CN113178246A

CN113178246A - Evaluation and early warning method for teenager psychological crisis

Info

Publication number: CN113178246A
Application number: CN202011192386.2A
Authority: CN
Inventors: 于全磊; 赵天石; 李明珠; 熊青; 胡功东
Original assignee: Individual
Current assignee: Individual
Priority date: 2020-10-30
Filing date: 2020-10-30
Publication date: 2021-07-27

Abstract

The invention discloses a method for evaluating and early warning of adolescent psychological crisis. ; Input life events and psychological crisis susceptibility scores into the two-stage discriminant model model for processing. The present invention is suitable for the technical field of juvenile crisis early warning and psychological service. Starting from the essential cause of psychological crisis, the psychological crisis susceptibility to psychological crisis is determined. The dual-order effect is incorporated into the psychological crisis evaluation method, and then a psychological crisis early warning model is constructed, which greatly improves the validity of the prediction, provides a better guiding effect for the mental health early warning and positive psychological development of adolescents, and realizes the early warning process in the evaluation and early warning process. The protective effect on adolescents' mental health has been strengthened, and the sustained protective effect on adolescents' mental health has been strengthened, and the comprehensiveness of prediction data has been increased.

Description

Evaluation and early warning method for teenager psychological crisis

Technical Field

The invention belongs to the technical field of teenager crisis early warning and psychological service, and particularly relates to a method for evaluating and early warning teenager psychological crisis.

Background

The teenager mental health work can not be scientifically and accurately evaluated, the two-factor model is gradually approved under the influence of positive psychology, and a series of applications and researches are derived on the basis, so that the method becomes an important trend of current mental health education. The new trend responds to the confusion that the evaluation hit rate is low in the past, and a new understanding on the mental health of teenagers and a new view angle of crisis evaluation are initiated;

however, the existing method does not consider the double-order effect of susceptibility of psychological crisis on psychological crisis, so that the evaluation degree of psychological crisis is low, the early warning effect of the psychological crisis of teenagers is poor, meanwhile, the existing method predicts the psychological crisis from a negative perspective, the frequent use of vocabularies can start the negative emotion of a tested person, so that the tested person is damaged by negative effect in the evaluation process of the individuals, the evaluation of crisis state by the existing method is difficult to carry out early warning on the psychological crisis of the individuals in a longer time range, the mental health of the teenagers is difficult to protect, and the existing method mostly collects information of the individuals at one time point for evaluation, so that the obtained result is insufficient in persuasion and has great limitation.

Disclosure of Invention

The invention aims to overcome the defects of the prior art and provides a method for evaluating and early warning the psychological crisis of teenagers.

In order to achieve the purpose, the invention adopts the following technical scheme:

a method for evaluating and early warning of teenager psychological crisis comprises the following steps:

constructing a three-level teenager psychological crisis early warning theoretical model;

the method comprises the following steps of (1) acquiring juvenile psychological crisis susceptibility and life events:

constructing a three-level teenager psychological crisis two-order discrimination model based on a theoretical model;

and inputting the life event and the psychological crisis susceptibility score into a dual-order discrimination model for processing.

Preferably, the three-level teenager psychological crisis two-level discrimination model comprises various psychological crisis prediction algorithms and various psychological crisis diagnosis standards;

the collection of the susceptibility of the teenager psychological crisis and the life events is carried out by a questionnaire mode;

the collection of susceptibility to psychological crisis is also obtained by behavioral reaction to neutral and positive vocabularies.

Preferably, the inputting the life event and the psychological crisis susceptibility score into the dual-order discrimination model for processing includes:

obtaining various psychological crisis prediction data of the individual through various psychological crisis prediction algorithms;

and comparing each item of psychological crisis prediction data of the individual with each item of psychological crisis diagnosis standard, and feeding back psychological crisis levels.

Preferably, the life events include: being deceived, stress of life, support in the home, and body imagery;

the psychological crisis susceptibility includes: multi-party thinking, emotional management, cognitive level controllability, event proactive responses, positive self-value, and humor style.

