Liu Richard T, Bettis Alexandra H, Lawrence Hannah R, Walsh Rachel F L, Sheehan Ana E, Pollak Olivia H, Stephenson Auburn R, Kautz Marin M, Marlowe Rachel M
Massachusetts General Hospital, Boston, USA.
Harvard Medical School, Boston, MA, USA.
Assessment. 2025 Apr;32(3):303-320. doi: 10.1177/10731911241249438. Epub 2024 May 14.
Empirically supported measures of suicidal thoughts and behaviors (STBs) are needed to serve as reference outcomes for suicide risk screening tools and to monitor severity and treatment progress in children and adolescents with STBs. The present paper systematically reviewed existing measures of STBs in youth and studies evaluating their psychometric properties and clinical utility. Measures were then evaluated on reliability, validity, and clinical utility. Sixteen articles (20 independent samples) were found with psychometric data with youth samples for eight measures. Interview-based measures were found to have the strongest psychometric support and clinical utility. Significant limitations exist for all self-report measures due to inherent characteristics of these measures that cannot be remedied through additional psychometric study. There is an urgent need for the development and validation of new self-report measures of STBs, particularly for preadolescent children, sexual and gender minority youth, and racial/ethnic minority youth.
需要有经验支持的自杀想法和行为（STB）测量方法，作为自杀风险筛查工具的参考结果，并监测有STB的儿童和青少年的严重程度及治疗进展。本文系统回顾了现有的青少年STB测量方法以及评估其心理测量特性和临床效用的研究。然后对测量方法的信度、效度和临床效用进行了评估。发现有16篇文章（20个独立样本）包含针对8种测量方法的青少年样本的心理测量数据。基于访谈的测量方法被发现具有最强的心理测量支持和临床效用。由于这些自我报告测量方法的固有特性，所有自我报告测量方法都存在重大局限性，无法通过额外的心理测量研究加以补救。迫切需要开发和验证新的STB自我报告测量方法，特别是针对青春期前儿童、性取向和性别少数群体青少年以及种族/族裔少数群体青少年。
