Jang Seung-Ho, Woo Young Sup, Hong Jeong-Wan, Yoon Bo-Hyun, Hwang Tae-Yeon, Kim Moon-Doo, Lee Sang-Yeol, Bahk Won-Myong
Department of Psychiatry, School of Medicine, Wonkwang University, Iksan, Republic of Korea.
Department of Psychiatry, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
Gen Hosp Psychiatry. 2017 May;46:62-67. doi: 10.1016/j.genhosppsych.2017.03.006. Epub 2017 Mar 18.
This is a cross-sectional study using a free depression and suicide screening smartphone application, which contains the data from the Center for Epidemiological Studies-Depression (CES-D) and a Suicide Behaviors Questionnaire-Revised (SBQ-R).
The free application was downloaded worldwide from Apple's App Store and Android Market, and the participants who downloaded the application were actively measured.
The subjects totaled 208,683 men and women. 72.6% of the subjects were females, and 81.4% of the subjects were aged between 10 and 29years. In total, 25.7% of the participants were recorded CES-D positive, and there were differences among the groups based on sex (χ2=1065.82, p<0.001), age (χ2=1420.75, p<0.001), and psychiatric history (χ2=1502.21, p<0.001). The highest score of CES-D, 40.69±15.79 and that of SBQ-R, 13.68±4.97 was reported by the participants with a history of schizophrenia. The characteristics associated with suicide were as follows: depression (OR 8.92, 95% CI: 8.71-9.13), female (OR 1.39, 95% CI: 1.36-1.43), 30-49 age group (OR 2.51, 95% CI: 2.29-2.72), 50 or older age group (OR 1.48, 95% CI: 1.35-1.61), and psychiatric history (OR 1.98, 95% CI: 1.89-2.06).
The smartphone application may be a useful tool for screening depression and suicide.
本研究为横断面研究，使用一款免费的抑郁症和自杀筛查智能手机应用程序，该程序包含流行病学研究中心抑郁量表（CES - D）和自杀行为问卷修订版（SBQ - R）的数据。
该免费应用程序在全球范围内从苹果应用商店和安卓市场下载，对下载该应用程序的参与者进行主动测量。
受试者共有208,683名男性和女性。72.6%的受试者为女性，81.4%的受试者年龄在10至29岁之间。总体而言，25.7%的参与者CES - D呈阳性，基于性别（χ2 = 1065.82，p < 0.001）、年龄（χ2 = 1420.75，p < 0.001）和精神病史（χ2 = 1502.21，p < 0.001）的组间存在差异。有精神分裂症病史的参与者报告的CES - D最高得分是40.69±15.79，SBQ - R最高得分是13.68±4.97。与自杀相关的特征如下：抑郁（比值比8.92，95%置信区间：8.71 - 9.13）、女性（比值比1.39，95%置信区间：1.36 - 1.43）、30 - 49岁年龄组（比值比2.51，95%置信区间：2.29 - 2.72）、50岁及以上年龄组（比值比1.48，95%置信区间：1.35 - 1.61）和精神病史（比值比1.98，95%置信区间：1.89 - 2.06）。
智能手机应用程序可能是筛查抑郁症和自杀的有用工具。
