Keane E M, Dick R W, Bechtold D W, Manson S M
University of Colorado Health Sciences Center, Department of Psychiatry, Denver 80220, USA.
J Abnorm Child Psychol. 1996 Dec;24(6):735-47. doi: 10.1007/BF01664737.
Suicide is currently the second leading cause of death for ages 15-24 years; reports indicate that 6-8% of American teens have attempted suicide. Rates of suicide and suicide attempts are at least as high, if not higher, for American Indian adolescents and young adults. The Suicidal Ideation Questionnaire (Junior High School Version) (SIQ-JR) could be used to identify young people who may be at risk for attempting suicide, since this questionnaire focuses on suicidal ideation, a major risk factor for suicide attempt. However, little is known about the predictive validity of the SIQ-JR, particularly in American Indian adolescent populations. A suicide attempt cluster at an American Indian boarding school provided the unique opportunity to examine the performance of the SIQ-JR in a group of American Indian high school students who had taken the SIQ-JR approximately 2 months prior to the outbreak of attempts. The SIQ-JR proved to be an excellent predictor of future suicide attempts when compared to other measures of distress: anxiety, depression, and alcohol use. The SIQ-JR is an effective screener for suicide risk in this American Indian adolescent population.
自杀目前是15至24岁人群的第二大死因；报告显示，6%至8%的美国青少年曾尝试自杀。美国印第安青少年和青年的自杀率及自杀未遂率至少与之相当，甚至更高。自杀意念问卷（初中版）（SIQ-JR）可用于识别可能有自杀未遂风险的年轻人，因为该问卷聚焦于自杀意念，这是自杀未遂的一个主要风险因素。然而，对于SIQ-JR的预测效度知之甚少，尤其是在美国印第安青少年群体中。一所美国印第安寄宿学校发生的自杀未遂事件集群，提供了一个独特的机会，来考察SIQ-JR在一群美国印第安高中生中的表现，这些学生在自杀未遂事件爆发前约两个月接受了SIQ-JR测试。与其他痛苦程度指标（焦虑、抑郁和酒精使用）相比，SIQ-JR被证明是未来自杀未遂的一个出色预测指标。SIQ-JR是该美国印第安青少年群体自杀风险的有效筛查工具。
