "record_key": "SSWR:2026-P-0431",
      "source_database": "SSWR",
      "record_id": "2026-P-0431",
      "year": 2026,
      "title": "Dialectical Behavior Therapy Skills on College Campuses Scoping Review: State of the Evidence",
      "abstract": "Background and Purpose: College campuses are facing an unprecedented demand for mental health services due to rising suicide, depression, anxiety, and ADHD. The need for mental health treatment exceeds the capacity of counseling centers. Dialectical Behavior Therapy (DBT) includes skills training is an effective stand-alone evidence-based treatment which improves depression, anxiety, ADHD, eating disorders, emotion regulation, and coping. Although DBT skills have been used on college campuses from universal interventions in the form of a college course, to abbreviated skills training groups, and comprehensive DBT programs, no comprehensive review exists. This scoping review explores the effectiveness of DBT skills-based interventions on college campuses, identifying barriers and facilitators for future research, using data from a large study across education levels. Methods: The databases PubMed, Scopus, Web of Science, APA PsycINFO (via EBSCOhost), and ASSIA (via ProQuest) were searched for English-language articles on DBT skills interventions in school-based settings. Authors also searched reference lists, contacted DBT developers, and hand-searched Discover Psychology and Google Scholar. The search included quantitative, qualitative, mixed methods designs, as well as and case studies. Search results were imported into EndNote, duplicates removed, and then into Covidence for systematic review screening. Nine reviewers independently screened titles and abstracts, with three reviewers screening full-text articles. Two reviewers extracted data. The primary investigator resolved discrepancies at each stage. This study examined a subset of articles that examined the effectiveness of DBT skills implemented in college or university settings, including and implementation barriers and facilitators. Results: The search identified 10,386 abstracts, with 166 meeting the criteria for DBT skills interventions in school settings. After full-text review, 78 studies remained, 30 of which were conducted in higher education. Results indicated DBT skills effectiveness at multiple tiers of support in college settings. This included a universal credit-bearing college course available to all students (N=3), showing improved coping, life satisfaction, and emotion regulation, and distress tolerance. DBT skills groups (N=18) demonstrating outcomes including reduced depression, anxiety, and stress, and improved emotional well-being, functioning, interpersonal skills, coping, and problem solving. Comprehensive DBT (N=4) also showed reduced suicidality, non-suicidal self-injury, depression, and anxiety and improved social adjustment, emotion regulation and distress tolerance for high-risk populations. Implementation barriers and facilitators, as well as qualitative feedback from stakeholders are summarized. Conclusions and Implications: DBT skills when used on college campuses have the potential to address a variety of mental health problems and promote overall wellness and resilience for all students. Abbreviated DBT skills interventions have shown the most success and uptake on college campuses in order to meet competing demands and time constraints of students. Future research should explore effective methods for wide-spread implementation of DBT skills at multiple tiers of support on college campuses and with vulnerable populations in under-resourced settings.",
      "authors": "Bridget Bailey; Kathryn Williams-Sites; Savannah Zink; Carrie W. Rishel",
      "author_ids": "113477; 128720; 128721; 108749",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "review",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Review"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 4121179042,
        "prompt_eval_count": 1540,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T19:02:36.284585+00:00",
      "screening_source": "Primary screen; blind audit agreement",
      "accuracy_audit": {
        "sample_group": "Review",
        "random_seed": 20260802,
        "blind_screening": {
          "is_relevant": true,
          "relevance_rationale": "The abstract explicitly reports that comprehensive DBT interventions resulted in reduced suicidality, making suicide risk a distinct and analyzed outcome within the scope of this review.",
          "evidence_class": "Empirical",
          "empirical_method": "Review",
          "classification_rationale": "The record is identified as a scoping review with a systematic search strategy, screening process, and data extraction, which falls under the Empirical/Review category.",
          "confidence": "High"
        },
        "full_label_agreement": true
      }
    },
    {
      "input_index": 1941,
      "record_key": "SSWR:2026-P-0130",
      "source_database": "SSWR",
      "record_id": "2026-P-0130",
      "year": 2026,
      "title": "Disparities in Suicidality Among East, South, and Southeast Asian College Students: Unmasking the Hidden Mental Health Crisis",
      "abstract": "Background and Purpose: Suicide is the leading cause of death in Asian American (AA) youth. One study found that 22% of AA emerging adults reported suicidal ideation–double the national average of 11% among non-Asian identifying youth. To examine heterogeneity in suicidality and related factors among East, South, and Southeast Asian students using data from the American College Health Association National College Health Assessment survey. Methods: Data came from 412,981 college students including 67,105 East, South, and Southeast Asian students (M age = 23.2, SD = 6.3). Mean comparisons between East, South, and Southeast Asians versus other racial/ethnic groups were conducted using independent samples t-tests, assuming unequal variances due to group size differences. The dependent variables in these analyses were the summed scores of the indicators of the latent variables used in the structural equation modeling. Structural equation modeling was used to conduct invariance testing of a model positioning discrimination, loneliness, psychological distress, psychological well-being, resilience, as latent predictors of a suicidality latent variable. After initial model fitting, models for East, South, and Southeast Asian were constrained to equality and tests of configural, metric, and scalar invariance. Next the structural elements were constrained to determine if relations between the latent variables were invariant across groups. Results: One-way ANOVAs. Examining effect sizes revealed that the only mean differences with greater than a trivial effect size were for Suicidality and Psychological Distress. Post-hoc analyses indicated that Southeast Asian students (M = 5.9, SD = 3.7) reported significantly higher Suicidality than their East (M = 5.4, SD = 3.4) and South Asian (M = 4.8, SD = 3.2) peers. Similarly, post-hoc analyses indicated that Southeast Asian students (M = 9.4, SD = 5.5) reported significantly higher Psychological Distress than those in the East (M = 8.8, SD = 5.1) and South Asian (M = 8.6, SD = 5.6) groups. Results of Invariance Testing. The results of the invariance testing of the measurement model revealed that the model failed the configural, metric, and scalar invariance tests. Across all groups, Discrimination, Loneliness, Psychological Distress, Resilience, and Substance use were significant positive predictors of Suicidality. Conclusions and Implications: Suicide is considered to be preventable, yet it remains poorly understood, particularly in AA youth. Using pooled data from a national dataset, this study highlights the heterogeneity of suicidality risk among AA groups. This underscores the need for social work practitioners and educators to prioritize culturally-responsive suicide prevention and intervention efforts, with particular emphasis on how to address the impact of discrimination, loneliness, and psychological distress on suicidality. Additionally, results suggest that social work training and interventions should leverage the protective influence of psychological well-being factors such as resiliency.",
      "authors": "Lalaine Sevillano; Bradley Conner",
      "author_ids": "119733; 128091",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T19:02:40.565128+00:00"
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    {
      "input_index": 1942,
      "record_key": "SSWR:2026-U-0019",
      "source_database": "SSWR",
      "record_id": "2026-U-0019",
      "year": 2026,
      "title": "Dissociative Amnesia and Supportive Relationships Moderate the Connection between Childhood Adversity and Adult Mental Health",
      "abstract": "Background and Purpose: Childhood adversity can have long-lasting negative consequences, including traumatic alterations in memory, such as dissociative amnesia. Dissociative amnesia can present in different forms, including trauma-specific amnesia and childhood autobiographical memory loss (CAML; missing large gaps of early life memory that extend beyond abusive experiences). Dissociative amnesia has been linked to a variety of mental health symptoms including suicidality and psychotic-, anxiety-, somatoform-, and mood-related symptoms. Researchers have found equivocal results regarding the effects of distinct forms of dissociative amnesia on mental health outcomes. This distinction is important; trauma-specific memory loss is believed to have a better prognosis for treatment compared to CAML. Supportive interpersonal relationships are recognized protective factors that also help improve prognosis following childhood adversity. We sought to determine if the association between childhood adversity (i.e., childhood sexual abuse [CSA] and cumulative adverse childhood experiences [ACEs]) and adult mental health varied by distinct dissociative amnesia type (i.e., trauma-specific amnesia and CAML) and supportive relationships. Methods: Using data from an online survey administered as part of a larger, national, cross-sectional study of trauma and well-being, we employed moderated moderation analysis using the SPSS PROCESS macro to examine if distinct dissociative amnesia types moderated the association between childhood adversity and adult mental health and whether or not that moderated association varied according to whether or not participants reported having supportive relationships. The simple moderation (Model 1) and moderated moderation models (Model 3) were used to examine this association. Participants (N=347) were primarily White (83%) adults (55% female) between 20–70 years old (M=40, SD=11.7). Results: Simple moderation. CAML significantly moderated the association between ACEs and symptoms of depression, as well as the association between CSA and overall mental health problems and symptoms of mania, somatic problems, repetitive thoughts, and suicidal ideation, such that mental health was worse for those with CAML. Trauma-specific amnesia significantly moderated the association between ACEs and CSA and psychosis symptoms, such that psychosis symptoms were stronger for those with trauma-specific amnesia. Moderated moderation. Having a supportive person contributed to fewer overall mental health problems, symptoms of depression, mania, anxiety, psychosis, somatic symptoms, repetitive thoughts, personality issues, and suicidal ideation among people reporting ACEs and CAML, and attenuated symptoms of mania and anxiety for people exposed to CSA who had CAML. Among those who experienced trauma-specific amnesia, a supportive person led to fewer anxiety symptoms for people reporting ACEs, and fewer symptoms of mania and less suicidal ideation for people with a history of CSA. Conclusions and Implications: Our results provide novel insights into how distinct forms of dissociative amnesia contribute to different mental health outcomes among people reporting ACEs and/or CSA. Distinguishing between these forms of memory alterations when dissociative amnesia is suspected could lead to a more accurate prognosis and personalized treatment recommendations. These findings further support the literature wherein having a supportive person is a robust predictor of resilience among those exposed to childhood adversity. We encourage clinical social workers to prioritize supportive relationships for clients with dissociative amnesia.",
      "authors": "Lisa S. Panisch; Versha Rai Reejhwani; Nicole M. Fava",
      "author_ids": "117704; 127939; 114181",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
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      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
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        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T19:02:44.544115+00:00"
    },
    {
      "input_index": 1943,
      "record_key": "SSWR:2026-P-0621",
      "source_database": "SSWR",
      "record_id": "2026-P-0621",
      "year": 2026,
      "title": "E-Cigarettes' Negative Impact on LGBTQ Young Adult Mental Health",
      "abstract": "Background and Purpose: A large body of research demonstrates significantly higher rates of tobacco product use by LGBTQ+ individuals compared to heterosexual/cisgender peers. LGBTQ+ adults smoke and vape at higher levels (16.1% vs. 12.3%; 13.0% vs. 3.7%, respectively) and transgender adults use tobacco products at four times the rate of cisgender adults. LGBTQ+ youth try e-cigarettes and currently use e-cigarettes at higher rates than their heterosexual/cisgender peers (49% vs. 39%; 18% vs. 13%, respectively). Research attributes higher rates of LGBTQ+ tobacco use to a combination of stigma, isolation, socialization, and industry marketing. LGBTQ+ people are two-four times more likely to experience mental health problems than heterosexual/cisgender people, and mental illness has been found to double the risk of smoking. Despite this bidirectional relationship documented with the general population, little research has examined the relationship between tobacco and mental health among LGBTQ+ young adults (ages 18-24), a critical period for tobacco use and mental health. Vaping’s recent emergence on the tobacco landscape and its increasing prevalence among youth call for research to examine the intersection of LGBTQ+ young adults’ mental health and e-cigarette use. Methods: In 2023, researchers from the University of North Carolina and the NC Department of Health and Human Services collected cross-sectional survey data at 26 Pride festivals across the state. This survey is the largest and only survey of LGBTQ+ health needs to conducted in North Carolina. This purposive sample included 1,454 participants ages 18-24 years who self-identified as LGBTQ+. We conducted preliminary bivariate analyses (chi-squared tests and Spearman correlations) to explore relations among vaping and mental health problems. Results: Tobacco use rates by gender identity found the following: cisgender women (32.9%), cisgender men (32.0%), trans women (32.2%), trans men (31.3%), nonbinary/genderqueer (30.1%). Correlational analyses showed positive correlations between vaping and negative mental health outcomes: anxiety ( r = .221, p < .001 ), depression ( r = .120, p < .01), suicidal ideation ( r = .126, p < .01), suicide attempts ( r = .135, p < .01), PTSD ( r = .166, p = .001), adjustment disorder ( r = .139, p < .004), and bipolar disorder ( r = .163, p < .001). Vaping was positively correlated with violence victimization: sexual assault ( r = .121, p = .012) and violence from a family member ( r = .163, p <.001). All of these correlations are small to medium effect sizes. Conclusions and Implications: Results support previous findings of high tobacco product use among LGBTQ+ young adults. Increased risk of experiencing poor mental health among LGBTQ+ individuals may, in part, drive these patterns in tobacco use. Nicotine stimulates the release of neurotransmitters (including dopamine) but ultimately leads to poorer mental health. Policy and programs aimed at reducing tobacco product use among this population may be optimized by addressing the high prevalence of mental health issues and trauma and developing positive social identity and integration. Future research, supported by increased availability of consistent, disaggregated data is needed to examine tobacco use prevalence, precipitates, and impacts, particularly among individuals holding intersectional identities.",
      "authors": "Juliana Wilson; William J. Hall",
      "author_ids": "125339; 114421",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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        "eval_count": 24
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      "screened_at": "2026-08-02T19:02:48.907715+00:00"
    },
    {
      "input_index": 1944,
      "record_key": "SSWR:2026-P-0629",
      "source_database": "SSWR",
      "record_id": "2026-P-0629",
      "year": 2026,
      "title": "E-Cigarettes’ Negative Impact on LGBTQ Young Adult Mental Health",
      "abstract": "Background and Purpose: A large body of research demonstrates significantly higher rates of tobacco product use by LGBTQ+ individuals compared to heterosexual/cisgender peers. LGBTQ+ adults smoke and vape at higher levels (16.1% vs. 12.3%; 13.0% vs. 3.7%, respectively) and transgender adults use tobacco products at four times the rate of cisgender adults. LGBTQ+ youth try e-cigarettes and currently use e-cigarettes at higher rates than their heterosexual/cisgender peers (49% vs. 39%; 18% vs. 13%, respectively). Research attributes higher rates of LGBTQ+ tobacco use to a combination of stigma, isolation, socialization, and industry marketing. LGBTQ+ people are two-four times more likely to experience mental health problems than heterosexual/cisgender people, and mental illness has been found to double the risk of smoking. Despite this bidirectional relationship documented with the general population, little research has examined the relationship between tobacco and mental health among LGBTQ+ young adults (ages 18-24), a critical period for tobacco use and mental health. Vaping’s recent emergence on the tobacco landscape and its increasing prevalence among youth call for research to examine the intersection of LGBTQ+ young adults’ mental health and e-cigarette use. Methods: In 2023, researchers from the University of North Carolina and the NC Department of Health and Human Services collected cross-sectional survey data at 26 Pride festivals across the state. This survey is the largest and only survey of LGBTQ+ health needs to conducted in North Carolina. This purposive sample included 1,454 participants ages 18-24 years who self-identified as LGBTQ+. We conducted preliminary bivariate analyses (chi-squared tests and Spearman correlations) to explore relations among vaping and mental health problems. Results: Tobacco use rates by gender identity found the following: cisgender women (32.9%), cisgender men (32.0%), trans women (32.2%), trans men (31.3%), nonbinary/genderqueer (30.1%). Correlational analyses showed positive correlations between vaping and negative mental health outcomes: anxiety ( r = .221, p < .001 ), depression ( r = .120, p < .01), suicidal ideation ( r = .126, p < .01), suicide attempts ( r = .135, p < .01), PTSD ( r = .166, p = .001), adjustment disorder ( r = .139, p < .004), and bipolar disorder ( r = .163, p < .001). Vaping was positively correlated with violence victimization: sexual assault ( r = .121, p = .012) and violence from a family member ( r = .163, p <.001). All of these correlations are small to medium effect sizes. Conclusions and Implications: Results support previous findings of high tobacco product use among LGBTQ+ young adults. Increased risk of experiencing poor mental health among LGBTQ+ individuals may, in part, drive these patterns in tobacco use. Nicotine stimulates the release of neurotransmitters (including dopamine) but ultimately leads to poorer mental health. Policy and programs aimed at reducing tobacco product use among this population may be optimized by addressing the high prevalence of mental health issues and trauma and developing positive social identity and integration. Future research, supported by increased availability of consistent, disaggregated data is needed to examine tobacco use prevalence, precipitates, and impacts, particularly among individuals holding intersectional identities.",
      "authors": "Juliana Wilson; William J. Hall",
      "author_ids": "125339; 114421",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T19:02:53.323846+00:00"
    },
    {
      "input_index": 1945,
      "record_key": "SSWR:2026-P-0389",
      "source_database": "SSWR",
      "record_id": "2026-P-0389",
      "year": 2026,
      "title": "Early Childhood Mental Health Provider Perspectives on Treating and Understanding Young Children with Suicidal Thoughts and Behavior",
      "abstract": "Background and Purpose : Suicidal thoughts and behaviors (STB) among young children is the strongest predictor of school age and adolescent suicidality, emphasizing the need for continued research to examine STB in young children (EC STB) (Martin et al., 2016; Whalen, et al., 2015). Efforts to increase understanding of EC STB are ongoing but significant gaps remain. Among those gaps is the absence of examining provider understanding of EC STB. Early childhood mental health (ECMH) providers assess and treat EC STB amid a landscape of limited clinical guidance and training. An examination of their understanding of EC STB can offer valuable insights about how they how they assess and treat these children, amid the complex early childhood developmental stage. This study uses focus group methodology to fill gaps in current knowledge, in pursuit of these research questions: 1) How do ECMH providers understand EC STB and the role of the caregiver? 2) How do ECMH providers approach assessment and treatment of EC STB? 3) What are ECMH provider responses EC STB? Methods : ECMH providers were invited to participate in a focus group. Recruitment targeted adults who fit the following criteria: master’s level education or above; providers serving children birth to 7 years; at least 1 year practice experience; treatment with at least 3 young children with STB. Semi-structured focus group discussions were facilitated online and lasted approximately 90 minutes. Transcripts were reviewed by the lead author who defined themes and developed preliminary codes . The second author independently read and coded two focus group transcripts using identified themes. Preliminary codes were collaboratively reviewed and refined by the researchers, and a codebook was developed. Results : Themes identified were grounded in three areas related to EC STB: provider meaning making, provider experiences, and provider treatment. There were several subthemes under the umbrella of provider meaning making of EC STB, including STB as: a mechanism for communication; a reflection of a child’s environmental context, including trauma exposure and child-caregiver relationships; and anchored in a child’s developmentally based understanding of death. Subthemes under treatment of EC STB were provider commitment to taking children’s STB seriously, their efforts to assess risk and develop safety plans with children and caregivers. Finally, the prominent subthemes under provider responses to EC STB were provider compassion, concern and urgency, as well as reflections by providers on their personal exposure to suicide. Conclusions and Implications: ECMH providers assess and treat young children and their caregivers amid a context of societal minimization of young children’s voices and experiences, and without specialized clinical guidance to support effective responses to EC STB. This study highlights the perspectives of ECMH providers, whose experiences assessing and treating EC STB offer valuable contributions. Their understanding of EC STB as a mechanism for communication, insights into the range of caregiver responses and the role of the child-caregiver relationship in EC STB, their approach to treatment, and the impacts of working with this population offer novel insights to inform future research and clinical practice.",
      "authors": "Devon Musson Rose; Erica Murdoch",
      "author_ids": "122337; 124058",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T19:02:57.332966+00:00"
    },
    {
      "input_index": 1947,
      "record_key": "SSWR:2026-U-0025",
      "source_database": "SSWR",
      "record_id": "2026-U-0025",
      "year": 2026,
      "title": "Effects of Childhood Trauma on Mental Health Experiences of Ghanaian Adolescents: Moderating Effect of Resilience Coping",
      "abstract": "Background and Purpose : Adolescents in Ghana are experience high levels of trauma, which has been linked to adverse mental health outcomes such as anxiety, depression, and suicide ideation. Despite the growing recognition of these issues, there is limited research exploring the relationships between trauma, resilience, and mental health outcomes in this population. This study aimed to examine the prevalence of trauma, anxiety, depression, and suicide ideation among Ghanaian adolescents and assess whether resilience moderates the relationships between trauma and mental health outcomes. We hypothesized that trauma would be positively associated with anxiety, depression, and suicide ideation, and that resilience would buffer these effects. Methods : This cross-sectional study involved 1,736 adolescents aged 13–19 years from Junior High Schools in Ghana. Data were collected using validated self-report measures, including the Child Trauma Scale (CTS) to assess trauma exposure, Generalized Anxiety Disorder-7 (GAD-7) for anxiety, the Patient Health Questionnaire-9 (PHQ-9) for depression, and a single-item measure for suicide ideation. Resilience was measured using the Brief Resilient Coping Scale (BRCS). Trauma was dichotomized as present if participants scored 1 or higher on the CTS. Logistic regression models were used to examine associations between trauma and mental health outcomes (anxiety, depression, and suicide ideation), controlling for resilience and its interaction with trauma. Descriptive statistics and chi-square tests were conducted to assess prevalence rates and associations. Results : Trauma exposure was highly prevalent, with 93.09% of participants reporting trauma. Anxiety was reported by 76.73%, depression by 77.48%, and suicide ideation by 13.36% of the sample. Chi-square analyses showed significant associations between trauma and anxiety (χ² = 11.39, p = 0.001) and between trauma and suicide ideation (χ² = 6.80, p = 0.009), but not between trauma and depression (χ² = 2.49, p = 0.114). Logistic regression revealed that trauma significantly predicted anxiety (OR = 1.84, p = 0.003) and suicide ideation (OR = 2.86, p = 0.015), but not depression (OR = 1.31, p = 0.206). Resilience and its interaction with trauma were not significant predictors of any mental health outcomes. Marginal effects analysis showed that trauma increased the predicted probability of anxiety and suicide ideation regardless of resilience levels. Conclusions and Implications : The findings highlight the pervasive impact of trauma on mental health, particularly anxiety and suicide ideation, among Ghanaian adolescents. Resilience did not moderate the effects of trauma, suggesting that other protective factors or contextual influences may be more relevant in this population. These results underscore the need for trauma-informed mental health interventions tailored to adolescents in Ghana. Programs should focus on addressing trauma exposure and its psychological effects while exploring additional strategies to enhance resilience and other protective factors. Future research should investigate longitudinal relationships and cultural factors influencing the trauma-resilience-mental health nexus to inform more effective interventions and policies.",
      "authors": "Enoch Azasu",
      "author_ids": "123341",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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      "screened_at": "2026-08-02T19:03:05.756901+00:00"
    },
    {
      "input_index": 1948,
      "record_key": "SSWR:2026-P-0044",
      "source_database": "SSWR",
      "record_id": "2026-P-0044",
      "year": 2026,
      "title": "Effects of School Violence Victimization on Suicide Risk : Moderated Mediation of Loneliness and Family Support",
      "abstract": "Abstract Background: School violence victimization is a serious issue that significantly affects adolescents' mental health, potentially increasing their risk of suicide. Prior research indicates that loneliness can mediate the relationship between school violence victimization and suicidal risk, while family support may act as a protective factor. However, the mechanisms underlying these relationships require further investigation. Objective: This study examines the moderated mediation effect of loneliness and family support on the relationship between school violence victimization and suicidal risk among adolescents. Participants and Setting: The study utilized survey data collected in October 2023 from 1,000 middle and high school students across various regions in South Korea. Methods: Data were analyzed using SPSS and PROCESS Macro Model 14 to test direct, indirect, and conditional indirect effects. Bootstrapping techniques were applied to ensure statistical reliability. Results: School violence victimization was positively associated with suicidal risk, with loneliness serving as a mediator. Additionally, family support moderated the indirect effect of school violence victimization on suicidal risk via loneliness, reducing the negative impact. Adolescents with higher family support exhibited a weaker indirect effect of loneliness on suicidal risk. Conclusions: This study highlights the critical role of loneliness in linking school violence victimization to suicidal risk and underscores the protective function of family support. Intervention programs should prioritize reducing loneliness among victims of school violence and enhancing family support to mitigate suicidal risk. Keywords : School violence victimization; Suicidal risk; Loneliness; Family support; Adolescents",
      "authors": "Naeun SHIN; Jaeyop Kim; Yuil Choi",
      "author_ids": "127941; 125791; 127942",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "prompt_eval_count": 1226,
        "eval_count": 24
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      "screened_at": "2026-08-02T19:03:08.932598+00:00",
      "screening_source": "Primary screen; blind audit agreement",
      "accuracy_audit": {
        "sample_group": "Quantitative",
        "random_seed": 20260802,
        "blind_screening": {
          "is_relevant": true,
          "relevance_rationale": "The study explicitly investigates suicidal risk as a primary outcome and analyzes the mechanisms linking school violence victimization to suicide risk through loneliness and family support.",
          "evidence_class": "Empirical",
          "empirical_method": "Quantitative",
          "classification_rationale": "The abstract describes a survey-based study with numerical data analysis using statistical models (PROCESS Macro) to test mediation and moderation effects.",
          "confidence": "High"
        },
        "full_label_agreement": true
      }
    },
    {
      "input_index": 1949,
      "record_key": "SSWR:2026-P-0203",
      "source_database": "SSWR",
      "record_id": "2026-P-0203",
      "year": 2026,
      "title": "Equipping Providers Who Serve Rural Veterans at Risk for Suicide: Qualitative Findings to Inform a Virtual Reality Simulation",
