Two programmes have been built to prevent suicidal ideation; one focuses on stress management based on cognitive and behavioural principles and the other on health promotion.
Being registered in the fourth year of medical studies or in the first year of residency (internship), as they appear as two critical periods over medical studies
Being registered in the i-Share cohort
18 year-old and over
Speaking and reading French
Refusing to participate
Protective supervision: curatorship, guardianship
Parallel
Videos and/or SMS
Other interventionParticipants assigned to one of the intervention programmes will watch videos on a website for two months then will receive SMSs for four months.
Suicidal ideation observed at least at one of the three assessment contacts (6, 12, 18 months).
The electronic Columbia-Suicide Severity Rating Scale (e-CSSRS) will be used to investigate suicide ideation \& behaviors. Questionnaire was developped with NIMH support to screen \& quantify suicide risk using consecutive questions. No score is computed when using this scale. Questionnaire investigates suicide ideation using several questions (response yes/no): 1. Have you wish you were dead? 2. Have you actually had any thought of killing yourself? If 1 and/or 2 are answered "yes", 4 other questions are asked. For this study, suicide ideation will be considered as a "yes" answered to question 1 or 2.
Suicidal behaviour identified at least once after the intervention.
The electronic Columbia-Suicide Severity Rating Scale (e-CSSRS) will be used to investigate suicide ideation and behaviors. This questionnaire was developped with NIMH support to screen and quantify suicide risk using consecutive questions. No score is computed when using this scale. The questionnaire investigates also suicide behaviours using questions (response yes/no) on * actual attempt (have you made a suicide attempt? Have you done anything to harm yourself? have you done anything dangerous where you could have died?) * interrupted attempt * aborted or self-interrupted attempt * preparatory acts or behavior For the present study, suicide behavior will be considered as a "yes" to any of these 4 questions.
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