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Table 2 Cut-off criteria in the baseline questionnaire and in the professional screening intervention for selected at-risk pupils referral to clinical assessment

From: Saving and Empowering Young Lives in Europe (SEYLE): a randomized controlled trial

Theme

Cut-off value/threshold value

Risky and self-injurious behavior is diagnosed when

Depression (BDI)

BDI-score ≥ 14; depending on the responses, from 0 to 3 points are assigned (cf. manual) and added.

A BDI score of ≥ 14 is obtained.

Anxiety (ZUNG)

ZUNG-score ≥ 45;

depending on the responses, from 1 to 4 points are assigned and added.

A ZUNG score of ≥ 45 is obtained.

Suicidal Ideation and Attempts

PAYKEL Scale

The cut-off of at least one single item is obtained.

  

Yes/No response: previous suicide attempt.

'Yes' is the response given.

Non-suicidal self-injury

Deliberate Self-Harm Inventory (DSHI)

A sum of ≥ 2 is obtained and all points must therefore be added.

Eating behavior

Both responses are needed to calculate the BMI score.

The BMI score is less than 16.5.

Sensation-seeking and delinquent behaviors

Yes/No response: riding with someone who has been drinking.

The sum of ≥ 3 for the theme 'risk behavior' is obtained. All points must therefore be added.

  

Yes/No response: skateboarding or riding roller-blades in traffic and without a helmet.

 
  

Yes/No response: subway cart jumping, or held on the back of a moving vehicle.

 
  

Yes/No response: visiting known areas that are dangerous during night.

 
  

Sexual Promiscuity

Unprotected Sex

 

Substance abuse

Tobacco

Tobacco Use (lifetime measure)

'Yes' is the response given to tobacco use, and 2 cigarettes per day or more for tobacco consumption frequency.

  

Tobacco Consumption Frequency

 
 

Alcohol

Alcohol Consumption Frequency (12-month measure)

2 times per week or more

  

Alcohol Consumption Amount (12-month measure)

3 or more drinks in a typical drinking day

  

Alcohol Intoxication (lifetime measure)

3 times or more

  

Alcohol Hangover (lifetime measure)

3 times or more

 

Illegal drugs

Illicit Drug Consumption (lifetime measure)

3 times or more

Exposure to media

Media Exposure Frequency

Option 4, 5 or 6 is ticked, i.e. a pupil spends at least 'five to six hours per day' watching television, playing computer games etc.

Social relationships

Loneliness Frequency (12-month measure)

Option 4 ('most of the time') or 5 ('always') is checked.

Bullying

Peer Victimization (12-month measure)

The sum of ≥ 5 is obtained. All response options must therefore be added.

School attendance

Truancy (2-week measure)

Option 3, 4 or 5 is ticked, i.e. respondents have missed three or more days of school or class without permission.