      "abstract": "Background/Purpose Rural veterans face 20–25% higher suicide rates than urban veterans, with ~75% of suicides involving firearms (Department of Veterans Affairs, 2024). Primary care providers, who step in where mental health specialists are scarce, often lack adequate suicide prevention training (Labouliere et al., 2021). Lethal means safety counseling (LMSC) reduces suicide risk by limiting access to firearms and medications, yet only 15% of providers are trained in it (Sale et al., 2018). Social workers, pivotal in veteran care, are uniquely positioned to develop training and promote its adoption. Virtual reality (VR) offers immersive learning, outperforming traditional methods (O’Brien et al., 2024). Our study aimed to examine LMSC practices, barriers, and VR needs. Our research questions were: 1) What are current LMSC practices? 2) What barriers limit delivery? 3) How can VR improve training? Findings will guide further design and development of the Veteran Suicide Assessment in Virtual Reality (VET-SAVR) training simulation using the ADDIE model (Analysis, Design, Development, Implementation, Evaluation; Branch, 2009). Methods We purposively sampled 10–15 licensed professionals (nurses, social workers) from rural veteran-serving clinics, using professional networks for diversity. Data included 60-minute video interviews and surveys on demographics and training needs, probing LMSC practices, barriers, and VR preferences. Thematic analysis used Braun and Clarke’s (2006) framework with deductive and inductive coding. Two coders analyzed data independently, resolved discrepancies via discussion, and triangulated responses with themes. Findings Of 11 participants (10 female, 1 male; mean age 51.55, SD=10.66, range=34–73), 10 were White, one Black; two identified as Hispanic. Most were nurses ( n =7); four were social workers. Thematic analysis yielded the following themes: Training and Preparedness —82% had received some suicide prevention training; almost half had never heard of LMSC, 36% had LMSC training, and 27% had engaged in it; Intervention Processes (all screened for suicide; over half did safety planning; 55% lacked any follow-up); Resource Constraints (82% described older under-resourced clinics); Veteran-Specific Needs (45% asked about veteran status); VR Acceptance (82% endorsed VR for realism and saw it as a confidence-building tool). Conclusions/Implications There is a critical need for structured, practical training to equip rural providers with the confidence and skills to deliver effective LMSC. Training should be accessible, realistic, and aligned with the constraints of rural practice. VR offers a promising modality for simulating complex scenarios and fostering skill development in under-resourced settings. Social workers are well-positioned to lead implementation of VR-based training, ensuring it is culturally responsive, and centered on veteran care. These findings will directly shape the VET-SAVR simulation’s design, supporting scalable strategies to reduce veteran suicide risk in rural communities. Back to: ePoster Presentations III << Previous Abstract | Next Abstract >>",
      "authors": "Donna L. Schuman; Chenyu Zhao; Thomas Mwibanda; SuLynn Mester; Suzanne Lohman; Dekontee Carter",
      "author_ids": "113713; 128268; 128269; 128270; 128271; 128272",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 4227256666,
        "prompt_eval_count": 1615,
        "eval_count": 27
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      "screened_at": "2026-08-02T19:03:13.161553+00:00"
    },
    {
      "input_index": 1951,
      "record_key": "SSWR:2026-P-0593",
      "source_database": "SSWR",
      "record_id": "2026-P-0593",
      "year": 2026,
      "title": "Examining the Relationship between Opioid Use Disorder and Suicide Attempts Among Latines Seeking Treatment for Co-Occurring Disorders",
      "abstract": "Purpose: Suicide attempts and opioid use disorder (OUD) are serious public health concerns for the Latine community. Although substance use disorder (SUD) significantly increases the risk factor for suicide attempts, other contributing factors include psychiatric disorders (i.e., major depression) and social drivers of health (SDOH) factors such as unemployment, housing insecurity, and low educational attainment, are also associated with suicide attempts (Modeste-James et al., 2024; Yuodelis-Flores & Ries, 2015). Notably, Latine individuals needing addiction treatment are often criminalized, resulting in incarceration and further marginalization. Despite this, research often neglects to examine how these SDOHs affect Latine individuals’ vulnerability to suicide. There remains a gap in knowledge related to the relationship between OUD, SDOH, and suicide attempts among Latine individuals entering treatment for co-occurring disorders. Method: Bivariate statistics and bi-nominal logistic regression were used to analyze assessment data on (n=376) Latine adults with co-occurring disorders receiving treatment between April 2020 and December 2024 at a bilingual/bicultural integrated behavioral health facility serving the Latine community in Massachusetts to examine the relationship between opioid use disorder and a history of suicide attempts. We controlled for SDOH, mental health, and SUD factors associated with suicide attempts at the bivariate level. Results: 16% of the sample reported suicide attempts. Bivariate statistics demonstrated that Puerto Rican ethnicity, homelessness, depression, and opioid use disorder were significantly associated with having ever attempted suicide. The logistic regression identified that Latines with OUD had 1.82 times higher odds of a suicide attempt than those without an OUD. Similarly, Latines with depression were 3.5 times more likely to have attempted suicide than those without depression. Finally, Latine who experienced homelessness were 2.8 times more likely to have attempted suicide than those who were housed. Conclusion and implications: The study’s findings suggest that there is an urgent need for social work research, policy, and practice to confront the effects of opioid use disorder and suicide attempts among Latine individuals. Furthermore, it is crucial that social work researchers not only recognize but respond to the systemic factors such as unemployment, housing instability, and acculturative stress (Modeste-James et al., 2024; Perez-Rodriguez et al., 2014) that place Latines at risk for suicide attempts. As social workers promote transformative change in our society, we must advocate for access to housing and other basic needs. This advocacy is especially important for underserved communities, including Latine populations, who are disproportionately affected by racism and xenophobia, which can exacerbate mental health symptoms and increase the risk of suicide. Understanding the impacts of the intersection of depression, OUD, and homelessness is essential, as it highlights the urgent need for integrated mental health and SUD treatment, particularly when viewed through the lens of transformative change. To effectively lead transformative change efforts, social work research must drive policies and practices that respond to the multifaceted challenges of OUD and suicide attempts among Latines by focusing on their needs while providing culturally responsive care.",
      "authors": "Akeem Modeste-James; Therese Fitzgerald; Melinda D'lppolito; Jessica Mateo; Diliana De Jesus; Emily Stewart; Melisa Canuto; Micaurys Guzman; Lena Lundgren",
      "author_ids": "124691; 127325; 127328; 127329; 114162; 114161; 127326; 127327; 108743",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 4071042333,
        "prompt_eval_count": 1600,
        "eval_count": 24
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      "screened_at": "2026-08-02T19:03:21.291475+00:00"
    },
    {
      "input_index": 1952,
      "record_key": "SSWR:2026-P-0219",
      "source_database": "SSWR",
      "record_id": "2026-P-0219",
      "year": 2026,
      "title": "Exploring Cognitive Reappraisal As a Mechanism of Resilience: The Role of Anti-Racism Engagement in Mitigating Suicidal Ideation in the Campus Context",
      "abstract": "Background: Racial discrimination acts as a chronic stressor that can trigger intense negative emotions. Without effective coping strategies, individuals may develop severe mental health symptoms, such as anxiety, depression, or suicidal ideation. According to cognitive reappraisal theory, individuals who frame discrimination as a systemic social issue—rather than a personal attack—tend to show greater psychological resilience. On college campuses, anti-racism engagement may be a reappraisal strategy, helping students reinterpret their experiences through a collective, justice-oriented lens. However, little is known about whether and how this engagement functions as a protective mechanism. This study defines anti-racism engagement as not to students’ personal activism but their perception of institutional-level anti-racism efforts. To address this gap, the study investigates (1) whether racial discrimination is associated with suicidal ideation, (2) whether Anti-Racism Engagement mediates this relationship, and (3) whether racial identity moderates the indirect effect, offering insights into culturally embedded resilience processes. Methods: This study analyzed data from The Healthy Minds Study, a national survey on college student mental health, using responses from 87,615 students aged 18–29. A moderated mediation model (PROCESS Macro Model 7) was employed, where racial discrimination (IV) affects suicidal ideation (DV) via Anti-Racism Engagement (M), with racial identity (W) as a moderator. Bootstrapping (N = 5,000) was used to estimate confidence intervals for conditional effects. Control variables included sex at birth, education level, age, depression and anxiety symptoms, and LGBTQ+ identity. Results: The analysis revealed that racial discrimination was positively associated with suicidal ideation (β = 0.3040, p < .001). Anti-racism engagement partially mediated this relationship (β = 0.0823, p < .001), indicating that students who reported higher levels of anti-racism engagement tended to report lower suicidal ideation despite facing discrimination. However, the strength of this mediating effect varied across racial groups. Non-Hispanic White students exhibited the strongest association (0.0830, 95% CI [0.0670, 0.1005]), followed by Non-Hispanic Black (0.0756, 95% CI [0.0601, 0.0922]), Hispanic (0.0689, 95% CI [0.0550, 0.0836]), and Asian students (0.0697, 95% CI [0.0478, 0.0932]). American Indian or Alaska Native (AIAN) and Native Hawaiian or Other Pacific Islander (NHPI) students showed the weakest indirect effect (0.0509, 95% CI [0.0400, 0.0629]), suggesting that Anti-Racism Engagement was less strongly associated with reduced suicidal ideation in these groups. Further, racial identity moderated the link between discrimination and Anti-Racism Engagement. AIAN/NHPI (β = -0.3899, p < .001) and Non-Hispanic Black students (β = -0.1707, p = .0213) exhibited weaker associations, suggesting that systemic barriers and historical factors may influence their engagement in anti-racism efforts as a protective mechanism. Conclusion: Anti-racism engagement was linked to lower suicidal ideation via a reappraisal pathway, though effect sizes varied by race. Weaker effects among AIAN/NHPI and Black students suggest systemic inequities in how efforts are experienced. Findings support integrating anti-racism into campus mental health strategies through culturally responsive approaches. This direction aligns with SSWR 2026’s theme of translating social work science into equitable, transformative policy.",
      "authors": "Sangmi Kim; Haelim Jeong; Yeonwoo Kim; Mary Gitau",
      "author_ids": "126247; 123519; 114917; 126109",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "prompt_eval_count": 1777,
        "eval_count": 24
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      "screened_at": "2026-08-02T19:03:25.664920+00:00"
    },
    {
      "input_index": 1955,
      "record_key": "SSWR:2026-P-0495",
      "source_database": "SSWR",
      "record_id": "2026-P-0495",
      "year": 2026,
      "title": "Exploring the Mental Health Needs of LGBTQ+ Muslims in the United States: A Scoping Review",
      "abstract": "Background and Purpose: This study explores key principles for supporting Muslim clients with mental health challenges, particularly LGBTQ+ Muslims, who face tension between religious teachings and their queer identities, leading to isolation, rejection, guilt, depression, anxiety, and suicidality (Dunne, 1990; Rahman, 2014). Barriers such as limited access to culturally appropriate care and societal rejection further exacerbate these issues (Mansour, 2021; El Hayek et al., 2023). This scoping review examines the mental health challenges of LGBTQ+ Muslims in the U.S., especially Arab Americans, highlighting the intersection of cultural, religious, racial, and sexual identities. It identifies gaps in research, particularly the lack of clinical frameworks and intervention strategies, and calls for further studies on long-term outcomes, resilience, and systemic changes to support this population. Methods: This scoping review followed Arksey and O'Malley’s (2005) framework and the PRISMA-ScR checklist. A literature search was conducted across Google Scholar, ProQuest, and EBSCO using keywords related to LGBTQ+ Muslims, mental health, stigma, and Arab Americans. Inclusion criteria included peer-reviewed empirical articles from 2001 to 2025 focused on LGBTQ+ Muslims in the U.S. and their mental health or well-being. Excluded were non-English sources and non-empirical works. Articles were screened through title, abstract, and full-text reviews, supported by AI tools and Excel. Data were extracted into a structured matrix and analyzed through the Minority Stress Theory framework, focusing on stressors and resilience factors related to intersecting identities. Results: The review emphasizes the need for mental health professionals to approach LGBTQ+ Muslims, particularly Arab Americans, with cultural humility and an understanding of intersecting identities. Clinicians should integrate culturally and spiritually informed approaches, such as Acceptance and Commitment Therapy (ACT) and Compassion-Focused Therapy (CFT), with Islamic values while prioritizing the client’s agency. Affirmative care must also engage religious and spiritual dimensions, allowing providers to explore theological concerns without pathologizing religious beliefs. Ongoing cultural humility is crucial, requiring clinicians to reflect on their biases and power dynamics. Training programs should promote structural competency to address Islamophobia and heterosexism in clinical practice. Additionally, community-based strategies, including partnerships with queer Muslim organizations and faith leaders, can offer comprehensive support beyond therapy. Conclusions and Implications: The review highlights significant mental health distress among LGBTQ+ Muslims in the U.S., particularly Arab Americans, due to religious stigma, familial rejection, racial marginalization, and limited access to affirming care. Common issues include depression, anxiety, and suicidality. However, resilience is also evident, as many individuals reclaim their faith and build supportive networks. This study calls for social work practice, policy, and research to adopt culturally and spiritually responsive approaches that address systemic oppression, such as Islamophobia and racism. It urges institutions to be more inclusive and engage with LGBTQ+ Muslims through diverse curricula and community partnerships. Future research should focus on underrepresented groups, such as trans and disabled queer Muslims, and develop culturally grounded care models (Mansour, 2021; El Hayek et al., 2023).",
      "authors": "Tarek Zidan; Saadet Durmaz",
      "author_ids": "116894; 125196",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "review",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Review"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 4038315250,
        "prompt_eval_count": 1606,
        "eval_count": 24
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      "screened_at": "2026-08-02T19:03:37.648058+00:00"
    },
    {
      "input_index": 1958,
      "record_key": "SSWR:2026-P-0120",
      "source_database": "SSWR",
      "record_id": "2026-P-0120",
      "year": 2026,
      "title": "Financial Hardship and Suicide Risk Among Adolescents: The Mediating Role of Psychological Distress",
      "abstract": "Background : Suicide remains a critical public health concern, with financial hardship increasingly recognized as a contributing risk factor. Adolescents facing economic strain often report elevated emotional distress, which may escalate to suicidal ideation or behaviors. However, few studies have examined the underlying mechanisms linking financial hardship to suicide risk. Grounded in the Family Stress Model (FSM), the study tested the relationship between financial hardship and suicide risk. We also tested the potential mediating role of psychological distress on the association between financial hardship and suicide risk. Two key research questions guided the study: (1) what is the nature of the relationship between financial hardship and suicide risk? and (2) to what extent is the relationship mediated by feelings of distress? Method: This study used structural equation modeling (SEM) and data from the Ghana Youth Mental Health Survey (GYMHS) to test the hypothesized mediating role of psychological distress on financial hardship and suicide risk. The measurement of variables and structural models were deemed acceptable if the χ 2 /df ratio < 2, root mean square error of approximation (RMSEA) was ≤ .06, and the comparative fit index (CFI) and the Tucker-Lewis index (TLI) were > .95. Invariance testing was also conducted to examine the gender differences in the structural paths. Results: Our hypothesized mediation model revealed that psychological distress mediated the relationship between financial hardship and suicide risk ( β indirect effect = .09, p < .001, 95% CI [.06, .12]), confirming our hypothesis. Adolescents who experience higher financial hardship tend to experience a higher risk of suicide ideation than those adolescents with lower to no family financial hardship ( β = 0.07, SE = .03, p < .05). We also observe a slight positive indirect association between financial hardship and suicide risk among adolescent females ( β indirect effect = .06, SE=.01, p < .001) than adolescent males ( β indirect effect = .05, SE=.01, p < .001). This indicates that females are at a higher risk of experiencing suicidal ideation than their male counterparts. Conclusion and Implication: These findings emphasize the significance of incorporating household economic security and enhancing psychosocial support in mental health programs for adolescents in low-resource settings. Focusing on elevating financial strain along with psychological distress may not only improve the overall mental health of youth but also serve as a critical strategy for suicide prevention. Integrating economic and educational empowerment components into suicide-related interventions that target youth and their families' needs could mitigate underlying stressors that contribute to suicidal behavior, while targeted emotional support may address the immediate mental health needs of youth due to the impact of financial hardship.",
      "authors": "Emmanuel Owusu Amoako; Ali Lateef; Abass Tando Abubakar; Solomon Hadi Achulo; Graham Zulu; Enoch Azasu",
      "author_ids": "122291; 127534; 128069; 124291; 123887; 123341",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3677014083,
        "prompt_eval_count": 1490,
        "eval_count": 24
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      "screened_at": "2026-08-02T19:03:49.670500+00:00"
    },
    {
      "input_index": 1959,
      "record_key": "SSWR:2026-U-0502",
      "source_database": "SSWR",
      "record_id": "2026-U-0502",
      "year": 2026,
      "title": "Findings from a Mixed Methods Study of Social Networks Among American Indian Adolescents",
      "abstract": "Background: Social relations and multigenerational networks remain a salient fixture of American Indian (AI) culture, survival, and thriving. Research in other populations has demonstrated how social networks impact youth risk and resilience, but data are lacking among AI adolescents. Settler colonialism’s historical and contemporary impacts lead some AI youth to early initiation of substance use, along with high risk for suicide and witnessing and experiencing violence. Aims of this study were to describe peer, kin and community social networks and associations with risk and protection for substance use, violence, and suicide among adolescents in a reservation community. This presentation will describe the development and implementation of this innovative mixed-methods study. Development of the social network survey and its mixed methods design will be described and findings from the study will be shared. Methods: Social network surveys were completed by 9th and 10th graders (N = 263) at three high schools on a Northern Plains reservation. Social network measures were adapted for reservation-based AI youth. Following an explanatory sequential mixed methods design, qualitative interviews were conducted with a subsample of participants (n = 16) to interpret findings from their individual and school networks. Participants for the qualitative interviews were randomly selected after stratifying by gender and risk levels for substance use, violence, and suicidality. Results: Cross-sectional findings support the hypotheses that the social networks of AI youth may not conform to prevailing social network theories. Dominant theories suggest network formation and maintenance tied to racial homophily, but in our study 93% of networks were Native and tie formation was not significantly related to race. Youth nominated more family members than what has been found among non-Native adolescents. Students demonstrated similar in-degree centrality, a measure of how many times an individual was nominated by someone in their school network. And school networks varied by size and density. We also observed associations between students’ social networks and substance use, suicide ideation, and exposure to violence. Implications: Variation in networks across schools suggests unique community contexts that may make a universal approach to prevention development and implementation less effective. Findings also suggest that ways of defining family relations varied across students. This has implications for future measurement of family networks with this population. And finally, similar in-degree within networks suggests that prevailing key opinion leader social network interventions may not work in this population. Adaptations to social network interventions offer a promising new approach to prevention with AI communities. This work aligns with the conference theme by aligning innovations in social network science and mixed methods with transformative changes in prevention efforts with Indigenous communities.",
      "authors": "Katie Schultz; Lauren White; Jerreed Ivanich",
      "author_ids": "113355; 124977; 124976",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "mixed_methods",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3702276958,
        "prompt_eval_count": 1447,
        "eval_count": 24
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      "screened_at": "2026-08-02T19:03:53.374320+00:00",
      "screening_source": "Primary screen; blind audit agreement",
      "accuracy_audit": {
        "sample_group": "Quantitative",
        "random_seed": 20260802,
        "blind_screening": {
          "is_relevant": true,
          "relevance_rationale": "The study explicitly analyzes associations between social networks and suicide ideation among American Indian adolescents, making suicidality a central outcome of interest.",
          "evidence_class": "Empirical",
          "empirical_method": "Quantitative",
          "classification_rationale": "The study employs an explanatory sequential mixed-methods design with a primary quantitative component involving survey data from 263 adolescents to analyze statistical associations, supplemented by qualitative interviews.",
          "confidence": "High"
        },
        "full_label_agreement": true
      }
    },
    {
      "input_index": 1961,
      "record_key": "SSWR:2026-F-0059",
      "source_database": "SSWR",
      "record_id": "2026-F-0059",
      "year": 2026,
      "title": "Firearm Violence Prevention Content in MSW Programs: Current Status and Future Directions",
      "abstract": "Background: Firearm violence deaths in the United States have been rising in recent years. In response, experts both within and outside of social work have called for an increase in clinician engagement in regular screening for firearm access and counseling regarding safety measures for those who present risks of harm to self or others, including within a new Grand Challenges in Social Work (Logan-Greene & Guterman, 2024). To date, no data exists about how many US MSW programs prepare students to engage with clients on firearm safety. This study fills that gap. Methods: Program contacts were compiled from the CSWE’s Accredited MSW Programs (N=312). Recruitment emails were sent in July 2023 and January 2024, inviting participants to complete a brief survey in order to receive a $25 Amazon gift card. Invitations to schools in Puerto Rico were sent in Spanish, and all respondents could complete the survey in either language. Questions assessed program descriptions, and a series of 17 topics were presented with participants reporting whether the topics were covered in either required or elective courses, then reporting whether they felt a need for more related content. Participants also were given open-ended questions about barriers and future directions and invited to share course descriptions/syllabi. Results: 54 people (17.3%) began the survey, with 45 (14.4%) providing complete answers. The sample was a good representation of accredited MSW programs in the US based on geographic setting, size, and other factors. Participants reported good content on aspects related to suicide prevention; 100% reported content around suicide assessment and safety planning in the context of suicide in either required courses and/or electives. However, far fewer reported content related to firearms: 86.7% did not discuss safe storage in any course, 75.6% did not cover firearm safety counseling, and 75.6%/73.3% did not discuss state/federal laws on firearms, respectively. Many programs reported a need for more firearm-related content; for example, 82.2% wanted more content regarding discussing firearm access with parents, 84.4% wanted more regarding safe storage, and 81.2% wanted more content on both state and federal policies. No syllabi/course descriptions were shared. Discussion: Results suggested promising improvement in suicide prevention content in MSW programs, however significant gaps were found related to firearm violence prevention. Open ended questions revealed participants’ perspectives on barriers: many reported a lack of time to add such content, and others noted that the politically-charged nature of firearms made the topic challenging. Others noted that no instructors had this knowledge to share in classrooms. However, they largely reported a desire to address firearm violence and noted ways that content could be developed, such as through a CSWE curriculum guide or trainings for faculty. While these findings shed light on this topic, the low response rate and lack of provided evidence means that these results may not be reflective of all Schools of Social Work in the US. Further research is needed, including the development and testing of tools that could be used in MSW programming, and doing similar assessments with BSW and DSW programs.",
      "authors": "Patricia Logan-Greene; Mickey S. Sperlich; EunSook Seong",
      "author_ids": "111353; 112958; 128411",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Flash",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 4040204166,
        "prompt_eval_count": 1587,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T19:04:01.860868+00:00"
    },
    {
      "input_index": 1962,
      "record_key": "SSWR:2026-U-0539",
      "source_database": "SSWR",
      "record_id": "2026-U-0539",
      "year": 2026,
      "title": "Firearm-Specific Suicide Preparatory Behavior Among Young Adults Experiencing Homelessness",
      "abstract": "Background/Purpose: Young adults experiencing homelessness (YAEH) endure suicidal crises at disproportionately higher rates than their housed peers. Engaging in preparatory behavior involving a specific suicide method, such as trying to access the method during a crisis, is an indicator of heightened risk—a signal that one is closer to using the method in a suicide attempt. Given that 90% of suicide attempts involving a firearm result in death, it is especially important to determine how common it is for individuals in a given population to engage in firearm-specific preparatory behavior. This may be even more critical among YAEH as they tend to have easy access to firearms, and thus firearm-specific suicide plans may be enacted without the same opportunity for preventive interventions. This study had two aims: (1) describe the rate of firearm-specific suicide preparatory behavior and (2) identify correlates of preparatory behavior. Methods: A sample of 615 YAEH (aged 18-25) were recruited from drop-in homelessness-service centers in Los Angeles, California and St. Louis, Missouri, and then completed a face-to-face, researcher-administered, computer-assisted anonymous survey. For Aim 1, descriptive statistics were used to assess preparatory behavior, which included seeking information about firearm use for suicide, trying to access a firearm during a crisis, or loading/handling a firearm during a crisis (0= no preparatory behavior; 1= any preparatory behavior). For Aim 2, a multiple logistic regression analysis was used to explain preparatory behavior. Independent variables included demographic (age, race, gender identity), mental health (mental health diagnosis/ treatment, suicide attempt history), homelessness (time spent homeless), and firearm variables (firearm access, attitudes, and carriage). Given the study aims, only participants with a history of suicidal ideation (n=352) were included in the analysis. Results: Thirty-six percent of participants with a history of suicidal ideation considered firearms as a suicide method. With respect to Aim 1, 28% had engaged in firearm-specific preparatory behavior. With respect to Aim 2, females (OR= .27, p<.001) and trans, non-binary or gender neutral individuals (OR= .47, p=.041) had lower odds of preparatory behavior than males. Suicide attempt survivors had higher odds of preparatory behavior than those without a suicide attempt history (OR= 1.48, p<.001). Individuals with a history of carrying firearms had higher odds of preparatory behavior than those without a firearm carriage history (OR= 1.91, p=.022). Conclusions/Implications : That so many participants considered firearms as a suicide method and engaged in firearm-specific preparatory behavior is highly concerning. This suggests a potential vulnverability to firearm suicide in this population that has yet to be documented or accounted for in practice. That suicide attempt survivors were more likely to engage in preparatory behavior may be due to greater acquired capability for suicide, which could manifest as contemplation of more lethal methods. Relatedly, firearm carrying behavior may be a mechanism whereby firearm-specific acquired capability is developed. Hence, suicide attempt history and firearm carriage may be treated as tentative markers for firearm-specific suicide susceptibility among YAEH, which could inform population-centered suicide prevention programming and related policy (e.g., firearm-specific lethal means counseling).",
