在高风险青少年和年轻成年人中K-CAT-SS的预测有效性
Robert D Gibbons1, Neal D Ryan2, Fuchiang Rich Tsui3
1University of Chicago, Chicago, Illinois.
概括
儿童计算机化适应性测试自杀量表 (K-CAT-SS) 有效预测高风险青少年的自杀企图. 较高的分数表明自杀企图和行为风险显著增加.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 公共卫生 公共卫生
背景情况:
- 在过去的15年里,青少年和年轻人的自杀率显著增加.
- 准确和快速的自杀风险查对于干预至关重要.
- 现有的查工具在预测高风险年轻人的自杀企图方面可能存在局限性.
研究的目的:
- 评估Kiddie计算机化适应性测试自杀量表 (K-CAT-SS) 对高风险青少年自杀未遂 (SAs) 的预测有效性.
- 评估K-CAT-SS对脆弱人群中自杀风险分层的能力.
主要方法:
- 一组652名参与者 (年龄12-24岁) 具有自杀想法或行为被招募在心理健康接触的一个月内.
- 基线时使用K-CAT-SS,1,3个月和6个月后进行后续评估.
- 每周使用经过验证的尺度监测自杀企图和自杀行为.
主要成果:
- 基线K-CAT-SS得分每增加25个点,与SAS增加4.91倍和自杀行为增加3.51倍相关.
- 在调整之前的尝试,人口统计学和其他精神病理学之后,这些关联仍然很重要.
- 预测3个月后SAS的接收器运行特征曲线下的面积为0.83.3.
结论:
- K-CAT-SS证明了对自杀风险分层的卓越实用性.
- 它在高风险人群中特别有效,而其他措施可能会显示预测准确性降低.
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