Poster De Conférence Année : 2024
Exploring the Interplay of Intervention Duration, Callers Suicide Risk Levels, and Counselors' Perception of Effectiveness in Text-Based Interventions
Louis-Philippe Côté (1) , Geoffrey Gauvin (2, 1)
1 UQAM - Université du Québec à Montréal = University of Québec in Montréal
2 LPPC - laboratoire psychopathologies et processus de changement
Résumé
Introduction: One of the primary challenges in text-based interventions is the time required to explore and understand the caller's situation. Unlike face-to-face or telephone interactions, where counselors can interpret non-verbal cues and tone of voice, assessing suicide risk via text is challenging. Therefore, longer interventions may provide counselors with the flexibility to properly investigate callers' suicide risk and tailor their approach to each individual's specific needs, potentially leading to more favorable outcomes. Objective: This study investigates the relationships between intervention duration, callers' suicide risk level, and counselors' perceptions of the effectiveness of their interventions at a text-based intervention service. Methods: Analyses were conducted on a sample of 10,603 chat interventions at the Quebec-based intervention service suicide.ca. First, a two-way ANOVA was conducted to explore whether interventions in which counselors successfully completed a suicide risk assessment and those where counselors perceived a positive impact tended to be longer. Subsequently, a two-way ANOVA was performed to investigate whether the duration of interventions and counselors' perception of intervention effectiveness varied based on the level of callers' suicide risk. Results: Analyses showed that interventions with a completed suicide risk assessment by the counselor (p <.001) and those perceived as effective (p <.001) tended to have longer durations. Specifically, interventions with a completed risk assessment had a mean duration of 88 mins, while those without it lasted an average of 61 mins. Similarly, effective interventions were longer than ineffective ones (86 mins compared to 67 mins). Furthermore, intervention duration varied based on the risk level (p<.001): interventions with callers presenting low risk had a mean duration of 85 mins, whereas 93 mins for those with callers presenting high risk. A significant interaction was found (F(1,5636) = 11.30, p < .001), suggesting that the greatest difference in duration between a chat intervention perceived as effective or not occurs when suicidal risk is high. Discussion: The duration of text-based interventions appears to be a significant factor in their quality. Quantitative and qualitative studies should delve deeper into the relationship between intervention duration, counselors' suicide risk assessments, and intervention effectiveness.
Louis-Philippe Côté, Geoffrey Gauvin. Exploring the Interplay of
Intervention Duration, Callers Suicide Risk Levels, and Counselors'
Perception of Effectiveness in Text-Based Interventions. 20th European Symposium On Suicide And Suicidal Behaviour, Aug 2024, Roma, Italy. ⟨hal-04701888⟩
Source et acces https://hal.science/hal-04701888v1