%0 Journal Article
%T ViolHelp: results of a pilot study to identify potential warning signs and risk factors for self- and hetero-directed violence in the calls received by the Helplines of the Italian National Institute of Health.
%A Di Pirchio R
%A Ghirini S
%A De Santis M
%A Sanseverino A
%A Mortali C
%A Vichi M
%A Longo E
%A Orri M
%A Forte A
%A Faieta A
%A Mastrobattista L
%J Ann Ist Super Sanita
%V 60
%N 2
%D 2024 Apr-Jun
%M 38984630
%F 2.21
%R 10.4415/ANN_24_02_10
%X <B>BACKGROUND: </B>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).<BR><B>METHODS: </B>A dashboard collecting warning signs and risk factors of SHDV was developed to be used during the ISS-Helplines activity.<BR><B>RESULTS: </B>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%).<BR><B>CONCLUSIONS: </B>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.