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01-12-2020 | Suicide | Original Contribution

Influence of coping strategies on the efficacy of YAM (Youth Aware of Mental Health): a universal school-based suicide preventive program

Authors: Jean-Pierre Kahn, Renaud F. Cohen, Alexandra Tubiana, Karine Legrand, Camilla Wasserman, Vladimir Carli, Alan Apter, Judit Balazs, Raphaele Banzer, Francesca Baralla, Shira Barzilai, Julio Bobes, Romuald Brunner, Paul Corcoran, Doina Cosman, Francis Guillemin, Christian Haring, Michael Kaess, Urša Mars Bitenc, Gergley Mészàros, Elaine McMahon, Vita Postuvan, Pilar Saiz, Airi Varnik, Peeter Varnik, Marco Sarchiapone, Christina W. Hoven, Danuta Wasserman

Published in: European Child & Adolescent Psychiatry | Issue 12/2020

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.

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Title: Influence of coping strategies on the efficacy of YAM (Youth Aware of Mental Health): a universal school-based suicide preventive program
Authors: Jean-Pierre Kahn
Renaud F. Cohen
Alexandra Tubiana
Karine Legrand
Camilla Wasserman
Vladimir Carli
Alan Apter
Judit Balazs
Raphaele Banzer
Francesca Baralla
Shira Barzilai
Julio Bobes
Romuald Brunner
Paul Corcoran
Doina Cosman
Francis Guillemin
Christian Haring
Michael Kaess
Urša Mars Bitenc
Gergley Mészàros
Elaine McMahon
Vita Postuvan
Pilar Saiz
Airi Varnik
Peeter Varnik
Marco Sarchiapone
Christina W. Hoven
Danuta Wasserman
Publication date: 01-12-2020
Publisher: Springer Berlin Heidelberg
Keywords: Suicide
Suicide
Published in: European Child & Adolescent Psychiatry / Issue 12/2020
Print ISSN: 1018-8827
Electronic ISSN: 1435-165X
DOI: https://doi.org/10.1007/s00787-020-01476-w

At a glance: The STEP trials

Springer Medicine

Influence of coping strategies on the efficacy of YAM (Youth Aware of Mental Health): a universal school-based suicide preventive program

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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