The validity of proxy-based data in suicide research: a study of patients 50 years of age and older who attempted suicide. II. Life events, social support and suicidal behavior

The validity of proxy-based data in suicide research: a study of patients 50 years of age and older who attempted suicide. II. Life events, social support and suicidal behavior
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DOI:
10.1034/j.1600-0447.2001.00091.x
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发表时间:
2001-12-01
影响因子:
6.7
通讯作者:
Duberstein, PR
Duberstein, PR
中科院分区:
医学1区
文献类型:
--
作者:
Conner, KR;Conwell, Y;Duberstein, PR

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目的:探讨代理被访者报告或应激性生活事件、社会支持与自杀行为在自杀未遂者中的有效性。结构化访谈与代理受访者的基础上的数据进行了比较,与Subjects(金标准)。结果:特异性高于敏感性在生活事件类别,协议是大量的公共和可观察到的事件(如父母的死亡),但更模糊的事件较低。代理人是很好的法官的主题报告的频率的社会交往,但没有感知的情感支持。代理人是很好的法官过去的历史自杀企图和自杀intention.Conclusion水平:结果支持代理人为基础的数据自杀行为和社会支持和压力生活事件的某些方面在这个年龄组的自杀行为的研究,解释死后研究完成自杀的潜在影响。
Objective: To investigate the validity of proxy respondent reports or stressful life events, social support and suicidal behavior among individuals who attempted suicide.Method: Subjects were 80 psychiatric in-patients admitted following a suicide attempt. Data based on structured interviews with proxy respondents were compared with data based on interviews with Subjects (gold standard).Results: Specificity was higher than sensitivity across life event categories, and agreement was substantial for public and observable events (e.g. parent's death) but lower for more ambiguous events. Proxies were good judges of subject reports of frequency of social interaction but not perceived emotional support. Proxies were good judges of past history of suicide attempts and level of suicidal intent.Conclusion: Results support proxy-based data on suicidal behavior and certain aspects of social support and stressful life events in research of suicidal behavior in this age group, with potential implications for interpreting postmortem research of completed suicide.