测试风险-救援等级尺度的心理测量属性:自杀企图的致命性指标
Tormod Stangeland1,2, Ketil Hanssen-Bauer3,4, Johan Siqveland3,5
1Division of Mental Health Services, Akershus University Hospital, Lørenskog, Norway. tmst@ahus.no.
International journal of mental health systems
|January 30, 2025
概括
一个标准化的风险救援评级表 (RRRS) 提高了卫生专业人员对自杀企图死亡率的评估. 这种可靠的工具提高了临床实践和自杀风险报告的一致性.
科学领域:
- 临床心理学 临床心理学
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 卫生专业人员缺乏标准化的方法来评估自杀企图的死亡率,导致不一致的评估和报告.
- 需要一个共同的标准来提高临床环境中自杀企图评估的清晰度和一致性.
研究的目的:
- 调整和评估风险-救援等级表 (RRRS) 用于挪威青少年心理健康诊所.
- 评估适应RRRS的可靠性和有效性,以评估自杀企图的死亡率.
主要方法:
- 将RRRS适应当代使用,并开发了培训计划,用户手册和基于视频的可靠性测试案例.
- 招募了28名临床医生,使用RRRS和自杀意图量表 (SIS) 评分五次角色扮演视频访谈.
- 计算了RRRS和SIS的interrater可靠性 (ICC),并通过相关性分析评估了并发和区分有效性.
主要成果:
- 调整后的RRRS显示出优异的评分器间可靠性 (ICC = .93),相当于已建立的SIS (ICC = .94).
- 在类似的RRRS和SIS项目之间发现了强烈的相关性 (.80),表明良好的并发有效性.
- 与不相似的SIS项目中适度的相关性 (.53) 表明了良好的区分有效性.
结论:
- 风险-救援评级表 (RRRS) 是评估自杀企图致死率的可靠和实用工具.
- 采用RRRS可以提高临床实践和标准化关于自杀企图的沟通.
- 该尺度表明,它有望提高心理健康服务中自杀风险评估的一致性和准确性.
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