An evaluation of crisis hotline outcomes - Part 2: Suicidal callers
An evaluation of crisis hotline outcomes - Part 2: Suicidal callers
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DOI：
10.1521/suli.2007.37.3.338
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发表时间：
2007-06-01
影响因子：
3.2
通讯作者：
Kleinman, Marjorie
中科院分区：
文献类型：
--
作者：
Gould, Madelyn S.;Kalafat, John;Kleinman, Marjorie
在这项研究中，我们评估了电话危机服务/热线的有效性，检查了最近的结果，通过打电话给美国八个中心的呼叫者从开始到结束以及在他们打电话后3周内自杀状态的变化来衡量。在2003年3月至2004年7月期间，有1,085名自杀者在来电过程中接受评估，其中3 80人(35.0%)参与跟进评估。出现了几个关键发现。严重自杀的人联系了电话危机服务机构。在电话会议期间，自杀率显著下降，在接下来的几周里，绝望和心理痛苦继续减少。来电者在通话结束时死亡的意图是随后自杀的最有力的预测因素。强调需要加强外联战略和改进转介工作。
In this study we evaluated the effectiveness of telephone crisis services/hotlines, examining proximal outcomes as measured by changes in callers' suicide state from the beginning to the end of their calls to eight centers in the U.S. and again within 3 weeks of their calls. Between March 2003 and July 2004, 1,085 suicide callers were assessed during their calls and 3 80 (35.0%) participated in the follow-up assessment. Several key findings emerged. Seriously suicidal individuals reached out to telephone crisis services. Significant decreases in suicidality were found during the course of the telephone session, with continuing decreases in hopelessness and psychological pain in the following weeks. A caller's intent to die at the end of the call was the most potent predictor of subsequent suicidality. The need to heighten outreach strategies and improve referrals is highlighted.