Table 4.

Research priorities to advance evidence-based suicide prevention practices in high-schools and universities

• Expand research in LMICs and diverse cultural settings. • Conduct translational research to guide the cultural adaptation and application of suicide prevention interventions that have been developed and tested in high-income settings. • Develop and test interventions not premised on an “identify-and-refer” model of suicide prevention for use in low-resource environments where there are not adequate referral networks. • Increase epidmiological research and population survailance of suicdal behaviour among adolescents and young-adults in LMICs, to advocate for making suicide prevention a priority in high-schools and univeties. • Draw on implementation science research to better understand how the implementation of interventions influences their effectiveness. • Increase the number of high quality studies that have suicide deaths as the primary outcome. • Increase the use of well-designed multi-site studies to explore contextual variables influencing implementation and outcomes. • Utilise multi-site studies, where the campus is the unit of analysis and/or a key variable for assessing outcomes. • Utilise cluster randomization trials and co-ordination of studies across a large number of sites in a range of diverse settings. • Utilise well designed randomized controlled trials and pragmatic trials to culturally adapt and test gatekeeper training in LMICs.