自杀意念和行为事件的计数对评估自杀倾向的整体严重程度是否有用？一项案例研究。
Is a count of suicidal ideation and behavior events useful in assessing global 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):179-81.
OBJECTIVE
Regulatory agencies and suicidality scales have focused on the value of a count of suicidal ideation and behavior events, even though the clinical usefulness and predictive value of the count of events in the global assessment of suicidality is unclear. This case study explores the value of this event count and offers a more sensitive alternative to tracking the count of events.
METHODS
One subject documented her suicidality daily for 366 days. This documentation included the global severity of suicidality, the count of suicidal events, and the time spent experiencing those events. The relationship between both the count of events and the time spent were each compared to the global severity rating.
RESULTS
We found the relationship between the time spent experiencing suicidality and the global severity of suicidality was much stronger than the relationship between the count of suicidal events and global severity.
CONCLUSION
This case study suggests that tracking the time a patient spends experiencing suicidality may be more clinically useful and may have more value in assessing global severity of suicidality than tracking the count of events of suicidal ideation and behavior.
目的
监管机构和自杀倾向量表一直关注自杀意念和行为事件计数的价值，尽管在自杀倾向的整体评估中，事件计数的临床实用性和预测价值尚不清楚。本案例研究探讨了这种事件计数的价值，并提供了一种更敏感的替代方法来跟踪事件计数。
方法
一名受试者连续366天每天记录自己的自杀倾向。记录内容包括自杀倾向的整体严重程度、自杀事件计数以及经历这些事件所花费的时间。分别将事件计数与所花费时间之间的关系与整体严重程度评分进行比较。
结果
我们发现，经历自杀倾向所花费的时间与自杀倾向的整体严重程度之间的关系，比自杀事件计数与整体严重程度之间的关系要强得多。
结论
本案例研究表明，与跟踪自杀意念和行为事件计数相比，跟踪患者经历自杀倾向所花费的时间在临床上可能更有用，并且在评估自杀倾向的整体严重程度方面可能更有价值。
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