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	<id>https://toolkit.socialnetwork.health/w/index.php?action=history&amp;feed=atom&amp;title=Prioritizing_Prevention</id>
	<title>Prioritizing Prevention - Revision history</title>
	<link rel="self" type="application/atom+xml" href="https://toolkit.socialnetwork.health/w/index.php?action=history&amp;feed=atom&amp;title=Prioritizing_Prevention"/>
	<link rel="alternate" type="text/html" href="https://toolkit.socialnetwork.health/w/index.php?title=Prioritizing_Prevention&amp;action=history"/>
	<updated>2026-08-07T09:01:19Z</updated>
	<subtitle>Revision history for this page on the wiki</subtitle>
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	<entry>
		<id>https://toolkit.socialnetwork.health/w/index.php?title=Prioritizing_Prevention&amp;diff=812&amp;oldid=prev</id>
		<title>ShoaibIqbal at 01:53, 22 July 2026</title>
		<link rel="alternate" type="text/html" href="https://toolkit.socialnetwork.health/w/index.php?title=Prioritizing_Prevention&amp;diff=812&amp;oldid=prev"/>
		<updated>2026-07-22T01:53:56Z</updated>

		<summary type="html">&lt;p&gt;&lt;/p&gt;
&lt;table style=&quot;background-color: #fff; color: #202122;&quot; data-mw=&quot;interface&quot;&gt;
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				&lt;td colspan=&quot;2&quot; style=&quot;background-color: #fff; color: #202122; text-align: center;&quot;&gt;← Older revision&lt;/td&gt;
				&lt;td colspan=&quot;2&quot; style=&quot;background-color: #fff; color: #202122; text-align: center;&quot;&gt;Revision as of 13:53, 22 July 2026&lt;/td&gt;
				&lt;/tr&gt;&lt;tr&gt;&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot; id=&quot;mw-diff-left-l8&quot;&gt;Line 8:&lt;/td&gt;
&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot;&gt;Line 8:&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;This logic was tested directly. A cluster randomized trial of the Wingman-Connect programme worked with intact U.S. Air Force training classes rather than individually selected trainees, aiming to &amp;quot;target natural organizational groups to strengthen bonds, cohesion, and adaptive coping norms&amp;quot; (Wyman et al., 2020, Introduction). Benefits were &amp;quot;distributed across personnel with different levels of those problems at baseline,&amp;quot; evidence that &amp;quot;diverse personnel benefited from the program illustrates a strength of a universal prevention strategy for military populations with members at low risk and others at higher risk who may not seek mental health services&amp;quot; (Wyman et al., 2020, Discussion). Because the training was built into ordinary occupational skills rather than run alongside them, the authors conclude that &amp;quot;universal prevention programs that support operational and suicide prevention objectives are more likely to be sustained&amp;quot; (Wyman et al., 2020, Discussion). Mediation analysis confirmed that cohesion itself carried the effect: &amp;quot;participants&amp;#039; perceptions of being embedded in a more cohesive, healthy class accounted for significant portions of Wingman-Connect&amp;#039;s impact on reducing suicidal ideation and depression symptoms&amp;quot; (Wyman et al., 2020, Results).  &lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;This logic was tested directly. A cluster randomized trial of the Wingman-Connect programme worked with intact U.S. Air Force training classes rather than individually selected trainees, aiming to &amp;quot;target natural organizational groups to strengthen bonds, cohesion, and adaptive coping norms&amp;quot; (Wyman et al., 2020, Introduction). Benefits were &amp;quot;distributed across personnel with different levels of those problems at baseline,&amp;quot; evidence that &amp;quot;diverse personnel benefited from the program illustrates a strength of a universal prevention strategy for military populations with members at low risk and others at higher risk who may not seek mental health services&amp;quot; (Wyman et al., 2020, Discussion). Because the training was built into ordinary occupational skills rather than run alongside them, the authors conclude that &amp;quot;universal prevention programs that support operational and suicide prevention objectives are more likely to be sustained&amp;quot; (Wyman et al., 2020, Discussion). Mediation analysis confirmed that cohesion itself carried the effect: &amp;quot;participants&amp;#039; perceptions of being embedded in a more cohesive, healthy class accounted for significant portions of Wingman-Connect&amp;#039;s impact on reducing suicidal ideation and depression symptoms&amp;quot; (Wyman et al., 2020, Results).  &lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;=&lt;/del&gt;=== &#039;&#039;&#039;Context: Prevention in Schools&#039;&#039;&#039; &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;=&lt;/del&gt;===&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;=== &#039;&#039;&#039;Context: Prevention in Schools&#039;&#039;&#039; ===&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;Schools matter to prevention because childhood and adolescence are the years when most future risk takes shape. Wyman (2014) notes that &amp;quot;approximately one half of emotional and behavioral disorders that are well-defined risk factors for suicide have onset of symptoms by age 14 years&amp;quot; (p. S252). His model works in two stages: building self-regulation early through &amp;quot;family and school-based programs,&amp;quot; then, in adolescence, working through &amp;quot;peer norms&amp;quot; already present in the school (Wyman, 2014, p. S253). In practice, this has meant training student peer leaders to &amp;quot;modify norms through their natural social networks,&amp;quot; which &amp;quot;has increased schoolwide help-seeking acceptability, coping norms, and engagement of adults to help suicidal peers&amp;quot; (Wyman, 2014, p. S254). As a whole-school foundation for this kind of work, Positive Behavioral Interventions and Supports improves school climate and behaviour broadly (Santiago-Rosario et al., 2023), though it has not been tested as a suicide-prevention measure specifically.&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;Schools matter to prevention because childhood and adolescence are the years when most future risk takes shape. Wyman (2014) notes that &amp;quot;approximately one half of emotional and behavioral disorders that are well-defined risk factors for suicide have onset of symptoms by age 14 years&amp;quot; (p. S252). His model works in two stages: building self-regulation early through &amp;quot;family and school-based programs,&amp;quot; then, in adolescence, working through &amp;quot;peer norms&amp;quot; already present in the school (Wyman, 2014, p. S253). In practice, this has meant training student peer leaders to &amp;quot;modify norms through their natural social networks,&amp;quot; which &amp;quot;has increased schoolwide help-seeking acceptability, coping norms, and engagement of adults to help suicidal peers&amp;quot; (Wyman, 2014, p. S254). As a whole-school foundation for this kind of work, Positive Behavioral Interventions and Supports improves school climate and behaviour broadly (Santiago-Rosario et al., 2023), though it has not been tested as a suicide-prevention measure specifically.&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;=&lt;/del&gt;=== &#039;&#039;&#039;Context: Prevention among Remote Workers in IT and Technology&#039;&#039;&#039; &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;=&lt;/del&gt;===&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;=== &#039;&#039;&#039;Context: Prevention among Remote Workers in IT and Technology&#039;&#039;&#039; ===&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;No trial has tested a network-cohesion prevention programme with software teams, so this extends the same logic to a population studied only for its risk, not its remedy. Distributed software development shows what erodes when a team splits across sites: work spanning more than one location &amp;quot;take about two and one-half times as long to complete&amp;quot; as collocated work (Herbsleb &amp;amp; Mockus, 2003, Abstract), and separated developers report markedly less &amp;quot;teamness,&amp;quot; a gap the authors link to distance disrupting &amp;quot;the usual stages by which individuals become coherent groups or teams&amp;quot; (Herbsleb &amp;amp; Mockus, 2003, Discussion). A large study of Microsoft staff found remote work &amp;quot;caused larger increases for engineers than non-engineers&amp;quot; in messaging and calls, &amp;quot;reflective of the fact that software development teams are particularly reliant on informal communication&amp;quot; once carried face to face (Yang et al., 2022, Results), the cohesion Wingman-Connect targets, untested here.&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;No trial has tested a network-cohesion prevention programme with software teams, so this extends the same logic to a population studied only for its risk, not its remedy. Distributed software development shows what erodes when a team splits across sites: work spanning more than one location &amp;quot;take about two and one-half times as long to complete&amp;quot; as collocated work (Herbsleb &amp;amp; Mockus, 2003, Abstract), and separated developers report markedly less &amp;quot;teamness,&amp;quot; a gap the authors link to distance disrupting &amp;quot;the usual stages by which individuals become coherent groups or teams&amp;quot; (Herbsleb &amp;amp; Mockus, 2003, Discussion). A large study of Microsoft staff found remote work &amp;quot;caused larger increases for engineers than non-engineers&amp;quot; in messaging and calls, &amp;quot;reflective of the fact that software development teams are particularly reliant on informal communication&amp;quot; once carried face to face (Yang et al., 2022, Results), the cohesion Wingman-Connect targets, untested here.&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;=&lt;/del&gt;=== &#039;&#039;&#039;References&#039;&#039;&#039; &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;=&lt;/del&gt;===&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;=== &#039;&#039;&#039;References&#039;&#039;&#039; ===&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;Herbsleb, J. D., &amp;amp; Mockus, A. (2003). An empirical study of speed and communication in globally distributed software development. &amp;#039;&amp;#039;IEEE Transactions on Software Engineering, 29&amp;#039;&amp;#039;(6), 481–494. &amp;lt;nowiki&amp;gt;https://doi.org/10.1109/TSE.2003.1205177&amp;lt;/nowiki&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;Herbsleb, J. D., &amp;amp; Mockus, A. (2003). An empirical study of speed and communication in globally distributed software development. &amp;#039;&amp;#039;IEEE Transactions on Software Engineering, 29&amp;#039;&amp;#039;(6), 481–494. &amp;lt;nowiki&amp;gt;https://doi.org/10.1109/TSE.2003.1205177&amp;lt;/nowiki&amp;gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;/table&gt;</summary>
		<author><name>ShoaibIqbal</name></author>
	</entry>
