TY - JOUR
PY - 2015//
TI - Help-seeking behaviour following school-based screening for current suicidality among European adolescents
JO - Social psychiatry and psychiatric epidemiology
A1 - Cotter, Pádraig
A1 - Kaess, Michael
A1 - Corcoran, Paul
A1 - Parzer, Peter
A1 - Brunner, Romuald
A1 - Keeley, Helen
A1 - Carli, Vladimir
A1 - Wasserman, Camilla
A1 - Hoven, Christina
A1 - Sarchiapone, Marco
A1 - Apter, Alan
A1 - Balazs, Judit
A1 - Bobes, Julio
A1 - Cosman, Doina
A1 - Haring, Christian
A1 - Kahn, Jean-Pierre
A1 - Resch, Franz
A1 - Postuvan, Vita
A1 - Värnik, Airi
A1 - Wasserman, Danuta
SP - 973
EP - 982
VL - 50
IS - 6
N2 - PURPOSE: To screen and clinically interview European adolescents reporting current suicidality (suicidal ideation and suicide attempt) and investigate attendance at the clinical interview.
METHODS: The Saving and Empowering Young Lives in Europe (SEYLE) Project was carried out in 11 European countries. A baseline questionnaire was completed in school by 12,395 adolescents (mean age 14.9; SD 0.9). Those who screened positive for suicidality (attempting suicide and/or serious suicidal ideation or plans) in the past 2 weeks were invited to a clinical interview with a mental health professional.
RESULTS: Of the 12,395 adolescents, 4.2 % (n = 516) screened positive for current suicidality. The prevalence ranged from 1.1 % in Hungary to 7.7 % in Israel (p < 0.001). 37.6 % (n = 194) of those who screened positive subsequently attended the clinical interview. Female students were more likely to attend for interview (42.0 % versus 30.6 %, p = 0.010). The attendance rate varied considerably across countries, from 5.7 % in Italy to 96.7 % in France (p < 0.001). Improved attendance was associated with using school as the only interview setting (Mean attendance rate, MAR = 88 vs. 31 %, p = 0.006) and arranging the interview within 1 week of contacting the student (MAR = 64 vs. 23 %, p = 0.013). The greater the travel time to interview, the lower the attendance rate (Pearson's r = -0.64, p = 0.034). Independent of the variation by country, at the individual level, adolescents with more depressive symptoms and a recent suicide attempt more often attended for interview.
CONCLUSION: A high rate of current suicidality was found amongst European adolescents. However, the majority of these displayed limited help-seeking behaviour. Future studies should investigate ways of making screening programmes and other interventions more acceptable and accessible to young people, especially young males.
Language: en
LA - en SN - 0933-7954 UR - http://dx.doi.org/10.1007/s00127-015-1016-3 ID - ref1 ER -