Department of Psychiatry, Miller School of Medicine, University of Miami, 1400 NW 10th Avenue, Miami, FL 33136, USA.
Pain Med. 2011 Jan;12(1):127-37. doi: 10.1111/j.1526-4637.2010.01013.x. Epub 2010 Nov 18.
A large set of items containing the H-S item was administered to the above groups, who were compared statistically for H-S endorsement. APPs and CPPs affirming the H-S item were compared with those not affirming on all available variables including the Battery for Health Improvement (BHI 2) with significant variables (P≤ 0.001) utilized in predictor models for H-S in APPs and CPPs.
Community plus rehabilitation facilities.
The above population groups affirmed the H-S item according to the following percentages: healthy community 1.88%, community patients 3.16%, rehabilitation patients without pain 3.64%, rehabilitation AAPs 3.99%, and rehabilitation CPPs 4.40%. For both APPs and CPPs, the H-S item was significantly correlated with some suicidality items and some homicide items. The model for APPs identified "having a suicide plan" as being predictive of H-S affirmation. For CPPs, the items of having thoughts of revenge killing, being motivated to seek revenge without any verbal warning, and the Doctor Dissatisfaction Scale of the BHI 2 predicted H-S affirmation. The APPs model classified 96% of the APPs correctly, while the CPPs model classified 97% of the CPPs correctly. These predictor rates, however, were no better than the base rate.
The prevalence of H-S affirmation within APPs and CPPs is not insignificant. The APPs predictor model points to a close association between H-S affirmation and suicidality. The CPPs model indicates that there is a close association between H-S affirmation, and anger/hostility and anger directed at physicians. These results, however, should not lead to the belief that CPPs are at greater risk for actual H-S completion for the following reasons: 1) H-S is an extremely rare event; and 2) predictive validity of the H-S item for actual H-S completion has not been determined.
1）确定并比较社区非患者（N=478）、社区患者（N=158）、急性疼痛患者（APP；N=326）和慢性疼痛患者（CPP；N=341）中自杀-杀人（H-S）确认的患病率；2）在 APP 和 CPP 中建立 H-S 预测模型。
一组包含 H-S 项目的大量项目被分配给上述组，这些组在 H-S 确认方面进行了统计学比较。APP 和 CPP 中确认 H-S 项目的患者与未确认 H-S 项目的患者进行了比较，比较了所有可用变量，包括 Batter for Health Improvement（BHI 2），具有显著变量（P≤0.001）的变量用于 APP 和 CPP 中 H-S 的预测模型。
社区加康复设施。
上述人群群体根据以下百分比确认 H-S 项目：健康社区 1.88%，社区患者 3.16%，无疼痛康复患者 3.64%，康复急性疼痛患者 3.99%，康复慢性疼痛患者 4.40%。对于 APP 和 CPP，H-S 项目与一些自杀意念项目和一些杀人项目显著相关。APP 模型确定“有自杀计划”是 H-S 确认的预测因素。对于 CPP，有报复杀人的想法、没有任何口头警告就有报复动机、BHI 2 的医生不满量表的项目预测了 H-S 的确认。APP 模型正确分类了 96%的 APP，而 CPP 模型正确分类了 97%的 CPP。然而，这些预测率并不优于基础率。
APP 和 CPP 中 H-S 确认的患病率不容忽视。APP 预测模型指出 H-S 确认与自杀意念密切相关。CPP 模型表明，H-S 确认与愤怒/敌意和对医生的愤怒之间存在密切关联。然而，由于以下原因，这些结果不应导致 CPP 更有可能实际完成 H-S 的信念：1）H-S 是一种极其罕见的事件；2）H-S 项目对实际 H-S 完成的预测效度尚未确定。
