@article{ref1,
title="Life is precious: a quasi-experimental study of a community-based program to prevent suicide among Latina adolescents in New York City",
journal="Suicide and life-threatening behavior",
year="2023",
author="Tuda, Daniela and Stefancic, Ana and Lam, Peter and John, Dolly and Sadaghiyani, Shima and Choo, Tse-Hwei and Galfalvy, Hanga and Coronel, Beatriz and Gil, Rosa and Lewis-Fernández, Roberto",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="INTRODUCTION: Rising rates of suicidal thoughts and behaviors (STBs) among U.S. Latina adolescents urgently need attention. Life is Precious (LIP) is a culturally responsive, community-based, afterschool-model program offering wellness-support services to supplement outpatient mental health treatment for Latina adolescents experiencing STB's. This 12-month quasi-experimental pilot study explored LIP's impact on clinical outcomes. <br><br>METHODS: Latina adolescents newly enrolled in LIP and receiving outpatient treatment (n = 31) and those newly starting outpatient treatment only (n = 12; Usual Care) were assessed for Suicidal Ideation (Suicidal Ideation Questionnaire; SIQ) and depressive symptoms (Patient Health Questionnaire-9). We estimated differences in mean scores using longitudinal linear mixed models and adjusted risk ratios (ARRs) of SIQ-25%, SIQ-50%, and PHQ-9-5-point improvements using exact logistic models. <br><br>RESULTS: The direction of the estimated impact of LIP was positive [differences (95% CIs): -15.5 (-34.16, 3.15) for SIQ; -1.16 (-4.39, 2.07) for PHQ-9], with small-to-moderate nonsignificant effect sizes (0.19-0.34). LIP participants saw two to three times higher prevalence than controls of SIQ-25%, SIQ-50%, and PHQ-9-5-point improvements; ARRs (95% CIs) were 1.91 (0.61, 3.45), 3.04 (0.43, 11.33), and 1.97 (0.44, 5.07), respectively. Suicidal behaviors also decreased in LIP. <br><br>CONCLUSION: The effects of LIP were in positive directions across clinical outcomes, warranting further research on its effectiveness in decreasing STBs.<p /> <p>Language: en</p>",
language="en",
issn="0363-0234",
doi="10.1111/sltb.13027",
url="http://dx.doi.org/10.1111/sltb.13027"
}