■全球求助热线被认为是自杀预防策略的重要组成部分。然而,有关自杀预防求助热线对其使用者自杀行为的影响的证据仍然有限,并且经常面临方法论问题。这项研究旨在评估危机呼叫对呼叫人的危机和自杀水平的影响,无论是在呼叫后还是在后续行动中,与呼叫前相比。通话后,还评估了呼叫者对干预措施的满意度。
■一项事前研究,由电话系统自动生成,进行是为了比较危机和自杀程度(通过五个指标进行操作:绝望,诱捕,可控性,自杀意图,和社会支持)在电话之前和之后以及在后续行动中(电话后一到两周)由呼叫者经历。
■呼叫者(n=487)的危机水平显着提高(p<.001,d=-0.31),绝望(p<.001,d=-0.22),截留(p<.001,d=-0.25),自杀意图(p<.001,d=-0.37),与通话前相比,通话后的社会支持(p<.001,d=0.33)。与预测试相比,随访中也发现了改善。来电者对求助热线的满意度很高。
■这项研究增加了有关自杀预防求助热线的证据,并解决了求助热线研究中的一些重要方法问题。此外,它显示了关于求助热线对有自杀倾向的来电者的潜在支持影响的有希望的结果。
危机求助热线研究是有限的,并且经常面临方法论问题。绝望,诱捕,支持研究表明,求助热线有可能对处于危机中的个人产生积极影响。
UNASSIGNED: Worldwide helplines are considered an important part of suicide prevention strategies. Nevertheless, evidence regarding the impact of suicide prevention helplines on the suicidality of its users remains limited and is frequently confronted with methodological issues. This study aimed to assess the impact of crisis calls on callers\' levels of crisis and suicidality both immediately after the call and at follow-up compared to before the call. After the call, the satisfaction of the callers with the intervention was also assessed.
UNASSIGNED: A pre-post study, generated automatically by a telephone system, was conducted in order to compare the level of crisis and suicidality (operationalized by five indicators: hopelessness, entrapment, controllability, suicidal intent, and social support) experienced by callers before and immediately after the call and at follow-up (one to two weeks after the call).
UNASSIGNED: Callers (n = 487) showed significant improvement in their level of crisis (p < .001, d = -0.31), hopelessness (p < .001, d = -0.22), entrapment (p < .001, d = -0.25), suicide intent (p < .001, d = -0.37), and social support (p < .001, d = 0.33) after the call compared to before the call. Improvements were also found at follow-up compared to pretest. The satisfaction of callers with the helpline was high.
UNASSIGNED: This study adds to the growing evidence on suicide prevention helplines and addresses some important methodological issues in helpline research. Furthermore, it shows promising results regarding the potential supportive impact of helplines on callers who feel suicidal.
Crisis helpline research is limited and often confronted with methodological issuesCallers improve in experienced levels of crisis, hopelessness, entrapment, supportStudy shows potential of helplines to positively influence individuals in crisis.