| Zhao Liting,Li Chunling,Wu Mengjie,Tong Yongsheng,Comparisons of characteristics of adult and juvenile callers at high risk for suicide from psychological assistance hotline and the influencing factors of intervention effect[J].SICHUAN MENTAL HEALTH,2023,36(2):104-110 |
| Comparisons of characteristics of adult and juvenile callers at high risk for suicide from psychological assistance hotline and the influencing factors of intervention effect |
DOI：10.11886/scjsws20221130001 |
| English keywords:Suicide Juvenile Socio-psychological characteristics Intervention effectiveness Psychological assistance hotline |
| Fund projects:北京市医院管理中心临床医学发展专项经费（项目名称：心理危机干预，项目编号：ZYLX202130）；北京市医院管理中心“登峰”计划专项经费资助的课题（项目编号：DFL20221701）；北京回龙观医院青年科研基金（项目名称：热线自杀高危来电干预技术方案的制定及队伍体系建设，项目编号：LY202211） |
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| Objective To compare the characteristics of adult and juvenile callers at high risk of suicide from psychological assistance hotline， to screen factors influencing the crisis intervention effect， so as to develop specific intervention programs for different age groups on psychological assistance hotline.Methods From January 2021 to June 2021， a total of 2 229 callers at high risk for suicide were recruited from Beijing psychological assistance hotline. The selected individuals were divided into adult group （n=1 344） and juvenile group （n=885）. Callers were interviewed by the hotline operators. Their general information， suicidal ideation， socio-psychological characteristics and chief complaints were recorded and compared between two groups. Before and after hotline crisis interventions， psychological distress， suicidal ideation intensity and hope level of the callers were assessed， and the improvements in the three assessed dimensions were compared between two groups. Then Logistic regression was adopted to compare the crisis intervention effects on three dimensions and their associated factors.Results Compared with adult group， juvenile group reported higher rates of family relationship problems， learning problems， history of suicide attempts and fear of assault， with statistically significant differences （χ2=55.604， 24.706， 41.944， 106.527， P<0.01）. After hotline crisis intervention， the proportion of callers with increased level of hope was larger in juvenile group than that in adult group （42.74% vs. 30.97%， χ2=26.042， P<0.01）. Multivariate Logistic regression analysis showed that the chances of improvement in psychological distress for major depressive disorder （OR=0.650， 95% CI： 0.510~0.827）， the chances of improvement in the level of hope for those with substance dependents （OR=0.550， 95% CI： 0.327~0.926）， and the chances of improvement in the intensity of suicidal ideation for those with stressful life events （OR=0.565， 95% CI： 0.328~0.973） were all higher in juvenile group than those in adult group after crisis intervention.Conclusion Among the callers at high risk for suicide from psychological assistance hotline， adult callers are more concerned about extra-familial relationships， work and economic problems， while juvenile callers are more concerned about family relationship and learning problems. Furthermore， the effect of crisis intervention in juvenile callers is less affected by major depressive disorder， substance use problems and stressful life events. |
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