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題名：大專院校自殺/自傷危機處理之探討：以臺灣北區四所私立大學為例
書刊名：中華輔導與諮商學報
作者：陳莉榛／胡延薇／張雅惠 引用關係
作者(外文)：Chen, Li-chen／Hu, Yen-wei／Chang, Yea-huey
出版日期：2013
卷期：38
頁次：頁149-182
主題關鍵詞：校園自殺/自傷危機處理；緊急個案管理；學校諮商員；Campus suicide/self-injury crisis intervention；Emergency case management；School counselor
原始連結：連回原系統網址new window
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  • 被引用次數被引用次數:期刊(3) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:3
  • 共同引用共同引用:54
  • 點閱點閱:115
校園危機處理為心理諮商專業之必要工作，自殺／自傷危機又是學校諮商員最常處理的事件之一。為因應校園自殺／自傷危機日增的局勢，台灣教育當局所頒布之學生憂鬱及自殺／自傷防治處理機制流程圖中，以三級預防的概念明訂校園中相關單位之自殺／自傷危機處理工作。本研究以台灣北區四所不同特色之大學諮商輔導單位及其諮商員為研究對象，探討各校自殺／自傷危機處理之個案管理所遇到的困難與解決方式，期盼透過此研究補充教育部頒訂之危機處理程序，以涵蓋更多元校園文化之處理流程。為此，本研究透過檔案研究與焦點團體的方式，依照緊急個案管理模式中之評估、轉介、聯繫、通報、召開會議、後續輔導等工作層面，收集各校在自殺／自傷危機處理程序中所遭遇的困難與因應策略。結果發現就自殺／自傷處理程序而言，受訪的學校輔導單位部分採取教育部頒布的處理流程並編製具體內部流程。而就諮商員的自殺／自傷危機個案管理實務工作上，訪問結果發現在評估、轉介與就醫方面，各校皆遇到執行的困難並發展相關的行動策略。聯繫與通報之個案管理工作則因校園行政文化發展不同處理策略。本研究依照上述困難中各校的解決策略，擬定一個調整後的自殺／自傷危機處理流程圖。
Campus crisis management has become a necessary aspect of a counselor's job. Specifically, management of suicide/self-injury crises is one of the most common occurrences faced by university-based counselors. In responding to the increasing suicide/self-injury incidences across campuses, the Ministry of Education in Taiwan stipulated a student depression and suicide/self-injury prevention and management flowchart based on the tertiary prevention concept. By studying the experiences of four university counseling centers in Northern Taiwan, this study explored the obstacles faced and the solutions adopted by each of these universities in managing crises. It is hoped that this study can help supplement the crisis management procedures formulated by the Ministry of Education and that the unique culture of the various universities can be incorporated into the emergency management procedures to help each campus responding to crises. The present study analyzed case files as well as conducted focus groups to collect information related to obstacles encountered during crisis and the corresponding management strategies used in each of the campuses. The specific elements of assessment, referral, liaison, reporting, meeting, and follow-up counseling indicated in the emergency case management model were examined. Results of the study suggest that difficulties in carrying out assessment, referral and medical treatment were found across campuses and each university has developed its own unique responding strategies. Approaches to liaison and reporting were found to be divergent across campuses due to differences in the administrative culture of each university. On the basis of the above results, the current study forwards a modified version of the suicide/self-injury crisis management reference flowchart to help address concerns across campuses.
