None listed
Conditions
Brief summary
This study aims to investigate the effectiveness of a universal, mental health promotion and suicide prevention program – Youth Aware of Mental Health (YAM) – for reducing suicidal ideation and attempts, and increasing help-seeking in young people. The primary hypothesis is that after completing the YAM program, P1) students will report decreased severity of suicidal ideation.. Secondary hypotheses are, after completing the YAM program, students will self-report S1) no new incidents of suicide attempt, S2) increased help-seeking intentions and behaviours for suicide, and an associated increase in suicide literacy, and S3) decreased depressive symptoms.
Interventions
The Youth Aware of Mental Health (YAM) program is a universal, evidence-based program that encourages young people between the ages of 14 to 16 to learn about and discuss everyday mental health. It is a place for young people to express their feelings and talk about mental health freely. In five 1-hour classroom sessions over three weeks, 20-30 students participate in discussions and role-plays guided by two trained adults in the school setting. YAM was created by a group of interdisciplinary researchers from NASP/Karolinska Institutet and Columbia University. All materials involved in program delivery and training of Instructors and Helpers are copyrighted (2014 Youth Aware of Mental Health. All Rights Reserved - info@y-a-m.org). In the first session, the Instructors introduce mental health using the YAM pedagogical materials that include slides, posters, and a booklet for each student to keep. The four sessions that follow differ depending on the group of youth present as the topics to be role-played and discussed are proposed by them. The topics range from relationships with peers and adults, difficulties in and around school, to feeling sad or facing a stressful situation. YAM program delivery materials comprise a booklet, posters, and slide-set that includes information about the following six topics that also serve as a basis for the discussions and role-plays in YAM: (1) What is mental health, (2) Self-help advice, (3) Stress and crisis, (4) Depression and suicidal thoughts, (5) Helping a friend in need, and (6) Getting advice: who to contact. The YAM Instructor Course teaches prospective Instructors about YAM’s theoretical framework, scientific research, program implementation and how best to engage with youth in YAM through workshops, discussions, lectures, role-play and simulations. There is a manual provided to Instructors during the course. Over four and a half days of training by certified trainers, they learn how to foster reciprocal and impartial relationships with youth as well as how to effectively implement all aspects of the program. YAM Instructors can be anyone who has previous experience working with youth, such as psychologists, psychiatrists, social workers, youth counsellors, social assistants, school guidance counsellors, teachers, school nurses, youth advocates, or support group workers. YAM Instructors should have no pre-existing relationship with the youth participating and cannot work in the school in which YAM is being implemented. Instructors are assisted by trained Helpers who provide support to the Instructor and students in the group. Helpers undergo a half day of training by YAM Instructors. There is a brief training guide to assist Helper training. The Helper can either be another accredited Instructor, relevant youth worker or person with lived experience.
Sponsors
Study design
Eligibility
Inclusion criteria
All year 9 students (between the ages of 14-16 years) in mainstream public, independent, and catholic schools across the 4 NSW LifeSpan trial sites will be eligible to participate in the study. These students will need to be participating in the YAM program that will be offered through their school.
Exclusion criteria
Schools will not be delivering the program nor invited to the study if their students have significant learning or behavioural difficulties, or are in juvenile justice settings.