The Application Study Of Behavioral Observation Of Early Warning System For College Mental Health "Gatekeepers"

BackgroundIn recent years,college students of serious psychological problems,mental disorders and suicide problem occurs frequently,which brought about a significant impact,even irreparable damage to the family,school and society.How timely and effectively find these individuals in the student population and its early psychological intervention,is the most important of the college mental health work.At present,the warning of university students' psychological health problems for the adoption of a three-level warning mode,including college counseling centers,mental health education counseling stations and psychological members of each class(including the head of the quarters).The first and the second warning way is using a series of psychological self-assessment questionnaire screening of psychological problems among college students individual during semester or academic.This fast and convenient way is a traditional,static,warning mode which can investigate a large number of people in a short time,but it can only reflect the individual in the most recent state of mind and you can not grasp the students' mental developments and changes.The use of regular reporting of the "dynamic" warning mode can compensate for the lack of traditional early-warning mode.College students suffer from psychological problems.Some signs of unusual behaviors and clues would show up when psychological problems develop.If we could warn out the students who potentially suffer from psychological problems by observing their behaviors in time,some extreme events could be avoided.After entering the collective life,the stUdents have shared the growing experience,hobbies and interests with their peers from morming till evening.The roommates can easily perceive the abnormal behavior in time if it happened.But the third stage,the forefront of the early warning system,often because of a lack of expertise and scientific system of early warning system,leading to the huge amount of resources have not been able to get good use.Learn from foreign suicide "gatekeepers"warning mode,if the early warning mechanism on the third level,that psychological leader of quarters and other members training,so that they learn to identify signs of abnormal behavior,which will have a positive psychological problems of individual warning out,you can fully mobilize the enthusiasm of this group to play their role in early warning universities.In summary,provided to the "gatekeepers" of a scientific and effective early warning tool to fully mobilize the enthusiasm of this group to play their role in early warning universities,counselors can grasp the psychological status of college students by the early warning system dynamic changes.Therefore,the establishment of a comprehensive mental health "gatekeepers" early warning system has important practical significance.Objectives1.We will test this indicators system in practical applications and make an assessment of the early warning effect of the indicators system.2.Combined warning conditions with interviews,to make an analysis of the index system's sensitivity,and develop preliminary standards of interviews.3.Propose amendments to the mental health of college students "gatekeepers"behavior observed early warning indicators system,and prepare a manual to facilitate the further promotion of the application of the system in colleges and universities.MethodsIn this study,we use random sampling method to select 210 freshmen who is dormitory long in a Medical University of Guangzhou.The study subjects were randomly assigned to the experimental group,the control group and the blank group,70 people in each group.The experimental group also included monitor and psychological members of 14 professional.So the final number of the experimental group is 98,and the total number of three groups is 238.At training "gatekeepers" stage,only training "gatekeeper" of the experimental group and the control group.We use SPSS 13.0 to analyze data.At the "gatekeeper" behavior observation of early warning work stage,the experimental group work through the behavior observation of early warning system.With the index system for students in more than one(including one)behavior,were using SAS,SCL-90 and PHQ-9 for self-assessment by professionals,combining with the evaluation results of interviews and clinical diagnosis at last.The other two groups "gatekeepers" rely on their understanding about psychologieal problems related knowledge and behavior through training or other ways to warning."Gatekeepers" of three groups have to report the results of early warning once every two weeks.Results1.The result of the "gatekeepers" related training(1)In the experimental group,the control group and the blank group,there is no significant difference in the pre-test of the psychological problems of prevention knowledge test scores(F=0.15,P=0.859).One week after the end of the training,the three groups "gatekeepers" have post-test simultaneously.The results showed that in post-test,experimental group and the control group had no significant difference in scores(t?-0.16,P=0.289),and were significantly higher than pre-test scores(t1=470.37,P,<0.001;t2=567.64,P2<0.001).But there is no significant difference in the blank group without training compared with the pre-test(t=0.01,P=0.936),post-test results of the experimental group and the control group were significantly higher than the blank group in the post-test results(t1=-24.32,P1<0.001;t2=-25.93,2<0.001).(2)The self-assessment of the three groups was not significantly difference before training,but significantly after training.The results showed that the blank group was sigrificant difference compared with the experimental group and control group(t1=-10.97,P1<0.001;t2=-14.21,P2<0.001).And there were no significant differences between the experimental group and the control group(t=-1.93,P=0.056).(3)Before the training,three groups of "gatekeepers" warning about suicide knowledge were no significant differences in self-evaluation(all P>0.05).But after training,the experimental group and control group showed a significant difference in the posttest of self-evaluation compared with the blank group which didn't receive training(all P<0.001).(4)All students believe that the training was useful to early warning of psychological problems.94.0%of students satisfied with this training overall,95.8%of the students think that the training of psychological problems is useful to the popularity of knowledge.there were no significant difference on training effect evaluation between the experimental group and the control group(all P<0.001).2.The results of carrying out acts of observation and early warning by the"gatekeepers"(1)We observed 788 students in the experimental group,control group and the blank group,whom in terms of gender,ethnicity,whether ouly child and family living had no significant difference(all P>0.05).Combined with observed object mental health survey results,in the three groups the scores of the PHQ-9,the SBQ-R and the SCL-90 which rated by themselves and the scores positive individuals had no significant difference(all P>0.05).They are basically homogenous.(2)Behavioral symptoms positive individuals in the experimental group number 49,the control group warning 2,and the number of positive the blank group warning 0.Interviews found that the experimental group had three people met the diagnostic criteria for depression and 14 who meet the diagnostie criteria for serious psychological problems,while the remaining 28 are general psychological problems,the control group of two students are general psychological problems.The results of the two groups differ warning,and the difference was statistically significant(?1=85.03,P<0.001).(3)Combined with psychological survey found that college students' behavior observed in the experlimental group using the early warning system has three individuals because of their behavioral symptoms had warned positive,but their survey result is normal.After the elinieal interviews found that they have serious psychological problems,it needs to be psychological intervention.(4)According to interviews and entry sensitivity analysis,the entrys which are poor sensitivity for early warning have been appropriate modifications and deletion.,Said his brain stupid"change to"Compared with before,reactions were slow and answer a simple question takes a long time","sleep time is reduced,even without sleep"change to "non-specific reasons(such as overnight learning,playing games,etc.)to reduce sleep time,even without sleep ","compared with previous,speech suddenly becomes more eloquent,change to "compared with before speech noticeably more and think abundant","compared with the previous,their conversation becomes difficult,every word is not logical" change to "can not have a simple conversation with him,communicate difficultly ","recently become profligate" change to "Compared with the previous,has recently become profligate,without restraint.".And delete "expression becomes dull," "Compared with before becoming outgoing,day elated,enraptured," and "Compared with before,or answer questions when speaking slower rate of speech,"these three entries.(5)This study combines the experience of early warning,raised a criteria for the early warning.Conclusions1.We have made an assessment of the early warning effectiveness of the indicators system in freshmen.The results showed that the behavioral observation early warning system is effective to identify the psychologieal problems students and have a better early warning effectiveness than the traditional early warning mode.2.We modified or deleted some poor sensitivity entry of early warning system.Writting a manual of the college students'mental health "gatekeepers"observation for early warning system,to convenient the university counselors to carry out the work of psychological health early warning.3.We developed initial interview standards for the early warning system,so as to make the early warning system more perfect.