自杀风险查是否有助于识别那些会尝试自杀的初级保健患者,而不是单独进行抑郁症查?
Joint Commission journal on quality and patient safety
|September 22, 2023
概括
使用患者健康问卷 (PHQ) - 9进行抑郁症查比自杀风险查更有效,用于识别近期尝试自杀的患者. 普遍的自杀风险查提供了PHQ-9抑郁查之外的有限的额外好处.
科学领域:
- 初级医疗保健医学 一级医疗保健医学
- 心理健康查 心理健康查
- 自杀学 自杀学
背景情况:
- 在初级保健中,自杀风险查与单独的抑郁查的比较有效性尚未得到充分证实.
- 现有的抑郁查工具也可以识别自杀风险,需要严格的比较.
研究的目的:
- 在初级保健患者中比较各种抑郁症和自杀风险查方法的性能.
- 为了确定是否普遍的自杀风险查改善了自杀未遂患者的识别,超出了抑郁查.
主要方法:
- 一个2744名初级保健患者的便利样本完成了抑郁症 (PHQ-2,PHQ-8,PHQ-9) 和自杀念头查.
- 一年多的电话访谈评估了自杀企图.
- 对每个查方法计算了敏感度,特异性,准确性和F1统计数据.
主要成果:
- 超过65%的积极自杀念头的患者在PHQ-9.9上也对抑郁症呈阳性查.
- 与PHQ-2和最近的自杀想法相比,PHQ-9在3个月内更好地识别了自杀企图.
- 终身自杀想法查在6个月和12个月的尝试中更有效地识别了自杀想法.
结论:
- 使用PHQ-9进行抑郁症查是识别近期自杀企图风险患者的最有效策略.
- 普遍的自杀风险查不太可能显著提高超出PHQ-9提供的高风险患者的识别.
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