自我报告问卷和基于记录的风险分数的准确性,以确定青少年自伤风险
Gregory E Simon1, Christine C Stewart1, Julie E Richards1
1Kaiser Permanente Washington Health Research Institute, Seattle.
Psychiatric services (Washington, D.C.)
|March 19, 2025
概括
使用患者健康问卷-9 (PHQ-9) 和健康记录数据,在门诊期间查青少年是否有自伤风险,可以确定需要进一步评估的青少年. 超过80%的自我伤害事件可以用这些策略来检测.
科学领域:
- 青少年健康 青少年健康
- 心理健康查 心理健康查
- 公共卫生监督是对公共卫生的监督.
背景情况:
- 识别有自伤风险的青少年对于及时干预至关重要.
- 目前在门诊诊所使用的查方法需要对其有效性的评估.
研究的目的:
- 评估查策略的有效性,以确定在门诊医疗保健访问期间青少年的自我伤害风险.
- 评估患者健康问卷-9 (PHQ-9) 和基于健康记录的风险分数的表现.
主要方法:
- 一项前性队列研究,使用完成PHQ-9的青少年的卫生系统记录.
- 一个回顾性队列研究青少年的自我伤害事件.
- 对选工具的敏感性和积极预测值 (PPV) 的分析.
主要成果:
- 在PHQ-9第9项上得分≥2显示了在180天内自我伤害的敏感度为0.37和PPV为0.09.
- 89%的自我伤害的青少年在前180天内接受了相关的心理健康或初级保健访问.
- 查策略可以识别超过80%的青少年经历自我伤害.
结论:
- 在PHQ-9第9项中,响应和健康记录风险评分有效地识别了有自伤风险的青少年.
- 门诊医疗保健访问为查和早期识别自伤风险提供了关键机会.
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