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Theory and Practice of Psychological Counseling
ISSN Print:2664-1828
ISSN Online:2664-1836
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家校医协同视角下高校学生心理危机干预案例
A Case Study on College Students’ Psychological Crisis Intervention from the Perspective of Home-School-Medical Collaboration
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Information:
广西民族大学大学生心理健康教育中心，南宁
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Keywords:
Home-school-medical collaboration; College students; Psychological crisis intervention家校医协同; 高校学生; 心理危机干预
- Abstract: College students’ psychological crises feature hidden inducements and sudden onsets. Compared with primary and secondary schools, college psychological intervention faces more difficulties including strict definition of rights and obligations for adult students, inefficient cross-regional home-school linkage, and strong mental illness stigma among parents. This paper takes Zhang, a sophomore female engineering student from an ordinary undergraduate university as the research object. Introverted and sensitive since childhood, she suffered from long-term family emotional neglect. Coupled with poor interpersonal adaptation, failing grades and parent-child conflicts in college, she developed eating disorders, social avoidance and suicidal behaviors by taking medicine, and was diagnosed with major depressive episode with suicidal ideation, adjustment disorder, eating and sleep disorders. This intervention addresses two core dilemmas: parents’ initial resistance to facing the crisis and students’ refusal to engage in parent-child communication. It set up an emergency team to implement risk control and 24-hour accompanying care, adopted hierarchical communication strategies to change parents’ resistant cognition, mediated parent-child conflicts and guided effective communication skills, and realized medical referral via the school-hospital green channel. The student went through off-campus recuperation with joint efforts of three parties within six months. This case summarizes the whole-process intervention mechanism, and concludes that college psychological crises are not behavioral problems. Professional home-school communication, peer assistance and standardized home-school-medical collaboration are essential to safeguard college students’ mental health and life safety. 高校大学生心理危机诱因隐蔽、发作突然，受成年学生权责划分、异地家校联动滞后、家长对心理疾病的错误认知等因素制约，干预工作难度较大。本文以某本科高校大二工科女生张某为研究案例，该生长期遭受家庭情感忽视，叠加校园人际适应不佳、课程挂科、亲子矛盾等多重压力，出现自杀风险行为、饮食失调、社交回避等高危表现，确诊重度抑郁发作伴自杀意念、适应障碍及进食睡眠障碍。本次干预针对家长初期对危机事实的抵触情绪以及学生抗拒开展亲子沟通两大核心困境展开，构建家校医闭环协同干预机制：学校快速开展应急管控、24小时陪护，法理结合疏导家长认知，调解亲子关系并赋能双向沟通；依托医校绿色通道完成专科诊疗，依规办理因病外宿手续。半年康复周期内，家校医三方各司其职联动帮扶，助力学生逐步恢复心理状态。该案例表明，高校心理危机不是学生个人态度问题，需依托规范化家校医协同、专业化家校沟通与朋辈互助，筑牢大学生心理健康与生命安全防线。
- DOI: 10.35534/tppc.0807035 (registering DOI)
- Cite: 位焕弟. (2026). 家校医协同视角下高校学生心理危机干预案例. 心理咨询理论与实践, 8(7), 292-297.