期刊論文
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4.徐欽祥(20080500)。學校危機管理的整合性觀點。學校行政，55，32-47。  延伸查詢new window
5.鄭崇趁(1995)。輔導網路的理念與實務。學生輔導，46，20-27。  延伸查詢new window
6.Adamson, A. D.、Peacock, G. G.(2007)。Crisis response in the public schools: A survey of school psychologists' experiences and perceptions。Psychology in the Schools，44(8)，749-763。  new window
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8.Auger, R. W.、Seymour, J. W.、Roberts, W. B.(2004)。Responding to terror: The impact of September 11 on K-12 schools and schools' responses。Professional School Counseling，7，222-230。  new window
9.Fitzpatrick, K. M.、Piko, B. F.、Miller, E.(2008)。Suicide ideation and attempts among low-income African adolescents。Suicide and Life-Threatening Behavior，38，552-563。  new window
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11.Gould, Madelyn S.、Greenberg, Ted、Velting, Drew M.、Shaffer, David(2003)。Youth suicide risk and preventive interventions: A review of the past 10 years。Journal of the American Academy of Child & Adolescent Psychiatry，42(4)，386-405。  new window
12.King, K. A.、Price, J. H.、Telljohann, S. K.、Wahl, J.(2000)。Preventing adolescent suicide: Do high school counselors know the risk factors?。Professional School Counseling，3，255-263。  new window
13.McAdams, C. R.、Keener, H. J.(2008)。Preparation, action, recovery: A conceptual framework for counselor preparation and response in client crises。Journal of Counseling and Development，86，388-398。  new window
14.Ougrin, D.、Latif, S.(2011)。Specific psychological treatment versus treatment as usual in adolescents with self-harm。Crisis，32(2)，74-80。  new window
15.Qin, P.、Mortensen, P. B.、Pedersen, C. B.(2009)。Frequent change of residence and risk of attempted and completed suicide among children and adolescents。Archives of General Psychiatry，66，628-632。  new window
16.Riley, P. L.、McDaniel, J.(2000)。School violence prevention, intervention, and crisis response。Professional School Counseling，4，120-125。  new window
17.Roberts, A. R.、Ottens, A. J.(2005)。The seven-stage crisis intervention model: A road map to goal attainment, problem solving, and crisis resolution。Oxford Journals，5(4)，329-339。  new window
18.Schwartz, R.、Rogers, J.(2004)。Suicide assessment and evaluation strategies: A primer for counseling psychologists。Counseling Psychology Quarterly，17，89-97。  new window
19.Smaby, M. H.、Peterson, T. L.、Bergmann, P. E.、Zentner Bacig, K. L.、Swearingen, S.(1990)。School-based community intervention: The school counselor as lead consultant for suicide prevention and intervention programs。The School Counselor，37，370-378。  new window
20.Ten Have, M.、de Graaf, R.、von Dorsselaer, S.、Verdurmen, J.、van't Land, H.、Vollebergh, W.、Beekman, A.(2010)。Incidence and course of suicide ideation and suicide attempts in the general population。Canadian Journal of Psychology，54，824-833。  new window
21.Thompson, R.、Proctor, L. J.、English, Ej. J.、Dubowtiz, H.、Narasimhan, S.、Everson, M. D.(2012)。Suicidal ideation in adolescence: Examining the role of recent adverse experiences。Journal of Adolescence，35，175-186。  new window
22.Van der Feltz-Cornelis, C. M.、Sarchiapone, M.、Postuvan, V.、Volker, D.、Roskar, S.、Grum, A. T.、Carli, V.(2011)。Best practice elements of multilevel suicide prevention strategies: A review of systematic reviews。Crisis，32(6)，39-333。  new window
23.White, K.、Victoria, E.、Gibson, D. M.、Reynolds, C. A.(2004)。Adolescents who self-injure: Implications and strategies for school counselors。Professional School Counseling，7(3)，195-202。  new window
24.洪晴晴、李玉嬋(20060300)。青少年自我傷害行為的辨識與處遇。諮商與輔導，243，26-31。  延伸查詢new window
25.Beautrais, A. L.(2000)。Risk factors for suicide and attempted suicide among young people。Australian and New Zealand Journal of Psychiatry，34(3)，420-436。  new window
26.Jacobson, C. M.、Gould, M.(2007)。The epidemiology and phenomenology of non-suicidal self-injurious behavior among adolescents: A critical review of the literature。Archives of Suicide Research，11(2)，129-147。  new window
27.麥麗蓉、蔡秀玲(20040300)。諮商員在大學校園中危機處理經驗之初探研究。中華輔導學報，15，97-122。new window  延伸查詢new window
28.許文耀、吳英璋、胡淑媛、翁嘉英(19941200)。自我傷害行為與身心健康的關係。中華輔導學報，2，160-179。new window  延伸查詢new window
