Influence of coping strategies on the efficacy of YAM (Youth Aware of Mental Health): a universal school-based suicide p
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ORIGINAL CONTRIBUTION
Influence of coping strategies on the efficacy of YAM (Youth Aware of Mental Health): a universal school‑based suicide preventive program Jean‑Pierre Kahn1,2,3,4 · Renaud F. Cohen1,3 · Alexandra Tubiana3 · Karine Legrand5,6 · Camilla Wasserman7,8 · Vladimir Carli7 · Alan Apter9 · Judit Balazs10,11 · Raphaele Banzer12 · Francesca Baralla13 · Shira Barzilai9 · Julio Bobes14 · Romuald Brunner15 · Paul Corcoran16 · Doina Cosman17 · Francis Guillemin1,2,5,6 · Christian Haring12 · Michael Kaess15,18 · Urša Mars Bitenc19 · Gergley Mészàros10,20 · Elaine McMahon16 · Vita Postuvan19 · Pilar Saiz14 · Airi Varnik21,22 · Peeter Varnik21,22 · Marco Sarchiapone13 · Christina W. Hoven8,23 · Danuta Wasserman7 Received: 14 December 2018 / Accepted: 8 January 2020 © Springer-Verlag GmbH Germany, part of Springer Nature 2020
Abstract The school-based mental health promotion and suicide prevention universal program Youth Aware of Mental Health (YAM) significantly reduces incident suicide attempts and severe suicidal ideation. This paper aims at elucidating psychological mechanisms underlying YAM’s efficacy. Our hypothesis is that YAM operates through interactions with coping strategies (CS) on the reduction of suicidal ideation (SI). In the Saving and Empowering Young Lives in Europe (SEYLE) study, five coping strategies were assessed at baseline (T0) and 12-month follow-up (T12): “learning”, “help-seeking”, “arts”, “sports” and “fight”. We analyzed interactions between the YAM intervention, coping strategies and SI in the YAM group (N = 1693) and the minimal intervention group (N = 1909), after excluding prevalent cases with SI and previous suicide attempts from our total sample (N = 5654). General Linear Mixed Model regressions were performed. The present study confirms that coping strategies play an influential role on suicidal ideation. Our results showed that YAM acts whatever the prevailing coping strategies used. It is particularly efficient for pupils insufficiently using adaptive coping strategies such as LEARN and HELP-SEEKING or using maladaptive coping strategies, such as ARTS and FIGHT. The socialization induced by the YAM intervention seems to be a strong component of its efficiency. Keywords YAM · Universal programme · Coping strategies · Suicide · Suicidal ideation · Adolescents · Mechanisms · Suicide prevention · Mental health promotion · SEYLE
Introduction Suicidality in adolescents is an important public health problem worldwide and is the second cause of premature mortality in 14–25-year-old European adolescents [1, 2]. Several suicide prevention programs have thus been developed to be delivered in schools [3, 4]. The Saving and Empowering Young Lives in Europe (SEYLE) project was the first Electronic supplementary material The online version of this article (https://doi.org/10.1007/s00787-020-01476-w) contains supplementary material, which is available to authorized users. * Jean‑Pierre Kahn jean‑[email protected] Extended author information available on the last page of the arti
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