Screening for suicidality in cancer patients using Item 9 of the nine-item patient health questionnaire; does the item score predict who requires further assessment?

Autor: Walker J; Psychological Medicine Research, University of Edinburgh Cancer Research Centre, Western General Hospital, Edinburgh EH4 2XR, UK. jane.walker@ed.ac.uk, Hansen CH, Hodges L, Thekkumpurath P, O'Connor M, Sharma N, Kleiboer A, Murray G, Kroenke K, Sharpe M
Jazyk: angličtina
Zdroj: General hospital psychiatry [Gen Hosp Psychiatry] 2010 Mar-Apr; Vol. 32 (2), pp. 218-20. Date of Electronic Publication: 2010 Jan 04.
DOI: 10.1016/j.genhosppsych.2009.11.011
Abstrakt: Objective: To determine whether a higher score on Item 9 of the Patient Health Questionnaire-9 (range zero to three) was more likely to indicate suicidality as determined at subsequent clinical interview in cancer outpatients.
Method: Analysis of anonymized data (with ethical approval) obtained from the routine clinical administration of self-report questionnaires and telephone interviews to patients attending a cancer centre in the UK.
Results: Complete data were available on 330 patients. Those with higher scores on the item were more likely to be suicidal at interview. However, a substantial number of those (54/235; 23%) who scored only one on the item were also found to be suicidal.
Conclusions: A higher score on Item 9 of the PHQ-9 indicates a greater likelihood that the patient is suicidal. However, even patients who score only 1 may be suicidal and consequently also require further assessment.
(Copyright 2010 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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