      "authors": "Anthony Fulginiti; Hsun-Ta Hsu; Eric Rice; Annah Bender; Sarah Kirk; Olga Koumoundouros; Emelyne Lane; Hana Daher Lopes",
      "author_ids": "112190; 112266; 111415; 112526; 128907; 127462; 128909; 129172",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
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      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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        "eval_count": 24
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      "screened_at": "2026-08-02T19:04:05.954393+00:00"
    },
    {
      "input_index": 1963,
      "record_key": "SSWR:2026-U-0088",
      "source_database": "SSWR",
      "record_id": "2026-U-0088",
      "year": 2026,
      "title": "Forecasting Harm with Machine Learning and Causal Inference: The Impact of Anti-LGBTQ+ Legislation on Youth Suicidality",
      "abstract": "Background and Purpose Hundreds of anti-LGBTQ+ bills have already been introduced across the United States in 2025 alone, continuing a disturbing trend of increasing hostility toward sexual and gender minority (SGM) communities. While considerable research has examined school-based or interpersonal predictors of suicidality among youth, less attention has been paid to how structural-level factors, such as proposed or enacted legislation, impact population-level health. State-level legislative environments, including protective (e.g., anti-discrimination) and discriminatory policies, may play a critical role in shaping the mental health outcomes of young people, regardless of their sexual orientation or gender identity. This study aimed to examine the extent to which exposure to anti-LGBTQ+ legislation is associated with self-reported suicidality among U.S. high school students. We hypothesized that an increase in discriminatory legislation would be associated with increased suicidality, particularly among sexual minority youth. We also sought to compare the predictive performance of difference-in-differences (DiD) and machine learning (ML) models in forecasting suicidality based on legislative context and individual-level characteristics. Methods We used a multi-method analytic strategy drawing on both traditional and computational approaches. Individual-level data were obtained from the Youth Risk Behavior Survey (YRBS) for the years 2017, 2019, 2021, and 2023, representing a sample of 135,846 students across 28 U.S. states. Legislative data were sourced from the American Civil Liberties Union (ACLU), which documents proposed and enacted LGBTQ+ legislation by year, issue, and state. We merged these sources to assess student suicidality in relation to the number and type of bills introduced in each state. A logistic regression DiD model was used to compare changes in suicidality over time across states with varying levels of legislative exposure. We then trained logistic regression and random forest ML models using legislative variables and individual-level sociodemographic data (e.g., age, gender, sexual identity, race/ethnicity) as predictors. Results As discriminatory bills increased, suicidality also increased by 20% among all students (OR = 1.20, 95% CI: 1.04–1.41, p = 0.010). The effect was especially pronounced among sexual minority students (OR = 1.33, 95% CI: 1.08–1.40, p = 0.043), suggesting that these students are particularly vulnerable to shifts in the legislative climate. The random forest and logistic regression ML models performed comparably in predicting suicidality, with AUC scores of 0.728 and 0.727, respectively. Conclusions and Implications This study demonstrates that the proposal of anti-LGBTQ+ bills, regardless of whether they are passed into law, poses a significant threat to the mental health of both heterosexual and sexual minority youth. These findings highlight the need for policymakers, educators, and mental health professionals to consider the structural environments for youth. Legislative threats not only shape public discourse but may also have measurable psychological consequences. Our results underscore the urgency of integrating legislative monitoring into mental health risk assessments and public health systems. Understanding these pathways is essential to crafting policy environments that promote, not endanger, the well-being of all youth.",
      "authors": "Dget Downey; Madison Kitchen; Brianna Amos",
      "author_ids": "126799; 126415; 127128",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "prompt_eval_count": 1632,
        "eval_count": 24
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      "screened_at": "2026-08-02T19:04:09.977721+00:00"
    },
    {
      "input_index": 1964,
      "record_key": "SSWR:2026-P-0256",
      "source_database": "SSWR",
      "record_id": "2026-P-0256",
      "year": 2026,
      "title": "From Thoughts to Actions: Predicting Suicidal Ideation and Attempts in Youth Using Sex-Based Machine Learning Models",
      "abstract": "Background Suicidal ideation (SI) and suicide attempts (SA) are urgent global public health concerns, particularly among adolescents. Male youth are often underrepresented in suicide prevention efforts due to gender-based stigma and lower help-seeking behaviors. While previous research has primarily examined individual-level predictors, limited studies have explored how psychosocial risks and protective behaviors differ by gender. Grounded in the Interpersonal Theory of Suicide, which posits that thwarted belongingness and perceived burdensomeness contribute to suicidality, this study aimed to identify gender-specific pathways of suicide risk and protection. We focused on how key behavioral and social factors—cyberbullying, screen time, physical activity (PA), and sleep—shape distinct experiences for male and female youth. The goal was to build sex-specific predictive models for SI and SA and generate evidence-based insights for targeted suicide prevention strategies. Methods We analyzed 2021 U.S. Youth Risk Behavior Survey data, including responses from 3,760 high school students. The primary outcomes were past-year SI and SA. Predictor variables included cyberbullying, screen time, PA, sleep, sexual minority status, and demographic characteristics. Separate models were developed for male and female youth using the XGBoost algorithm. Three nested models were trained per group, incrementally adding predictors: Model 1 used demographics; Model 2 added cyberbullying and screen time; Model 3 added PA and sleep. Model performance was assessed using test accuracy, F1-score, and area under the curve (AUC), with hyperparameter tuning via Optuna. Variable importance was interpreted using SHAP (Shapley Additive Explanations) values. Results In terms of predictive performance, the female-specific Model 2—which included cyberbullying and screen time—achieved the highest accuracy for suicidal ideation, with an AUC of 0.817. For male youth, the most effective model for predicting suicide attempts was Model 3, which incorporated all predictors and yielded an F1 score of 0.34 and an AUC of 0.75. Cyberbullying (SHAP: female = 0.38, male = 0.29) and sexual minority status (SHAP: female = 0.37, male = 0.28) consistently emerged as strong predictors across groups. These results align with the Interpersonal Theory of Suicide, suggesting that social exclusion and identity-related stressors may intensify feelings of thwarted belongingness and perceived burdensomeness, thereby increasing suicide risk. Protective factors varied by gender. For males, physical activity (PA, SHAP = 0.35) was the strongest protective factor against suicide attempts, potentially mitigating psychological burdens by reinforcing a sense of control and self-efficacy. For females, sleep (SHAP = 0.44) exerted greater influence, which may reflect the role of emotional regulation and physiological recovery in maintaining social and emotional functioning. Conclusion This study underscores the need for gender-specific modeling in youth suicide prevention. While cyberbullying was a consistent predictor for both sexes, PA and sleep revealed protective effects by gender. These findings support tailored intervention strategies—such as PA promotion for boys and sleep-focused mental health programs for girls. By aligning machine learning-driven prediction with adolescents’ lived experiences, this research advances the 2026 SSWR theme of “Leading for Transformative Change,” offering practical and policy-relevant insights for reducing suicide risk in diverse youth populations.",
      "authors": "Sangmi Kim; Gang Seob Jung; Andrew Kim",
      "author_ids": "126247; 126248; 126416",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "eval_count": 24
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      "screened_at": "2026-08-02T19:04:14.061130+00:00"
    },
    {
      "input_index": 1966,
      "record_key": "SSWR:2026-U-0501",
      "source_database": "SSWR",
      "record_id": "2026-U-0501",
      "year": 2026,
      "title": "How Does Depression Symptomology Mediate the Relationship between Sleep Disturbance and Suicide Risk for Sexual Minority Men?",
      "abstract": "Background and Purpose: Sexual minority men (SMM; e.g. gay, bisexual, and other men who have sex with men) experience both higher rates of sleep disturbance and mental health issues (i.e., depression, and suicidal ideation), however, limited research has investigated the potential association of sleep disturbance and mental health issues for SMM. Therefore, the aims of the current study are to understand the relationships between sleep disturbance and recent suicidal ideation in a sample of SMM, and to assess mediation by depression symptoms. Methods: In 2020, 239 SMM were recruited on geosocial networking applications (e.g., Grindr, Scruff), in the southeast US, to participate in an online cross-sectional survey. Participants answered demographic items and validated scales assessing sleep disturbance (i.e., PROMIS 8a), depression symptomology (i.e, Center for Epidemiological Study Depression), and suicidal ideation. One linear regression and two logistic regressions were conducted to test the association of sleep disturbance with suicidal ideation and mediation by depression symptoms. Mediation was assessed using the Sobel test. All analyses were controlled for by age, race/ethnicity, rurality, income, and education level. Results: Participants were on average 34.8 years old (sd= 11.752), 47% white American, 29% living in a rural area, 30% earning more than $50,000 annually, and 84% had received at least some college education. The sample reported moderate levels of depression (M=19.0, sd=13.127), and approximately 43% of the sample reported mild to severe sleep disturbance. Approximately 50% of the sample reported ever considering suicide, 29% ever making a plan to die by suicide, and 46% reported history of a suicide attempt. Fifteen percent of the sample reported recent suicidal ideation and 10 participants reported a recent suicide attempt. Sleep disturbance and depression were both, at the bivariate level, associated with a higher odds of reporting recent suicidal ideation. A linear regression revealed that sleep disturbance was positively associated with depression symptomology (b=.900, t=9.396, p<.001). In the final binary logistic regression, sleep disturbance was not significantly associated with suicidal ideation (OR=1.068, CI= 1.000, 1.142), and depression symptomology was significant (OR=1.083, CI= 1.042, 1.124). A Sobel test indicated significant mediation of sleep disturbance by depression symptomology (ST= 3.808, p<.001). Conclusions and Implications : Findings indicate that when SMM experience worse sleep it has an impact on their depressive symptoms and increases their suicide risk. Having reduced sleep quality and total sleep time may inhibit cognition and coping strategy generation, which could worsen mental health. Therefore, suicide risk reduction programs should prioritize implementing sleep screening and sleep interventions, in addition to providing mental health supports. Future research should investigate these relationships in a longitudinal study, as sleep disturbance and mental health may have bidirectional relationships. Further, future research should investigate the ways that coping resources and coping strategies may attenuate the impact of sleep on mental health for SMM.",
      "authors": "Jeremy Gibbs; Rachel A. Fusco",
      "author_ids": "112268; 109354",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 4057840458,
        "prompt_eval_count": 1643,
        "eval_count": 24
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      "screened_at": "2026-08-02T19:04:22.306219+00:00"
    },
    {
      "input_index": 1968,
      "record_key": "SSWR:2026-P-0736",
      "source_database": "SSWR",
      "record_id": "2026-P-0736",
      "year": 2026,
      "title": "Intimate Partner Problems and Suicide Among Immigrant Women: A Content Analysis of the National Violent Death Reporting System",
      "abstract": "Background & Purpose: Intimate partner problems (IPP)—such as divorce, conflict, and intimate partner violence (IPV)—can severely impact mental health and increase the risk of suicide. Immigrant women facing IPP are especially vulnerable due to limited social support, lack of extended family, and barriers to accessing healthcare. However, there is limited research on the specific types of IPP that lead to suicide among immigrant women. This study used data from the National Violent Death Reporting System (NVDRS), the most comprehensive source of suicide mortality data in the U.S., to better understand the nature of IPP in these cases. Methods: We conducted a content analysis of 773 suicide cases involving immigrant women where IPP was documented in NVDRS narrative data (2013–2019). These narratives came from medical examiner and law enforcement reports. Using an existing coding framework (e.g., Kafka et al., 2022), we refined our coding scheme through three rounds of pilot testing on a random sample of 120 cases. After reaching 100% agreement through team discussion, two independent coders analyzed all 773 cases. The initial coding results and unclear cases were reviewed by two additional team members. Results: The most common IPP factors identified in the suicide cases were partner fights (44%), IPV (35%), breakups (20%), divorce (19%), separation (19%), financial problems (17%), and infidelity (15%). In the 266 IPV-related cases, 34% referenced IPV generally, without specifying the type of abuse. Notably, 20% of narratives indicated that the woman used suicide threats as a tactic in the relationship. Physical violence was noted in 11% of cases, and emotional abuse in 9%, with women described as victims, perpetrators, or both. We also found important differences in the suicide context depending on the type of IPP (p < 0.001). For example, women experiencing partner fights or IPV more often used highly lethal methods like firearms or hanging, and many acted impulsively without prior suicidal behavior. Women affected by breakups or who made suicide threats were more likely to have disclosed their intentions to their partners beforehand. Conclusion & Implications: This study is one of the first to examine how specific IPP contribute to suicide among immigrant women using a comprehensive national dataset. Our findings enhance understanding of the types of IPP associated with suicide and the contextual factors surrounding these deaths. This evidence can inform suicide prevention efforts by identifying key risk indicators within immigrant populations. Additionally, our presentation will share lessons learned in qualitative coding techniques to NVDRS narrative data and offer methodological insights for future research. References Kafka, J. M., Moracco, K. B. E., Taheri, C., Young, B. R., Graham, L. M., Macy, R. J., & Proescholdbell, S. (2022). Intimate partner violence victimization and perpetration as precursors to suicide. SSM-Population Health , 18 , 101079.",
      "authors": "Jeongsuk Kim; Woojong Kim; Maria Velez; Dorothy Miah",
      "author_ids": "116364; 118231; 126902; 126903",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 4035571958,
        "prompt_eval_count": 1571,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T19:04:30.153529+00:00"
    },
    {
      "input_index": 1970,
      "record_key": "SSWR:2026-P-0161",
      "source_database": "SSWR",
      "record_id": "2026-P-0161",
      "year": 2026,
      "title": "Invisible Barriers: How Racial Discrimination Alters Help-Seeking's Role in Mental Health for Black Young Adults",
      "abstract": "Objective: Racial discrimination has significant negative impacts on young Black males’ mental health. Racial discrimination is associated with depression, anxiety and suicidal ideation among this population. Understanding factors impacting mental health help-seeking behaviors among young Black males is critical; however, limited research has examined whether racial discrimination disrupts (moderates) the relationship between mental health seeking behaviors and mental health among Black males 18 to 24. Methods: Data was collected online via Qualtrics in the US during 2024. Participants included 350 Black males aged 18 to 24 (M = 21.49, SD = 1.96). Validated, self-report measures assessed depressive symptoms, anxiety, suicidality, racial discrimination, and formal and informal help-seeking. Stepwise linear regression and the PROCESS 4.0 Macro for SPSS 29 were used to investigate whether racial discrimination moderated the relationship between help seeking and mental health outcomes. Results: Racial discrimination significantly moderated the relationship between help seeking and mental health outcomes. Among young Black males experiencing low levels of racial discrimination, help-seeking was associated with improved mental health outcomes. However, among young Black males experiencing high levels of racial discrimination, the relationship between informal help-seeking (e.g., significant others) and reduced depressive symptoms was diminished and non-significant (B = .30, SE = .14, p = .03). A similar, non-significant relationship was found between formal help-seeking (e.g., mental health professionals) and mental health outcomes among young Black males experience high racial discrimination; however, formal help-seeking was associated with increased suicidal ideation (B = .72, SE = .54, p = .001). Conclusions : Findings suggest that the impact of help-seeking on young Black males’ mental health is moderated by racial discrimination. Most notably, results suggest that help seeking does not yield improved mental health outcomes, and in some cases worsens mental health, among young Black males experiencing high racial discrimination. These findings emphasize the urgent need to address the pervasive impact of racial discrimination and tailor mental health interventions that more effectively support young Black males. Culturally competent approaches that recognize and mitigate these unique stressors are essential to enhance protective factors and reduce mental health inequities.",
      "authors": "Donte T. Boyd; Myles Durkee; Addie Weaver; Emily Nhan; Michael Henry; Joesph Himle",
      "author_ids": "115665; 128170; 110411; 128171; 128172; 108228",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3681260625,
        "prompt_eval_count": 1406,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T19:04:37.910676+00:00"
    },
    {
      "input_index": 1972,
      "record_key": "SSWR:2026-P-0859",
      "source_database": "SSWR",
      "record_id": "2026-P-0859",
      "year": 2026,
      "title": "Meaning in Life Profiles Among Black Adults in the U.S.: Examining Associations with Suicidal Ideation, Planning, and Attempts Among a Probability-Based Sample of Black Americans",
      "abstract": "INTRODUCTION : While entire anthologies of social science research implement deficit-focused framings of Black life, few studies explore how positive psychological factors like having a sense of meaning or purpose in life may protect against adverse outcomes for this population. Notably suicides have increased among Black American youth and adults during the COVID-19 pandemic, though rates decreased for other race groups within this period. Still, empirical studies that identify positive psychological mechanisms that mitigate suicide risk among this population remain scant. Despite its benefits, the study of positive psychology among Black Americans is largely nascent within both suicidology and social work research. This investigation serves as a direct attempt to redress these gaps by exploring how constructs of meaning in life and life purpose form in the lives of Black adults. METHODS : Data were collected from the AmeriSpeak panel at the National Opinion Research Center (NORC) at the University of Chicago. This probability-based sample of (n = 985) Black adults completed online surveys in 2022. Latent profile analysis (LPA) techniques were used to measure underlying patterns in the Meaning in Life Questionnaire (Steger et al, 2006). AIC, BIC, aBIC, and entropy values were evaluated to determine model fit. Multinomial logistic regression tests were performed to identify which suicide risk factors predict latent profile membership. RESULTS : Four profiles emerged: (1) Without direction = 8.5%; (2) Moderate purpose and searching = 14%; (3) Purposeful and fulfilled = 42.5%; and (4) Purposeful yet still searching = 35%. Seriously considering suicide within the past year was associated with lower odds of being in the Moderate purposeful and searching group (OR = 0.12), while having made a suicide attempt in the past year was associated with a 93.5% decrease in the odds of membership in the Purposeful and fulfilled profile (OR = 0.065). CONCLUSIONS AND IMPLICATIONS : Suicide prevention interventions geared towards Black Americans should explore how and when meaning in life is conceptualized within this community while also integrating culturally-salient messages that directly promote feelings of life purpose across the life course. Additional efforts are also needed to explore the specific factors that can be leveraged to extend messages of meaning and purpose that are tailored for each age group and aligns with their experiences as Black adults prepare to transition throughout different life course stages (e.g., transitioning to college, retirement, etc).",
      "authors": "Janelle R. Goodwill",
      "author_ids": "115600",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3724056167,
        "prompt_eval_count": 1460,
        "eval_count": 24
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      "screened_at": "2026-08-02T19:04:45.640788+00:00"
    },
    {
      "input_index": 1973,
      "record_key": "SSWR:2026-U-0400",
      "source_database": "SSWR",
      "record_id": "2026-U-0400",
      "year": 2026,
      "title": "Measurement-Based Care for Suicide Risk Assessment and Management: Clinician and Client Experiences",
      "abstract": "Background and Purpose: Measurement-based care (MBC), involving the collection and collaborative discussion of patient-report outcome measures (PROMs), is widely supported to improve clinical outcomes and considered a gold-standard in mental health care. However, MBC is not widely implemented across the behavioral health field and negative sentiments persist among both mental health patients and clinicians. Further, research regarding its utility in the context of suicidality remains limited. This presentation explores the implementation of MBC and its role in facilitating suicide prevention interventions in Cohen Veterans Network (CVN), a community-based mental health network serving veterans, service members, and their families. Measurement-based care is a core aspect of the CVN model, with clients who screen at elevated (moderate or high) risk receiving and discussing weekly measures assigned based on mental health diagnoses. Methods: Data for this presentation are drawn from two components of a multi-year study to enhance CVN’s suicide prevention ecosystem. Seventeen clinicians and eleven former clients who received a high-risk for suicide flag during care participated in 1-hour semi-structured interviews. Both groups were asked about their perspectives on the integration of standardized measures during care, with both groups identifying elements of MBC as the primary benefits of measure integration. Primary thematic analyses of interview data from participant groups produced themes relating to the utility of MBC in suicide prevention interventions. Given these initial findings, a secondary analysis was performed on the combined dataset to identify shared and diverging experiences with applications of MBC in the context of suicidality. Results: Secondary thematic analysis revealed shared experiences and perspectives on MBC frameworks in the context of suicide prevention among mental health clinicians and elevated-risk clients. Standardized measures were identified by both groups as important tools to identify symptoms, track symptom changes, and normalize clinical discussions of suicidal thoughts and behaviors. Further, both groups emphasized the intervention value of the “share” and “act” stages of MBC. Integrating reviews of PROMs in clinical discussions created opportunities for deeper conversation, facilitated self-reflection and identification of treatment progress, and fostered opportunities to build resilience and coping skills. Additionally, clinician perspectives included reflections on MBC as a support tool to ensure comprehensive assessments, improve documentation and facilitate communication within care teams. Client perspectives included discussions of initial hesitancies towards standardized measures and actions taken by clinicians to address these hesitancies. Analysis is on-going with theme generation underway. Conclusions: These findings demonstrate that MBC frameworks can play a meaningful role in clinical management and intervention for suicidality beyond risk assessment, with benefits for both clinicians and elevated-risk clients. Recommendations for clinical implementation include utilizing measure results in session by visually displaying changes in relevant scores and by linking scores and symptoms to prior weeks. Delivery of standardized measures should be done in ways that emphasize active listening and maintain human connection. As a part of broader suicide prevention strategies, MBC has the potential strengthen therapeutic alliance, support proactive interventions, and empower clients to identify and address drivers of suicidal ideation.",
      "authors": "Melissa Litschi; Steven Lancaster; David Linkh",
      "author_ids": "128954; 118368; 108122",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3736413917,
        "prompt_eval_count": 1514,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T19:04:49.378903+00:00"
    },
    {
      "input_index": 1974,
      "record_key": "SSWR:2026-U-0004",
      "source_database": "SSWR",
      "record_id": "2026-U-0004",
      "year": 2026,
      "title": "Mental Health Disparities Among College Students—Findings from the 2023-2024 Healthy Minds Study",
      "abstract": "Background and Purpose Mental health challenges among college students have increased in recent years, affecting academic success, retention, and overall well-being. While research highlights rising rates of depression and anxiety, less attention has been given to how social determinants of health shape these disparities. This study analyzes data from the 2023-2024 Healthy Minds Study (HMS), a large-scale survey of student mental health in U.S. higher education institutions. The study examines: (1) differences in mental health prevalence across demographic subgroups, (2) disparities in treatment utilization, and (3) the relationship between campus climate and mental health outcomes. Methods Data were drawn from the HMS 2023-2024 survey, which collected self-reported information on mental health status, service use, and campus experiences. The sample includes approximately 42,000 undergraduate and graduate students from diverse colleges and universities. Mental health conditions were assessed using validated screening tools, including the Patient Health Questionnaire-9 (PHQ-9) for depression and the Generalized Anxiety Disorder-7 (GAD-7) for anxiety. Treatment utilization was measured through the reported use of therapy, counseling, and psychiatric medication. Perceptions of campus climate were measured through questions assessing students’ sense of belonging, attitudes toward campus mental health resources, and experiences with discrimination. Multivariate regression analyses were conducted to identify associations between demographic characteristics, treatment access, and mental health outcomes while controlling for key confounding variables. Results Findings reveal significant mental health disparities across student groups. Higher rates of depression, anxiety, and suicidal ideation were reported among LGBTQ+ students, students of color, first-generation college students, and those facing financial stress. While 38% of students with mental health conditions accessed treatment, male students, international students, and racial/ethnic minorities reported lower utilization rates. Barriers included financial constraints, limited time, and privacy concerns. Students who reported higher levels of belonging and more positive perceptions of campus mental health resources had significantly better mental health outcomes. This suggests that campus climate plays a key role in student well-being. Conclusions and Implications Findings from this study emphasize the urgent need for policy and practice interventions to address structural barriers to mental health care in higher education settings. Universities must prioritize equitable access to mental health resources, expand culturally responsive services, and reduce financial barriers to care. Additionally, efforts to improve campus climate —including initiatives that enhance belonging, promote diversity, and address discrimination—could serve as effective strategies to improve student mental health outcomes. Social work practitioners in higher education settings are uniquely positioned to lead targeted outreach efforts, advocate for increased mental health funding, and collaborate with policymakers to ensure that student mental health remains a central institutional priority. Policy recommendations include expanding mental health funding, enhancing equity in resource distribution, and implementing systematic assessments of campus climate to create more supportive learning environments. By addressing both structural and individual-level barriers, institutions can make meaningful progress in closing the mental health equity gap among college students.",
      "authors": "Pedro Hernandez",
      "author_ids": "108937",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Unknown",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
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        "prompt_eval_count": 1543,
        "eval_count": 24
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      "screened_at": "2026-08-02T19:04:53.364018+00:00"
    },
    {
      "input_index": 1975,
      "record_key": "SSWR:2026-U-0653",
      "source_database": "SSWR",
      "record_id": "2026-U-0653",
      "year": 2026,
      "title": "Mental Health Implications of an Initial HIV Diagnosis: A Narrative Inquiry",
