Understanding Evidence for Suicide Prevention: CDC’s R2P Interactive Tool to Support Evidence-Based Decision Making

Understanding Evidence is a new, interactive web resource developed by CDC’s Division of Violence Prevention that supports public health practitioners in making evidence-informed decisions. The goal of evidence-based decision making is to bring a high standard of research evidence into the decision-making process while taking into account the contextual and experiential factors that influence decisions. This webinar will also provide real-world scenarios illustrating how practitioners, coalitions, and evaluators can use the tool to strengthen practice and evaluation of suicide prevention strategies.

Objectives: In this webinar, participants working to prevent suicide will learn how to:

  1. Define the multiple forms of evidence involved in evidence-based decision making
  2. Identify standards of rigor for best available research evidence
  3. Identify sources of and ways to collect best available research evidence, contextual evidence, and experiential evidence
  4. Identify key stages and characteristics of an evidence-based decision making process

Event Presenter(s)

Presenter(s): 

Phil Rodgers, PhD, Evaluation Scientist, American Foundation for Suicide Prevention

Natalie Wilkins, PhD, Health Scientist, National Center for Injury Prevention and Control Centers for Disease Control and Prevention

Sally Thigpen, MPA, Health Scientist, National Center for Injury Prevention and Control Centers for Disease Control and Prevention

Angelita Lee, Research Assistant/Case Manager, White Mountain Apache, Johns Hopkins Center for American Indian Health

Presenter Biographies: 

Philip Rodgers, PhD, is an Evaluation Scientist for the American Foundation for Suicide Prevention. For the past nine years, he has managed the Best Practices Registry for Suicide Prevention in collaboration with the Suicide Prevention Resource Center. The Best Practices Registry provides a listing of suicide prevention programs, policies, tools, and materials, which have been reviewed and approved by experts in the field. Dr. Rodgers has given numerous presentations and workshops regarding suicide prevention and the evaluation of suicide prevention programs. He earned his undergraduate degree in experimental psychology from California State University Los Angeles and his doctorate in research and evaluation methodology from Utah State University.

Natalie Wilkins, PhD, joined CDC’s National Center for Injury Prevention and Control (NCIPC) in 2008, and has been a behavioral scientist in NCIPC since 2010.  Her work has focused primarily on dissemination and implementation research, program evaluation, technical assistance and capacity building at the state and local level, and knowledge translation for bridging research and practice within the context of injury and violence prevention. She has worked on numerous child maltreatment, youth violence, and suicide prevention projects, as well as efforts to identify links between multiple forms of violence, injury, and other public health outcomes. Natalie received her BA in Psychology and Sociology from the University of Richmond, and her MA and PhD in Community Psychology from Georgia State University.

Sally Thigpen, MPA, is a Health Scientist with the National Center for Injury Prevention and Control (NCIPC) at the Centers for Disease Control and Prevention (CDC). She provides support across the Center for translation activities with specific expertise in actionable knowledge. Prior to her CDC position, Sally was Associate Director of Programs for Prevent Child Abuse Georgia. In this role she managed various programs including Stop It Now! Georgia, a statewide child sexual abuse prevention initiative, and 1-800-CHILDREN, Georgia’s only toll-free, statewide helpline with a primary focus on preventing family violence and child maltreatment.  Sally has over 15 years of practice and policy experience, and her work has influenced the shift toward primary prevention at both the state and national levels. She is a champion for collaborative efforts to prevent violence – most notably by bringing together non-traditional partners around family and community responsibility for healthy relationships and child well-being.  Most recently, Sally has worked in NCIPC with a focus on building processes for more rapid translation of research for practice, actionable knowledge, and practice-to-research strategies.   Sally received a Bachelor of Arts degree in Sociology and Anthropology from Agnes Scott College and a Master of Public Administration from the Andrew Young School of Public Policy at Georgia State University.

Angelita Lee is a Research Assistant for Johns Hopkins University Center for American Indian Health.  Ms. Lee has worked on the Celebrating Life project geared toward suicidal ideations, suicide attempts and self injurious behavior.  She has worked in community settings and with families of individuals who made suicide attempts, delivering life skills curriculumn adapted for the community she serves.

