TY - JOUR PY - 2020// TI - Influence of coping strategies on the efficacy of YAM (Youth Aware of Mental Health): a universal school-based suicide preventive program JO - European child and adolescent psychiatry A1 - Kahn, Jean-Pierre A1 - Cohen, Renaud F. A1 - Tubiana, Alexandra A1 - Legrand, Karine A1 - Wasserman, Camilla A1 - Carli, Vladimir A1 - Apter, Alan A1 - Balazs, Judit A1 - Banzer, Raphaele A1 - Baralla, Francesca A1 - Barzilai, Shira A1 - Bobes, Julio A1 - Brunner, Romuald A1 - Corcoran, Paul A1 - Cosman, Doina A1 - Guillemin, Francis A1 - Haring, Christian A1 - Kaess, Michael A1 - Bitenc, Urša Mars A1 - Mészàros, Gergley A1 - McMahon, Elaine A1 - Postuvan, Vita A1 - Saiz, Pilar A1 - Värnik, Airi A1 - Värnik, Peeter A1 - Sarchiapone, Marco A1 - Hoven, Christina W. A1 - Wasserman, Danuta SP - ePub EP - ePub VL - ePub IS - ePub N2 - 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.
Language: en
LA - en SN - 1018-8827 UR - http://dx.doi.org/10.1007/s00787-020-01476-w ID - ref1 ER -