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Abstract

Research documents alarmingly high suicidal behavior risk among adolescents and young adults in the United States. A related concern is similarly high rates of exposure to the self-directed violence (SDV) of others. The current study examined how components of the Theory of Planned Behavior explain factors related to helping social network members engaging in SDV. Baseline data (N = 4,982) from the longitudinal study, Project Lift Up, were analyzed cross-sectionally. Young people, ages 13 to 22, were recruited through social media platforms; sexual and gender minority youth were oversampled. Participants answered questions about exposure to other people’s SDV and measures of key constructs related to the Theory of Planned Behavior for helping reduce SDV including perceptions of what others think about helping and behavioral control. Three outcomes were assessed: Intent to help someone, proactive behavior to promote the other person’s mattering, and proactive behavior to prevent SDV. Measures showed adequate reliability and validity (Cronbach’s alphas above .70). Overall, regression analyses across the three outcomes partially supported the Theory of Planned Behavior. Attitudes and confidence explained variance in intent to help and proactive behavior outcomes, whereas intent and social norms showed more mixed associations with the three outcomes. While the Theory of Planned Behavior is useful to explain gatekeeper outcomes for suicide prevention, specific significant factors within the model vary by the specific outcome being examined. Further research to unpack nuances in gatekeeper behaviors is needed and may help design prevention strategies.

Keywords

violence prevention self abuse Lesbian/Gay/Bisexual/Transgender

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References

Ajzen

Schmidt

(2020). Changing behavior using the theory of planned behavior. In Hagger

M. S.

Cameron

L. D.

Hamilton

Hankonen

Lintunen

(Eds.), The handbook of behavior change (pp. 17–31). Cambridge University Press.

Aldrich

R. S.

(2015). Using the theory of planned behavior to predict college students’ intention to intervene with a suicidal individual. Crisis, 36(5), 332–337.

Aldrich

R.S

Cerel

Drapeau

C.W.

(2023) Suicide knowledge and intention to intervene: College students. Journal of American College Health, 71(1), 182–189.

Aldrich

R. S.

Harrington

N. G.

Cerel

(2014). The willingness to intervene against suicide questionnaire. Death Studies, 38(2), 100–108.

Banyard

V. L.

(2015). Toward the next generation of bystander prevention of sexual and relationship violence: Action coils to engage communities. Springer.

Banyard

Edwards

Rizzo

(2019). “What would the neighbors do?” Measuring sexual and domestic violence prevention social norms among youth and adults. Journal of Community Psychology, 47(8), 1817–1833.

Banyard

Mitchell

K. J.

Waterman

E. A., J.

Rizzo

Edwards

K. M.

(2020). Context matters: Reactive and proactive bystander action to prevent sexual and dating violence in high schools. Journal of School Violence, 19(4), 499–511.

Banyard

Mitchell

K. J.

Ybarra

M. L.

(2021). Exposure to self-directed violence: Understanding intention to help and helping behaviors among adolescents and emerging adults. International Journal of Environmental Research and Public Health, 18(16), 8606.

Banyard

V. L.

Moynihan

M. M.

Cares

A. C.

Warner

(2014). How do we know if it works? Measuring outcomes in bystander-focused abuse prevention on campuses. Psychology of Violence, 4(1), 101.

10.

Burnette

Ramchand

Ayer

(2015). Gatekeeper training for suicide prevention: A theoretical model and review of the empirical literature. Rand Health Quarterly, 5(1), 16.

11.

Calear

A. L.

McCallum

Kazan

Werner-Seidler

Christensen

Batterham

P. J.

(2021). Application of the interpersonal psychological theory of suicide in a non-clinical community-based adolescent population. Journal of Affective Disorders, 294, 235–240.

12.

Cox

(2021). Framing messages for suicide gatekeepers through theory of planned behavior. Southwestern Mass Communication Journal, 36(2), 1–14.

13.

Curtin

S. C.

Garnett

M. F.

(2023). Suicide and homicide death rates among youth and young adults aged 10–24: United States, 2001–2021. NCHS Data Brief, 471, 1–8.

14.

Gaylor

E. M.

Krause

K. H.

Welder

L. E.

Cooper

A. C.

Ashley

Mack

K. A.

Crosby

A. E.

Trinh

Ivey-Stephenson

A. Z.

Whittle

(2023). Suicidal thoughts and behaviors among high school students—Youth risk behavior survey, United States, 2021. MMWR Supplements, 72(Suppl-7), 45–54.

15.

Glenn

C. R.

Kleiman

E. M.

Kandlur

Esposito

E. C.

Liu

R. T.

(2022). Thwarted belongingness mediates interpersonal stress and suicidal thoughts: An intensive longitudinal study with high-risk adolescents. Journal of Clinical Child & Adolescent Psychology, 51(3), 295–311.

16.

Grandclerc

De Labrouhe

Spodenkiewicz

Lachal

Moro

M. R.

(2016). Relations between nonsuicidal self-injury and suicidal behavior in adolescence: A systematic review. PloS One, 11(4), Article e0153760.

17.

Holmes

Clacy

Hermens

D. F.

Lagopoulos

(2021). The long-term efficacy of suicide prevention gatekeeper training: A systematic review. Archives of Suicide Research, 25(2), 177–207.

18.

