Validation and Feasibility of the ASQ Among Pediatric Medical and Surgical Inpatients.
Validation and Feasibility of the ASQ Among Pediatric Medical and Surgical Inpatients.
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DOI：
10.1542/hpeds.2020-0087
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发表时间：
2020-09-01
影响因子：
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通讯作者：
Bridge, Jeffrey A
中科院分区：
文献类型：
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作者：
Horowitz, Lisa M;Wharff, Elizabeth A;Bridge, Jeffrey A
目的：为了验证使用一个简短的自杀风险筛查工具，自杀筛查问题（ASQ）仪器，在儿科住院医疗和外科settings.METHODS：儿科患者（10-21岁）住院的医疗和外科住院单位招募通过方便抽样参与一个横断面仪器验证研究。自杀意念问卷被用作验证ASQ的标准。患者的意见，筛选和父母同意参加自杀风险筛查研究进行了评估，以确定管理ASQ在这个viewing.RESULTS的可行性：共600名儿科住院患者进行了筛选。与金标准相比，ASQ具有较强的心理测量学特性，其敏感性为96.67%（95%置信区间[CI]：82.78至99.92），特异性为91.05%（95% CI：88.40至93.27），阴性预测值为99.81%（95% CI：98.93至99.99），曲线下面积为0.94（95% CI：0.90至0.97）。只有3名参与者（0.5%）有急性阳性筛选结果的ASQ，赞同目前的自杀意念，而77名参与者（12.8%）筛选非急性阳性，48名参与者（8.0%）报告了过去的自杀attempt.CONCLUSIONS：简短的4项ASQ是一个有效的工具，以检测自杀风险升高的儿科内科和外科住院患者。我们的研究结果还表明，筛查在检测自杀想法和行为方面是可行的，并且为父母和患者所接受。
OBJECTIVES: To validate the use of a brief suicide risk screening tool, the Ask Suicide-Screening Questions (ASQ) instrument, in pediatric inpatient medical and surgical settings.METHODS: Pediatric patients (10-21 years) hospitalized on inpatient medical and surgical units were recruited through convenience sampling for participation in a cross-sectional instrument validation study. The Suicidal Ideation Questionnaire was used as a standard criterion to validate the ASQ. Patient opinions about screening and parent consent to enroll in a suicide risk screening study were assessed to determine the feasibility of administering the ASQ in this venue.RESULTS: A total of 600 pediatric medical inpatients were screened. Compared with the gold standard, the ASQ had strong psychometric properties, with a sensitivity of 96.67% (95% confidence interval [CI]: 82.78 to 99.92), a specificity of 91.05% (95% CI: 88.40 to 93.27), a negative predictive value of 99.81% (95% CI: 98.93 to 99.99), and an area under curve of 0.94 (95% CI: 0.90 to 0.97). Only 3 participants (0.5%) had acute positive screen results on the ASQ, endorsing current suicidal ideation, whereas 77 participants (12.8%) screened nonacute positive, and 48 participants (8.0%) reported a past suicide attempt.CONCLUSIONS: The brief 4-item ASQ is a valid tool to detect elevated suicide risk in pediatric medical and surgical inpatients. Our findings also reveal that screening is feasible in terms of detection of suicidal thoughts and behaviors and is acceptable to parents and patients.