Running head: UNLOCKED                                                     1
UNLOCKED: The Key to Limiting Suicide and Depression Among Youth
                                Lanessa L. Benson
                Legal Studies Academy at First Colonial High School
UNLOCKED                                                                                            2
                                      Abstract
       This paper discusses the current suicide and depression program in Virginia Beach, and
the effectiveness of said program.Throughout this paper the author analyzes programs from
different areas of the world. Along with this, many ways to try and limit suicide rates in youth
are explored. This is done through looking at society's reaction to suicide, and the legal issues
that come along with teen suicide. With this one will find out what makes up and ideal suicide
prevention program.
UNLOCKED                                                                                             3
           UNLOCKED: The Key to Limiting Suicide and Depression Among Youth
           On November 1st, 2017, former First Colonial High School student Jacob Hankins
  committed suicide. He was a senior; he had seven more months till he would walk across the
   stage and be able to start a new chapter in his life. Sadly, that was not the case. He left his
 friends, family, and the First Colonial community devastated. On December 7, 2016, a former
   student from Ocean Lakes High School took his own life. This young man was in line to be
valedictorian but did not make it to his graduation day. This begs the questions, “Why are these
     young minds choosing not to live up to their full potential?” and “What is the common
                              denominator between the two?” Both
students were products of the Virginia Beach City Public School System, where a suicide
prevention program for adolescents is in place. This program is called “I Need a Lighthouse,”
and every high school in Virginia Beach is a part of the program. This program is intended to
prevent suicide; however, student suicide and suicide attempts are still increasing. The “I Need a
Lighthouse Program,” was a great idea for the time, but nearly two decades later the effects have
not been long-lasting. The times have changed, and in this day and age, the youth of Virginia
Beach are in need of an updated system that will help them through their hardships in a way that
can not be done by a system nineteen years old.
               Background Information on Current Virginia Beach System
       On July 5, 2001, a young man by the name of Jake Wakefield took his own life. He, like
many others who have chosen to take their own life, left his family and friends saddened,
confused, and hopeless. However, a particular person thought there was something that needed to
be done to help prevent youth from becoming depressed and committing suicide. This person’s
name is Kathleen Wakefield, the mother of Jake Wakefield, and she made it her mission to make
UNLOCKED                                                                                            4
sure that no other parent, family member, or friend felt the pain she felt when she lost her son.
Over the past nineteen years, the “I Need a Lighthouse” program has strived to teach ninth
graders across the city of Virginia Beach in the hopes for the students to learn about mental
health and allow students to help themselves and their friends who are at risk for suicide and
depression (I need a Lighthouse, 2015).
        The purpose of this program has not changed. In fact, the program has remained quite
constant. They come to every Virginia Beach high school once a year where the students hear a
speaker and watch the same video. Consistency, in some cases, is a good thing, but not when the
program is nearly twenty years old and one is trying to cater to the youth of today. The website
for “I Need a Lighthouse” has not been updated since 2010, besides the one update a year ago
when they posted the new date for the Beacon of Hope 5k. The “I Need a Lighthouse Psychology
Club” was created in 2008 at Cox High School. This club allowed students to meet with health
care professionals and learn more about mental health and depression. However, this program is
no longer active, so it is no longer an effective part of the program (A. Tomao, personal
communication, November 7, 2018). The “I Need a Lighthouse” program only has three
activities it has consistently done over the years, one of which is no longer active today, and the
other two only occur once a year. The question is still on the table of whether or not the program
can still be effective with the minimal amount of activities the program holds for students across
the city.
                                     Other Programs in Use
        All over the world, there are different school systems with their own take on suicide
prevention programs. The programs may differ slightly, a great deal, or not at all from the
current program Virginia Beach uses. It is important to compare and contrast the different
UNLOCKED                                                                                           5
programs, and through doing this research on various programs in the state, country, and around
the world one can see what will make up an ideal program.
Programs from Other States in the U.S.