Preferably, each psychological crisis prediction algorithm includes:

prediction of anxiety:

predictive anxiety total = multiparty thinking × 0.073+ emotional management × 0.414-cognitive level controlled × 1.4+ event active response × 0.214+ self value × 0.023+ humorous event style × 0.236+ performance fluctuation × 0.111-physical health × 0.148+ deceived × 0.061-in-home support × 0.048+ cognitive level controlled × living pressure total × 0.014-event active response × living pressure total × 0.005+ nap habit × living pressure total × 0.013-event active response × academic performance × 0.019+ cognitive level controlled × 0.05-event active performance × 0.034-afternoon sleeping habit × 0.061-emotional management × 0.142+ cognitive level × 0.138-body health × 0.083+ cognitive level × 0.087-cognitive level;

prediction of depression:

predictive total score for depression = emotional management × 0.017-multiple thinking × 0.086-cognitive level controlled × 0.527+ positive response to event × 0.020-self value × 0.236+ total score of living pressure × 0.016+ nap habit × 0.409-physical health × 0.078+ score fluctuation × 0.052+ deceased × 0.027-home support × 0.052+ emotional management × total score of living pressure × 0.006+ cognitive level controlled × total score of living pressure × 0.01-humorous event style × total score of living pressure × 0.006-humorous event style × 0.024 professional score × 0.024+ multiple thinking score × 0.051-emotional management × 0.037-positive response to event × 0.022-nap habit fluctuation × 0.03+ controlled mood fluctuation × 0.035-home health score × 0.037+ home health care score × 0.034.034-home health management value × 0.034-emotional management;

predicted suicidal ideation total score = multiparty thinking x 0.09-emotional control x 0.022-cognitive level controlled x 0.178+ event active response x 0.108-self value x 0.075-humorous event style x 0.164+ nap habit x 0.194+ pressure of life total score x 0.012+ deceased x 0.094+ academic achievement x 0.027+ score fluctuation x 0.031-physical health x 0.081-home support x 0.049-cognitive level controlled _ pressure of life total score x 0.007-event active response x pressure of life total score x 0.003-humorous event style x life pressure total score x 0.003-event active response x academic achievement x 0.017-nap habit fluctuation x 0.021+ cognitive level fluctuation x 0.026-event score x 0.023-value x 019 x 0.02 x 0.022+ home style of life Physical health x 0.033+ events actively coped x deceived x 0.037+ cognitive level controlled x internal home support x 0.019.

Preferably, the psychological crisis diagnosis criteria include:

predicting a total score of anxiety as normal from-18 to-0.39, mild anxiety before a score of-0.39 to 0.04, moderate anxiety at a score of 0.04 to 0.47, and severe anxiety at a score of 0.47 to 18;

predicting total depression scores of-18 to-0.13 as normal, scores of-0.13 to 0.3625 as mild depression, scores of 0.3625 to 0.854 as moderate depression, and scores of 0.854 to 18 as severe depression;

the predicted suicidal ideation scores were normal from-3 to 0.76, mild from 0.76 to 1.00, moderate from 1.00 to 1.238, and severe from 1.238 to 18.

Preferably, the data comparison between the individual psychological crisis prediction data and the individual psychological crisis diagnosis standards is performed to perform psychological crisis level feedback, and the method includes:

if all the individual prediction data are in a normal range, performing primary potential psychological risk feedback;

if any one of diagnosis indexes of the individual anxiety and depression prediction data is more than mild, performing secondary crisis assessment and feedback;

and if the diagnosis index of the individual suicide intention prediction data is more than mild, performing third-level crisis assessment and feedback.

In summary, due to the adoption of the technical scheme, the invention has the beneficial effects that:

firstly, the invention starts from the essential reason of psychological crisis, brings the double-order effect of psychological crisis susceptibility on the psychological crisis into the psychological crisis evaluation method, further constructs the psychological crisis early warning model, greatly improves the prediction effectiveness, and provides better guidance effect for the psychological health early warning and the active psychological development of teenagers;

meanwhile, the invention mainly adopts neutral and active vocabularies to collect individual information so as to predict the psychological crisis level of the individual, thereby avoiding the teenager psychological negative effect caused by the starting of negative vocabularies and further realizing the effect of protecting the teenager psychology in the process of assessment and early warning;

in addition, the invention pays attention to indexes such as susceptibility, coping ability and the like, thereby warning the group which is possibly in crisis, early warning the individual psychological crisis in a long time period and strengthening the continuous protection effect on the psychological health of teenagers;

finally, the invention has three-dimensional and dynamic information sources, not only students but also parents, classes, schools and other information, and the information is quantitatively analyzed, so that the teenager psychological crisis assessment data obtained by the method is more convincing, and the comprehensiveness of the data is increased.