	<entry>
		<id>https://toolkit.socialnetwork.health/w/index.php?title=Prioritizing_Prevention&amp;diff=806&amp;oldid=prev</id>
		<title>ShoaibIqbal: Fully rewrite</title>
		<link rel="alternate" type="text/html" href="https://toolkit.socialnetwork.health/w/index.php?title=Prioritizing_Prevention&amp;diff=806&amp;oldid=prev"/>
		<updated>2026-07-22T01:40:22Z</updated>

		<summary type="html">&lt;p&gt;Fully rewrite&lt;/p&gt;
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				&lt;td colspan=&quot;2&quot; style=&quot;background-color: #fff; color: #202122; text-align: center;&quot;&gt;← Older revision&lt;/td&gt;
				&lt;td colspan=&quot;2&quot; style=&quot;background-color: #fff; color: #202122; text-align: center;&quot;&gt;Revision as of 13:40, 22 July 2026&lt;/td&gt;
				&lt;/tr&gt;&lt;tr&gt;&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot; id=&quot;mw-diff-left-l1&quot;&gt;Line 1:&lt;/td&gt;
&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot;&gt;Line 1:&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;[[File:Universal Prevention.mp4|thumb|Dr Peter Wyman describes the import of prioritizing universal approaches to prevention for community mental health.]]&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;[[File:Universal Prevention.mp4|thumb|Dr Peter Wyman describes the import of prioritizing universal approaches to prevention for community mental health.]]&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;An appeal &lt;/del&gt;to &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;logic&lt;/del&gt;, &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;supported by evidence, can convincingly demonstrate that prevention &lt;/del&gt;is &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;indeed &lt;/del&gt;the &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;most effective method for mitigating mental &lt;/del&gt;health &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;issues in a wide variety of community contexts. Social Network Health &lt;/del&gt;approaches&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;, which emphasize community relationships, are suited for prevention by nature and design. Network health interventions target natural organizational groups &lt;/del&gt;to &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;strengthen bonds, cohesion, and adaptive coping norms, all of which are proven targets for upstream &lt;/del&gt;suicide prevention&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;. The side effects &lt;/del&gt;of &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;focusing on prevention are, in sum, positive &lt;/del&gt;for &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;entire community mental health - keeping the community out of emergency situations and recharging their energy through positive relations. In the absence of effective screeners, or &lt;/del&gt;risk &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;indicators available through diagnosis&lt;/del&gt;, &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;broad based prevention reaches an entire community to reduce risk factors &lt;/del&gt;and &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;increase protective factors.  Preventive Interventions delivered &lt;/del&gt;in &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;social systems are therefore the only likely way to reach most community members who are in need&lt;/del&gt;, &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;and a powerful way to gain the benefits of community health&lt;/del&gt;.  &lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;Prevention works best when it changes the environment people already belong &lt;/ins&gt;to, &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;rather than waiting to find and treat people once they are already struggling. This &lt;/ins&gt;is the &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;central argument behind network &lt;/ins&gt;health approaches to suicide prevention&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;: instead &lt;/ins&gt;of &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;screening individuals &lt;/ins&gt;for risk, &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;they strengthen the relationships &lt;/ins&gt;and &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;group bonds that already exist &lt;/ins&gt;in &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;a school, workplace&lt;/ins&gt;, &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;or team&lt;/ins&gt;.  &lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;[[File:Prevention or Intervention.mp4|thumb|Dr Peter Wyman explains that a &amp;quot;preventatative intervention&amp;quot; that engages a community as a whole and creates natural networks through shared experience can build protective factors into the community.|left]]&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;[[File:Prevention or Intervention.mp4|thumb|Dr Peter Wyman explains that a &amp;quot;preventatative intervention&amp;quot; that engages a community as a whole and creates natural networks through shared experience can build protective factors into the community.|left]]&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;Most existing intervention programming focuses on detecting and remediating risk after suicidal individuals are identified.&amp;lt;sup&amp;gt; &amp;lt;/sup&amp;gt; Although a critical part of an integrated system of care, that approach is insufficient on its own. According to &lt;/del&gt;Wyman (&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;2020&lt;/del&gt;)&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;, using &lt;/del&gt;a &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;network health framework&lt;/del&gt;, &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;that  strengthens  positive social bonds and building healthy norms that incentivize adaptive coping, is a prevention model that has shows promising benefits&lt;/del&gt;. &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;Expanding the focus on modifying “upstream” &lt;/del&gt;risk and protective processes—before the emergence of suicidal &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;behavior—stands &lt;/del&gt;in contrast to current prevention programming focused on adult gatekeepers and screening &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;after risks are identified&lt;/del&gt;. (&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;Wyman &lt;/del&gt;2014)  &lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;Wyman (&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;2014&lt;/ins&gt;) &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;frames this as &lt;/ins&gt;a &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;shift toward &quot;upstream&quot; prevention&lt;/ins&gt;, &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;&quot;modifying..&lt;/ins&gt;. risk and protective processes—before the emergence of suicidal &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;behaviour,&quot; a design that &quot;stands &lt;/ins&gt;in contrast to current &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;youth suicide &lt;/ins&gt;prevention programming focused on &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;identifying and treating individuals who are already suicidal or at high risk by training &lt;/ins&gt;adult gatekeepers and screening&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;&quot; (p. S252). The case for this shift is not only conceptual&lt;/ins&gt;. &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;Wyman &lt;/ins&gt;(2014) &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;points to specific limits on identify-and-treat strategies, including &quot;limited ability to identify specific individuals who will die by suicide&quot; and &quot;limited evidence that use of usual mental health treatment services will reduce suicide risk&quot; (p. S252). Because these limits are structural, no improvement to an individual-level service resolves them; the population that needs protecting is always larger than the population any screening process will flag. &lt;/ins&gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;Upstream interventions&lt;/del&gt;, &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;delivered through social systems in childhood and early adolescence&lt;/del&gt;, &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;have &lt;/del&gt;the &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;potential for reducing population&lt;/del&gt;-level &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;suicide rates. By decreasing the number of adolescents with mental emotional and behavioral problems, as well as creating &lt;/del&gt;social &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;environments that expose adolescents to positive coping norms&lt;/del&gt;, &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;increase youth&lt;/del&gt;-&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;adult connections, &lt;/del&gt;and &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;reducing the impact adverse experiences&lt;/del&gt;. &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;(Wyman 2014&lt;/del&gt;) &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;Childhood and adolescence are key suicide “prevention window” periods. Approximately &lt;/del&gt;one &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;half of emotional and behavioral disorders that are well-defined &lt;/del&gt;risk &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;factors for suicide have onset of symptoms by age 14 years&lt;/del&gt;.  &lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;This is why network health approaches treat the group itself&lt;/ins&gt;, &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;not the individual&lt;/ins&gt;, &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;as &lt;/ins&gt;the &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;target of intervention. In Wyman&#039;s (2014) words, &quot;system&lt;/ins&gt;-level &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;interventions modify &lt;/ins&gt;social&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;-ecologic contexts&lt;/ins&gt;, &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;which have risk&lt;/ins&gt;-&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;protective effects above &lt;/ins&gt;and &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;beyond individual factors&quot; (p&lt;/ins&gt;. &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;S252&lt;/ins&gt;)&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;, in plain terms, making a class, team, or unit more cohesive protects everyone in it, including people no &lt;/ins&gt;one &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;has flagged as at &lt;/ins&gt;risk.  &lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;=== Research References to integrate: ===&lt;/del&gt;&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;This logic was tested directly&lt;/ins&gt;. &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;A cluster randomized trial of the Wingman-Connect programme worked with intact U&lt;/ins&gt;.&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;S&lt;/ins&gt;. &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;Air Force training classes rather than individually selected trainees, aiming to &quot;target natural organizational groups to strengthen bonds, cohesion, and adaptive coping norms&quot; (Wyman et al&lt;/ins&gt;.&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;, 2020, Introduction)&lt;/ins&gt;. &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;Benefits were &quot;distributed across personnel with different levels of those problems at baseline,&quot; evidence that &quot;&lt;/ins&gt;diverse personnel benefited from the program illustrates a strength of a universal prevention strategy for military populations with members at low risk and others at higher risk who may not seek mental health services&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;&quot; (Wyman et al., 2020, Discussion). Because the training was built into ordinary occupational skills rather than run alongside them, the authors conclude that &quot;universal prevention programs that support operational and suicide prevention objectives are more likely to be sustained&quot; (Wyman et al., 2020, Discussion). Mediation analysis confirmed that cohesion itself carried the effect: &quot;participants&#039; perceptions of being embedded in a more cohesive, healthy class accounted for significant portions of Wingman-Connect&#039;s impact on reducing suicidal ideation and depression symptoms&quot; (Wyman et al., 2020, Results)&lt;/ins&gt;.  &lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;[https://www&lt;/del&gt;.&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;ncbi&lt;/del&gt;.&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;nlm&lt;/del&gt;.&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;nih&lt;/del&gt;.&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;gov/pmc/articles/PMC7578767/#:~:text=That%20diverse%20personnel%20benefited%20from%20the%20program%20illustrates%20a%20strength%20of%20a%20universal%20prevention%20strategy%20for%20military%20populations%20with%20members%20at%20low%20risk%20and%20others%20at%20higher%20risk%20who%20may%20not%20seek%20mental%20health%20services&lt;/del&gt;. &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;1] - That &lt;/del&gt;diverse personnel benefited from the program illustrates a strength of a universal prevention strategy for military populations with members at low risk and others at higher risk who may not seek mental health services.  &lt;/div&gt;&lt;/td&gt;&lt;td colspan=&quot;2&quot; class=&quot;diff-side-added&quot;&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;[https&lt;/del&gt;:&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;//www.ncbi.nlm.nih.gov/pmc/articles/PMC7578767/#:~:text&lt;/del&gt;=&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;The%20dual%20benefits,&lt;/del&gt;to&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;%20be%20sustained&lt;/del&gt;. &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;2] &lt;/del&gt;- &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;The dual benefits &lt;/del&gt;for &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;occupational functioning and mental health underline a strength &lt;/del&gt;of &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;upstream prevention implemented before the detection of serious suicidal behavior&lt;/del&gt;: &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;skills that strengthened &lt;/del&gt;the &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;trainee’s capability &lt;/del&gt;to &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;meet job&lt;/del&gt;-&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;related challenges also reduced depression &lt;/del&gt;and suicidal &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;ideation&lt;/del&gt;. &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;Universal prevention programs that support operational &lt;/del&gt;and suicide prevention &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;objectives are more likely to be sustained&lt;/del&gt;.  &lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;==== &#039;&#039;&#039;Context&lt;/ins&gt;: &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;Prevention in Schools&#039;&#039;&#039; ===&lt;/ins&gt;=&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td colspan=&quot;2&quot; class=&quot;diff-side-deleted&quot;&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;Schools matter &lt;/ins&gt;to &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;prevention because childhood and adolescence are the years when most future risk takes shape&lt;/ins&gt;. &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;Wyman (2014) notes that &quot;approximately one half of emotional and behavioral disorders that are well&lt;/ins&gt;-&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;defined risk factors &lt;/ins&gt;for &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;suicide have onset &lt;/ins&gt;of &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;symptoms by age 14 years&quot; (p. S252). His model works in two stages&lt;/ins&gt;: &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;building self-regulation early through &quot;family and school-based programs,&quot; then, in adolescence, working through &quot;peer norms&quot; already present in &lt;/ins&gt;the &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;school (Wyman, 2014, p. S253). In practice, this has meant training student peer leaders &lt;/ins&gt;to &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;&quot;modify norms through their natural social networks,&quot; which &quot;has increased schoolwide help&lt;/ins&gt;-&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;seeking acceptability, coping norms, &lt;/ins&gt;and &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;engagement of adults to help &lt;/ins&gt;suicidal &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;peers&quot; (Wyman, 2014, p&lt;/ins&gt;. &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;S254). As a whole-school foundation for this kind of work, Positive Behavioral Interventions and Supports improves school climate &lt;/ins&gt;and &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;behaviour broadly (Santiago-Rosario et al., 2023), though it has not been tested as a &lt;/ins&gt;suicide&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;-&lt;/ins&gt;prevention &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;measure specifically&lt;/ins&gt;.&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&#039;&#039;&#039;Prevention in &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;schools:&lt;/del&gt;&#039;&#039;&#039;&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;==== &lt;/ins&gt;&#039;&#039;&#039;&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;Context: &lt;/ins&gt;Prevention &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;among Remote Workers &lt;/ins&gt;in &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;IT and Technology&lt;/ins&gt;&#039;&#039;&#039; &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;====&lt;/ins&gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td colspan=&quot;2&quot; class=&quot;diff-side-deleted&quot;&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;No trial has tested a network-cohesion prevention programme with software teams, so this extends the same logic to a population studied only for its risk, not its remedy. Distributed software development shows what erodes when a team splits across sites: work spanning more than one location &quot;take about two and one-half times as long to complete&quot; as collocated work (Herbsleb &amp;amp; Mockus, 2003, Abstract), and separated developers report markedly less &quot;teamness,&quot; a gap the authors link to distance disrupting &quot;the usual stages by which individuals become coherent groups or teams&quot; (Herbsleb &amp;amp; Mockus, 2003, Discussion). A large study of Microsoft staff found remote work &quot;caused larger increases for engineers than non-engineers&quot; in messaging and calls, &quot;reflective of the fact that software development teams are particularly reliant on informal communication&quot; once carried face to face (Yang et al., 2022, Results), the cohesion Wingman-Connect targets, untested here.&lt;/ins&gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;Modern conceptions of mental health have transitioned from a predominantly problem reduction focus to a wellness promotion focus (Suldo &amp;amp; Shaffer&lt;/del&gt;, &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;2008)&lt;/del&gt;. &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;Thus&lt;/del&gt;, &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;rather than exclusively targeting symptom reduction in individuals with mental illness&lt;/del&gt;, &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;mental health services have gravitated towards prevention services that promote general wellness of the population &lt;/del&gt;(&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;Prinz &amp;amp; Sanders, 2007&lt;/del&gt;). &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;To attend to these issues, school-wide interventions based &lt;/del&gt;on &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;the public health prevention model emerged in schools&lt;/del&gt;, &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;most notably in the form of positive behavior interventions and support &lt;/del&gt;(&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;PBIS; Smith&lt;/del&gt;, &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;Molina, Massetti, Waschbush, &amp;amp; Pelham, 2007)&lt;/del&gt;. &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;Tier 1 systems, data, and practices support everyone across all settings&lt;/del&gt;. &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;They establish the foundation for delivering regular, proactive support and preventing unwanted behaviors&lt;/del&gt;.&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;==== &#039;&#039;&#039;References&#039;&#039;&#039; ====&lt;/ins&gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td colspan=&quot;2&quot; class=&quot;diff-side-deleted&quot;&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;Herbsleb&lt;/ins&gt;, &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;J. D&lt;/ins&gt;., &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;&amp;amp; Mockus&lt;/ins&gt;, &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;A. &lt;/ins&gt;(&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;2003&lt;/ins&gt;). &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;An empirical study of speed and communication in globally distributed software development. &#039;&#039;IEEE Transactions &lt;/ins&gt;on &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;Software Engineering&lt;/ins&gt;, &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;29&#039;&#039;&lt;/ins&gt;(&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;6)&lt;/ins&gt;, &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;481–494. &amp;lt;nowiki&amp;gt;https://doi.org/10&lt;/ins&gt;.