      "abstract": "Background and Purpose: Despite medical advancements in HIV care leading to increased longevity of life, individuals with a diagnosis of HIV experience heightened suicidality. Managing suicidal ideation can pose a significant challenge, underscoring the importance of the lived experiences following the initial diagnosis. The research study emerged from a concern of increased likelihood of suicide attempts among individuals living with an HIV diagnosis. To improve interventions for the recently diagnosed, researchers must explore the experiences of mitigating suicidality through their stories of mental health, coping, and social support. The purpose of this narrative study is to explore the stories of people who recently learned of an HIV diagnosis and their experiences mitigating suicidal ideation. Methods: This qualitative study utilized a narrative inquiry approach. Using a purposive sampling design, eight individuals who were newly diagnosed with HIV and self-reported experiencing suicidality after learning of their diagnosis were recruited from an HIV care and advocacy organization. # self-identified as Hispanic and one as African American, and # self-identified as male, # as female, and # reported as LGBT. Study participants completed in-depth semi-structured interviews, and the audio was transcribed verbatim. The transcripts were analyzed thematically using NVivo software, where specific attention was placed on the storyline of participants' experiences. Coding focused on vignettes that told of important characters, the plot, and major epiphanies in their stories of this experience of mitigating suicidal ideation. Participant checking was utilized in the data analysis process. Results: The participants' storylines told of the “Initial Emotional Responses” to the diagnosis where most participants experienced acute suicidal thoughts within the first year of diagnosis, with social isolation complicating their experiences mitigating suicidality. Many participants' stories revealed that mental health services were not integrated into their HIV care, leaving them to navigate suicidality “Without Adequate Access to Mental Health Services”. “(self)Stigma and social support” emerged as a significant barrier to utilizing social support for mitigating suicidality, with most participants avoiding disclosure and fearing their friends and family’s rejection. Conversely, those with strong networks relayed storylines that attributed their “Resilience” and fewer thoughts of suicide due to their social support. In their storylines, mitigating suicidality requires “Immediate and Ongoing Support”. Conclusions and Implications: The study findings support immediate changes to integrate mental health services into HIV care at the moment of diagnosis, and especially within the first year for people recently diagnosed and mitigating suicidality. The implications of the study emphasize the role of social workers in providing immediate psychoeducation, conducting routine mental health screenings, and connecting newly diagnosed individuals with supportive programming. Healthcare policy reform should include mental health service provision as a standard component of HIV care. By addressing practice and policy, social workers and other health professionals can improve long-term mental health outcomes and reduce suicidality among individuals newly diagnosed with HIV.",
      "authors": "Javier Segovia; Eden Robles",
      "author_ids": "129439; 112644",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3732580000,
        "prompt_eval_count": 1511,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T19:04:57.098856+00:00"
    },
    {
      "input_index": 1977,
      "record_key": "SSWR:2026-P-0158",
      "source_database": "SSWR",
      "record_id": "2026-P-0158",
      "year": 2026,
      "title": "Mental Health Outcomes, Associated Factors, and Help-Seeking Among Rural LGBTQ+ Populations in the United States: A Scoping Review",
      "abstract": "Background and Purposes LGBTQ+ individuals living in rural areas of the United States experience distinct mental health challenges due to geographic isolation, limited resources, and pervasive societal stigma. Restricted access to affirming care, coupled with conservative sociopolitical environments, can intensify psychological distress and create substantial barriers to accessing support. Although research on LGBTQ+ mental health has expanded, the majority of studies center on urban populations, leaving rural communities underrepresented in the literature. This scoping review aims to address this gap by synthesizing existing research on mental health outcomes and associated factors among rural LGBTQ+ populations, with a particular focus on understanding the barriers and facilitators to mental health help-seeking within these contexts. Methods This scoping review was conducted following the five-stage methodological framework developed by Arksey and O’Malley, along with the PRISMA Extension for Scoping Reviews reporting guideline. A systematic search of six electronic databases was performed to identify peer-reviewed articles. Studies were eligible for inclusion if they focused on LGBTQ+ individuals residing in rural areas of the United States and reported on mental health outcomes (e.g., depression, anxiety, suicidality), associated individual or contextual factors, and/or help-seeking behaviors. Titles, abstracts, and full texts were independently screened by five reviewers. Data were extracted using a standardized charting form that captured key study characteristics and findings, and then analyzed thematically to identify patterns, themes, and gaps in the literature. Results Of the 536 records initially identified, 46 studies met the inclusion criteria and were included in the final synthesis. Most studies did not specify the geographic region of focus; however, among those that did, nine (19.6%) were conducted in the South, seven in the Northeast (15.2%), four in the Midwest (8.6%), and one in the West (2.2%). The majority of studies employed quantitative methods (n = 36, 78.3%), followed by mixed-methods (n = 6, 13.0%) and qualitative approaches (n = 4, 8.7%). Included studies reported high rates of depressive symptoms and anxiety among rural LGBTQ+ individuals, while fewer studies addressed loneliness, suicidal ideation or suicide-related behaviors. Factors associated with poor mental health outcomes included internalized stigma, minority stress, family rejection, lack of LGBTQ+ community support, and inadequate access to care and limited provider availability. Help-seeking behaviors were hindered by fear of being outed, mistrust of healthcare providers, and lack of culturally competent care. Conversely, facilitators of help-seeking included affirming social networks, availability of telehealth services, and integrated care models. A small but growing number of studies explored the promise of eHealth and telehealth-based interventions in improving access and engagement among rural LGBTQ+ populations. Conclusions and Implications This scoping review highlights significant mental health disparities among rural LGBTQ+ populations and identifies key individual, social, and structural factors that influence mental health and help-seeking. Despite growing research interest, substantial gaps remain, particularly regarding suicidality, intervention research, and geographic specificity. Future studies should prioritize community-engaged approaches, develop culturally responsive interventions, and leverage technology-based solutions to address unmet mental health needs and improve access to affirming care in rural settings.",
      "authors": "Chenglin Hong; Patrick Muro; Quinn Meehan; Rachal Conley; Madeline Fraenkel",
      "author_ids": "121886; 128160; 128161; 128162; 128163",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "review",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Review"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 4062632500,
        "prompt_eval_count": 1604,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T19:05:05.088247+00:00",
      "screening_source": "Primary screen; blind audit agreement",
      "accuracy_audit": {
        "sample_group": "Review",
        "random_seed": 20260802,
        "blind_screening": {
          "is_relevant": true,
          "relevance_rationale": "The abstract explicitly identifies 'suicidality' as a key mental health outcome analyzed in the included studies and reports on findings related to suicidal ideation and suicide-related behaviors.",
          "evidence_class": "Empirical",
          "empirical_method": "Review",
          "classification_rationale": "The record is explicitly identified as a scoping review that follows a systematic methodological framework (Arksey and O'Malley) and PRISMA guidelines, which classifies it as an Empirical Review.",
          "confidence": "High"
        },
        "full_label_agreement": true
      }
    },
    {
      "input_index": 1978,
      "record_key": "SSWR:2026-P-0414",
      "source_database": "SSWR",
      "record_id": "2026-P-0414",
      "year": 2026,
      "title": "Military Providers' Attitudes Towards Assessing and Treating Suicidality",
      "abstract": "Background and Purpose: Suicide remains a significant public health concern in the United States, particularly within military populations. Primary care (PCPs) and behavioral health (BH) providers who work in military treatment facilities are well positioned to engage in suicide prevention efforts, as many individuals who attempt or die by suicide have seen a provider in the previous weeks or months. The use of evidence-based screeners and treatments for suicidality have been shown to reduce suicidal thoughts and behaviors, as well as suicide rates overall, and this is an important area in which to align policy and practice with social work research. Little is known about military providers’ attitudes and practices in this area, and how to ensure best practices in this potentially influential area. Methods : 83 providers (61 behavioral health and 22 PCPs) working in military facilities were recruited using convenience and snowball sampling. Participants completed surveys measuring their practices and attitudes. Attitudes including professional training, perceived competency, willingness to assess and willingness to treat were adapted from Graham et al., (2011). Results : 98% of BH providers and 41% of PCPs routinely screen for suicidality at initial appointments. The Columbia Suicide Severity Rating Scale was most commonly used in BH settings, whereas PCPs frequently relied on the Patient Health Questionnaire and Beck Hopelessness Scale. Most BH providers were trained in Collaborative Assessment and Management of Suicidality and Brief Cognitive Behavioral Therapy, while both groups commonly received training in Suicide Risk Triage and Crisis Intervention. Regression analyses revealed that professional training significantly predicted perceived competency among both groups, and, among BH providers, perceived competency further predicted willingness to assess and treat suicidal individuals (p levels for all models < .001). Conclusions and Implications : Military providers, especially BH providers, strongly endorse the use of evidence-based screeners and protocols for treating suicidal individuals, and many have been exposed to trainings in EBPs, however, gaps remain. Policies could be adopted to encourage universal screening at initial PCP appointments, and to encourage providers to develop standard, evidence-based, protocols for people identified as suicidal. Training strongly promotes perceptions of competence, which in turn promote willingness to assess and treat. Continued efforts to train military providers in the best evidence-based practices, and policies supporting frequent screening, is an important area for the application of policy and practice with social work science. Findings underscore the importance of aligning provider training and policy with evidence-based suicide prevention practices. Promoting universal screening in primary care and expanding training opportunities in evidence-based interventions may enhance provider competence and willingness to engage in suicide prevention, supporting broader goals in military mental health policy and social work research.",
      "authors": "Benjamin Paul; Catherine Greeno",
      "author_ids": "128689; 108235",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3639608166,
        "prompt_eval_count": 1464,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T19:05:08.729421+00:00",
      "independent_manual_spot_check": {
        "random_seed": 20260803,
        "agreement": true,
        "manual_screening": {
          "is_relevant": true,
          "evidence_class": "Empirical",
          "empirical_method": "Quantitative"
        },
        "rationale": "Provider suicide-assessment attitudes and practices are measured by survey and analyzed with regression."
      }
    },
    {
      "input_index": 1979,
      "record_key": "SSWR:2026-U-0736",
      "source_database": "SSWR",
      "record_id": "2026-U-0736",
      "year": 2026,
      "title": "Moderation Effects of State LGBTQ+ Policy Environments on Mental Health Disparities between Youth with and without a Sexual Minority Identity: Evidence from National Data",
      "abstract": "Background and Purpose: Sexual minority youth (SMY), including those who identify as lesbian, gay, or bisexual (LGB), face elevated mental health risks compared to their heterosexual peers. Rates of depression and suicidality among U.S. adolescents have risen in recent years, and structural stigma and unsupportive environments remain key contributors to these disparities. Given the variation in state-level LGBTQ+ policies across the U.S., this study examines whether more inclusive state policies are associated with lower mental health risks and reduced disparities between LGB and non-LGB youth. Methods Data were pooled from the 2021 and 2023 Youth Risk Behavior Surveillance System (YRBSS), including 215,395 high school students. States were grouped into four levels of LGBTQ+ policy inclusiveness based on the Human Rights Campaign’s (HRC) annual policy classification report. Outcomes included self-reported depression, suicidal ideation, suicide planning, and suicide attempts in the past 12 months. The primary independent variable was LGB identity (vs. non-LGB). Covariates included sex, race/ethnicity, grade, socioeconomic status (proxied by fruit consumption), experience of being bullied, and survey year. Survey-weighted logistic regression models were estimated in Stata (v18), and average marginal effects (AMEs) and predicted probabilities were calculated to assess disparities across policy categories. Results Of the total sample, 25.2% identified as LGB. Most LGB youth (77.5%) resided in the most inclusive states. Among LGB youth, the predicted probability of feeling depressed ranged from 54.4% in states with the most inclusive policies to 60.3% in those with moderately inclusive policies. Within the same group, the predicted probabilities of suicidal ideation, suicide planning, and suicide attempts ranged from 33.1% to 40.3%, 25.9% to 33.0%, and 14.5% to 19.1%, respectively. Across these three outcomes, the highest probabilities were consistently observed in the most exclusionary policy environments and the lowest in the most inclusive ones. Across all outcomes, LGB youth had significantly higher predicted probabilities of adverse outcomes compared to non-LGB peers. The largest disparities were consistently observed in most exclusionary states, and gaps narrowed in more inclusive environments. The predicted probability gap in suicidal ideation declined from 24.4 percentage points to 19.0 percentage points between least and most inclusive states. Similar reductions were observed for suicide planning and suicide attempts. The confidence intervals for disparities in suicidality outcomes between LGB and non-LGB youth did not overlap between the least and most inclusive policy environments. This indicates statistically significant moderation effects of policy environments on severe mental health risks. Conclusions and Implications Inclusive state-level LGBTQ+ policies moderate the association between LGB identity and poor mental health, particularly for suicidal ideation, planning, and attempts. While disparities persist, more inclusive policy environments are linked to lower mental health risks among LGB youth and reduced disparities between LGB and non-LGB youth. These findings underscore the role of structural protections in mitigating mental health inequities and suggest that expanding inclusive policies may serve as an important public health strategy to support sexual minority youth.",
      "authors": "Jerry Kai-Chun Fu",
      "author_ids": "129456",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 4000613250,
        "prompt_eval_count": 1622,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T19:05:12.731724+00:00"
    },
    {
      "input_index": 1980,
      "record_key": "SSWR:2026-F-0157",
      "source_database": "SSWR",
      "record_id": "2026-F-0157",
      "year": 2026,
      "title": "Modifying a 988 National Suicide and Crisis Lifeline Facilitation Intervention for Community Mental Health Clients with Serious Mental Illness",
      "abstract": "Background and Purpose: Suicide is critical public health problem in the United States and prevention efforts are particularly important for individuals with serious mental illness (SMI), namely bipolar disorder (BD) and schizophrenia spectrum disorder (SSD), who have a 20-30-fold increase in rates of suicide death as compared to the general population. Despite disproportionate rates of death and well-documented complexities of risk factors among individuals with BD and SSD, there is a paucity of suicide prevention-focused approaches with specific tailoring for symptoms of psychosis, depression, and mania. Crisis lines, such as the National Suicide and Crisis Lifeline (988 Lifeline), are a longstanding resource for suicide prevention with numerous national campaigns and initiatives aiming to grow public knowledge and utilization of the crisis line resource. Despite the 988 Lifeline being considered a CDC best-practice approach, national survey data show low utilization rates with only 5% of people in serious distress endorsing crisis line use. This study aims employ community-engaged methods to modify and test the acceptability, feasibility, and preliminary effectiveness of an existing suicide prevention intervention to increase 988 Lifeline use, Crisis Line Facilitation (CLF) and reduce suicide attempt, with specific tailoring for the unique symptoms of BD and SSD. Methods : Stakeholders (n=20) participated in CLF modification efforts informed by the ADAPT-ITT framework, including clients with BD or SSD and recent suicide ideation or attempt, peer support specialists, mental health providers, and leadership in a community mental health (CMH) setting. All stakeholders attended a qualitative in-depth interview with research staff to explore perspectives on the need for CLF tailoring, implementation barriers, sustainability facilitators, and areas for intervention improvement. After transcription, qualitative data analysis was guided by domains of CFIR, involving content analysis to identify themes across qualitative questions for organization into a final framework. Results : Qualitative themes largely pertain to intervention content, process of delivery, and organizational preparations for rolling out a new intervention in CMH. Findings informed modifications to tailor CLF content and protocol for BD and SSD symptoms for CMH clients, increase the feasibility of provider training, and inform the approach to embedding CLF in standard CMH care for SMI. A single-site trial is in progress to examine the preliminary effectiveness, feasibility, and acceptability of CLF among clients with BD and SSD. Conclusions and Implications : Findings highlight the importance of tailoring suicide prevention-focused interventions for specific SMI symptoms and experiences. In addition, it is essential to tailor suicide prevention approaches for various clinical settings, such as CMH given they are among the largest mental health service providers in the United States and deliver the majority of SMI care. Testing the modified CLF intervention has potential for contribute to transformative change in suicide prevention efforts by increasing the intervention’s utility and usability in CMH and ultimately working towards reductions in premature suicide death.",
      "authors": "Lindsay A. Bornheimer; Adrienne Lapidos; Nicholas Brdar; Maura Campbell; Katie Hoener; Timothy Florence",
      "author_ids": "114170; 129412; 126265; 127336; 124626; 124629",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Flash",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3961143000,
        "prompt_eval_count": 1530,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T19:05:16.695600+00:00"
    },
    {
      "input_index": 1982,
      "record_key": "SSWR:2026-P-0335",
      "source_database": "SSWR",
      "record_id": "2026-P-0335",
      "year": 2026,
      "title": "Narratives of Adolescent Suicide in South Korea: A Text Mining Approach to Online Discussions",
      "abstract": "Background and Purpose: Adolescent suicide, as the leading cause of death among youth since 2011, is a significant public health concern in South Korea. Despite efforts to develop preventive strategies, barriers such as stigma, developmental dynamics, and limited access to care persist and further limit accurately identifying and targeting at-risk youth. This study explores how adolescents express suicidal ideation, distress, and help-seeking behavior on anonymous online platforms. We examine online discourse to identify latent themes that capture the lived experiences and psychological states of adolescents experiencing suicidality. Methods: We analyzed 6,251 user-generated posts related to adolescent suicide from Naver KnowledgeIN (2014–2022), a widely accessed Korean online Q&A forum that offers complete anonymity and real-time interaction. As one of the most commonly used platforms among Korean adolescents, Naver KnowledgeIN functions as a digital space where youth can disclose emotional struggles freely—often in ways that bypass the formality, stigma, and time lag involved in accessing traditional mental health services. Its structure enables spontaneous, emotionally charged communication in a culturally familiar, linguistically native environment. A four-stage data processing protocol was followed, including data extraction, cleaning, morphological analysis, and topic modeling using Latent Dirichlet Allocation. The final model of thematic clusters was identified through qualitative synthesis. Results: Five unique topics emerged from the data corpus of online discussions on adolescent suicide. Family dysfunction topic (24.9% of all data) was represented by family conflict/violence, structural change, and lack of connection--all of which are strained situations that exacerbate adolescents' vulnerability to suicide behavior. The topic of teacher and peer relationships (20.7%) was described as bullying, peer conflict, and negative experiences with teachers. Academic stress and career anxiety topic (12.2%) was associated with exam/grade pressure, academic motivation decline, career uncertainty, and burden of private education. The mental health concerns topic (25.1%) mentioned various forms of psychological distress and negative emotions that are related to suicidal behavior, such as depressive symptoms, emotional numbness, lethargy, anxiety, and internal instability. The help-seeking topic (17.0%) included a spectrum of help-seeking discussions, including indirect pleas for help, urgent appeals for support, and efforts to access professional care amidst structural and interpersonal barriers. Conclusions and Implications: This study demonstrates the value of computational text analysis in uncovering mental health narratives within anonymous online discourse, particularly for issues with emotional complexity and cultural uniqueness, such as adolescent suicidality. Notably, anonymous and real-time online platforms may offer immediate and informal venues for emotional expression that may otherwise remain hidden in traditional support systems. This is in contrast with delayed, formal intake channels that are traditionally used for suicide intervention. By treating digital disclosures as informative data on sensitive topics without imposing any additional labeling or stigmatization, we highlight the potential of online platforms to supplement existing mental health services and amplify youth voices in suicide prevention.",
      "authors": "Yoonsun Han; Suah Jeon; Taekho Lee; Lynthia Mudongo",
      "author_ids": "110715; 128515; 116414; 128516",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3849396083,
        "prompt_eval_count": 1534,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T19:05:24.282319+00:00"
    },
    {
      "input_index": 1984,
      "record_key": "SSWR:2026-F-0015",
      "source_database": "SSWR",
      "record_id": "2026-F-0015",
      "year": 2026,
      "title": "Ni De Aqui, Ni De Alla: Exploring the Role of Biculturalism, Cultural Values, and Caregiver-Adolescent Conflict in Chicana Adolescent Suicide",
      "abstract": "Over the past decade, youth suicide rates have surged (Curtin & Hedegaard, 2019). However, trends often obscure the significant impact of suicide-related behaviors within communities of color, especially Latinx youth (King et al., 2018). Latina adolescents experience higher rates of suicidal thoughts and attempts than their male counterparts, highlighting the need for targeted research and interventions (CDC, 2021). This dissertation examines Chicana adolescent suicidality through the lens of Gloria Anzaldúa’s borderlands theory (1987), with a focus on biculturalism, cultural values, and caregiver-adolescent conflict. Using a qualitative phenomenological approach, the study explores the lived experiences of Chicana adults who attempted suicide as adolescents. Semi-structured interviews with 11 adult Chicanas offer insight into how cultural and gendered identities shape their mental health struggles. The findings reveal a lack of emotional support and connection between Chicana adolescents and their caregivers, which exacerbated the mental health challenges triggered by expectations and bicultural stress. Participants often felt a lack of belonging, intensified by bicultural policing, gendered expectations, and the pressures of familismo. These dynamics significantly contributed to caregiver-adolescent conflict and, eventually, suicide attempts. This research underscores the unique vulnerability of Chicana adolescents to mental health challenges rooted in cultural pressures and insufficient caregiver support. It advocates for the development of culturally sensitive mental health interventions tailored to the specific needs of Chicana youth. Furthermore, it calls on mental health practitioners to incorporate an understanding of bicultural stress and caregiver-adolescent dynamics into their therapeutic practices.",
      "authors": "Xochilt Alamillo; Nidia Hernandez; Andrea Perez Portillo",
      "author_ids": "120208; 120712; 121935",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Flash",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3257034916,
        "prompt_eval_count": 1275,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T19:05:31.253530+00:00"
    },
    {
      "input_index": 1987,
      "record_key": "SSWR:2026-P-0647",
      "source_database": "SSWR",
      "record_id": "2026-P-0647",
      "year": 2026,
      "title": "Participatory Implementation Research to Inform Community Practice: Blending Participatory Research with Implementation Science Frameworks for Suicide Prevention in American Indian and Alaska Native Communities",
      "abstract": "Background and Purpose Suicide remains the third leading cause of death among youth and represents one of the most persistent health disparities affecting American Indian and Alaska Native (AIAN) communities. Strategies that promote everyday, community-led suicide prevention practices within AIAN contexts have shown promising evidence. However, little is known about how to identify and address the contextual complications that arise for implementation of approaches that depart from top-down, expert driven activities (e.g., risk detection, clinical treatment), to community-driven activities (e.g., talking safely about suicide, building social connection, and safe firearm storage). To support transformative change in practice and policy, further insights are needed into the local conditions that shape the success of dissemination and implementation strategies in AIAN community settings. Methods This study draws on focus groups and ethnographic field observations to examine the contextual determinants of implementing suicide prevention programs in two distinct AIAN communities. At one site, on a Northern Plains reservation, we examined the implementation determinants for using social network data from the Tribal Reservation Adolescent Connections Study (TRACS). In the second site, in rural Alaska, we examined a novel approach of partnering with a higher education program to implement an evidence-based program, Promoting Community Conversations About Research to End Suicide (PC CARES), in Alaska Native communities. Design of focus groups and field observations was grounded in participatory approaches. For example: collaboration with community leaders on recruitment of participants, and local steering committee oversight for measurement design and interpretation of results. Focus group guide and qualitative analyses were informed by the Consolidated Framework for Implementation Research (CFIR), an evidence-based implementation determinants framework. Results We report barriers and facilitators to implementing community-based suicide prevention programs, including common and distinctive contextual determinants across these two AIAN communities. Our findings highlight AIAN community features for each of the CFIR domains, (Inner Setting, Outer Setting, Intervention Characteristics, Implementation Process, Individuals Involved), centering perspectives of local service providers, who are often tasked with implementing community-based programs. We reflect on these findings in light of sociocultural considerations and the differing stages of intervention development occurring in each community. Conclusion and Implications This study elevates AIAN community voices and works towards strategies that bridge social work prevention research and practice. Results highlight the importance of structural supports for community implementation, including resources and training to facilitate collaborative relationships that connect stakeholders across multiple community sectors. In alignment with the 2026 SSWR conference theme, this work demonstrates how research approaches that blend evidence-based practice and local knowledge can catalyze real-world changes in local practice, moving beyond evidence creation to transformative community impact.",
      "authors": "Lauren White; Katie Schultz; Jerreed Ivanich; Diane McEachern; Roberta Moto; Josie Garnie; Lisa Wexler",
      "author_ids": "124977; 113355; 124976; 129154; 129155; 129156; 129157",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3723575291,
        "prompt_eval_count": 1466,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T19:05:42.279625+00:00"
    },
    {
      "input_index": 1988,
      "record_key": "SSWR:2026-P-0104",
      "source_database": "SSWR",
      "record_id": "2026-P-0104",
      "year": 2026,
      "title": "Pathways between Multidimensional Risk Factors and Suicidal Behaviors: Analysis of the 2023 Korean Welfare Panel Study on People with Disabilities",
