Empowering collegiate athletic staff to prevent student athlete suicide

Authors

  • Katherine Bender Brdigewater State University
  • Kendel Jester

DOI:

https://doi.org/10.15763/issn.2376-5267.2021.1.9.17-32

Abstract

Suicide is the second leading cause of death for 18-24 years (Curtin & Heron, 2018). Suicide is the 4th leading cause of death among college student athletes (Rao et al., 2015). While not all student athletes will be seen by mental health professionals, all student athletes interact with their campus athletic staff: athletic trainers, coaches, etc. This paper provides an overview of the risk factors and warning signs suicidal student athletes may exhibit and offers resources and best practices for athletic staff to be informed and proactive in preventing student athlete suicide.

References

ACPA: College Student Educators International & NASPA − Student Affairs Administrators in Higher Education (2015). ACPA/NASPA professional competency areas for student affairs practitioners. Washington, DC: Authors https://www.naspa.org/images/uploads/main/ACPA_NASPA_Professional_Competencies_FINAL.pdf. DOI: https://doi.org/10.1353/csj.2023.0000

American Foundation for Suicide Prevention (2019). About suicide: Risk factors and warning signs Retrieved from https://afsp.org/about-suicide/risk-factors-and-warning-signs/. DOI: https://doi.org/10.1037/e587752012-001

American Foundation for Suicide Prevention (2019). After a suicide: a toolkit for schools Retrieved from https://www.afsp.org/coping-with-suicide-loss/education-training/after-a-suicide-a-toolkit-for-schools. DOI: https://doi.org/10.1037/e614462011-001

Anchuri K, Davoren AK, Shanahan A, Torres M, Wilcox HC. (2019). Nonsuicidal self-injury, suicidal ideation, and suicide attempt among collegiate athletes: Findings from the National College Health Assessment. Journal of American College Health. 68 (8): 815-823. DOI: https://doi.org/10.1080/07448481.2019.1616743. Epub 2019 Jun 18. PMID: 31210585.

Appelbaum, P. S. (2006). Law & Psychiatry: “Depressed? Get Out!”: Dealing With Suicidal Students on College Campuses. Psychiatric Services, 57(7), 914–916. DOI: https://doi.org/10.1176/ps.2006.57.7.914

Beck, A. T. (1986). Hopelessness as a predictor of eventual suicide. Annals of the New York Academy of Sciences, 487,90–96.

Cassilo, D. and Sanderson, J. (2019). From Social Isolation to Becoming an Advocate: Exploring Athletes’ Grief Discourse About Lived Concussion Experiences in Online Forums. Communication & Sport, 7(5), 678–696. DOI: https://doi.org/10.1177/2167479518790039

Center for Disease Control. (2018). 10 Leading causes of death by age group, United States - 2018. https://www.cdc.gov/injury/images/lc-charts/leading_causes_of_death_by_age_group_2018_1100w850h.jpg

Clement, S., Schauman, O., Graham, T., Maggioni, F. Evans-Lacko S., Bezborodovs N, Morgan, C., Rusch, N., Brown, J.S.L., and Thornicroft, G.. (2014) What is the impact of mental health-related stigma on help-seeking? A systematic review of quantitative and qualitative studies. Psychological Medicine 45:11–27. DOI: https://doi.org/10.1017/s0033291714000129

Cowee, K., & Simon, J. E. (2019). A history of previous severe injury and health-related quality of life among former collegiate athletes. Journal of Athletic Training (Allen Press), 54(1), 64–69. DOI: https://doi.org/10.4085/1062-6050-377-17

Curtin, S. C., & Heron, M. (2018). Death rates due to suicide and homicide among persons aged 10-24: United States, 2000-2017. Center for Disease Control and Prevention. https://www.cdc.gov/nchs/data/databriefs/db352-h.pdf. DOI: https://doi.org/10.15620/cdc:128423

Dazzi, T., Gribble, R., Wessely, S., & Fear, N. (2014). Does asking about suicide and related behaviours induce suicidal ideation? What is the evidence? Psychological Medicine, 44(16), 3361-3363. DOI: https://doi.org/10.1017/s0033291714001299

