Future Directions in Understanding and Interpreting Discrepant Reports of Suicidal Thoughts and Behaviors Among Youth.
Future Directions in Understanding and Interpreting Discrepant Reports of Suicidal Thoughts and Behaviors Among Youth.
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理解和解释青少年自杀想法和行为的不一致报告的未来方向。
DOI：
10.1080/15374416.2022.2145567
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发表时间：
2023
期刊：
影响因子：
--
通讯作者：
Cha,ChristineB
中科院分区：
文献类型：
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作者：
Spears,AngelaPage;Gratch,Ilana;Nam,RachelJ;Goger,Pauline;Cha,ChristineB
青少年自杀研究的质量和效用都取决于我们如何评估我们感兴趣的结果：自杀想法和行为(STB)。我们现在比以往任何时候都能获得更多的STB评估，针对青年的措施因被询问的确切经历、此类措施如何获得信息、实施措施的时间和频率以及举报人的身份而有所不同。这一不断扩大的评估机构有可能改进青年中性传播疾病的研究和治疗，但这取决于对评估答复的有意义的解释。当不同的STB评估产生相互矛盾的信息时，口译可能特别具有挑战性。确定如何管理STB的不一致报告是实现有意义的全面STB评估电池的关键一步。在这里，我们概述了已发现的几种不同的报告模式，讨论了这些观察到的差异的潜在意义，并提出了正式调查青年中性传播疾病差异报告的初步步骤。在年轻人中开发连贯、可解释和全面的评估STB的小组将解决揭示病因、改善临床决策和病例管理、告知干预进展和跟踪预后的根本步骤。
Both the quality and utility of youth suicide research depend on how we assess our outcomes of interest: suicidal thoughts and behaviors (STBs). We now have access to more STB assessments than ever before, with measures for youth that vary inwhatexact experiences are asked about,howsuch measures elicit information,whenand how frequently measures are administered, andwhothe informants are. This growing armamentarium of assessments has the potential to improve the study and treatment of STBs among youth, but it hinges on meaningful interpretation of assessment responses. Interpretation can be especially challenging when different STB assessments yield conflicting information. Determining how to manage discrepant reports of STBs is a pivotal step toward achieving meaningfully comprehensive STB assessment batteries. Here, we outline several discrepant reporting patterns that have been detected, discuss the potential significance of these observed discrepancies, and present initial steps to formally investigate discrepant reports of STBs among youth. Developing coherent, interpretable, and comprehensive batteries assessing STBs among youth would address a fundamental step to uncovering etiology, improving clinical decision-making and case management, informing intervention development, and tracking prognosis.