The increasing frequency of college students' use of crisis mental health services at college counseling centers is exacerbating the existing challenges college counseling centers face to meet students' growing demand for mental healthcare on campus. The purpose of the present study was to investigate whether any clinical or demographic variables distinguished between students in the clinical population who did and did not use crisis services, including crisis walk-in sessions and transport to the hospital for emergency psychiatric evaluation. Clinical and demographic data from the intake paperwork of 408 students who received services from a university counseling center over a 2-year time-period were collected and analyzed to determine whether any variables were associated with significantly higher levels of crisis service use. Only prior use of self-harm as a coping strategy was associated with both increased likelihood of accessing crisis walk-in sessions and hospital transports. Black students were more likely to use crisis walk-in sessions than White students and students with a history of prior counseling were more likely to attend multiple crisis walk-in sessions. A higher likelihood of being transported to the hospital was associated with history of prior counseling, suicidal ideation at intake, higher scores on the Counseling Center Assessment of Psychological Symptoms-62 depression and social anxiety subscales, and use of one versus multiple crisis walk-in sessions. Results are discussed in the context of how counseling centers might employ these findings to identify students who are more likely to require crisis services and target interventions proactively to mitigate this need. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

中文翻译：

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在大学生中区分对危机心理健康服务的需求。

大学生在大学心理咨询中心使用危机心理健康服务的频率越来越高，这加剧了大学心理咨询中心在满足学生日益增长的校园心理保健需求方面面临的挑战。本研究的目的是调查在临床人群中是否使用危机服务和不使用危机服务的学生之间是否有任何临床或人口统计学变量，包括危机预备会议和送往医院进行紧急精神病学评估。收集并分析了在两年时间内从大学咨询中心接受服务的408名学生的入学文书的临床和人口统计数据，以确定是否有任何变量与危机服务的使用水平显着提高有关。只有事先使用自残作为应对策略，才有可能增加参加危机现场咨询和医院接送的可能性。与白人学生相比，黑人学生比白人学生更有可能参加危机预告课程，而有过先前咨询历史的学生更有可能参加多次危机预告课程。被运送到医院的可能性更高，与先前的咨询历史，进食时有自杀念头，心理症状咨询中心评估（62抑郁症和社交焦虑量表）得分较高，以及一次或多次危机预警的使用相关会议。在咨询中心如何利用这些发现来识别更可能需要危机服务的学生以及主动针对干预措施以减轻这种需求的情况下讨论了结果。（PsycInfo数据库记录（c）2021 APA，保留所有权利）。