Professional Documents
Culture Documents
Hsci 609 Grant Paper
Hsci 609 Grant Paper
Submitted By:
Brittny Bol
Nicole Celera
Valentina Chawdhury
Jennifer Diaz
Cindy Mahoney
Marwa Mohamed
• 5500 University Parkway San Bernardino, CA 92407 • (951) 537-5375 •
The Center for Suicide Prevention would like to express its interest in the forthcoming allocations
from U.S Department of Human and Health Services, Substance Abuse Mental Health Services
Administration, (SAMHSA) for implementation of mental health and wellness education program in
high school campuses across the Inland Empire.
This letter is to inform of our intention to submit the FY 2019 Project Aware Prevention Program to
address suicide prevention and mental health topics among youth on high school campuses in the
Inland Empire and engage parents in mental health and suicide education.
The Center for Suicide Prevention has more than 20 years in providing services to the residents of
the Inland Empire. Currently, the Center for Suicide Prevention administers several grant funded
programs including Linking Education and Awareness for Depression and Suicide (LEADS) for
youth, a school-based suicide prevention curriculum designed for high schools, Yellow Ribbon
Suicide Prevention Program, and National Alliance of Mental Illness (NAMI).
As you are aware, Center for Disease Control and Prevention Vital Signs has identified that since
1999 to 2016, suicide rates have increased 18%. As a nonprofit organization, we recognized our
responsibility in maintaining and improving suicide prevention among high school students and
parents.
The Center for Suicide Prevention will be responsible for administering the day-to-day fiscal and
administrative oversight and accountability of the SAMHSA, Save a Life. It is understood that the first
year of funding is reported as $250,000 with an annual on-going allocation of $250,000 for a
comprehensive total of $750,000 for 36 months. Upon submission, a SAMHSA form will provide
detailed information for review and evaluation by the first date of submission acceptance, June 15,
2019, or within the noted time frame for submission.
We are currently interested in providing these suicide prevention and mental health services to youth
and parents in the Inland Empire and would like to be kept notified of any modifications or updates
related to this funding opportunity.
Respectfully,
Marwa Mohammed
BS, MPH (c)
Associate Director
Center for Suicide Prevention
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• 5500 University Parkway San Bernardino, CA 92407 • (951) 537-5375 •
Abstract
Teen Suicide is a growing epidemic, which is the second leading cause of death amongst
persons aged 15-34 years (Centers for Disease Control and Prevention, 2015). The rate of teen
suicide in the Inland Empire (San Bernardino County & Riverside County) is significantly high
and has raised concern on this pressing issue across this region. This issue represents a challenge
and an opportunity, the Save a Life program is designed to provide mental health education and
suicide prevention trainings to youth ages 13 to 25. The project is vital because of its aim to
decrease suicide rates and build mental health awareness among the community. This program
will create a more effective and impactful change by not only targeting high school students, but
requiring others to be on board with the program to help address this issue and exercise positive
mental health strategies. For instance, the program’s goals is to educate parents to recognize
signs of suicidal tendencies, and there is also a focus on diminishing the stigma of seeking help
when experiencing suicidal ideation. The program’s ultimate goals are to increase awareness of
teen suicide within the Inland Empire by June 2022 and to educate on suicide prevention and
mental health topics among youth, parents, and faculty, and increase mental health awareness in
the Inland Empire, while also providing referral services for students who are suffering mentally.
The main objectives of the Save a Life program is to provide 1,000 high school students and 500
parents in the Inland Empire region with a three- hour suicide prevention education training by
the end of year three. The program will also provide five one-hour educational trainings such as
cultural competency, anxiety, and depression overview, and social media effects on mental
health for 1,000 high school students within the inland empire. It will also serve 1,000 high
school students with case management and referral services by collaborating with community
organizations. In addition, it will establish a National Alliance of Mental Illness (NAMI) club on
high school campuses for students to advocate and end the stigma on mental health by
conducting three outreach events on campus.
