Assessment of psychiatrically hospitalized suicidal adolescents: Self-report instruments as predictors of suicidal thoughts and behavior
Assessment of psychiatrically hospitalized suicidal adolescents: Self-report instruments as predictors of suicidal thoughts and behavior
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DOI：
10.1097/chi.0b013e31802b9535
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发表时间：
2007-03-01
影响因子：
13.3
通讯作者：
King, Cheryl A.
中科院分区：
文献类型：
--
作者：
Huth-Bocks, Alissa C.;Kerr, David C. R.;King, Cheryl A.
目的：对有自杀倾向的青少年纵向研究雷诺兹青少年抑郁量表、贝克绝望量表、青少年自杀意念问卷和自杀概率量表（SPS）的有效性和临床实用性。方法：1998年至2000年期间，289名12至17岁因精神疾病住院的有自杀倾向的青少年参与了这项研究。在基线时完成自我报告测量。在基线和6个月随访时收集临床医生评定的自杀倾向和自杀未遂情况。结果：在男性、女性、白人和黑人子样本中，基线自我报告内部一致性良好且相互关联性强。所有量表都能预测随访时的自杀倾向和自杀未遂情况。使用已公布的临界值分数，贝克绝望量表和SPS对后续自杀未遂是中度到高度敏感的预测指标，青少年自杀意念问卷在预测自杀未遂和广泛的自杀倾向方面也是如此。还研究了以中度和高度敏感性预测结果的替代临界值分数，并关注由此在特异性方面的损失。结论：基线自我报告分数可预测随访时的自杀倾向。SPS对未来自杀倾向和自杀未遂的预测有独特贡献。在评估该人群的自杀风险时，SPS可补充其他信息来源。
Objective: The validity and clinical utility of the Reynolds Adolescent Depression Scale, Beck Hopelessness Scale, Suicidal Ideation Questionnaire-Junior, and Suicide Probability Scale (SPS) were examined longitudinally among suicidal adolescents. Method: Between 1998 and 2000, 289 psychiatrically hospitalized, suicidal youth, ages 12 to 17 years, participated in this study. Self-report measures were completed at baseline. Clinician-rated suicidality and suicide attempt were collected at baseline and 6-month follow-up. Results: Baseline self-reports were internally consistent and strongly intercorrelated within male, female, white, and black subsamples. All of the measures predicted follow-up suicidality and suicide attempts. Using published cutoff scores, the Beck Hopelessness Scale and SPS were moderately to highly sensitive predictors of subsequent suicide attempts, as was the Suicidal Ideation Questionnaire-Junior for predicting suicide attempts and broad suicidality. Alternative cutoff scores that predicted outcomes with moderate and high sensitivity also were examined, with attention to resultant sacrifices in specificity. Conclusions: Baseline self-report scores predicted follow-up suicidality. SPS contributed uniquely to prediction of future suicidality and suicide attempt. SPS may supplement other sources of information when assessing suicide risk with this population.