Macagnino Sandro, Steinert Tilman, Uhlmann Carmen
ZfP Südwürttemberg "Die Weissenau", Klinik für Psychiatrie und Psychotherapie I der Universität Ulm, Ravensburg.
Psychiatr Prax. 2018 May;45(4):206-213. doi: 10.1055/s-0043-119244. Epub 2017 Dec 13.
Examination of in-hospital suicide risk levels concerning their validity and their reliability.
The internal suicide risk levels were evaluated in a cross sectional study of in 163 inpatients. A reliability check was performed via determining interrater-reliability of senior physician, therapist and the responsible nurse. Within the scope of the validity check, we conducted analyses of criterion validity and construct validity.
For the total sample an "acceptable" to "good" interrater-reliability (Kendalls W = .77) of suicide risk levels were obtained. Schizophrenic disorders showed the lowest values, for personality disorders we found the highest level of interrater-reliability. When examining the criterion validity, Item-9 of the BDI-II is substantial correlated to our suicide risk levels (ρ = .54, p < .01). Within the scope of construct validity check, affective disorders showed the highest correlation (ρ = .77), compatible also with "convergent validity". They differed with schizophrenic disorders which showed the least concordance (ρ = .43).
In-hospital suicide risk levels may represent an important contribution to the assessment of suicidal behavior of inpatients experiencing psychiatric treatment due to their overall good validity and reliability.
检查住院患者自杀风险水平的有效性和可靠性。
在一项对163名住院患者的横断面研究中评估内部自杀风险水平。通过确定主任医师、治疗师和责任护士之间的评分者间信度进行可靠性检查。在有效性检查范围内，我们进行了效标效度和结构效度分析。
对于总样本，自杀风险水平获得了“可接受”到“良好”的评分者间信度（肯德尔W = 0.77）。精神分裂症患者得分最低，人格障碍患者的评分者间信度最高。在检查效标效度时，BDI-II的第9项与我们的自杀风险水平显著相关（ρ = 0.54，p < 0.01）。在结构效度检查范围内，情感障碍显示出最高的相关性（ρ = 0.77），也符合“收敛效度”。它们与精神分裂症患者不同，后者的一致性最低（ρ = 0.43）。
由于其总体良好的有效性和可靠性，住院患者自杀风险水平可能对评估接受精神科治疗的住院患者的自杀行为做出重要贡献。