Drawings

FIG. 1 is a flow chart of a method for assessing and warning of a psychological crisis of teenagers according to the present invention;

FIG. 2 is a theoretical model diagram of three-stage psychological crisis early warning for teenagers in the assessment and early warning method for teenagers' psychological crisis according to the present invention;

fig. 3 is a flow chart of a three-level teenager psychological crisis two-level discrimination model in the assessment and early warning method of the teenager psychological crisis of the present invention.

Detailed Description

In order to make the objects, technical solutions and advantages of the present invention more apparent, the present invention is described in further detail below with reference to the accompanying drawings and embodiments. It should be understood that the specific embodiments described herein are merely illustrative of the invention and are not intended to limit the invention.

Example 1:

this embodiment provides a specific implementation of a method for assessing and warning a psychological crisis of teenagers, as shown in fig. 1 to 3, including:

Specifically, the three-level teenager psychological crisis two-level discrimination model comprises various psychological crisis prediction algorithms and various psychological crisis diagnosis standards;

the collection of susceptibility to psychological crisis is also achieved through behavioral responses to neutral and positive vocabularies.

Specifically, the life event and psychological crisis susceptibility score are input into a dual-order discrimination model for processing, and the processing comprises the following steps:

Specifically, life events, include: being deceived, stress of life, support in the home, and body imagery;

Further, each psychological crisis prediction algorithm comprises:

prediction of anxiety:

prediction of depression:

Further, various psychological crisis diagnosis criteria include:

Further, comparing each item of psychological crisis prediction data of the individual with each item of psychological crisis diagnosis standard, and feeding back psychological crisis levels, the method comprises the following steps:

By adopting the technical scheme:

Example 2:

in this embodiment, a specific implementation manner of the assessment and early warning method for a psychological crisis of teenagers is provided, as shown in fig. 1 to 3, when a secondary early warning feedback or a tertiary early warning feedback is obtained, a secondary early warning test or a tertiary early warning test is performed on an individual, and finally, the test result and the prediction result are comprehensively collated to diagnose the type of the psychological crisis;

specifically, the psychological crisis types are:

complex outbreak: the degree of symptoms is severe, the symptoms are caused by various profound individual and environmental factors, and the intervention is very challenging;

cumulative burst: the severity of symptoms, the onset of symptoms being caused by stable individual and environmental factors, which are difficult or impossible to avoid during intervention;

accidental outbreaks: the symptom degree is serious, but various beneficial factors exist in individual and environmental factors, the symptom initiating factor is relatively single, and the intervention direction is relatively direct;

exacerbation-type seizures: obvious symptoms appear, and the current symptoms still have the risk of further worsening because the symptoms are supported by profound individual and environmental factors;

difficult attacks: obvious symptoms appear, individual and environmental factors play an important role in maintaining the symptoms, no effective intervention exists, and the symptoms can be maintained for a long time;

simple onset: obvious symptoms appear, more beneficial factors exist in individual and environmental factors, and the symptoms are caused by single factors;

risk discomfort: slight symptomatic response occurs, but with different degrees of risk due to differences in individual and environmental factors;

potential risk: individual and environmental factors appear to have varying degrees of psychological risk, but symptom performance has not yet reached positive criteria;

when the anxiety prediction result of the individual is mild or above, further completing a secondary early warning test, wherein in the secondary early warning test, related anxiety tests are mainly measured, the score range of the anxiety tests is between 12 and 50, and when the total score is below 33.468, the individual is shown to be in a normal level; the score is a mild stress level between 33.468 and 39.873, the score is a moderate level between 39.873 and 46.278, the score is a severe level between 46.278 and 50, and finally the test result and the prediction result are comprehensively collated to obtain the anxiety mental crisis type shown in the table 1;

