A Novel School-based Suicide Prevention Course for Undergraduate Students




Yi-Yin Lin;Chia-Yi Wu;Ming-Been Lee

Key Words

school-based suicide prevention ; gatekeeper ; general education ; effectiveness ; college students



Volume or Term/Year and Month of Publication

22卷4期(2018 / 12 / 01)

Page #

151 - 164

Content Language


Chinese Abstract

Objective: Mental health problems impact nearly one in four to five college students in Taiwan. Those who developed suicide risks may not have enough educational sources to facilitate help-seeking on campus. Education is an important primary strategy in suicide prevention at schools. The study aimed to examine the effectiveness of a course in the general education field that designed to promote suicide and mental health literacy among college students, and to explore the students' motivations to take this course. Methods: The course contains weekly thematic lectures and group discussions, assignments, and term reports in a semester of eighteen weeks. The pre- and post-course performances on the Suicide Myth Questionnaire and the five-item Brief Symptom Rating Scale were evaluated; the former assessed the respondents' knowledge and attitudes of suicide act and suicide prevention, and the latter rated mental distress level in the past 7 days via six questions inquiring psychological symptoms and suicide ideation. Results: The participants' motivations toward this class were to gain knowledge, to identify suicide risks, and to act as the gatekeepers. The course significantly enhanced their abilities to correctly perceive suicide risks and help-seeking needs, while non-significantly changed their knowledge of suicide ideation and risk management. The overall effects toward suicide myths clarification and mental distress fluctuations after course were significant, with the latter effect more on the males than the females. Conclusions: School-based suicide prevention courses targeted at the undergraduates may be effective in promoting suicide-related knowledge, prevention attitudes, and positive emotions for college students. More courses in these topics are encouraged to be developed and to validate the findings of the study.

Topic Category 醫藥衛生 > 醫藥總論
社會科學 > 教育學
  1. Chen, MJ(2014)。Does spirituality make person free? exploration between spirituality and depression among college students in Taiwan。Philos Cult,41,39-60。
  2. Wu, CY,Lee, MB,Huang, TJ(2016).A focus group study exploring perceived stress and coping skills among medical and non-medical college students.J Med Educ,20,33-44.
  3. Wu, CY,Lee, MB,Lee, HY(2015).A preliminary report of the design and evaluation of mental health literacy course in undergraduate general education.J Med Educ,19,132-43.
  4. Wu, CY,Lee, MB,Liao, SC(2017).Effectiveness of a brief suicide prevention program for postgraduate-year residents: report of an eightyear observation.J Med Educ,21,101-13.
  5. Bekker, MHJ,van Mens-Verhulst, J(2007).Anxiety disorders: sex differences in prevalence, degree and background, but gender- neutral treatment.Gender Med,4,S178-93.
  6. Bellini, S,Erbuto, D,Andriessen, K(2018).Depression, hopelessness, and complicated grief in survivors of suicide.Front Psychol,9,198.
  7. Bruffaerts, R,Mortier, P,Kiekens, G(2018).Mental health problems in college freshmen: Prevalence and academic functioning.J Affect Disord,225,97-103.
  8. Eisenberg, D,Golberstein, E,Gollust, SE(2007).Helpseeking and access to mental health care in a university student population.Med Care,45,594-601.
  9. Ganse, Lynda(ed.)(2014).Flipped Learning: Gateway to Student Engagement.Washington, DC:International Society for Technology in Education.
  10. Laidlaw, A,McLellan, J,Ozakinci, G(2016).Understanding undergraduate student perceptions of mental health, mental well-being and helpseeking behaviour.Stud High Educ,41,2156-68.
  11. Lally, J,Conghaile, A,Quigley, S(2013).Stigma of mental illness and help-seeking intention in university students.Psychiatr,37,253-60.
  12. Lee, MB,Liao, SC,Lee, YJ(2003).Development and verification of validity and reliability of a short screening instrument to identify psychiatric morbidity.J Formos Med Assoc,102,687-94.
  13. Lin, CY.,未出版
  14. Lung, FW,Lee, MB(2008).The five-item Briefsymptom Rating Scale as a suicide ideation screening instrument for psychiatric inpatients and community residents.BMC Psychiat,8,53.
  15. Mortier, P,Demyttenaere, K,Auerbach, RP(2017).First onset of suicidal thoughts and behaviours in college.J Affect Disord,207,291-9.
  16. Mundia, L(2010).The prevalence of depression, anxiety and stress in Brunei preservice student teachers.Int J Ment He,6
  17. Patel, V,Flisher, AJ,Hetrick, S(2007).Mental health of young people: A global publichealth challenge.Lancet,369,1302-13.
  18. Rosiek, A,Rosiek-Kryszewska, A,Leksowski, L(2016).Chronic stress and suicidal thinking among medical students.Int J Environ Res Pub He,13,212.
  19. Stallman, HM(2010).Psychological distress in university students: A comparison with general population data.Aust Psychol,45,249-57.
  20. Stallman, HM,Shochet, IAN(2009).Prevalence of mental health problems in Australian university health services.Aust Psychol,44,122-7.
  21. Wong, K(2016).Gender differences in mental health literacy of university students.Western Undergraduate Psychology Journal,4
  22. Zalsman, G,Hawton, K,Wasserman, D(2016).Suicide prevention strategies revisited: 10-year systematic review.Lancet Psychiat,3,646-59.