Validation of the ask suicide-screening questions (ASQ) with youth in outpatient specialty and primary care clinics.

Validation of the ask suicide-screening questions (ASQ) with youth in outpatient specialty and primary care clinics.
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验证在门诊专科和初级保健诊所向年轻人询问自杀筛查问题(ASQ)。

DOI:
10.1016/j.genhosppsych.2020.11.006
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发表时间:
2021-01
影响因子:
7
通讯作者:
Wharff EA
Wharff EA
中科院分区:
医学2区
文献类型:
--
作者:
Aguinaldo LD;Sullivant S;Lanzillo EC;Ross A;He JP;Bradley-Ewing A;Bridge JA;Horowitz LM;Wharff EA

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在门诊专科和初级保健诊所向年轻人提出自杀筛查问题(ASQ)。这是一项横断面工具验证研究,评估ASQ相对于标准标准自杀意念问卷(SIQ/SIQ Jr.)的有效性。样本包括515名来自门诊专科和初级保健诊所的10-21岁讲英语的青年。评估ASQ的敏感性、特异性、阳性和阴性预测值(PPV/NPV)、阳性和阴性似然比、c统计量和各自的受试者工作特征曲线。共有335名门诊专科和180名初级保健诊所参与者完成了这项研究。在门诊专科诊所,ASQ显示灵敏度为100.0%(95%CI:80.5 - 100.0%),特异性为91.2%(95%CI:87.5 - 94.1%),NPV为100.0%(95%CI:98.7-100.0)。在初级保健诊所,ASQ显示灵敏度为100.0%(95% CI:59.0 - 100.0%),特异性为87.9%(95% CI:82.0 - 92.3%),NPV为100.0%(95% CI:97.7-100.0)。45名(13.4%)门诊专科诊所参与者和28名(15.6%)初级保健诊所参与者在ASQ上筛选出自杀风险阳性。ASQ是一种有效的筛选工具,用于识别门诊临床环境中自杀风险升高的青少年。
Validate the Ask Suicide-Screening Questions (ASQ) with youth in outpatient specialty and primary care clinics. This is a cross sectional instrument validation study assessing the validity of the ASQ with respect to the standard criterion, Suicidal Ideation Questionnaire (SIQ/SIQ Jr.). The sample included 515 English speaking youth ages 10–21 years old from outpatient specialty and primary care clinics. ASQ sensitivity, specificity, positive and negative predictive values (PPV/NPV), positive and negative likelihood ratios, c statistic and respective receiver operating characteristic curves were assessed. A total of 335 outpatient specialty and 180 primary care clinic participants completed the study. In outpatient specialty clinics, the ASQ showed a sensitivity of 100.0% (95% CI: 80.5 – 100.0%), specificity of 91.2% (95% CI: 87.5 – 94.1%), and NPV of 100.0% (95% CI: 98.7–100.0). In the primary care clinic, the ASQ showed a sensitivity of 100.0% (95% CI: 59.0 – 100.0%), specificity of 87.9% (95% CI: 82.0 – 92.3%), and NPV of 100.0% (95% CI: 97.7–100.0). Forty-five (13.4%) outpatient specialty clinic participants and 28 (15.6%) primary care clinic participants screened positive for suicide risk on the ASQ. The ASQ is a valid screening tool for identifying youth at elevated suicide risk in outpatient clinical settings.
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