Help-seeking behaviour following school-based screening for current suicidality among European adolescents

Pádraig Cotter; Michael Kaess; Paul Corcoran; Peter Parzer; Romuald Brunner; Helen Keeley; Vladimir Carli; Camilla Wasserman; Christina Hoven; Marco Sarchiapone; Alan Apter; Judit Balazs; Julio Bobes; Doina Cosman; Christian Haring; Jean Pierre Kahn; Franz Resch; Vita Postuvan; Airi Värnik; Danuta Wasserman

doi:10.1007/s00127-015-1016-3

Help-seeking behaviour following school-based screening for current suicidality among European adolescents

Pádraig Cotter, Michael Kaess, Paul Corcoran, Peter Parzer, Romuald Brunner, Helen Keeley, Vladimir Carli, Camilla Wasserman, Christina Hoven, Marco Sarchiapone, Alan Apter, Judit Balazs, Julio Bobes, Doina Cosman, Christian Haring, Jean Pierre Kahn, Franz Resch, Vita Postuvan, Airi Värnik, Danuta Wasserman

Research output: Contribution to journal › Article › peer-review

31 Scopus citations

Abstract

Purpose: To screen and clinically interview European adolescents reporting current suicidality (suicidal ideation and suicide attempt) and investigate attendance at the clinical interview. Methods: The Saving and Empowering Young Lives in Europe (SEYLE) Project was carried out in 11 European countries. A baseline questionnaire was completed in school by 12,395 adolescents (mean age 14.9; SD 0.9). Those who screened positive for suicidality (attempting suicide and/or serious suicidal ideation or plans) in the past 2 weeks were invited to a clinical interview with a mental health professional. Results: Of the 12,395 adolescents, 4.2 % (n = 516) screened positive for current suicidality. The prevalence ranged from 1.1 % in Hungary to 7.7 % in Israel (p < 0.001). 37.6 % (n = 194) of those who screened positive subsequently attended the clinical interview. Female students were more likely to attend for interview (42.0 % versus 30.6 %, p = 0.010). The attendance rate varied considerably across countries, from 5.7 % in Italy to 96.7 % in France (p < 0.001). Improved attendance was associated with using school as the only interview setting (Mean attendance rate, MAR = 88 vs. 31 %, p = 0.006) and arranging the interview within 1 week of contacting the student (MAR = 64 vs. 23 %, p = 0.013). The greater the travel time to interview, the lower the attendance rate (Pearson’s r = −0.64, p = 0.034). Independent of the variation by country, at the individual level, adolescents with more depressive symptoms and a recent suicide attempt more often attended for interview. Conclusion: A high rate of current suicidality was found amongst European adolescents. However, the majority of these displayed limited help-seeking behaviour. Future studies should investigate ways of making screening programmes and other interventions more acceptable and accessible to young people, especially young males.

Original language	English
Pages (from-to)	973-982
Number of pages	10
Journal	Social Psychiatry and Psychiatric Epidemiology
Volume	50
Issue number	6
DOIs	https://doi.org/10.1007/s00127-015-1016-3
State	Published - 26 Jun 2015
Externally published	Yes

Bibliographical note

Publisher Copyright:
© 2015, Springer-Verlag Berlin Heidelberg.

