Sercombe Jayden, Devine Emma K, Deady Mark, Mills Katherine L
The Matilda Centre for Research in Mental Health and Substance Use, The University of Sydney, NSW, Australia.
Faculty of Medicine and Health, The Black Dog Institute, The University of New South Wales, Sydney, NSW, Australia.
Crisis. 2025 Jan;46(1):32-41. doi: 10.1027/0227-5910/a000985. Epub 2024 Dec 11.
Crisis supporters can experience numerous stressors in their role that can impact their own mental well-being. The area remains underexplored in research, particularly relating to substance use, and new trends in the role such as working remotely or the impact of providing chat-based support. This study identifies crisis support-related stressors, as well as levels of mental well-being and substance use, and factors associated with mental well-being. Participants ( = 422) were recruited from four leading crisis support services and via social media advertising. They responded to an online survey, assessing demographics, stressors, mental well-being (compassion fatigue, compassion satisfaction, and psychological distress), substance use, and coping styles. Findings identified several important stressors (e.g., argumentative callers) and moderate to high rates of compassion fatigue and psychological distress. High levels of compassion satisfaction were reported, and levels of risky substance use were low. Problem-focused coping emerged as a key factor related to positive mental well-being, while emotion-focused, avoidant coping, remote work, and providing chat-based support were linked to negative well-being. The study's cross-sectional design and convenience sample limit causal inferences and generalizability. The findings reveal significant stressors and challenges in crisis supporters that require consideration and intervention.
危机支持工作者在其工作角色中可能会经历众多压力源,这些压力源会影响他们自身的心理健康。该领域在研究中仍未得到充分探索,尤其是与物质使用相关的方面,以及该角色的新趋势,如远程工作或提供基于聊天的支持的影响。本研究确定了与危机支持相关的压力源,以及心理健康水平和物质使用情况,以及与心理健康相关的因素。参与者(n = 422)从四个主要的危机支持服务机构以及通过社交媒体广告招募而来。他们对一项在线调查做出回应,该调查评估人口统计学特征、压力源、心理健康(同情疲劳、同情满足和心理困扰)、物质使用和应对方式。研究结果确定了几个重要的压力源(例如,爱争论的来电者)以及中度到高度的同情疲劳和心理困扰发生率。报告显示同情满足水平较高,危险物质使用水平较低。以问题为中心的应对方式成为与积极心理健康相关的关键因素,而以情绪为中心、回避型应对方式、远程工作以及提供基于聊天的支持则与消极心理健康相关。该研究的横断面设计和便利样本限制了因果推断和普遍性。研究结果揭示了危机支持工作者面临的重大压力源和挑战,需要加以考虑和干预。