&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;1109/TSE&lt;/ins&gt;.&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;2003&lt;/ins&gt;.&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;1205177&amp;lt;/nowiki&amp;gt;&lt;/ins&gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td colspan=&quot;2&quot; class=&quot;diff-side-deleted&quot;&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;Santiago-Rosario, M. R., McIntosh, K., Izzard, S., Cohen Lissman, D., &amp;amp; Calhoun, E. (2023). &#039;&#039;Is positive behavioral interventions and supports (PBIS) an evidence-based practice?&#039;&#039; Center on PBIS, University of Oregon. &amp;lt;nowiki&amp;gt;https://www.researchgate.net/publication/375487373_Is_Positive_Behavioral_Interventions_and_Supports_PBIS_an_Evidence-Based_Practice&amp;lt;/nowiki&amp;gt;&lt;/ins&gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td colspan=&quot;2&quot; class=&quot;diff-side-deleted&quot;&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;Wyman, P. A. (2014). Developmental approach to prevent adolescent suicides: Research pathways to effective upstream preventive interventions. &#039;&#039;American Journal of Preventive Medicine, 47&#039;&#039;(3, Suppl. 2), S251–S256. &amp;lt;nowiki&amp;gt;https://doi.org/10.1016/j.amepre.2014.05.039&amp;lt;/nowiki&amp;gt;&lt;/ins&gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&#039;&#039;&#039;&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;[&lt;/del&gt;https://&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;pubmed&lt;/del&gt;.&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;ncbi&lt;/del&gt;.&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;nlm&lt;/del&gt;.&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;nih&lt;/del&gt;.&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;gov&lt;/del&gt;/&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;31392720/ Peer-adult network structure and suicide attempts in 38 high schools: implications for network-informed suicide prevention (10,291 students)]  &#039;&#039;&#039;&lt;/del&gt;&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;Wyman, P. A., Pisani, A. R., Brown, C. H., Yates, B., Morgan-DeVelder, L., Schmeelk-Cone, K., Gibbons, R. D., Caine, E. D., Petrova, M., Neal-Walden, T., Linkh, D. J., Matteson, A., Simonson, J., &amp;amp; Pflanz, S. E. (2020). Effect of the Wingman-Connect upstream suicide prevention program for Air Force personnel in training: A cluster randomized clinical trial. &lt;/ins&gt;&#039;&#039;&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;JAMA Network Open, 3&lt;/ins&gt;&#039;&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;&#039;(11), e2022532. &amp;lt;nowiki&amp;gt;&lt;/ins&gt;https://&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;doi&lt;/ins&gt;.&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;org/10&lt;/ins&gt;.&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;1001/jamanetworkopen&lt;/ins&gt;.&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;2020&lt;/ins&gt;.&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;22532&amp;lt;&lt;/ins&gt;/&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;nowiki&amp;gt;&lt;/ins&gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;&#039;&#039;&#039;Journal of Child Psychology and Psychiatry *: * (2019)&lt;/del&gt;, &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;Peter A&lt;/del&gt;. &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;Wyman&lt;/del&gt;, &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;Trevor A&lt;/del&gt;. &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;Pickering&lt;/del&gt;, &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;Anthony R&lt;/del&gt;. &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;Pisani&lt;/del&gt;, &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;et al&lt;/del&gt;.&#039;&#039;&#039;  &lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;Yang, L., Holtz, D., Jaffe, S., Suri, S., Sinha, S., Weston, J., Joyce, C., Shah&lt;/ins&gt;, &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;N&lt;/ins&gt;., &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;Sherman, K&lt;/ins&gt;., &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;Hecht, B&lt;/ins&gt;., &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;&amp;amp; Teevan, J. (2022). The effects of remote work on collaboration among information workers&lt;/ins&gt;. &#039;&#039;&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;Nature Human Behaviour, 6&lt;/ins&gt;&#039;&#039;&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;, 43–54. &amp;lt;nowiki&amp;gt;&lt;/ins&gt;https://&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;doi&lt;/ins&gt;.&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;org/10&lt;/ins&gt;.&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;1038&lt;/ins&gt;/&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;s41562-021-01196-4&amp;lt;&lt;/ins&gt;/&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;nowiki&amp;gt;&lt;/ins&gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt; &lt;/div&gt;&lt;/td&gt;&lt;td colspan=&quot;2&quot; class=&quot;diff-side-added&quot;&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&#039;&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;&#039;&#039;[&lt;/del&gt;https://&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;pubmed&lt;/del&gt;.&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;ncbi&lt;/del&gt;.&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;nlm.nih.gov&lt;/del&gt;/&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;33084901&lt;/del&gt;/ &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;Effect of the Wingman-Connect Upstream Suicide Prevention Program for Air Force Personnel in Training.  A Cluster Randomized Clinical Trial]&#039;&#039;&#039; &lt;/del&gt;&lt;/div&gt;&lt;/td&gt;&lt;td colspan=&quot;2&quot; class=&quot;diff-side-added&quot;&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt; &lt;/div&gt;&lt;/td&gt;&lt;td colspan=&quot;2&quot; class=&quot;diff-side-added&quot;&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;&#039;&#039;&#039;JAMA Open Network, October, 2020&#039;&#039;&#039;&lt;/del&gt;&lt;/div&gt;&lt;/td&gt;&lt;td colspan=&quot;2&quot; class=&quot;diff-side-added&quot;&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;/table&gt;</summary>
		<author><name>ShoaibIqbal</name></author>
	</entry>
	<entry>
		<id>https://toolkit.socialnetwork.health/w/index.php?title=Prioritizing_Prevention&amp;diff=799&amp;oldid=prev</id>
		<title>Richbodo: add a couple links to papers</title>
		<link rel="alternate" type="text/html" href="https://toolkit.socialnetwork.health/w/index.php?title=Prioritizing_Prevention&amp;diff=799&amp;oldid=prev"/>
		<updated>2025-02-21T07:22:18Z</updated>

		<summary type="html">&lt;p&gt;add a couple links to papers&lt;/p&gt;
&lt;table style=&quot;background-color: #fff; color: #202122;&quot; data-mw=&quot;interface&quot;&gt;
				&lt;col class=&quot;diff-marker&quot; /&gt;
				&lt;col class=&quot;diff-content&quot; /&gt;
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				&lt;tr class=&quot;diff-title&quot; lang=&quot;en&quot;&gt;
				&lt;td colspan=&quot;2&quot; style=&quot;background-color: #fff; color: #202122; text-align: center;&quot;&gt;← Older revision&lt;/td&gt;
				&lt;td colspan=&quot;2&quot; style=&quot;background-color: #fff; color: #202122; text-align: center;&quot;&gt;Revision as of 19:22, 21 February 2025&lt;/td&gt;
				&lt;/tr&gt;&lt;tr&gt;&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot; id=&quot;mw-diff-left-l16&quot;&gt;Line 16:&lt;/td&gt;
&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot;&gt;Line 16:&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&#039;&#039;&#039;Peer-adult network structure and suicide attempts in 38 high schools: implications for network-informed suicide prevention (10,291 students)  &#039;&#039;&#039;&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt; &lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td colspan=&quot;2&quot; class=&quot;diff-side-deleted&quot;&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&#039;&#039;&#039;&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;[https://pubmed.ncbi.nlm.nih.gov/31392720/ &lt;/ins&gt;Peer-adult network structure and suicide attempts in 38 high schools: implications for network-informed suicide prevention (10,291 students)&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;] &lt;/ins&gt; &#039;&#039;&#039;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;#039;&amp;#039;&amp;#039;Journal of Child Psychology and Psychiatry *: * (2019), Peter A. Wyman, Trevor A. Pickering, Anthony R. Pisani, et al.&amp;#039;&amp;#039;&amp;#039;  &lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;#039;&amp;#039;&amp;#039;Journal of Child Psychology and Psychiatry *: * (2019), Peter A. Wyman, Trevor A. Pickering, Anthony R. Pisani, et al.&amp;#039;&amp;#039;&amp;#039;  &lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&#039;&#039;&#039;Effect of the Wingman-Connect Upstream Suicide Prevention Program for Air Force Personnel in Training.  A Cluster Randomized Clinical Trial&#039;&#039;&#039;  &lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&#039;&#039;&#039;&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;[https://pubmed.ncbi.nlm.nih.gov/33084901/ &lt;/ins&gt;Effect of the Wingman-Connect Upstream Suicide Prevention Program for Air Force Personnel in Training.  A Cluster Randomized Clinical Trial&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;]&lt;/ins&gt;&#039;&#039;&#039;  &lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;#039;&amp;#039;&amp;#039;JAMA Open Network, October, 2020&amp;#039;&amp;#039;&amp;#039;&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;#039;&amp;#039;&amp;#039;JAMA Open Network, October, 2020&amp;#039;&amp;#039;&amp;#039;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;/table&gt;</summary>
		<author><name>Richbodo</name></author>
	</entry>
	<entry>
		<id>https://toolkit.socialnetwork.health/w/index.php?title=Prioritizing_Prevention&amp;diff=754&amp;oldid=prev</id>
		<title>Richbodo at 22:45, 7 August 2024</title>
		<link rel="alternate" type="text/html" href="https://toolkit.socialnetwork.health/w/index.php?title=Prioritizing_Prevention&amp;diff=754&amp;oldid=prev"/>
		<updated>2024-08-07T22:45:54Z</updated>

		<summary type="html">&lt;p&gt;&lt;/p&gt;
&lt;table style=&quot;background-color: #fff; color: #202122;&quot; data-mw=&quot;interface&quot;&gt;
				&lt;col class=&quot;diff-marker&quot; /&gt;
				&lt;col class=&quot;diff-content&quot; /&gt;
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				&lt;tr class=&quot;diff-title&quot; lang=&quot;en&quot;&gt;