De Leo, D., Cerin, E., Spathonis, K., & Burgis, S. (2005). Lifetime risk of suicide ideation and attempts in an Australian community: Prevalence, suicidal process, and help-seeking behaviour. Journal of Affective Disorders, 86(2), 215–224. DOI: https://doi.org/10.1016/j.jad.2005.02.001

Drehs, W. (n.d.) Tragic turn. ESPN. http://www.espn.com/espn/eticket/story?page=ambrogi

Eisenberg, D., Lipson, S., Ceglarek, P., Kern, A., and Phillips, V. (2018). College Student Mental Health. In Promoting behavioral health and reducing risk among college students: A comprehensive approach (pp.75-86). New York, NY: Routledge. DOI: https://doi.org/10.4324/9781315175799-5

Fagan, K. (2015, May 7). Split image. ESPN. http://www.espn.com/espn/feature/story/_/id/12833146/instagram-account-university-pennsylvania-runner-showed-only-part-story. DOI: https://doi.org/10.1080/08821127.2022.2097840

Francis, P.C. (2003). Developing ethical institutional policies and procedures for working with suicidal students on a college campus. Journal of College Counseling, 6, 114-123. DOI: https://doi.org/10.1002/j.2161-1882.2003.tb00232.x

Gayles, J. G., Crandall, R., & Morin, S. (2018). Student-Athletes’ Sense of Belonging: Background Characteristics, Student Involvement, and Campus Climate. International Journal of Sport & Society, 9(1), 23–38. DOI: https://doi.org/10.18848/2152-7857/cgp/v09i01/23-38

Goldston, D.B., Walrath, C.M., McKeon, R., Puddy, R.W., Lubell, K.M., Potter, L.B., & Rodi, M.S. (2010). The Garret Lee Smith memorial suicide prevention program. Suicide and Life-Threatening Behavior, 40(3), 245-256. DOI: https://doi.org/10.1521/suli.2010.40.3.245

Gould, M.S., Greenberg,T., Velting, & Shaffer, D. (2003). Youth suicide: A review of the past 10 years. Journal of the American Academy of Adolescent Psychiatry, 42, 386–405. DOI: https://doi.org/10.1097/01.chi.0000046821.95464.cf

Gross, K. D., Rubin, L. M., & Weese, A. P. (2020). College Athletes and Suicide Prevention: A Collaborative Autoethnography. Journal of Issues in Intercollegiate Athletics, 82–97.

The Healthy Minds Network. (2020). The healthy minds study: Fall 2020 data report. https://healthymindsnetwork.org/wp-content/uploads/2021/02/HMS-Fall-2020-National-Data-Report.pdf

Hultgren, B.A., Canning, J.R., & Larimer, M.E. (2018). Prevalence of drinking by college students. In Cimini, M.D. & Rivero E.M. (Eds.), Promoting behavioral health and reducing risk among college students: A comprehensive approach (pp. 23-48). Routledge. DOI: https://doi.org/10.4324/9781315175799-2

Jamison, E. C., & Bol, K. A. (2016). Previous Suicide Attempt and Its Association With Method Used in a Suicide Death. American Journal of Preventive Medicine, 51(5), S226–S233. DOI: https://doi.org/10.1016/j.amepre.2016.07.023

The JED Foundation. (2016). A guide to mental health action planning. Retrieved Nov 16, 2019 from http://www.jedfoundation.org/wp-content/uploads/2016/07/campus-mental-health-action-planning-jed-guide.pdf. DOI: https://doi.org/10.18411/d-2016-154

Joiner T. (2005) Why people die by suicide. Cambridge, MA, US: Harvard University Press.

Joiner Jr., T. E., Brown, J. S., & Wingate, L. R. (2005). The Psychology and Neurobiology of Suicidal Behavior. Annual Review of Psychology, 56(1), 287–314. DOI: https://doi.org/10.1146/annurev.psych.56.091103.070320

Joiner, T. E., Jr., Van Orden, K. A., Witte, T. K., & Rudd, M. D. (2009). The interpersonal theory of suicide: Guidance for working with suicidal clients. American Psychological Association. DOI: https://doi.org/10.1037/11869-000

