Comparisons of characteristics of adult and juvenile callers at high risk for suicide from psychological assistance hotline and the influencing factors of intervention effect / 四川精神卫生

ObjectiveTo compare the characteristics of adult and juvenile callers at high risk of suicide from psychological assistance hotline， to screen factors influencing the crisis intervention effect， so as to develop specific intervention programs for different age groups on psychological assistance hotline. MethodsFrom January 2021 to June 2021， a total of 2 229 callers at high risk for suicide were recruited from Beijing psychological assistance hotline. The selected individuals were divided into adult group （n=1 344） and juvenile group （n=885）. Callers were interviewed by the hotline operators. Their general information， suicidal ideation， socio-psychological characteristics and chief complaints were recorded and compared between two groups. Before and after hotline crisis interventions， psychological distress， suicidal ideation intensity and hope level of the callers were assessed， and the improvements in the three assessed dimensions were compared between two groups. Then Logistic regression was adopted to compare the crisis intervention effects on three dimensions and their associated factors. ResultsCompared with adult group， juvenile group reported higher rates of family relationship problems， learning problems， history of suicide attempts and fear of assault， with statistically significant differences （χ2=55.604， 24.706， 41.944， 106.527， P<0.01）. After hotline crisis intervention， the proportion of callers with increased level of hope was larger in juvenile group than that in adult group （42.74% vs. 30.97%， χ2=26.042， P<0.01）. Multivariate Logistic regression analysis showed that the chances of improvement in psychological distress for major depressive disorder （OR=0.650， 95% CI： 0.510~0.827）， the chances of improvement in the level of hope for those with substance dependents （OR=0.550， 95% CI： 0.327~0.926）， and the chances of improvement in the intensity of suicidal ideation for those with stressful life events （OR=0.565， 95% CI： 0.328~0.973） were all higher in juvenile group than those in adult group after crisis intervention. ConclusionAmong the callers at high risk for suicide from psychological assistance hotline， adult callers are more concerned about extra-familial relationships， work and economic problems， while juvenile callers are more concerned about family relationship and learning problems. Furthermore， the effect of crisis intervention in juvenile callers is less affected by major depressive disorder， substance use problems and stressful life events.

Research on the characteristics of calls from psychological assistance hotline and the coping strategies of operators before and after the outbreak of COVID-19 in Changchun City / 四川精神卫生

ObjectiveTo discuss the characteristics of psychological assistance hotline calls and operators' coping strategies of before and after the COVID-19 outbreak， in order to further improve the assistance ability of the psychological crisis hotline. MethodsA retrospective study was conducted on the demographics characteristics， call problems， coping strategies， and call time trends recorded by Changchun psychological assistance hotline information registration platform before the epidemic in Changchun City （January 20， 2019-April 20， 2019） and during the epidemic period （January 20， 2020-April 20， 2020）. ResultsThe differences between gender， age， marital status， location， and occupation type before and during the epidemic were statistically significant （χ2=11.205， 234.240， 152.083， 265.458， 353.385， P<0.01）. The number of different help calls had a statistically significant difference before and during the epidemic （χ2=185.088，P<0.01）. The difference in the number of operators’ different coping strategies before and during the epidemic was statistically significant （χ2=226.810， P<0.01）. Before the epidemic， the main peak of incoming calls was concentrated at 16∶00 to 17∶00， and the secondary peak was concentrated at 22∶00 to 23∶00. During the epidemic， the main peak of incoming calls was also concentrated at 16∶00 to 17∶00， while the secondary peak was concentrated at 10∶00 to 11∶00. ConclusionDuring the COVID-19 epidemic， the number of calls to the psychological assistance hotline was higher than that before the outbreak. The main peak time for calls was the same， and the secondary peak was adjusted from 22∶00 to 23∶00 to 10∶00 to 11∶00. During the epidemic， the number of calls from male， 30 to 39 years old， married， local and staff in Changchun was the most， psychological problems counseling and operator referral strategy were the most before and after the epidemic.