				&lt;td colspan=&quot;2&quot; style=&quot;background-color: #fff; color: #202122; text-align: center;&quot;&gt;← Older revision&lt;/td&gt;
				&lt;td colspan=&quot;2&quot; style=&quot;background-color: #fff; color: #202122; text-align: center;&quot;&gt;Revision as of 10:45, 8 August 2024&lt;/td&gt;
				&lt;/tr&gt;&lt;tr&gt;&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot; id=&quot;mw-diff-left-l1&quot;&gt;Line 1:&lt;/td&gt;
&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot;&gt;Line 1:&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;[[File:Universal Prevention.mp4|thumb|Dr Peter Wyman describes the import of prioritizing universal approaches to prevention for community mental health.]]&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;[[File:Universal Prevention.mp4|thumb|Dr Peter Wyman describes the import of prioritizing universal approaches to prevention for community mental health.]]&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;An appeal to logic, supported by evidence, can convincingly demonstrate that prevention is indeed the most effective method for mitigating mental health issues in a wide variety of community contexts. Social Network Health approaches, which emphasize community relationships, are suited for prevention by nature and design. Network health interventions target natural organizational groups to strengthen bonds, cohesion, and adaptive coping norms, all of which are proven targets for upstream suicide prevention. The side effects of focusing on prevention are, in sum, positive for entire community mental health. In the absence of effective screeners, or risk indicators available through diagnosis, broad based prevention reaches an entire community to reduce risk factors and increase protective factors.&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;[citation needed] &lt;/del&gt; Preventive Interventions delivered in social systems are therefore the only likely way to reach most community members who are in need.  &lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;An appeal to logic, supported by evidence, can convincingly demonstrate that prevention is indeed the most effective method for mitigating mental health issues in a wide variety of community contexts. Social Network Health approaches, which emphasize community relationships, are suited for prevention by nature and design. Network health interventions target natural organizational groups to strengthen bonds, cohesion, and adaptive coping norms, all of which are proven targets for upstream suicide prevention. The side effects of focusing on prevention are, in sum, positive for entire community mental health &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;- keeping the community out of emergency situations and recharging their energy through positive relations&lt;/ins&gt;. In the absence of effective screeners, or risk indicators available through diagnosis, broad based prevention reaches an entire community to reduce risk factors and increase protective factors.  Preventive Interventions delivered in social systems are therefore the only likely way to reach most community members who are in need&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;, and a powerful way to gain the benefits of community health&lt;/ins&gt;.  &lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;[[File:Prevention or Intervention.mp4|thumb|Dr Peter Wyman explains that a &amp;quot;preventatative intervention&amp;quot; that engages a community as a whole and creates natural networks through shared experience can build protective factors into the community.|left]]&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;[[File:Prevention or Intervention.mp4|thumb|Dr Peter Wyman explains that a &amp;quot;preventatative intervention&amp;quot; that engages a community as a whole and creates natural networks through shared experience can build protective factors into the community.|left]]&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;Most existing intervention programming focuses on detecting and remediating risk after suicidal individuals are identified.&amp;lt;sup&amp;gt; &amp;lt;/sup&amp;gt; Although a critical part of an integrated system of care, that approach is insufficient on its own. According to Wyman (2020), using a network health framework, that  strengthens  positive social bonds and building healthy norms that incentivize adaptive coping, is a prevention model that has shows promising benefits. Expanding the focus on modifying “upstream” risk and protective processes—before the emergence of suicidal behavior—stands in contrast to current prevention programming focused on adult gatekeepers and screening after risks are identified. (Wyman 2014)  &lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;Most existing intervention programming focuses on detecting and remediating risk after suicidal individuals are identified.&amp;lt;sup&amp;gt; &amp;lt;/sup&amp;gt; Although a critical part of an integrated system of care, that approach is insufficient on its own. According to Wyman (2020), using a network health framework, that  strengthens  positive social bonds and building healthy norms that incentivize adaptive coping, is a prevention model that has shows promising benefits. Expanding the focus on modifying “upstream” risk and protective processes—before the emergence of suicidal behavior—stands in contrast to current prevention programming focused on adult gatekeepers and screening after risks are identified. (Wyman 2014)  &lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot; id=&quot;mw-diff-left-l17&quot;&gt;Line 17:&lt;/td&gt;
&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot;&gt;Line 17:&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;#039;&amp;#039;&amp;#039;Peer-adult network structure and suicide attempts in 38 high schools: implications for network-informed suicide prevention (10,291 students)  &amp;#039;&amp;#039;&amp;#039;&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;#039;&amp;#039;&amp;#039;Peer-adult network structure and suicide attempts in 38 high schools: implications for network-informed suicide prevention (10,291 students)  &amp;#039;&amp;#039;&amp;#039;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;&lt;/del&gt;&lt;/div&gt;&lt;/td&gt;&lt;td colspan=&quot;2&quot; class=&quot;diff-side-added&quot;&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;&lt;/del&gt;&lt;/div&gt;&lt;/td&gt;&lt;td colspan=&quot;2&quot; class=&quot;diff-side-added&quot;&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;#039;&amp;#039;&amp;#039;Journal of Child Psychology and Psychiatry *: * (2019), Peter A. Wyman, Trevor A. Pickering, Anthony R. Pisani, et al.&amp;#039;&amp;#039;&amp;#039;  &lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&amp;#039;&amp;#039;&amp;#039;Journal of Child Psychology and Psychiatry *: * (2019), Peter A. Wyman, Trevor A. Pickering, Anthony R. Pisani, et al.&amp;#039;&amp;#039;&amp;#039;  &lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;/table&gt;</summary>
		<author><name>Richbodo</name></author>
	</entry>
	<entry>
		<id>https://toolkit.socialnetwork.health/w/index.php?title=Prioritizing_Prevention&amp;diff=753&amp;oldid=prev</id>
		<title>Richbodo: fixup first sentence</title>
		<link rel="alternate" type="text/html" href="https://toolkit.socialnetwork.health/w/index.php?title=Prioritizing_Prevention&amp;diff=753&amp;oldid=prev"/>
		<updated>2024-08-07T22:42:53Z</updated>

		<summary type="html">&lt;p&gt;fixup first sentence&lt;/p&gt;
&lt;table style=&quot;background-color: #fff; color: #202122;&quot; data-mw=&quot;interface&quot;&gt;
				&lt;col class=&quot;diff-marker&quot; /&gt;
				&lt;col class=&quot;diff-content&quot; /&gt;
				&lt;col class=&quot;diff-marker&quot; /&gt;
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				&lt;tr class=&quot;diff-title&quot; lang=&quot;en&quot;&gt;
				&lt;td colspan=&quot;2&quot; style=&quot;background-color: #fff; color: #202122; text-align: center;&quot;&gt;← Older revision&lt;/td&gt;
				&lt;td colspan=&quot;2&quot; style=&quot;background-color: #fff; color: #202122; text-align: center;&quot;&gt;Revision as of 10:42, 8 August 2024&lt;/td&gt;
				&lt;/tr&gt;&lt;tr&gt;&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot; id=&quot;mw-diff-left-l1&quot;&gt;Line 1:&lt;/td&gt;
&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot;&gt;Line 1:&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;[[File:Universal Prevention.mp4|thumb|Dr Peter Wyman describes the import of prioritizing universal approaches to prevention for community mental health.]]&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;[[File:Universal Prevention.mp4|thumb|Dr Peter Wyman describes the import of prioritizing universal approaches to prevention for community mental health.]]&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;An appeal to logic, supported by evidence, can convincingly demonstrate that prevention is indeed the most effective method for mitigating &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;many &lt;/del&gt;mental health issues. Social Network Health approaches, which emphasize community relationships, are suited for prevention by nature and design. Network health interventions target natural organizational groups to strengthen bonds, cohesion, and adaptive coping norms, all of which are proven targets for upstream suicide prevention. The side effects of focusing on prevention are, in sum, positive for entire community mental health. In the absence of effective screeners, or risk indicators available through diagnosis, broad based prevention reaches an entire community to reduce risk factors and increase protective factors.[citation needed]  Preventive Interventions delivered in social systems are therefore the only likely way to reach most community members who are in need.  &lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;An appeal to logic, supported by evidence, can convincingly demonstrate that prevention is indeed the most effective method for mitigating mental health issues &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;in a wide variety of community contexts&lt;/ins&gt;. Social Network Health approaches, which emphasize community relationships, are suited for prevention by nature and design. Network health interventions target natural organizational groups to strengthen bonds, cohesion, and adaptive coping norms, all of which are proven targets for upstream suicide prevention. The side effects of focusing on prevention are, in sum, positive for entire community mental health. In the absence of effective screeners, or risk indicators available through diagnosis, broad based prevention reaches an entire community to reduce risk factors and increase protective factors.[citation needed]  Preventive Interventions delivered in social systems are therefore the only likely way to reach most community members who are in need.  &lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;[[File:Prevention or Intervention.mp4|thumb|Dr Peter Wyman explains that a &amp;quot;preventatative intervention&amp;quot; that engages a community as a whole and creates natural networks through shared experience can build protective factors into the community.