Judd L.L., Schettler P.J., Coryell W., Akiskal H.S., and Fiedorowicz J.G. (2013). Overt Irritability/Anger in Unipolar Major Depressive Episodes: Past and Current Characteristics and Implications for Long-term Course. JAMA Psychiatry. 2013; 70(11):1171–1180. DOI: https://doi.org/10.1001/jamapsychiatry.2013.1957

Knopov, A., Sherman, R. J., Raifman, J.R., Larson, E., and Siegel, M. (2019). Household gun ownership and youth suicide rates at the state level, 2005–2015. American Journal of Preventive Medicine, 56(3): 335–342. DOI: https://doi.org/10.1016/j.amepre.2018.10.027

Maple, M., Cerel, J., Sanford, R., Pearce, T., & Jordan, J. (2017). Is exposure to suicide beyond kin associated with risk for suicidal behavior? A systematic review of the evidence. Suicide and Life-Threatening Behavior, (4), 461. DOI: https://doi.org/10.1111/sltb.12308

McCarthy, C. (2019). Promote success, limit liability by addressing student‐athlete mental health. College Athletics & the Law, 16(6), 1–5. DOI: https://doi.org/10.1002/catl.30640

Miller, D. (2013). Lessons in Suicide Prevention from the Golden Gate Bridge: Means Restriction, Public Health, and the School Psychologist. Contemporary School Psychology (California Association of School Psychologists), 17(1), 71–79. DOI: https://doi.org/10.1007/bf03340989

Moreland, J.J., Coxe, K. A., and Yang, J. (2018). Collegiate athletes’ mental health services utilization: A systematic review of conceptualizations, operationalizations, facilitators, and barriers. Journal of Sport and Health Science, 7(1), 58–69 DOI: https://doi.org/10.1016/j.jshs.2017.04.009

Navarro, Kristina & Greviskes, Lindsey & Edwards, Dr & Witte, Dr & Pittelkow, Lily & Scherer, Jenny. (2020). Toward an Understanding of Critical Success Factors for Student-Athlete Mental Health and Wellness, Academic Success, and Athletic Performance at the NCAA Division III Level. Journal of Higher Education Athletics & Innovation. 82-104. DOI: https://doi.org/10.15763/issn.2376-5267.2019.1.6.82-104

Nielsen E, Padmanathan P, & Knipe D. Commit* to change? A call to end the publication of the phrase 'commit* suicide'. Wellcome Open Res. 2016 Dec 6;1:21. DOI: https://doi.org/10.12688/wellcomeopenres.10333.1. PMID: 28286872; PMCID: PMC5341764

Orsini, M. M., Milroy, J. J., Wyrick, D. L., & Sanders, L. (2018). Polysubstance Use Among First-Year NCAA College Student-Athletes. Journal of Child & Adolescent Substance Abuse, 27(3), 189–195. DOI: https://doi.org/10.1080/1067828x.2018.1444524

Overholser, J. C., Braden, A., & Dieter, L. (2012). Understanding suicide risk: identification of high-risk groups during high-risk times. Journal Of Clinical Psychology, 68(3), 349–361. DOI: https://doi.org/10.1002/jclp.20859

Putukian, M. (2016). The psychological response to injury in student athletes: A narrative review with a focus on mental health. British Journal of Sports Medicine, 50, 145-148. DOI: https://doi.org/10.1136/bjsports-2015-095586

Rao, A. L., Asif, I. M., Drezner, J. A., Toresdahl, B. G., & Harmon, K. G. (2015). Suicide in National Collegiate Athletic Association (NCAA) Athletes: A 9-Year Analysis of the NCAA Resolutions Database. Sports Health: A Multidisciplinary Approach, 7(5), 452–457. DOI: https://doi.org/10.1177/1941738115587675

Rao, A.L. & Hong, E.S (2016). Understanding depression and suicide in college athletes: emerging concepts and future directions. British Journal of Sports Medicine. 50. bjsports-2015. DOI: https://doi.org/10.1136/bjsports-2015-095658

Reynolds, A.L. (2009). Helping college students: Developing essential support skills for student affairs practice. Jossey-Bass.

