【摘要】 目的 探讨心理援助热线来电者心理问题的严重程度及相关因素。方法 选取北京市心理援助热线2020年1—6月的来电者为研究对象。接线员在接电过程中收集来电者的人口学特征、心理问题（痛苦、绝望、抑郁程度）以及社会心理因素等资料。采用多因素Logistic回归分析与来电者心理问题严重程度相关的社会心理特征。结果 共9 249名来电者纳入分析，66.8%(6 174/9 249)的来电者为女性，46.3%(4 279/9 249)为学生。来电者痛苦、绝望、抑郁问题较严重，得分中位数分别为80、70、67分。多因素Logistic回归分析显示，控制人口学变量后，经济困难（OR=1.94,95%CI:1.48～2.53;OR=1.92,95%CI:1.48～2.50）、自杀未遂史（OR=1.79,95%CI:1.57～2.04;OR=2.32,95%CI:2.04～2.63）是对痛苦程度、绝望程度影响较强的因素（P<0.01）；慢性生活事件（OR=2.30,95%CI:2.04～2.59）、物质滥用（OR=1.99,95%CI:1.62～2.45）、自杀未遂史（OR=1.97,95%CI:1.77～2.22）是对抑郁程度影响较强的因素（P<0.01）。结论 心理援助热线来电者的心理问题普遍较严重。来电者的痛苦、绝望和抑郁的严重程度与经济困难、自杀未遂史、慢性生活事件等有较强关联，不同心理问题指标的强相关因素存在差异。更多还原

【Abstract】 Objective To investigate the severities and correlated factors of psychological disturbances among Beijing Psychological Support Hotline callers. Methods From January 2020 to June 2020, all the callers of Beijing Psychological Support Hotline were recruited. Demographic characteristics, psychological disturbances(including psychological distress, hopelessness, and depression), and socio-psychological characteristics of the callers were collected by operators. Multivariable Logistic regression was used to select the correlative factors of the severities of psychological disturbances. Results Among the 9 249 recruited callers, 66.8%(6 174/9 249) were females, 46.3%(4 279/9 249) were students. Psychological distress, hopelessness, and depression were the top serious problems, with the median scores of 80, 70 and 67 respectively. After demographic variables were adjusted, financial difficulties(OR=1.94, 95%CI:1.48-2.53; OR=1.92, 95%CI:1.48-2.50) and suicide attempt history(OR=1.79, 95%CI:1.57-2.04; OR=2.32, 95%CI:2.04-2.63) were main correlated factors of the high levels of psychological distress and hopelessness(P<0.01). Chronic negative life events(OR=2.30, 95%CI:2.04-2.59), substance misuse(OR=1.99, 95%CI:1.62-2.45) and suicide attempt history(OR=1.97, 95%CI:1.77-2.22) were main correlated factors of severe depression(P < 0.01).Conclusions The psychological disturbances of Beijing Psychological Support Hotline callers are generally severe. Financial difficulties, suicide attempt histories and chronic negative life events have strong correlations with psychological distress, hopelessness, and depression. The main correlative factors of different psychological disturbances are different.更多还原