Amado Darlene M, Beamon Darlene A, Sheehan David V
Mrs. Amado is with the University of South Florida College of Public Health and the University of South Florida College of Medicine, Tampa, Florida; Mrs. Beamon is with the Springfield Public School System, Springfield, Massachusetts; and Dr. Sheehan is Distinguished University Health Professor Emeritus at the University of South Florida College of Medicine, Tampa, Florida.
Innov Clin Neurosci. 2014 Sep;11(9-10):141-63.
The United States Food and Drug Administration meta-analysis of registration trials of antidepressants found that emergent suicidality under the age of 25 years increases with decreasing age. This led to boxed warnings for antidepressants and the recommendation for careful assessment and monitoring of suicidality in children and adolescents. To address this need, we describe the development of a pediatric suicidality assessment and tracking scale and a novel, empirically based approach to its age-appropriate linguistic validation.
Starting with the adult version of the Sheehan-Suicidality Tracking Scale, we collaborated with reading specialists who use the sight word lists of Dolch and Fry and the grade level vocabulary lists of Beck, Farr, and Strickland to adapt the adult version to each age group.
Our approach resulted in the development and documentation of a process for linguistically validating three age-appropriate pediatric versions of the Sheehan-Suicidality Tracking Scale from the adult version of the scale: one for 6- to 8-year-olds, a second for 9- to 12-year-olds, and a third for 13- to 17-year-olds.
Further reliability and cognitive debriefing studies are needed in diverse demographic, ethnic, and cultural groups to make the pediatric versions of the Sheehan-Suicidality Tracking Scale more reliable, more generalizable, and more useful.
美国食品药品监督管理局对抗抑郁药注册试验的荟萃分析发现，25岁以下人群中，自杀倾向随年龄降低而增加。这导致了对抗抑郁药的黑框警告，并建议对儿童和青少年的自杀倾向进行仔细评估和监测。为满足这一需求，我们描述了一种儿科自杀倾向评估与跟踪量表的开发过程，以及一种基于经验的、针对其年龄进行语言验证的新方法。
从成人版的希恩自杀倾向跟踪量表开始，我们与阅读专家合作，这些专家使用多尔奇和弗莱的视觉词汇表以及贝克、法尔和斯特里克兰的年级词汇表，将成人版量表改编为适合每个年龄组的版本。
我们的方法促成了从成人版希恩自杀倾向跟踪量表开发并记录了三种适合不同年龄儿童版本的语言验证过程：一个适用于6至8岁儿童，第二个适用于9至12岁儿童，第三个适用于13至17岁青少年。
需要在不同的人口统计学、种族和文化群体中进行进一步的信度和认知反馈研究，以使希恩自杀倾向跟踪量表的儿科版本更可靠、更具普遍性且更有用。
