National Suicide Prevention Lifeline crisis chat interventions: Evaluation of chatters' perceptions of effectiveness.
National Suicide Prevention Lifeline crisis chat interventions: Evaluation of chatters' perceptions of effectiveness.
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DOI：
10.1111/sltb.12795
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发表时间：
2021-12
影响因子：
3.2
通讯作者：
McKeon, Richard
中科院分区：
文献类型：
--
作者：
Gould, Madelyn S.;Chowdhury, Saba;Lake, Alison M.;Galfalvy, Hanga;Kleinman, Marjorie;Kuchuk, Michelle;McKeon, Richard
作为国家自杀预防生命线危机应对系统的一部分，生命线危机聊天网络（LCC）每年回答数十万高危人群的聊天。这项研究的目的是评估这些在线危机干预措施的有效性。分析了2017年10月至2018年6月由LCC聊天者完成的39，911次聊天前调查和13，130次链接的聊天前和聊天后调查的数据。使用一系列逻辑回归分析检查了几种有效性指标与聊天人口统计学、聊天前痛苦、自杀意念以及聊天者对其咨询师参与度的看法的关系。聊天者在聊天干预结束时的痛苦程度明显低于开始时。在聊天结束时，三分之二有自杀倾向的聊天者报告说聊天是有帮助的，而不到一半的人报告说自杀倾向较低。我们的研究为生命线的在线危机聊天服务的有效性提供了经验证据，但也突出了需要改进的地方。鉴于最近指定988为2022年开始的全国生命线号码，这一点至关重要，这将增加生命线在美国提供自杀预防和心理健康危机干预方面的重要性。
As part of the National Suicide Prevention Lifeline’s crisis response system, the Lifeline Crisis Chat Network (LCC) answers chats from hundreds of thousands of at‐risk individuals yearly. The study’s objective was to assess the effectiveness of these online crisis interventions. Data from 39,911 pre‐chat surveys and 13,130 linked pre‐ and post‐chat surveys completed by LCC chatters from October 2017–June 2018 were analyzed. The relationship of several effectiveness measures with chatter demographics, pre‐chat distress, suicidal ideation, and chatters’ perceptions of engagement with their counselors was examined using a series of logistic regression analyses. Chatters were significantly and substantially less distressed at the end of the chat intervention than at the beginning. By the end of the chat, two‐thirds of suicidal chatters reported that the chat had been helpful, while just under half reported being less suicidal. Our study offers empirical evidence for the Lifeline's online crisis chat services’ effectiveness, but also highlights areas for improvement. This is of critical import in light of the recent designation of 988 as the nationwide number for the Lifeline beginning in 2022, which will increase the Lifeline's prominence in providing suicide prevention and mental health crisis interventions in the United States.
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影响因子：
2.3
作者：
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通讯作者：
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影响因子：
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DOI：
10.1111/j.1469-7610.2008.02024.x
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