Funding

The SEYLE project is supported through Coordination Theme 1 (Health) of the European Union Seventh Framework Program (FP7), Grant agreement number HEALTH-F2-2009-223091. The authors were independent of the funders in all aspects of study design, data analysis and writing of this manuscript. The Project Leader and Coordinator of the SEYLE project is Professor in Psychiatry and Suicidology Danuta Wasserman, Karolinska Institutet (KI), Head of the National Centre for Suicide Research and Prevention of Mental Ill-Health and Suicide (NASP), at KI, Stockholm, Sweden. Other members of the Executive Committee are Professor Marco Sarchiapone, Department of Health Sciences, University of Molise, Campobasso, Italy; Vladimir Carli, National Centre for Suicide Research and Prevention of Mental Ill-Health (NASP), Karolinska Institutet, Stockholm, Sweden; Professorv Christina Hoven and Anthropologist Camilla Wasserman, Department of Child and Adolescent Psychiatry, New York State Psychiatric Institute, Columbia University, New York, USA. The SEYLE Consortium comprises centres in 12 European countries. Site leaders for each respective centre and country are: Danuta Wasserman (NASP, Karolinska Institutet, Sweden, Coordinating Centre), Christian Haring (University for Medical Information Technology, Austria), Airi Varnik (Estonian-Swedish Mental Health & Suicidology Institute, Estonia), Jean-Pierre Kahn (University of Nancy, France), Romuald Brunner (University of Heidelberg, Germany), Judit Balazs (Vadaskert Child and Adolescent Psychiatric Hospital, Hungary), Paul Corcoran (National Suicide Research Foundation, Ireland), Alan Apter (Schneider Children’s Medical Centre of Israel, Tel-Aviv University, Tel Aviv, Israel), Marco Sarchiapone (University of Molise, Italy), Doina Cosman (Iuliu Hatieganu University of Medicine and Pharmacy, Romania), Vita Postuvan (University of Primorska, Slovenia) and Julio Bobes (University of Oviedo, Spain).

Funders	Funder number
Seventh Framework Programme	HEALTH-F2-2009-223091
Seventh Framework Programme

Keywords

Adolescents
Help-seeking
SEYLE
Screening
Suicidality

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1007/s00127-015-1016-3

Cite this

Cotter, P., Kaess, M., Corcoran, P., Parzer, P., Brunner, R., Keeley, H., Carli, V., Wasserman, C., Hoven, C., Sarchiapone, M., Apter, A., Balazs, J., Bobes, J., Cosman, D., Haring, C., Kahn, J. P., Resch, F., Postuvan, V., Värnik, A., & Wasserman, D. (2015). Help-seeking behaviour following school-based screening for current suicidality among European adolescents. Social Psychiatry and Psychiatric Epidemiology, 50(6), 973-982. https://doi.org/10.1007/s00127-015-1016-3

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abstract = "Purpose: To screen and clinically interview European adolescents reporting current suicidality (suicidal ideation and suicide attempt) and investigate attendance at the clinical interview. Methods: The Saving and Empowering Young Lives in Europe (SEYLE) Project was carried out in 11 European countries. A baseline questionnaire was completed in school by 12,395 adolescents (mean age 14.9; SD 0.9). Those who screened positive for suicidality (attempting suicide and/or serious suicidal ideation or plans) in the past 2 weeks were invited to a clinical interview with a mental health professional. Results: Of the 12,395 adolescents, 4.2 % (n = 516) screened positive for current suicidality. The prevalence ranged from 1.1 % in Hungary to 7.7 % in Israel (p < 0.001). 37.6 % (n = 194) of those who screened positive subsequently attended the clinical interview. Female students were more likely to attend for interview (42.0 % versus 30.6 %, p = 0.010). The attendance rate varied considerably across countries, from 5.7 % in Italy to 96.7 % in France (p < 0.001). Improved attendance was associated with using school as the only interview setting (Mean attendance rate, MAR = 88 vs. 31 %, p = 0.006) and arranging the interview within 1 week of contacting the student (MAR = 64 vs. 23 %, p = 0.013). The greater the travel time to interview, the lower the attendance rate (Pearson{\textquoteright}s r = −0.64, p = 0.034). Independent of the variation by country, at the individual level, adolescents with more depressive symptoms and a recent suicide attempt more often attended for interview. Conclusion: A high rate of current suicidality was found amongst European adolescents. However, the majority of these displayed limited help-seeking behaviour. Future studies should investigate ways of making screening programmes and other interventions more acceptable and accessible to young people, especially young males.",

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Cotter, P, Kaess, M, Corcoran, P, Parzer, P, Brunner, R, Keeley, H, Carli, V, Wasserman, C, Hoven, C, Sarchiapone, M, Apter, A, Balazs, J, Bobes, J, Cosman, D, Haring, C, Kahn, JP, Resch, F, Postuvan, V, Värnik, A & Wasserman, D 2015, 'Help-seeking behaviour following school-based screening for current suicidality among European adolescents', Social Psychiatry and Psychiatric Epidemiology, vol. 50, no. 6, pp. 973-982. https://doi.org/10.1007/s00127-015-1016-3

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T1 - Help-seeking behaviour following school-based screening for current suicidality among European adolescents

