Autor: |
Ashley C. Moss, Alissa J. Roberts, Joyce P. Yi-Frazier, Kendra L. Read, Craig E. Taplin, Kathryn W. Weaver, Catherine Pihoker, Irl B. Hirsch, Faisal S. Malik |
Rok vydání: |
2022 |
Předmět: |
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Zdroj: |
Diabetes Care. 45:1288-1291 |
ISSN: |
0149-5992 |
Popis: |
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. |
Databáze: |
OpenAIRE |
Externí odkaz: |
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