2014-08-012024-05-13https://scholars.lib.ntu.edu.tw/handle/123456789/648067摘要：心理疾病對於一般醫療人員而言是一大挑戰，因為民眾有心理健康問題時，多數不願意求助於醫療。以自殺為例，自殺高危險群是一個心理健康狀態多樣化的族群，民眾通常因求助動機低、缺乏心理疾病知識、遭遇態度或現實生活上的阻礙等因素而不願求助。改善醫療服務面向以增強心理健康問題者之求助意願與求醫行為，是一個必要的研究議題，然而我們仍缺乏有力的證據引導心理衛生政策發展與臨床服務。本三年研究旨在針對北台灣一所大型教學醫院中，具有不同程度心理健康問題與/或自殺風險的急診病患，進行一系列心理社會評估，以了解其求助行為特質與影響因素，預估於第一年篩檢近 627名急診求醫者資料(包含社會人口學資料、求助經驗、社會網絡、自覺求助需求、求醫態度、心理健康認知、憂鬱症狀及自殺危險性評估)並完成量表信效度、標準化研究流程及人員一致性訓練。接著於第二年間採隨機分配的方式分為對照組(心理健康求助資源卡片)及實驗組(標準化個案管理暨心理健康求助行為介入措施)以驗證實驗組會有較遵從的醫療行為之假說，研究者將參考前驅研究之經驗以可行的個案分配方式進行個案管理。於第二、三年間，研究團隊將會以問卷追蹤每位個案在初訪後 3個月及 12個月的心理健康求助行為成效，並評值研究之整體效益。<br> Abstract: Help-seeking for mental health problems is a great challenge for healthcare personnel due to reluctance of people to seek professional mental health care. Given the heterogeneity in psychological states, people with suicide risks tend to avoid help-seeking due to low perceived need, lack of mental health literacy, and attitudinal or structural barriers. There is urgent need to improving access to mental health services for linkage between medical treatment and those under mental distress or suicide crisis, yet firmer evidence to guide policy and clinical service is lacking. This three-year study aims to examine mental health help-seeking and its related factors in medical patients with different levels of mental distress and suicide risks who visit emergency care in a large teaching hospital in northern Taiwan. Psychosocial assessment will be applied to nearly 627 attendees at the emergency department, with baseline data collection, scale validation, standardized study procedures, and consistency training during the first year. Moreover, standardized intervention integrating mental health literacy and help resources will be designed with booklet and computerized visual recall aid to facilitate help-seeking in the experimental group. The control group will receive a resource card with helplines provided for reference. We will follow up the effectiveness of the intervention at the 3rd and 12th month after recruitment and observe changes in help-seeking behavior or depressive symptoms between the two groups.