Peter O'Donnell Jr. School of Public Health, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Center for Depression Research and Clinical Care, Peter O'Donnell Jr. Brain Institute and Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas, TX, USA.
J Psychopharmacol. 2024 Sep;38(9):784-788. doi: 10.1177/02698811241268875. Epub 2024 Aug 8.
The 9-item Concise Health Risk Tracking - Self-Report (CHRT-SR) is a widely used patient-reported outcome measure of suicidal risk. The goal of this article is to provide an evidence-based interpretation of the CHRT-SR total score in terms of four clinically actionable categories of suicidal risk (none, mild, moderate, and severe).
Data from two large programs involving adolescents and adults were combined in this paper. In these studies, the CHRT-SR was anchored against an independent measure of suicidal risk, the suicide item (Item #9) in the Patient Health Questionnaire (PHQ-9), with categories 0 (none), 1 (mild), 2 (moderate), and 3 (severe). In the combined data ( = 1945), we calculated the cumulative percentage of data across these four categories and the percentile score of the CHRT-SR total score that corresponded to these percentages; from this, we developed ranges of the CHRT-SR total score that corresponded to the four categories of Item #9 of PHQ-9. We also calculated similar ranges for two broad subscales of the CHRT-SR total score; Propensity and Suicidal Thoughts. To assess the robustness of our findings, we repeated the analysis at another timepoint across studies.
Findings indicated that the CHRT-SR total score (range: 0-36) can be categorized as none (0-14), mild (15-21), moderate (22-26), and severe (27-36). Similar categories were calculated for the Propensity and Suicidal Thoughts subscales. The findings were the same when repeated at another timepoint.
This categorization of the CHRT-SR total score can place patients into clinically meaningful and actionable categories of suicidal risk.
9 项简明健康风险追踪-自我报告（CHRT-SR）是一种广泛使用的患者报告的自杀风险测量工具。本文的目的是根据自杀风险的四个临床可操作类别（无、轻度、中度和重度），提供 CHRT-SR 总分的循证解释。
本文结合了两项涉及青少年和成年人的大型研究的数据。在这些研究中，CHRT-SR 与自杀风险的独立测量工具——患者健康问卷（PHQ-9）中的自杀项目（项目 9）相联系，分为 0（无）、1（轻度）、2（中度）和 3（重度）。在合并数据中（ = 1945），我们计算了这四个类别的数据累计百分比和对应于这些百分比的 CHRT-SR 总分百分位数；由此，我们开发了与 PHQ-9 项目 9 的四个类别相对应的 CHRT-SR 总分范围。我们还计算了 CHRT-SR 总分的两个广泛子量表（倾向和自杀想法）的类似范围。为了评估我们发现的稳健性，我们在研究之间的另一个时间点重复了分析。
研究结果表明，CHRT-SR 总分（范围：0-36）可以分为无（0-14）、轻度（15-21）、中度（22-26）和重度（27-36）。倾向和自杀想法子量表也计算了类似的类别。在另一个时间点重复分析时，结果相同。
这种 CHRT-SR 总分的分类可以将患者归入具有临床意义和可操作的自杀风险类别。
