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 -