危机文本服务在有自杀念头的年轻成年人中使用:调查研究的发现
Kate LaForge1, Hannah Szlyk2, Matthew L Goldman3
1Center to Improve Veteran Involvement in Care (CIVIC), VA Portland Healthcare System, Portland, Oregon.
概括
年轻人使用危机短信服务 (CTS) 进行自杀念头 (SI) 支持. 对个性化,可访问性和响应时间的改进可以提高CTS对这一群体的有效性.
科学领域:
- 公共卫生 公共卫生
- 心理健康服务研究 心理健康服务研究
- 数字健康数字健康
背景情况:
- 自杀仍然是年轻成年人 (18-25岁) 中的一个关键公共卫生问题.
- 危机文本服务 (CTS) 越来越多地被年轻人所使用,这些年轻人经历了自杀念头 (SI).
- 了解用户的特点和偏好对于优化年轻人使用CTS至关重要.
研究的目的:
- 确定与年轻成年人使用CTS用于SI相关的人口和临床特征.
- 探索阻止年轻人使用CTS的障碍.
- 收集用户为CTS提出的改进建议.
主要方法:
- 在118名有SI史的年轻成年人中进行了在线横截面调查.
- 使用描述性统计和千平方测试进行定量分析.
- 用户反的定性内容分析.
主要成果:
- CTS使用与女性性别,少数性取向,心理健康提供者使用和先前因SI入院有关.
- 常见的障碍包括感知到的无效,尬,以及对独立解决问题的渴望.
- 发短信的人希望更温暖,更有效,更个性化的互动,更好的可用性和量身定制的辅导员培训.
结论:
- 年轻人使用CTS,通常与其他支持系统一起使用.
- 通过改进可访问性和个性化,有机会提高CTS的实用性和影响.
- 文化敏感和量身定制的支持可以更好地服务于经历SI的多元年轻人.
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