       Virginia's adolescent suicide rates are not necessarily high, but also not low compared to
the other states in the country. Virginia is ranked 35th in the nation on a scale from highest
adolescent suicide rates to lowest. California, on the other hand, has one of the lowest suicide
rates in the country and is ranked 45th (Knowles, 2018). A factor that plays a role in the low
suicide rates among teenagers is Assembly Bill 2246. This bill was enacted in September of 2016
by the California state governor. This law requires all local education agencies in California to
obtain a suicide and depression prevention program. During an interview with a guidance
counselor at First Colonial High School, she stated that it would be a good idea to start a new
suicide prevention program in middle schools instead of the ninth grade. This is an aspect of the
California bill, in which their suicide prevention programs start in the seventh grade (Suicide
Prevention Resource Center, 2018). After this law was enacted, the majority of California school
districts had some type of program or policy related to suicide prevention. Most of the programs
cater to the LGBTQ community due to the fact that LGBTQ youth are five times more likely to
commit or attempt to commit suicide (The Trevor Project, 2018).
       In Virginia Beach, teachers are required to take online training on various topics ranging
from suicide warning signs among students to sexual misconduct. There are about 14 courses
that can last as long as 35 minutes for each one. This means that faculty in Virginia Beach Public
Schools only have about 20 to 35 minutes of training on the topic of suicide and depression. New
Jersey, the state with the lowest suicide rates, has a suicide prevention training that is very
different from any of the other states in the country. New Jersey requires all public school staff to
UNLOCKED                                                                                             6
take two hours of mandatory training that consist of a qualified trainer in the mental health
community must administer the training” (Suicide Prevention, 2016, p.5). This means that public
school officials in New Jersey have a face to face training where they can ask questions if needed
and get a better understanding of the information they are obtaining. This is an aspect that could
be implemented into the new program in Virginia Beach, so the staff can look at an actual person
instead of a computer screen.
       In addition to this, Adrienne Tomao believes that if a qualified mental health personnel
would come and talk to the youth, it would be very beneficial to them. She goes on to say that if
the students could talk to the professionals, with the parent's consent, it could be a step in the
right direction. However, the issue with this is that it would be costly to get a qualified mental
health professional to come to the schools.
       It is prevalent that Virginia Beach has tried to take initiative and solve the problem of
teen suicide and depression through the “I Need a Lighthouse” program. However, some school
districts in other parts of the country have not shown they are taking initiative to reduce their
adolescent suicide rates. In Ohio there has been a string of teen suicides, all occurring within six
months. Police don’t believe that the suicides are connected in any way, but they aren’t sure
whether or not bullying is a factor. As a result of these tragedies, the police force has received
multiple calls for attempted suicides, or from people who think someone they know is suicidal.
One mother of the victim was aware that her child was being bullied, but he never said much
about it. The mother’s advice was that people need to talk when they are feeling like her son was.
Due to this increasing problem, the students at the high school will have more resources, but the
main thing they are urging people to talk to one another and reach out to the people around them.
The article stated that there was going to be more resources for students. They didn’t say what
UNLOCKED                                                                                            7
kinds of resources, or what the current resources. With this, there is no evidence of the current
tactics the Ohio school district have against adolescent suicide and depression. It is important        Commented [1]: cite
that the new program in Virginia Beach prevents this type of problem in the city.
Programs in Other Countries
         Suicide is prevalent all over the world, so in order to get a good idea of what to put in an
ideal program one needs to look at policies from different countries around the globe. The
European Union funded a program by the Saving and Empowering Young Lives in Europe
(SEYLE) called Youth Aware of Mental Health (YAM). This program is very interactive and
hands-on and starts with students who are in the 8th grade. This program allows students to learn
about mental health while taking charge of their own. The program is a total of five hours over
the course of four weeks. This program is effective through ¨integrating role play, reflection and
dialogue helps youth reflect on complex mental health problems such as stress, crises, bullying,
discrimination, depression, and suicide¨ (European Commission, 2017). This is an aspect that the
current program in Virginia Beach is lacking. Sixteen countries are actively involved in this
program including Australia, Spain, Germany, and the United States. Australia, Spain, Germany
have some of the lowest suicide rates in the country. These countries only have five to ten
suicides per 100,000 people in their countries (Kiersz, 2014). SEYLE conducted a study to
evaluate how the YAM program was making progress within the schools. This study consisted of
11,000 teenagers, 168 schools, and more than 10 countries that are apart of the European Union.
