厦门心理援助热线重复来电求助者的特征  

The characteristics of frequent callers of Xiamen psychological aids hotline

作　　者：刘发荣 吴素英 廖震华 董学体 季建林 

机构地区：[1]厦门市仙岳医院心理科,厦门361012 [2]复旦大学附属中山医院心理科

出　　处：《中国神经精神疾病杂志》2017年第8期475-479,共5页Chinese Journal of Nervous and Mental Diseases

基　　金：厦门市科技局科技计划项目(编号:3502Z20144056)

摘　　要：目的分析厦门心理援助热线重复来电求助者的特征及相关因素。方法选取厦门心理援助热线2010年9月至2015年8月全部有效来电,将8397例曾有单次或多次拨打热线的来电者纳入分析。咨询过程中,咨询师获取来电者的社会人口学特征和咨询的主要问题,评估来电者自杀意念或行为、抑郁情绪和其他精神症状等12个自杀相关因素。结果 8397例来电者中,重复来电者有1304例(15.5%)。重复来电求助者在恋爱人际交往问题、学习问题、精神疾病问题比例高于单次来电者。控制社会人口学因素后,有自杀意念或行为(OR=1.417,95%CI:1.083~1.853)、有自杀未遂既往史(OR=1.453,95%CI:1.058~1.996)、有严重躯体疾病(OR=1.909,95%CI:1.188~3.065)是来电者出现重复来电的危险因素。结论热线咨询师对有重复来电的求助者特别要注意评估其是否有自杀意念或行为、既往自杀未遂和严重躯体疾病等特征,以便更有效地为来电者提供帮助。Objective To characterize hotline callers and related factors in Xiamen psychological aids hotline.Methods The data of 8397 callers who had used hotline were recruited from September 2010 to August 2015. During the calling, the callers were interviewed on their demographic characteristics, main counseling problems and suicidal related factors. Results Among the 8397 callers, 1304（15.5%） were frequent callers. Frequent callers had a high proportion of love and interpersonal problems, learning problems, mental illness problems. After adjusted for demographic characteristics, suicidal ideation or behavior（OR =1.417, 95% CI：1.083 -1.853）, prior suicidal behavior 2 weeks before calling（OR=1.453, 95%CI：1.058-1.996）, symptoms of mental illness（OR=1.909, 95%CI：1.188-3.065） were associated with repeated calls among hotline caller. Conclusion Counselor should pay attention to the suicidal related factors in psychological aids hotline to provide better service for hotline caller.

关 键 词：心理援助热线 重复 自杀危险 特征 

分 类 号：R749[医药卫生—神经病学与精神病学]