Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

The Effectivity of a School-based Early Intervention Targeting Psychological Complaints and Non-Suicidal Self-Injury in Adolescents

Version 1 : Received: 4 March 2024 / Approved: 5 March 2024 / Online: 5 March 2024 (06:04:25 CET)

A peer-reviewed article of this Preprint also exists.

Baetens, I.; Van Hove, L.; Azadfar, Z.; Van Heel, M.; Soyez, V. The Effectivity of a School-Based Early Intervention Targeting Psychological Complaints and Non-Suicidal Self-Injury in Adolescents. J. Clin. Med. 2024, 13, 1852. Baetens, I.; Van Hove, L.; Azadfar, Z.; Van Heel, M.; Soyez, V. The Effectivity of a School-Based Early Intervention Targeting Psychological Complaints and Non-Suicidal Self-Injury in Adolescents. J. Clin. Med. 2024, 13, 1852.

Abstract

Background: Recent research suggests a concerning trend of non-suicidal self-injury (NSSI) and suicidal behaviors emerging at younger ages (as early as age 12). Early onset of NSSI is linked to more severe outcomes. While universal school-based prevention programs have shown promise in addressing suicidal behaviors, there's limited research on their effectiveness in preventing NSSI onset among adolescents. This study aims to evaluate the efficacy of a universal prevention program in schools for NSSI and mental complaints while enhancing resilience and mental health in 11-14-year-old adolescents. Methods: In total, 329 Flemish secondary school students (55.6% female), aged 11 to 14 years, participated in a 4-hour classroom universal prevention, with a focus on emotion regulation, mental health, and specific strategies to prevent NSSI and reduce stigma. For both the intervention and control group (N = 124), a pre-, post- and one-month follow-up questionnaire was administered, containing reliable and valid measures for NSSI and suicidality, emotion regulation, help-seeking behaviors, well-being, and psychological distress. Results: The prevention program effectively reduced NSSI and psychological distress, particularly for adolescents with a history of NSSI. Conclusions: These findings support previous research on the effectiveness of school-based programs in reducing mental complaints and suggest promising outcomes for NSSI prevention.

Keywords

School-based; universal; prevention; psychological symptoms; non-suicidal self-injury; suicidality

Subject

Social Sciences, Psychiatry and Mental Health

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