Arch Suicide Res. 2023 Jul-Sep;27(3):922-937. doi: 10.1080/13811118.2022.2084005. Epub 2022 Jun 15.
The aim of this study was to: (1) determine the proportion of callers to a national helpline for suicide prevention who were evaluated to be at risk of suicide; (2) identify characteristics associated with being at risk; (3) determine the level of suicidal ideation among callers, as measured by a clinical scale, and compared to the general population.
Data on all calls answered at the Danish helpline for suicide prevention during 2018-2019 were analyzed. These consisted of socio-demographic covariates and items related to suicidality, including the Suicidal Ideation Attribute Scale (SIDAS). Data on SIDAS for the general population derived from a survey. Being at risk of suicide, as evaluated by the counselors, was examined as outcome in adjusted logistic regressions.
Among 42,393 answered calls, 24,933 (59%) related to personal concerns. Of these, 47% and 14% of callers, respectively, had suicidal thoughts and concrete suicidal plans, while 53% were evaluated to be at risk. Higher risks were found when issues related to self-harm, mental health problems, eating disorders, incest, physical health problems, substance abuse, or sexual assault were mentioned. In all 37% of callers who were administered the SIDAS scale were evaluated to be at high risk of suicide compared to 1.5% in the general population.
A substantial share of callers to a national helpline for suicide prevention were evaluated to be at risk of suicide, also when using a clinical scale. This emphasizes the potential for counselors to prevent suicidal behavior.HighlightsMore than half of callers reaching out to the helpline were evaluated to be at risk of suicide, and 37% were identified as being at high risk using SIDAS, a clinical scale.Being woman, of younger age, having a history of previous suicide attempt as well as experiencing problems related to self-harm, mental disorders, sexual assault, substance abuse, and physical health problems was associated with risk of suicide, as evaluated by counselors.This seemingly is the first study to compare clinical scores of helpline callers to those of the general population and significantly higher levels of suicidal ideation were found among helpline callers.
本研究旨在：（1）确定拨打全国自杀预防热线的求助者中被评估为有自杀风险的比例；（2）确定与风险相关的特征；（3）通过临床量表衡量求助者的自杀意念程度，并与一般人群进行比较。
分析了 2018-2019 年丹麦自杀预防热线接听的所有来电的社会人口统计学协变量和与自杀相关的项目，包括自杀意念属性量表（SIDAS）。一般人群的 SIDAS 数据来自一项调查。经顾问评估有自杀风险的情况作为调整后的逻辑回归中的结果进行检验。
在 42393 个接听的电话中，有 24933 个（59%）与个人问题有关。其中，分别有 47%和 14%的来电者有自杀念头和具体自杀计划，而 53%的人被评估为有风险。当提到与自残、心理健康问题、饮食失调、乱伦、身体健康问题、药物滥用或性侵犯有关的问题时，风险更高。在所有接受 SIDAS 量表评估的来电者中，有 37%被评估为有自杀高风险，而一般人群中只有 1.5%。
拨打全国自杀预防热线的求助者中，相当大比例的人被评估为有自杀风险，即使使用临床量表也是如此。这强调了顾问在预防自杀行为方面的潜力。
