Multimethod assessment of suicidality in adolescent psychiatric inpatients: preliminary results.
Multimethod assessment of suicidality in adolescent psychiatric inpatients: preliminary results.
复制标题
青少年精神病住院患者自杀倾向的多方法评估：初步结果。
DOI：
10.1097/00004583-200109000-00014
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发表时间：
2001
期刊：
影响因子：
--
通讯作者：
Grapentine,WL
中科院分区：
文献类型：
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作者：
Prinstein,MJ;Nock,MK;Spirito,A;Grapentine,WL
目的探讨青少年精神科住院患者自杀意念与自杀行为多重评估的一致性；结构化和非结构化面试；并向青少年、临床医生和家长报告，为准确可靠地评估青少年自杀行为提供建议。方法纳入153例12 ~ 17岁青少年精神病住院患者（男54例，女99例）。自杀意念和行为的测量包括常用的评估工具和标准的临床实践，包括自杀意念问卷、NIMH儿童诊断访谈表、临床医生访谈和家长报告（儿童行为评估量表）。结果结果显示，每种工具的自杀率有显著差异，青少年自杀意念和自杀行为的相似测量方法之间的一致性很差。对于男孩、年龄较大的青少年和依赖单一信息提供者的评估，测量之间的一致性通常是最好的。记者们最可能同意自杀倾向更严重的青少年存在自杀倾向；这一发现表明，认同本身可能是青少年自杀的一个有用标志。结论：这项初步研究的结果支持在调查青少年自杀行为时使用多种测量方法，特别是那些依赖于临床医生判断和青少年自己报告的方法。对未来研究和临床实践的影响也进行了讨论。
OBJECTIVETo examine agreement among multiple assessments of adolescent suicidal ideation and suicidal behavior for adolescent psychiatric inpatients, including pencil/paper checklists; structured and unstructured interviews; and adolescent, clinician, and parent reports, and to provide suggestions for the accurate and reliable assessment of suicidality in adolescence.METHODParticipants included 153 adolescent psychiatric inpatients (54 boys, 99 girls) between the ages of 12 and 17 years. Measurement of suicidal ideation and behavior included common assessment instruments and standard clinical practices, including the Suicidal Ideation Questionnaire, NIMH Diagnostic Interview Schedule for Children, clinician interview, and parent report (Behavior Assessment Scale for Children).RESULTSResults revealed significantly different rates of suicidality across each instrument and poor to moderate agreement between similar measures of adolescent suicidal ideation and suicidal behavior. Agreement between measures was generally best for boys, for older adolescents, and for assessments relying on a single informant. Reporters were most likely to agree on the presence of suicidality for more severely suicidal adolescents; this finding suggests that agreement in itself may be a useful marker for adolescent suicide.CONCLUSIONSResults of this preliminary study supported the use of multiple measurement approaches when examining adolescent suicidality, particularly those that rely on clinician judgment and adolescents’ own reports. Implications for future research and for clinical practice are also discussed.