Assessment of Depression and Suicidal Actions: Agreement between Suicide Attempters and Informant Reports
Assessment of Depression and Suicidal Actions: Agreement between Suicide Attempters and Informant Reports
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DOI：
10.1521/suli.2009.39.1.38
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发表时间：
2009-02-01
影响因子：
3.2
通讯作者：
Overholser, James C.
中科院分区：
文献类型：
--
作者：
Dejong, Timothy M.;Overholser, James C.
当有自杀倾向的患者不配合临床访谈或无法接受精神病学评估时，知识渊博的举报人可能能够提供有关抑郁症状和自杀行为的有用信息。本研究旨在检验从曾试图自杀的精神病住院患者那里收集的信息，并将其与从亲密朋友或家庭成员那里获得的类似信息进行比较。从被诊断为重度抑郁症的成年精神病住院患者的更大样本中，评估了25名自杀未遂者，并将他们的报告与从亲密朋友或19名家庭成员那里征求的类似信息进行了比较。评估的重点是SCID的抑郁症状和各种自杀行为的存在。对所有措施都有中等到高度的一致意见。精神病患者及其举报人倾向于就抑郁症状的存在、最近有压力的生活事件的存在以及在自杀危机期间采取的具体行动达成一致，这表明举报人可能能够提供有关患者的有用信息。
Knowledgeable informants may be able to provide useful information about depressive symptoms and suicidal actions when a suicidal patient is uncooperative with a clinical interview or not available for a psychiatric evaluation. The present study was designed to examine information gathered from psychiatric inpatients who had attempted suicide as compared to similar information obtained from a close friend or family member. From a larger sample of adult psychiatric inpatients diagnosed with major depression, 25 suicide attempters were assessed and their reports were compared to similar information solicited from a close friend or 19 family member. The assessment focused on depressive symptoms from the SCID and the presence of various suicidal actions. Moderate to high agreement was found on all measures. Psychiatric patients and their informants tended to agree on the presence of depressive symptoms, the presence of recent stressful life events, and specific actions taken during the suicidal crisis, suggesting that informants may be capable of providing useful information about the patient.