青少年自杀意念的单项与多项评估。
Single- vs. Multi-Item Assessment of Suicidal Ideation Among Adolescents.
机构信息
Department of Counseling and Clinical Psychology, Teachers College, Columbia University, New York, NY.
Department of Counseling and Clinical Psychology, Teachers College, Columbia University, New York, NY; Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, RI.
出版信息
R I Med J (2013). 2022 May 2;105(4):16-21.
Several barriers exist to routine assessment of suicidal ideation (SI) in adolescents across settings, including insufficient time, tools, and training. Such barriers often result in the use of brief or even single-item assessments of SI, which may result in misclassification. The present study sought to compare single- and multi-item assessment of SI in adolescents, and to examine factors associated with different response profiles. Adolescents (n =206) were recruited from the community and completed a lab visit including a single and multi-item assessment for SI. Results suggest that two thirds of adolescents with passive SI go undetected when relying solely on a single-item screener, yet they present a similar clinical profile to those with passive SI who endorse the screener question. The present study provides support for the notion that multi-item assessment paints a more accurate, nuanced picture of SI among adolescents and may be an important component of routine screening.
在各种环境下，评估青少年自杀意念（SI）时存在一些障碍，包括时间、工具和培训不足。这些障碍通常导致使用简短甚至单项评估 SI，这可能导致分类错误。本研究旨在比较青少年的单项和多项 SI 评估，并探讨与不同反应模式相关的因素。从社区招募了 206 名青少年，并完成了一次实验室访问，包括对 SI 的单项和多项评估。结果表明，仅依靠单项筛查器，有三分之二的有被动 SI 的青少年未被发现，但他们与那些同意筛查器问题的有被动 SI 的青少年表现出相似的临床特征。本研究支持这样一种观点，即多项评估更准确、细致地描绘了青少年的 SI 情况，可能是常规筛查的一个重要组成部分。
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