TABLE 1

When the prediction result of the individual depression is mild or above, further completing a secondary early warning test, wherein in the secondary early warning test, related depression tests are mainly measured, the score range of the depression tests is 14-50, and when the total score is below 35.9952, the individual is shown to be in a normal level; the score is a mild stress level between 35.952 and 42.039, the score is a moderate level between 42.039 and 48.126, the score is a severe level between 48.126 and 50, and finally the test result and the prediction result are comprehensively collated to obtain the type of the psychological crisis of depression shown in the table 2;

TABLE 2

When the individual suicidal ideation prediction result is mild or more, further completing a second-level suicide early warning test, wherein in the second-level suicide early warning test, the current suicidal ideation is mainly measured, the test results of the suicide test are divided into four types, namely no suicide ideation, suicide attempt and suicide behavior, and finally the test results are dividedComprehensively collating the predicted result with the predicted result to obtain the suicide psychological crisis type shown in the table 3;

real-time prediction	Has suicide behavior	With suicide attempt	With suicidal ideation	Without suicidal ideation
					Height of	Complex suicide alarm	Deteriorated suicide early warning	High risk suicide high risk	High-potential suicide crisis
In	Cumulative suicide alarm	Difficult suicide early warning	High risk of self-killing in danger	Medium potential suicide crisis
					Is low in	Accidental suicide alarm	Simple suicide early warning	Low risk suicide high risk	Low potential suicide crisis

TABLE 3

The working principle is as follows:

firstly, acquiring susceptibility and life events of teenagers to psychological crises in a questionnaire mode, obtaining various psychological crises prediction data of an individual through various psychological crises prediction algorithms, then carrying out data comparison according to various psychological crises prediction data of the individual and various psychological crises diagnosis standards, and carrying out primary potential psychological crises feedback if various prediction data of the individual are in a normal range; if any one of diagnosis indexes of the anxiety data and the depression data of the individual is mild or more, performing secondary psychological crisis assessment and feedback; if the diagnosis index of the individual suicidal ideation prediction data is mild or above, performing three-level crisis assessment and feedback; and finally, performing a second-level early warning test or a third-level early warning test on the individuals, and finally comprehensively sorting the test results and the prediction results to diagnose the psychological crisis types.

The foregoing is a more detailed description of the invention in connection with specific preferred embodiments and it is not intended that the invention be limited to these specific details. For those skilled in the art to which the invention pertains, several simple deductions or substitutions can be made without departing from the spirit of the invention, and all shall be considered as belonging to the protection scope of the invention.

Claims

1. A method for evaluating and early warning of adolescent psychological crisis, characterized in that it comprises:

Construct a three-level psychological crisis early warning theoretical model for adolescents;

Collection of adolescents’ susceptibility to psychological crisis and life events:

Based on the theoretical model, construct a two-level discriminant model of three-level adolescent psychological crisis;

The life events and psychological crisis susceptibility scores were input into a two-order discriminant model for processing.

2. the evaluation and early warning method of a kind of juvenile psychological crisis as claimed in claim 1, it is characterized in that: described three-level juvenile psychological crisis two-stage discriminant model comprises various psychological crisis prediction algorithms and various psychological crisis diagnostic criteria ;

The susceptibility to psychological crisis and life events of the adolescents are collected through questionnaires;

The susceptibility to psychological crisis was also captured by behavioral responses to neutral and positive words.

3. the evaluation and early warning method of a kind of juvenile psychological crisis as claimed in claim 2, is characterized in that, described life event and psychological crisis susceptibility score are input into the double-order discriminant model model processing, comprising:

Obtain individual psychological crisis prediction data through various psychological crisis prediction algorithms;

The individual's psychological crisis prediction data is compared with the data of various psychological crisis diagnostic standards, and psychological crisis level feedback is carried out.

4. The evaluation and early warning method of a teenage psychological crisis as claimed in claim 3, wherein the life events include: being bullied, life pressure, family support and body image;

The psychological crisis susceptibility includes: multiple thinking, emotional control, controllable cognitive level, positive response to events, positive self-worth, and humorous style of doing things.