After this experiment it was concluded that YAM was very successful and that the “intervention
program was significantly effective in preventing new cases of depression, severe suicidal
ideation, and suicide attempts, In fact, the program was successful in reducing incident suicide
attempts by more than half compared to the control group” (European Commission, 2017). In
UNLOCKED                                                                                          8
another study on YAM, focused specifically in Costa Rica, conducted by the World Health
Organization, they found that adolescent suicide attempts were reduced by 50 percent
(Fleischmann, 2016, p. 5). Youth Aware of Mental Health has proven to be an effective program
in many countries, including some areas of the United States. Many aspects of this program,
including the hands-on activities, would be a notable addition to the program in Virginia Beach.
Model Program by the American Foundation for Suicide Prevention
        The American Foundation for Suicide Prevention, The Trevor Project, the American
School Counselor Association, and the National Association of School Psychologist teamed up
to establish a model policy for suicide and depression prevention in schools. One can compare
the model policy compiled by these associations to the policies discussed previously in Virginia
Beach, other states in North America, and other countries around the world. What the program
recommends that schools employ mental health services throughout the school. This will allow
the students to better their academic standing, and improve their emotional, social, and physical
skills. The model program makes it so there needs to be an employed mental health professional
who is well trained in aspects such as, mental health, school law, and family systems (American
Foundation for Suicide Prevention, The Trevor Project, American School Counselor Association,
& National Association of School Psychologist, 2016). Family systems therapy is when
therapist evaluate and investigate the impact that family has on individuals and how it affects
one's behavior (GoodTherapy, 2017). This allows principals to run the schools efficiently by
meeting the needs of the students. This policy outlines the steps for prevention, types of students
at risk, and postvention. Postvention is defined as activities that are implemented to heal the
community heal after someone has committed suicide (Norton, 2015).
       The steps that the model policy provides for prevention is what most of the programs
UNLOCKED                                                                                         9
previously discussed have, however, the difference is in the effectiveness that each program has
on the youth when executing these steps. The steps are as follows: implementation of the policy,
training of personnel, developing a suicide prevention program, and the publishing and
distribution of the program. (American Foundation for Suicide Prevention, et. al., 2016). The ¨I
Need a Lighthouse¨ program followed these steps of; implementing the policy into Virginia
Beach Public Schools, having online training for teachers, developing the program, and
distributing the program across the city. Even though The current program in Virginia Beach
followed the steps of the model policy, the effectiveness of the program is questioned. In other
programs, such as YAM, they followed these steps and the program has proven to be successful
in the countries where the program is implemented (Fleischmann, 2016).
       Students that are listed as ones at potential risk are students that have a history of
substance abuse and mental health issues, people have previously partaken in suicidal acts,
students who are homeless or removed from their homes due to abuse or neglect, LGBTQ
students, students who have lost someone to suicide, and students with mental health conditions
(American Foundation for Suicide Prevention, et. al., 2016). The ¨I Need a Lighthouse¨ program
does not map out specific youth groups that are at potential risk but have the average warning
signs that people should look out for when determining if someone is at risk of committing
suicide.
       When it comes to Postvention the policy states that their needs to be an action plan in
place before someone commits suicide, so the plan will already be in place if and when someone
commits suicide. The policy is to verify the death, asses the situation, share the information in an
appropriate manner, and stop the spreading of the idea of suicide. This will allow the school to
remain under control during the time that could cause the school to go into an uproar (American
UNLOCKED                                                                                            10
Foundation for Suicide Prevention, et. al., 2016). When the previously mentioned Jacob Hankins
committed suicide, crisis counselors went around to classrooms with a speech about how there's
always a better choice and that, ¨They are here, if anyone wants to talk. However, that was the
extent of the ¨Postvention Plan¨ (A. Tomao, personal communication, November 7, 2018).
                        Link Between Extracurricular and Suicide Risk
       Many studies show that there is a link between students who participate in activities and
the student’s risk of suicide. Students who participate in athletics, religious activities, and other
extracurriculars tend to have lower suicide and depression rates than students who do not
participate in extracurriculars ( sSabo, Miller, Melnick, Farrell, & Barnes, 2008).
