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三维心理痛苦在有重度抑郁障碍的自杀意念和自杀企图患者中的 ROC 分析。

ROC analysis of three-dimensional psychological pain in suicide ideation and suicide attempt among patients with major depressive disorder.

机构信息

Department of Psychology, Renmin University of China, Beijing, China.

Medical Institute of Psychology, Second Xiangya Hospital of Central South University, Changsha, China.

出版信息

J Clin Psychol. 2020 Jan;76(1):210-227. doi: 10.1002/jclp.22870. Epub 2019 Oct 1.

DOI:10.1002/jclp.22870
PMID:31576558
Abstract

OBJECTIVE

To identify the predictive ability of the three-dimensional psychological pain scale (TDPPS) on suicide risk among MDD patients as compared to impulsivity, depression, hopelessness, psychache and acquired capability for suicide, and to determine the cut-off point of TDPPS in the identification of those at risk for suicide.

METHOD

The sample comprised 137 depressed outpatients who were divided into subjects with a history of suicidal attempt (SA, N = 31) and those without such history (NSA, N = 106). All participants completed the questionnaires to evaluate interested variables. Broad sociodemographic and clinical variables were analyzed by using hierarchical and logistic regression analysis and Receiver Operating Characteristic curve analysis.

RESULTS

TDPPS, especially pain avoidance subscale displayed superior performance in accurately identifying suicide attempt compared with other measurements. The appropriate cut-off point was 58 for the TDPPS.

CONCLUSIONS

TDPPS may be an effective screening scale for detecting depressed patients at high suicidal risk.

摘要

目的

与冲动性、抑郁、绝望、心理痛苦和习得性自杀能力相比,三维心理痛苦量表(TDPPS)在预测 MDD 患者自杀风险方面的能力,并确定 TDPPS 在识别自杀风险人群中的切点。

方法

该样本包括 137 名抑郁症门诊患者,他们被分为有自杀未遂史(SA,N=31)和无自杀未遂史(NSA,N=106)的患者。所有参与者都完成了评估感兴趣变量的问卷。采用分层和逻辑回归分析及受试者工作特征曲线分析来分析广泛的社会人口学和临床变量。

结果

TDPPS,特别是疼痛回避分量表在准确识别自杀企图方面表现出优于其他测量的性能。TDPPS 的合适切点为 58。

结论

TDPPS 可能是一种有效的筛查量表,用于检测有高自杀风险的抑郁患者。

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