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 F. 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)
1
UL -
Université de Lorraine
2 Psychiatrie et Psychologie Clinique de Liaison [CHRU Nancy]
3 Fondation Santé des Etudiants de France
4 CIC-EC - Centre d'investigation clinique - Epidémiologie clinique [Nancy]
5 APEMAC - Maladies chroniques, santé perçue, et processus d'adaptation
6 NASP - National Centre for Suicide Research and Prevention of Mental III-Health
7 New York State Psychiatric Institute
8 NASP - National Swedish Prevention of Mental Ill-Health and Suicide
9 Feinberg Child Study Center
10 ELTE - Eötvös Loránd University
11 Tirol Kliniken
12 UNIMOL - Università degli Studi del Molise = University of Molise
13 Feinberg Child Study Centre
14 CIBER-SAM - Centro de Investigación Biomédica en Red Salud Mental [Madrid]
15 University of Heidelberg, Medical Faculty
16 National Suicide Research Foundation
17 “Iuliu Hatieganu” University of Medicine and Pharmacy
18 CHRU Nancy - Centre Hospitalier Régional Universitaire de Nancy
19 State Hospital Hall
20 UNIBE - Universität Bern = University of Bern = Université de Berne
21 Slovene Center for Suicide Research
22 Semmelweis University [Budapest]
23 National Suicide Research Foundation
24 Slovene Center for Suicide Research
25 Estonian-Swedish Mental Health & Suicidology Institute
26 Tallinn University
27 Columbia Mailman School of Public Health
2 Psychiatrie et Psychologie Clinique de Liaison [CHRU Nancy]
3 Fondation Santé des Etudiants de France
4 CIC-EC - Centre d'investigation clinique - Epidémiologie clinique [Nancy]
5 APEMAC - Maladies chroniques, santé perçue, et processus d'adaptation
6 NASP - National Centre for Suicide Research and Prevention of Mental III-Health
7 New York State Psychiatric Institute
8 NASP - National Swedish Prevention of Mental Ill-Health and Suicide
9 Feinberg Child Study Center
10 ELTE - Eötvös Loránd University
11 Tirol Kliniken
12 UNIMOL - Università degli Studi del Molise = University of Molise
13 Feinberg Child Study Centre
14 CIBER-SAM - Centro de Investigación Biomédica en Red Salud Mental [Madrid]
15 University of Heidelberg, Medical Faculty
16 National Suicide Research Foundation
17 “Iuliu Hatieganu” University of Medicine and Pharmacy
18 CHRU Nancy - Centre Hospitalier Régional Universitaire de Nancy
19 State Hospital Hall
20 UNIBE - Universität Bern = University of Bern = Université de Berne
21 Slovene Center for Suicide Research
22 Semmelweis University [Budapest]
23 National Suicide Research Foundation
24 Slovene Center for Suicide Research
25 Estonian-Swedish Mental Health & Suicidology Institute
26 Tallinn University
27 Columbia Mailman School of Public Health
Jean-Pierre Kahn
- Fonction : Auteur
- PersonId : 909692
Renaud F. Cohen
- Fonction : Auteur
- PersonId : 6625
- IdHAL : renaud-f-cohen
- ORCID : 0000-0001-6900-7786
- IdRef : 188924957
Karine Legrand
- Fonction : Auteur
- PersonId : 739566
- IdHAL : karine-legrand
- ORCID : 0000-0003-0209-4576
- IdRef : 203620860
Camilla Wasserman
- Fonction : Auteur
- PersonId : 909679
Julio Bobes
- Fonction : Auteur
- PersonId : 909682
Doina Cosman
- Fonction : Auteur
- PersonId : 909687
Michael Kaess
- Fonction : Auteur
- PersonId : 909693
Pilar Sáiz
- Fonction : Auteur
- PersonId : 909700
Peeter Varnik
- Fonction : Auteur
- PersonId : 941862
Marco Sarchiapone
- Fonction : Auteur
- PersonId : 909701
Christina Hoven
- Fonction : Auteur
- PersonId : 909704
Danuta Wasserman
- Fonction : Auteur
- PersonId : 909677
Résumé
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.