Goldman Matthew L, Elser Andrea, Yeh Hsueh-Han, McDaniel Megan, Ma Lisiyu, Ahmedani Brian K, Foster Ashley A
Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle (Goldman); Keck School of Medicine, University of Southern California, Los Angeles (Elser); Center for Health Policy and Health Services Research, Henry Ford Health, Detroit (Yeh, Ma, Ahmedani); Department of Psychology, University of Wisconsin, Madison (McDaniel); Department of Emergency Medicine, University of California San Francisco, San Francisco (Foster).
Psychiatr Serv. 2025 Jan 10:appips20240050. doi: 10.1176/appi.ps.20240050.
This study aimed to describe the characteristics of callers to a statewide mental health crisis line who were transferred to 911 (active rescue).
This retrospective cohort study examined mental health crisis line calls transferred to active rescue (N=3,538 calls; N=3,132 unique callers) from the Georgia Crisis and Access Line (2016-2018). Chi-square analyses and t tests were used to examine descriptive differences between caller characteristics and call features.
Of crisis line callers with a contact that resulted in active rescue, 53% were male, and 53% were Black. Youth callers represented 11% of all rescue calls; 74% of these callers had Medicaid. Active rescue most frequently occurred because of a danger to oneself (58%). Reasons for active rescue differed by race (p<0.001).
Most crisis calls resulting in active rescue occurred because of concern about self-harm. Demographic differences by reason for active rescue reveal gaps in the understanding of crisis care delivery.
本研究旨在描述转接到911（紧急救援）的全州心理健康危机热线来电者的特征。
这项回顾性队列研究调查了从佐治亚州危机与接入热线（2016 - 2018年）转接到紧急救援的心理健康危机热线来电（N = 3538个来电；N = 3132名不同来电者）。采用卡方分析和t检验来检验来电者特征与来电特征之间的描述性差异。
在导致紧急救援的危机热线来电者中，53%为男性，53%为黑人。青少年来电者占所有救援来电的11%；其中74%的来电者有医疗补助。紧急救援最常发生的原因是对自身造成危险（58%）。紧急救援的原因因种族而异（p < 0.001）。
大多数导致紧急救援的危机来电是由于对自我伤害的担忧。紧急救援原因的人口统计学差异揭示了在危机护理服务理解方面的差距。
