Empowering collegiate athletic staff to prevent student athlete suicide
DOI:
https://doi.org/10.15763/issn.2376-5267.2021.1.9.17-32Abstract
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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