Identifying Suicide Risk in Adolescents and Young Adults With Type 1 Diabetes: Are Depression Screeners Sufficient?

Autor:	Moss AC; Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA., Roberts AJ; Department of Pediatrics, University of Washington, Seattle, WA.; Seattle Children's Research Institute, Seattle, WA., Yi-Frazier JP; Seattle Children's Research Institute, Seattle, WA., Read KL; Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA., Taplin CE; Department of Pediatrics, University of Washington, Seattle, WA.; Perth Children's Hospital, Nedlands, Western Australia, Australia., Weaver KW; Department of Medicine, Division of Metabolism, Endocrinology, and Nutrition, University of Washington, Seattle, WA., Pihoker C; Department of Pediatrics, University of Washington, Seattle, WA.; Seattle Children's Research Institute, Seattle, WA., Hirsch IB; Department of Medicine, Division of Metabolism, Endocrinology, and Nutrition, University of Washington, Seattle, WA., Malik FS; Department of Pediatrics, University of Washington, Seattle, WA.; Seattle Children's Research Institute, Seattle, WA.
Jazyk:	angličtina
Zdroj:	Diabetes care [Diabetes Care] 2022 May 01; Vol. 45 (5), pp. 1288-1291.
DOI:	10.2337/dc21-1553
Abstrakt:	Objective: Examine the utility of suicide-risk items embedded within depression screeners for identifying the presence of suicide risk in adolescents and young adults (AYA) with type 1 diabetes. Research Design and Methods: Sensitivity, specificity, and predictive value of self-report of suicide risk on the Patient Health Questionniaire-9 (PHQ-9) were compared with the pediatric psychologist-administered Columbia-Suicide Severity Rating Scale (C-SSRS) as the reference standard for AYA with type 1 diabetes seen in a multidisciplinary AYA Diabetes Program clinic. Results: Of 133 participants, 9.8% and 11.3% reported suicide risk on the PHQ-9 and C-SSRS, respectively. Sensitivity of the PHQ-9 risk item was 53.3% (95% CI 27.4%-77.7%), specificity was 95.7% (95% CI 89.9%-98.4%), positive predictive value was 61.5% (95% CI 32.3%-84.9%), and negative predictive value was 94.2% (95% CI 87.9-97.4%). Conclusions: Depression screeners appear to under-identify AYA with type 1 diabetes who may otherwise be at risk for suicide. (© 2022 by the American Diabetes Association.)
Databáze:	MEDLINE
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