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• 5500 University Parkway San Bernardino, CA 92407 • (951) 537-5375 •
TABLE OF CONTENTS
Abstract ........................................................................................................................................Page 2
Specific Aims……….…………………………………………………………………………...Page 4
•Needs/Problems...............................................................................................................Page 4
•Working Hypothesis........................................................................................................Page 5
•Literature Review.............................................................................................................Page 5
•General Plan.....................................................................................................................Page 6
Target Population........................................................................................................................Page 7
•Project Goals....................................................................................................................Page 8
•Project Objectives............................................................................................................Page 9
•Activities Timeline.........................................................................................................Page 10
• Budget...........................................................................................................................Page 15
• Budget Justification......................................................................................................Page 17
Community Support..................................................................................................................Page 21
Appendix……………………....……………………………………………………………….Page 23
• Logic Model…..………………………………………………………………………Page 26
• References…………………………………………………………………………….Page 27
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• 5500 University Parkway San Bernardino, CA 92407 • (951) 537-5375 •
Needs/Problem
Teen Suicide is a growing epidemic, which is the second leading cause of death among
persons aged 15-34 years (CDC, 2015). In the state of California suicide rates among youth is
7.9 per 100,000 youth (Kids Data, 2019). The lack of mental health awareness and education
present an important public health issue that is linked to high rates of teen suicide, depression,
and anxiety among the youth. Adolescents experience tremendous changes in this phase of their
life whether it is physical, emotional or psychological (Litt & Stock, 2011). There are various
factors that influence a majority of teens’ life choices including social media, peers, and living
conditions at home. During adolescence, teens are particularly more concerned about how others
perceive them, which can cause them to believe they are being judged and possibly ridiculed if
they do not feel socially accepted (Wisdom, Clarke, & Green, 2006). Many teens may become
overwhelmed with social pressures, changes, lack of support, and life in general, leading them to
have a negative mindset, which can cause them to have suicidal ideation, depression, and
anxiety.
According to the Data Summary Sheet on Suicide Deaths in San Bernardino County, in
the year 2009, approximately 34,892 committed suicide between the ages of 15-24 (Kids Data,
2019). The county has a population of 2,136,425, with a suicide rate of 11.1% (Kids Data, 2019).
The state of California has a population of 38,688,293, with a suicide rate of 9.7% (CDPH,
2018). This indicates that suicide in San Bernardino County is much more prevalent when
compared to suicide in the state of California. In 2013, there were 238 recorded suicides, a rate
of 10.5 suicides per 100,000, which is similar to California overall (CDPH, 2018). Addressing
mental health education and suicide prevention trainings can create a positive and safe
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• 5500 University Parkway San Bernardino, CA 92407 • (951) 537-5375 •
significant to provide youth and parent suicide prevention training, mental health education, and
building awareness on mental health on high school campuses in the Inland Empire.
Working Hypothesis
Providing mental health education and suicide prevention trainings such as Safe TALK
and Question, Persuade and Refer training to high school students within the Inland Empire (San
Bernardino County & Riverside County) will decrease suicide rates among youth and build
Literature Review
Teen suicide is a major concern within the public health realm. Each year, approximately
one million individuals commit suicide worldwide (WHO, 2019). Among 10-24 year olds,
suicide is the third leading cause of death in the United States (Kim & Dickstein, 2013).
Globally, suicide is the second leading cause of death among 10-19 years of age (WHO, 2019).
High school students are more susceptible than others to engage in self-harm behavior and 17%
of high school students in the United States have seriously considered committing suicide
(Memon et al, 2018). Depression is a factor associated with teen suicide (Epstein et al., 2019).
