验证P4自杀倾向工具的德语版本
Sabine Schluessel1, Kathrin Halfter2, Carolin Haas1,3
1Institute of General Practice and Family Medicine, University Hospital, LMU Munich, 80336 Munich, Germany.
Journal of clinical medicine
|August 12, 2023
概括
德国P4查器有效评估初级保健室患者的自杀念头 (SI). 它确定了保护因素,帮助全科医生做出治疗决策和风险评估.
科学领域:
- 精神病学是一个精神病学.
- 主要护理医学 医疗保健
- 心理测量 心理测量 心理测量
背景情况:
- 对全科医生来说,评估自杀念头 (SI) 是一个挑战.
- 在初级保健中用于SI查的验证的德国仪器有限.
- P4选器是SI评估的一个简短工具.
研究的目的:
- 检查德国P4查器在门诊中评估SI的有效性.
- 评估P4的构造有效性与已确定的措施相比.
- 探索P4在初级保健机构中的实用性.
主要方法:
- 对223名符合纳入标准的门诊患者进行横截面研究 (PHQ-9分数≥10或积极的SI项目).
- 通过将P4与自杀行为调查问卷修订 (SBQ-R),PHQ-9 (融合) 和积极心理健康 (PMH) 尺度 (分歧) 进行比较来评估构建有效性.
- 从初级保健实践和精神病诊所收集的数据.
主要成果:
- 前三项P4项目与SBQ-R显示出正相关性,支持了趋同有效性.
- P4的第四项 (预防因素) 与PMH尺度有显著的相关性.
- 家庭或朋友是最常见的预防因素 (67%).
结论:
- 德国P4查器是评估SI在门诊环境中的有效工具.
- P4评估了保护因素,帮助全科医生规划治疗.
- 对于P4确定的患者,建议进行进一步的临床访谈,以正式评估自杀风险.
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