       A nationwide study done by the National Center for Biotechnology Information studied
whether or not athletic participation has an effect on the suicide rates of students who play
sports. This study included more than 16,000 high school students in the United States (Sabo,
Miller, Melnick, Farrell, & Barnes, 2008). Hierarchical logistic regression analysis was used to
test the hypothesis that, students who participate in athletics have lower rates of suicidal
tendencies. A hierarchical logistic regression analysis is a form of showing, ¨if variables of your
interest explain a statistically significant amount of variance in your Dependent Variable (DV)
after accounting for all other variables¨ (Kim, 2016). For this experiment, the dependent variable
is suicidal ideation and the other variables are athletic activity and the rate in which one
participates in said activities. It was concluded that there was a notable difference between
athletes and non-athletes suicidal behaviors. Students who participated in athletics showed to
have a lower percentage of people that may attempt suicide, and athletes who were highly
involved were had an even lower percentage. Participation in athletic activities are associated
with lower suicide rate (Sabo, Miller, Melnick, Farrell, & Barnes, 2008)
UNLOCKED                                                                                           11
The New York State Psychiatric Institute and Columbia University conducted a study to see if
spirituality affected suicide rates in youth. They studied people from various religions, and even
with the young adults coming from different religions the results came out to be the same for the
majority of the respondents. It came to be that young people who are spiritual, or their parents
stress importance on religion have reduced the risk of suicide.
It was evident through the experiment that,
       It isn’t about how much time you spend at church, or which particular religion you are,
it’s                       ddddddhaving an inner belief that gives you some kind of strength that
manifests in your behavior. ddddddAnd it is independent of your children’s opinion of religion.
(Carrol, 2018)
       Professors from the University of Mississippi, Hofstra University, Oregon Health and
Science University, and Lewis & Clark College conducted a study to conclude whether or
students who participate in extracurricular activities had lower tendencies of suicide and
depression. The study consisted of 121 young adults who were asked to report about their
experience in extracurricular activities. The survey measured how much time the person spent
doing each activity and how long they participated in each activity. For the experiment
extracurriculars were defined as any structured activity a student participates in that is done
through the school or outside of the school. This does not include unorganized activities such as
video game or spending time with friends. After the study was conducted the professor came to a
conclusion that students who are involved in activities, whether they are affiliated with the
school or not have a lower risk of attempting and committing suicide (Bauer, Capron, Ward-
Ciesielski, Doyle, & Gustafsson, 2018).
UNLOCKED                                                                                            12
       These studies show that having students participate in extracurricular activities have a
high chance of lowering suicide rates among the youth. This means that all students could benefit
from participating in extracurriculars, especially students who are at risk of suicide and
depression. Having all students be apart of an extracurricular activity could be a great addition to
a suicide prevention program.
                                   Impact Issue has on Society
       Adolescent suicide is an issue the affects everyone in the community. It acts as a ripple
effect and touches everyone in the community. Even if one did not know the person who
committed suicide, they know someone who did. Depending on the relationship one had with the
person who committed suicide causes everyone to have a different type of grief. Many close
family members such as siblings or parents often feel guilty. They start to wonder if they could
have done something to prevent their brother or their son from committing suicide. Family
members may become isolated from the rest of their family and friends as a part of their grieving
process (Survivors of Bereavement by Suicide, 2017). Society has many different ways of
looking at adolescent suicide and apart of trying to solve the problem is establishing how society
reacts to teenage suicide.
Different Approaches to the Problem
       Due to the fact that teen suicide is such a sensitive issue there are many different ideas of
how people should approach the issue, if at all. No one likes to talk about death, especially not
suicide. It is common for people to believe that talking about suicide only brings the idea to the
adolescent’s mind, and may cause them to attempt it. However, Anna Mueller and Seth Abrutyn,
who are Assistant Professors in Human Development and Sociology, conducted a study to test
this claim. They came to the conclusion that, “only exposure to a friend’s suicide or suicide
UNLOCKED                                                                                             13
attempt increases an adolescent’s risk of suicide” (Mueller and Abrutyn, 2017). That means,
according to this study, that simply just talking about suicide, is most likely not going to
influence a teen to commit suicide. Both professors concluded that suicide is an issue that is not
encouraged to be talked about, but they recommend that teens need to talk to the people closest
to them like their friends, family, and coaches (Mueller and Abrutyn, 2017).
