Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Porto Alegre , RS , Brazil .
Trends Psychiatry Psychother. 2020 Jul-Sep;42(3):276-281. doi: 10.1590/2237-6089-2019-0092.
Suicide is an issue of great severity in public health worldwide. This study aimed to investigate which instruments are most frequently used by healthcare professionals to assess suicide risk and how accessible such instruments are, as well as to determine the scope of suicide phenomena.
A systematic review was performed using the following Boolean searches: "scale AND suicide," "evaluation AND suicide," "questionnaire AND suicide." The articles retrieved were read and selected by two independent researchers - any discrepancies were addressed by a third researcher.
From a total number of 206 articles, 20 instruments were identified as being currently used to assess suicide risk. The two most common were the Beck Scale for Suicide Ideation (BSI) and The Columbia - Suicide Severity Rating Scale (C-SSRS).
Even though the two scales (BSI and C-SSRS) are the most frequently mentioned and used by healthcare professionals to assess suicide risk, both instruments present breaches in their structure and there is not yet a single instrument considered to be the gold standard. As a future perspective, there is the urgency of developing a new tool that can widely and completely assess all psychopathological aspects of suicidality.
自杀是全球公共卫生领域一个非常严重的问题。本研究旨在调查医疗保健专业人员最常使用哪些工具来评估自杀风险，以及这些工具的可及性如何，并确定自杀现象的范围。
使用以下布尔搜索进行系统评价：“量表和自杀”、“评估和自杀”、“问卷和自杀”。由两名独立研究人员阅读和选择检索到的文章——任何分歧都由第三名研究人员解决。
从总共 206 篇文章中，确定了 20 种目前用于评估自杀风险的工具。最常用的两种是贝克自杀意念量表 (BSI) 和哥伦比亚-自杀严重程度评定量表 (C-SSRS)。
尽管 BSI 和 C-SSRS 这两种量表是医疗保健专业人员最常提到和用于评估自杀风险的量表，但这两种工具在结构上都存在缺陷，目前还没有一种被认为是金标准的工具。作为未来的展望，迫切需要开发一种新的工具，可以广泛而全面地评估自杀意念的所有心理病理学方面。
