危机热线自杀预防服务中的后续护理提议和接受情况。

Crisis Pub Date : 2024-09-10 DOI:10.1027/0227-5910/a000970
Anthony Fulginiti,Megan Doyle,Stephen Miller,Sae Lee,Fred J Pasquarella
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引用次数: 0

摘要

背景:以前的研究曾探讨过危机热线中后续电话的影响,但还没有研究调查过后续护理的提供和接受情况。目的:确定与是否提供和接受后续服务相关的呼叫者/呼叫特征。研究方法这项横断面研究纳入了 2017 年至 2019 年期间拨打 988 自杀与危机生命热线(988)成员中心的 55594 位呼叫者的数据。研究人员进行了逻辑回归分析,以考察呼叫者/呼叫特征与两个后续结果之间的关联。结果显示黑人来电者以及自杀能力和自杀意图较强的来电者被提供并接受随访的几率更大。通话时间较长也与被提供和接受随访的几率较高有关。自杀意愿较高的来电者接受建议的几率会增加,而缓冲水平较高的来电者接受建议的几率会降低。局限性:数据收集自一个由 988 名成员组成的中心,不能一概而论。结论:三分之一的来电者不接受后续服务,这凸显了了解不接受后续服务原因的必要性。令人欣慰的是,风险较高的来电者接受随访的比例较高,这也强调了为风险较高的来电者量身定制随访干预措施的益处。
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Follow-Up Care Offers and Acceptance in Crisis Line Suicide Prevention Services.
Background: Prior work has explored the impact of follow-up calls in a crisis line context, but no research has investigated the offer and acceptance of follow-up care. Aims: To identify caller/call characteristics associated with whether a caller is offered and accepts follow-up services. Methods: This cross-sectional study included data from 55,594 callers to a member center of the 988 Suicide & Crisis Lifeline (988) between 2017 and 2019. Logistic regression analyses were conducted to examine associations between caller/call characteristics and two follow-up outcomes. Results: Black callers and those with higher suicide capability and intent had greater odds of being offered and accepting follow-up. Longer call duration was also associated with higher odds of being offered and accepting follow-up. Higher suicidal desire uniquely increased the odds of offers, whereas a higher level of buffers uniquely decreased the odds of offers. Limitations: Data were collected from a single 988-member center and cannot be generalized. Conclusions: That one-third of callers do not accept follow-up highlights the need to understand reasons for not accepting follow-up. That callers with higher risk profiles are offered and accept follow-up at higher rates is reassuring and underscores the benefit of tailoring follow-up interventions for higher-risk callers.
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