Table 1 PC CARES steps to prevention (StP) measure

PREDICTORS

Suicide Prevention Self Efficacy

I know how to talk safely about suicide, in ways that help with prevention

α = 0.779

I know how to decrease suicide risk for others by the way I talk about suicide

I know how to support someone who is at risk, whether or not I am close to them

I feel confident that I can do things to prevent suicide

Wellness Self Efficacy

There are things I can do to promote wellness here

α = 0.842

I know how to create a healthy environment for youth as they grow up

I know how I can make positive changes for community wellness

Community of Practice

Many people in this community work together for suicide prevention/wellness

α = 0.727

I have regular opportunities to work with others to increase wellness

I have many people to work with in my community to prevent suicide

BEHAVIORS

Work Together to Prevent Suicide and Promote Health

I asked someone for help doing prevention/wellness work when I needed it

I spoke up about what community organizations can do to reduce the risk of youth suicide

α = 0.841

I suggested ways community organizations could work together to increase wellness

I talked with community members about wellness

I talked with others about wellness and/or suicide prevention

I worked with others to prevent suicide or promote wellness

I let people know what resources are available for prevention

I worked with a group of people in the community to share suicide prevention information

Interpersonal Support

I spent time listening to someone who just wanted to talk about their experience

I trusted others in the community to hear what I have to say

α = 0.689

I reached out to someone who was hurting (alone, sad, angry)

I helped someone who was down get help (Behavioral Health Services, Alaska Careline, etc.)

I reminded someone that just listening to someone can be more supportive than giving advice

I quietly listened to someone who had a problem, reflecting back to them what I heard.

I encouraged others to offer small acts of kindness when someone was having a hard time

Lethal Means Reduction

I tried to make a home safer (such as no alcohol, locked guns) when worried about someone living there.

α = 0.498

I worked on a community-wide project to make homes safer

I discussed how to make a home safer (no alcohol, gun safes)

Postvention

I shared only the basic facts of a suicide (avoiding details)

I spoke to someone about how to talk safely after a suicide

α = 0.742

I talked about how suicide is no one’s fault

I shared that it can be harmful to honor someone who died by suicide more than is done for other deaths

I talked about how we can help prevent further harm after a suicide happens.