高风险的精神病学和社会人口学特征预测了大学生使用交互式查程序寻求转诊的情况
Ashley M Witmer1, Carlos Aguirre2, Susanna Lewis3
1Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Journal of affective disorders
|February 18, 2026
概括
具有更高风险的心理健康需求的大学生,如最近的自伤或自杀想法,更有可能寻求护理转诊. 然而,存在差异,性别queer和西班牙裔/拉丁裔学生不太可能寻求这些关键的心理健康服务.
科学领域:
- 精神病学和行为科学
- 高等教育 心理健康 心理健康
- 数字心理健康干预措施 数字心理健康干预措施
背景情况:
- 大学生面临着重大的心理健康挑战,需要可访问的支持系统.
- 美国预防自杀基金会的互动查计划 (ISP) 提供了一个数字通道到心理健康护理.
- 了解影响推寻求因素对于优化学生心理健康服务至关重要.
研究的目的:
- 确定在大学生中寻求心理健康护理转诊的社会人口统计和精神病学预测因素.
- 评估ISP在将有风险的学生连接到心理健康服务方面的有效性.
- 调查大学生人口中寻求推行为的潜在差异.
主要方法:
- 分析了来自58所机构的63,407名大学生 (2009-2024) 的数据.
- 利用自然语言处理 (NLP) 来分类在线学生-辅导员交互以寻求推.
- 采用后勤回归模型来检查学生特征和推获取之间的关联.
主要成果:
- 较高的PHQ-9分数 (≥10),最近的自我伤害,自杀念头,之前的自杀企图,以及没有接受治疗预测了转诊寻求的增加.
- 年龄较大的学生 (25岁以上) 更有可能寻求推.
- 认为自己是性别queer,西班牙裔/拉丁裔或其他种族/种族的学生不太可能寻求推.
结论:
- 提供服务提供商有效地将有重大心理健康需求的学生与护理联系起来,弥合了服务可访问性的差距.
- 精神病的严重程度和某些社会人口统计学因素显著影响寻求心理健康转诊的可能性.
- 鉴定到的差异凸显了有针对性的干预措施的必要性,以鼓励代表性不足的学生群体寻求帮助.
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