AU - Cotter, Pádraig

AU - Kaess, Michael

AU - Corcoran, Paul

AU - Parzer, Peter

AU - Brunner, Romuald

AU - Keeley, Helen

AU - Carli, Vladimir

AU - Wasserman, Camilla

AU - Hoven, Christina

AU - Sarchiapone, Marco

AU - Apter, Alan

AU - Balazs, Judit

AU - Bobes, Julio

AU - Cosman, Doina

AU - Haring, Christian

AU - Kahn, Jean Pierre

AU - Resch, Franz

AU - Postuvan, Vita

AU - Värnik, Airi

AU - Wasserman, Danuta

PY - 2015/6/26

Y1 - 2015/6/26

N2 - Purpose: To screen and clinically interview European adolescents reporting current suicidality (suicidal ideation and suicide attempt) and investigate attendance at the clinical interview. Methods: The Saving and Empowering Young Lives in Europe (SEYLE) Project was carried out in 11 European countries. A baseline questionnaire was completed in school by 12,395 adolescents (mean age 14.9; SD 0.9). Those who screened positive for suicidality (attempting suicide and/or serious suicidal ideation or plans) in the past 2 weeks were invited to a clinical interview with a mental health professional. Results: Of the 12,395 adolescents, 4.2 % (n = 516) screened positive for current suicidality. The prevalence ranged from 1.1 % in Hungary to 7.7 % in Israel (p < 0.001). 37.6 % (n = 194) of those who screened positive subsequently attended the clinical interview. Female students were more likely to attend for interview (42.0 % versus 30.6 %, p = 0.010). The attendance rate varied considerably across countries, from 5.7 % in Italy to 96.7 % in France (p < 0.001). Improved attendance was associated with using school as the only interview setting (Mean attendance rate, MAR = 88 vs. 31 %, p = 0.006) and arranging the interview within 1 week of contacting the student (MAR = 64 vs. 23 %, p = 0.013). The greater the travel time to interview, the lower the attendance rate (Pearson’s r = −0.64, p = 0.034). Independent of the variation by country, at the individual level, adolescents with more depressive symptoms and a recent suicide attempt more often attended for interview. Conclusion: A high rate of current suicidality was found amongst European adolescents. However, the majority of these displayed limited help-seeking behaviour. Future studies should investigate ways of making screening programmes and other interventions more acceptable and accessible to young people, especially young males.

AB - Purpose: To screen and clinically interview European adolescents reporting current suicidality (suicidal ideation and suicide attempt) and investigate attendance at the clinical interview. Methods: The Saving and Empowering Young Lives in Europe (SEYLE) Project was carried out in 11 European countries. A baseline questionnaire was completed in school by 12,395 adolescents (mean age 14.9; SD 0.9). Those who screened positive for suicidality (attempting suicide and/or serious suicidal ideation or plans) in the past 2 weeks were invited to a clinical interview with a mental health professional. Results: Of the 12,395 adolescents, 4.2 % (n = 516) screened positive for current suicidality. The prevalence ranged from 1.1 % in Hungary to 7.7 % in Israel (p < 0.001). 37.6 % (n = 194) of those who screened positive subsequently attended the clinical interview. Female students were more likely to attend for interview (42.0 % versus 30.6 %, p = 0.010). The attendance rate varied considerably across countries, from 5.7 % in Italy to 96.7 % in France (p < 0.001). Improved attendance was associated with using school as the only interview setting (Mean attendance rate, MAR = 88 vs. 31 %, p = 0.006) and arranging the interview within 1 week of contacting the student (MAR = 64 vs. 23 %, p = 0.013). The greater the travel time to interview, the lower the attendance rate (Pearson’s r = −0.64, p = 0.034). Independent of the variation by country, at the individual level, adolescents with more depressive symptoms and a recent suicide attempt more often attended for interview. Conclusion: A high rate of current suicidality was found amongst European adolescents. However, the majority of these displayed limited help-seeking behaviour. Future studies should investigate ways of making screening programmes and other interventions more acceptable and accessible to young people, especially young males.

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Help-seeking behaviour following school-based screening for current suicidality among European adolescents

Abstract

Bibliographical note

Funding

Keywords

UN SDGs

Access to Document

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