Intervention Elements at a Glance

Setting	Who Delivers	Format	Training	Cost	Age	Race/ Ethnicity	Gender	Family Component
Coping and Support Training (CAST)
Schools, communities, mental health agencies	Trained, leaders such as high school teachers, counselors or nurses	12 sessions, 55 minutes long, with six to eight group members	Training availableTraining for trainers guidebook	$699 curriculum $190.80 student notebook $16,000 train leaders ($400/person) $800 fidelity training	Junior high to high school; originally pilot tested with 14-to-19 year olds; currently being tested with middle school-age youths	All ethnicities	Male and female	No
Cognitive Behavioral Therapy for Adolescent Depression (CBT)
Outpatient clinics	Mental health professionals trained in cognitive-behavioral therapy	12 to 16 weekly sessions, each lasting about 45 minutes	Providers must have significant clinical training and experience in CBT	$640 (16 hours at $40/hr) with social worker $30 for all manuals	13-to-25 year olds	Not specified	Male and female	Can do psychoeducation, and will meet with family around conflictual issues
Signs of Suicide (SOS)
Schools, mental health organizations, child psychiatric units, hospitals, youth social clubs, religious education groups, and juvenile justice providers	Teacher, typically; a “counselor” acts as site coordinatorAt least one person on the implementation team should be a licensed mental health provider familiar with mental health concerns among youths and with handling crises	50 minute session with a 25 minute video, a teacher-led discussion, and administration/scoring of screening form	A procedure manual, best practice guidelines, and training video available In-person training is available upon request	$300 for SOS kit	14-to-18 year olds	Multiple ethnicities	Male and female	The parent screening form is included to make parents aware of the types of questions their children will answer, and to help them assess their children’s risk for depression/suicidality
Specialized Emergency Room Intervention for Suicidal Adolescent Females
Emergency rooms	ER staff who work with adolescent suicide attempters	20 minute video, therapy session	Training protocols are available for free at: http://chipts.ucla.edu/ interventions/manuals/ interer.html	$1500 for training of trainers Costs vary by location	12-to-18 year olds	Latina	Female suicide attempter and caregiver	Female caregivers are among target population served

For the NASW SHIFT Project: Suicide Prevention for Adolescent Girls, criteria determined by two evidence-based practice registries were used to identify the evidence based programs.

Suicide Prevention Resource Center (SPRC) Best Practices Registry (BPR) For Suicide Prevention (www.sprc.org)

National Registry of Evidence-based Programs & Practices (NREPP) (http://www.nrepp.samhsa.gov/)

Three expert reviewers conducted the SPRC BPR review process, rating the quality of each intervention based on 10 criteria:

Theory, intervention fidelity, design, attrition, psychometric properties of measures, analysis, threats to validity, safety, integrity, and utility

Programs meeting standards of evidence were classified as Effective or Promising.

Effective programs utilized superior evaluation methods to demonstrate a strong causal link between the program and appropriate outcomes.
Promising programs were evaluated using less rigorous methods, or demonstrated a moderate causal link between the program and appropriate outcomes.

More information about the process used to evaluate effectiveness can be found at: http://www.sprc.org/featured_resources/bpr/PDF/ebpp_proj_descrip.pdf

Must demonstrate one or more positive outcomes in mental health (which includes suicide) and/or substance use behavior among individuals, communities, or populations.

Intervention results must have been published in a peer-reviewed publication or documented in a comprehensive evaluation report.

Documentation of the intervention and its proper implementation (e.g., manuals, process guides, tools, training materials) must be available to the public to facilitate dissemination.

More information about the review process can be found at http://www.nrepp.samhsa.gov/review.htm