       It is also common that the issue of suicide is not talked about till someone in the
community decides to take their own life. It is argued that the issue needs to be talked about
before it gets to that point. People believe that if one were to shed light on the issue, and make
sure teens have someone they can talk to about their problems, the epidemic wouldn’t be as bad
as it is. However, people just don't want to discuss the issue (Wallace, 2013). An example of this
is the case of Cheryl Sharp, where she attempted suicide three times, and on one occasion her
father stopped her but didn’t take her to receive medical attention. He just made her drink hot salt
water and took her for a walk around the neighborhood (Swift,2014). Cheryl Sharp went on to
become a senior advisor for trauma-informed services at the National Council for Behavioral
Health. She also became a spokesperson and model for the ¨Live Through This¨ foundation. She
believes that if depression and wellness programs were prevalent when she was younger it could
have made a difference, but she also believes these programs make a difference for the youth of
today (I Survived, 2015).
                                        Legal Constraints
       When a teen is in counseling or in any other instance where someone may know the
cause of the child's depression, there are legal constraints that come into play. When a teen is and
counseling and then proceeds to commit suicide or attempt to commit suicide, it puts the
therapist or counselor where they have to decide which step is the best one to take for the patient
UNLOCKED                                                                                             14
and the family. This problem arises because the counselor has their moral duties, but then the
rules they must abide by because of the law. An important step when physicians are dealing with
minor clients is following the same legal procedures as you would adults to get thorough results,
which includes privacy and consent (Syracuse University, 2018).
        Since teenagers are minors, it is technically the counselors´ legality to inform the parents
if they are showing signs that they are suicidal (Syracuse University, 2018). Opposers argue that
this is an abridge in privacy and that if the teenager does not give consent no one should know.
This can lead to loss of trust, which may cause the issue to fester. Not only do counselors have
the constant battle between legality and morality, if a client attempts suicide, but they are also
questioned about to accuracy of their work. They are asked questions such as, “Was the
counselor aware or should have been aware of the risk?” or “Was the counselor aware or should
have been aware of the risk?” It’s quite the tedious job, especially when counselors may often
feel like they are doing the wrong thing when following the law, and they want to do what is for
the best interest of the patient.
        Legal issues also arise in the school system, when parents may blame the schools for their
child’s death and wish to seek compensation for the loss of their child. Often times the parents
find out their child was being bullied or showed signs that they were depressed and want to know
why the school never told them or took action. In the court case of Philadelfio C. Armijo v.
Wagon Mound Public Schools, one can see where this situation may arise.
        A 16-year-old boy who attended Wagon Mound Public School committed suicide after
he was suspended and taken home without the parents knowing. Armijo had learning disabilities
but also struggled with depression and impulsiveness. The model policy mentioned previously
has students with learning disabilities listed as youth who are at risk of suicide and depression
UNLOCKED                                                                                             15
(American Foundation for Suicide Prevention, et. al., 2016). It is possible that if Wagon Mound
Public Schools had a program that taught personnel this information this suicide could have been
prevented. With this, the principal did not follow the school's policy with suspensions. The
normal policy is if a student receives out-of-school suspension they are to go home. However, "If
a student is placed on out-of-school suspension, but his/her parents will not be home, that student
will be placed instead on in-school suspension without credit for work done." This rule was
ignored due to the fact Armijo’s parents were not home, and no one checked to see if they were.
Not too long after Armijo was sent home he committed suicide. The school was also aware of his
depression and that he had access to firearms. Armijo told a school aid, ¨Maybe I be better of
dead.¨ and ¨I'm just going to shoot myself.” Even after knowing all this the school took no
immediate action. This resulted in a Court ruling in that, “the facts favorable to the Plaintiffs,
facts were scarce so plaintiff could not ¨carry their burden of proof¨ onto the defendants”
(Philadelfio C. Armijo v. Wagon Mound Public Schools, 1998). The court case presented shows
a school system who knew a student had mental health issues and other problems on top of that.