Help line: relato de experiência sobre um dispositivo de acolhimento aos profissionais de saúde durante a pandemia covid-19 / Help line: rapport d'expérience sur un dispositif d'accueil pour les professionnels de la santé pendant la pandémie de covid-19 / Help line: experience report on a welcoming device for health professionals during the covid-19 pandemic

A pandemia de Covid-19 conduziu a um aumento súbito e de crescimento imprevisível da demanda por serviços médico-hospitalares O reconhecimento da sobrecarga emocional e de trabalho da equipe multidisciplinar exigiu do serviço de psicologia novas estratégias de atenção à saúde mental dos funcionários.Por meio de uma linha telefônica, foi possível prestar atendimento psicológico aos colaboradores em urgência subjetiva, pois a crise na saúde da população em geral repercutiu diretamente na saúde física e mental dos profissionais que trabalham nos hospitais

La pandémie de Covid-19 a entraîné une augmentation soudaine et imprévisible de la demande de services médico-hospitaliers. La reconnaissance de la surcharge émotionnelle et de travail de l'équipe multidisciplinaire a obligé le département de psychologie à développer de nouvelles stratégies pour les soins de santé mentale du personnel. Pour répondre à ce besoin, une nouvelle approche a été instituée, dans laquelle il était possible de fournir des soins psychologiques aux employés en cas d'urgence subjective par le biais d'une ligne téléphonique, étant donnéque la crise de la santé de la population en général avait eu un effet direct sur la santé physique et mentale des professionnels travaillant dans les hôpitaux

The Covid-19 pandemic led to a sudden and unpredictable increase in demand for medical-hospital services. The recognition of the emotional and work overload of the multidisciplinary team required the psychology department to develop new strategies for staff mental health care. To meet this need, a new approach was instituted, which enabled to provide psychological care to employees in a subjective emergency, since the crisis in the health of the population in general had a direct impact on the physical and mental health of professionals who work in hospitals

Queixas psicológicas e consumo de drogas em universitários atendidos em núcleo de assistência / Psychological complaints and drug consumption in university students served in a healthcare service / Quejas psicológicas y consumo de drogas en universitarios atendidos en un servicio de salud

OBJETIVO: investigar a relação entre queixas psicológicas e prevalência de consumo de drogas entre universitários atendidos em núcleo de assistência psicológica. METODOLOGIA: realizou-se um levantamento em uma universidade paulista sobre as queixas que motivaram a busca pelo serviço de Psicologia e o padrão de consumo de drogas informado pela clientela. RESULTADOS: dentre 165 estudantes avaliados, 76,4% são do sexo feminino. As principais queixas foram relacionadas a humor depressivo e dificuldades na esfera dos relacionamentos afetivos, sociais e familiares. O percentual dos que informaram consumir maconha foi maior entre participantes com queixas de humor depressivo, dificuldades em relacionamentos interpessoais e condutas do espectro suicida, em comparação a estudantes sem essas queixas. CONCLUSÃO: programas de natureza preventiva e/ou terapêutica poderiam promover melhorias na qualidade de vida dessa população.

AIMS: to investigate the relationship between psychological complaints and drug consumption among undergraduate students seen in a psychological care center. METHODOLOGY: a survey was conducted in a University in São Paulo State in order to collect information on the complaints that led to the search for the psychology service and also the drug consumption pattern reported by students. RESULTS: among the 165 students, 76.4% are female. The main complaints of the students are related to depressive symptoms and difficulties in emotional, social and family relationships. The percentage of students who reported marijuana use was higher among students who complained of depressed mood, difficulties in interpersonal relationships and suicidal behavior, compared to students with no complaints of this nature. CONCLUSION: preventive and/or therapeutic programs could contribute to improving the quality of life of students.

