在危机线呼叫者中预测自杀行为:选最近的自杀史或使用综合尺度?
Yi Yin1,2, Yongsheng Tong1,2, Liting Zhao1,2
1Peking University HuiLongGuan Clinical Medical School, Beijing HuiLongGuan Hospital, Beijing, P.R. China.
概括
简单的自杀风险查是有效的短期预测,但全面的评估是更好的识别长期的自杀行为. 这两种方法对于危机线至关重要.
科学领域:
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
- 心理健康服务 心理健康服务
背景情况:
- 危机线在准确识别高自杀风险的个体方面面临重大挑战.
- 有效预测自杀行为对于及时干预和预防工作至关重要.
研究的目的:
- 为了比较在不同时间点预测自杀行为的两种常规方法的有效性.
- 评估简短的查与全面的自杀风险评估.
主要方法:
- 一项前性队列研究,涉及北京心理支持热线的8859名呼叫者.
- 使用了两种自杀风险评估策略:最近的自杀史屏幕和综合自杀风险评估尺度.
- 通过电话采访,对自杀行为进行了一年的监测.
主要成果:
- 简短的查显示,对预测短期自杀行为 (24小时至180天内) 的灵敏度和特异性更高.
- 综合规模显示,对长期自杀行为 (超过270天) 的预测能力更好,特别是在没有自杀尝试史的人群中.
- 自杀企图或死亡的发生率从24小时内1.2%到365天内9.1%.
结论:
- 对最近的自杀史进行简短的查是预测最初六个月内自杀行为的有效工具.
- 这种查方法不足以预测长期的自杀行为,强调需要更全面的风险因素评估.
- 整合简短的查和全面的评估,可以提高危机线设置中的自杀风险预测.
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