The school system not only neglected the child but also neglected their own school policies. It is
not stated that this school system had a suicide prevention program. However, after thorough
research it can be concluded that there was not a suicide prevention program back then and there
still isn’t one now.
                                               UNLOCKED
        In a society where teen suicide is the third leading cause of death, students are in need of
a program to help save themselves and their peers. When the ¨I Need a Lighthouse¨ was created
19 years ago, their mission was to do just that. However, the ¨I Need a Lighthouse¨ program does
not meet the needs of the youth today. The program has been made a mockery of, and it is time
UNLOCKED                                                                                           16
for a change. Luckily, the answer to a new suicide prevention program in Virginia Beach has
been unlocked. The new program will be called ¨Unlocked,¨ referring to students unleashing the
way to better their mental health and limiting suicide in the community. The program will consist
of various topics discussed previously. Students will partake in hands-on activities that will
actually allow them to take charge if their mental health. Teachers will obtain more training,
hopefully, face-to-face training where they can ask questions, and retain the information better.
Students will be required to participate in at least one extracurricular activity to help reduce their
risk of attempting suicide. By being apart of something bigger than themselves students will feel
a sense of belonging in the activity in which they participate in.
       Now that the answer to an ideal program has been unlocked, one needs to act now, rather
than later. People cannot treat this issue like homework, saying they will get to it later and never
do, until it is all piled up much like the bodies of what was supposed to be the future generation.
“Later” can no longer be in one's vocabulary, because there won’t be a later for some if action
isn't taken now. Teenagers need to live on to be our future doctors, teachers, and presidents later
in life to help society thrive and prosper. This new program will allow youth to do just that. The
goal in the future is, when students leave school or finish hanging out with their friends, they can
say, “I’ll see you later,” and know they actually will.
UNLOCKED                                                                                  17
                                       References
    American Foundation for Suicide Prevention, The Trevor Project, American School
    Counselor Association, & National Association of School Psychologist. (2016). School
    district policy on suicide prevention model. Retrieved from https://afsp.org/wp-
    content/uploads/2016/01/Model-Policy_FINAL.pdf
    Assembly Bill: Pupil Suicide Prevention Policies., A. 2246, 642d Leg. (Cal.). Retrieved
    from
    https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160AB2246
UNLOCKED                                                                                       18
    Bauer, B., Capron, D., Ward-Ciesielski, E., Doyle, C., & Gustafsson, H. (2018,
    September). Extracurricular activities are associated with lower suicidality through
    decreased thwarted belongingness in young adults. Retrieved from
    https://www.researchgate.net/publication/322903259_Extracurricular_Activities_are_Ass
    ociated_with_Lower_Suicidality_through_Decreased_Thwarted_Belongingness_in_You
    ng_Adults
    Carrol, L. (2018, August 9). Parents' spirituality or religion tied to lower suicide risk in
    kids. Retrieved December 21, 2018, from
    https://www.reuters.com/sponsored/article/accessone
    European Commission. (2017, December 13). EU teen suicide prevention programme
    goes global. Retrieved December 17, 2018, from
    http://ec.europa.eu/research/infocentre/article_en.cfm?id=/research/headlines/news/article
    _17_12_13_en.html?infocentre&item=Infocentre&artid=46816
    Fleischmann, A. (2016, May). Youth aware of mental health (YAM) school-based
    intervention. Retrieved from https://www.paho.org/hq/dmdocuments/2016/13-Youth-
    Aware-of-Mental-health-(YAM)-school-based-intervention-AF.pdf
    GoodTherapy. (2017, November 27). Systems theory/ therapy. Retrieved December 19,
    2018, from https://www.goodtherapy.org/learn-about-therapy/types/systems-theory-
    therapy
    I need a Lighthouse. (2015). I need a lightHouse: A depression and suicide education
    awareness program. Retrieved December 13, 2018, from
    https://www.ineedalighthouse.org/about-us/mission-statement/
UNLOCKED                                                                                     19
    I survived a suicide attempt. (Interview by J. Filton & C. Sharp) [Transcript]. (2015,
    April 20). Retrieved December 18, 2018, from https://www.livethroughthis.org/cheryl-
    sharp/
    Kiersz, A. (2014, April 21). Here are the countries with the worst suicide rates. Retrieved
    December 17, 2018, from Business Insider website:
    https://www.businessinsider.com/world-suicide-rate-map-2014-4
    Kim, B. (2016, May 20). Hierarchical linear regression. Retrieved from University of
    Virginia Library database.
