报告自杀想法和企图的差异:儿童初级保健中自杀风险查的影响
Alexandra Huttle1, Christina Rombola2, Ana Ortin-Peralta3
1Department of Pediatrics (A Huttle and EL Abramson), Weill Cornell Medicine, Cornell University and New York-Presbyterian Hospital, New York, NY.
Academic pediatrics
|February 9, 2025
概括
儿科医生应该更频繁地使用特定工具对青少年进行自杀风险查. 自杀想法 (SI) 和自杀企图 (SA) 的报告因评估方法和时间而异,报告不足是常见的.
科学领域:
- 青少年心理健康 青少年心理健康
- 临床心理学 临床心理学
- 公共卫生 公共卫生
背景情况:
- 儿科医生在确定青少年自杀风险方面发挥着关键作用.
- 由于政策声明的不同,存在不一致的选实践.
- 了解跨方法的报告模式对于有效的选至关重要.
研究的目的:
- 检查过去的自杀念头 (SI) 和自杀企图 (SA) 报告在不同评估方法和时间上的一致性.
- 探索社会人口结构因素和心理健康症状严重程度如何影响高风险青少年的报告模式.
主要方法:
- 从城市临床场所招募了162名有SI和/或SA病史的青少年.
- 对自杀风险,抑郁和焦虑症状进行了经过验证的采访和自我报告措施.
主要成果:
- 公平协议 (κ = 0.38) 对于随着时间的推移对面试的SI报告;青少年随着时间的推移报告不足的终身SI.
- 对自我报告措施的SI报告中适度一致 (κ = 0.51);在抑郁症屏幕与自杀特定屏幕上发生了过去一个月的SI报告不足.
- 患有较不严重心理健康症状的青少年在报告过去一个月的SI时不那么一致.
结论:
- 高风险青少年自杀相关行为报告模式因评估方法和时间而异.
- 结果支持使用特定自杀工具进行普遍查,并建议在儿科初级保健中增加查频率.
- 这些发现对完善青少年自杀风险评估的临床实践指南有影响.
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