|left]]&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;[[File:Prevention or Intervention.mp4|thumb|Dr Peter Wyman explains that a &amp;quot;preventatative intervention&amp;quot; that engages a community as a whole and creates natural networks through shared experience can build protective factors into the community.|left]]&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;Most existing intervention programming focuses on detecting and remediating risk after suicidal individuals are identified.&amp;lt;sup&amp;gt; &amp;lt;/sup&amp;gt; Although a critical part of an integrated system of care, that approach is insufficient on its own. According to Wyman (2020), using a network health framework, that  strengthens  positive social bonds and building healthy norms that incentivize adaptive coping, is a prevention model that has shows promising benefits. Expanding the focus on modifying “upstream” risk and protective processes—before the emergence of suicidal behavior—stands in contrast to current prevention programming focused on adult gatekeepers and screening after risks are identified. (Wyman 2014)  &lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;Most existing intervention programming focuses on detecting and remediating risk after suicidal individuals are identified.&amp;lt;sup&amp;gt; &amp;lt;/sup&amp;gt; Although a critical part of an integrated system of care, that approach is insufficient on its own. According to Wyman (2020), using a network health framework, that  strengthens  positive social bonds and building healthy norms that incentivize adaptive coping, is a prevention model that has shows promising benefits. Expanding the focus on modifying “upstream” risk and protective processes—before the emergence of suicidal behavior—stands in contrast to current prevention programming focused on adult gatekeepers and screening after risks are identified. (Wyman 2014)  &lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;/table&gt;</summary>
		<author><name>Richbodo</name></author>
	</entry>
	<entry>
		<id>https://toolkit.socialnetwork.health/w/index.php?title=Prioritizing_Prevention&amp;diff=752&amp;oldid=prev</id>
		<title>Richbodo: add video back</title>
		<link rel="alternate" type="text/html" href="https://toolkit.socialnetwork.health/w/index.php?title=Prioritizing_Prevention&amp;diff=752&amp;oldid=prev"/>
		<updated>2024-08-07T22:42:19Z</updated>

		<summary type="html">&lt;p&gt;add video back&lt;/p&gt;
&lt;table style=&quot;background-color: #fff; color: #202122;&quot; data-mw=&quot;interface&quot;&gt;
				&lt;col class=&quot;diff-marker&quot; /&gt;
				&lt;col class=&quot;diff-content&quot; /&gt;
				&lt;col class=&quot;diff-marker&quot; /&gt;
				&lt;col class=&quot;diff-content&quot; /&gt;
				&lt;tr class=&quot;diff-title&quot; lang=&quot;en&quot;&gt;
				&lt;td colspan=&quot;2&quot; style=&quot;background-color: #fff; color: #202122; text-align: center;&quot;&gt;← Older revision&lt;/td&gt;
				&lt;td colspan=&quot;2&quot; style=&quot;background-color: #fff; color: #202122; text-align: center;&quot;&gt;Revision as of 10:42, 8 August 2024&lt;/td&gt;
				&lt;/tr&gt;&lt;tr&gt;&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot; id=&quot;mw-diff-left-l1&quot;&gt;Line 1:&lt;/td&gt;
&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot;&gt;Line 1:&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td colspan=&quot;2&quot; class=&quot;diff-side-deleted&quot;&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;[[File:Universal Prevention.mp4|thumb|Dr Peter Wyman describes the import of prioritizing universal approaches to prevention for community mental health.]]&lt;/ins&gt;&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;An appeal to logic, supported by evidence, can convincingly demonstrate that prevention is indeed the most effective method for mitigating many mental health issues. Social Network Health approaches, which emphasize community relationships, are suited for prevention by nature and design. Network health interventions target natural organizational groups to strengthen bonds, cohesion, and adaptive coping norms, all of which are proven targets for upstream suicide prevention. The side effects of focusing on prevention are, in sum, positive for entire community mental health. In the absence of effective screeners, or risk indicators available through diagnosis, broad based prevention reaches an entire community to reduce risk factors and increase protective factors.[citation needed]  Preventive Interventions delivered in social systems are therefore the only likely way to reach most community members who are in need.  &lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;An appeal to logic, supported by evidence, can convincingly demonstrate that prevention is indeed the most effective method for mitigating many mental health issues. Social Network Health approaches, which emphasize community relationships, are suited for prevention by nature and design. Network health interventions target natural organizational groups to strengthen bonds, cohesion, and adaptive coping norms, all of which are proven targets for upstream suicide prevention. The side effects of focusing on prevention are, in sum, positive for entire community mental health. In the absence of effective screeners, or risk indicators available through diagnosis, broad based prevention reaches an entire community to reduce risk factors and increase protective factors.[citation needed]  Preventive Interventions delivered in social systems are therefore the only likely way to reach most community members who are in need.  &lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;[[File:Prevention or Intervention.mp4|thumb|Dr Peter Wyman explains that a &amp;quot;preventatative intervention&amp;quot; that engages a community as a whole and creates natural networks through shared experience can build protective factors into the community.|left]]&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;[[File:Prevention or Intervention.mp4|thumb|Dr Peter Wyman explains that a &amp;quot;preventatative intervention&amp;quot; that engages a community as a whole and creates natural networks through shared experience can build protective factors into the community.|left]]&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;/table&gt;</summary>
		<author><name>Richbodo</name></author>
	</entry>
	<entry>
		<id>https://toolkit.socialnetwork.health/w/index.php?title=Prioritizing_Prevention&amp;diff=751&amp;oldid=prev</id>
		<title>Richbodo: fix first sentence</title>
		<link rel="alternate" type="text/html" href="https://toolkit.socialnetwork.health/w/index.php?title=Prioritizing_Prevention&amp;diff=751&amp;oldid=prev"/>
		<updated>2024-08-07T22:39:54Z</updated>

		<summary type="html">&lt;p&gt;fix first sentence&lt;/p&gt;
&lt;table style=&quot;background-color: #fff; color: #202122;&quot; data-mw=&quot;interface&quot;&gt;
				&lt;col class=&quot;diff-marker&quot; /&gt;
				&lt;col class=&quot;diff-content&quot; /&gt;
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				&lt;tr class=&quot;diff-title&quot; lang=&quot;en&quot;&gt;
				&lt;td colspan=&quot;2&quot; style=&quot;background-color: #fff; color: #202122; text-align: center;&quot;&gt;← Older revision&lt;/td&gt;
				&lt;td colspan=&quot;2&quot; style=&quot;background-color: #fff; color: #202122; text-align: center;&quot;&gt;Revision as of 10:39, 8 August 2024&lt;/td&gt;
				&lt;/tr&gt;&lt;tr&gt;&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot; id=&quot;mw-diff-left-l1&quot;&gt;Line 1:&lt;/td&gt;
&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot;&gt;Line 1:&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;=== &#039;&#039;&#039;Upstream prevention is necessary&#039;&#039;&#039;. ===&lt;/del&gt;&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;An appeal to logic&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;, supported by evidence, can convincingly demonstrate &lt;/ins&gt;that prevention is &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;indeed &lt;/ins&gt;the most effective &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;method for mitigating &lt;/ins&gt;many mental health issues. Social Network Health approaches, which emphasize community relationships, are suited for prevention by nature and design. Network health interventions target natural organizational groups to strengthen bonds, cohesion, and adaptive coping norms, all of which are proven targets for upstream suicide prevention. The side effects of focusing on prevention are, in sum, positive for entire community mental health. In the absence of effective screeners, or risk indicators available through diagnosis, broad based prevention reaches an entire community to reduce risk factors and increase protective factors.[citation needed]  Preventive Interventions delivered in social systems are therefore the only likely way to reach most community members who are in need.  &lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;[[File:Universal Prevention.mp4|thumb|Dr Peter Wyman describes the import of prioritizing universal approaches to prevention for community mental health.]]&lt;/del&gt;An appeal to logic &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;will suggest &lt;/del&gt;that prevention is&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;, in fact, &lt;/del&gt;the most effective &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;way to prevent &lt;/del&gt;many mental health issues&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;. [citation needed]&lt;/del&gt;. Social Network Health approaches, which emphasize community relationships, are suited for prevention by nature and design. Network health interventions target natural organizational groups to strengthen bonds, cohesion, and adaptive coping norms, all of which are proven targets for upstream suicide prevention. The side effects of focusing on prevention are, in sum, positive for entire community mental health. In the absence of effective screeners, or risk indicators available through diagnosis, broad based prevention reaches an entire community to reduce risk factors and increase protective factors.[citation needed]  Preventive Interventions delivered in social systems are therefore the only likely way to reach most community members who are in need.  &lt;/div&gt;&lt;/td&gt;&lt;td colspan=&quot;2&quot; class=&quot;diff-side-added&quot;&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;[[File:Prevention or Intervention.mp4|thumb|Dr Peter Wyman explains that a &amp;quot;preventatative intervention&amp;quot; that engages a community as a whole and creates natural networks through shared experience can build protective factors into the community.|left]]&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;[[File:Prevention or Intervention.mp4|thumb|Dr Peter Wyman explains that a &amp;quot;preventatative intervention&amp;quot; that engages a community as a whole and creates natural networks through shared experience can build protective factors into the community.