Neimeyer R A, Pfeiffer A M
Department of Psychology, Memphis State University, TN 38152.
Death Stud. 1994 Mar-Apr;18(2):131-66. doi: 10.1080/07481189408252648.
Considering the prevalence of suicide and other forms of self-injurious behavior, it is ironic that relatively little attention has been paid to the training of mental health workers in suicide intervention. Still less effort has been spent in evaluating the effectiveness of such workers or the agencies in which they serve. We review the evaluation strategies that have been used to assess the process and outcome of suicide intervention, ranging from macroanalyses of the impact of crisis services on suicide rates in the community to microanalyses of the competence of individual suicide interventionists. Particular attention is paid to the Suicide Intervention Response Inventory, a self-administered test of suicide counseling skills whose validity, reliability, and practical utility suggest the benefit of its use in a broader range of research and applied settings. The advantages and disadvantages of each evaluation strategy are discussed, and guidelines are offered for the sophistication of future research and program evaluation efforts.
鉴于自杀及其他形式的自我伤害行为的普遍存在，具有讽刺意味的是，心理健康工作者在自杀干预方面的培训却相对很少受到关注。在评估这些工作者或他们所服务机构的有效性方面所投入的精力更少。我们回顾了用于评估自杀干预过程和结果的评估策略，范围从对危机服务对社区自杀率影响的宏观分析到对个体自杀干预者能力的微观分析。特别关注了《自杀干预反应量表》，这是一种对自杀咨询技能的自我评估测试，其有效性、可靠性和实际效用表明它在更广泛的研究和应用环境中使用是有益的。讨论了每种评估策略的优缺点，并为未来研究和项目评估工作的完善提供了指导方针。
