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Important Variables When Screening for Students at Suicidal Risk: Findings from the French Cohort of the SEYLE Study

Due to early detection of mental ill-health being an important suicide preventive strategy, the multi-centre EU funded “Saving and Empowering Young Lives in Europe” (SEYLE) study compared three school-based mental health promotion programs to a control group. In France, 1007 students with a mean age...

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Autores principales: Kahn, Jean-Pierre, Tubiana, Alexandra, Cohen, Renaud F., Carli, Vladimir, Wasserman, Camilla, Hoven, Christina, Sarchiapone, Marco, Wasserman, Danuta
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4626968/
https://www.ncbi.nlm.nih.gov/pubmed/26437422
http://dx.doi.org/10.3390/ijerph121012277
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author Kahn, Jean-Pierre
Tubiana, Alexandra
Cohen, Renaud F.
Carli, Vladimir
Wasserman, Camilla
Hoven, Christina
Sarchiapone, Marco
Wasserman, Danuta
author_facet Kahn, Jean-Pierre
Tubiana, Alexandra
Cohen, Renaud F.
Carli, Vladimir
Wasserman, Camilla
Hoven, Christina
Sarchiapone, Marco
Wasserman, Danuta
author_sort Kahn, Jean-Pierre
collection PubMed
description Due to early detection of mental ill-health being an important suicide preventive strategy, the multi-centre EU funded “Saving and Empowering Young Lives in Europe” (SEYLE) study compared three school-based mental health promotion programs to a control group. In France, 1007 students with a mean age of 15.2 years were recruited from 20 randomly assigned schools. This paper explores the French results of the SEYLE’s two-stage screening program (ProfScreen) and of the cross-program suicidal emergency procedure. Two-hundred-thirty-five ProfScreen students were screened using 13 psychopathological and risk behaviour scales. Students considered at risk because of a positive finding on one or more scales were offered a clinical interview and, if necessary, referred for treatment. A procedure for suicidal students (emergency cases) was set up to detect emergencies in the whole cohort (n = 1007). Emergency cases were offered the same clinical interview as the ProfScreen students. The interviewers documented their reasons for referrals in a short report. 16,2% of the ProfScreen students (38/235) were referred to treatment and 2,7% of the emergency cases (27/1007) were also referred to treatment due to high suicidal risk. Frequent symptoms in those students referred for evaluation were depression, alcohol misuse, non-suicidal self-injuries (NSSI), and suicidal behaviours. According to the multivariate regression analysis of ProfScreen, the results show that the best predictors for treatment referral were NSSI (OR 2.85), alcohol misuse (OR 2.80), and depressive symptoms (OR 1.13). Analysis of the proportion for each scale of students referred to treatment showed that poor social relationships (60%), anxiety (50%), and suicidal behaviours (50%) generated the highest rate of referrals. Qualitative analysis of clinician’s motivations to refer a student to mental health services revealed that depressive symptoms (51%), anxiety (38%), suicidal behaviours (40%), and negative life events (35%) were the main reasons for referrals. Thus, not only the classical psychopathological symptoms, such as depression, anxiety, and suicidal behaviours, but also negative life events and poor social relationships (especially isolation) motivate referrals for treatment.
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spelling pubmed-46269682015-11-12 Important Variables When Screening for Students at Suicidal Risk: Findings from the French Cohort of the SEYLE Study Kahn, Jean-Pierre Tubiana, Alexandra Cohen, Renaud F. Carli, Vladimir Wasserman, Camilla Hoven, Christina Sarchiapone, Marco Wasserman, Danuta Int J Environ Res Public Health Article Due to early detection of mental ill-health being an important suicide preventive strategy, the multi-centre EU funded “Saving and Empowering Young Lives in Europe” (SEYLE) study compared three school-based mental health promotion programs to a control group. In France, 1007 students with a mean age of 15.2 years were recruited from 20 randomly assigned schools. This paper explores the French results of the SEYLE’s two-stage screening program (ProfScreen) and of the cross-program suicidal emergency procedure. Two-hundred-thirty-five ProfScreen students were screened using 13 psychopathological and risk behaviour scales. Students considered at risk because of a positive finding on one or more scales were offered a clinical interview and, if necessary, referred for treatment. A procedure for suicidal students (emergency cases) was set up to detect emergencies in the whole cohort (n = 1007). Emergency cases were offered the same clinical interview as the ProfScreen students. The interviewers documented their reasons for referrals in a short report. 16,2% of the ProfScreen students (38/235) were referred to treatment and 2,7% of the emergency cases (27/1007) were also referred to treatment due to high suicidal risk. Frequent symptoms in those students referred for evaluation were depression, alcohol misuse, non-suicidal self-injuries (NSSI), and suicidal behaviours. According to the multivariate regression analysis of ProfScreen, the results show that the best predictors for treatment referral were NSSI (OR 2.85), alcohol misuse (OR 2.80), and depressive symptoms (OR 1.13). Analysis of the proportion for each scale of students referred to treatment showed that poor social relationships (60%), anxiety (50%), and suicidal behaviours (50%) generated the highest rate of referrals. Qualitative analysis of clinician’s motivations to refer a student to mental health services revealed that depressive symptoms (51%), anxiety (38%), suicidal behaviours (40%), and negative life events (35%) were the main reasons for referrals. Thus, not only the classical psychopathological symptoms, such as depression, anxiety, and suicidal behaviours, but also negative life events and poor social relationships (especially isolation) motivate referrals for treatment. MDPI 2015-09-30 2015-10 /pmc/articles/PMC4626968/ /pubmed/26437422 http://dx.doi.org/10.3390/ijerph121012277 Text en © 2015 by the authors; licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Kahn, Jean-Pierre
Tubiana, Alexandra
Cohen, Renaud F.
Carli, Vladimir
Wasserman, Camilla
Hoven, Christina
Sarchiapone, Marco
Wasserman, Danuta
Important Variables When Screening for Students at Suicidal Risk: Findings from the French Cohort of the SEYLE Study
title Important Variables When Screening for Students at Suicidal Risk: Findings from the French Cohort of the SEYLE Study
title_full Important Variables When Screening for Students at Suicidal Risk: Findings from the French Cohort of the SEYLE Study
title_fullStr Important Variables When Screening for Students at Suicidal Risk: Findings from the French Cohort of the SEYLE Study
title_full_unstemmed Important Variables When Screening for Students at Suicidal Risk: Findings from the French Cohort of the SEYLE Study
title_short Important Variables When Screening for Students at Suicidal Risk: Findings from the French Cohort of the SEYLE Study
title_sort important variables when screening for students at suicidal risk: findings from the french cohort of the seyle study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4626968/
https://www.ncbi.nlm.nih.gov/pubmed/26437422
http://dx.doi.org/10.3390/ijerph121012277
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