【摘要】 目的了解心理援助热线自杀高危来电的即刻干预效果,并探讨影响干预效果的相关因素。方法将北京市心理援助热线于2020年1月25日至6月30日接听的来电中自杀高危者纳入研究。该热线按自杀高危相应流程及原则对来电者干预,同时收集其抑郁程度、慢性生活事件等心理社会特征,并在每通电话接听之初及通话结束前,对来电者是否处于自杀高危状态以及痛苦程度、想死程度、希望程度进行两次评估,以干预前后评估结果的变化作为即刻干预效果。结果共纳入433例自杀高危来电者,经干预后,322例(74.4%)来电者不再处于自杀高危状态。严重抑郁情绪是自杀高危来电者接受电话干预后依然高危的独立危险因素(OR=1.83,95%CI:1.06～3.15)。控制人口学等变量后,亲友自杀史、慢性生活事件及严重抑郁情绪与来电者痛苦和想死程度的减分值有关(P<0.05)。结论心理援助热线对自杀高危来电者的干预有明显效果,有严重抑郁情绪的来电者干预效果相对较差。更多还原

【Abstract】 Objective To describe the immediate effectiveness of crisis intervention and explore correlates of the effectiveness for high suicide risk callers of Beijing Psychological Support Hotline. Methods From Jan 25 th to Jun 30 th in 2020, all the eligible callers of Beijing Psychological Support Hotline assessed as high suicidal risk were included in the study. At the beginning and the end of each call, whether the caller at high suicidal risk or not, and the degree of hopefulness, psychological distress, and intention to die of the caller, were evaluated separately. The immediate effectiveness of crisis intervention was defined as whether the caller was still assessed as high suicidal risk, and the changes of the scores of hopefulness, psychological distress, and intention to die between the beginning and the ending evaluation The correlations of the characteristics of high suicide risk callers and the immediate effectiveness were analyzed. Results Four hundred and thirty three callers assessed as high suicidal risk were recruited, and 322 of whom were not at high suicide risk after receiving crisis intervention. Severe depression was an independent risk factor for the callers who were still at high suicidal risk after receiving intervention(OR=1.83, 95%CI: 1.06～3.15). After controlling for demographics and other variables, the suicide history of relatives and friends, chronic life events, and severe depression were related to the changes in the degree of psychological distress and intention to die(all P<0.05). Conclusion Crisis intervention delivered by the Psychological Support Hotline can reduce the degree of callers’ suicide risk, while severe depression is associated with poor outcomes of hotline-based crisis intervention for high suicide risk callers.更多还原