Meilman P W, Hacker D S, Kraus-Zeilmann D
Counseling Center, College of William and Mary, Williamsburg, VA 23187-8795.
J Am Coll Health. 1993 Nov;42(3):105-9. doi: 10.1080/07448481.1993.9940824.
Over the course of 1 calendar year, clinicians at a university mental health service collected data on every clinical case in which students presented after normal business hours or on weekends for urgent mental health consultation. During the year, 50 such incidents were recorded, which translated to a rate of 6.6 on-call events per year per 1,000 students. Students were primarily self-referred or referred by the student health center or residence life staff. Suicidal concerns, panic/anxiety, and depressive states were the three most common presenting complaints. Average clinician time per case was 1 1/2 hours, with sexual assault cases taking the most time per case, followed by substance abuse and suicidality. Follow-up outpatient counseling was employed in 76% of the cases. The results highlight the importance of on-call mental health services on college campuses.
在一个日历年度内,一所大学心理健康服务机构的临床医生收集了所有学生在正常工作时间之后或周末前来进行紧急心理健康咨询的临床案例数据。在这一年里,共记录了50起此类事件,换算后每1000名学生每年的随叫随到事件发生率为6.6起。学生主要是自我转诊,或由学生健康中心或住宿生活工作人员转诊。自杀相关问题、恐慌/焦虑和抑郁状态是最常见的三种就诊主诉。每个案例平均临床医生用时为1.5小时,性侵犯案例每个用时最长,其次是药物滥用和自杀相关案例。76%的案例采用了后续门诊咨询。结果凸显了大学校园随叫随到心理健康服务的重要性。