Improving suicide surveillance systems through the use of the Patient Health Questionnaire-9.
Improving suicide surveillance systems through the use of the Patient Health Questionnaire-9.
复制标题
通过使用患者健康问卷 9 改善自杀监测系统。
DOI：
10.1016/j.jad.2021.06.008
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发表时间：
2021
影响因子：
6.6
通讯作者：
Arias De La Torre J
中科院分区：
文献类型：
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作者：
Arias De La Torre J
自杀是世界范围内的一个主要公共卫生问题，并且仍然是主要的死亡原因之一。对自杀念头和行为实施监测战略，将有可能查明自杀结束生命的高风险个人。虽然普遍筛查将是有争议的，但在不同的医疗保健环境中，如初级保健或医院急诊科，越来越多地使用9项版的患者健康问卷(PHQ-9)，为测试其在自杀监测方面的表现提供了机会。除了作为抑郁症的筛查工具外，PHQ-9还显示出作为自杀想法、自我伤害想法和自杀的标志的价值。在不同的医疗保健环境中实施系统的自杀监测策略，包括来自PHQ-9的数据，可能是提高病例发现的有效方法。这有助于加强对最高风险人群的识别，从而避免潜在的可预防的自杀事件。
Suicide is a major public health problem worldwide and continues to be one of the main causes of death. Implementing surveillance strategies for suicidal thoughts and behaviours would make it possible to identify individuals at high risk of ending their lives by suicide. While a universal screening would be controversial, the increasing use of the 9-item version of the Patient Health Questionnaire (PHQ-9) in different healthcare settings, such as primary care or hospital emergency departments, offers an opportunity for testing its performance for suicide surveillance. Beyond being a screening of depression, the PHQ-9 has shown merit as a marker of suicidal thinking, thoughts of self-harm, and suicide. Implementing systematic surveillance strategies for suicide in different healthcare settings including data from the PHQ-9 might be an effective way to improve case detection. This could help to enhance the identification of highest risk population groups and, consequently, to avoid potentially preventable suicides.