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

Jean-Pierre Kahn 1, 2, 3 Renaud Cohen 1, 2 Alexandra Tubiana 2 Karine Legrand 4, 5 Camilla Wasserman 6, 7 Vladimir Carli 8 Alan Apter 9 Judit Balazs 10 Raphaele Banzer Francesca Baralla 11 Shira Barzilai 12 Julio Bobes 13 Romuald Brunner 14 Paul Corcoran 15 Doina Cosman 16 Francis Guillemin 5, 4, 1, 17 Christian Haring 18 Michael Kaess 14, 19 Urša Mars Bitenc 20 Gergley Mészàros 10, 21 Elaine Mcmahon 22 Vita Postuvan 23 Pilar Sáiz 13 Airi Värnik 24, 25 Peeter Varnik 24, 25 Marco Sarchiapone 11 Christina Hoven 7, 26 Danuta Wasserman 8
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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Submitted on : Tuesday, February 11, 2020 - 11:07:35 AM
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Jean-Pierre Kahn, Renaud Cohen, Alexandra Tubiana, Karine Legrand, Camilla Wasserman, et al.. Influence of coping strategies on the efficacy of YAM (Youth Aware of Mental Health): a universal school-based suicide preventive program. European Child and Adolescent Psychiatry, Springer Verlag, 2020, ⟨10.1007/s00787-020-01476-w⟩. ⟨hal-02474170⟩



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