I had the pleasure of sitting down with Dr. Holly Wilcox to discuss a childhood intervention known as the Good Behavior Game, which has shown remarkable success in not only curbing suicidal ideation but also reducing various negative outcomes such as substance abuse and aggression later in life. Dr. Holly shared her journey into suicide prevention and her passionate belief that we must prioritize upstream interventions, focusing on instilling emotional regulation and pro-social skills in children from an early age. Our conversation shed light on the profound impact that structured behavioral strategies can have on a child's developmental trajectory and overall well-being.
Dr. Holly Wilcox shared details about how the Good Behavior Game works within classroom settings. The game involves students adhering to clear classroom rules and working in teams to achieve rewards, promoting camaraderie and self-regulation. Through consistent practice, it encourages students to manage their impulses and supports positive peer interactions. The research, spanning more than thirty years, demonstrates significant long-term benefits for students participating in the game, including a marked drop in aggressive behaviors, criminal activity, and even suicidal thoughts as they mature into adulthood. The findings emphasize that tackling behavioral issues early on can prevent an array of adverse outcomes, highlighting the game as an essential tool in our upstream efforts.
We discussed the importance of implementation science, ensuring such proven strategies are effectively scaled and sustained within educational systems. Dr. Holly emphasized that alongside crisis intervention, we need community-level approaches that enhance protective factors long before a crisis occurs. The Good Behavior Game exemplifies this by embedding vital life skills into children's day-to-day learning, setting a foundation for healthier adolescent and adult lives. As we continue to advance these upstream methodologies, it becomes clear how a public health approach to mental health can transform not just individual lives but entire communities.
Bio
Dr. Holly Wilcox is a Professor of Mental Health at Johns Hopkins Bloomberg School of Public Health, with joint appointments in Health Policy, Medicine, and Education. Her research focuses on public health approaches to suicide prevention, including policy, early intervention, and community-based programs. She is President of the International Academy of Suicide Research, serves on the American Foundation for Suicide Prevention’s Board, and consults for the WHO. Dr. Wilcox has published over 150 studies, secured major research grants, and actively mentors students while leading suicide prevention initiatives across diverse settings.
Takeaways
Upstream Suicide Prevention: Dr. Sally highlights the importance of balancing downstream crisis response with upstream interventions. The Good Behavior Game, a classroom tool, offers a proactive approach by teaching young children vital regulation skills, reducing long-term risks of suicide and negative outcomes.
Longitudinal Impact: The Good Behavior Game isn't just about immediate classroom management. Studies showed significant reductions in aggressive behaviors, substance abuse, and even suicidal ideation as children grow into adults. A remarkable testament to the power of early, consistent intervention.
Implementation Matters: Successful outcomes of such interventions rely heavily on proper implementation. Training and supporting teachers significantly enhances the efficacy and sustainability of programs like the Good Behavior Game, ensuring lasting, positive impact on students’ lives.