Additionally, other factors for suicidal ideation and self-harm behavior among teenagers, include
mental health, substance abuse, environmental and family factors (Epstein et al., 2019). In the
Inland Empire, the number of suicides per 100,000 youth ages 15-24 years were 7.5 in Riverside
important issue within the Inland Empire. Assembly Bill 2246 by O’Donnell, is a pupil suicide
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• 5500 University Parkway San Bernardino, CA 92407 • (951) 537-5375 •
prevention policy implemented in California. This bill mandates a pupil suicide prevention
program among grades 7 to 12 and will specifically address the needs of high-risk groups (Youth
Suicide Prevention, 2018). A series of recent studies has indicated that those who attempt suicide
are twice as likely to be depressed, compared to those who have not attempted suicide (Teens
everywhere share risk factors for suicide, 1996). Therefore, encouraging conversation on mental
health awareness and coping mechanism among teens is of utmost importance. This project will
advance knowledge in the field by providing a platform for teen suicide prevention where data
The Save a Life program aims to provide mental health education and suicide prevention
to high school students within the Inland Empire. The program will decrease suicide rates and
build mental health awareness among parents, teachers, and youth. Our program is staffed with
five employees including a Program Manager, Mental Health Specialist, Outreach Specialist,
Office Administrator, and a Program Evaluator. The knowledge and skills brought forth from
this team include a degree in the related field and a minimum of 3 years of experience. Our staff
continues their education through mental health trainings provided through the county and other
agencies. Our mental health specialist will conduct case management and offer referral services
for the students or any community members in need. Our program will extend services to parents
as well as teachers and staff. Save a Life Program will educate on coping mechanisms, anxiety,
depression, and suicide prevention to the students. For the parents, teachers and staff we are
offering a suicide prevention training so they are able to recognize the signs and symptoms of
suicidal ideation. We will also host on campus events, such as Mental Health Awareness month
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• 5500 University Parkway San Bernardino, CA 92407 • (951) 537-5375 •
in May to break stigma and increase mental health awareness. The Save a Life Program will
target low-income schools in the Inland Empire and serve the selected campuses for a total of
three years of the duration of the grant. Overall, the goal of our program is to increase mental
health awareness and decrease suicide rates in the Inland Empire community.
Target Population
Our target population include high school students, parents of students, faculty, and staff
who reside in the Inland Empire region. The Inland Empire region geographically consists of
Riverside County and San Bernardino County cities. Therefore, by targeting local Inland Empire
high schools within the region, the goal to target high school students and other support systems
would help to connect students to community support systems. The intent of the program is to
have as many individuals involved as possible in order to create a more efficient, effective, and
impactful program. According to the Riverside County Department of Public Health, suicide
attempts for ages 12-17 have been a leading cause of reported non-fatal injuries for Riverside
County for six years in a row (2010). Data shows that there is a need for intervention programs
aimed specifically towards high school students within the demographic region.
As the suicide attempts became a major concern and portrayed an obvious need for a
specific program implementation for youth and region, in the same year in 2010, the County of
Riverside implemented a Teen Suicide Awareness and Prevention Program for middle schools
and high schools, as well as parent educational presentations. The prevention program was an
example of ongoing efforts in involving parents to recognize suicide signs and learning to create
conversations based around this area of topic. Assembly Bill 2246 will be implemented within
the 2017-2018 school year that will allow programs aimed for suicide prevention through
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• 5500 University Parkway San Bernardino, CA 92407 • (951) 537-5375 •
prevention, intervention, and postvention (2018). The policy will assist in addressing high-risk
groups in including consideration of suicide awareness and prevention training for teachers
(2018).
Since young adults tend to spend a large amount of their time within the walls of the high
school, it is crucial to involve teachers, and other staff members in providing mental health
education and suicide prevention within the Inland Empire. The Save a Life Awareness Program
will bring awareness and provide effective tools, mental health education, risk factors on mental
health, warning signs, and other useful information to our targeted population. Students can be
required to complete two trainings which will include an ending stigma training along with a
suicide prevention training in all the high schools in the Inland Empire. The goal is to have
professionals from San Bernardino and Riverside County conduct each of these training with
psychology teachers, so then we can have psychology teachers who will be in charge of this
requirement conduct these trainings in a classroom setting. All will be possible through funding
Project goal(s)
Goal 1: Increase awareness of teen suicide within the Inland Empire by June 2022.
