根据初级保健中青少年行为健康查预测青少年抑郁症和自杀风险
Jason D Jones1, Molly Davis2, Sara Reagan3
1Department of Child and Adolescent Psychiatry and Behavioral Sciences (JD Jones, M Davis, S Reagan, C Hatkevich, KTG Schwartz, J Figueroa, and JF Young), Children's Hospital of Philadelphia, Philadelphia, Pa; Department of Psychiatry (JD Jones, M Davis, and JF Young), University of Pennsylvania Perelman School of Medicine, Philadelphia, Pa.
Academic pediatrics
|April 17, 2025
概括
在9岁时进行的儿科行为健康查可以帮助识别患有抑郁和自杀风险的青少年. 这种使用儿科症状检查清单 (PSC-17) 的早期识别显示了中等的预测价值.
科学领域:
- 儿科的行为健康.
- 青少年心理健康 青少年心理健康
- 主要护理的查.
背景情况:
- 早期识别儿童的心理健康问题至关重要.
- 在初级保健中,宽带选器可以检测潜在的风险.
- 青春期前的查可以预测青少年的抑郁和自杀风险.
研究的目的:
- 评估青少年抑郁症和自杀风险的青少年行为健康查预测价值.
- 确定9岁时使用的儿科症状检查表 (PSC-17) 是否可以在12岁时识别有风险的年轻人.
主要方法:
- 随访了一组9329名儿科患者的队列.
- 护理人员在9岁时完成了PSC-17.
- 青少年在12岁时完成了为青少年修改的患者健康问卷-9 (PHQ-9-M).
主要成果:
- 9岁时PSC-17得分较高显著增加了12岁时抑郁症和自杀风险的几率 (ORs:2.41-4.23,P <.001).
- 在PSC-17中,大约三分之一的青少年患有抑郁症 (37.1%) 或自杀风险 (33.3%).
结论:
- PSC-17显示了青少年抑郁症和自杀风险的中等预测准确性.
- 需要进一步的研究,以探索宽带行为健康查在青春期前的早期干预的好处.
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