|left]]&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;Most existing intervention programming focuses on detecting and remediating risk after suicidal individuals are identified.&amp;lt;sup&amp;gt; &amp;lt;/sup&amp;gt; Although a critical part of an integrated system of care, that approach is insufficient on its own. According to Wyman (2020), using a network health framework, that  strengthens  positive social bonds and building healthy norms that incentivize adaptive coping, is a prevention model that has shows promising benefits. Expanding the focus on modifying “upstream” risk and protective processes—before the emergence of suicidal behavior—stands in contrast to current prevention programming focused on adult gatekeepers and screening after risks are identified. (Wyman 2014)  &lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;Most existing intervention programming focuses on detecting and remediating risk after suicidal individuals are identified.&amp;lt;sup&amp;gt; &amp;lt;/sup&amp;gt; Although a critical part of an integrated system of care, that approach is insufficient on its own. According to Wyman (2020), using a network health framework, that  strengthens  positive social bonds and building healthy norms that incentivize adaptive coping, is a prevention model that has shows promising benefits. Expanding the focus on modifying “upstream” risk and protective processes—before the emergence of suicidal behavior—stands in contrast to current prevention programming focused on adult gatekeepers and screening after risks are identified. (Wyman 2014)  &lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;/table&gt;</summary>
		<author><name>Richbodo</name></author>
	</entry>
	<entry>
		<id>https://toolkit.socialnetwork.health/w/index.php?title=Prioritizing_Prevention&amp;diff=748&amp;oldid=prev</id>
		<title>Richbodo at 20:20, 7 August 2024</title>
		<link rel="alternate" type="text/html" href="https://toolkit.socialnetwork.health/w/index.php?title=Prioritizing_Prevention&amp;diff=748&amp;oldid=prev"/>
		<updated>2024-08-07T20:20:25Z</updated>

		<summary type="html">&lt;p&gt;&lt;/p&gt;
&lt;table style=&quot;background-color: #fff; color: #202122;&quot; data-mw=&quot;interface&quot;&gt;
				&lt;col class=&quot;diff-marker&quot; /&gt;
				&lt;col class=&quot;diff-content&quot; /&gt;
				&lt;col class=&quot;diff-marker&quot; /&gt;
				&lt;col class=&quot;diff-content&quot; /&gt;
				&lt;tr class=&quot;diff-title&quot; lang=&quot;en&quot;&gt;
				&lt;td colspan=&quot;2&quot; style=&quot;background-color: #fff; color: #202122; text-align: center;&quot;&gt;← Older revision&lt;/td&gt;
				&lt;td colspan=&quot;2&quot; style=&quot;background-color: #fff; color: #202122; text-align: center;&quot;&gt;Revision as of 08:20, 8 August 2024&lt;/td&gt;
				&lt;/tr&gt;&lt;tr&gt;&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot; id=&quot;mw-diff-left-l1&quot;&gt;Line 1:&lt;/td&gt;
&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot;&gt;Line 1:&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;=== &amp;#039;&amp;#039;&amp;#039;Upstream prevention is necessary&amp;#039;&amp;#039;&amp;#039;. ===&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;=== &amp;#039;&amp;#039;&amp;#039;Upstream prevention is necessary&amp;#039;&amp;#039;&amp;#039;. ===&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;[[File:Universal Prevention.mp4|thumb|Dr Peter Wyman describes the import of prioritizing universal approaches to prevention for community mental health.]]&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;Research has found &lt;/del&gt;that prevention is, in fact, the most effective way to prevent many mental health issues. [citation needed]. Social Network Health approaches, which emphasize community relationships, are suited for prevention by design. Network health interventions target natural organizational groups to strengthen bonds, cohesion, and adaptive coping norms, all of which are &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;logical &lt;/del&gt;targets for upstream suicide prevention. The side effects of focusing on prevention are, in sum, positive for community mental health. In the absence of &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;the administration of universal &lt;/del&gt;screeners, or risk indicators available through diagnosis, broad based prevention &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;can reach &lt;/del&gt;an entire community to reduce risk factors and increase protective factors.[citation needed]  Preventive Interventions delivered in social systems are &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;needed for broad impact&lt;/del&gt;.  &lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;[[File:Universal Prevention.mp4|thumb|Dr Peter Wyman describes the import of prioritizing universal approaches to prevention for community mental health.]]&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;An appeal to logic will suggest &lt;/ins&gt;that prevention is, in fact, the most effective way to prevent many mental health issues. [citation needed]. Social Network Health approaches, which emphasize community relationships, are suited for prevention by &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;nature and &lt;/ins&gt;design. Network health interventions target natural organizational groups to strengthen bonds, cohesion, and adaptive coping norms, all of which are &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;proven &lt;/ins&gt;targets for upstream suicide prevention. The side effects of focusing on prevention are, in sum, positive for &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;entire &lt;/ins&gt;community mental health. In the absence of &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;effective &lt;/ins&gt;screeners, or risk indicators available through diagnosis, broad based prevention &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;reaches &lt;/ins&gt;an entire community to reduce risk factors and increase protective factors.[citation needed]  Preventive Interventions delivered in social systems are &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;therefore the only likely way to reach most community members who are in need&lt;/ins&gt;.  &lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;[[File:Prevention or Intervention.mp4|thumb|Dr Peter Wyman explains that a &amp;quot;preventatative intervention&amp;quot; that engages a community as a whole and creates natural networks through shared experience can build protective factors into the community.|left]]&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;[[File:Prevention or Intervention.mp4|thumb|Dr Peter Wyman explains that a &amp;quot;preventatative intervention&amp;quot; that engages a community as a whole and creates natural networks through shared experience can build protective factors into the community.|left]]&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;Most existing intervention programming focuses on detecting and remediating risk after suicidal individuals are identified.&amp;lt;sup&amp;gt; &amp;lt;/sup&amp;gt; Although a critical part of an integrated system of care, that approach is insufficient on its own. According to Wyman (2020), using a network health framework, that  strengthens  positive social bonds and building healthy norms that incentivize adaptive coping, is a prevention model that has shows promising benefits. Expanding the focus on modifying “upstream” risk and protective processes—before the emergence of suicidal behavior—stands in contrast to current prevention programming focused on adult gatekeepers and screening after risks are identified. (Wyman 2014)  &lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;Most existing intervention programming focuses on detecting and remediating risk after suicidal individuals are identified.&amp;lt;sup&amp;gt; &amp;lt;/sup&amp;gt; Although a critical part of an integrated system of care, that approach is insufficient on its own. According to Wyman (2020), using a network health framework, that  strengthens  positive social bonds and building healthy norms that incentivize adaptive coping, is a prevention model that has shows promising benefits. Expanding the focus on modifying “upstream” risk and protective processes—before the emergence of suicidal behavior—stands in contrast to current prevention programming focused on adult gatekeepers and screening after risks are identified. (Wyman 2014)  &lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;/table&gt;</summary>
		<author><name>Richbodo</name></author>
	</entry>
	<entry>
		<id>https://toolkit.socialnetwork.health/w/index.php?title=Prioritizing_Prevention&amp;diff=747&amp;oldid=prev</id>
		<title>Richbodo: try left justify the second video</title>
		<link rel="alternate" type="text/html" href="https://toolkit.socialnetwork.health/w/index.php?title=Prioritizing_Prevention&amp;diff=747&amp;oldid=prev"/>
		<updated>2024-08-07T20:16:48Z</updated>

		<summary type="html">&lt;p&gt;try left justify the second video&lt;/p&gt;
&lt;table style=&quot;background-color: #fff; color: #202122;&quot; data-mw=&quot;interface&quot;&gt;
				&lt;col class=&quot;diff-marker&quot; /&gt;
				&lt;col class=&quot;diff-content&quot; /&gt;
				&lt;col class=&quot;diff-marker&quot; /&gt;
				&lt;col class=&quot;diff-content&quot; /&gt;
				&lt;tr class=&quot;diff-title&quot; lang=&quot;en&quot;&gt;
				&lt;td colspan=&quot;2&quot; style=&quot;background-color: #fff; color: #202122; text-align: center;&quot;&gt;← Older revision&lt;/td&gt;
				&lt;td colspan=&quot;2&quot; style=&quot;background-color: #fff; color: #202122; text-align: center;&quot;&gt;Revision as of 08:16, 8 August 2024&lt;/td&gt;
				&lt;/tr&gt;&lt;tr&gt;&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot; id=&quot;mw-diff-left-l1&quot;&gt;Line 1:&lt;/td&gt;