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Tribal Suicide Prevention Codes: A Community Based Approach (Tribal Learning Collaborative)

There are many issues underlying suicide in Indian Country—alcoholism, family violence, child abuse/neglect, depression, and unemployment. Some tribal codes address these issues, but few codes exist for tribal suicide prevention. By fostering partnerships of local community leaders, people can be empowered to identify local problems and participate actively in devising and implementing local solutions.The webinar will offer participants the opportunity to hear directly from on-the-ground implementers who will discuss how they fostered partnerships to address local policy/procedures, implementation of a Tribal surveillance system, and modifications to Juvenile Justice Codes.

Webinar Presentation Slides

Handout 1

Handout 2

A Strategic Approach to Suicide Prevention in High Schools

This webinar provided an overview of the research on school-based suicide prevention programs and identified resources that can be helpful in developing and implementing your own program.  In addition, it offered examples of how two states developed programs to prevent suicide in a variety of school systems, including those serving ethnically diverse students. While this webinar focused on high schools, some of the information may be applicable to any grade level.  

Objectives: In this webinar, participants working to prevent suicide learned how to:

  • Explain how a strategic approach to suicide prevention can be used in high schools
  • Identify resources for use as part of a strategic approach (e.g., Preventing Suicide: A Toolkit for High Schools)
  • Describe the efforts of two states to be strategic and culturally appropriate in their approach to school-based suicide prevention.

Additional Resources:

This video features Kentucky school principals, staff and parents who have experienced suicide loss, including suicide contagion in the school, and steps schools can take to reduce suicide and suicide attempts among their students. This video can be used with staff training, but is not appropriate for youth or children. To access a copy of the video itself, please contact Jan Ulrich (jan.ulrich@ky.gov).

Event Presenter(s)

Presenter(s): 

Phil Rodgers, PhD, Evaluation Scientist, American Foundation for Suicide Prevention

Chris Miara, MS, Director of Operations and Resources, Suicide Prevention Resource Center

Patricia Breux, RN, BSN, Youth Prevention Specialist, Suicide Prevention Center of New York State

Jan Ulrich, State Suicide Prevention Coordinator, Kentucky Division of Behavioral Health

Patti Clark, MBA, CPS, Project Coordinator, Kentucky Division of Behavioral Health

Moderator: 

Rosalyn Blogier, LCSW-C, SAMHSA Public Health Advisor

Presenter Biographies: 

Philip Rodgers, PhD, is an Evaluation Scientist for the American Foundation for Suicide Prevention. For the past nine years, he has managed the Best Practices Registry for Suicide Prevention in collaboration with the Suicide Prevention Resource Center. The Best Practices Registry provides a listing of suicide prevention programs, policies, tools, and materials, which have been reviewed and approved by experts in the field. Dr. Rodgers has given numerous presentations and workshops regarding suicide prevention and the evaluation of suicide prevention programs. He earned his undergraduate degree in experimental psychology from California State University Los Angeles and his doctorate in research and evaluation methodology from Utah State University.

Chris Miara, MS, is a Senior Project Director at the Education Development Center, Inc., with many years’ experience planning, implementing, and evaluating government-funded programs to prevent injuries, violence, and suicide. She is Director of Operations and Resources at the Suicide Prevention Resource Center. In collaboration with the National Association of Mental Health Program Directors and with funding from SAMHSA, Ms. Miara also played a key role in the development of “Preventing Suicide: A Toolkit for High Schools.

Pat Breux, RN, BSN, is the Youth Prevention Specialist at the Suicide Prevention Center of New York (www.PreventSuicideNY.org), which is an agency of the New York State Office of Mental Health Suicide Prevention Initiative.  In her role at the Center, she provides training, consultation and access to research and best practices in suicide prevention, intervention and postvention to schools and youth serving organizations across the state.  Her work in Chemung County received National recognition from the Substance Abuse and Mental Health Services Administration with a Science and Service Award in 2008.  She received the Advocate of the Year Award from Families Together in NYS in 2009 and the Excellence in Education Award from the Western NY Chapter of American Foundation for Suicide Prevention in 2010.  She is a certified SafeTALK, CONNECT Postvention and QPR trainer, a Master Trainer of Applied Suicide Intervention Skills Training (ASIST) and a provider of Lifelines trilogy of trainings.  She is the lead developer of “Creating Suicide Safety in Schools Workshop” which has been endorsed by the New York Association of School Psychologists.

