Multimodal Approach to Preventing Suicide in Schools (MAPSS): a randomised controlled trial assessing the effectiveness, safety, and feasibility of an integrated response to suicide risk among secondary school students.

Abstract

BackgroundSchools are key settings for youth suicide prevention, with current interventions typically targeting specific risk groups. However, integrating complementary prevention strategies may better address the heterogeneity of suicide risk in schools. This study evaluated the Multimodal Approach to Preventing Suicide in Schools (MAPSS), which combined universal suicide prevention training (safeTALK), selective screening for suicidal ideation, and an indicated online cognitive behavioural therapy intervention (Reframe-IT).MethodsMAPSS was implemented across 21 secondary schools in Melbourne, Australia. The universal (safeTALK) and selective (screening) program elements were evaluated usin..