摘要
目的:了解自杀高危来电的特征及心理危机热线干预效果。方法:选取厦门市心理危机干预热线的来电资料,符合高危条件的来电共140例。应用自编抑郁症状筛查量表、自杀危险评估量表分别进行评估抑郁状况、自杀危险程度,对评估出的高危来电进行24h、1周及1月3次随访,并进行干预效果比较。结果:140例来电中,男性56例,女性84例;平均年龄(29.62±8.32)岁;有职业86例,无业54例;已婚58例,未婚70例,其他12例。既往有明确精神科诊断者33例,其中抑郁症22例,精神分裂症10例。来电咨询问题的前三位为家庭关系问题、恋爱及人际关系问题、精神疾病问题。不同性别、年龄和婚姻状况的咨询问题分布差异均有统计学意义(均P<0.05)。高危来电3次随访结果显示,来电者的自杀死亡决心程度降低,每次干预后死亡决心程度均较前次降低(均P<0.05)。结论:心理危机干预热线在一定程度上可降低高危来电者自杀危险程度,但仍需加强后续随访干预,以提高干预效果。
Objective：To describe the characteristics of callers with high suicide risk and intervention effectiveness of psycho-logical crisis hotline. Methods：Among the callers of Xiamen psychological crisis hotline, 140 cases with high suicide risk were select-ed to be analyzed. A screening instrument for depression and suicide risk were used to assess the depression and suicide risk. The cal-lers with high suicide risk were followed-up within 24 hours, 1 week and 1 month after the calling. The intervention effectiveness was compared. Results： Among the 140 callers, 56 callers were male and 84 callers were female. The average age was （29. 62＆#177;8. 32） years. 86 callers were employed, while 54 callers were unemployed; 58 callers were married, while 70 callers were unmarried; 12 cal-ler were others. Among 33 caller with a psychiatric diagnosis, 22 callers had depression, and 10 callers had schizophrenia. The 3 main issues of the callers were family relationship problems, relationship with others problems and mental problems. There were statistical differences among gender, age and marital status in distribution of the consulting problems （all P〈0. 05）. The three follow-up results showed the significant intervention effect, with a lower level of determination to death than its former one （P〈0. 05）. Conclusions：The psychological crisis hotline could reduce the degree of callers＆#39; suicide risk, and follow-up intervention services should be provided in order to improve the quality and effectiveness of the intervention.
出处
《中国民康医学》
2014年第18期8-10,43,共4页
Medical Journal of Chinese People’s Health
关键词
心理热线
自杀高危来电
高危随访
干预
Psychological hotline
High-risk suicidal call
High-risk follow up
Intervention