Jan Ulrich is the State Suicide Prevention Coordinator with the Kentucky Department for Behavioral Health, Developmental and Intellectual Disabilities. Jan has been involved with suicide prevention and awareness efforts on a national, state and local basis since 2002, after the issue of suicide touched her family very personally.  She was a member of the Kentucky Suicide Prevention Group (KSPG) from 2002 to 2007, and served on the KSPG board for several years prior to her employment with BH/DID in 2007.  Jan has been a certified QPR Suicide Prevention Gatekeeper Trainer since 2004 and a QPR Master Trainer (T4T).  She is a recipient of NAMI KY Prevention Partner Award, and Mental Health America of KY Advocacy Award for her work in suicide prevention.  Jan is also the founder of the Suicide Prevention Consortium of Kentucky (SPCK – Live Long).

Patti Clark, MBA, CPS, is currently the project coordinator for Kentucky’s Garrett Lee Smith Suicide Prevention Grant, under the Kentucky Division of Behavioral Health.  The Suicide Prevention Efforts for Adolescents in Kentucky focuses on suicide prevention efforts for youth and the families in the state with emphasis on school-based implementation, LGBTQ suicide prevention and resilience development, and suicide prevention for military personnel and their families. She is a certified prevention specialist.

Prior to working in suicide prevention, she was a project coordinator for Kentucky’s Underage Drinking Strategic Prevention Framework project in Owen County, Kentucky where binge drinking among high school youth was reduced by 36% over a two-year period. She is a SPF master trainer and co-wrote the evaluation portion of Kentucky’s SPF manual. She also teaches the needs assessment portion (Step 1) of Prevention Academy for the state.

Prior to her work in prevention, Patti was a newspaper publisher and community advocate, organizing a variety of events and activities and bringing together community members to address issues. 

She is a graduate of Eastern Kentucky University (BA Journalism) and Sullivan University (MBA). She is currently working on her Master of Divinity degree at Luther Rice University in Atlanta.

Rosalyn (Roz) Blogier, LCSW-C, is a licensed clinical social worker with a wide range of experiences in child welfare, adoption, community mental health, substance abuse, out-patient psychotherapy and wellness programming. She became a Public Health Advisor with the Substance Abuse and Mental Health Services Administration (SAMHSA) in 2008 and currently serves as the coordinator for the Garrett Lee Smith Campus Suicide Prevention Grant Program.

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The Role of High School Teachers in Preventing Suicide

The Role of High School Mental Health Providers in Preventing Suicide

Preventing Suicide: A Toolkit for High Schools

After a Suicide: A Toolkit for Schools

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Keeping Youth Safe: Reducing Access to Lethal Means

Restricting access to lethal means is one component of a comprehensive approach to reducing the risk of suicide. Join us during this webinar to learn about the evidence behind this approach to suicide prevention and hear examples from two campus communities that have successfully implemented means restriction strategies, such as a medication take-back program and limiting access to tall structures. This will be an interactive webinar incorporating time for attendees to ask questions of presenters and participate in discussion.

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Reaching Our Vision – Tribal Learning Collaborative

This month’s topic will be an open discussion among participants with a focus towards the future. Perhaps there’s something that you have been struggling with, or you are just not sure how to incorporate a new approach into your already existing comprehensive plan.

A Surprising Health Disparity: Suicide among Men in the Middle Years

This webinar is designed to support the development of best practices for suicide prevention among men in the middle years of life. Bringing together panelists from the US and Ireland, this webinar will provide data on the scope of the problem, a framework for conceptualizing suicide prevention strategies, and an example of an innovative program that fits within this framework.

Learning Objectives:

  • Summarize the changes over time in US rates and methods for middle-aged adults with a focus on middle-aged men.
  • Identify risk and precipitating factors for suicide among middle-aged men.
  • Explain the “common risk approach” to suicide prevention.
  • Describe a pilot program implemented in Ireland for men in the middle years who are at increased risk as a result of economic/employment issues.

Sponsored by the Suicide Prevention Resource Center and the Injury Control Research Center for Suicide Prevention.

