위기상담전화에서의 상담유지요인에 대한 연구
Factors Associated with an Adherence to Counseling in Telephone Crisis Hotline
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Objectives：In many countries, suicide attempt is one of the main reasons for emergency hospitalization of young people, putting a heavy burden on health care systems. Telephone crisis hotlines have been operated worldwide for a purpose of suicide prevention programs. The aim of this study was to investigate variables affecting adherence to suicide counseling among callers using telephone crisis hotline. Methods：Our study included 1,029 subjects who contacted telephone crisis hotlines at Daegu Metropolitan Mental Health Center in South Korea. Subjects were asked a series of questionnaires covering sociodemographic and clinical characteristics during first call session. Helpers used Crisis Triage Rating Scale(CTRS) to assess the immediate risk. During next 1-year follow up, the number of follow-up calls after first contact was measured. Subjects who called more than once were designated as a maintenance group. We performed chi-square test and binary logistic regression analysis to investigate variables affecting counseling maintenance. Results：From the initial 1,029 subjects, 570 callers(55.4%) called more than once after their first contact. Marital status(OR=2.470), psychiatric treatment history(OR=1.525) and CTRS score(ORHigh,Low=3.310), (ORModerate,Low=2.623) were significantly associated with the counseling maintenance. Conclusion：This study revealed that callers who were divorced, separated or widowed, who had previous psychiatric intervention history and who were assigned to higher risk CTRS group showed better adherence to telephone counseling. We can use these findings for the development of more useful suicide prevention program by trying to increase adherence, especially for unmarried people and those who have no history of psychiatric treatment.
Abstract
Objectives：In many countries, suicide attempt is one of the main reasons for emergency hospitalization of young people, putting a heavy burden on health care systems. Telephone crisis hotlines have been operated worldwide for a purpose of suicide prevention programs. The aim of this study was to investigate variables affecting adherence to suicide counseling among callers using telephone crisis hotline. Methods：Our study included 1,029 subjects who contacted telephone crisis hotlines at Daegu Metropolitan Mental Health Center in South Korea. Subjects were asked a series of questionnaires covering sociodemographic and clinical characteristics during first call session. Helpers used Crisis Triage Rating Scale(CTRS) to assess the immediate risk. During next 1-year follow up, the number of follow-up calls after first contact was measured. Subjects who called more than once were designated as a maintenance group. We performed chi-square test and binary logistic regression analysis to investigate variables affecting counseling maintenance. Results：From the initial 1,029 subjects, 570 callers(55.4%) called more than once after their first contact. Marital status(OR=2.470), psychiatric treatment history(OR=1.525) and CTRS score(ORHigh,Low=3.310), (ORModerate,Low=2.623) were significantly associated with the counseling maintenance. Conclusion：This study revealed that callers who were divorced, separated or widowed, who had previous psychiatric intervention history and who were assigned to higher risk CTRS group showed better adherence to telephone counseling. We can use these findings for the development of more useful suicide prevention program by trying to increase adherence, especially for unmarried people and those who have no history of psychiatric treatment.
참고문헌 (27)
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