vendredi 14 février 2020

ETUDE RECHERCHE Influence des stratégies d'adaptation sur l'efficacité de YAM (Youth Aware of Mental Health): un programme universel de prévention du suicide en milieu scolaire

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 Renaud Cohen 2 Alexandra Tubiana Karine Legrand 3, 4 Camilla Wasserman 5 Vladimir Carli 6 Alan Apter 7 Judit Balazs 8 Raphaele Banzer Francesca Baralla Shira Barzilai Julio Bobes 9 Romuald Brunner 10 Paul Corcoran 11 Doina Cosman 12 Francis Guillemin 13, 14 Christian Haring 15 Michael Kaess 10 Urša Mars Bitenc Gergley Mészàros Elaine Mcmahon Vita Postuvan 16 Pilar Sáiz 9 Airi Värnik 17 Peeter Varnik 17 Marco Sarchiapone 18 Christina Hoven 5 Danuta Wasserman 6
1 CPN - Centre Psychothérapique de Nancy
2 FondaMental Foundation
3 CIC 1433 Epidémiologie clinique
4 APEMAC - Maladies chroniques, santé perçue, et processus d'adaptation
5 New York State Psychiatric Institute
6 NASP - National Swedish Prevention of Mental Ill-Health and Suicide
7 Feinberg Child Study Center
8 Vadaskert Child and Adolescent Psychiatric Hospital
9 CIBER-SAM - Centro de Investigación Biomédica en Red Salud Mental [Madrid]
10 HIT - Heidelberger Instittut für Tiefenpsychologie [Heidelberg]
11 National Suicide Research Foundation
12 “Iuliu Hatieganu” University of Medicine and Pharmacy
13 APEMAC - Maladies chroniques, santé perçue, et processus d'adaptation
14 CIC-EC - Centre d'Epidémiologie Clinique
15 State Hospital Hall
16 Slovene Center for Suicide Research
17 Estonian-Swedish Mental Health & Suicidology Institute
18 UNIMOL - University of Molise [Campobasso]
Soumis le : mardi 11 février 2020 - 11:07:35

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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