【摘要】 目的 研究綜合醫(yī)院心理咨詢初診患者的特征。 方法 對(duì)2007年1月1日-2009年12月31日初診患者的性別、年齡、居住地、學(xué)歷、職業(yè)、咨詢目的與疾病分布等特征進(jìn)行統(tǒng)計(jì)分析。 結(jié)果 共納入1 933例初診患者，女性略多于男性（男女比1∶1.1）；年齡3~75歲，以青少年（10~19歲，34.5%）和青年（20~29歲，29.7%）為主；當(dāng)?shù)鼐用窬佣啵?6.0%），外地居民亦占較大比例（34.0%）；學(xué)歷主要分布在中學(xué)（初中:21.5%；高中:35.6%）和大學(xué)（33.6%）；職業(yè)分布以學(xué)生比例最大（40.0%），其次為無(wú)固定職業(yè)者（14.9%），專業(yè)技術(shù)人員（12.5%），商業(yè)、服務(wù)人員（9.4%），辦事人員和有關(guān)人員（7.7%）?；颊咧杏行睦韱?wèn)題的健康人占27.5%，以親子教育咨詢（53.4%）和婚戀咨詢（41.5%）為主；患精神障礙的患者占72.5%，以心境障礙（30.6%）、神經(jīng)癥（23.1%）和精神分裂癥（10.1%）為主，新確立的精神障礙網(wǎng)絡(luò)成癮占1.1%。 結(jié)論 綜合醫(yī)院心理咨詢初診患者來(lái)源廣泛，需要更加關(guān)注青少年、學(xué)生和無(wú)固定職業(yè)者的心理問(wèn)題。【Abstract】 Objective To investigate the characteristics of the new clients from the psychological counseling clinic in general hospital. Methods The clients’ data were prospectively analyzed from the successively registered database of the counseling clinic from January 1, 2007 to December 31, 2009. The data included sex, age, habitation, educational background, career, problems, and diagnosis of the new clients. Results A total of 1 933 clients were included in the study, and the sex ratio was 1∶1.1(male∶female). The age ranged from three to 75 years old. The clients aging from 10 to 29 yeas old accounted for 64.2%. Sixty-six percent of the clients were local residents. The education backgrounds of them were middle school (21.5%), high school (35.6%), and graduate (33.6%). Forty percent of the clients were students and 14.9% had no regular works. Special technician, business and service workers, and office workers accounted for 12.5%, 9.4%, and 7.7%, respectively. The percentage of healthy clients was 27.5%, whose main problems were child education (53.4%), and marriage relationship (41.5%). And 72.5% of the clients suffered from mental disorders, with mood disorder (30.6%), neurosis (23.1%), and schizophrenia (10.1%). Internet addiction, as a new established mental disorder in China, accounted for 1.1%. Conclusion At present, the clients of counseling clinic in general hospital are more widespread, and more attention should be paid to the young, the students, and the people without regular work.