Using an ecological risk-factor approach, this study sought to identify risk factors related to suicidal behavior in a sample of 14,922 adolescents (11,027 European American adolescents and 3,895 African American adolescents) drawn from Michigan. Logistic regression analyses were used to determine significant predictors and to calculate a cumulative risk analysis. For both African American and European American males, risk factors related to frequent suicidal ideation and suicidal behavior were found at three levels of the social ecology: individual, family, and extrafamilial. Risk factors were also detected at all three levels of the ecology for both African American and European American females in terms of suicide attempts but not in terms of frequent suicidal thoughts. More similarities were found between the two ethnic groups and between males and females in terms of risk factors for suicidal ideation and attempted suicide. Results lend support to the use of an ecological risk-factor model for examining suicidal thoughts and attempts.
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AbstractDemonstrating the efficacy and effectiveness of prevention programmes in rigorous randomised trials is only the beginning of a process that may lead to better public health outcomes. Although a growing number of programmes have been shown to be effective at reducing drug use and delinquency among young people under carefully controlled conditions, we are now faced with a new set of obstacles. First, these evidence-based programmes are still under-utilised compared to prevention strategies with no empirical support. Second, when effective programmes are used the evidence suggests they are not being implemented with quality and fidelity. Third, effective programmes are often initiated with short-term grant funding, creating a challenge for sustainability beyond seed funding. We discuss each of these challenges, and present lessons learned from a large-scale dissemination effort involving over 140 evidence-based programme replications in one state in the US.
This study examined whether organized sports participation during childhood and adolescence was related to participation in sports and physical fitness activities in young adulthood. The data were from the Michigan Study of Adolescent Life Transitions. The analyses include more than 600 respondents from three waves of data (age 12, age 17, and age 25). Childhood and adolescent sports participation was found to be a significant predictor of young adults’ participation in sports and physical fitness activities.
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