      "abstract": "Background People with disabilities have significantly higher suicide rates compared to the general population, highlighting the urgent need for targeted preventive strategies. This study applies a social determinants of health framework to examine how socioeconomic status, social support, perceived discrimination, and depression collectively influence suicidal behaviors. Using comprehensive data from the 18th Korean Welfare Panel Study's disability supplement survey (2023), this research employs structural equation modeling to identify critical mechanisms underlying suicidal behaviors among individuals with disabilities, informing social work interventions for this vulnerable population. Methods Cross-sectional data from 1,576 participants with disabilities were analyzed. Suicidal behaviors were measured through standardized self-report items assessing suicidal ideation, planning, and attempts within the past year. Exogenous variables included food insecurity (6-item Korean Food Security Survey Module), material deprivation (8-item composite index), social support (12-item scale), and perceived discrimination (4-item scale). Depression (11-item CES-D) was specified as a mediating endogenous variable. Demographic characteristics were controlled. The structural model was tested using maximum likelihood estimation with robust standard errors, with indirect effects assessed using bootstrapping (5,000 resamples) with bias-corrected confidence intervals. Results Suicidal ideation was reported by 2.02% of participants overall, with elevated rates among low-income participants (4.36%) compared to general participants (1.55%). The structural model showed good fit (χ²[312]=703.16, p<.001, CFI=.938, TLI=.925, RMSEA=.049, SRMR=.043) and explained 47.6% of the variance in suicidal ideation. Direct path coefficients indicated significant effects of food insecurity (β=.18, p<.001), material deprivation (β=.14, p<.01), social support (β=-.16, p<.001), discrimination (β=.09, p<.05), and depression (β=.39, p<.001) on suicidal ideation. SEM analysis revealed significant indirect effects via depression: food insecurity→depression→suicidal ideation (β=.13); material deprivation→depression→suicidal ideation (β=.11); social support→depression→suicidal ideation (β=-.17); and discrimination→depression→suicidal ideation (β=.19). Depression mediated 42.7% of food insecurity effects, 38.2% of material deprivation effects, 51.3% of social support effects, and 67.8% of discrimination effects on suicidal ideation. Discussion This study advances understanding of suicidal behaviors among people with disabilities through structural equation modeling that identifies both direct and indirect pathways of risk. The findings highlight depression as a critical mediating mechanism, particularly for discrimination experiences (67.8% mediation), while demonstrating that socioeconomic factors maintain significant direct effects. These results align with social work's person-in-environment perspective and suggest multilevel interventions: (1) micro-level interventions addressing depression; (2) mezzo-level interventions enhancing social support; and (3) macro-level policy reforms targeting economic security and institutional discrimination. These findings validate a complex ecological model of suicide risk and identify specific intervention leverage points across multiple systems levels.",
      "authors": "Ji Sun Lee; Lina Cui",
      "author_ids": "112508; 128046",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3994620417,
        "prompt_eval_count": 1647,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T19:05:46.275780+00:00"
    },
    {
      "input_index": 1989,
      "record_key": "SSWR:2026-P-0180",
      "source_database": "SSWR",
      "record_id": "2026-P-0180",
      "year": 2026,
      "title": "Patterns in Gender Identity Stress Experiences of Transgender and Nonbinary Persons of Color Living in the United States: Relationship with Mental Health and Substance Use",
      "abstract": "Background and Purpose: Transgender and nonbinary (TNB) persons of color (POC) experience mental health and substance use disparities compared to their White and cisgender counterparts. Intersectionality theory, Gender Minority Stress and Resilience Model (GMSRM), and Gender Affirmation framework alongside empirical literature links aforementioned disparities to disproportionally higher minority stress (e.g., discrimination, rejection) exposure among TNB POC. Literature has examined the role of individual minority stressors in the community as isolated phenomena, however, limiting researchers’ ability to explore the role of multiple interwoven stressors in the lives of TNB persons more holistically. We use a person-centered approach to examine how gender minority stressors may cluster among TNB POC, facilitating poorer mental health and substance use outcomes. Methods: Data consisted of the POC subsample of the 2015 U.S. Transgender Survey (n=5,057). Most participants were multiracial (30.7%) or Latine/Hispanic (29.1%), with an average age of 28.5 years. Additionally, most identified as transgender men (31.9%) or nonbinary (assigned female at birth; 31.8%). Using mixture modeling, we created latent profiles of gender minority stressors. Four indices, discrimination (x̄=1.1; range 0-11), victimization (x̄=0.7; 0-22), rejection (x̄=0.9; 0-8), and gender non-affirmation (x̄=9.8; 0-17) were used as indicators. We compared nested models across four variance-covariance structures, and selected the final model using information criteria, entropy, and theory. Using a three-step approach, mental health (i.e., suicidal ideation, planning, and attempts, psychological distress) and substance use (i.e., cannabis, electronic/combustible cigarette, illicit substances/prescription misuse, and heavy episodic drinking) outcomes were regressed on profiles while controlling for age, gender, race, sexual orientation, education, employment, and household income. Analyses were weighted to be representative of the US TNB population. Bonferroni correction was used to account for multiple comparisons (p<0.006). Our final model had a profile-invariant unrestricted variance-covariance structure (entropy=0.932) and three profiles: (1)Rejection-dominant (n=694/13.7%), marked by high rejection and non-affirmation and moderate discrimination and victimization levels, (2)Cumulative stigma (n=200/4.0%), marked by high levels of non-affirmation, victimization, and discrimination and moderate rejection, and (3)Non-affirmation-dominant (n=4,160/82.3%), marked only by high gender non-affirmation. Findings: Compared to non-affirmation-dominant profile, rejection-dominant profile membership was associated with higher odds of past-year suicidal ideation (aOR=2.43) and planning (aOR=2.43) and past 30-day psychological distress (aOR=3.11). Cumulative stigma profile membership was associated with greater odds of past year electronic/combustible cigarettes use (aOR=3.61) and illicit substance use/prescription misuse (aOR=4.06) compared with non-affirmation-dominant profile membership. Conclusions and Implications: This study is among the first to elucidate how multiple minority stressors may cluster among TNB POC in distinct ways, facilitating poorer mental health and substance use outcomes. While TNB POC experienced high gender non-affirmation across profiles, its coupling with high rejection or cumulative stigmatization is linked to greater mental health and substance use vulnerabilities, respectively. Importantly, longitudinal analyses are needed to rule out any alternative explanations. Nevertheless, findings suggest social workers should consider using tailored mental health and substance use-related assessments. Lastly, findings underscore the need for policies addressing growing stigmatization of TNB persons and cumbersome barriers to gender affirming resources.",
      "authors": "Tural Mammadli; Jeffrey Harring; Paul Sacco; Darren Whitfield",
      "author_ids": "123138; 112351; 109704; 113109",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 4547643208,
        "prompt_eval_count": 1824,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T19:05:50.825154+00:00"
    },
    {
      "input_index": 1990,
      "record_key": "SSWR:2026-F-0069",
      "source_database": "SSWR",
      "record_id": "2026-F-0069",
      "year": 2026,
      "title": "Perspectives on Mental Health Crisis Care Among American Indian/Alaska Natives with Lived Experience",
      "abstract": "Background: Mental health crises have risen in recent decades, with suicide rates increasing by over 37% since 2000. While national and state policies have endeavored to expand crisis services to reduce the harmful impacts of mental illness, the quality of such services is limited, particularly among American Indians and Alaska Natives (AIANs). Additionally, acute crisis management has historically been modeled after medicalized/Westernized frameworks developed by medical professionals. These frameworks have given limited attention to the perspectives of those with lived experience using crisis care. Less consideration has been paid to the experiences of AIAN populations. This study aims to fill the knowledge gap by identifying key themes from AIANs with lived experience about how crisis is defined, how the individual knew they were in crisis, their experiences using mental health crisis services, and suggested improvements for the current mental health crisis systems and policies. Methods: From June to August 2024, informed by an advisory board of people with lived experience, practitioners, and academics, seven 1.5-hour focus groups were conducted with people with lived experience (n=27) using mental health crisis services. Of the total participants, four identified as AIAN (n=4). The AIAN people from four different focus groups were pulled for analysis. The participants were asked to define “crisis,” express how they knew they were in a crisis, share their experiences using mental health crisis services, and describe an ideal crisis care system. The transcripts were inductively coded, using grounded theory thematic analysis by two research team members. Results: The participants were aged 26-45 (n=2) and 46-65 (n=2), identified as non-Hispanic AIAN only (n=2) and AIAN with another race (n=2), cisgender female (n=3) and non-binary transgender (n=1). Emergent themes from the coded transcripts oriented around four categories: 1) definition of “crisis” (e.g., common language); 2) knew they were in crisis (e.g., suicidal, extreme behavior changes, and past or recent traumatic experiences); 3) experiences in mental health crisis care (e.g., re-traumatizing, lack of communication/transparency, agency of care, and staff competency (education and experience with people in crisis); and 4) ideal crisis care system elements (e.g., person-centered, peer-support, involvement in treatment, and culture and family inclusion in treatment plan). While the results are similar to the larger sample, there are two distinct differences among the AIAN populations. AIANs emphasize the importance of cultural practices and family involvement integrated into their mental health treatment plan. Additionally, having a counselor, medical team member, or peer-support worker that are AIAN or have knowledge of AIAN cultural values had substantial positive impacts on the individual’s mental health. Conclusion and Implications: Mental health crisis care perspectives involve a breadth of categories, including the definition of “crisis,” insights into being in crisis, often harmful experiences in crisis care, and what an ideal mental health crisis care system would look like. It is critical that culture, family, and knowledge of AIAN culture be included into AIAN treatment plans. Perspectives from AIAN participants with lived experience with mental health crisis services can inform revitalization efforts for equitable and effective policy reforms.",
      "authors": "Kelley McCall; Hyein Lee; Morgan C. Shields",
      "author_ids": "128501; 128502; 126475",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Flash",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3926795208,
        "prompt_eval_count": 1616,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T19:05:54.754355+00:00"
    },
    {
      "input_index": 1991,
      "record_key": "SSWR:2026-P-0085",
      "source_database": "SSWR",
      "record_id": "2026-P-0085",
      "year": 2026,
      "title": "Predicting Adolescent Suicide Attempts: A Comparative Supervised Machine Learning Study",
      "abstract": "Background: Suicide attempts among adolescents represent a growing public health crisis in the United States, with prevalence rising from 6.3% in 2009 to 10% in 2023. Despite decades of research, traditional statistical approaches have demonstrated limited success in predicting suicide attempts, often due to their reliance on predefined assumptions and neglect of non-linear interactions among diverse risk factors. Objective: This study aimed to evaluate and compare the performance of four supervised machine learning (ML) models—LASSO Logistic Regression, Classification and Regression Trees (CART), Random Forest, and eXtreme Gradient Boosting (XGBoost)—in predicting adolescent suicide attempts using data from the 2017 Youth Risk Behavior Surveillance System (YRBS). A secondary objective was to identify the most influential predictors across models to enhance understanding of suicide risk. Methods: Data were drawn from a nationally representative sample of 12,551 high school students who completed the 2017 YRBS. The primary outcome was self-reported suicide attempts in the past 12 months, dichotomized as present or absent. Predictor variables encompassed a wide range of domains, including substance use, emotional and cognitive factors, experiences of violence, school safety, nutritional habits, physical activity, media use, and demographics. Missing data were imputed using K-nearest neighbors with Gower’s distance. The dataset was stratified and split into training (75%) and testing (25%) sets, with 5-fold cross-validation used for model tuning. Sensitivity was prioritized as the primary performance metric due to the low prevalence of suicide attempts (7.4%), with additional metrics including specificity, AUC, accuracy, and Cohen’s kappa. Results: LASSO Logistic Regression exhibited the highest sensitivity (88.9%) and AUC (94.6%) in validation data, outperforming tree-based models. In the testing dataset, LASSO maintained high performance (sensitivity = 89.2%, specificity = 92.3%, AUC = 95.1%). Suicidal ideation and suicide planning were the most influential predictors across all models. Other consistent risk factors included substance use (e.g., injected drugs, synthetic marijuana), feelings of insecurity at school, uncertainty in sexual orientation, and experiences of sexual abuse. Notably, LASSO identified water consumption, race/ethnicity, and sleep patterns as additional significant predictors. The emphasis on sensitivity provided a more meaningful evaluation of model utility in identifying adolescents at risk. Conclusion: Machine learning models—particularly LASSO—demonstrate strong potential to improve adolescent suicide attempt prediction by incorporating a broader range of behavioral and environmental risk factors than traditional methods. Emphasizing sensitivity over AUC allows for better identification of true positive cases in imbalanced datasets. The study highlights the importance of integrating diverse domains of adolescent experiences into predictive models and supports the use of ML as a valuable tool in developing data-driven, targeted prevention strategies. However, limitations include the use of secondary data lacking detailed mental health history and the pre-pandemic timeframe of the dataset, underscoring the need for model retraining with current data.",
      "authors": "Catalina Cañizares; Mark J. Macgowan; Miriam Potocky, PhD; Hui Huang; Jeremy Petit; Raymond Balise",
      "author_ids": "122573; 108397; 115511; 110558; 128005; 128006",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3917734583,
        "prompt_eval_count": 1575,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T19:05:58.674038+00:00"
    },
    {
      "input_index": 1992,
      "record_key": "SSWR:2026-P-0233",
      "source_database": "SSWR",
      "record_id": "2026-P-0233",
      "year": 2026,
      "title": "Predictors of Adolescents’ Perceptions of Safety and Mental Health Outcomes: The Mediating Role of Perceived Safety",
      "abstract": "Background and Purpose: Adolescent mental health in the United States is in crisis, with rising rates of depressive symptoms, anxiety, and suicide attempts reported over the past decade. While social-ecological frameworks highlight protective factors such as school connectedness and parental involvement, emerging evidence suggests that perceptions of safety within school and neighborhood environments may mediate these relationship. Adolescents who feel unsafe due to discrimination, victimization, or lack of support are at heightened risk for mental health outcomes. This study investigates whether perceived safety mediates the associations between school connectedness, parental knowledge, and adolescent mental health, specifically depressive symptoms and suicide attempts. Methods: Data were drawn from the 2021 national Youth Risk Behavior Survey. The sample consisted of 17,232 high school students with complete data on key study variables. Depressive symptoms were assessed using a single item on persistent feelings of sadness or hopelessness, and suicide attempts were measured by self-reports of one or more attempts in the past 12 months. School connectedness was evaluated using a Likert-scale item regarding students’ feelings of being cared for at school, while parental knowledge was assessed based on adolescents’ reports of parental awareness of their whereabouts. Perceived safety was derived from two items assessing feelings of safety at school and in the neighborhood, dichotomized into high and low safety. Structural Equation Modeling (SEM) was conducted using Jamovi v.2.6.23 to assess direct and indirect pathways, with model fit evaluated using the Comparative Fit Index (CFI) and Root Mean Square Error of Approximation (RMSEA). Results: The SEM demonstrated good fit (CFI = 0.93, RMSEA = 0.04). School connectedness (β = 0.32, p < .001) and parental knowledge (β = 0.28, p < .001) were positively associated with perceived safety. Perceived safety was significantly associated with lower odds of reporting depressive symptoms (OR = 0.56, 95% CI [0.48, 0.64]) and suicide attempts (OR = 0.49, 95% CI [0.39, 0.60]). Additionally, adolescents identifying as non-heterosexual reported lower perceived safety (β = –0.29, p < .001) and were at significantly higher risk for depressive symptoms (OR = 2.41) and suicide attempts (OR = 3.72). Mediation analyses indicated statistically significant indirect effects of school connectedness, parental knowledge, parental knowledge, and sexual identity on mental health outcomes through perceived safety. Conclusions and Implications: Findings underscore perceived safety as a critical mechanism linking both protective and risk factors to adolescent mental health. Adolescents who identify as LGBTQ+ or belonging to racial/ethnic minority groups were more likely to report feeling unsafe, which in turn associated with increased emotional distress. These results points to the urgent need for trauma-informed, culturally responsive, and LGBTQ+-affirming policies and interventions within schools and communities. Social work practice and policy should prioritize the creation of supportive environments that foster adolescents’ sense of safety and belonging as a foundation for mental health and well-being. In doing so, support for adolescent mental health can be strengthened through the promotion of safety, inclusivity, and resilience. Keywords: US adolescents; school connectedness; school safety; mental health.",
      "authors": "Silviya Nikolova; Bonita B. Sharma; Eusebius Small; Benjamin Sesay",
      "author_ids": "113384; 112321; 111390; 128330",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3995872375,
        "prompt_eval_count": 1641,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T19:06:02.671644+00:00"
    },
    {
      "input_index": 1994,
      "record_key": "SSWR:2026-U-0117",
      "source_database": "SSWR",
      "record_id": "2026-U-0117",
      "year": 2026,
      "title": "Predictors of Suicide Mortality in Post-9/11 Veterans 1-Year after Military Separation",
      "abstract": "Background and Purpose : Suicide risk is high among service members transitioning out of the military and after military separation. The military-to-veteran transition is a vulnerable period characterized by life stressors, psychosocial problems, and debilitating symptomatology. This transition is a gap in social support and access to care that increases suicide risk because veterans have limited interaction with military peers, discontinued access to MHS care, and may have not begun using VHA care. This study identified risk and protective factors predicting suicide mortality among post-9/11 veterans up to one year after military separation. Methods : This retrospective cohort study from the Long-Term Impact of Military-Relevant Brain Injury Consortium Phenotype Study included veterans who served post-9/11, received > 3 years of Military Health System (MHS) care, and separated from military service before October 1, 2016. Cause of death was assessed at 1-year post-separation. Using a competing risk approach, a Cox proportional hazard model estimated risk for suicide mortality 1-year post-separation after controlling for continuity of care measures (transition to VHA care within 1-year post-separation, use of MHS post-separation, using VHA care before separation), demographics, military, deployment, physical and mental health diagnoses, and multimorbidity two years before military separation and any psychiatric hospitalizations during military service. The competing event was all other caused mortality. No mortality was the censored event. Results : Among 1,594,869 veterans, 1713 (0.11%) died within one-year post-separation; 441(3.9%) by suicide an average of 5.2 months post-separation; 50.6% of suicide decedents had transitioned to VHA care. Death for other causes occurred an average of 5.6 months post-separation. The most prevalent conditions among decedents were smoking history and back and neck pain. The strongest predictors of suicide mortality were cognitive-related diagnoses (HR: 1.86, 95% CI: 1.25-2.75), treatment for suicidality two years before separation (HR: 1.78, 95% CI: 1.23-2.62), and serious mental illness (schizophrenia and bipolar; HR: 1.72, 95% CI: 1.19-2.46). Protective factors included use of MHS care post-separation (HR: 0.06, 95% CI 0.05-0.08) and female sex (HR: 0.31, 95% CI: 0.20- 0.50). Psychiatric hospitalization during military service was not associated with suicide mortality. Conclusions and Implications: Most suicide deaths occurred less than 6 months post-separation. By reducing suicide mortality risk by 94%, continued use of MHS care post-separation was the most significant protective factor. Findings suggest the military-to-veteran transition is a critical period for suicide preventive intervention and linkage to care. Promising suicide prevention strategies may include targeting modifiable risk and protective factors such as risky drinking, drug misuse, cognitive complaints, continuity of MHS care post-separation, and intensive post-discharge case management for service members with a recent history of suicidality. Additional research is needed on the relationship between psychiatric hospitalization and suicide mortality.",
      "authors": "Nikki R. Wooten; Megan Amuan; Madeleine Myers; Prince Addo; Nathaniel Bell; Ana DeFede-Lopez; Mary Jo Pugh",
      "author_ids": "110913; 126790; 126791; 126792; 126797; 128297; 126798",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 4175955708,
        "prompt_eval_count": 1661,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T19:06:10.745631+00:00"
    },
    {
      "input_index": 1995,
      "record_key": "SSWR:2026-P-0724",
      "source_database": "SSWR",
      "record_id": "2026-P-0724",
      "year": 2026,
      "title": "Prevalence, Disability, and Mental Health Correlates with Eating Disorders in Trans-Nonbinary Coloradans",
      "abstract": "Background and Purpose: Eating disorders (EDs) are debilitating, multi-faceted, potentially deadly illnesses lasting 2.5-5.5 years if untreated. Trans and non-binary people (TNB) suffer from EDs at higher rates than cisgender counterparts. Disparities may be explained by minority stress, desire to “pass” (leading to weight manipulation), and weight requirements for gender-affirming care. EDs often co-occur with other chronic health and mental health conditions including depression, suicidality, anxiety, traumatic experiences, and PTSD, and TNB people experience these conditions at disparate rates. TNB people also face barriers accessing general healthcare, gender-affirming care, ED screening, and ED treatment. Taken together, these findings suggest the need for collaborative, interdisciplinary research and treatment options to support TNB individuals with EDs. ED research among TNB people is limited. This study investigated the following research questions, using the OneColorado dataset (a representative sample of adult TNB Coloradans): RQ1: Do ED rates vary significantly by demographic factors (disability, gender, race, age, income, or gender) in TNB Coloradans? RQ2: Are EDs correlated with other mental health conditions (anxiety, depression, traumatic experiences, or PTSD)? RQ3: Of TNB individuals seeking healthcare, how many have likely EDs? Methods: Secondary data analysis was conducted using a cross-sectional survey of TNB people living in Colorado (N=448). ED symptomology was assessed with the Eating Disorder Examination-Questionnaire-7. Scores greater than 3.64 indicated the presence of a likely ED. Depression was assessed using the Patient Health Questionnaire-2 (PHQ-2), and anxiety was assessed using the Generalized Anxiety Disorder-2. Participants endorsing trauma (dichotomous question) completed the Primary Care Post-Traumatic Stress Disorder (PC-PTSD-5), which assessed for Post Traumatic Stress Disorder (PTSD). Demographic variables included age, race/ethnicity, gender, endo/intersex status, disability status, disability type, and income. Results ED rates were high (54%) and varied across demographic factors. Indigenous participants had significantly higher log odds of having an ED (68%) compared to white respondents (48%) (p=0.048). Age was significantly positively associated with the log odds of having a likely ED (p=0.045). Depression and anxiety were significantly correlated with EDs (p=0.023, p=0.009). Trauma history (p<0.001), lifetime suicide attempt (p=0.001), non-suicidal self-injury (NSSI) (p=0.011), and anxiety severity (p=0.004) were significantly correlated with ED severity. Contrary to previous literature in cisgender samples, disability was not associated with ED risk. Of those seeking healthcare or mental healthcare in the last year, 47% and 48% (respectively) had likely EDs. Conclusions and Implications This study adds to literature regarding the prevalence of EDs in TNB people, using a representative sample of Coloradans with diverse races and genders. Findings suggest that TNB individuals are at high risk for EDs, and that these concerns likely coincide with multiple other conditions. Further, almost half of TNB individuals seeking health/mental healthcare endorsed a likely ED, suggesting that screening all TNB patients for eating concerns is imperative.",
      "authors": "Sarah Sullivan; Erin Harrop; Emil Killough; Brendon Holloway",
      "author_ids": "124781; 120585; 129320; 124305",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 4218851292,
        "prompt_eval_count": 1675,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T19:06:14.966716+00:00"
    },
    {
      "input_index": 1997,
      "record_key": "SSWR:2026-U-0100",
      "source_database": "SSWR",
      "record_id": "2026-U-0100",
      "year": 2026,
      "title": "Racist Experiences at School and Suicidal Behaviors: A Latent Class Analysis Among a National Sample of Black High School Students",
      "abstract": "Background and Purpose: Alarmingly, there has been a national increase in suicide rates among Black youth. Black youth populations exposed to racism in schools are at an elevated risk for suicidal ideation and behaviors. Despite this increase, there is limited person-centered research examining racism at school for Black youth and associations with suicidal ideation and behaviors. Using the Structural Racism and Suicide Prevention for Ethnoracially Minoritized Youth Framework, we sought to identify latent classes of experiences of racism in the school environment among U.S. Black high school students. We explored response patterns based on the four levels of racism in the framework: intrapersonal, interpersonal, institutional, and cultural racism. We also sought to examine predictors of class membership and investigate the relationship between these latent classes and suicidal ideation and behaviors. Methods: Data were obtained from the Centers for Disease Control and Prevention 2023 Youth Risk Behavior National High School Survey. The sample ( N =1,791) comprised Black/African high school students. Measures included racism at school (eight indicators), covariates (age, sex), and outcomes (suicidal ideation, suicidal plans, and suicide attempts). Analyses were completed using RStudio and M plus . We computed descriptive statistics and then applied latent class analysis (LCA) on the indicators to uncover population heterogeneity. After deciding on the number of classes, the covariates and outcome variables were included using the three-step approach to explore associations among the identified latent classes. Results: Descriptive statistics reveal that 52% of our sample were male participants, and their average age was 16 years. Approximately 18.9% reported experiencing suicidal thoughts, 15.1% had a suicide plan, and 10.5% had attempted suicide. The LCA revealed three distinct classes: (1) Distancers (23.85%, n =427) - highest probability of intrapersonal racism and cultural racism; (2) Confronters (13.05%, n =234) - highest probability for interpersonal racism and high experiences of intrapersonal, institutional, and cultural racism; (3) Problem-solvers (63.09%, n =1,130) - lowest probability of racist experiences across all four types of racism categories. The Distancers had the high est likelihood of experiencing suicidal thoughts (84.3%), plans (77.8%), and attempts (54.7%). Males were more likely to be Distancers versus Problem-solvers. Among the Confronters, younger adolescents and females were more likely to be in this group than the Problem-solvers group. Females were less likely to have suicidal ideations. Conclusion and Implications: Black youth who are dealing with intrapersonal and cultural racism in school settings may have an increased risk for suicidal ideation and behaviors.These intrapersonal relationships include a low sense of belonging and negative relationships with school personnel and peers. Cultural racism includes negative attitudes and beliefs about Black youth that often lead to them being unfairly disciplined and sanctioned versus treated for mental health needs. Anti-racist efforts to dismantle structural racism within schools are needed for transformative change and suicide prevention strategies. Additionally, interventions that center on Radical Healing and Hope as a way to counter racist experiences may help to decrease school-based harms.",
      "authors": "Sonyia Richardson; Danielle Harrell; Dina Arch",
