Department of Psychiatry, Rhode Island Hospital.
Department of Psychology, University of Michigan.
Psychiatry Res. 2021 Mar;297:113737. doi: 10.1016/j.psychres.2021.113737. Epub 2021 Jan 16.
Accurate assessment of suicidal thoughts is a challenge for researchers and clinicians. There is evidence that self-report and clinical interview assessment methods can result in different endorsement numbers when used to assess suicidal ideation. This study investigates endorsement rates and psychometric properties of a two-item self-report measure of suicidal ideation that distinguishes active from passive suicidal ideation, when compared with a clinical interview. Individuals presenting at an outpatient psychiatry clinic completed a measure of depression severity containing two items assessing passive and active suicidal ideation before undergoing a structured clinical interview. Self-report and clinical interview items demonstrated a low level of agreement. Self-report items were more strongly correlated with same-domain clinical interviewer ratings than different-domain ratings. These items demonstrated high negative predictive value and moderate-to-low positive predictive value for interviewer ratings. A two-item measure of suicidal ideation did not highly align with corresponding interviewer ratings, though such a measure may be useful in determining the absence of suicidal ideation, as well as distinguishing between passive and active suicidal ideation.
准确评估自杀意念是研究人员和临床医生面临的挑战。有证据表明，当用于评估自杀意念时，自我报告和临床访谈评估方法的结果可能会有所不同。本研究调查了一种区分主动和被动自杀意念的两项目自杀意念自我报告测量方法的认可率和心理测量特性，将其与临床访谈进行比较。在接受结构化临床访谈之前，在门诊精神病诊所就诊的个体完成了一项包含两项评估被动和主动自杀意念的抑郁严重程度的测量。自我报告和临床访谈项目之间的一致性程度较低。自我报告项目与同领域临床评估者评分的相关性强于不同领域的评分。这些项目对评估者评分具有较高的阴性预测值和中等至较低的阳性预测值。自杀意念的两项目测量方法与相应的评估者评分并不高度一致，尽管这种测量方法可能有助于确定是否存在自杀意念，以及区分主动和被动自杀意念。