Event Presenter(s)

Presenter(s): 

Thomas Simon, PhD, Acting Associate Director for Science, Division of Violence Prevention, National Center for Injury Prevention and Control (NCIPC), Centers for Disease Control and Prevention (CDC)

Ella Arensman, PhD, MSc, Director of Research, National Suicide Research Foundation; Adjunct Professor, Department of Epidemiology and Public Health at University College Cork, Ireland; and President, International Association for Suicide Prevention

Eric Caine, MD, John Romano Professor and Chair, Department of Psychiatry, and Director, Injury Control Research Center for Suicide Prevention (ICRC-S), University of Rochester Medical Center

Derek McDonnell, LLM, BSc, Programme Manager, Mojo Programme, South Dublin County Partnership

Moderator: 

Jerry Reed, PhD, MSW, EDC Vice President and Director of the Center for the Study and Prevention of Injury, Violence and Suicide and of the Suicide Prevention Resource Center

Presenter Biographies: 

Thomas Simon, PhD, currently works as the Deputy Associate Director for Science (ADS) within the Office of the Director of the Division of Violence Prevention (DVP) in the National Center for Injury Prevention and Control (NCIPC). As the Deputy, he assists the ADS in providing leadership, planning, and guidance to Division management and staff on scientific policy, research methodology, and priorities for research activities. His work focuses primarily on the topics of youth violence (including school violence and gang joining prevention) and suicide prevention and the linkages across different forms of violence. He is particularly interested in how policy changes and modifications to the physical environment influence risk for violence.

Dr. Simon started at CDC as an Association of Teachers of Preventive Medicine Fellow in 1996. He worked on what was then the Youth Violence and Suicide Prevention (YVSP) team. He then transitioned to become a Staff Fellow, Behavioral Scientist, and Team Leader for the YVSP Team in DVP. During his career at CDC, Dr. Simon has served as a scientific advisor on multiple etiological studies examining risk and protective factors for aggressive and suicidal behavior and longitudinal evaluations of violence and suicide prevention programs.

Dr. Simon received his B.A. in psychology from The University of Akron in Akron, Ohio and his Ph.D. in Preventive Medicine from the University of Southern California’s School of Medicine in Los Angeles, California.

He has over 90 peer-reviewed publications, government publications, and textbook chapters and has given numerous presentations at international, national, state or local conferences or meetings about violence as a public health problem, risk and protective factors for violence, and prevention strategies based on the best available evidence.

Ella Arensman, MSc PhD, is Director of Research with the National Suicide Research Foundation (NSRF) and Adjunct Professor with the Department of Epidemiology and Public Health, University College Cork, Ireland. She has been involved in research and prevention into suicide and self-harm over the last 25 years, with a particular emphasis on risk and protective factors associated with suicide and self-harm, clustering and contagion of suicidal behaviour, and effectiveness of suicide prevention and self-harm intervention programmes. She is President of the International Association for Suicide Prevention (IASP) and Vice-President of the European Alliance Against Depression (EAAD).

Eric Caine, MD, has served since 1996 as John Romano Professor and Chair, URMC Department of Psychiatry, and Co-Director of the Center for the Study and Prevention of Suicide (CSPS) since its founding in 1998.  He has deep experience in the evaluation, management, and aftercare of acutely suicidal individuals, dating to the 1970s.  In the past he worked as a year-round inpatient hospitalist for nearly a decade and as an outpatient psychiatrist for more than two decades.  He participated in >100 psychological autopsies as part of a team that worked with the Office of the Medical Examiner, Monroe County, NY.  Dr. Caine has had continuous NIH funding since 1983.  In the past 15 years, he has focused on public health approaches to suicide prevention, and has led these efforts through CSPS.  He was PI of a NIH-supported collaborative consensus process on public health approaches to prevention, funded from 2001-05 by a coalition of NIMH, NIAAA, NIDA, NINR, NICHD, SAMSHA, and CDC, and a NIMH Research Education Grant from 2005-10 that supported the training and development of multiple graduate and post-graduate suicide researchers, as well as community partnership teams.  Dr. Caine led from 2004-2010 the NIMH/NIDA funded Center for Public Health and Population Interventions for Preventing Suicide, which spawned a wide variety of ongoing grants.  Administratively, he previously led the Ambulatory Services of the Department, which at the time included the Psychiatry Emergency Room; subsequently he oversaw all operational aspects of the Department’s clinical services.  Since 1996, he has served as the ultimate reviewer of all suicides and serious suicide attempts, in addition to having devoted his research career to studying suicide since 1987, and focusing specifically on suicide prevention since the mid-1990s.  Beginning in 2001, he has served as PI/PD of NIH Fogarty International Center training programs devoted to building collaborative infrastructure and preparing early career Chinese researchers devoted to suicide research and public health-population approaches to prevention.  These efforts now are expanding to the Sub-Mekong nations of Vietnam, Cambodia, and Lao PDR.  Dr. Caine recently was a member of the Task Force charged with reformulating the National Strategy of Suicide Prevention, a subgroup of the National Action Alliance for Suicide Prevention.  Currently he directs the CDC-funded Injury Control Research Center for Suicide Prevention (ICRC-S), the only such center in the United States devoted to suicide prevention.  Its mission is to merge injury prevention and mental health perspectives to forge new public health, community oriented approaches to preventing suicide, attempted suicide, and their antecedent risks.  Dr. Caine also is a member of a NIMH organized task force to establish suicide research priorities for the U.S., in conjunction with the new National Strategy for Suicide Prevention. 

