评估自杀倾向总体严重程度的复杂性：一项案例研究。
The complexity of assessing overall severity of suicidality: a case study.
作者信息
Giddens Jennifer M, Sheehan David V
机构信息
J. Giddens is Co-founder of the Tampa Center for Research on Suicidality, Tampa, Florida; and Dr. Sheehan is Distinguished University Health Professor Emeritus, University of South Florida College of Medicine, Tampa, Florida.
出版信息
Innov Clin Neurosci. 2014 Sep;11(9-10):164-71.
OBJECTIVES
This paper investigates the relationship between total scale scores and some other measures used to assess global severity of suicidality in order to determine if "global assessment" can be accomplished with one metric or if is it necessary to judge severity of suicidality in a multidimensional fashion.
METHODS
For over a year, one subject with daily suicidality self-rated a global severity of suicidality score, the time spent in suicidality over 31,183 events of suicidality, the Sheehan-Suicidality Tracking Scale, Hopelessness Spectrum measure, and the Suicide Plan Tracking Scale.
RESULTS
Relying on only one or two metrics to assess global severity of suicidality appears to have significant limitations. As with all single case reports, the findings may not be generalizable to other cases of suicidality.
CONCLUSION
At the middle to high end of the suicidality spectrum, it is necessary to rely on multiple metrics, not just a global severity of suicidality rating, to properly assess the overall severity of suicidality.
目的
本文研究自杀意念总体量表得分与用于评估自杀意念总体严重程度的其他一些指标之间的关系，以确定“总体评估”是否可以通过单一指标完成，或者是否有必要以多维方式判断自杀意念的严重程度。
方法
在一年多的时间里，一名每天有自杀意念的受试者对自杀意念的总体严重程度进行自我评分，记录在31183次自杀意念事件中处于自杀意念状态的时间，使用希恩自杀意念追踪量表、绝望谱测量法以及自杀计划追踪量表。
结果
仅依靠一两个指标来评估自杀意念的总体严重程度似乎有很大局限性。与所有单病例报告一样，这些发现可能不适用于其他自杀意念案例。
结论
在自杀意念谱的中高端，有必要依靠多个指标，而不仅仅是自杀意念总体严重程度评分，来正确评估自杀意念的整体严重程度。
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