      "author_ids": "120570; 124652; 128200",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 4126750666,
        "prompt_eval_count": 1623,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T19:06:23.048937+00:00"
    },
    {
      "input_index": 1999,
      "record_key": "SSWR:2026-P-0416",
      "source_database": "SSWR",
      "record_id": "2026-P-0416",
      "year": 2026,
      "title": "Risk and Protective Factors Associated with Firearm Access and Suicide Risk in a National Sample of Young Adults",
      "abstract": "Background: Suicide is a leading cause of death among young adults in the U.S. A growing body of research suggests that firearm access and/or ownership may be linked to increased psychological distress and suicide risk among young adults. Removing access to firearms – a particularly lethal means – can significantly reduce risks for suicide in this population. This study investigates the role of demographic and contextual risk and protective factors in relation to firearm access and suicide-related outcomes among emerging adults ages 18-29. Method: Data from a nationally representative survey of young adults ages 18-29 ( N = 1077) were used to assess the relationship between current firearm access and suicide-related outcomes. Descriptive statistics identified demographic, household, and geographic characteristics associated with firearm access. Hierarchal binary logistic regressions were used to model associations between study variables and the outcomes of suicidal ideation and suicidal behavior across four steps: 1) demographics (e.g., age group, racial/ethnic identity, gender identity, sexual orientation), 2) self-reported current access to a firearm in the home (yes or no), 3) geographic and household characteristics (e.g., urbanicity, geographic region, household size, home ownership), and 4) contextual risk and protective factors (e.g., social support, coping strategies, youth violence victimization, intimate partner violence victimization). Results: Greater proportions of young adults who were married, living in larger household sizes, living in rural areas, and living in the U.S. Midwest and South regions reported significantly increased access to firearms in their home. Of note, a greater proportion of cisgender men reported current access to firearms compared to cisgender women and transgender/non-binary young adults. A greater proportion of heterosexual adults had access to firearms compared to sexual minority (LGBQIA+) young adults. Young people identifying as multiracial non-Hispanic reported the highest rate of firearm access, followed by white non-Hispanic, Latino/a, Black/African American non-Hispanic, and Asian non-Hispanic. In the multivariate analyses, firearm access was significantly associated with suicidal ideation in Step 2 (OR = .617, p<.05), however, this was no longer significant in step 3 accounting for household and geographic characteristics. There was no significant association between firearm access and suicidal behavior. Notably, higher levels of social support and coping using positive reframing decreased risks for ideation (OR = .665, p<.05; OR = .680, p<.001, respectively); whereas coping using substance use, self-blame and disengagement increased odds for ideation (OR = 1.51, p<.001; OR = .2.03, p<.001; OR = 1.41, p<.05, respectively). In the final model (step 4) for suicidal behavior, significant demographic variables included income, whereas significant risk and protective factors included youth violence exposure, and the coping sub-scales of substance use and religion. Specifically, coping using substance use and religion increased odds for suicidal behavior (OR = 2.7, p<.001; OR = 1.44, p<0.5), respectively). Conclusions: Understanding the complex interplay of firearm access, social support, youth violence exposure, coping and other risk and protective factors is crucial in addressing suicide risk among young adults aged 18-29. Findings can inform violence prevention and harm-reduction strategies among young adults at increased risk for poor mental health outcomes.",
      "authors": "Lisa Fedina; Xinlu Li; Todd I. Herrenkohl",
      "author_ids": "114451; 128692; 110248",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 4271803958,
        "prompt_eval_count": 1671,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T19:06:31.213598+00:00"
    },
    {
      "input_index": 2000,
      "record_key": "SSWR:2026-U-0107",
      "source_database": "SSWR",
      "record_id": "2026-U-0107",
      "year": 2026,
      "title": "School Connectedness and Suicidal Ideation Among Black Youth: A Latent Class Analysis",
      "abstract": "Background and Purpose: Suicide rates among Black youth are rising faster than those of any other racial or ethnic group, with an increase in deaths and suicidal behaviors, including ideation and attempts. Research highlights protective factors, such as school connectedness, in reducing suicide risk, yet there are limited studies examining these factors among Black youth populations. Further, there is limited person-centered research examining school connectedness in Black youth and its association with suicidal ideation. To address this critical gap in the literature, we aimed to identify latent classes of school connectedness among Black adolescents attending U.S. public schools. Additionally, we sought to examine predictors of class membership and explore the association between latent classes and suicidal ideation. Methods: Data from the Future of Families and Child Wellbeing Study yielded an analytic sample of 1,323 Black/African American adolescents enrolled in U.S. public schools at age 15. Missing data were assessed and handled using maximum likelihood estimation. Latent class analysis was applied using six school connectedness indicators to uncover population heterogeneity. After deciding on the number of classes, the covariates (e.g., sex, age, history of suspensions/expulsions, anxious/depressed behaviors) and outcome variable (i.e., suicidal ideation) were included using the three-step approach to explore associations among the identified latent classes. Stata/SE v.17.0 was used for data management and descriptive analysis, while RStudio, with M plus Automation, was used to conduct the latent class analysis. Results: Among the sample, 51% were female, with an average age of 15.59 years ( SD = 0.71), and 14% reported experiencing suicidal ideation. The latent class analysis revealed three distinct classes among Black adolescents: (1) Optimal Connections (n = 615, 46.51%) - highest probabilities in school attachment and safety, with no trouble with teachers and peers; (2) Unstable Connections (n=557, 42.10%) - high probabilities in school attachment and safety, but trouble with teachers and peers; and (3) Minimal Connections (n=151, 11.38%) - lowest probabilities in school attachment and safety and trouble with teachers and peers. Youth in the Unstable and Minimal Connections classes were more likely to have a history of suspension/expulsion and report symptoms of anxiety and depression compared to those in the Optimal Connections class. The Minimal Connections class had twice the likelihood of reporting suicidal ideation compared to the Unstable Connections class, suggesting they may be at higher risk for progression to suicidal behaviors. Conclusions and Implications: These findings highlight the diverse experiences of school connectedness among Black adolescents and underscore its significant impact on suicide risk. Adolescents in the Minimal Connections class, in particular, demonstrated higher rates of suicidal ideation, suggesting they may be at increased risk for progression to suicidal behaviors. Integrating assessments of school connectedness into suicide prevention efforts can help identify students in need of support and facilitate early interventions. Culturally responsive, targeted approaches that address school attachment and safety are critical in reducing suicide risk, promoting mental health among Black adolescents, and supporting transformative change.",
      "authors": "Danielle Harrell; Sonyia Richardson; Arielle H. Sheftall",
      "author_ids": "124652; 120570; 120302",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3824806459,
        "prompt_eval_count": 1587,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T19:06:35.040427+00:00"
    },
    {
      "input_index": 2004,
      "record_key": "SSWR:2026-P-0895",
      "source_database": "SSWR",
      "record_id": "2026-P-0895",
      "year": 2026,
      "title": "Social Support, Social Networks, and Mental Health of Six Refugee Subgroups in Arizona: Findings from a Pilot Study",
      "abstract": "Background and Purpose : Mental health care is essential for refugee integration, yet existing frameworks often lack the cultural sensitivity needed to address subgroup-specific needs. Treating refugees as a homogeneous group overlooks how cultural and experiential factors shape mental health and care responses, limiting intervention effectiveness. While social connectedness is known to protect mental health, prior research has often relied on broad social support measures, failing to capture the unique structure and function of refugees’ social networks. This pilot study aimed to fill these gaps by using social network data to explore social support, social network characteristics, and mental health across six refugee groups resettled in Arizona—a key U.S. resettlement site. Research questions included: (a) How do sociodemographic characteristics vary across the six subgroups? (b) How do social support, social networks, and mental health outcomes—specifically psychological distress and suicidal thoughts—differ across groups? Methods : We collected egocentric network data (July-September 2022) from 150 refugees across six groups—Bhutanese, Burmese, Congolese, Iraqi, Somali, and Syrian—resettled in Arizona. A community-based participatory research approach was employed, with community leaders from each group serving as active research partners. Surveys were self-administered either at ethnic-based community organizations or in participants’ homes, in both English and native languages. Social support was assessed using the 12-item Multidimensional Scale of Perceived Social Support. Social networks were examined through egocentric network analysis, capturing variables such as network structure, location of alters, relationship strength and quality, interaction frequency, relationship type, homophily, and disclosure of suicidal thoughts. Suicidal thoughts were measured using the Wish to be Dead Scale. Chi-square tests and ANOVA compared sociodemographic characteristics across groups. Kruskal-Wallis H tests examined group differences in social support, social networks, and mental health outcomes. Results : Most participants were male (53.0%), with an average age of 41.4 years; 31.3% had no formal education, and 44.7% were unemployed. Significant differences emerged across refugee subgroups in terms of sociodemographic characteristics, social support, network characteristics, and psychological distress and suicidal thoughts. Particularly, Syrian refugees stood out with the lowest employment and English proficiency rates, shorter U.S. residency, smaller and more dispersed networks, and the highest levels of psychological distress and suicidal thoughts. Conclusions and Implications: To our knowledge, this is the first study to use egocentric network data to compare social networks and mental health indicators across Arizona’s refugee subgroups. The findings underscore the importance of disaggregating refugee subgroups to better address their diverse mental health needs—recognizing the unique experiences of each population rather than treating refugees as a homogeneous group. Social support, network characteristics, and mental health appear to interact uniquely in each group, suggesting that a one-size-fits-all approach is insufficient. A social determinants of health framework is urgently needed across research, policy, and practice. Mental health professionals and policymakers should consider each group’s distinct social support systems, network composition, psychological distress, and suicidal thoughts to develop culturally responsive interventions that leverage refugee support networks.",
      "authors": "Mee Young Um; Youn Kyoung (Lily) KIM; Arati Maleku; Zoe Baccam",
      "author_ids": "114086; 113286; 113383; 125676",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3900468750,
        "prompt_eval_count": 1598,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T19:06:50.720724+00:00"
    },
    {
      "input_index": 2005,
      "record_key": "SSWR:2026-U-0615",
      "source_database": "SSWR",
      "record_id": "2026-U-0615",
      "year": 2026,
      "title": "State Housing Policy Environments and Suicide Risk Among Households Experiencing Eviction and Foreclosure from 2011 to 2021",
      "abstract": "Background and Purpose. The most recent suicide prevention plan by the US Centers for Disease Control and Prevention (CDC) identifies housing security as a social determinant of mental health and promotes interventions like permanent supportive housing in improving mental health outcomes among housing-insecure individuals. However, the CDC’s plan specifically and the literature generally often fail to consider the effects of another important intervention for mitigating housing loss: policies that protect residents from eviction and foreclosure. The goal of this study is to assess whether state housing policy environments moderate risk of suicide death following the initiation of formal eviction or foreclosure proceedings. Methods. To answer the research question, we first have to address a key methodological challenge in assessing the secondary effects of housing policies on outcomes like suicide risk: the fact that estimating the risks of suicide death following housing loss requires linking eviction and suicide outcomes, which is not possible to do using existing administrative datasets. We use techniques from natural language processing to identify suicide decedents who experienced housing loss from narrative texts in the National Violent Death Reporting System (NVDRS) from 2011 to 2021. We then link the NVDRS data to multiple external data sources using county-level identifiers to create a population-scale dataset examining the joint distribution of suicide, eviction, foreclosure, and state policy over an 11-year period. Finally, we test whether three sets of policies are associated with changes in suicide risk following eviction and foreclosure: (1) the state-level eviction and foreclosure policies from 2011-2018, (2) each state’s time-varying enforcement of the federal eviction moratoria from 2020-2021, and (3) the time-varying state-level eviction protections from 2020-2021. Results. Between 2011-2018, we find that people who experiencing an eviction are less likely to die by suicide when they live in a state with strong resident protections (risk ratio 0.69, 95% CI [0.47, 0.92]) than in a state with weak protections (risk ratio 1.52, 95% CI [1.07, 1.97]). During the COVID-19 pandemic, states that enforced the federal eviction moratoria had higher suicide risk (risk ratio [95% CI] CARES Act moratorium: 79 [69,89], CDC moratorium: 64 [53,75], None: 52 [49,55]); similarly, additional state eviction moratoria were associated with higher suicide risk. Compared to those in states with weak resident protections, evicted decedents in states with strong pre-pandemic resident protections were less likely to have a number of contributing circumstances including unemployment, health, family, and financial problems. The opposite is true during the pandemic. Conclusion. Our results are consistent with the idea that social causation (housing loss leading to other stressors which contributes to elevated suicide risk) and social selection (the presence of other stressors increasing the risk of housing loss and, therefore, of suicide risk) are important mechanisms linking housing policy environments to suicide risk. Our work suggests that state resident protections can be an important point of intervention for suicide risk. Future research could test which interventions are most effective in mitigating the risk of suicide following housing loss.",
      "authors": "Aparna Ananthasubramaniam",
      "author_ids": "129355",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3915913333,
        "prompt_eval_count": 1642,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T19:06:54.638896+00:00"
    },
    {
      "input_index": 2006,
      "record_key": "SSWR:2026-P-0297",
      "source_database": "SSWR",
      "record_id": "2026-P-0297",
      "year": 2026,
      "title": "Strength in Connection: How Social Well-Being and Identity Shape Suicide Risk Among Veterans",
      "abstract": "Background/Purpose: Veteran suicide rates remain nearly twice as high as those of non-veteran adults in the United States, underscoring the urgent need to better understand both general and military-specific risk and protective factors.Guided by the Three-Step Theory (3ST) of suicide, an ideation to action framework, this study seeks to distinguish correlates of suicidal ideation from those of suicide attempts. It aims to extend current knowledge by exploring how individual characteristics, suicide risk factors, military identity, and social well-being are associated with distinct forms of suicidality. Methods: This study used data from the Military Health and Well-Being Project (N = 1,483), collected by a nationally representative online survey of US veterans in 2020. The dependent variable categorized Suicidal Thoughts and Behaviors (STB) into three groups: no suicidal thoughts or behaviors (reference group), suicide ideation only, and suicide attempt. Predictors included suicide risk factors (e.g., loneliness, moral injury, substance use), military identity (e.g., idealism, professionalism, self-stigma), social well-being (social integration and contribution), and individual characteristics (age, gender, race and ethnicity). We used hierarchical multinomial logistic regression to examine how these factors were associated with the likelihood of suicidal ideation or suicide attempts, relative to no STB. The analysis was conducted using R Version 2024.09.1+394. Results: In the sample, 5% reported a suicide attempt and 37% endorsed ideation only. Suicide risks were positively associated with substance use (Odds Ratio (OR) = 1.39, p < .001 for ideation; OR = 2.04, p < .001 for attempt) and loneliness (Ideation: OR = 1.14, p = .003; attempt: OR = 1.25, p = .015). Notably, STB was inversely associated with social integration (OR = 0.79, p < .001 for ideation; OR = 0.66, p < .001 for attempt) and social contribution (OR = 0.76, p = .027 for attempt). Additionally, gender minorities (female, transgender, and non-binary) were more likely than males to endorse suicidal ideation (OR = 1.61, p = .001) and suicide attempt (OR = 4.02, p < .001). A significant interaction effect was found between moral injury and self-stigma (OR = 0.99, p = .025 for ideation only compared to no STB), revealing that higher military self-stigma attenuated the association between moral injury and suicidal ideation. Conclusions and Implications: This study contributes to the literature by: (1) differentiating correlates of ideation and attempt in a veteran sample using an ideation-to-action framework; (2) highlighting social connectedness as a key protective factor, particularly for veterans who likely have acquired capability for suicide; and (3) identifying a complex interaction between a key risk factor (moral injury) and military-based identity factor (military self-stigma) that challenges dominant narratives about stigma as solely a risk factor. The study highlights the importance of fostering community connection for transitioning service members—even before separation from service—through programs that support military-to-civilian adjustment. Notably, suicide prevention need not be limited to clinical interventions; engagement in community spaces such as sports teams, faith groups, or veteran service organizations (e.g., Kiwanis, Veterans of Foreign Wars, American Legion) may also offer powerful protective effects.",
      "authors": "Samuel Ochinang; Ya-Li Yang; Youngmi Kim",
      "author_ids": "128458; 125149; 110082",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 4225108167,
        "prompt_eval_count": 1704,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T19:06:58.865206+00:00"
    },
    {
      "input_index": 2008,
      "record_key": "SSWR:2026-U-0321",
      "source_database": "SSWR",
      "record_id": "2026-U-0321",
      "year": 2026,
      "title": "Substance Use, Depression, and Suicide Risk: Findings from a Propensity-Weighted National Study",
      "abstract": "Background: In 2023, approximately 48.5 million Americans were affected by a substance use disorder, a key risk for suicide and suicidal ideation—including thoughts, attempts, and planning. Individuals with health conditions are also at significantly higher risk for suicide. Despite, the association linking a substance use disorder and major depressive episodes to such suicide risk is not fully explored. While mental health and substance use disorders are well-established risk factors, less is known about how systemic factors—like insurance coverage—may buffer or intensify this risk. Moreover, many individuals lacked consistent access to behavioral health care. This study explores the combined effects of SUD and Major Depressive Episodes (MDE) on suicide risk and investigates whether health insurance coverage moderates these relationships. Methods: Data were drawn from the 2023 National Survey on Drug Use and Health (n=43,393). Logistic regression was applied to investigate the associations linking substance use disorder and major depressive episodes to suicide risk, adjusted for sociodemographic characteristics (i.e., age, sex/race, education, income, and insurance status). To strengthen causal inferences and mitigate selection bias, generalized propensity score weighting was applied to the logit model. To strengthen causal inferences and mitigate selection bias, generalized propensity score weighting was applied to the logit model. Weighted logistic regressions were then constructed to estimate both the average treatment effect (ATE) and the average treatment effect on the treated (ATT). Finally, interaction terms were included to examine whether insurance coverage moderated the relationship between SUD, MDE, and suicide risk. Results: Among respondents, 10.1% reported mild SUD, and 4.5% each reported moderate or severe SUD. Most (70.4%) did not experience an MDE in the past year. Suicide-related behaviors were reported by 6.0% of the sample, with a notably higher prevalence (26.2%) among those with MDE compared to 3.70% among those without. Co-occurring SUD and MDE affected 14.8% of respondents. Weighted logistic regression analysis revealed that both substance use disorder severity and major depressive episodes were significant predictors of suicide risk. Individuals with moderate (OR = 1.91, 95% CI [1.63, 2.24]) and severe major depressive episodes (OR = 2.47, 95% CI [2.14, 2.84]) were at elevated risk compared to those with no major depressive episodes. Depression remained the strongest predictor of suicide risk (OR = 9.44, 95% CI [8.58, 10.39]) even at the presence of substance abuse disorder. Postestimation showed these significant associations do not vary by health insurance status. All estimates were adjusted for sociodemographic characteristics using generalized propensity score weights. Conclusion and Implications: Findings revealed the strong and compounding effects of mental health and substance use challenges on suicide risk. Depression remains the most dominant predictor, with risk further elevated when SUD was also present. The lack of significant moderation by insurance suggests that access to coverage alone may not be sufficient to reduce suicide risk. These results emphasize the importance of integrated, trauma-informed behavioral health care that accounts for both clinical and social risk factors. Keywords: suicide risk, substance use disorder, major depressive episode, insurance, socioeconomic factors.",
      "authors": "Vibol Kong; Jesse J. Helton",
      "author_ids": "126470; 109878",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3920919542,
        "prompt_eval_count": 1642,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T19:07:06.683473+00:00"
    },
    {
      "input_index": 2009,
      "record_key": "SSWR:2026-P-0235",
      "source_database": "SSWR",
      "record_id": "2026-P-0235",
      "year": 2026,
      "title": "Suicidal Ideation in Adolescents Exposed to Community Violence: A National Study of Risk Factors, Yrbs 2023",
      "abstract": "Background and Purpose: Adolescent suicide is a public health issue in the United States, ranking as the second leading cause of death among youth aged 10–24 . Between 2011 and 2021, suicide rates rose by 48%, signaling an urgent need for action. Suicidal behaviors among adolescents are shaped by interrelated psychological, social, and environmental stressors. Exposure to neighborhood violence (NV)—including shootings, assaults, and gang activity—has been linked to increased psychological distress, trauma symptoms, and a greater risk of suicide attempts. Such exposure heightens feelings of hopelessness and depressive symptoms, which are strongly associated with suicidal ideation. School connectedness has been identified as a protective factor that can buffer these risks. This study explores how NV relates to adolescent suicidality and examines how demographic characteristics, mental health, school climate, and victimization experiences may moderate this relationship. Methods: Analyses focused on a subsample of 3,495 adolescents who reported witnessing non-volitional violence from 2023 Youth Risk Behavior Survey. Key variables included demographic characteristics, mental health indicators (depressive symptoms, anxiety), school connectedness, perceived safety, parental monitoring, victimization experiences, and average sleep duration. Suicidal ideation was measured dichotomously. Multivariable binary logistic regression was employed to assess associations between selected predictors and suicidal ideation, adjusting for sex, grade, race/ethnicity, sexual identity, and sleep duration. Analyses were conducted in Jamovi (version 2.6.23), with p < .05. Results: The logistic regression model revealed significant predictors of suicidal ideation (χ²(42) = 994, p < .001, McFadden’s R² = 0.322). Black or African American (OR = 0.616), Hispanic/Latino (OR = 0.478), and multiple Hispanic/Latino (OR = 0.676) adolescents had lower odds of suicidal ideation compared to White adolescents. Bisexual (OR = 2.338) and questioning adolescents (OR = 1.775) were at higher risk, while the odds for gay/lesbian adolescents were not significant. Grade level showed minimal impact, with 9th graders (OR = 1.361) at higher risk compared to 10th graders. Key environmental and psychological factors emerged as significant. Adolescents feeling unsafe at school (OR = 1.574 to 2.349) and those reporting frequent parental conflict (OR = 1.500 to 2.300) had increased odds of suicidal ideation. Depressive symptoms were the strongest predictor (OR = 7.508), followed by victimization, including forced sexual intercourse (OR = 1.542). Difficulty concentrating due to health (OR = 2.607) was also significant. Sleep duration showed inconsistent associations, suggesting further exploration. Conclusions and Implications: This study underscores the relationship between non-volitional violence and suicidal ideation, with race, sexual identity, and environmental factors playing pivotal roles. Protective factors may mitigate risk among certain racial/ethnic groups, while sexual minority youth exhibit heightened vulnerability due to minority stress, necessitating targeted interventions. Schools are integral to suicide prevention, where enhancing safety and fostering connectedness can reduce suicidality. The findings highlight the need for routine mental health screening and trauma-informed care, particularly for adolescents exposed to violence and victimization. Future research should explore the long-term effects of NV and assess the effectiveness of integrated school- and community-based interventions. Keywords: Suicide ideation, Adolescents, Mental health, Neighborhood violence, YRBS.",
      "authors": "Silviya Nikolova; Eusebius Small; Benjamin Sesay; Bonita B. Sharma",
      "author_ids": "113384; 111390; 128330; 112321",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 4271182167,
        "prompt_eval_count": 1729,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T19:07:10.956433+00:00"
    },
    {
      "input_index": 2010,
      "record_key": "SSWR:2026-P-0842",
      "source_database": "SSWR",
      "record_id": "2026-P-0842",
      "year": 2026,
      "title": "Suicidality Among Adolescent Opioid Users: Individual, Interpersonal, and Community Level Risk and Protective Factors",
      "abstract": "Background and Purpose: Suicide among adolescents in the United States is a pressing public health concern. Growing evidence supports that opioid use is associated with increased suicidality among adolescents, potentially due to the neurobiological and behavioral impacts of opioid use during this critical development period. While prior research has explored risk and protective factors related to suicidality in the general adolescent population, few studies have specifically focused on adolescents who use opioids. This study aims to examine how perceived individual, familial, peer, school, and community-level experiences are associated with suicidality—both ideation and planning—among Adolescent Opioid Users (AOU). Methods: We used data from the 2021-2023 National Survey on Drug Use and Health (NSDUH). We restricted our sample to adolescents aged 12 to 17 who reported past-year opioid use. The outcome variable was past-year suicidality, categorized into three groups: (1) no suicidal thoughts or plans, (2) suicidal thoughts only, and (3) suicidal plans (who had suicidal thoughts and plans). Independent variables included youth experiences across several domains: parental connection, peer experience, school and faith-based involvement, community engagement, aggression and depression, and demographics. Multinomial logistic regression was used to assess associations between these predictors and suicidality outcomes. Analyses were weighted to adjust for the complex sampling design. Results: Our final analytic sample included 4,748 AOU. Among the 4,748 AOU, 78.9% reported no suicidal thought or plan in the past year, while 9.7% reported suicidal thoughts only, and 11.4% reported suicidal plans. In terms of racial composition, 44% of AOU were White, 26% were Hispanic, and 16% were Black. Several predictors were significantly associated with both suicidal thoughts and suicidal plans. AOU who talked to a parent or guardian about serious problems were less likely to experience either form of suicidality. In contrast, those who had no one to talk to, or argued frequently with parents, especially those who reported ten or more arguments, were more likely to report suicidal thoughts and plans. Past-year depression, history of criminal justice, and lower self-reported health were also significantly associated with increased suicidal thoughts and suicidal plans. Female AOU were more likely than males to report both outcomes. AOU who participated in one or two faith-based activities were less likely to report suicidal ideation, while those who reported attacking someone in the past year were more likely to report suicidal plans. Conclusion and Implications: This study has several implications for designing prevention strategies for AOU. School and community-based programs that strengthen parent–child communication, expand access to youth mental health services, and incorporate trauma-informed practices within juvenile justice may be effective in reducing suicidality among AOU. Further research should examine how each risk and protective factor relates to suicidality in this population and explore how culturally and contextually responsive supports can mitigate these risks. Longitudinal studies are also needed to understand how early behaviors across these domains influence the development of suicidality among AOU.",
