摘要
目的:分析厦门市心理危机干预热线来电者在不同人群中的分布特征及主要咨询问题。方法:将2009年3月至2011年2月的咨询来电,按照咨询的内容归为5类(家庭问题、恋爱与人际关系问题、工作学习和经济问题、精神疾病问题、其他生活事件),并分别按照性别、职业、年龄、受教育程度和婚姻状况对不同咨询内容进行分组分析;采用单因素和多因素logistic回归分析有无自杀危险因素来电者的相关因素。结果:具有完整信息的首次咨询来电共计1262例,其中家庭问题402例,精神疾病问题327例,恋爱和人际关系问题309例,工作学习和经济问题125例,其他生活事件99例。不同性别、职业、年龄、受教育程度和婚姻状况的咨询问题分布差异均有统计学意义(P<0.05)。男性主要咨询精神疾病问题,女性主要咨询家庭问题;学生主要咨询恋爱和人际关系问题;年龄<18岁人群主要咨询工作学习和经济问题,18～35岁人群主要咨询恋爱和人际关系问题,36～55岁人群主要咨询家庭问题,≥56岁人群主要咨询精神疾病问题;高中或中专及以下、现婚和离异或丧偶人群主要咨询家庭问题。单因素logistic回归分析显示,有自杀危险因素咨询来电多为女性、有职业人群、18～35岁者和现婚人群;多因素logistic回归分析显示职业和婚姻状况为独立的危险因素,有职业人群、离异或丧偶人群出现自杀的可能性更大。结论:咨询内容与咨询者性别、年龄、职业、受教育程度和婚姻状况等因素有关,提示咨询员须具备良好的知识以及需要重点关注因职业或婚姻状况所引发精神疾病问题的人群。
Objective： To analyze the different population distribution characteristics of the consulting issues in Xiamen psychological crisis intervention hotline. Methods： The incoming calls from March 1 st, 2009 to February 28th, 2011 were classified into different groups according to consultation issues and analyzed based on gender, occu pation, age, education level and marital status. The related factors of consulting calls with or without suicide risk fac tors were analyzed. Results： There were 1262 effective consultation incoming calls in total which were classified in to 5 sorts of problems, including family issues 402 cases, mental problems 327 cases, relationship problems 309 ca ses, working, learning and financing issues 125 cases, and other life events 99 cases. There were significant differ ences among gender, occupation, age, education level and marital status in distribution of consulting problems （ Ps 〈 0. 05）. Male mainly consulted the mental problems, female mainly consulted the family issue, and students mainly consulted relationship problems. The group aged less than 18 years old mainly consulted working, learning and fi nancing issues, the group aged 18 35 years mainly consulted relationship problems, the group aged 36 55 yearsmainly consulted family issues, and the group I〉56 years mainly consulted mental problems. The cases with educa tion level of high school or secondary technical school and below, and those current married, divorced, and widowed mainly consulted family issues. The logistic regression showed that the incoming calls with suicide risk were mostly in females, persons having jobs or aged 18 35 years. Multivariate logistic regression showed that the divorced or widowed group were more likely to commit suicide （ OR = 1.87）. Conclusion： It suggests that the consulting prob lems are related to the sex, age, occupation, education and marital status of the incoming callers, and crisis interven tion hotline consultants should have a good knowledge and pay more attention on mental illness population due to occupation or marital problems.
出处
《中国心理卫生杂志》
CSSCI
CSCD
北大核心
2012年第4期278-282,共5页
Chinese Mental Health Journal
关键词
心理热线
厦门
横断面调查
psychological hotline
Xiamen
cross-sectional studies