OBJECTIVOS: investigar la relación entre quejas psicológicas y prevalencia de consumo de drogas entre universitarios atendidos en núcleo de asistencia psicológica. METODOLOGÍA: se realizó un levantamiento en una universidad paulista, sobre las quejas que motivaron la búsqueda por el servicio de Psicología y el patrón de consumo de drogas informado por la clientela. RESULTADOS: entre 165 estudiantes evaluados, el 76,4% son del sexo femenino. Las principales quejas fueron relacionadas con el humor depresivo y las dificultades en la esfera de las relaciones afectivas, sociales y familiares. El porcentaje de los que informaron consumir marihuana fue mayor, entre participantes con quejas de humor depresivo, dificultades en relaciones interpersonales y conductas del espectro suicida, en comparación con estudiantes sin esas quejas. CONCLUSIÓN: los programas de carácter preventivo y / o terapéutico podrían promover mejoras en la calidad de vida de esa población.

Caracterização da clientela de um programa de atendimento psicológico a estudantes universitários

Este artigo tem como objetivo caracterizar o motivo ou queixa da clientela de um Programa de Atendimento Psicológico do Meio Oeste Catarinense, oferecido gratuitamente a acadêmicos regularmente matriculados nos cursos de graduação da Universidade do Oeste de Santa Catarina. Trata-se de uma pesquisa documental realizada em 102 prontuários de sujeitos atendidos pelo programa em questão no ano de 2011 considerando as seguintes variáveis: sexo, idade, curso universitário e motivo da consulta. Constatou-se que a maioria dos acadêmicos que buscam atendimento é predominante da área da saúde, quanto ao gênero também predomina o feminino, a faixa etária com maior número de atendimentos corresponde entre 21 a 25 anos e as principais queixas são déficits de habilidades sociais, seguidas do transtorno depressivo e transtorno de ansiedade. Com base nos dados encontrados percebe-se a importância deste tipo de serviço nas universidades, bem como a necessidade de iniciar reflexões especificamente a população universitária objetivando a promoção e prevenção da saúde desta população

This article aims to characterize the reason or complaints of clientele of a Psychological Counseling Program Midwest Santa Catarina, offered free to students enrolled in undergraduate courses at the University of the West of Santa Catarina. It is a documentary survey of 102 subjects enrolled in the program records in question in 2011 considering the following variables: gender, age, college education and reason for consultation. It was found that most academics seeking care is predominantly in the health field, in terms of gender also dominates the female, age group represents between 21-25 years and the main complaints are deficits in social skills, followed by depressive disorder and anxiety disorder. Based on data found we realize the importance of this type of service in universities as well as the need to start thinking specifically the university population aiming at health promotion and prevention in this population.

A importância do acompanhamento psicológico no processo de aceitação de morte / The importance of the psychological monitoring in the process of accepting the death

Poucos eventos na vida são capazes de isolar alguém como a progressão deuma doença potencialmente fatal. O sofrimento causado pela proximidadeda morte pode ser diminuído ou aumentado por fatores psicológicos,sociológicos, culturais e espirituais. Adquirir a consciência e aceitação que amorte está próxima poderá tornar tal processo mais humano. Sendo assim,o presente trabalho tem como objetivo discutir a morte e o morrer, seus significados e diferenças culturais, a atuação do profissional de psicologiajunto aos pacientes e seus familiares no processo de aceitação de morte. Para ilustrar as dificuldades vividas neste processo e todas as angústias suscitadas neste período, são apresentados dois casos clínicos. As observações, reflexões, intervenções e o acolhimento oferecidos no processo terapêutico podem ajudar significativamente e, de alguma forma, as pessoas podem entender, aceitar e adaptar-se à nova realidade, mas isso exige tempo...

