Evaluation of the 113Online Suicide Prevention Crisis Chat Service: Outcomes, Helper Behaviors and Comparison to Telephone Hotlines
Evaluation of the 113Online Suicide Prevention Crisis Chat Service: Outcomes, Helper Behaviors and Comparison to Telephone Hotlines
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DOI：
10.1111/sltb.12286
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发表时间：
2017-06-01
影响因子：
3.2
通讯作者：
Smit, Johannes H.
中科院分区：
文献类型：
--
作者：
Mokkenstorm, Jan K.;Eikelenboom, Merijn;Smit, Johannes H.
认识到数字通信的重要性，主要的自杀预防机构已经开始通过聊天提供危机干预。迄今为止，几乎没有证据支持危机聊天服务的有效性。为了评估113在线志愿者运营的危机聊天服务的覆盖范围和结果，研究了526个危机聊天记录，复制了为研究电话危机呼叫而制定的措施。达到一个相对年轻的人口主要是女性严重的自杀倾向和（精神）健康问题，聊天结果，这组被发现是可比的危机呼叫美国生命线中心在2003-2004年，类似但不相同的协会与特定的助手的风格和态度。我们的研究结果支持了113在线聊天服务的积极影响，通过实践标准来提高，解决聊天过程中明显缺乏对自杀倾向这一核心问题的关注，以及制定针对在线危机干预的最佳实践。
Recognizing the importance of digital communication, major suicide prevention helplines have started offering crisis intervention by chat. To date there is little evidence supporting the effectiveness of crisis chat services. To evaluate the reach and outcomes of the 113Online volunteer-operated crisis chat service, 526 crisis chat logs were studied, replicating the use of measures that were developed to study telephone crisis calls. Reaching a relatively young population of predominantly females with severe suicidality and (mental) health problems, chat outcomes for this group were found to be comparable to those found for crisis calls to U.S. Lifeline Centers in 2003-2004, with similar but not identical associations with specific helpers' styles and attitudes. Our findings support a positive effect of the 113Online chat service, to be enhanced by practice standards addressing an apparent lack of focus on the central issue of suicidality during chats, as well as by the development of best practices specific for online crisis intervention.