Division of Child and Adolescent Psychiatry, College of Physicians & Surgeons, Columbia University, New York, NY, USA; Department of Epidemiology, School of Public Health, New York State Psychiatric Institute, New York, NY, USA.
Suicide Life Threat Behav. 2013 Dec;43(6):676-91. doi: 10.1111/sltb.12049. Epub 2013 Jul 25.
We examined the impact of the implementation of Applied Suicide Intervention Skills Training (ASIST) across the National Suicide Prevention Lifeline's national network of crisis hotlines. Data were derived from 1,507 monitored calls from 1,410 suicidal individuals to 17 Lifeline centers in 2008-2009. Callers were significantly more likely to feel less depressed, less suicidal, less overwhelmed, and more hopeful by the end of calls handled by ASIST-trained counselors. Few significant changes in ASIST-trained counselors' interventions emerged; however, improvements in callers' outcomes were linked to ASIST-related counselor interventions, including exploring reasons for living and informal support contacts. ASIST training did not yield more comprehensive suicide risk assessments.
我们考察了 Applied Suicide Intervention Skills Training（ASIST）在全国自杀预防生命线全国危机热线网络中的实施效果。数据来自于 2008 年至 2009 年间 17 个生命线中心的 1507 个监测电话，这些电话来自于 1410 名有自杀倾向的个体。经过 ASIST 培训的咨询师接听的电话，来电者在通话结束时更有可能感到抑郁减轻、自杀意念减轻、压力减轻和更有希望。ASIST 培训的咨询师的干预措施几乎没有出现显著变化；然而，来电者的结果改善与 ASIST 相关的咨询师干预措施有关，包括探索生存的理由和非正式支持联系人。ASIST 培训并未产生更全面的自杀风险评估。
