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About This Program

Updated: 05/15/2019

Suicide prevention remains challenging among youth, as many do not disclose suicidal ideation to others before attempting suicide. However, emerging research suggests that nearly one-third of AI/AN youth see concerning messages on social media on a daily or weekly basis. This webinar training will prepare adults who work with Native youth to identify youth who post or view concerning posts on social media, and connect them to appropriate services.

Age Group Designed For:

Middle School, High School, Young Adults

LGBT Inclusive:


Program Setting:



1, 1 hour webinar

Cost to Purchase:


Teacher Training or Certification Required:


Student to Teacher Ratio:


Program Outcomes:

An ongoing evaluation is assessing changes in educator knowledge, confidence and suicide reporting behavior

Evidence of Effectiveness:

Promising Practice



Program Contact Information

Get Started



Training Materials Links:

Teacher Training or Certification Requirements:

This 1-hour webinar training is designed for adults who work with Native youth. It includes:

  • A 30-minute video
  • An overview of the Viewer Care Plan
  • Tips and resources for supporting someone who posts or views concerning messages

The "lesson plans" tab has handouts that accompany the training, and the "supporting materials" tab has two activity guides (one for adults and one for youth), that you can use to increase community awareness about concerning social posts, and what to do if you see them. *Please note the "Resources tab" is only available when viewing the webinar training on your desktop. This tab is not available when viewing the training on a mobile device. When viewing the training on a mobile platform for the first time you will be prompted to download the Articulate Mobile Player app on both iOS or Android devices. You can follow prompts, or go to app store to install for free.


Cultural Relevance

Cultural Alignment, Adaptation or Tailoring Process

Concerning posts include those that express depression or intent to hurt oneself or others, posted on social media. These disclosures may provide new opportunities to identify youth at-risk and connect them to appropriate resources and support. In 2015, a team from Seattle Children’s Research Institute and the Northwest Portland Area Indian Health Board conducted focus groups with 32 AI/AN youth (14-22 years old) to better understand their perspectives on concerning social media posts. Adults who work with Native youth were also surveyed on their experience and comfort responding to such posts. Two major themes emerged from the youth focus groups: First, AI/AN youth felt a sense of personal responsibility to help peers, but would grow progressively frustrated and “burned out” if their efforts to help did not change the observed behavior; many described “giving up on the situation.” Second, youth requested support from trusted adults, but only 5% of adults surveyed felt adequately prepared to intervene, revealing the need for additional training.



Evaluation Methods and Findings

To evaluate the impact of the video intervention, our team is conducting a pilot study with two study arms: Arm 1 watched the 30-minute training video and reviewed accompanying training handouts. Arm 2 watched the 30-minute training video, reviewed accompanying training handouts, and participated in an interactive role-play scenario with a coach, that took place via text message. Using pre-, post-, and a 6-month follow-up surveys, we are looking for 1) changes in participant knowledge, intention, and self-efficacy, 2) participant retention, 3) completion of the webinar, and 4) will assess the quality and completion of the interactive role-plays, feedback on intervention relevance and acceptability; and 5) changes in referral rates, behaviors, and skills. The pre-post analyses found significant improvement across several outcomes, including confidence starting a conversation about social media (4.1 versus 5.2, p=0.003), confidence contacting the person who posted something concerning (3.5 versus 4.9, p=0.0001), and confidence recommending support services to youth who witness (4.4 versus 5.5, p=0.0014) or youth who post concerning messages (4.1 versus 5.3, p=0.0001). Evaluation of the interactive coached role-play scripts found that, on the whole, participants followed some of the Viewer Care Plan (VCP) guidelines more than others. For example, 89% (N=16) of participants completed the “Clarify Your Role” step, while only 44% (N=8) shared VCP tools and resources. Three main response styles emerged: Collaborative (61%), Directive (44%), and Non-Inclusive (22%), with 22% of health educators using more than one approach. Approximately half (N=9) of participants provided additional resources or advice beyond those included in the VCP. The 6-month follow-up results will be available in early 2018.


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