Ribeiro, J., Bodell, L., Hames, J., Hagan, C. and Joiner, T. (2013). An Empirically Based Approach to the Assessment and Management of Suicidal Behavior. Journal of Psychotherapy Integration. 23. DOI: https://doi.org/10.1037/a0031416

Rudd, M. D., Berman, A. L., Joiner, T. E., Jr., Nock, M. K., Silverman, M. M., Mandrusiak, M., et al. (2006). Warning signs for suicide: Theory, research, and clinical applications. Suicide and Life-Threatening Behavior, 36(3), 255-262. DOI: https://doi.org/10.1521/suli.2006.36.3.255

Ryan, H., Gayles, J.G., & Bell, L. (2018). Student-athletes and mental health experiences. New Directions for Student Services, 2018(163), 67-79. DOI: https://doi.org/10.1002/ss.20271

Schmid, D, & Wagstaff, J. (2019) Are they ready? Senior housing officers’ perceptions of entry-level housing professionals’ proficiency with helping skills. Journal of College & University Student Housing, 45(2):68-89. http://search.ebscohost.com.libserv-prd.bridgew.edu/login.aspx?direct=true&db=ehh&AN=137655879&site=ehost-live

Schwartz, A. J. (2006). College Student Suicide in the United States: 1990-1991 Through 2003-2004. Journal of American College Health, 54(6), 341–352. DOI: https://doi.org/10.3200/jach.54.6.341-352

Schwartz, A. J. (2011). Rate, Relative Risk, and Method of Suicide by Students at 4-Year Colleges and Universities in the United States, 2004-2005 through 2008-2009. Suicide & Life-Threatening Behavior, 41(4), 353–371. DOI: https://doi.org/10.1111/j.1943-278x.2011.00034.x

Simon JE and Docherty CL. (2014). Current health-related quality of life is lower in former Division I collegiate athletes than in non-collegiate athletes. American journal of sports medicine 42(2):423–429. DOI: https://doi.org/10.1177/0363546513510393

Simon JE, Lorence M, and Docherty CL (2020). Health-related Quality of Life in Former Division I Collegiate Athletes Compared to Non-Athletes: A 5-Year Follow-up. Journal of Athletic Training. Epub ahead of print. PMID: 33150419. DOI: https://doi.org/10.4085/1062-6050-0107.20

Smith, A.M. and Milliner, E.K. (1994). Injured athletes and the risk of suicide. Journal of Athletic Training 29:337–41

Steele, I. H., Thrower, N., Noroian, P., & Saleh, F. M. (2018). Understanding Suicide Across the Lifespan: A United States Perspective of Suicide Risk Factors, Assessment & Management. Journal of Forensic Sciences, 63(1), 162–171. DOI: https://doi.org/10.1111/1556-4029.13519

Suicide Prevention Resource Center (n.d.) A Comprehensive approach to suicide prevention. Retrieved November 16, 2019 from https://www.sprc.org/effective-prevention/comprehensive-approach

Tell Me About Your Day, MIT. (2015, May 5). States News Service. Retrieved from https://link-gale-com.libserv-prd.bridgew.edu

Thompson, R. A., & Sherman, R. T. (2007). Managing student athletes mental health issues. National Collegiate Athletic Association. https://www.ncaa.org/sites/default/files/2007_managing_mental_health_0.pdf

Tran, A. G. T. T. (2020). Using the GAD-7 and GAD-2 Generalized Anxiety Disorder Screeners With Student-Athletes: Empirical and Clinical Perspectives. Sport Psychologist, 34(4), 300–309. DOI: https://doi.org/10.1123/tsp.2020-0028

Ward, A. (2014, November 30). Body identified as Kosta Karageorge. ESPN. https://www.espn.com/college-football/story/_/id/11960455/kosta-karageorge-ohio-state-buckeyes-found-dead

Wilson, K. G., Kowal, J., Henderson, P. R., McWilliams, L. A., & Péloquin, K. (2013). Chronic pain and the interpersonal theory of suicide. Rehabilitation Psychology, 58(1), 111–115. DOI: https://doi.org/10.1037/a0031390

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Published

2022-11-08

How to Cite

Bender, K., & Jester, K. (2022). Empowering collegiate athletic staff to prevent student athlete suicide. Journal of Higher Education Athletics & Innovation, 1(9), 17–32. https://doi.org/10.15763/issn.2376-5267.2021.1.9.17-32

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Peer Review Articles