    Knowles, M. (2018, June 11). U.S. states ranked by suicide rate. Retrieved December 6,
    2018, from https://www.beckershospitalreview.com/population-health/us-states-ranked-
    by-suicide-rate.html
    Mueller, A., & Abrutyn, S. (2018). To talk or not to talk? The dilemma of suicide
    contagion. In Opposing Viewpoints Online Collection. Retrieved from Opposing
    Viewpoints in Context database. (Reprinted from The Conversation, 2015, December 3,
    The Conversation)
    Norton, K. (2015, May 7). Postvention as prevention. Retrieved December 19, 2018,
    from https://www.sprc.org/news/postvention-prevention
    Philadelfio C. Armijo v. Wagon Mound Public Schools, 159 U.S. (10th Cir. Oct. 28,
    1998).
    Ramby, K. (2017, January 5). Why extracurricular activities are important to your
    education abroad. Retrieved December 17, 2018, from World Education Services
    website: https://www.wes.org/advisor-blog/extracurricular-activities-for-education-
    abroad/
UNLOCKED                                                                                          20
       Sabo, D., Miller, K., Melnick, M., Farrell, M., & Barnes, G. (2008, October). High school
       athletic participation and adolescent suicide. Retrieved from National Center for
       Biotechnology Information database.
       Suicide prevention in schools issue brief (American Foundation for Suicide Prevention,
       Comp.). (2016, August). Retrieved from http://afsp.org/wp-
       content/uploads/2016/04/Suicide-Prevention-in-Schools-Issue-Brief.pdf
       Suicide Prevention Resource Center (Ed.). (2018, October 26). CALIFORNIA: Nearly 9
       in 10 california school districts have adopted policies preventing youth suicide. Retrieved
       December 7, 2018, from https://www.sprc.org/news/california-nearly-9-10-california-
       school-districts-have-adopted-policies-preventing-youth
       Survivors of Bereavement by Suicide. (2017). How suicide affects others. Retrieved
       December 18, 2018, from https://uksobs.org/about/suicide-bereavement/how-suicide-can-
       affect-you/how-suicide-affects-others/
Swift, J. (2014, Jan). Why teens commit suicide and what can be done to prevent it?
     Youth Today Retrieved from
     https://search.proquest.com/docview/1491324419?accountid=3785
       Syracuse University. (2018). Ethical and legal issues of suicide. Retrieved December 20,
       2018, from
       http://soe.syr.edu/academic/counseling_and_human_services/modules/Suicide_Risk/ethic
       al_and_legal_issues_of_suicide.aspx
       Tomao, A. (2018, November 7). [Personal interview by the author].
       The Trevor Project. (n.d.). Report on student suicide prevention policies in california.
       Retrieved from https://www.thetrevorproject.org/wp-content/uploads/2018/10/California-
       Student-Suicide-Prevention-Policy-Report.pdf
UNLOCKED                                                                                   21
    The Trevor Project (Ed.). (2018). Preventing suicide: Facts about suicide. Retrieved
    December 7, 2018, from https://www.thetrevorproject.org/resources/preventing-
    suicide/facts-about-suicide/#sm.000197ilcvhdadrwsf126qpwxkyvr
    Wallace, R. (2013, Jun 04). Why do teens commit suicide? Creators Syndicate
    Retrieved from https://search.proquest.com/docview/1364675282?
    accountid=3785
    Western Kentucky University (Ed.). (2016, August). Extracurricular involvement and
    anxiety in relation to suicide ideation among college students. Retrieved from
    https://digitalcommons.wku.edu/cgi/viewcontent.cgi?article=1625&context=stu_hon_the
    ses
    Youth Aware of Mental Health. (2014). YAM: Youth aware of mental health. Retrieved
    December 19, 2018, from http://www.y-a-m.org/