Goal 2: Improve Save a Life Program’s efforts to educate on suicide prevention and mental
Goal 3: Conduct case management and offering referral services for the students who may suffer
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• 5500 University Parkway San Bernardino, CA 92407 • (951) 537-5375 •
Goal 4: Increase mental health awareness in the Inland Empire region within high school
Project objective(s)
Objective 1: By the end of year three, the Save a Life Program will provide 1,000 high school
students and 500 parents in the Inland Empire region (San Bernardino County & Riverside
County) with a 3-hour suicide prevention education training and provide them with the proper
resources. This training will increase the knowledge of suicide among the youth and parents in
Objective 2: By the end of year three, the Save a Life Program will provide 5 one-hour
educational trainings such as cultural competency, anxiety and depression overview, healthy
coping mechanisms, eating disorders overview and social media effects on mental health for
1,000 high school students within the Inland Empire region. These training will increase
knowledge on mental health and influence a positive behavior among youth in the Inland
Empire.
Objective 3: By the end of year three, the Save a Life Program will provide 1,000 high school
students with case management and referral services by collaborating with community
organizations.
Objective 4: By the end of year three, the Save a Life Program will establish a National Alliance
of Mental Illness (NAMI) club on high school campuses within the Inland Empire region in
collaboration with local NAMI organizations in the Inland Empire region for students to
advocate and end the stigma on mental health by conducting three outreach events on campus.
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• 5500 University Parkway San Bernardino, CA 92407 • (951) 537-5375 •
This outcome will increase awareness, knowledge, and influence positive attitude among youth
Activities Timeline
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• 5500 University Parkway San Bernardino, CA 92407 • (951) 537-5375 •
Analyze Data X X X X
Write report X X
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• 5500 University Parkway San Bernardino, CA 92407 • (951) 537-5375 •
Analyze Data X X X X
Write report X X
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• 5500 University Parkway San Bernardino, CA 92407 • (951) 537-5375 •
Analyze Data X X X X
Write report X X
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• 5500 University Parkway San Bernardino, CA 92407 • (951) 537-5375 •
The Save a Life Program is staffed with five core employees, which include four full-
time staff comprising of a Program Manager, Mental Health Specialist, Outreach Specialist,
Office Administrator and one part-time Program Evaluator. Additionally, a great number of
volunteers and interns assist in providing services to high school campuses across the Inland
Empire. The Program Manager, Mental Health Specialist, Outreach Specialist, Office
Administrator and Program Evaluator are required to have a degree in a related-field such as
public health, management, social work, and psychology and a minimum of two years
experience to best employ strategic planning of the program and provide expertise work. Their
ongoing efforts target supporting students who are struggling with suicidal ideation, depression,
and anxiety as well as students who may know someone suffering mentally. Qualified employed
staff (Program Manager, Mental Health Specialist, Outreach Specialist, Office Administrator and
Program Evaluator) are key for the project to be successful, since they are the ones curating,
developing, and managing the program as well as transmitting expertise knowledge and
appropriate methods in order to train volunteers to provide educational services effectively about
a sensitive topic of suicide within the Inland Empire. The program provides education through
mental health trainings, case management services, prevention, and support within the Inland
Empire. The program is funded by SAMHSA and gets additional and significant funding
Save A Life, Prevention Awareness Program strives to provide mental health education
and suicide prevention to youth 13 to 25 years of age within the Inland Empire in the hopes of
decreasing suicide rates and build mental health awareness among parents, teachers, and youth.
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• 5500 University Parkway San Bernardino, CA 92407 • (951) 537-5375 •
More than half of Save A Life funding derives from individual contributions, fundraising, and in-
kind support. Community outreach is vital towards this program because the more investment the
community has in this program, the more compelling impact it will have on the community and
community members. Volunteers have one of the most influential roles in the Save A Life
trained to educate the parents, teachers, and students in the Inland Empire school district
effectively. Volunteers are trained yearly by full-time and part-time staff. The program
understands the challenges of an agency with only five core employees and the rest are non-paid
volunteers. Save A Life acknowledges the importance of the project’s employed staff and
volunteers, and how valuable the community is. These variables need to all integrate and
collaborate with each other in order to provide quality services to the participants of the program.
