{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T23:26:40Z","timestamp":1788564400081,"version":"build-2803163510"},"reference-count":39,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2024,8,27]],"date-time":"2024-08-27T00:00:00Z","timestamp":1724716800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:p>The purpose of this manuscript was to discuss the implementation process of a student-led positive psychological and behavioral program (i.e., Sources of Strength) at a local high school to prevent opioid use and suicide behavior. Over the course of 2 years of programming, university undergraduate students worked alongside and mentored high school students to implement school-wide and focused campaigns that targeted each of the domains of the Sources of Strength wheel (i.e., mental health, family support, positive friends, mentors, healthy activities, generosity, spirituality, and medical access). The summed total student reach for 2 years of implementation was 8,682 students. The average participation was 456.95 students per campaign. The average percentage of the school population that engaged in each campaign was 34.7%. While no outcome opioid use or suicide behavior data were collected, the participation in the programming was high. Universities can continue to engage with local high schools to provide support, collaboration, and mentorship to promote positive and supportive school culture. Using university undergraduate students to serve as leaders can provide them with applied learning opportunities, mentorship for high school students, and reduce the expectancy for high school staff to establish the program on their own.<\/jats:p>","DOI":"10.3389\/fpubh.2024.1426922","type":"journal-article","created":{"date-parts":[[2024,8,27]],"date-time":"2024-08-27T16:30:52Z","timestamp":1724776252000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":5,"title":["Sources of strength: a process evaluation of a university-high school partnership to promote mental health protective factors"],"prefix":"10.3389","volume":"12","author":[{"given":"Duke","family":"Biber","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gina","family":"Brandenburg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2024,8,27]]},"reference":[{"key":"ref1","volume-title":"Deaths: leading causes for 2014","author":"Heron","year":"2016"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"1063","DOI":"10.1016\/j.comppsych.2014.02.005","article-title":"School bullying, cyberbullying, or both: correlates of teen suicidality in the 2011 CDC youth risk behavior survey","volume":"55","author":"Messias","year":"2014","journal-title":"Compr Psychiatry"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"49","DOI":"10.1186\/s13052-015-0153-3","article-title":"Suicide in pediatrics: epidemiology, risk factors, warning signs and the role of the pediatrician in detecting them","volume":"41","author":"Dilillo","year":"2015","journal-title":"Ital J Pediatr"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"e186558","DOI":"10.1001\/jamanetworkopen.2018.6558","article-title":"US national trends in pediatric deaths from prescription and illicit opioids, 1999-2016","volume":"1","author":"Gaither","year":"2018","journal-title":"JAMA Netw Open"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"44","DOI":"10.1016\/j.jpsychires.2019.02.018","article-title":"Examining the association between prescription opioid misuse and suicidal behaviors among adolescent high school students in the United States","volume":"112","author":"Baiden","year":"2019","journal-title":"J Psychiatr Res"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"653","DOI":"10.1016\/j.jad.2018.11.022","article-title":"Suicidal thoughts and behaviors and social isolation: a narrative review of the literature","volume":"245","author":"Calati","year":"2019","journal-title":"J Affect Disord"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"108212","DOI":"10.1016\/j.jsat.2020.108212","article-title":"Adolescent substance use: challenges and opportunities related to COVID-19","volume":"122","author":"Sarvey","year":"2021","journal-title":"J Subst Abus Treat"},{"key":"ref8","first-page":"653","article-title":"Universal suicide prevention in schools","volume-title":"Oxford textbook of suicidology and suicide prevention","author":"Carli","year":"2021"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/978-3-030-03225-8_1","article-title":"Positive psychology and suicide prevention: an introduction and overview of the literature","volume-title":"A positive psychological approach to suicide: advances in mental health and addiction","author":"Rabon","year":"2018"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"e1","DOI":"10.1002\/cpp.2118","article-title":"Resilience to suicide ideation: a cross-cultural test of the buffering hypothesis","volume":"25","author":"Siegmann","year":"2018","journal-title":"Clin Psychol Psychother"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"1367","DOI":"10.1098\/rstb.2004.1512","article-title":"The broaden\u2013and\u2013build theory of positive emotions. 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