Demographic and Clinical Characteristics of Mental Health Crisis Line Callers Who Were Transferred to 911.

IF 3.3 3区医学 Q1 HEALTH POLICY & SERVICES Psychiatric services Pub Date : 2025-01-10 DOI:10.1176/appi.ps.20240050

Matthew L Goldman, Andrea Elser, Hsueh-Han Yeh, Megan McDaniel, Lisiyu Ma, Brian K Ahmedani, Ashley A Foster

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Abstract

Objective: This study aimed to describe the characteristics of callers to a statewide mental health crisis line who were transferred to 911 (active rescue).

Methods: This retrospective cohort study examined mental health crisis line calls transferred to active rescue (N=3,538 calls; N=3,132 unique callers) from the Georgia Crisis and Access Line (2016-2018). Chi-square analyses and t tests were used to examine descriptive differences between caller characteristics and call features.

Results: Of crisis line callers with a contact that resulted in active rescue, 53% were male, and 53% were Black. Youth callers represented 11% of all rescue calls; 74% of these callers had Medicaid. Active rescue most frequently occurred because of a danger to oneself (58%). Reasons for active rescue differed by race (p<0.001).

Conclusions: Most crisis calls resulting in active rescue occurred because of concern about self-harm. Demographic differences by reason for active rescue reveal gaps in the understanding of crisis care delivery.

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转到911的心理健康危机热线呼叫者的人口学和临床特征

目的：本研究旨在描述州范围内转入911（主动救援）的心理健康危机热线呼叫者的特征。方法：本回顾性队列研究调查了转入主动救援的心理健康危机热线电话(N=3,538；N= 3132唯一呼叫者)来自格鲁吉亚危机和访问热线（2016-2018）。卡方分析和t检验用于检验呼叫者特征和呼叫者特征之间的描述性差异。结果：在有主动救援联系的危机热线呼叫者中，53%是男性，53%是黑人。青年呼叫者占所有救援电话的11%；其中74%的人有医疗补助。主动救援最常见的原因是自身有危险（58%）。结论：导致主动救援的危机呼叫大多是由于担心自我伤害而发生的。由于积极救援的原因，人口统计学差异揭示了对危机护理交付的理解差距。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psychiatric services 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.80

自引率

7.90%

发文量

295

审稿时长

3-8 weeks

期刊介绍： Psychiatric Services, established in 1950, is published monthly by the American Psychiatric Association. The peer-reviewed journal features research reports on issues related to the delivery of mental health services, especially for people with serious mental illness in community-based treatment programs. Long known as an interdisciplinary journal, Psychiatric Services recognizes that provision of high-quality care involves collaboration among a variety of professionals, frequently working as a team. Authors of research reports published in the journal include psychiatrists, psychologists, pharmacists, nurses, social workers, drug and alcohol treatment counselors, economists, policy analysts, and professionals in related systems such as criminal justice and welfare systems. In the mental health field, the current focus on patient-centered, recovery-oriented care and on dissemination of evidence-based practices is transforming service delivery systems at all levels. Research published in Psychiatric Services contributes to this transformation.