It was hypothesized that from pre- to post-test implementation, there would be an increase in knowledge of non-suicidal self-injury (NSSI) signs/symptoms, attitudes, observed self-reported help seeking behaviors, and a decrease in the frequency and intensity of NSSI thoughts and behaviors. The authors also hypothesized the school staff and personnel administering the program would provide agreeable responses to the Signs of Self-Injury (SOSI) program.
The participating high schools were initially contacted at the beginning of the 2007-2008 school year by a representative from the Screening for Mental Health Inc. 15 psychologists/ school counselors expressed interest and were provided materials for the program. After the review of the timeline and guidelines, 10 schools withdrew. Out of the five schools that participated in the pilot study, all but one chose to conduct the program in small classroom units. These units consisted of students identified as having emotional/behavioral problems by their school counselor/psychologist. The school that did not target specific students chose to pilot the program in health classes.
The sample from the five schools consisted of 274 students. Sample characteristics and eligibility criteria were not included. 72.96% of students identified as Caucasian and 51.49% as female. 28.78% of the sample were freshman, 28.04% sophomores, 14.02% juniors, and 29.15% seniors. The mean age of all students was 16.07. Prior to program administration, partic...
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...stigators stated the ﬁnal sample was relatively small and further studies conducted will need to include a larger and general student body population. The authors believed the absence of a control group offered preliminary support for the effectiveness of the SOSI program. In accordance with Muehlenkamp et al., another limitation was the structure of the study, because the effectiveness of the school personnel of the SOSI program was not evaluated. The final limitation the authors admitted, was the lack of observable behavioral indicators of effectiveness. Muehlenkamp et al. noted that was because school faculty did not track the number of student referrals from pre- to post- program implementation. Muehlenkamp et al. concluded that to fully evaluate the SOSI program, additional research should be done on a larger scale, since the preliminary results were promising.
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