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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 11 Francesca Baralla 12 Shira Barzilai 13 Julio Bobes 14 Romuald Brunner 15 Paul Corcoran 16 Doina Cosman 17 Francis Guillemin 5, 4, 18 Christian Haring 19 Michael Kaess 15, 20 Urša Mars Bitenc 21 Gergley Mészàros 10, 22 Elaine Mcmahon 23 Vita Postuvan 24 Pilar Sáiz 14 Airi Värnik 25, 26 Peeter Varnik 25, 26 Marco Sarchiapone 12 Christina Hoven 7, 27 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 (Germany), 2020, 29 (12), pp.1671-1681. ⟨10.1007/s00787-020-01476-w⟩. ⟨hal-02474170⟩



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