没有预测没有预防:对使用预测工具来预测青春期患抑郁症风险的态度的全球定性研究
Brandon A Kohrt1, Syed Shabab Wahid2, Katherine Ottman1
1Center for Global Mental Health Equity, Department of Psychiatry and Behavioral Health, George Washington University, Washington, DC, USA.
Global mental health (Cambridge, England)
|January 8, 2025
概括
青少年和利益相关者希望可以理解,保密和可操作的抑郁症预测工具. 实施这些工具需要仔细考虑道德方面的影响,并为处于危险的年轻人提供强有力的预防服务.
科学领域:
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
- 青少年心理健康 青少年心理健康
背景情况:
- 预测性精神病学正在迅速发展,可能超越临床和公众的接受.
- 抑郁症预测工具有可能减少年轻人群中的全球抑郁症负担.
- 在青少年和利益相关者中使用抑郁症预测工具的全球态度在很大程度上是未知的.
研究的目的:
- 评估青少年和各种利益相关者对使用抑郁症预测风险计算器的态度.
- 在临床和公共卫生环境中确定可接受的抑郁症预测工具的关键属性.
主要方法:
- 在巴西,尼泊尔,尼日利亚和英国进行了关键告密者采访和焦点小组讨论.
- 涉及241名参与者的多样化样本,包括青少年,家长,教师,医疗保健从业人员和其他利益相关者.
- 使用识别青春期早期抑郁症风险评分作为风险计算器的基础.
主要成果:
- 确定了可接受的抑郁症预测工具的三个基本属性:可理解性,保密性和可操作性.
- 可理解性包括抑郁素养和区分当前状况和未来风险.
- 隐私问题涉及披露风险和对教育和就业机会的潜在负面影响.
- 行动性需要为被确定为高风险的青少年提供可访问的预防服务.
结论:
- 实施抑郁症预测工具需要关注可理解性,保密性和可操作性.
- 提供了建议,以指导未来关于将这些工具纳入实践的态度和准备的研究.
- 伦理考虑和支持服务的提供对于在青少年心理健康中负责任地使用预测工具至关重要.
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