Few events in life are able to isolate someone as the progression of apotentially fatal disease. The suffering caused by the proximity to death canbe decreased or increased by psychological, sociological, cultural andspiritual factors. Acquire awareness and acceptance that death is near canmake the process more human. In this way, the present work aims to discuss the death and the dying, their meaning and cultural differences, the performance of the psychology professional along with the patient and its family in the process of acceptance the death. To illustrate the difficultiesexperienced in this process and all the anguish raised in this period, twoclinical cases are presented. The observation, reflections, interventions and the reception offered at the therapeutic process can help significantly and, somehow, people can understand, accept and adapt themselves to the new reality but it requires time...

Assistência psicológica ao estudante de medicina: 21 anos de experiência / Psychological assistance to medical students: 21 years of experience

Este artigo tem como objetivo relatar a experiência de 21 anos do Grupo de Assistência Psicológica ao Aluno da Faculdade de Medicina da Universidade de São Paulo (GRAPAL). Inicialmente, é apresentada, de forma sucinta, uma introdução acerca do histórico da assistência psicológica ao estudante de medicina, seguida da criação do GRAPAL, em 1983, e do início de suas atividades, em 1986. São apresentados os principais motivos da procura psicológica pelos alunos, os obstáculos encontrados por parte da instituição, da equipe de trabalho e dos alunos. A seguir, são apresentados alguns trabalhos publicados pelo serviço, que abordam a personalidade do aluno de medicina, a escolha da profissão e o problema do suicídio. Finalmente, são apresentadas sugestões feitas pelos alunos para o aperfeiçoamento dos atendimentos e as providências tomadas pela equipe do GRAPAL para alcançar a realização destas sugestões.

The purpose of this article is to report on the 21-year experience of the Group of Psychological Assistance to Students at the School of Medicine of the São Paulo University (GRAPAL). First, the authors briefly introduce historical aspects of the psychological assistance provided to medical students, followed by the organization of GRAPAL in 1983 and the beginning of activities in 1986. Major reasons for medical students to seek psychological assistance, obstacles found by the institution, the work team and students are presented. Then, several works published by the Service, which approach the personality traits of medical students, their choice for Medicine and the suicide problem, are listed. Finally, the authors present some suggestions made by students to improve assistance services and measures to be taken by the GRAPAL team to carry out such suggestions.

Projeto Famílias Unidas: atendimento psicoterapêutico à população em situação de risco social / Project United Families: psychotherapeutic care offered to a social risk population

Este relato tem o objetivo de promover reflexão sobre atendimento psicológico em uma comunidade em situação de risco social. O atendimento foi realizado em instituição filantrópica, no município de Simões Filho (BA), através do Projeto Famílias Unidas da Associação Obras Sociais da Paróquia de São Miguel, no período compreendido entre julho de 2005 e julho de 2006. O atendimento aconteceu em encontros semanais onde foram abordadas a autoestima e a possibilidade de reinserção social do sujeito, o que possibilitou mudança na sua realidade de vida e um posicionamento direcionado à cidadania. O trabalho realizado, nos moldes da Clínica Ampliada, traz-nos uma nova forma de lidar com a pobreza, na tentativa de ajudar a minimizá-la, na revitalização do desejo do sujeito em uma clínica extraconsultório, utilizando as instituições informais da comunidade, pois as mesmas representam recursos potenciais, capazes de produzir sentido, contratualidade e bem-estar.

The aim of this report is encouraging reflection about psychotherapeutic care delivered to a community at social risk. During the period July 2005-July 2006 counseling sessions were held at a philanthropic institution, the Association for SocialWorks of the St. Michael's Parish in the city of Simões Filho (Bahia, Brazil). The initiative was part of the Project United Families, implemented by the before mentioned association. Issues such as self-esteem and the possibility of social reinclusion were discussed in weekly meetings to enable the individuals introduce changes into their reality of life and help them adopt an attitude towards good citizenship. This work was conducted following the concepts of "Extended General Practice" which provides us with a new way of dealing with and trying to minimize poverty and of revitalizing the individuals desire outside the doctors office, at informal community-based institutions that represent potential resources capable of producing sense, contractibility and wellbeing.

