Lang Michelle, Uttaro Thomas, Caine Eric, Carpinello Sharon, Felton Chip
Research Foundation for Mental Hygiene, Inc., Albany, New York, USA.
Arch Suicide Res. 2009;13(2):169-77. doi: 10.1080/13811110902835106.
To test feasibility of a routine screening tool and to examine factors associated with suicide and suicidal behaviors. Subjects included outpatients with serious mental disorders. One hundred and sixteen clinicians routinely screened randomly selected adult clients for suicide risk during a 6-month period. Forty-three (9%) clients reported thoughts to hurt/kill self (screened positive), which spurred enhanced clinical intervention. There was no increase in frequency of suicide attempts. A history of multiple suicide attempts, recent stressful events, and present hopelessness were associated with a positive risk screen, clinician rating of risk, or altered treatment plan. It is feasible to safely implement a brief routine screening process in psychiatric outpatient settings. Future research is needed to determine overall utility for routine screening.
为测试一种常规筛查工具的可行性，并研究与自杀及自杀行为相关的因素。研究对象包括患有严重精神障碍的门诊患者。116名临床医生在6个月的时间里对随机挑选的成年患者进行了常规自杀风险筛查。43名（9%）患者报告有伤害/杀死自己的想法（筛查呈阳性），这促使加强了临床干预。自杀未遂的频率没有增加。多次自杀未遂史、近期的压力事件以及当前的绝望感与风险筛查呈阳性、临床医生对风险的评估或治疗计划的改变有关。在精神科门诊环境中安全实施简短的常规筛查过程是可行的。需要进一步的研究来确定常规筛查的整体效用。