Ivey-Stephenson

A. Z.

Demissie

Crosby

A. E.

Stone

D. M.

Gaylor

Wilkins

Lowry

Brown

(2020). Suicidal ideation and behaviors among high school students—Youth Risk Behavior Survey, United States, 2019. MMWR Supplements, 69(Suppl-1), 47–55.

19.

Komiya

Good

G. E.

Sherrod

N. B.

(2000). Emotional openness as a predictor of college students’ attitudes toward seeking psychological help. Journal of Counseling Psychology, 47, 138–143.

20.

Kuhlman

S. T.

McDermott

R. C.

Kridel

M. M.

Kantra

L. M.

(2019). College students’ peer-helping behaviors and stigma of seeking help: Testing a moderated mediation model. Journal of American College Health, 67(8), 753–761.

21.

Kuhlman

S. T.

Walch

S. E.

Bauer

K. N.

Glenn

A. D.

(2017). Intention to enact and enactment of gatekeeper behaviors for suicide prevention: An application of the theory of planned behavior. Prevention Science, 18, 704–715.

22.

Latzman

R. D.

Gratz

K. L.

Young

Heiden

L. J.

Damon

J. D.

Hight

T. L.

(2010). Self-injurious thoughts and behaviors among youth in an underserved area of the southern United States: Exploring the moderating roles of gender, racial/ethnic background, and school-level. Journal of Youth and Adolescence, 39, 270–280.

23.

Mackenzie

C. S.

Knox

V. J.

Gekoski

W. L.

Macaulay

H. L.

(2004). An adaptation and extension of the attitudes toward seeking professional psychological help scale 1. Journal of Applied Social Psychology, 34(11), 2410–2433.

24.

Mitchell

K. J.

Banyard

Ybarra

M. L.

(2022). Are the bystanders okay? Exploring the impact of bystander behavior for self-directed violence. Journal of Adolescent Health, 70(2), 298–304.

25.

Muehlenkamp

J. J.

Hagan

C. R.

(2020). Factors predicting intent to intervene with a potentially suicidal peer. Archives of Suicide Research, 24(4), 483–497.

26.

S. H.

Tan

N. J. H.

Luo

Goh

W. S.

C. S. H.

(2021). A systematic review of youth and teen mental health first aid: Improving adolescent mental health. Journal of Adolescent Health, 69(2), 199–210.

27.

Quinnett

P. G.

(2023). The certified QPR pathfinder training program: A description of a novel public health gatekeeper training program to mitigate suicidal ideation and suicide deaths. Journal of Prevention, 44(6), 813–824.

28.

Ramberg

I.-L.

Hökby

Karlsson

Hadlaczky

(2021). Measuring attitudes toward suicide prevention among occupational staff frequently exposed to suicidal individuals: Psychometric evaluation and validation. International Journal of Environmental Research and Public Health, 18(8), 4001.

29.

Robinson-Link

Hoover

Bernstein

Lever

Maton

Wilcox

(2020). Is gatekeeper training enough for suicide prevention?. School Mental Health, 12, 239–249.

30.

Rogers

M. L.

Taliaferro

L. A.

(2020). Self-injurious thoughts and behaviors among sexual and gender minority youth: A systematic review of recent research. Current Sexual Health Reports, 12, 335–350.

31.

Servaty-Seib

H. L.

Taub

D. J.

Lee

Morris

C. W.

Werden

Prieto-Welch

Miles

(2013). Using the theory of planned behavior to predict resident assistants’ intention to refer students to counseling. The Journal of College and University Student Housing, 39(2), 48–69.

32.

Silk

K. J.

Perrault

E. K.

Nazione

S. A.

Pace

Collins-Eaglin

(2017). Evaluation of a social norms approach to a suicide prevention campaign. Journal of Health Communication, 22(2), 135–142.

33.

Williford

Yoder

Fulginiti

Ortega

LoMurray

Duncan

Kennedy

(2021). Peer leaders as gatekeepers and agents of change: Understanding how sources of strength reduces suicide risk and promotes wellness. Child & Youth Care Forum, 51(3), 539–560.

34.

Wyman

P. A.

Brown

C. H.

Inman

Cross

Schmeelk-Cone

Guo

Pena

J. B.

(2008). Randomized trial of a gatekeeper program for suicide prevention: 1-year impact on secondary school staff. Journal of Consulting and Clinical Psychology, 76(1), 104.

35.

Wyman

P. A.

Brown

C. H.

LoMurray

Schmeelk-Cone

Petrova

Walsh

Wang

(2010). An outcome evaluation of the sources of strength suicide prevention program delivered by adolescent peer leaders in high schools. American Journal of Public Health, 100(9), 1653–1661.

36.

Wyman

P. A.

Pickering

T. A.

Pisani

A. R.

Cero

Yates

Schmeelk-Cone

Brown

C. H.

Gibbons

R. D.

Simonson

Pflanz

S. E.

(2022). Wingman-connect Program increases social integration for air force personnel at elevated suicide risk: Social network analysis of a cluster RCT. Social Science & Medicine, 296, Article 114737.

37.

Xiao

Song

Huang

Hou

Huang

(2022). Global prevalence and characteristics of non-suicidal self-injury between 2010 and 2021 among a non-clinical sample of adolescents: A meta-analysis. Frontiers in Psychiatry, 13, Article 912441.

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A Model of Bystander Helping to Prevent Suicide: Examining and Extending the Theory of Planned Behavior

Abstract

Keywords

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