识别 1 型糖尿病青少年和年轻成人的自杀风险：抑郁筛查足够吗？
Identifying Suicide Risk in Adolescents and Young Adults With Type 1 Diabetes: Are Depression Screeners Sufficient?
机构信息
Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA.
Department of Pediatrics, University of Washington, Seattle, WA.
出版信息
Diabetes Care. 2022 May 1;45(5):1288-1291. doi: 10.2337/dc21-1553.
OBJECTIVE
Examine the utility of suicide-risk items embedded within depression screeners for identifying the presence of suicide risk in adolescents and young adults (AYA) with type 1 diabetes.
RESEARCH DESIGN AND METHODS
Sensitivity, specificity, and predictive value of self-report of suicide risk on the Patient Health Questionniaire-9 (PHQ-9) were compared with the pediatric psychologist-administered Columbia-Suicide Severity Rating Scale (C-SSRS) as the reference standard for AYA with type 1 diabetes seen in a multidisciplinary AYA Diabetes Program clinic.
RESULTS
Of 133 participants, 9.8% and 11.3% reported suicide risk on the PHQ-9 and C-SSRS, respectively. Sensitivity of the PHQ-9 risk item was 53.3% (95% CI 27.4%-77.7%), specificity was 95.7% (95% CI 89.9%-98.4%), positive predictive value was 61.5% (95% CI 32.3%-84.9%), and negative predictive value was 94.2% (95% CI 87.9-97.4%).
CONCLUSIONS
Depression screeners appear to under-identify AYA with type 1 diabetes who may otherwise be at risk for suicide.
目的
探讨将自杀风险项目嵌入抑郁症筛查工具中，用于识别 1 型糖尿病青少年和年轻成人（AYA）中自杀风险的效用。
研究设计和方法
在多学科 AYA 糖尿病计划诊所中，比较青少年和年轻成人 1 型糖尿病患者自我报告的 PHQ-9 自杀风险与儿科心理学家进行的哥伦比亚自杀严重程度评定量表（C-SSRS）作为参考标准的灵敏度、特异性和预测值。
结果
在 133 名参与者中，分别有 9.8%和 11.3%的人在 PHQ-9 和 C-SSRS 上报告了自杀风险。PHQ-9 风险项目的灵敏度为 53.3%（95%CI 27.4%-77.7%），特异性为 95.7%（95%CI 89.9%-98.4%），阳性预测值为 61.5%（95%CI 32.3%-84.9%），阴性预测值为 94.2%（95%CI 87.9-97.4%）。
结论
抑郁症筛查工具似乎低估了可能有自杀风险的 1 型糖尿病青少年和年轻成人。
Zotero 插件