What's the Harm in Asking About Suicidal Ideation?
What's the Harm in Asking About Suicidal Ideation?
复制标题
DOI：
10.1111/j.1943-278x.2012.0095.x
复制
发表时间：
2012-06-01
影响因子：
3.2
通讯作者：
Dougherty, Donald M.
中科院分区：
文献类型：
--
作者：
Mathias, Charles W.;Furr, R. Michael;Dougherty, Donald M.
在与自杀相关的研究评估中，研究人员和监督委员会都对患者的安全感到担忧。然而，对自杀想法评估的担忧可能会阻碍经验证据的发展，这些证据为如何安全地进行这些评估提供了研究资料。有人提出了一个问题，询问自杀想法是否会导致此类想法的医源性增加，特别是在高危样本中。目前的研究在长达两年的时间里，每隔6个月重复测试一次自杀意念。自杀意念采用青少年自杀意念问卷进行测量，并对以前接受过住院精神护理的青少年进行测试。自杀意念的变化使用了几种分析技术进行测试，每一种分析方法都表明，在反复评估的情况下，自杀意念的显著下降。这项研究和之前的研究结果表明，询问高危人群有关自杀意念的问题与随后自杀意念的增加无关。
Both researchers and oversight committees share concerns about patient safety in the study-related assessment of suicidality. However, concern about assessing suicidal thoughts can be a barrier to the development of empirical evidence that informs research on how to safely conduct these assessments. A question has been raised if asking about suicidal thoughts can result in iatrogenic increases of such thoughts, especially among at-risk samples. The current study repeatedly tested suicidal ideation at 6-month intervals for up to 2-years. Suicidal ideation was measured with the Suicidal Ideation Questionnaire Junior, and administered to adolescents who had previously received inpatient psychiatric care. Change in suicidal ideation was tested using several analytic techniques, each of which pointed to a significant decline in suicidal ideation in the context of repeated assessment. This and previous study outcomes suggest that asking an at-risk population about suicidal ideation is not associated with subsequent increases in suicidal ideation.