Lifelines is a comprehensive, schoolwide suicide prevention program for middle and high school students. The goal of Lifelines is to promote a caring, competent school community in which help seeking is encouraged and modeled and suicidal behavior is recognized as an issue that cannot be kept secret. Lifelines seeks to increase the likelihood that school staff and students will know how to identify at-risk youth when they encounter them, provide an appropriate initial response, and obtain help, as well as be inclined to take such action.
Lifelines includes a set of components to be implemented sequentially: a review of resources and establishment of administrative guidelines and procedures for responding to a student at risk; training for school faculty and staff to enhance suicide awareness and an understanding of the role they can play in identifying and responding to a student with suicidal behavior; a workshop and informational materials for parents; and implementation of a curriculum for students, the Lifelines Curriculum, to inform students about suicidal behavior and discuss their role in suicide prevention.
The research reviewed for this summary assessed only the Lifelines Curriculum, the last component to be implemented in the larger Lifelines program. It consists of four 45-minute or two 90-minute lessons that incorporate elements of the social development model and employ interactive teaching techniques, including role-play. Health teachers and/or guidance counselors teach the lessons within the regular school health curriculum. The Lifelines Curriculum was developed specifically for students in grades 8-10 but can be used with students through 12th grade.
|Areas of Interest||Mental health promotion|
Rural and/or frontier
|Implementation History||Lifelines has been most widely used in Maine but is now being implemented in other States. Early versions of Lifelines were implemented in New Jersey, with the first evaluated version being implemented. A subsequent evaluation was conducted in Maine. The Maine Youth Suicide Prevention Program (MYSPP) has been providing Lifelines teacher training in the State, an estimated 33 schools were implementing the curriculum. Twenty-nine schools in Maine have been funded by Federal grants to implement and evaluate the comprehensive program.|
|NIH Funding/CER Studies||
Partially/fully funded by National Institutes of Health: No
Evaluated in comparative effectiveness research studies: No
|Adaptations||No population- or culture-specific adaptations of the intervention were identified by the developer.|
|Adverse Effects||No adverse effects, concerns, or unintended consequences were identified by the developer.|
|IOM Prevention Categories||Universal|
Quality of Research
Readiness for Dissemination
The cost information below was provided by the developer. Although this cost information may have been updated by the developer since the time of review, it may not reflect the current costs or availability of items (including newly developed or discontinued items). The implementation point of contact can provide current information and discuss implementation requirements.