title: Help-seeking behaviour following school-based screening for current suicidality among European adolescents.
abstract: OBJECTIVE
  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.
  
  
  CONCLUSIONS
  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.
authors: National Suicide Research Foundation, University College Cork, Western Gateway Building, Room 4.28, Cork, Ireland, pmcotter@gmail.com.
authors: Pádraig
authors: P
authors: Cotter
authors: Michael
authors: M
authors: Kaess
authors: Paul
authors: P
authors: Corcoran
authors: Peter
authors: P
authors: Parzer
authors: Romuald
authors: R
authors: Brunner
authors: Helen
authors: H
authors: Keeley
authors: Vladimir
authors: V
authors: Carli
authors: Camilla
authors: C
authors: Wasserman
authors: Christina
authors: C
authors: Hoven
authors: Marco
authors: M
authors: Sarchiapone
authors: Alan
authors: A
authors: Apter
authors: Judit
authors: J
authors: Balazs
authors: Julio
authors: J
authors: Bobes
authors: Doina
authors: D
authors: Cosman
authors: Christian
authors: C
authors: Haring
authors: Jean-Pierre
authors: JP
authors: Kahn
authors: Franz
authors: F
authors: Resch
authors: Vita
authors: V
authors: Postuvan
authors: Airi
authors: A
authors: Värnik
authors: Danuta
authors: D
authors: Wasserman
mesh_terms: D000293:Adolescent; D003863:Depression / Q000453:epidemiology* / Q000523:psychology; D005060:Europe / Q000453:epidemiology; D005260:Female; D000066505:Help-Seeking Behavior; D006801:Humans; D008297:Male; D008403:Mass Screening; D008603:Mental Health; D015995:Prevalence; D012574:Schools; D013334:Students / Q000523:psychology; D059020:Suicidal Ideation; D013405:Suicide / Q000523:psychology* / Q000706:statistics & numerical data; D013406:Suicide, Attempted / Q000523:psychology / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires
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