&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot;&gt;Line 1:&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;=== &amp;#039;&amp;#039;&amp;#039;Upstream prevention is necessary&amp;#039;&amp;#039;&amp;#039;. ===&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;=== &amp;#039;&amp;#039;&amp;#039;Upstream prevention is necessary&amp;#039;&amp;#039;&amp;#039;. ===&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;[[File:Universal Prevention.mp4|thumb|Dr Peter Wyman describes the import of prioritizing universal approaches to prevention for community mental health.]]Research has found that prevention is, in fact, the most effective way to prevent many mental health issues. [citation needed]. Social Network Health approaches, which emphasize community relationships, are suited for prevention by design. Network health interventions target natural organizational groups to strengthen bonds, cohesion, and adaptive coping norms, all of which are logical targets for upstream suicide prevention. The side effects of focusing on prevention are, in sum, positive for community mental health. In the absence of the administration of universal screeners, or risk indicators available through diagnosis, broad based prevention can reach an entire community to reduce risk factors and increase protective factors.[citation needed]  Preventive Interventions delivered in social systems are needed for broad impact.  &lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;[[File:Universal Prevention.mp4|thumb|Dr Peter Wyman describes the import of prioritizing universal approaches to prevention for community mental health.]]Research has found that prevention is, in fact, the most effective way to prevent many mental health issues. [citation needed]. Social Network Health approaches, which emphasize community relationships, are suited for prevention by design. Network health interventions target natural organizational groups to strengthen bonds, cohesion, and adaptive coping norms, all of which are logical targets for upstream suicide prevention. The side effects of focusing on prevention are, in sum, positive for community mental health. In the absence of the administration of universal screeners, or risk indicators available through diagnosis, broad based prevention can reach an entire community to reduce risk factors and increase protective factors.[citation needed]  Preventive Interventions delivered in social systems are needed for broad impact.  &lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;[[File:Prevention or Intervention.mp4|thumb|Dr Peter Wyman explains that a &quot;preventatative intervention&quot; that engages a community as a whole and creates natural networks through shared experience can build protective factors into the community.]]&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;[[File:Prevention or Intervention.mp4|thumb|Dr Peter Wyman explains that a &quot;preventatative intervention&quot; that engages a community as a whole and creates natural networks through shared experience can build protective factors into the community.&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;|left&lt;/ins&gt;]]&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;Most existing intervention programming focuses on detecting and remediating risk after suicidal individuals are identified.&amp;lt;sup&amp;gt; &amp;lt;/sup&amp;gt; Although a critical part of an integrated system of care, that approach is insufficient on its own. According to Wyman (2020), using a network health framework, that  strengthens  positive social bonds and building healthy norms that incentivize adaptive coping, is a prevention model that has shows promising benefits. Expanding the focus on modifying “upstream” risk and protective processes—before the emergence of suicidal behavior—stands in contrast to current prevention programming focused on adult gatekeepers and screening after risks are identified. (Wyman 2014)  &lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;Most existing intervention programming focuses on detecting and remediating risk after suicidal individuals are identified.&amp;lt;sup&amp;gt; &amp;lt;/sup&amp;gt; Although a critical part of an integrated system of care, that approach is insufficient on its own. According to Wyman (2020), using a network health framework, that  strengthens  positive social bonds and building healthy norms that incentivize adaptive coping, is a prevention model that has shows promising benefits. Expanding the focus on modifying “upstream” risk and protective processes—before the emergence of suicidal behavior—stands in contrast to current prevention programming focused on adult gatekeepers and screening after risks are identified. (Wyman 2014)  &lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;/table&gt;</summary>
		<author><name>Richbodo</name></author>
	</entry>
	<entry>
		<id>https://toolkit.socialnetwork.health/w/index.php?title=Prioritizing_Prevention&amp;diff=736&amp;oldid=prev</id>
		<title>Richbodo at 12:14, 7 August 2024</title>
		<link rel="alternate" type="text/html" href="https://toolkit.socialnetwork.health/w/index.php?title=Prioritizing_Prevention&amp;diff=736&amp;oldid=prev"/>
		<updated>2024-08-07T12:14:27Z</updated>

		<summary type="html">&lt;p&gt;&lt;/p&gt;
&lt;table style=&quot;background-color: #fff; color: #202122;&quot; data-mw=&quot;interface&quot;&gt;
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				&lt;td colspan=&quot;2&quot; style=&quot;background-color: #fff; color: #202122; text-align: center;&quot;&gt;← Older revision&lt;/td&gt;
				&lt;td colspan=&quot;2&quot; style=&quot;background-color: #fff; color: #202122; text-align: center;&quot;&gt;Revision as of 00:14, 8 August 2024&lt;/td&gt;
				&lt;/tr&gt;&lt;tr&gt;&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot; id=&quot;mw-diff-left-l2&quot;&gt;Line 2:&lt;/td&gt;
&lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot;&gt;Line 2:&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;[[File:Universal Prevention.mp4|thumb|Dr Peter Wyman describes the import of prioritizing universal approaches to prevention for community mental health.]]Research has found that prevention is, in fact, the most effective way to prevent many mental health issues. [citation needed]. Social Network Health approaches, which emphasize community relationships, are suited for prevention by design. Network health interventions target natural organizational groups to strengthen bonds, cohesion, and adaptive coping norms, all of which are logical targets for upstream suicide prevention. The side effects of focusing on prevention are, in sum, positive for community mental health. In the absence of the administration of universal screeners, or risk indicators available through diagnosis, broad based prevention can reach an entire community to reduce risk factors and increase protective factors.[citation needed]  Preventive Interventions delivered in social systems are needed for broad impact.  &lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;[[File:Universal Prevention.mp4|thumb|Dr Peter Wyman describes the import of prioritizing universal approaches to prevention for community mental health.]]Research has found that prevention is, in fact, the most effective way to prevent many mental health issues. [citation needed]. Social Network Health approaches, which emphasize community relationships, are suited for prevention by design. Network health interventions target natural organizational groups to strengthen bonds, cohesion, and adaptive coping norms, all of which are logical targets for upstream suicide prevention. The side effects of focusing on prevention are, in sum, positive for community mental health. In the absence of the administration of universal screeners, or risk indicators available through diagnosis, broad based prevention can reach an entire community to reduce risk factors and increase protective factors.[citation needed]  Preventive Interventions delivered in social systems are needed for broad impact.  &lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;[[File:Prevention or Intervention.mp4|thumb|Dr Peter Wyman explains that a &amp;quot;preventatative intervention&amp;quot; that engages a community as a whole and creates natural networks through shared experience can build protective factors into the community.]]&lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;[[File:Prevention or Intervention.mp4|thumb|Dr Peter Wyman explains that a &amp;quot;preventatative intervention&amp;quot; that engages a community as a whole and creates natural networks through shared experience can build protective factors into the community.]]&lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;Existing &lt;/del&gt;intervention programming focuses on detecting and remediating risk after suicidal individuals are identified.&amp;lt;sup&amp;gt; &amp;lt;/sup&amp;gt; Although &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;undoubtedly saving lives&lt;/del&gt;, &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;this &lt;/del&gt;approach is insufficient on its own. According to Wyman (2020), using a network health framework, that  strengthens  positive social bonds and building healthy norms that incentivize adaptive coping, is a prevention model that has shows promising benefits. Expanding the focus on modifying “upstream” risk and protective processes—before the emergence of suicidal behavior—stands in contrast to current prevention programming focused on adult gatekeepers and screening after risks are identified. (Wyman 2014)  &lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;&lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;Most existing &lt;/ins&gt;intervention programming focuses on detecting and remediating risk after suicidal individuals are identified.&amp;lt;sup&amp;gt; &amp;lt;/sup&amp;gt; Although &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;a critical part of an integrated system of care&lt;/ins&gt;, &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;that &lt;/ins&gt;approach is insufficient on its own. According to Wyman (2020), using a network health framework, that  strengthens  positive social bonds and building healthy norms that incentivize adaptive coping, is a prevention model that has shows promising benefits. Expanding the focus on modifying “upstream” risk and protective processes—before the emergence of suicidal behavior—stands in contrast to current prevention programming focused on adult gatekeepers and screening after risks are identified. (Wyman 2014)  &lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;tr&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;Upstream interventions, delivered through social systems in childhood and early adolescence, have the potential for reducing population-level suicide rates. By decreasing the number of adolescents with mental emotional and behavioral problems, as well as creating social environments that expose adolescents to positive coping norms, increase youth-adult connections, and reducing the impact adverse experiences. (Wyman 2014) Childhood and adolescence are key suicide “prevention window” periods. Approximately one half of emotional and behavioral disorders that are well-defined risk factors for suicide have onset of symptoms by age 14 years.  &lt;/div&gt;&lt;/td&gt;&lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;&lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;Upstream interventions, delivered through social systems in childhood and early adolescence, have the potential for reducing population-level suicide rates. By decreasing the number of adolescents with mental emotional and behavioral problems, as well as creating social environments that expose adolescents to positive coping norms, increase youth-adult connections, and reducing the impact adverse experiences. (Wyman 2014) Childhood and adolescence are key suicide “prevention window” periods. Approximately one half of emotional and behavioral disorders that are well-defined risk factors for suicide have onset of symptoms by age 14 years.  &lt;/div&gt;&lt;/td&gt;&lt;/tr&gt;
&lt;/table&gt;</summary>
		<author><name>Richbodo</name></author>
	</entry>
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