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儿童患者的自杀风险查工具:对测试准确性的系统审查

Nathan J Lowry¹, Pauline Goger¹, Maria Hands Ruz¹

¹Department of Counseling and Clinical Psychology, Teachers College, Columbia University, New York, New York.

|February 15, 2024

概括

本综述评估了儿童非精神病治疗中的自杀风险查工具. "问自杀查问题"和"自杀青少年计算机自适应屏幕"在临床应用中显示出有希望的准确性.

科学领域:

儿科健康儿科健康
心理健康查心理健康查
临床心理学临床心理学

背景情况:

全球自杀风险查在儿童非精神病学环境中越来越多.
缺乏对这些工具准确性的系统审查.

研究的目的:

审查自杀风险查工具的测试准确性.
专注于非精神病医疗机构的儿科患者.

主要方法:

在PubMed和PsycINFO搜索2023年3月之前的同行评审文章.
包括研究量化查工具的准确性 (灵敏度,特异性) 在非精神病学设置.
评估了13项纳入研究的心理测量属性和偏差风险.

主要成果:

灵敏度在50%至100%之间;特异性在58.8%至96%之间.
方法质量各不相同,适用性问题较低.
问自杀选问题 (ASQ) 和自杀青少年计算机自适应屏幕 (CASSY) 展示了最强有力的证据基础.

结论:

研究的异质性阻止了元分析.
ASQ和CASSY显示了令人满意的测试准确性和临床整合的潜力.
需要对不同人群进行进一步的研究,以确保公平的查.

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