Social-cognitive determinants of help-seeking for mental health problems among prison inmates.
Social-cognitive determinants of help-seeking for mental health problems among prison inmates.
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DOI：
10.1002/cbm.54
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发表时间：
2006-01-01
期刊：
影响因子：
--
通讯作者：
Spicer, John
中科院分区：
文献类型：
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作者：
Skogstad, Philip;Deane, Frank P;Spicer, John
背景：囚犯的心理健康问题和自杀行为发生率很高。不寻求帮助可能会加剧这些问题，并限制机会，参与犯罪相关programmes.AIMS：以评估是否囚犯的意图寻求帮助的个人情绪问题，包括自杀的感觉，可以预测使用变量从计划行为理论（TPB）。这些TPB变量的补充措施的情绪困扰，事先接触的心理学家和人口variables.METHODS：男性囚犯从6个新西兰监狱被要求参加，约50%（n = 527）的人最初表示有兴趣在研究中完成的自我报告问卷。大多数参与者完成了调查问卷中的小组会议在监狱units，并返回他们的研究人员完成后立即。结果平均而言，参与者报告说，目前的情绪困扰水平高于比较学生样本。TPB变量预测自杀和个人情绪问题的求助意图。那些事先与监狱心理学家接触的人比没有这种接触的囚犯寻求自杀情绪帮助的意图更低。年长的囚犯，那些有更多年的教育，和那些谁以前接触过监狱外的心理学家往往有更高的意图寻求心理help.CONCLUSIONS：社会认知因素预测意图寻求新西兰囚犯之间的帮助，但监狱的具体问题，如相对不愿意寻求帮助时，自杀和不愿意寻求帮助监狱心理学家，也被确定。对实践的影响可以改善囚犯获得服务的机会，例如，通过直接处理态度障碍。确保获得专门的法医心理健康深入服务的战略也可以是确保这一弱势群体寻求适当帮助的替代或额外途径。
BACKGROUND: Prisoners experience high rates of mental health problems and suicidal behaviours. Failure to seek help may exacerbate these problems and limit opportunities to participate in offending-related programmes.AIMS: To assess whether prisoners'; intentions to seek help for a personal-emotional problem, including suicidal feelings, can be predicted using variables from the Theory of Planned Behaviour (TPB). These TPB variables were supplemented by measures of emotional distress, prior contact with a psychologist and demographic variables.METHODS: Male inmates from six New Zealand prisons were asked to participate, with approximately 50% (n = 527) of those who initially expressed an interest in the study completing the self-report questionnaire. Most participants completed the questionnaire in small-group meetings in the prison units and returned them to the researchers immediately after completion.Results On average, participants reported higher levels of current emotional distress than comparison student samples. TPB variables predicted help-seeking intentions for suicidality and personal-emotional problems. Those with prior contact with prison psychologists had lower intentions to seek help for suicidal feelings than prisoners without such contact. Older prisoners, those with more years of education, and those who had previous contact with a psychologist outside prison tended to have higher intentions to seek psychological help.CONCLUSIONS: Social-cognitive factors predicted intentions to seek help among New Zealand prisoners but prison-specific issues, such as relative reluctance to seek help when suicidal and reluctance to seek help from prison psychologists, were also identified. Implications for practice Prisoners'; access to services could be improved, for example, through directly working on attitudinal barriers. Strategies to ensure access to specialized forensic mental health in-reach services could also be an alternative or additional route to ensure that this disadvantaged group seeks appropriate help.