      "authors": "Shekh Farid; Yeqing Yuan; Jennifer I. Manuel",
      "author_ids": "127648; 129746; 109763",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3746394250,
        "prompt_eval_count": 1580,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T19:07:14.705102+00:00"
    },
    {
      "input_index": 2011,
      "record_key": "SSWR:2026-U-0607",
      "source_database": "SSWR",
      "record_id": "2026-U-0607",
      "year": 2026,
      "title": "Suicide Prevention and Intervention with Military Personnel and/or Veterans:  An Overview of Systematic Reviews",
      "abstract": "Background and Purpose Suicide is a persistent public health crisis among military personnel and veterans, who experience significantly higher rates of suicide than the general population. Despite legislative efforts such as the Joshua Omvig Veterans Suicide Prevention Act (2007), rates remain high. A variety of interventions—universal, selective, and indicated—have been implemented to reduce suicide risk among these populations. However, the effectiveness of these interventions remains unclear. This overview of reviews aims to synthesize findings from existing systematic reviews on suicide prevention and treatment interventions for military personnel and veterans, assess the quality and consistency of the evidence, and identify gaps to guide future research and policy. Methods We followed Cochrane’s methodological guidelines for conducting this overview of reviews. A protocol was published in PROSPERO prior to the start of the overview. We conducted a comprehensive search across eight bibliographic databases, relevant organizational websites, reference lists, and expert consultations to identify reviews published between 2004 and July 2024. Reviews were eligible if they examined suicide prevention interventions targeting suicide-specific outcomes in active - duty military personnel, National Guard/reserve members, or veterans. Two independent reviewers screened studies and extracted data using a structured form, resolving discrepancies by consensus. We examined study overlap across reviews and assessed quality included reviews using the AMSTAR 2 tool. Given the heterogeneity of review methods and findings, a narrative synthesis approach was used. Results were reported according to PRIOR standards. Results Twenty-three reviews encompassing 323 unique studies were included. Most of the included reviews used narrative synthesis (83%), did not indicate a geographical area of focus (65%), and were published in journal articles (74%). Interventions ranged from psychotherapy and multicomponent programs to the Collaborative Assessment and Management of Suicidality (CAMS) and safety/crisis planning. While some interventions, such as multicomponent universal programs and Cognitive Behavioral Therapy (CBT), showed promise, the overall findings were inconsistent. All but one of the included reviews were rated “critically low,” and one review was rated “low.” Many reviews lacked clear inclusion criteria, included low-quality studies, failed to assess the quality of included evidence, or lacked rigorous synthesis methods. There was substantial heterogeneity in study designs, intervention types, and outcome definitions. Meta-analyses were rare and often limited by methodological variability. Suicide-related outcomes were inconsistently defined and reported, with vague terms like \"suicidality\" often used without clarification, limiting the interpretability of findings. Conclusion and Implications Though findings should be interpreted with caution due to the quality of the reviews, interventions which showed the most promise included multicomponent universal programs, Cognitive Behavioral Therapy (CBT), and safety planning. Existing reviews have already laid a foundation by identifying a wide range of suicide prevention strategies available for military veterans. Looking ahead, future systematic reviews and primary studies have the power to meaningfully strengthen the evidence base by adopting standardized definitions, clearly outlining outcomes, and using robust synthesis methods. With continued effort and collaboration, we can identify the most effective suicide prevention strategies that deliver meaningful support to military personnel and veterans.",
      "authors": "Brandy R. Maynard; Harly Blumhagen; Monica Matthieu",
      "author_ids": "111859; 126614; 119100",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "review",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Review"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3943887625,
        "prompt_eval_count": 1565,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T19:07:18.650527+00:00",
      "screening_source": "Primary screen; blind audit agreement",
      "accuracy_audit": {
        "sample_group": "Review",
        "random_seed": 20260802,
        "blind_screening": {
          "is_relevant": true,
          "relevance_rationale": "The record focuses centrally on synthesizing evidence regarding suicide prevention interventions and outcomes for military personnel and veterans.",
          "evidence_class": "Empirical",
          "empirical_method": "Review",
          "classification_rationale": "The abstract explicitly describes a systematic 'overview of reviews' following Cochrane guidelines with a published protocol, comprehensive search strategy, and quality assessment, which classifies it as an empirical review.",
          "confidence": "High"
        },
        "full_label_agreement": true
      }
    },
    {
      "input_index": 2012,
      "record_key": "SSWR:2026-P-0782",
      "source_database": "SSWR",
      "record_id": "2026-P-0782",
      "year": 2026,
      "title": "Suicide Prevention Programs across U.S. Mental Health Care Facilities: Differences By Organizational Practices",
      "abstract": "Background and Purpose: Suicide has continuously been ranked as a leading cause of death among adolescents ages 10 to 14 in the United States. Yet, access to suicide prevention services remains challenging for this population. Importantly, socioeconomic disadvantage is often associated with barriers to mental health treatment and higher rates of suicide attempts. To address this problem, the National Strategy for Suicide Prevention promoted initiatives for increasing prevention services in 2021. Identifying practices that support providing suicide prevention services in mental health settings can play an important role in preventing adolescent suicide. Methods: This cross-sectional study used the 2023 National Substance Use and Mental Health Services Survey to investigate the availability of suicide prevention services for adolescents and how those provisions are associated with organizational practices. This survey includes data on facility characteristics (practices, services offered, payment options) from nearly all US mental health facilities. A socio-technical approach was used to categorize organization practices shown to support the implementation of services like suicide prevention. We used logistic regression models to examine whether facility practices, such as providing innovative services, were associated with the availability of suicide prevention services for adolescents. Results: In total, 6,750 mental health facilities served adolescents in the U.S. Overall, 71% offered suicide prevention services, 91% took Medicaid, 60% offered a sliding fee scale, and 46% offered pay assistance. Facilities offering innovative services to adolescents, like mobile crisis services, were twice as likely to offer suicide prevention services (OR=2.05, p <.001, 95% CI: 1.99-2.62). Facilities offering psychiatric emergency services had four times the odds of offering suicide prevention services (OR=4.10, p <.001, 95% CI: 3.18-4.72). However, client outcome follow-up after discharge was not significantly associated with providing suicide prevention services for adolescents (OR= 1.02, p =0.64). Conclusion and Implications: Facility practices contributed to significant provisions of suicide prevention services for adolescents. Facilities offering innovative services like psychiatric emergency services and mobile crisis services were more likely to offer suicide prevention services. Identifying practices that can increase service availability to adolescent populations is essential to improving access to suicide prevention.",
      "authors": "Adam R. Englert; Helen Newton; Pin-Chen Chiang; Jake Leite; Ankur Srivastava; William J. Hall",
      "author_ids": "121908; 129440; 125254; 127075; 116373; 114421",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3519141208,
        "prompt_eval_count": 1408,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T19:07:22.171061+00:00"
    },
    {
      "input_index": 2014,
      "record_key": "SSWR:2026-U-0454",
      "source_database": "SSWR",
      "record_id": "2026-U-0454",
      "year": 2026,
      "title": "The Association between State-Level Policies Directed Toward Sexual and Gender Minorities and Suicidal Ideation, Suicide Planning, and Suicide Attempts Among High School Students in the United States",
      "abstract": "Background and Purpose : Suicide is a leading cause of death among United States (US) adolescents. Marginalization and discrimination based on sexual orientation (SO) and gender identity (GI) increases risk for suicide. In the US there has been an unprecedented increase in the number of oppressive and discriminatory legislation targeting gender and sexual minorities, and such marginalization through policies has only amplified during the current Trump administration. Extant research on the impact of oppressive legislation on suicidal behaviors has primarily focused on adults. As such, understanding of how these policies impact suicide ideation, planning, and attempts among adolescents is limited. The objectives of this study were three-fold: 1) investigate the prevalence of suicidal ideation (SI), suicide planning (SP), and suicide attempts (SA) among a nationally representative sample of US high school students, 2) examine the relationship between state-level policies related to SO and GI on SI, SP, and SA and 3) test if the association between SO and GI state-level policies and SI, SP and SA differed by individual-level SO or GI . Methods: Individual-level data from the 2023 Youth Risk Behavior Survey (YRBS) were merged with two state-level indices on policies related to SO and GI from the Movement Advancement Project database. The three outcome variables (suicidal ideation, suicide plan, and suicide attempts) were measured dichotomously. The analytic sample contained 15,269 adolescents aged 14-18, nested in 50 states. We conducted logistic regression with robust standard errors clustering by state to assess the association between state-level SO and GI policies and SI, SP and SA controlling for demographic characteristics, school and cyberbullying, and feeling sad or hopeless. Results: Approximately 20% of participants experienced SI, 16% made a SP, and 9% reported a SA. In crude models, a one unit increase in state-level SO policies was significantly associated with lower odds of SP (p=<0.05), but not SI or SA. Policies related to GI were not associated with SI, SP or SA. However, more protective GI policies were associated with a marginally significantly lower odds of SI among gender minorities relative to their cisgender peers (p= <0.1). Conclusions and Implications: Results from this study indicate the social environment has implications for SI and SP over and above individual factors. Adolescents living in states with more protective SO-related legislation had lower odds of SP relative to those living in states with more oppressive SO-related legislation. The impact of GI-related policies was more protective of SP among transgender participants compared to their cisgender peers. To our knowledge, this is the first study to assess the impact of state-level SO and GI legislation on the rates of SI, SP, and SA among a nationally representative sample of adolescents. Given the increase in oppressive LGBTQ+ legislation recent years and particularly during the new Trump administration, it is imperative that social workers advocate for protective LGBTQ+ legislation to support adolescents' mental health. In addition, clinical social workers should be aware of the suicide risk of adolescents in the context of new marginalizing legislation.",
      "authors": "Christina M. Sellers; Antonia Diaz-Valdez; Emma Cho; Phillip Baiden; Julie Stubbs; Sky Gavis-Hughson; Joanna Almeida",
      "author_ids": "116177; 129061; 126221; 113715; 126222; 123516; 113288",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3880564541,
        "prompt_eval_count": 1585,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T19:07:29.849186+00:00"
    },
    {
      "input_index": 2016,
      "record_key": "SSWR:2026-P-0246",
      "source_database": "SSWR",
      "record_id": "2026-P-0246",
      "year": 2026,
      "title": "The Contextual Weight of Mental Health Stigma:  Its Role in Suicidal Ideation, Planning, and Attempts",
      "abstract": "Background Mental health stigma is a critical factor contributing to suicidal thoughts and behaviors, including ideation, attempts, and planning among young adults in the U.S. Mental health stigma consists of perceived stigma—societal discrimination and negative stereotypes against individuals with mental health conditions—and personal stigma, where individuals internalize these negative beliefs. Prior research has examined the impact of perceived stigma on personal stigma. Yet, little is known about how this impact can affect suicidal thoughts and behaviors and how these effects differ across racial and ethnic groups. Guided by Goffman’s Stigma Theory and Crenshaw’s Intersectionality Theory, this study examines how personal stigma mediates the relationship between perceived stigma and suicide-related outcomes and whether this pathway varies across racial and ethnic groups. Methods Data were drawn from the 2023–2024 National Mental Health Survey, with a sample of 89,010 young adults (ages 18-29). Perceived and personal stigma were assessed using two Mental Health Stigma Scale subscales . Suicidal ideation, suicide attempts, and suicide planning were assessed as three separate binary outcomes. Race and ethnicity categories included White, Black, Asian, Hispanic/Latino, and AIAN/NHPI (American Indian/Alaska Native or Pacific Islander). Covariates included sex at birth, education level, depression severity, and LGBTQ identity. Moderated mediation analysis was conducted using SPSS PROCESS Macro, with confidence intervals estimated through bootstrapping (10,000 samples). Results Perceived stigma significantly increased suicide-related risks. A one-unit increase in perceived stigma was associated with higher odds of suicidal ideation (logit = 0.28, 95% CI [0.23, 0.32], p < .001), suicide planning (logit = 0.30, 95% CI [0.24, 0.36], p < .001), and suicide attempts (logit = 0.48, 95% CI [0.37, 0.59], p < .001). Perceived stigma was negatively associated with personal stigma (logit = -0.17, CI [–0.19, –0.14], p < .001), and this effect was stronger among Hispanic (logit = -0.22, 95% CI [–0.24, –0.19]]) than Black (-logit = 0.17, 95% CI [–0.19, –0.14]). The indirect effect of personal stigma is significant in the relationship between perceived stigma and suicidal attempts across groups but not ideation or planning. Personal stigma did not mediate the effects on ideation or planning, but significantly mediated suicide attempts across groups: Hispanic (0.0397, CI [0.0220, 0.0571]), Asian (0.0578, CI [0.0321, 0.0821]), White (0.0306, CI [0.0164, 0.0449]), and AIAN/NHPI (0.0336, CI [0.0188, 0.0475]). Moderated mediation analyses indicated that the indirect effect of perceived stigma on suicide attempts through personal stigma was stronger for Hispanic individuals (index = 0.01, 95% CI [0.002, 0.019]) compared to Black individuals (index = 0.03, 95% CI [0.01, 0.04]). Personal stigma was also negatively associated with suicide attempts (logit = -0.18, CI [–0.26, –0.11], p < .001). CIs reported at 95%. Conclusion This study investigates the roles of perceived and personal stigma in suicide-related behaviors. Perceived stigma was linked to all outcomes, while personal stigma uniquely mediated the effect on suicide attempts. Racial and ethnic differences suggest disproportionate vulnerability to stigma’s effects. Future qualitative research should examine group-specific stigma perceptions to inform culturally tailored and policy-relevant suicide prevention efforts.",
      "authors": "Sangmi Kim; Fei Wang",
      "author_ids": "126247; 129691",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 4471637208,
        "prompt_eval_count": 1837,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T19:07:37.938097+00:00"
    },
    {
      "input_index": 2017,
      "record_key": "SSWR:2026-P-0454",
      "source_database": "SSWR",
      "record_id": "2026-P-0454",
      "year": 2026,
      "title": "The Effect of Childhood Interpersonal Trauma on Adolescent Suicidal Ideation: The Moderating Role of Stress Coping Ability",
      "abstract": "Background: South Korea has the highest suicide rate among OECD countries. A psychological autopsy study of suicide decedents revealed that many individuals who died by suicide had experienced unstable and isolated childhoods, marked by caregiver absence, emotional and physical neglect, socioeconomic deprivation, social marginalization, and exposure to abuse and violence. These adverse conditions were found to contribute to long-term negative life trajectories. Such evidence highlights the profound impact of childhood interpersonal trauma on later-life outcomes, with a significant proportion of suicide decedents having encountered these early-life adversities. Therefore, it is essential to focus on childhood and adolescent trauma in suicide prevention efforts. In particular, there is a need to examine whether coping skills, recognized as protective factors against suicidal behavior, moderate the relationship between interpersonal trauma and suicidal ideation. The present study aims to investigate the association between childhood interpersonal trauma and adolescent suicidal ideation, and to assess the moderating effect of coping skills on this relationship. Methods: This study utilized survey data collected from 383 middle and high school students in Busan, South Korea. Childhood interpersonal trauma was assessed through experiences of domestic violence and school bullying, measured using the Childhood Trauma Questionnaire (CTQ) and an instrument developed by the School Violence Prevention Foundation. Suicidal ideation was evaluated using the Korean version of the Suicidal Ideation Questionnaire (SIQ). Based on Lazarus and Folkman's framework, coping skills were measured across four dimensions—problem-focused coping, emotion-focused coping, wishful thinking, and social support seeking. Hierarchical multiple regression analyses were conducted to test the moderating effects of coping skills on the relationship between childhood interpersonal trauma and suicidal ideation. Results: Childhood interpersonal trauma was significantly associated with adolescent suicidal ideation. Exposure to domestic violence (B = 1.630, p < .001) and experiences of school bullying (B = 1.325, p < .001) were both positively related to suicidal ideation. The moderating effects of coping skills differed by subdomains. Wishful thinking (F = 22.380, p < .05) and social support seeking (F = 24.158, p < .001) significantly moderated the relationship between childhood exposure to domestic violence and suicidal ideation. Similarly, problem-focused coping (F = 16.418, p < .001) and emotion-focused coping (F = 14.663, p < .001) significantly moderated the relationship between school bullying experiences and suicidal ideation. Conclusion: These findings underscore the imperative need for trauma-informed interventions that address the impact of childhood interpersonal trauma on suicidal ideation. Given the long-term psychological consequences and elevated risk among adolescents, an integrated approach incorporating both child protection services and mental health support is crucial. Special attention should be given to educational and therapeutic strategies targeting peer victimization and to the development of programs that enhance adaptive coping skills . This study contributes important empirical insights to the field of youth suicide prevention, emphasizing the value of systematic, trauma-informed interventions and the implementation of evidence-based counseling protocols aimed at mitigating the effects of early trauma through strengthened coping capacities.",
      "authors": "Mi ryeong Lee; Song sik Choi; Soo Eon Ahn; Hyun Jung Kim; Jeong Mi Han; Seon hyo Je; Young eun Kim",
      "author_ids": "128779; 128204; 128780; 121705; 128781; 128782; 128783",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 4022826250,
        "prompt_eval_count": 1590,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T19:07:41.963016+00:00"
    },
    {
      "input_index": 2018,
      "record_key": "SSWR:2026-F-0079",
      "source_database": "SSWR",
      "record_id": "2026-F-0079",
      "year": 2026,
      "title": "The Effects of Biased and Nonbiased School Victimization, Depression, and Suicidal Ideation on Substance Use Among Secondary School Students: Is School Climate a Moderator?",
      "abstract": "Background and Purpose: This study investigates the relationship between substance use (SU) among high school students and the following factors: (1) student victimization—categorized as no victimization, non-bias victimization, and bias-based victimization; (2) depression; (3) suicidal ideation; and (4) school-level academic and socioemotional climate. Additionally, the study explores whether school climate moderates the relationship between SU and (a) victimization, (b) depression, and (c) suicidal ideation. Despite substantial evidence linking school victimization and adverse mental health conditions to SU, there is a lack of research on how school climate may influence these associations. Methods: This study utilized data from the California Healthy Kids Survey for the years 2017-2019 (N = 601,753 students; N = 1,125 schools), combined with school-level data from the California Department of Education. Student reports included measures of school victimization, depression, suicidal ideation, school-level academic and socioemotional climate, and current SU . Students were classified as non-victimized (46.9%), non-bias victims (31.0%), and bias-based victims (22.1%). The prevalence of depression was 33.7%, while suicidal ideation was reported by 16.3% of students. Bivariate analyses examined the relationships between victimization, depression, suicidal ideation, and school climate with the incidence of SU (on a 0-6 scale). Multilevel linear models were employed to predict SU, with control for confounders at the student and school level. All analyses were conducted using Stata 18. Results: In line with the bivariate analyses, the multilevel main effects model indicated that student victimization was positively associated with substance use (SU). Compared to non-victimized students, both non-bias victims (b = .26, p < .001) and bias-based victims (b = .26, p < .001) showed a higher incidence of SU. Additionally, depression and suicidal ideation were associated with an increased incidence of SU (b = .26, p < .001; b = .44, p < .001, respectively). Students attending schools with a more positive school climate exhibited lower incidence of SU (b = -.60, p < .001). The cross-level interaction model revealed that while a positive school climate reduced SU among all students, the reduction was more pronounced among non-bias victims (b = -.16, p < .001) and bias-based victims (b = -.28, p < .001) compared to non-victimized students. Moreover, the reduction in SU was greater among students reporting depression (b = -.09, p < .001), and particularly so for those reporting suicidal ideation (b = -.23, p < .001). Conclusions and Implications: School victimization and impaired mental health are significant determinants of SU. A positive school climate plays a protective role against SU, with its impact being particularly strong among students who experience victimization or struggle with mental health issues. These vulnerable students benefit more from a supportive school environment compared to their peers without such challenges. Policymakers, educators, and school social workers should collaborate in designing, implementing, and promoting policies and programs that foster a positive and nurturing school climate. These efforts are essential to reduce SU and improve the overall well-being of students, particularly those at higher risk.",
      "authors": "Netta Achdut; Ruth Berkowitz; Rami Benbenishty, PhD; Ron Avi Astor",
      "author_ids": "119325; 111845; 109814; 109262",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Flash",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "prompt_eval_count": 1691,
        "eval_count": 24
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      "screened_at": "2026-08-02T19:07:46.173763+00:00"
    },
    {
      "input_index": 2019,
      "record_key": "SSWR:2026-U-0744",
      "source_database": "SSWR",
      "record_id": "2026-U-0744",
      "year": 2026,
      "title": "The Effects of Social Network Characteristics on Suicidal Thoughts Among Refugees in the Southwest U.S",
      "abstract": "Background and Purpose : Refugees face complex and severe mental health challenges, often intensified by trauma and violence across the migration journey. In particular, suicide has become a critical public health concern in this population, with suicidal ideation reported as high as 70.6%. However, the factors contributing to suicide risk among refugees remain poorly understood. In the general population, social support networks play a key role in promoting mental wellness and reducing suicide risk. Psychosocial interventions that enhance support networks have proven effective, yet most research relies on aggregated measures of social support, overlooking the structural and functional dimensions of social networks. To address this gap, this study used social network data to examine how network characteristics are associated with suicidal thoughts among refugees resettled in Arizona. Methods : Egocentric network data were collected (July-September 2022) from 150 refugees resettled in Phoenix, Arizona. A community-based participatory research approach was used, with community leaders from each group serving as active partners. Surveys were self-administered at ethnic-based community organizations or in participants’ homes, in both English and native languages. Social networks were assessed through egocentric network analysis, capturing variables such as network size, relationship types, quality, residence location of members, interaction frequency, and relational homophily. Suicidal thoughts were measured using the Wish to be Dead Scale. Multivariate logistic regression was used to examine associations between social network variables and suicidal thoughts. Due to the modest sample size, network variables were grouped by type and analyzed in three separate models, each controlling for the same covariates, including sociodemographic characteristics, social support, trauma, and discrimination. Results : Among respondents, 26.0% reported experiencing suicidal thoughts. The majority were male (53.0%) with an average age of 41.4 years, and had lived in the U.S. for an average of 8.45 years. Larger network size was significantly associated with higher odds of suicidal thoughts (OR=2.61, p <.001). In contrast, having a child (OR=0.01, p <.05) or other family members (OR=0.01, p =.05) in one’s network was linked to significantly lower odds. Refugees with more emotionally supportive network members were also less likely to report suicidal thoughts (OR=0.15, p <.001). Notably, general perceived social support was not associated with suicidal thoughts in any model. Conclusions and Implications: To our knowledge, this is the first study to use egocentric network data to examine social networks and suicidal thoughts among refugees in Arizona. Findings highlight the importance of analyzing detailed network characteristics rather than relying solely on general social support measures, which were not associated with suicidal thoughts. Notably, larger network size was linked to higher odds of suicidal thoughts, suggesting that simply expanding one’s network may not be protective and could even be harmful if it includes superficial or stressful ties. These findings underscore the need for psychosocial interventions that prioritize fostering meaningful, emotionally supportive relationships over increasing network size. The protective effect of emotional support reinforces that the quality—not just the quantity—of social connections is key in refugee suicide prevention efforts.",
      "authors": "Mee Young Um; Arati Maleku; Youn Kyoung (Lily) KIM; Shambika Raut; Zoe Baccam",
      "author_ids": "114086; 113383; 113286; 122641; 125676",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
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        "prompt_eval_count": 1598,
        "eval_count": 24
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      "screened_at": "2026-08-02T19:07:50.126583+00:00"
    },
    {
      "input_index": 2022,
      "record_key": "SSWR:2026-U-0692",
      "source_database": "SSWR",
      "record_id": "2026-U-0692",
      "year": 2026,
      "title": "The Impact of Homelessness, Social Support, and Mental Health on Suicide Ideation Among Immigrant Women",