5. the evaluation and early warning method of a kind of adolescent psychological crisis as claimed in claim 4, is characterized in that, described each psychological crisis prediction algorithm, comprises:

Prediction of anxiety:

Predictive anxiety total score = multiple thinking × 0.073 + emotional control × 0.414 - controllable at cognitive level × 1.4 + positive response to events × 0.214 + self-worth × 0.023 + humorous style × 0.236 + performance fluctuation × 0.111 - physical health × 0.148+ Being bullied × 0.061 - family support × 0.048 + controllable cognitive level × life stress total score × 0.014 - event active response × life stress total score × 0.005 + nap habit × life stress total score × 0.013 - event active response × academic Score × 0.019 + controllable at cognitive level × performance fluctuation × 0.05 – active response to events × performance fluctuation × 0.034 - nap habit × performance fluctuation × 0.061 - emotional control × physical health × 0.142 + controllable cognitive level × physical health × 0.138 - Humorous style × physical health × 0.083 + controllable cognitive level × bullied × 0.087;

Prediction of depression:

Predicted depression total score = emotional control × 0.017-multiple thinking ×0.086-cognitive level controllable ×0.527+positive coping of events ×0.020-self-worth ×0.236+life stress total score ×0.016+napping habits ×0.409-physical health ×0.078 +Performance fluctuation×0.052+Being bullied×0.027-Family support×0.052+Emotional control×life stress total score×0.006+Cognitive level controllable×life stress total score×0.01-humorous style of life×life stress total score×0.006 - Humorous style × academic performance × 0.024 + multiple thinking × grade fluctuation × 0.051 - emotional control × grade fluctuation × 0.037 - positive response to events × grade fluctuation × 0.022 - nap habit × grade fluctuation × 0.03 + emotional control × bullying × 0.035 -Emotional control × family support × 0.037 + self-worth × family support × 0.034 - nap habit × physical health × 0.086;

Total score for predicting suicidal ideation = multiple thinking × 0.09 - emotional control × 0.022 - controllable at cognitive level × 0.178 + positive response to events × 0.108 - self-worth × 0.075 - humorous style × 0.164 + nap habit × 0.194 + total life stress score ×0.012+Bullying×0.094+Academic achievement×0.027+Grade fluctuations×0.031–Physical health×0.081-Family support×0.049-Cognitive level controllable_Life stress total score×0.007–Event positive response×Life stress total score ×0.003-humorous work style ×life stress total score ×0.003-positive response to events × academic performance ×0.017-napping habits × academic performance ×0.021+ controllable cognitive level × performance fluctuation ×0.026-positive response to events × performance fluctuation ×0.023 - Self-worth × performance fluctuation × 0.02 + humorous style × performance fluctuation × 0.031 - nap habit × grade fluctuation × 0.022 + self-worth × family support × 0.019 + humorous style × physical health × 0.033 + positive response to incidents × being bullied ×0.037+ controllable at cognitive level ×support within the family ×0.019.

6. the evaluation and early warning method of a kind of juvenile psychological crisis as claimed in claim 3, is characterized in that, described each psychological crisis diagnostic criteria, comprises:

The predicted anxiety total score is between -18 and -0.39 as normal, between -0.39 and 0.04 as mild anxiety, between 0.04 and 0.47 as moderate anxiety, and between 0.47 and 18 as severe anxiety;

The predicted total depression score is normal between -18 and -0.13, mild depression is between -0.13 and 0.3625, moderate depression is between 0.3625 and 0.854, and severe depression is between 0.854 and 18;

Predicted suicidal ideation scores from -3 to 0.76 are normal, scores before 0.76 to 1.00 are mild suicidal ideation, scores between 1.00 and 1.238 are moderate suicidal ideation, and scores between 1.238 and 18 are severe suicidal ideation .

7. the evaluation and early warning method of a kind of adolescent psychological crisis as claimed in claim 6, is characterized in that, each psychological crisis prediction data of described individual carries out data comparison with each psychological crisis diagnostic standard, carries out psychological crisis level feedback, including:

If the predicted data of the individual are all within the normal range, the first-level potential psychological risk feedback will be carried out;

If any one of the diagnostic indicators of individual anxiety and depression prediction data is mild or above, the second-level crisis assessment and feedback shall be carried out;

If the diagnostic index of the individual suicide intention prediction data is above mild, a three-level crisis assessment and feedback will be carried out.