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The Journal of School Nursing
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Practice Improvement Projects

A Support Group Intervention for At-Risk Female High School Students

Gail M. Houck, RN, PhD, PMHNP

Gail M. Houck, RN, PhD, PMHNP, is associate professor at the School of Nursing, Oregon Health & Sciences University, Portland, OR

Susan Darnell, RN, BSN

Susan Darnell, RN, BSN, is a school nurse with the Department of School Health Services, Multnomah Education Service District, Portland, OR

Sarah Lussman, RN, BSN

Sarah Lussman, RN, BSN, is a school nurse with the Department of School Health Services, Multnomah Education Service District, Portland, OR

School nurses have an opportunity to engage in early intervention with high-risk adolescents. School-based support groups for depressed adolescents have been effective when aimed at providing skills training as well as emotional support. In this practice improvement project, 14 high-risk female adolescents from two high schools were identified on the basis of signs associated with depression. The students completed a questionnaire about risk and protective factors during the assessment and at the end of the intervention. Twelve students participated in a weekly support group designed to enhance coping skills and to provide emotional support. Assessment revealed that the students were at suicide risk. At the conclusion of the group intervention, there was a 55% decrease in suicidal ideation, a 27% decrease in perceived stress, and a 26% decrease in family distress. In addition, most of the students became engaged in formal treatment for the first time.

Key Words: adolescent • at risk • depression • high risk • suicidal

The Journal of School Nursing, Vol. 18, No. 4, 212-218 (2002)
DOI: 10.1177/10598405020180041301
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