Abstract：
BACKGROUND: Self- and hetero-directed violence (SHDV) is a serious public health problem and a complex phenomenon, influenced by individual and environmental factors. SHDV may occur particularly in moments of personal, economic and/or social crisis. During the COVID-19 pandemic, the ISS-Helplines operators have perceived an increase in psychological distress and self-isolation among callers. The ViolHelp project aimed at identifying potential warning signs and risk factors of SHDV emerging in the activity of the ISS-Helplines (Istituto Superiore di Sanità, ISS, Italian National Institute of Health).
METHODS: A dashboard collecting warning signs and risk factors of SHDV was developed to be used during the ISS-Helplines activity.
RESULTS: In one year of data collection, 135 calls were compiled. In 106 calls, callers referred experienced violence: 72 self-directed violence (SDV), 20 hetero-directed violence (HDV), 14 both. The most frequent warning signs and risk factors for SDV were desire to die (68.6%), previous suicide attempts (31.4%) and threat of self-harm (25.6%); for HDV were depressed mood (32.4%), diagnosis of pathology and/or psychiatric disorders, desire to die, use of psychotropic drugs, and alcohol abuse (29.4%).
CONCLUSIONS: The results of this pilot project show the importance of being able to read the warning signs and to create a network that can improve information, prevention and support activities for people at risk of violence and their families.
METHODS: A dashboard collecting warning signs and risk factors of SHDV was developed to be used during the ISS-Helplines activity.
RESULTS: In one year of data collection, 135 calls were compiled. In 106 calls, callers referred experienced violence: 72 self-directed violence (SDV), 20 hetero-directed violence (HDV), 14 both. The most frequent warning signs and risk factors for SDV were desire to die (68.6%), previous suicide attempts (31.4%) and threat of self-harm (25.6%); for HDV were depressed mood (32.4%), diagnosis of pathology and/or psychiatric disorders, desire to die, use of psychotropic drugs, and alcohol abuse (29.4%).
CONCLUSIONS: The results of this pilot project show the importance of being able to read the warning signs and to create a network that can improve information, prevention and support activities for people at risk of violence and their families.
摘要：
背景：自我和异性恋暴力（SHDV）是一个严重的公共卫生问题，也是一个复杂的现象，受个人和环境因素的影响。SHDV可能特别发生在个人时刻，经济和/或社会危机。在COVID-19大流行期间，ISS-Helplines操作员已经意识到呼叫者的心理困扰和自我隔离的增加。ViolHelp项目旨在识别ISS-Helplines活动中出现的SHDV的潜在警告标志和风险因素（IstitutoSuperiorediSanità，ISS,意大利国家卫生研究所）。
方法：开发了收集SHDV警告标志和风险因素的仪表板，用于在ISS-Helplines活动期间使用。
结果：在一年的数据收集中，编译了135个电话。在106个电话中，来电者提到了经历过的暴力：72个自我指导的暴力（SDV），20异性恋暴力（HDV），14两者SDV最常见的警告信号和危险因素是死亡欲望（68.6%）。以前的自杀未遂（31.4％）和自残威胁（25.6％）；对于HDV，情绪低落（32.4％），病理和/或精神疾病的诊断，渴望死亡,使用精神药物，和酗酒(29.4%)。
结论：该试点项目的结果表明，能够阅读警告标志并创建一个可以改善信息的网络的重要性，为面临暴力风险的人及其家人开展预防和支持活动。
方法：开发了收集SHDV警告标志和风险因素的仪表板，用于在ISS-Helplines活动期间使用。
结果：在一年的数据收集中，编译了135个电话。在106个电话中，来电者提到了经历过的暴力：72个自我指导的暴力（SDV），20异性恋暴力（HDV），14两者SDV最常见的警告信号和危险因素是死亡欲望（68.6%）。以前的自杀未遂（31.4％）和自残威胁（25.6％）；对于HDV，情绪低落（32.4％），病理和/或精神疾病的诊断，渴望死亡,使用精神药物，和酗酒(29.4%)。
结论：该试点项目的结果表明，能够阅读警告标志并创建一个可以改善信息的网络的重要性，为面临暴力风险的人及其家人开展预防和支持活动。
