■每个月,大约3800人在荷兰自杀预防求助热线的网站上完成了自杀想法的匿名自我测试。尽管70%的人在自杀念头的严重程度上得分很高,<10%导航到有关联系帮助热线的网页。
■这项研究旨在测试简短的减少障碍干预(BRI)在激励有严重自杀念头的人联系预防自杀求助热线方面的有效性,特别是男性和中年人等高危人群。
■我们进行了全自动,基于网络的,随机对照试验。有严重自杀想法和很少联系求助热线的受访者被随机分配到简短的BRI,他们收到了一个简短的,根据他们自我报告的求助热线屏障量身定制的信息(n=610),或一般咨询文本(照常护理对照组:n=612)。使用行为和态度测量来评估有效性。主要结果指标是在完成干预或控制条件后使用直接链接联系求助热线。次要结果是自我报告的联系求助热线的可能性以及对接受的自我测试的满意度。
■总共,2124名网站访问者完成了自杀意念属性量表和条目筛选问卷中的人口统计问题。其中,1222人随机分为干预组和对照组。最终,772名受访者完成了随机对照试验(干预组:n=369;对照组:n=403)。两组中选择最多的障碍是“我认为我的问题不够严重。“在审判结束时,在干预组中,有33.1%(n=122)的受访者使用了与求助热线的直接链接。这与对照组的受访者没有显着差异(144/403,35.7%;比值比0.87,95%CI0.64-1.18,P=.38)。然而,接受BRI的受访者在自我报告的稍后时间点联系求助热线的可能性(B=0.22,95%CI0.12-0.32,P≤.001)和对自我测试的满意度(B=0.27,95%CI0.01-0.53,P=.04)方面得分较高.特别是对于男性和中年受访者,结果与全组相当.
■该试验是求助热线首次能够与不愿联系求助热线的高风险网站访问者联系。尽管BRI无法确保这些受访者在审判结束时立即使用与求助热线的直接链接,令人鼓舞的是,受访者表示他们更有可能在稍后的时间点联系求助热线。此外,这种低成本的干预措施使人们对所感知的服务障碍有了更深入的了解。后续研究应侧重于确定其他组件的附加值(例如,视频或照片材料)在BRI中,并提高其有效性,尤其是男性和中年人。
UNASSIGNED: Every month, around 3800 people complete an anonymous self-test for suicidal thoughts on the website of the Dutch suicide prevention helpline. Although 70% score high on the severity of suicidal thoughts, <10% navigate to the web page about contacting the helpline.
UNASSIGNED: This study aimed to test the effectiveness of a brief barrier reduction intervention (BRI) in motivating people with severe suicidal thoughts to contact the suicide prevention helpline, specifically in high-risk groups such as men and middle-aged people.
UNASSIGNED: We conducted a fully automated, web-based, randomized controlled trial. Respondents with severe suicidal thoughts and little motivation to contact the helpline were randomly allocated either to a brief BRI, in which they received a short, tailored message based on their self-reported barrier to the helpline (n=610), or a general advisory text (care as usual as the control group: n=612). Effectiveness was evaluated using both behavioral and attitudinal measurements. The primary outcome measure was the use of a direct link to contact the helpline after completing the intervention or control condition. Secondary outcomes were the self-reported likelihood of contacting the helpline and satisfaction with the received self-test.
UNASSIGNED: In total, 2124 website visitors completed the Suicidal Ideation Attributes Scale and the demographic questions in the entry screening questionnaire. Among them, 1222 were randomized into the intervention or control group. Eventually, 772 respondents completed the randomized controlled trial (intervention group: n=369; control group: n=403). The most selected barrier in both groups was \"I don\'t think that my problems are serious enough.\" At the end of the trial, 33.1% (n=122) of the respondents in the intervention group used the direct link to the helpline. This was not significantly different from the respondents in the control group (144/403, 35.7%; odds ratio 0.87, 95% CI 0.64-1.18, P=.38). However, the respondents who received the BRI did score higher on their self-reported likelihood of contacting the helpline at a later point in time (B=0.22, 95% CI 0.12-0.32, P≤.001) and on satisfaction with the self-test (B=0.27, 95% CI 0.01-0.53, P=.04). For male and middle-aged respondents specifically, the results were comparable to that of the whole group.
UNASSIGNED: This trial was the first time the helpline was able to connect with high-risk website visitors who were hesitant to contact the helpline. Although the BRI could not ensure that those respondents immediately used the direct link to the helpline at the end of the trial, it is encouraging that respondents indicated that they were more likely to contact the helpline at a later point in time. In addition, this low-cost intervention provided greater insight into the perceived barriers to service. Follow-up research should be focused on identifying the added value of other components (eg, video or photo material) in the BRI and increasing its effectiveness, especially for men and middle-aged people.