29.Fitch, T.、Newby, E.、Ballestero, V.、Marshall, J. L.(2001)。Future School Administrators' Perceptions of the School Counselor's Role。Counselor Education and Supervision，41(2)，89-99。  new window
30.洪雅鳳、羅皓誠(20060600)。自殺未遂學生的危機介入處遇策略。輔導季刊，42(2)，13-24。new window  延伸查詢new window
31.宋麗玉(19980600)。個案管理之內涵與工作模式--兼論個案管理模式在臺灣社會工作領域之應用。社會政策與社會工作學刊，2(1)，127-156。new window  延伸查詢new window
32.Bonner, R. L.、Rich, A. R.(1987)。Toward a Predictive Model of Suicide Ideation and Behavior: Some Preliminary Data in College Students。Suicide and Life-threatening Behavior，17(1)，50-63。  new window
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會議論文
1.張雅惠、陳莉榛、胡延薇、江捷如(2011)。從校園自殺危機處理談學校專業輔導人員養成教育。臺灣諮商心理學會2011年會員大會暨學術研討會。台北市：國立臺灣師範大學教育學院。  延伸查詢new window
2.陳莉榛、胡延薇、張雅惠(2011)。校園緊急個管之探討。兩岸四地高校輔導高峰論壇。澳門：澳門科技大學。  延伸查詢new window
3.Brent, D. A.(1995)。Depression and Suicide in Youth: Antecedent and Treatment。McGill University Meeting on Depression and Suicide in Youth。Canada。  new window
4.Walsh, B.(2004)。New developments understanding and treating Self-injury。American Association of Suicidology 37th annual Conference Handout。  new window
5.Tramonte, M. R.(1999)。School Psychology in the New Millennium: Constructing and Implementing a Blueprint for Intervening in Crises Involving Disasters and/ or Violence。Annual Convention of the National Association of School Psychologist。沒有紀錄。  new window
學位論文
1.吳錫鑫(2003)。教學、訓導、輔導三合一方案試辦學校輔導文化之研究(碩士論文)。國立新竹師範學院。  延伸查詢new window
2.李振林(2011)。國軍自殺防治風險管理之研究(碩士論文)。國防大學政治作戰學院，臺北。  延伸查詢new window
3.胡正申(2009)。國軍心輔人員處遇自殺未遂個案理論模型之驗證(博士論文)。國立暨南國際大學。new window  延伸查詢new window
4.葉建君(2009)。資深諮商心理師自我照顧經驗之探討--從全人健康觀點(碩士論文)。國立暨南國際大學。  延伸查詢new window
5.黎麗貞(2009)。遊戲治療未成熟結案之歷程研究---遊戲治療師觀點之探究(博士論文)。國立彰化師範大學，彰化。new window  延伸查詢new window
6.高永興(1990)。社會工作人員對個案管理認知之研究(碩士論文)。東海大學。  延伸查詢new window
7.游純敏(2000)。中區大專院校學生精神疾病社會支持網絡運作之探討---個案管理之觀點(碩士論文)。國立暨南國際大學。  延伸查詢new window
8.林杏真(2002)。自傷青少年生活壓力、社會支持與自我強度的發展及其關係研究(碩士論文)。國立臺灣師範大學。  延伸查詢new window
9.黃新福(1992)。危機管理之研究：從組織層面來探討(碩士論文)。國立政治大學。  延伸查詢new window
10.Timmerberg, P. B.(1989)。Crisis Intervention in Secondary Public Schools: A Qualitative Study(碩士論文)。Saint Louis University，Saint Louis City。  new window
圖書
1.林家興(2006)。大學諮商輔導工作實務。台北：心理。  延伸查詢new window
2.American School Counselor Association(2000)。Position statement: Critical incident response。Alexandria, VA：American School Counselor Association。  new window
3.Capuzzi, D.(1994)。Suicide prevention in the schools: Guidelines for middle and high school settings。Alexandria, VA：American Counseling Association。  new window
4.James, R. K.、Gilliland, B. E.(2004)。Crisis Intervention Strategies。Belmont, CA：Wads worth/Thomson。  new window
5.Myer, R. A.、James, R. K.(2005)。CD-ROM and workbook for crisis intervention。Belmont, CA：Thomson Brooks/Cole。  new window
6.Rudd, M. D.、Joiner, T.、Rajab, M. H.(2004)。Treating suicidal behavior: An effective, time-limited approach。New York, NY：Guilford Press。  new window
7.Shneidman, E. S.(1987)。A psychological approach to suicde。Cataclyms, crises, and catastrophies: Psychology in action。Washington, DC：American Psychological Association。  new window
8.Intagliata, J.(1992)。Improving the quality of community care for the chronically mentally disabled: The role of case management。Case management social work practice。New York, NY：Longman。  new window
9.Berman, A. L.、Jobes, D. A.(1991)。Adolescent suicide: Assessment and intervention。Washington DC.：American Psychological Association。  new window
10.Slaikeu, K. A.(1990)。Crisis Intervention: A Handbook for practice and research。Needham Heights, MA。  new window
11.Walsh, B.、Rosen, P. M.(1988)。Self-mutilation: Theory, research and treatment。New York, NY：Guilford。  new window
12.宋麗玉、曾華源、施教裕、鄭麗珍(2002)。社會工作理論--處遇模式與案例分析。洪葉文化事業有限公司。  延伸查詢new window
13.Wainrib, B. R.、Bolch, E. L.(1998)。Crisis intervention and trauma response: Theory and practice。New York：Springer。  new window
單篇論文
1.Young, K. A.，Poland, S.，Griffin, L.(1996)。Making Psychology in the Schools Indispensable: Our Role in Crisis Intervention(ED 406616)。  new window
其他
1.教育部(2004)。校園自我傷害防治手冊，www.edu.tw/EDU_WEB/EDU_MGT/DISPL/EDU3748001/snow0116-l.doc， 20120104。  延伸查詢new window
2.郭峰志(20010430)。習慣性自傷行為可能隱藏嚴重精神疾病。  延伸查詢new window
 
 
 
 
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