      "abstract": "Background : Suicidal ideation remains a persistent and complex public health concern, particularly among immigrant women who face intersecting structural and psychosocial stressors such as housing instability, limited access to mental health care, economic precarity, insufficient social support, and systemic exclusion. These factors collectively instigate psychological distress and exacerbate their vulnerability to suicidal thoughts. Despite the significance of these intersecting vulnerabilities, immigrant women remain significantly underrepresented in empirical research on suicidality. This gap constrains the development of targeted interventions that are both culturally responsive and structurally informed. To address this critical gap, the current study investigates how homelessness intersects with mental health status, social support, and economic vulnerability to predict suicidal ideation among women. Method : This study utilized secondary data from the Washington, DC, Metropolitan Area Drug Study (DC*MADS, 1991), conducted by the U.S. Department of Health and Human Services, National Institutes of Health, and the National Institute on Drug Abuse. A total of 95 participants with complete data on all study variables were selected. Suicidal ideation served as the dependent variable, while homelessness, income, mental health status, and social support were used as independent variables. Gender, race (used as a proxy for immigrant status), age, and marital status were included as control variables. Binary logistic regression was conducted using IBM SPSS (v28), with model fit assessed through Chi-square, Nagelkerke R², and the Hosmer-Lemeshow test. Statistical significance was set at (p < .05). Results : The final analytic sample (N = 95) included 66.6% (n=601) male and 33.4% (n=301) female participants, with 78.6% (n=707) identifying as non-white, and 21.4% (n = 193 ) were white. Most were unmarried 87% (765) while 13% (n= 114) were married or in a relationship. Income level showed that 85.3% (n=753) reported adequate income, whereas 14.7% (n=130) indicated low income. Only 6.2% (n=56) experienced homelessness, while 5.9% (n=53) reported mental health conditions. Access to social support was reported by 88.1% (n=347) while 11.9% (n=47) reported having no social support. Suicidal ideation was reported by 38.1% (n= 86) while 61.9% (n=140) reported no such experience. The full model was statistically significant (χ² = 17.113, p = .029), explaining 22.5% of the variance in suicidal ideation (Nagelkerke R² = 0.225). Gender was a significant predictor, with women more likely to report suicidal thoughts (OR = 0.241, p = .009). Although homelessness (OR = 4.121, p = .078) and race (OR = 4.433, p = .071) showed elevated odds, they were not statistically significant predictor of suicide ideation. Other predictors, including mental health, income, and social support, were also not statistically significant in predicting suicidal ideation. Conclusion : The result shows that gender, homelessness, and racial identity collectively influence suicidal thoughts among immigrant women. Although not all predictors were statistically significance, however, the elevated odds ratios indicated that structural vulnerabilities increased psychological distress. These findings call for intersectional and equity-based strategies in suicide prevention, policy development, and service delivery for marginalized populations.",
      "authors": "Chioma Chinwokwu-Njemanze",
      "author_ids": "128292",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Oral",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 4226093208,
        "prompt_eval_count": 1742,
        "eval_count": 24
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      "screened_at": "2026-08-02T19:08:02.406523+00:00"
    },
    {
      "input_index": 2023,
      "record_key": "SSWR:2026-P-0039",
      "source_database": "SSWR",
      "record_id": "2026-P-0039",
      "year": 2026,
      "title": "The Long-Term Effects of a Co-Response Program on Patrol Call Volume for Mental Health Crisis-Related Calls: An Interrupted Time-Series Analysis",
      "abstract": "Background and Purpose Mental health crises (MHC) impose substantial operational burdens on law enforcement agencies (LEA), which often serve as first responders. Traditional LEA responses to MHC also face criticism due to officers' limited training, potential for escalation, and adverse outcomes, underscoring the need for effective alternatives. Co-response programs, which pair trained officers with mental health clinicians, have emerged as promising strategies to divert MHC-related calls from traditional police-only responses. This study evaluates the effectiveness of a co-response program (CIRT) by examining its impact on the trends of MHC-related calls assigned to patrol units before and after the program’s introduction. The study’s research questions were: (1) Did implementing CIRT affect the trend of MHC-related calls assigned to day patrol units? (2) Did implementing CIRT affect call trends differently between the day shift (access to CIRT) and the night shift (no access)? Methods Interrupted time series analyses (ITSA) were used to examine administrative call data, focusing on eight MHC-related call types: Follow-Up (FU), Intoxicated Person (IP), Loitering, MHC, Self-Initiated Follow-Up (SIFU), Suicide Threat (ST), Trespassing, and Welfare Concern (WC). Single-group ITSA were employed to assess changes in monthly call volumes for day shift after CIRT was implemented in May 2022. Multi-group ITSA compared call trends between day and night shifts. Data spanned from February 2017 through September 2024, yielding 62 monthly pre-intervention and 28 monthly post-intervention data points for most call types. FU calls were introduced in July 2020 resulting in 22 pre-intervention and 28 post-intervention data points. Results The single-group ITSA indicated significant reductions post-CIRT introduction in IP, MHC, ST, Trespassing, and WC calls, alongside a notable immediate increase in SIFU calls. Multi-group ITSA found differences in call trends between shifts for IP, ST, and WC, with trends decreasing significantly more during day shift. There was also a significantly larger immediate increase in SIFU calls during day shift. Conclusions and Implications Results indicate that CIRT helped reduce MHC-related call volume for patrol units across several critical call types, particularly for high-risk scenarios such as ST, IP, and WC calls. Additionally, the increase in SIFU calls suggests more opportunities for proactive efforts by officers, possibly leading to more effective case work. The differences observed across shifts also suggest that expanding CIRT’s operational hours could enhance its overall impact. Despite these positive outcomes, the lack of significant changes or significant differences between shifts for other call types, such as FU, Loitering, MHC, and Trespassing, highlight potential programmatic limitations. These might stem from the complexity or unique characteristics of these call types, which may require broader systemic interventions beyond the current scope of CIRT. As such, greater integration with community-based mental health and other supportive services could help maximize CIRT’s potential effectiveness and contribute to its sustainability. Future research should further explore the long-term impacts of co-response programs on service recipients and police operations, the role of broader social determinants influencing MHC (e.g., housing, substance use, service access), and incorporate comparative studies across diverse jurisdictions to better understand and optimize co-response programs.",
      "authors": "Mark Plassmeyer",
      "author_ids": "114889",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 4116639959,
        "prompt_eval_count": 1638,
        "eval_count": 27
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      "screened_at": "2026-08-02T19:08:06.524531+00:00"
    },
    {
      "input_index": 2024,
      "record_key": "SSWR:2026-P-0345",
      "source_database": "SSWR",
      "record_id": "2026-P-0345",
      "year": 2026,
      "title": "The Social Workers Addressing Firearms Risk (SAFR) Intervention: A Pilot Randomized Controlled Trial",
      "abstract": "Background and Purpose: Firearm violence is a major public health problem in the United States: it is the number one cause of death for children, and the number one cause of death for African American males aged 15-44 (CDC, 2025). Firearms account for more than half of all suicide deaths. Social workers already interface with many individuals at risk of firearm violence. Yet, there is scant evidence regarding social workers and firearm prevention, and to our knowledge, no training programs for practitioners. The purpose of our study was to evaluate the first-ever training program, Social Workers Addressing Firearm Risk (SAFR). SAFR is a fully-online, self-paced training that provides social workers with the necessary information and skills to recognize and respond to firearm violence risks among their clients. It was developed after in-depth reviews of current literature on firearm violence prevention and in collaboration with multiple researchers and experts across the United States. Methods: We conducted a preliminary evaluation of the efficacy of SAFR using a randomized controlled trial. We assessed prior training experiences as well as knowledge, attitudes, confidence, and behavioral interventions with clients in relation to firearms at baseline, post-test, and follow-up. We recruited practicing social workers across New York State to complete baseline measures, then randomized to either the SAFR intervention or a waitlist control group. Surveys were administered via the REDCap platform, and the SAFR course was provided as online continuing education. Analyses included descriptive statistics and a series of one-way between-subjects analyses of co-variance (ANCOVAs) to determine statistically significant differences based on randomization and intent-to-treat principles. Results: A total of 155 social worker participants were screened between September to November 2023. After exclusions, 142 were eligible, and 112 participants consented to randomization. The overall sample was largely female (70.4%), and the majority were MSWs (78.9%). The majority were of white race/ethnicity (74.6%), followed by 11.3% Black/African American, 3.5% Asian, 3.5% mixed race, and 4.9% Hispanic. The average age was 40.5 years and the average number of years in practice was 12.7. There were statistically significant main effects of SAFR for knowledge, attitudes, and confidence either from baseline to post-test or from baseline to follow-up, and a statistically significant effect for behaviors with clients from baseline to follow-up. Qualitative feedback suggested satisfaction with SAFR with some suggestions for improvement. Conclusions and Implications: An urgent need to develop and test trainings for social workers around firearm violence was identified in the recent Prevent Gun Violence Grand Challenge for Social Workers. The SAFR intervention fills that gap, and these results suggest it was successful in increasing knowledge, attitudes, and confidence about working with clients in relation to firearms, and somewhat successful in increasing behaviors with clients at follow-up. These results will be used to design a fully powered RCT to further establish its efficacy and to eventually design effectiveness trials. SAFR carries the potential to impact public health by improving social worker knowledge to enable them to directly address firearm violence and promote firearm safety with high-risk populations.",
      "authors": "Mickey S. Sperlich; Patricia Logan-Greene; Alexis Speck Glennon; EunSook Seong; Ogechi Kalu",
      "author_ids": "112958; 111353; 127144; 128411; 125612",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3899751459,
        "prompt_eval_count": 1599,
        "eval_count": 24
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      "screened_at": "2026-08-02T19:08:10.425572+00:00"
    },
    {
      "input_index": 2025,
      "record_key": "SSWR:2026-F-0075",
      "source_database": "SSWR",
      "record_id": "2026-F-0075",
      "year": 2026,
      "title": "The Use of Abbreviated Screening Tools in Primary Care Settings As an Important and Proactive Resource to Identify at-Risk First Responders",
      "abstract": "Background/Purpose First responders (FRs) are at higher risk for mental health issues than the general population (Stanley et al., 2016). Rates of PTSD for FRs are three to five times higher than the U.S. adult population (Lewis-Schroeder et al., 2018). A diagnosis of PTSD frequently co-occurs with other mental health conditions among FRs, and this leads to an increased suicide risk (Baker et al., 2023; Bowler et al., 2016; Jones et al., 2018). Mental health issues are often underreported in this population due to stigmas and fear of losing status or employment (Drew & Martin, 2021; Marshall et al., 2021). Resilience can be protective against PTSD and has been shown to be inversely related to suicidality (Lee et al., 2016; Ponder et al., 2023a; 2023b). Resilience theory, therefore, refers to shifting the focus of treatment and intervention to the development and promotion of protective and adaptive factors, rather than the typical focus on problems, risk factors, and diagnoses. A primary care setting is an appropriate place to intentionally screen FRs for those in need of early treatment and intervention in order to refer them to resources that will build resilience and protective factors. This current study will use abbreviated instruments with treatment-seeking FRs to ascertain whether abbreviated assessments will replicate the findings of earlier studies. If confirmed, the results will support the use of abbreviated screening tools in primary care settings as an important and proactive resource to identify at-risk FRs. Methods This cross-sectional study analyzed clinical intake data from 192 treatment-seeking FRs at a nonprofit outpatient mental health clinic between 2019 and 2021 using abbreviated screening tools. Resilience was measured using the Response to Stressful Experiences Scale–4. Measures used for mental health outcomes were the GAD-2 (anxiety), PHQ-2 (depression), PHQ-SI (suicidality), CAGE-AID (substance abuse), and PC-PTSD-5 (PTSD). Bivariate correlational analyses and logistic regression were conducted. For the non-parametric effect size, it was based on Chinn’s (2000) calculation, the OR π/sqrt(3) = 1.81. Then the OR divided by 1.81 was used to get the ln(odds). Results The sample was divided between LEOs (56%) and FFs/EMTs (44%). Both groups were primarily male (71%/74%), with a mean age of 38 and 35 years and an average of 12 and 11 years of service, respectively. Participants primarily identified as White (76%/87%). In the LEO sample, suicidality was negatively correlated with resilience and positively correlated with PTSD and depression. In the FF/EMT sample, suicidality was positively correlated with generalized anxiety and depression. Additionally, this study found that for FFs/EMTs, depression increased the odds of suicide risk by 68%, while previous mental health treatment decreased the odds of suicide by 83%. Conclusions/Implications This study adds to the social work knowledge base by confirming the efficacy of abbreviated screening instruments for identifying mental health concerns in FRs. Early screening and identification of at-risk FRs in primary care settings can help mitigate help-seeking stigma and prevent suicide in this population.",
      "authors": "Christy Collins; Dayna Gurley; Jose Carbajal; Donna L. Schuman; Warren Ponder",
      "author_ids": "128569; 128570; 128571; 113713; 128572",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Flash",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 4177177750,
        "prompt_eval_count": 1686,
        "eval_count": 24
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      "screened_at": "2026-08-02T19:08:14.604895+00:00"
    },
    {
      "input_index": 2029,
      "record_key": "SSWR:2026-P-0670",
      "source_database": "SSWR",
      "record_id": "2026-P-0670",
      "year": 2026,
      "title": "Using Measurement Invariance and Predictive Logistic Regression to Understand PHQ-9 Response Patterns Among English and Spanish Speakers Admitted to Emergency Departments",
      "abstract": "Background: In 2016, the U.S. Preventative Services Task Force recommended universal screening for depression across medical settings (Jackson et Machen, 2019). The Patient Health Questionnaire-9 (PHQ-9), a self-administered screening tool for depression, has gained popularity in various medical settings and has been adopted to adhere to this recommendation . The PHQ-9 has been translated to many languages, including Spanish; however, little is known about the measurement invariance between Spanish and English-speaking populations. As Hispanic Americans are more likely to receive medical care in acute medical settings (Parast et al., 2021), understanding how they self-report mental health symptoms can help enhance the detection and treatment of depression within this underserved population. Methods : Adult patients (aged 25 and older) were admitted to emergency departments in a southeastern state for medical care. As part of routine screening, nursing staff administered the PHQ-9, either in English (n = 6 , 253) or in Spanish (n = 907) at intake. Confirmatory factor analysis (CFA) was performed to establish a two-factor model and test measurement invariance between language groups. Multi-group CFA tested configural, metric, and scalar invariance. Ordinal logistic regression (OLR) and item response theory (IRT) analyses were conducted to determine the differential item functioning (DIF) between language groups. Finally, logistic regression analyses examined if individual PHQ-9 items predicted suicidal ideation for both language groups. Results: Multi-group CFA analysis confirmed configural invariance (CFI=0.936, TLI=0.911, RMSEA = 0.072, SRMR=0.041), showed mixed support for metric invariance (Metric: CFI = 0.934, TLI = 0.919, RMSEA = 0.134, SRMR = 0.044), but did not support scalar invariance. OLR analysis found that Spanish-speaking participants had a higher mean level of depressive symptomatology. IRT DIF analysis showed statistically significant differences in response patterns for all items between groups ( p <0.001), however, low McFadden’s pseudo-R² values (all<0.03) indicated these differences had minimal clinical significance. Logistic regression analyses determined that distinct PHQ-9 items could be predictive of suicide risk across both language groups. Conclusions and Implications: The CFA, DIF, and logistic regression analyses provide insight into how Spanish-speaking patients respond to each item of the PHQ-9. Understanding these differences can help clinicians better diagnose and treat depressive symptoms as they present in Spanish-speaking populations. Despite these nuances, McFadden’s pseudo-R² values were low, supporting the validity and clinical utility of the Spanish version of the PHQ-9. These findings support the use of this tool to screen for depression in Spanish-speaking populations in healthcare settings, while contributing to culturally competent mental health care.",
      "authors": "Anjeli Nandwani; Kimberley Gryglewicz",
      "author_ids": "129207; 121522",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3953631333,
        "prompt_eval_count": 1581,
        "eval_count": 24
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      "screened_at": "2026-08-02T19:08:30.607689+00:00"
    },
    {
      "input_index": 2030,
      "record_key": "SSWR:2026-F-0022",
      "source_database": "SSWR",
      "record_id": "2026-F-0022",
      "year": 2026,
      "title": "Validating Parental Suicide Prevention Communication Self-Efficacy Scales for Latino Parents in the U.S",
      "abstract": "Background and Purpose: Suicide is a growing crisis among Latino adolescents in the U.S. Involving parents in suicide prevention and treatment is crucial, but little is known about Latino parents’ self-efficacy in suicide prevention. Currently, few studies consider the heterogeneity of the Latino parental population and how various cultural and linguistic traditions may influence parental involvement. To meet these critical needs for culturally sensitive tools in suicide prevention among Latino parents of U.S. adolescents, our research team adapted the Parental Suicide Prevention Communication Self-Efficacy scale (PSPCSE; Czyz et al., 2018), developing both English (PSPCSE-Lat-E) and Spanish (PSPCSE-Lat-S) versions to ensure cultural relevance and effectiveness for this population. Methods : The study was conducted in four phases. First, the PSPCSE scale was adapted in consultation with experts in Latino family and mental health to incorporate culturally sensitive language and lethal means safety. Second, the adapted scales were embedded in a survey administered to Latino parents of adolescent children living in the U.S. (N = 634) recruited via Qualtrics panels and social media posts. The survey contained either the PSPCSE-Lat-E or the PSPCSE-Lat-S, along with scales for construct validation and demographic questions. Third, an exploratory factor analysis was conducted to examine the new scales’ psychometric properties. Lastly, an Item Response Theory analysis was conducted to explore differences between the English-language dominant (U.S. born) and the Spanish-language dominant (foreign-born) Latino parents. Results : Analysis revealed distinct factor structures: a two-factor structure for the PSPCSE-Lat-E (48.8% variance, ω = .88) and a three-factor structure for the PSPCSE-Lat-S (51.6% variance, ω = .82). PSPCSE-Lat-E respondents reported higher confidence in discussing suicide content, while PSPCSE-Lat-S respondents showed greater comfort with emotional support items. PSPCSE-Lat-S suicide items demonstrated exceptional discrimination despite lower means, suggesting heightened cultural sensitivity. Conclusions and Implications: The PSPCSE-Lat-E and PSPCSE-Lat-S are reliable and valid tools for assessing suicide prevention communication self-efficacy among Latino parents of adolescents in the U.S. Social workers can use these tools to assess Latino parent suicide prevention self-efficacy, therefore targeting their interventions more carefully. Organizations and community centers can utilize these tools to better support Latino families, ensuring that prevention programs are culturally appropriate and effective. Researchers can use these tools to develop and test interventions to empower the diversity of Latino parents to engage in suicide prevention communication with their adolescents. This study fosters a greater understanding of suicide prevention across culturally and linguistically diverse Latino communities, promoting an environment where parents feel equipped to address suicidality. Additionally, the findings emphasize the importance of culturally sensitive interventions to address implicit and explicit biases in suicide prevention efforts involving Latino parents. The researchers hope to provide evidence-based tools that can inform socially just policies and practices to reduce suicide among vulnerable communities. Reference: Czyz, E. K., Horwitz, A. G., Yeguez, C. E., Ewell Foster, C. J. & King, C. A. (2018). Parental Self-Efficacy to Support Teens During a Suicidal Crisis and Future Adolescent Emergency Department Visits and Suicide Attempts, Journal of Clinical Child and Adolescent Psychology, 47 (S1), pp. S384–S396",
      "authors": "Tatiana Villarreal-Otalora; Jane McPherson",
      "author_ids": "118098; 111576",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Flash",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 4137563666,
        "prompt_eval_count": 1659,
        "eval_count": 24
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      "screened_at": "2026-08-02T19:08:34.747216+00:00"
    },
    {
      "input_index": 2032,
      "record_key": "SSWR:2026-P-0519",
      "source_database": "SSWR",
      "record_id": "2026-P-0519",
      "year": 2026,
      "title": "Ï»¿the Effect of Childhood Interpersonal Trauma on Adolescent Suicidal Ideation: The Moderating Role of Stress Coping Ability",
      "abstract": "Background: South Korea has the highest suicide rate among OECD countries. A psychological autopsy study of suicide decedents revealed that many individuals who died by suicide had experienced unstable and isolated childhoods, marked by caregiver absence, emotional and physical neglect, socioeconomic deprivation, social marginalization, and exposure to abuse and violence. These adverse conditions were found to contribute to long-term negative life trajectories. Such evidence highlights the profound impact of childhood interpersonal trauma on later life outcomes, with a significant proportion of suicide decedents having encountered these early-life adversities. Therefore, it is essential to focus on childhood and adolescent trauma in suicide prevention efforts. In particular, there is a need to examine whether coping skills, recognized as protective factors against suicidal behavior, moderate the relationship between interpersonal trauma and suicidal ideation. The present study aims to investigate the association between childhood interpersonal trauma and adolescent suicidal ideation, and to assess the moderating effect of coping skills on this relationship. Methods: This study utilized survey data collected from 383 middle and high school students in Busan, South Korea. Childhood interpersonal trauma was assessed through experiences of domestic violence and school bullying, measured using the Childhood Trauma Questionnaire (CTQ) and an instrument developed by the School Violence Prevention Foundation. Suicidal ideation was evaluated using the Korean version of the Suicidal Ideation Questionnaire (SIQ). Based on Lazarus and Folkman's framework, coping skills were measured across four dimensions—problem-focused coping, emotion-focused coping, wishful thinking, and social support seeking. Hierarchical multiple regression analyses were conducted to test the moderating effects of coping skills on the relationship between childhood interpersonal trauma and suicidal ideation. Results: Childhood interpersonal trauma was significantly associated with adolescent suicidal ideation. Exposure to domestic violence (B = 1.630, p < .001) and experiences of school bullying (B = 1.325, p < .001) were both positively related to suicidal ideation. The moderating effects of coping skills differed by subdomains. Wishful thinking (F = 22.380, p < .05) and social support seeking (F = 24.158, p < .001) significantly moderated the relationship between childhood exposure to domestic violence and suicidal ideation. Similarly, problem-focused coping (F = 16.418, p < .001) and emotion-focused coping (F = 14.663, p < .001) significantly moderated the relationship between school bullying experiences and suicidal ideation. Conclusion: These findings underscore the imperative need for trauma-informed interventions that address the impact of childhood interpersonal trauma on suicidal ideation. Given the long-term psychological consequences and elevated risk among adolescents, an integrated approach incorporating both child protection services and mental health support is crucial. Special attention should be given to educational and therapeutic strategies targeting peer victimization and to the development of programs that enhance adaptive coping skills . This study contributes important empirical insights to the field of youth suicide prevention, emphasizing the value of systematic, trauma-informed interventions and the implementation of evidence based counseling protocols aimed at mitigating the effects of early trauma through strengthened coping capacities.",
      "authors": "Song sik Choi; Mi ryeong Lee; Soo Eon Ahn; Hyun Jung Kim; Jeong Mi Han; Seon hyo Je; Young eun Kim",
      "author_ids": "128204; 128779; 128780; 121705; 128781; 128782; 128783",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Poster",
      "database_method": "quantitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Quantitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3939285459,
        "prompt_eval_count": 1594,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T19:08:42.614118+00:00"
    },
    {
      "input_index": 2033,
      "record_key": "SSWR:2026-U-0566",
      "source_database": "SSWR",
      "record_id": "2026-U-0566",
      "year": 2026,
      "title": "€Œconnectedness Is Subject to Changeâ€�: Exploring Social Connectedness through the Perspectives of Latina Adolescents at Risk for Suicide, Their Families, and Providers in the Life Is Precious Program",
      "abstract": "Background and Purpose: Latina adolescents in the United States experience disproportionately high rates of suicidal thoughts and behaviors (STBs), yet culturally responsive interventions remain limited. Social connectedness is a key protective factor against suicide and an essential element of adolescent well-being. For Latina adolescents, connectedness is shaped by intersecting sociocultural, familial, and structural influences and is experienced as fluid and dynamic—shifting across time, relationships, and contexts. This study explores how Latina adolescents with lived experiences of STBs, their family members, and providers perceive and experience social connectedness within the context of Life is Precious (LIP), a treatment-adjacent, community-based intervention. Guided by Zayas’ Eco-Developmental Model and the Interpersonal Theory of Suicide (IPTS), the study examines how connectedness is experienced across ecological domains and how LIP may influence adolescents’ social networks and sense of connection. Methods: This qualitative study used purposive sampling across four LIP program sites in New York City. Data were collected through semi-structured interviews with Latina adolescents (N=12), family members (N=5), and providers (N=12), along with photo-elicitation interviews with adolescents to deepen reflection on meaning-making and connectedness. Interviews explored experiences of connection and disconnection across family, peer, school, and community domains. Data were transcribed verbatim and analyzed thematically using a combination of a priori codes informed by theoretical frameworks and inductively derived codes from the data. Results: Social connectedness emerged as a dynamic, ever-changing process shaped by emotional safety, context, and relational reciprocity. In families, adolescents described both strong bonds and deep ruptures, often navigating tensions around loyalty, expectations, and communication. Peer relationships offered belonging but were vulnerable to betrayal and shifting trust. School connectedness was uneven—while some found support through affirming teachers and peers, others felt isolated due to discrimination, academic pressure, or cultural dissonance. Community connectedness was often tenuous, with structural barriers limiting adolescents’ ability to feel a sense of belonging beyond their immediate circles. Digital platforms provided both refuge and risk, reinforcing that online spaces can foster connection or deepen alienation. Within this landscape, LIP was consistently described as a space of safety, solidarity, and cultural affirmation. Peer support, trusted staff, and opportunities for identity exploration helped adolescents reconnect with themselves and others. Family members and providers reported strengthened relationships and increased engagement. However, sustaining these gains outside of the program remained a challenge due to ongoing stigma, structural inequities, and limited access to culturally responsive supports. These findings underscore that connectedness is not static but continually shaped by intersecting personal and systemic factors. Conclusions and Implications: This study deepens understanding of social connectedness as a multidimensional, culturally embedded, and fluid experience for Latina adolescents with lived experiences of STBs. Findings highlight the value of community-based, treatment-adjacent programs like LIP in cultivating connectedness, while pointing to the need for broader structural supports to sustain these gains. Implications include refining engagement strategies and expanding culturally grounded, strengths-based suicide prevention efforts.",
      "authors": "Daniela Tuda",
      "author_ids": "121233",
      "journal_or_venue": "SSWR annual conference",
      "doi": null,
      "record_type": "Unknown",
      "database_method": "qualitative",
      "database_is_scientific": null,
      "database_is_empirical": null,
      "screening_basis": "title_and_abstract",
      "screening": {
        "is_relevant": true,
        "evidence_class": "Empirical",
        "empirical_method": "Qualitative"
      },
      "model": "qwen3.6:27b",
      "prompt_version": "suicide-screen-v1.4-one-record-labels",
      "model_metrics": {
        "attempt": 1,
        "total_duration_ns": 3918840208,
        "prompt_eval_count": 1585,
        "eval_count": 24
      },
      "screened_at": "2026-08-02T19:08:46.534676+00:00"
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}