在1型和2型糖尿病的不同年轻人群中进行自杀风险查
Saleel Fatima1, Laura Prichett2, Nancy Campbell1,3
1Division of Pediatric Endocrinology, Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Pediatric diabetes
|June 11, 2025
概括
患有糖尿病的年轻人,尤其是2型糖尿病患者,面临更高的自杀风险. 对于查,PHQ-9的敏感度低于ASQ,这凸显了糖尿病护理中需要特定的自杀风险工具的需要.
科学领域:
- 内分泌学 在内分泌学.
- 精神病学是一个精神病学.
- 儿科 儿科 儿科
背景情况:
- 患有糖尿病等慢性疾病的青少年患有抑郁症和自杀的风险增加.
- 常规的心理社会评估在糖尿病管理中至关重要.
- 识别有效的自杀风险查工具对这一群体至关重要.
研究的目的:
- 确定1型和2型糖尿病青年中自杀风险的流行率.
- 评估患者健康问卷-9 (PHQ-9) 第9项与自杀选问题 (ASQ) 的实用性,以评估自杀风险.
- 评估自杀风险查对临床工作流程的可行性和影响.
主要方法:
- 对11-24岁的1型糖尿病 (T1D) 和2型糖尿病 (T2D) 患者进行PHQ-9和ASQ的预期使用.
- 在12个月的时间内,在常规的儿科糖尿病中心访问期间进行查.
- 用ASQ作为参考标准计算PHQ-9第9项的灵敏度,特异性,PPV和NPV.
主要成果:
- 使用ASQ的青少年中,T2D (19.4%) 与T1D (8.4%) 相比,自杀风险患病率更高.
- 与ASQ相比,PHQ-9第9项显示自杀风险检测的灵敏度较低 (55.9%),但特异性高 (98.5%).
- 心理健康随访完成率低于最佳,为52.9%,在阳性查后的一个月.
结论:
- 患有2型糖尿病的青少年比患有1型糖尿病的青少年有更高的自杀风险.
- 与ASQ相比,PHQ-9对确定患有糖尿病的青少年和年轻成年人自杀风险的敏感性较低.
- 糖尿病护理团队应该整合特定的自杀风险选器,并改善心理健康后续跟踪遵守.
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