Kirsten Pauwels, Eva De Jaegere, Patrick Vanderreydt, Silke Aerts, Eva Vande Gaer, Gwendolyn Portzky
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引用次数: 0
Abstract
Objective: 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.
Methods: 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).
Results: 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.
Conclusions: 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.
目的：全球范围内的帮助热线被认为是预防自杀策略的重要组成部分。然而，有关预防自杀求助热线对其用户自杀倾向的影响的证据仍然有限，而且经常遇到方法问题。本研究旨在评估危机呼叫对呼叫者危机感和自杀倾向水平的影响，包括呼叫后的即时影响以及与呼叫前相比的后续影响。通话结束后，还评估了来电者对干预措施的满意度：方法： 通过电话系统自动生成的一项事前事后研究，比较来电者在通话前、通话后和随访时（通话后一至两周）所经历的危机和自杀程度（通过五项指标进行操作：绝望、困顿、可控性、自杀意向和社会支持）：与呼叫前相比，呼叫者（n = 487）在呼叫后的危机感（p d = -0.31）、绝望感（p d = -0.22）、束缚感（p d = -0.25）、自杀意向（p d = -0.37）和社会支持（p d = 0.33）方面均有明显改善。与测试前相比，随访结果也有所改善。来电者对求助热线的满意度很高：这项研究补充了有关预防自杀帮助热线的越来越多的证据，并解决了帮助热线研究中一些重要的方法问题。此外，该研究还显示了帮助热线对有自杀倾向的求助者可能产生的支持性影响。
期刊介绍：
Archives of Suicide Research, the official journal of the International Academy of Suicide Research (IASR), is the international journal in the field of suicidology. The journal features original, refereed contributions on the study of suicide, suicidal behavior, its causes and effects, and techniques for prevention. The journal incorporates research-based and theoretical articles contributed by a diverse range of authors interested in investigating the biological, pharmacological, psychiatric, psychological, and sociological aspects of suicide.
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