Budget
Travel
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• 5500 University Parkway San Bernardino, CA 92407 • (951) 537-5375 •
Consumable Supplies
and Materials
Services
Communication $3,600 $3,600 $1,200 $1,200 $1,200
Equipment $7,300 $7,000 $7,300 - -
Printing Services $3,600 $3,500 $1,200 $1,200 $1,200
Postage $4,500 $4,500 $1,500 $1,500 $1,500
Facilities Cost $46,800 $46,800 $15,600 $15,600 $15,600
Staff Training $6,000 $6,000 $2,000 $2,000 $2,000
Services Subtotal $71,800 $71,400 $28,800 $21,500 $21,500
Other
In-kind Expense $3,000 $3,000 $1,000 $1,000 $1,000
Depreciation $6,000 $6,000 $2,000 $2,000 $2,000
Other Costs $15,000 $15,000 $5,000 $5,000 $5,000
Indirect costs @ 10%
max $66,000 $66,000 $22,000 $22,000 $22,000
Other Costs $90,000 $90,000 $30,000 $30,000 $30,000
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• 5500 University Parkway San Bernardino, CA 92407 • (951) 537-5375 •
Budget Justification
Category
PHA
1. Salaries Request Leverage
Program Manager: This position will act as the program manager and will carry out the
following functions: Work with team/staff, volunteers, and interns to plan and delegate the
implementation of program services. Incumbent will also be responsible for supervising staff
members, budgets, and procedures to ensure the implementation and evaluation of programs.
Annual salary = $50,000 x 3 years = $150,000
Mental Health Specialist: This position will act as a mental health specialist and will carry out
the following functions: Provide case management services by meeting individually with clients
to conduct intake and other appointments as necessary. The incumbent will also be responsible
for providing clients with service referrals. Annual salary: $45,000 x 3 years =$135,000
Office Administrator: This position will act as an office administrator and will carry out the
following functions: Answering telephones and greeting visitors, and performing other clerical
duties as assigned. Also, provide direct support to all staff, including: scheduling
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• 5500 University Parkway San Bernardino, CA 92407 • (951) 537-5375 •
appointments/meetings, handling and managing files, and assist in the preparation of community
events. Annual salary: $30,000 x 3 years= $90,000
Fringe benefits are calculated at 10% of salaries. Benefits include health insurance, dental,
and vision coverage. Fringe benefits were calculated at 10% of the staff salaries:
Program Manager 10% x $150,000.00= $15,000
5,000 per year
Mental Health Specialist 10% x $135,000= $13,500
4,500 per year
Outreach Specialist 10% x $120,000= $12,000
4,000 per year
Office Administrator 10% of $90,000.00= $9,000
3,000 per year
Program Evaluator: This position will act as a Program Evaluator and will carry out the
following functions: Responsible for analyzing survey results and reporting them to the program
manager. Annual Salary: $10,000 x 3 years= $30,000
Staff will attend one training per year that requires airfare at a cost of
Flight $160 per person (3) $480 x 3 years = $1,440
Hotel for two nights at $120/night for 3 rooms = $360 x 3 years $1,080
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• 5500 University Parkway San Bernardino, CA 92407 • (951) 537-5375 •
Most trainings will be free of cost through the county and partnering agencies. Once a year they
will attend a Health and Wellness Conference with a fee of $300 per staff x 3 staff = $900 x 3
years = $1,200
PHA
5. Consumable Supplies and Materials Request Match
Office supplies such as: paper, pens, file folders, envelopes, toner, and other miscellaneous needs.
$150 per month x 12 months = $1,800 x 3 years = $5,400
We will purchase lockage storage units to store our patient files that holds confidential information.
Under desk lockable cabinet: $275 x 4 per staff = $1,100
Miscellaneous $900
6. Services $ 65,800 $0
Communications $3,600 $0
Work phones - Verizon $50/month for 4 lines. $50 x 12 = $600. $600 x 3 = $1,800
Internet- $55/month x 12 months=$600 x 3 years= $1,800
Equipment $7,300 $0
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• 5500 University Parkway San Bernardino, CA 92407 • (951) 537-5375 •
Printing costs for copy machine and printer (toner, printer cartridges) are budgeted at $100 a
month. Educational materials, paperwork, documents, questionnaires will be printed in-house.
