Florida State University.
University Medical Center, Freiburg.
J Clin Psychol. 2018 Jun;74(6):806-818. doi: 10.1002/jclp.22555. Epub 2017 Nov 13.
To evaluate the characteristics of suicide risk assessments completed using the Decision Tree framework both in and between psychotherapy sessions, clinical features of patients for whom between-session assessments are indicated, and data collected across assessments.
Data were collected from 1,358 suicide risk assessments conducted with psychiatric outpatients (N = 41) at elevated suicide risk engaged in care at a psychology training clinic.
Participants completed an average of 4.75 (standard deviation = 4.95) suicide risk assessments (2.81 ± 4.43 between-session assessments) per each month in treatment. Assessment frequency and patient ratings of suicidal desire and intent were each significantly associated with therapist risk level categorizations.
The Decision Tree framework's in- and between-session assessments have the potential to be implemented in a routinized format among psychiatric outpatients at elevated suicide risk. Additional research is needed to establish the feasibility and clinical utility of this framework across samples and providers.
评估使用决策树框架在心理治疗期间和治疗期间完成的自杀风险评估的特点、需要进行治疗期间评估的患者的临床特征，以及跨评估收集的数据。
从在心理培训诊所接受治疗的、处于高自杀风险的精神科门诊患者（N=41）中收集了 1358 次自杀风险评估的数据。
参与者在治疗期间平均完成了 4.75（标准差=4.95）次自杀风险评估（治疗期间 2.81 ± 4.43 次治疗期间评估）。评估频率和患者对自杀欲望和意图的评分与治疗师的风险水平分类均显著相关。
决策树框架的治疗期间和治疗期间评估有可能在处于高自杀风险的精神科门诊患者中以常规化的方式实施。需要进一步的研究来确定该框架在不同样本和提供者中的可行性和临床实用性。
