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在门诊医疗环境中筛查青少年自杀风险的可接受性:儿童和家长的观点。

The acceptability of screening for suicide risk among youth in outpatient medical settings: Child and parent perspectives.

机构信息

Office of the Clinical Director, National Institute of Mental Health, Bethesda, MD, USA.

Pediatric Oncology Branch, National Cancer Institute, Bethesda, MD, USA.

出版信息

J Psychosoc Oncol. 2021;39(6):789-795. doi: 10.1080/07347332.2020.1856997. Epub 2020 Dec 11.

DOI:10.1080/07347332.2020.1856997
PMID:33306002
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8192582/
Abstract

OBJECTIVE

Psychosocial providers in medical settings are increasingly being asked to identify suicide risk in youth with medical illnesses. This pilot study aimed to determine the acceptability of suicide risk screening among youth with cancer and other serious illnesses and their parents.

METHODS

Youth ages 8-21 years presenting to an outpatient medical setting were screened for suicide risk using a modified version of the Ask Suicide-Screening Questions (ASQ) screening tool. Patient and parent perceptions of acceptability were collected.

FINDINGS

The sample included 32 patient/parent dyads. The overall positive screen rate was 9.4% (n = 3/32). Most patients (75%; n = 24/32) and parents (84.4%; n = 27/32) reported that medical settings should screen young patients for suicide risk.

CONCLUSIONS

Suicide risk screening was acceptable to most patients and parents in a pediatric clinic.

IMPLICATIONS FOR PSYCHOSOCIAL PROVIDERS

Medically ill patients are at risk for suicide. Universal suicide risk screening using a validated measure can provide meaningful clinical information to patients' families and providers and has the potential to save young lives.

摘要

目的

医疗机构中的心理社会服务提供者越来越多地被要求识别患有医学疾病的青少年的自杀风险。本试点研究旨在确定对癌症和其他严重疾病的青少年及其父母进行自杀风险筛查的可接受性。

方法

在门诊医疗环境中,使用改良版的自杀筛查问题 (ASQ) 筛查工具对 8-21 岁的青少年进行自杀风险筛查。收集患者和家长对可接受性的看法。

结果

样本包括 32 对患者/家长。整体阳性筛查率为 9.4%(n=3/32)。大多数患者(75%;n=24/32)和家长(84.4%;n=27/32)表示,医疗场所应该对年轻患者进行自杀风险筛查。

结论

自杀风险筛查在儿科诊所中得到了大多数患者和家长的认可。

对心理社会服务提供者的意义

患有医学疾病的患者有自杀风险。使用经过验证的测量方法进行普遍的自杀风险筛查,可以为患者家属和提供者提供有意义的临床信息,并有潜力挽救年轻生命。

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Suicide prevention in medical settings: The case for universal screening.医疗机构中的自杀预防:普遍筛查的理由。
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