C-SSRS performance in emergency department patients at high risk for suicide.
C-SSRS performance in emergency department patients at high risk for suicide.
复制标题
急诊科患者的C-SSRS表现高自杀风险。
DOI：
10.1111/sltb.12657
复制
发表时间：
2020-12
影响因子：
3.2
通讯作者：
Armey MF
中科院分区：
文献类型：
--
作者：
Brown LA;Boudreaux ED;Arias SA;Miller IW;May AM;Camargo CA Jr;Bryan CJ;Armey MF
目的评价哥伦比亚自杀严重程度评定量表（C-SSRS）在急诊科（ED）有自杀意念或企图（SI/SA）患者中的心理测量学和预测性能。参与者（n = 1,376，平均年龄36.8岁，55%女性，76.8%白人）在急诊科就诊期间完成了CSSRS，随访一年。对可靠性分析、探索性结构方程建模和未来SA预测进行了探讨。自杀意念分量表的信度较好，但意念强度和自杀行为分量表的信度较差。三个经验推导的因素表征了C-SSRS。只有因素1（自杀意念和企图）是随后SA的可靠预测因子，尽管比值比很小（or: 1.09 - 1.10）。原始的CSSRS自杀意念和自杀行为子量表以及C-SSRS ED屏幕预测随后的SA，同样具有较小的比值比（or: 1.07 - 1.19, CI95%: 1.01, 1.29）。在没有SA病史的参与者中，没有C-SSRS分量表预测随后的SA。任何SA病史（OR: 1.98, CI95%: 1.43, 2.75）是后续SA的最强预测因子。C-SSRS的心理测量证据是混合的。C-SSRS测量的既往SA史为预测未来SA提供了最简洁和最有力的评估。
To evaluate the psychometric and predictive performance of the Columbia-Suicide Severity Rating Scale (C-SSRS) in emergency department (ED) patients with suicidal ideation or attempts (SI/SA). Participants (n = 1,376, mean age 36.8, 55% female, 76.8% white) completed the CSSRS during the ED visit and were followed for one year. Reliability analyses, exploratory structural equation modeling, and prediction of future SA were explored. Reliability of the Suicidal Ideation subscale was adequate, but was poor for the Intensity of Ideation and Suicidal Behavior subscales. Three empirically derived factors characterized the C-SSRS. Only Factor 1 (Suicidal Ideation and Attempts) was a reliable predictor of subsequent SA, though odds ratios were small (ORs: 1.09 – 1.10). The original CSSRS Suicidal Ideation and Suicidal Behavior subscales and the C-SSRS ED screen predicted subsequent SA, again with small odds ratios (ORs: 1.07 – 1.19, CI95%: 1.01, 1.29). In participants without a SA history, no C-SSRS subscale predicted subsequent SA. History of any SA (OR: 1.98, CI95%: 1.43, 2.75) was the strongest predictor of subsequent SA. The psychometric evidence for the C-SSRS was mixed. History of a prior SA, as measured by the C-SSRS, provided the most parsimonious and powerful assessment for predicting future SA.
登录
查看更多内容
DOI：
10.1080/10705519909540118
发表时间：
1999-01-01
影响因子：
6
作者：
Hu, Li-tze;Bentler, Peter M.
通讯作者：
Bentler, Peter M.
影响因子：
6.9
作者：
Ribeiro JD;Franklin JC;Fox KR;Bentley KH;Kleiman EM;Chang BP;Nock MK
通讯作者：
Nock MK
影响因子：
2.2
作者：
Boudreaux, Edwin D.;Miller, Ivan;Camargo, Carlos A., Jr.
通讯作者：
Camargo, Carlos A., Jr.
影响因子：
5.3
作者：
Madan, Alok;Frueh, B. Christopher;Fowler, J. Christopher
通讯作者：
Fowler, J. Christopher
影响因子：
--
作者：
Vaiva, G;Ducrocq, F;Goudemand, M
通讯作者：
Goudemand, M