TY -的盟Iorfino弗兰克AU -达文波特,特蕾西盟——Ospina-Pinillos,劳拉盟——Hermens丹尼尔F AU -十字架,巴蒂尔非盟-伯恩斯,简非盟- Hickie,伊恩·B PY - 2017 DA - 2017/07/12 TI -使用新的和新兴的技术来识别和应对自杀求助年轻人:一个横断面研究乔- J地中海互联网Res SP - e247六世- 19 - 7 KW -自杀意念KW -心理健康KW -初级卫生保健KW -远程医疗KW -卫生服务AB -背景:在接受面对面和在线心理健康服务的年轻人中，自杀的想法很常见。早期发现并迅速应对这些自杀想法和其他自杀行为是国际自杀预防和早期干预工作的重点。确定如何最好地使用新的和新兴的技术来促进以人为本的自杀性系统评估和早期干预是这些努力的关键。目的:本研究的目的是检查自杀倾向升级协议的使用，以应对寻求帮助的年轻人的自杀倾向。方法:从初级精神卫生保健服务或社区在线招募了232名年龄在16-25岁之间的年轻人。每个年轻人都使用Synergy在线系统，并在面对面或在线临床预约之前在线完成初步临床评估。自杀倾向升级协议被用来识别和应对当前和以前的自杀想法和行为。结果:共有153名年轻人(66%，153/232)报告了某种程度的自杀倾向，并获得了在线实时警报。对35名报告高自杀倾向的年轻人(15%，35/232)进行了进一步的升级(电子邮件或电话联系和临床审查)。 Higher levels of psychological distress (P<.001) and a current alcohol or substance use problem (P=.02) predicted any level of suicidality compared with no suicidality. Furthermore, predictors of high suicidality compared with low suicidality were higher levels of psychological distress (P=.01), psychosis-like symptoms in the last 12 months (P=.01), a previous mental health problem (P=.01), and a history of suicide planning or attempts (P=.001). Conclusions: This study demonstrates the use of new and emerging technologies to facilitate the systematic assessment and detection of help-seeking young people presenting with suicidality. This protocol empowered the young person by suggesting pathways to care that were based on their current needs. The protocol also enabled an appropriate and timely response from service providers for young people reporting high suicidality that was associated with additional comorbid issues, including psychosis-like symptoms, and a history of suicide plans and attempts. SN - 1438-8871 UR - //www.mybigtv.com/2017/7/e247/ UR - https://doi.org/10.2196/jmir.7897 UR - http://www.ncbi.nlm.nih.gov/pubmed/28701290 DO - 10.2196/jmir.7897 ID - info:doi/10.2196/jmir.7897 ER -