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引用次数: 0
摘要
目的:本系统综述的目的是提供一个全面的概述现有的工具来检测自杀意念和行为在社区居住的老年人。我们进一步旨在评估仪器的心理测量特性,诊断准确性和实用性。方法:对PubMed、PsycINFO、Sociological Abstracts和Web of Science数据库进行系统综述。使用COSMIN偏倚风险检查表或QUADAS 2工具评估偏倚风险。结果:共发现22项研究,涉及22种仪器。工具通过评估抑郁或已知的危险因素直接或间接地评估自杀倾向。心理测量结果表明,原量表的效度优于缩短后的量表。可靠性的证据并不总是充分的。所有仪器均具有良好的诊断准确性。大多数仪器适用于初级保健机构,但其使用情况取决于具体情况。结论:使用了多种仪器。验证和实际应用还需要进一步的研究。临床意义:评估自杀倾向、抑郁或危险因素的有效工具可用于检测社区居住的老年人的自杀风险。
Assessment of suicidal ideation and behavior in community-dwelling older adults: a systematic review.
Objectives: This systematic review aims to provide a comprehensive overview of the available instruments to detect suicidal ideation and behavior in community-dwelling older adults. We further aim to evaluate the instruments' psychometric properties, diagnostic accuracy, and practical utility.
Methods: A systematic review of PubMed, PsycINFO, Sociological Abstracts, and Web of Science databases was carried out. Risk of bias was evaluated with the COSMIN risk of bias checklist or the QUADAS 2 tool.
Results: 22 studies detailing 22 instruments were found. Instruments either assessed suicidality directly or indirectly, through the assessment of depression or known risk factors. Psychometric evaluation showed that the validity was better in the original instruments rather than shortened instruments. Evidence for reliability was not always sufficient. All instruments had good diagnostic accuracy. Most instruments were suitable for primary care settings, but their use is context dependent.
Conclusions: A variety of instruments are used. Additional research is required for validation and practical use.
Clinical implications: Valid instruments assessing suicidality, depression, or risk factors can be used to detect suicide risk in community-dwelling older adults.
期刊介绍:
Clinical Gerontologist presents original research, reviews, and clinical comments relevant to the needs of behavioral health professionals and all practitioners who work with older adults. Published in cooperation with Psychologists in Long Term Care, the journal is designed for psychologists, physicians, nurses, social workers, counselors (family, pastoral, and vocational), and other health professionals who address behavioral health concerns found in later life, including:
-adjustments to changing roles-
issues related to diversity and aging-
family caregiving-
spirituality-
cognitive and psychosocial assessment-
depression, anxiety, and PTSD-
Alzheimer’s disease and other neurocognitive disorders-
long term care-
behavioral medicine in aging-
rehabilitation and education for older adults.
Each issue provides insightful articles on current topics. Submissions are peer reviewed by content experts and selected for both scholarship and relevance to the practitioner to ensure that the articles are among the best in the field. Authors report original research and conceptual reviews. A unique column in Clinical Gerontologist is “Clinical Comments." This section features brief observations and specific suggestions from practitioners which avoid elaborate research designs or long reference lists. This section is a unique opportunity for you to learn about the valuable clinical work of your peers in a short, concise format.