Derek McDonnell, LLM, BSc, established and currently project manages the Mojo programme.  He is also the director of Big Picture Consultancy, which provides organisational support to statutory and non-statutory organisations. To date, Derek’s experience includes working with UN agencies, NGO’s in Kenya and Tanzania and youth, mental health, sexual health, addiction and LGBT organisations in Ireland.

Derek has degrees in psychology and human rights law and qualifications in youth work, adult education and community development.

Jerry Reed, PhD, MSW, began serving as the Director of the Suicide Prevention Resource Center in July 2008.  Through this work he provides state and local officials, grantees, policymakers, interested stakeholders and the general public with assistance in developing, implementing and evaluating programs and strategies to prevent suicide. Additionally, Dr. Reed serves as the Director of the Center for the Study and Prevention of Injury, Violence and Suicide overseeing multiple projects and also serves as Co-Director of the Injury Control Research Center for Suicide Prevention with partners at the University of Rochester Medical Center.  His interests include geriatrics, mental health, suicide prevention, global violence prevention and public policy.  Dr. Reed received a Ph.D. in Health Related Sciences with an emphasis in Gerontology from the Virginia Commonwealth University in Richmond in 2007.  His research topic addressed variation among states in crude rates of older adult male suicide. In his work with colleagues at the University of Rochester Medical Center with the Injury Control Research Center for Suicide Prevention and in collaboration with colleagues at the University of Western Ontario, Dr. Reed is engaged in efforts that will help us better understand suicide among men in the middle years.

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Data Systems for Suicides and Suicide Attempts

Collecting data on suicide deaths and attempts is an important part of measuring the success and impact of suicide prevention activities. Data collection techniques and capacity vary by state and community. In this webinar, presenters will review currently accessible national datasets, including the NVDRS, while also sharing different strategies being leveraged at the state level for collecting suicide death and attempt data. Participants will be invited to ask the presenters questions and share their own data collection strategies.

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Promoting Help-Seeking Among College Students: Strategies for Suicide Prevention

This webinar will focus on one component of a comprehensive, public health approach to suicide prevention and mental health promotion on campuses: increasing student help-seeking. Presenters will share recent research findings and will describe strategies their campuses are employing to increase the likelihood that a student who needs mental health services will seek out and secure assistance.

Learning Objectives:

  • Summarize new research on the barriers and facilitators to help-seeking among suicidal college students
  • Describe ways to engage students and enhance peer networks of support to promote help-seeking
  • Describe ways to promote help-seeking among students at greater risk of suicide, including those who identify as Lesbian, Gay, Bisexual, Transgender and/or Questioning (LBGTQ)
  • Describe ways to enhance cultural congruence, including utilization of natural support systems and communication in students’ first languages

Event Presenter(s)

Presenter(s):

Marilyn Downs, PhD, LICSW, Director of Outreach, Counseling and Mental Health Service, Tufts University, Medford, Massachusetts

Charlie Morse, MA, LMHC, Assistant Dean for Student Development & Director of Counseling, Worcester Polytechnic Institute, Worcester, Massachusetts