Gênero e violência conjugal: concepções de psicólogos / Gender and conjugal violence: conceptions of pshycologists

A violência conjugal na década de 80 foi discutida a partir da concepção dualista: homem-agressor versus mulher-vítima e entendida como violência contra mulher. A emergência de produções acadêmicas que contestavam essa visão dualista possibilitou o entendimento do tema por meio dos múltiplos papéis de homens e mulheres numa relação afetiva violenta. Considerando esses contextos, o estudo investigou concepções de gênero e violência conjugal dos nove psicólogos que trabalhavam em programas públicos que atendem envolvidos em violência conjugal na Grande Vitória, por meio de entrevista semi –estruturada. Destacam-se os seguintes significados: uma parte dos psicólogos desenvolve ações referenciadas aos princípios do movimento feminista e demonstram em seus discursos influências marcantes de uma concepção dualista. A outra parcela de psicólogos também considera as assimetrias entre os gêneros, porém considera claramente os custos das cobranças de gênero e as conseqüências da violência conjugal para homens e mulheres, aproximando-se do referencial relacional...

The Feminist Movement contributed to the public debate on gender and conjugal violence. Conjugal violence has been discussed from the dualist conception: man-aggressor versus woman-victim and understood as violence against women. The emergence of academic works that contested this dualist view, made possible the understanding of the subject by means of the multiple roles of men and women in a violent affective relation. Considering these contexts, this study investigated conceptions on gender and conjugal violence of the nine psychologists who worked in public programs that assist those involved in conjugal violence in Greater Vitória, ES, Brazil, by means of a semi-structured interview. The main meanings were highlighted: One part of psychologists develops actions with reference to the principles of the feminist movement, and demonstrate in their speeches clear influences of the dualist conception. The other group of psychologists also consider the non-symmetries between genders, clearly considering the costs of the gender charge and the consequences of conjugal violence for men and women approaching the relational referential...

Gênero, adversidade e problemas socioemocionais associados à queixa escolar / Gender, adversity, and socioemotional problems related to school distress

Pesquisas sobre crianças com queixa escolar têm encontrado predomínio de meninos e altas taxas de problemas de comportamento, que estão associados a um prognóstico pobre quando ocorrem em contexto de adversidade ambiental. Este estudo objetivou investigar, nessa clientela, diferenças de gênero na ocorrência de adversidades e na sua associação com problemas de comportamento. Participaram 46 meninos e 29 meninas (7-12 anos), encaminhados a uma clínica-escola de Psicologia por desempenho escolar pobre. Problemas de comportamento foram investigados através do Inventário de Comportamentos da Infância e Adolescência de Achenbach. Uma escala de eventos adversos foi usada para levantamento de adversidades. A análise estatística indicou mais problemas internalizantes nas meninas, maior exposição delas à adversidade e diferenças de gênero nas correlações entre adversidade ambiental e comportamento. Os resultados podem subsidiar práticas de atenção psicológica a essas crianças, cujas necessidades transcendem o contexto escolar.

The studies about children with school distress have pointed out boys and behavior problems high frequency, which can be associated to a weak prognostic, if they had been made up in an adverse environment. This study purpose was the investigation of gender adversity occurrence and gender association to behavior problems. Forty-six boys and 29 girls aged from 7 to 12 have participated in this investigation. All of them had been referred to a Psychology training clinic as they had presented school distress or bad performance. Behavioral problems were investigated by Achenbach's Inventário de Comportamentos da Infância e Adolescência, and a life event scale was used to assess life adversities. According to the statistical analysis, girls present more internalizing problems, , higher adversity exposure, and more frequent gender-related correlation patterns between environmental and behavioral problems. Results can contribute to design support practices for these children, whose needs go beyond the school environment.