title: Telephone counselling for adolescent suicide prevention: changes in suicidality and mental state from beginning to end of a counselling session.
abstract: Telephone counselling is an accessible and confidential means by which distressed young people can seek help. Telephone counselling services were funded under Australia's National Youth Suicide Prevention Strategy between 1997 and 2000. In this study, the effectiveness of telephone counselling for young people seeking help in the context of suicidal ideation or intent was evaluated in an investigation of calls made by suicidal young people to a telephone counselling service. Independent raters measured callers' suicidality and mental state at the beginning and end of 100 taped counselling sessions. Changes in suicidality and mental state were measured using a reliable rating scale developed for the study. Significant decreases in suicidality and significant improvement in mental state were found to occur during the course of counselling sessions, suggesting positive immediate impact. Limitations of the study with respect to longer-term outcomes and the relevance of the results for suicide prevention are discussed. Notwithstanding the study limitations, the results lend support for continuing development of hotline services.
authors.affiliation: Department of Psychiatry, The University of Queensland, K-Floor, Mental Health Centre, Royal Brisbane Hospital, Queensland 4029, Australia. robertk@psychiatry.uq.edu.au
authors.forename: Robert
authors.initials: R
authors.lastname: King
authors.forename: Barry
authors.initials: B
authors.lastname: Nurcombe
authors.forename: Leonard
authors.initials: L
authors.lastname: Bickman
authors.forename: Leanne
authors.initials: L
authors.lastname: Hides
authors.forename: Wendy
authors.initials: W
authors.lastname: Reid
mesh_terms: D000293:Adolescent; D016497:Adolescent Health Services; D001315:Australia; D005260:Female; D015277:Hotlines; D006801:Humans; D008297:Male; D015588:Observer Variation; D015397:Program Evaluation; D011569:Psychiatric Status Rating Scales; D013637:Tape Recording; D016896:Treatment Outcome; D000092864:Suicide Prevention