{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T13:19:39Z","timestamp":1793020779365,"version":"4.5.0"},"reference-count":40,"publisher":"Hogrefe Publishing Group","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Crisis"],"published-print":{"date-parts":[[2008,3]]},"abstract":"<jats:p> From 2000\u20132005, Somerville, MA, experienced a number of youth overdoses and suicides. The community response followed CDC recommendations for contagion containment. A community coalition, Somerville Cares About Prevention, became a pivotal convener of community partners and a local research organization, the Institute for Community Health, provided needed expertise in surveillance and analysis. Mayoral leadership provided the impetus for action while community activists connected those at risk with mental health resources. Using a variety of data sources (including death certificates, youth risk surveys, 911 call data, and hospital discharges) overdose and suicide activity were monitored. Rates of suicide and overdose for 10\u201324-year-olds were higher than in previous years. Using case investigation methods, the majority of suicide victims were found to be linked through common peer groups and substance abuse. Subsequent community action steps included: a community-based trauma response team, improved media relationships, focus groups for suicide survivors, and prevention trainings to community stakeholders. Youth suicide and overdose activity subsided in May of 2005. The community partnerships were critical elements for developing a response to this public health crisis. This collaborative approach to suicide contagion used existing resources and provides important lessons learned for other communities facing similar circumstances. <\/jats:p>","DOI":"10.1027\/0227-5910.29.2.86","type":"journal-article","created":{"date-parts":[[2008,6,21]],"date-time":"2008-06-21T01:03:58Z","timestamp":1214010238000},"page":"86-95","source":"Crossref","is-referenced-by-count":31,"title":["Coping with Youth Suicide and Overdose"],"prefix":"10.1027","volume":"29","author":[{"given":"Karen","family":"Hacker","sequence":"first","affiliation":[{"name":"Institute for Community Health, Cambridge, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"Collins","sequence":"additional","affiliation":[{"name":"Somerville Community Health Agenda, Cambridge Health Alliance, Cambridge, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leni","family":"Gross-Young","sequence":"additional","affiliation":[{"name":"Trauma Response Network, Somerville Health Department, Somerville, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie","family":"Almeida","sequence":"additional","affiliation":[{"name":"Somerville Cares About Prevention, Somerville Health Department, Somerville, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noreen","family":"Burke","sequence":"additional","affiliation":[{"name":"Somerville Health Department, Somerville, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"101","reference":[{"key":"c1","unstructured":"About Somerville. (2007). City of Somerville Massachusetts. Retrieved July 28, 2007 from www.ci.somerville.ma.us\/ About.cfm?page=35."},{"key":"c2","unstructured":"Boston Globe Legacy Pages Guest Book for Matthew J. O\u2019Brien. (2007). Retrieved July 7, 2007 from www.legacy.com\/BostonGlobe\/GB\/GuestbookView.aspx?PersonId=126199&Page No=1."},{"key":"c3","doi-asserted-by":"crossref","first-page":"575","DOI":"10.1093\/oxfordjournals.aje.a117473","volume":"141","author":"Brener N.C.","year":"1995","journal-title":"American Journal of Epidemiology"},{"key":"c4","first-page":"213","volume":"37","author":"CDC.","year":"1998","journal-title":"New Jersey. Morbidity and Mortality Weekly"},{"key":"c5","first-page":"9","volume":"43","author":"CDC.","year":"1994","journal-title":"Morbidity and Mortality Weekly"},{"key":"c6","first-page":"1","volume":"37","author":"CDC.","year":"1988","journal-title":"Morbidity and Mortality Weekly"},{"key":"c7","unstructured":"CDC. (2003). YRBSS,\nYouth Risk Behavior Surveillance System, 2003. State and Local Standard High\nSchool Questionnaire. Retrieved July 1, 2007, from www.cdc.gov\/nccdphp\/dash\/\nyrbs\/2003\/questionnaire.htm"},{"key":"c8","volume-title":"Youth services in the city of Somerville, Massachusetts: Assessment and recommendations, Somerville, MA","author":"Center for Teen Empowerment","year":"2004"},{"key":"c9","volume-title":"Somerville community profile, Somerville, MA","author":"Community Action Agency of Somerville","year":"2006"},{"key":"c10","volume-title":"Mayor\u2019s inaugural address","author":"Curtatone J.","year":"2003"},{"key":"c11","unstructured":"ESRI. ArcGIS 9.1 (software).\nRedlands, CA:\nAuthor."},{"key":"c12","volume-title":"A resource mapping project of substance abuse and mental health needs and resources of Somerville high school students","author":"Gall G.","year":"2002"},{"key":"c13","doi-asserted-by":"publisher","DOI":"10.1037\/0003-066X.48.2.169"},{"key":"c14","unstructured":"Gould, M.   (2004). Suicide contagion (clusters),\nsuicide, and mental health. Suicide and Mental Health\nAssociation International. Retrieved January 5, 2007\nfrom suicideandmentalhealthassociationinternational.org\/suiconclust.html."},{"key":"c15","doi-asserted-by":"publisher","DOI":"10.1097\/01.CHI.0000046821.95464.CF"},{"key":"c16","doi-asserted-by":"publisher","DOI":"10.1111\/j.1943-278X.1989.tb00363.x"},{"key":"c17","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.80.2.211"},{"key":"c18","doi-asserted-by":"publisher","DOI":"10.1521\/suli.2006.36.2.154"},{"key":"c19","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2003.10.004"},{"key":"c20","unstructured":"McLaughlin, M.   (2007). The graduation speech\nyou\u2019ll never hear. The Boston Globe. May\n27. www.boston.com\/news\/local\/articles\/2007\/05\/27\/the_graduation_speech_youll_never_hear\/accessed\n7\/27\/2007 ."},{"key":"c21","volume-title":"Updated hospital discharge data","author":"Massachusetts Department of Public Health. Bureau of Substance Abuse.","year":"2006"},{"key":"c22","unstructured":"Massachusetts Department of Public Health.\n(2007). Massachusetts community health information profile\n(MassCHIP). Retrieved January 2007 from masschipstate.ma.us\/"},{"key":"c23","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/154.2.120"},{"key":"c24","unstructured":"Moulton, Dana.   (2005). Massachusetts organization for\naddiction recovery, \u201cHow do you battle teen drug\nabuse?\u201d. Somerville Journal, May\n5."},{"key":"c25","doi-asserted-by":"crossref","first-page":"S196","DOI":"10.1093\/oxfordjournals.aje.a115783","volume":"132","author":"O\u2019Carroll P.","year":"1990","journal-title":"American Journal of Epidemiology"},{"key":"c26","first-page":"3","volume":"32","author":"O\u2019Carroll P.","year":"2001","journal-title":"\u201d A fourth strategy for risk factor assessment. Suicide and Life-Threatening Behavior"},{"key":"c27","unstructured":"Parker, B.   (2005). Teens say \u201cSave Our\nSomerville,\u201d not attack yuppies. Somerville\nJournal, October 20."},{"key":"c28","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2005.071647"},{"key":"c29","doi-asserted-by":"publisher","DOI":"10.1027\/0227-5910.27.2.82"},{"key":"c30","unstructured":"Save our Somerville. profile.myspace.com\/indexfuseaction.cfm?fuseaction=user.viewprofile&friendid=8\n9827625 7\/27\/07"},{"key":"c31","first-page":"36","volume":"49","author":"Shaffer D.","year":"1988","journal-title":"Journal of Clinical Psychiatry"},{"key":"c32","volume-title":"Somerville youth risk survey report 2002","author":"Somerville Health Department","year":"2002"},{"key":"c33","unstructured":"Somerville\u2019s Lost Souls. Retrieved 1\/12\/2007 from \ngroups.myspace.com\/Somervilleslostsouls."},{"key":"c34","volume-title":"Somerville housing needs assessment","author":"Somerville Mayor\u2019s Office of Strategic Planning and Community Development","year":"2005"},{"key":"c35","unstructured":"Suicide Prevention Resource Center.\n(2007). Suicide prevention: The public health\napproach. Retrieved January 1, 2007 from www.sprc.org\/library\/phasp.pdf"},{"key":"c36","unstructured":"United States Bureau Census.\n(2000). Population finder. Retrieved\nSeptember 16, 2007 from factfinder.\ncensus.gov\/servlet\/SAFFPopulation?_event=Search&_name\n=somerville&_state\n=04000US25&_county=somerville&_\ncityTown=somerville\n&_zip=&_sse=on&_lang=en&pctxt\n=fph"},{"key":"c37","volume-title":"National strategy for suicide prevention: Goals and objectives for action","author":"U.S. Dept. of Health and Human Services, Public Health Service","year":"2001"},{"key":"c38","doi-asserted-by":"publisher","DOI":"10.1037\/0012-1649.42.3.407"},{"key":"c39","doi-asserted-by":"publisher","DOI":"10.1521\/suli.34.4.408.53733"},{"key":"c40","unstructured":"YouTube. (2007). Save\nour Somerville. Speech at peace conference. Retrieved on July\n27, 2007, from www.youtube.com\/\nwatch?v=6c6VN2pOLWU"}],"container-title":["Crisis"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/econtent.hogrefe.com\/doi\/pdf\/10.1027\/0227-5910.29.2.86","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,3,17]],"date-time":"2021-03-17T07:58:44Z","timestamp":1615967924000},"score":1,"resource":{"primary":{"URL":"https:\/\/econtent.hogrefe.com\/doi\/10.1027\/0227-5910.29.2.86"}},"subtitle":["One Community\u2019s Efforts to Investigate, Intervene, and Prevent Suicide Contagion"],"short-title":[],"issued":{"date-parts":[[2008,3]]},"references-count":40,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2008,3]]}},"alternative-id":["10.1027\/0227-5910.29.2.86"],"URL":"https:\/\/doi.org\/10.1027\/0227-5910.29.2.86","relation":{},"ISSN":["0227-5910","2151-2396"],"issn-type":[{"value":"0227-5910","type":"print"},{"value":"2151-2396","type":"electronic"}],"subject":[],"published":{"date-parts":[[2008,3]]}}}