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School-based suicide prevention programmes: the SEYLE cluster-randomised, controlled trial.

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Summary
This summary is machine-generated.

The Youth Aware of Mental Health Programme (YAM) significantly reduced suicide attempts and severe suicidal ideation in adolescents. This school-based intervention offers a promising approach to adolescent suicide prevention.

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Area of Science:

  • Public Health
  • Adolescent Psychology
  • Preventive Medicine

Background:

  • Adolescent suicidal behaviors represent a critical public health issue.
  • There is a significant need for evidence-based prevention programs.
  • School-based interventions are a viable strategy for addressing this problem.

Purpose of the Study:

  • To evaluate the effectiveness of school-based interventions in preventing suicidal behaviors among adolescents.
  • To compare the efficacy of three distinct interventions: Question, Persuade, and Refer (QPR), Youth Aware of Mental Health Programme (YAM), and professional screening (ProfScreen).

Main Methods:

  • A multicenter, cluster-randomized controlled trial involving 11,110 adolescents across 168 schools in ten European countries.
  • Schools were randomized to QPR (teacher-focused), YAM (pupil-focused), ProfScreen, or a control group.
  • The primary outcome was the incidence of suicide attempts at 3 and 12 months, with analysis excluding prior attempters or those with recent severe suicidal ideation.

Main Results:

  • No significant differences were observed at the 3-month follow-up.
  • At 12 months, the Youth Aware of Mental Health Programme (YAM) demonstrated a significant reduction in incident suicide attempts (OR 0.45) and severe suicidal ideation (OR 0.50) compared to the control group.
  • Specifically, YAM had 0.70% suicide attempts vs. 1.51% in controls; 0.75% severe ideation vs. 1.37% in controls.

Conclusions:

  • The Youth Aware of Mental Health Programme (YAM) proved effective in decreasing suicide attempts and severe suicidal ideation among school-based adolescents.
  • These findings highlight the benefits of universal, school-based suicide preventive interventions.
  • The study underscores the potential of YAM as a key strategy in adolescent mental health and suicide prevention efforts.