Alma Rosa Silva-Bañuelos, Director, LGBTQ Resource Center, Division for Equity & Inclusion, University of New Mexico, Albuquerque, New Mexico

Frankie Flores, Caring @ Every Connection Coordinator, LGBTQ Resource Center, Division for Equity & Inclusion, University of New Mexico, Albuquerque, New Mexico

Eugenia Curet, PhD, MSW, LCSW, Assistant Dean of Students for Support Services, The University of Texas Pan American, Edinburg, TX

Moderator:

Bonnie Lipton, MPH, Campus Prevention Specialist, Suicide Prevention Resource Center

Presenter Biographies:

Marilyn Downs, Ph.D., LICSW, is Director of Outreach at the Tufts University Counseling and Mental Health Service and former Project Director for the Tufts Garrett Lee Smith Suicide Prevention Grant. She is on the faculty at the Boston University School of Social Work and is a national trainer for the Assessing and Managing Suicide Risk (AMSR) curriculum. Her research, publications, and conference presentations have focused on help-seeking, suicide prevention and intervention, mental illness stigma, peer effects on mental health, and clinical supervision.

Charlie Morse, MA, LMHC, is Assistant Dean for Student Development and Director of Counseling at Worcester Polytechnic Institute in Massachusetts. He is principle investigator on two consecutive three year SAMHSA campus suicide prevention grants. With this funding Charlie and his team developed the “Student Support Network” (SSN) program; a six-week interactive and experiential training for students in how to best recognize and respond to their peers’ mental health distress. The SSN program is listed as a best practice with the Suicide Prevention Resource Center and has been manualized and freely distributed to over 200 campuses nationally. Morse’s research interests include the use of acceptance based strategies within training protocols to reduce stigma associated with help seeking and improve trainee mental health functioning.

Alma Rosa Silva-Bañuelos is currently the Director of the LGBTQ Resource Center at the University of New Mexico. In this role, Alma Rosa is committed to creating a space that provides service to UNM students, faculty and staff of all gender identities and sexual orientations through support, advocacy, education and safety. She has also been a community organizer in her hometown of Albuquerque, NM since the late 1990’s, and has worked throughout New Mexico facilitating local and rural communities to self-organize for social justice. She has worked with many local, statewide, regional, national, bi-national non-profits and currently is part a member of the Board of Directors for the Transgender Resource Center of NM (TGRCNM). She is also a co-founding member of Young Women United, local grass roots non-profit organization founded in 1999. Alma Rosa continues to organize and advocate for social justice while working towards LGBTQ* recognition, acceptance, equal rights and liberation.

Frankie Flores currently serves as the Admin Assistant II for the LGBTQ Resource Center. He is also the Caring @ Every Connection coordinator. Frankie has worked at the University of New Mexico for six years in multiple capacities. Frankie is committed to serving the LGBTQ population on UNM campus. Frankie is originally from Albuquerque, New Mexico.

Eugenia Curet, PhD, MSW, LCSW, holds a Master Degree in Social Work with specialization in psychiatric social work from the New York University Graduate School of Social Work, and a Ph.D. in Interdisciplinary Studies focusing in Public Health and Substance Abuse from The Union Institute and University, Cincinnati, Ohio. From April 2008 to September 6, 2013, Dr. Curet was employed by the University of Texas at Brownsville (UTB) where she was Assistant Dean for Counseling and Medical Services and Clinical Associate Professor. At UTB she was also the Principal Investigator for several funded programs which included the Garrett Lee Smith Campus Suicide Program. Under her leadership more than 3,000 members of the campus community and surrounding community agencies and educational institutions were trained as suicide prevention gatekeepers. As recognition of her work on suicide prevention she received the 2013 Leadership on University Campuses and in the Community Award by the Texas Suicide Prevention Council. At present she is Assistant Dean of Student for Support Services at the University of Texas Pan American where she has continued her work with training members of the campus community on suicide prevention. Most recently, she was a co-presenter on Preventing Suicide and Promoting Mental Health among Hispanic Students Attending Institutions of Higher Education, American Association of Hispanics in Higher Education, Inc., Ninth Annual National Conference, Costa Mesa, California, held on March 6-8, 2014.

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