$100 x 12 = $1,200 x 3 = $3,600.
Postage $4,500 $0
Mail-outs will be sent out via USPS to households that have a student enrolled in the Inland Empire
high school district. During the first year, the postage is budgeted at $1,500 per year. $1,500 x 3
= $4,500
Office Workspace Rental = $1,300/month with basic utilities included (wireless internet, gas,
water, and electric) . $1,300 x 12 = $15,600. $15,600 x 3 years = $46,800
To rent out a facility through a local City government, it is currently $15 per hour for non-profit
organization. For yearly trainings (3 total) for volunteers, an estimation of a total of 6 hours per
year (and a overall total of 18 hours for entire program).
$300 x 3 = $900 for entire program dedicated for facility rentals for trainings
Request Match
Other cost will be used for unforeseen expenses for travel, training, room fees, or materials.
8. Indirect
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• 5500 University Parkway San Bernardino, CA 92407 • (951) 537-5375 •
External accounting department (payroll) and any other technical department support.
Indirect costs calculated at 10%.
Community Support
The Save a Life, Awareness Prevention Program engages the community and participates
in an ongoing effort in providing suicide prevention awareness opportunities within the Inland
Empire region. During the running of the three-year course of the program, the Save a Life
program will become involved with Riverside County and San Bernardino County by
volunteering its members and time through attendance in local community health events, such as
centers, and recruiting and training volunteers and high school peers to give back to their
communities. In addition to its community support efforts, the Save a Life program also
collaborated with Reach Out, a nonprofit organization located in the Inland Empire and
Riverside University Health System Department of Public Health in community events and
from within the Inland Empire. Volunteers are dedicating their time in working with parents,
youth, and community organizations in helping decrease stigma on mental health through
volunteering and advocating in events and leading discussions in presentations within the
community for adults and students. Through the volunteers’ community efforts, families will be
able to have the opportunity to learn risk factors, warning signs, and resources in regards to
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schools in attaining specific resources that will assist students in receiving the right resources and
assistance if needed. The resources used as referrals will also be residing within the Inland
empire region and be invited to come out to schools for presentations, school events, and other
community events in order to continue connecting schools, districts and other organizations in
building the communities’ knowledge and education level of awareness on mental health.
The Save A Life Program collaborates with the local community colleges and universities
in their internship program for college students who are seeking to get experience in the field of
public health, human services, and sociology to help bring awareness to their community and
earn college credits toward their degree. The community can benefit from this opportunity
because the presentations and events are led by individuals within their community and future
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Logic Model
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References
https://www.cde.ca.gov/ls/cg/mh/suicideprevres.asp
Epstein, S., Roberts, E., Sedgwick, R. et al. (2019). Child Adolescent Psychiatry. Retrieved
from https://doi.org/10.1007/s00787-019-01327-3
https://www.kidsdata.org/topic/213/youthsuicide-rate/
Kim, K & Dickstein, D. (2013). Relationship between teen suicide and non-suicidal self-injury.
Memon, A. M., Sharma, S. G., Mohite, S. S., & Jain, S. (2018). The role of online social
doi:10.4103/psychiatry.IndianJPsychiatry_414_17
Riverside County Department of Public Health. (2010). Riverside County: Suicide Attempts
suicide-attempts-high-among-teens/
Teens everywhere share risk factors for suicide. (1996). Brown University Child & Adolescent
http://search.ebscohost.com.libproxy.lib.csusb.edu/login.aspx?direct=true&db=aph&AN
=9612300373&site=ehost-live
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World Health Organization. (2019). Mental health: Suicide data. Retrieved from
https://www.who.int/mental_health/prevention/suicide/suicideprevent/en/
https://www.cde.ca.gov/ls/cg/mh/suicideprevres.asp
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