简明健康风险追踪-自我报告(CHRT-SR) -衡量自杀风险:青少年门诊患者的表现

IF 2.4 3区 医学 Q2 PSYCHIATRY
Karabi Nandy, A. John Rush, Thomas J. Carmody, Alexandra Kulikova, Taryn L. Mayes, Graham Emslie, Madhukar H. Trivedi
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引用次数: 6

摘要

目的用简明健康风险追踪自我报告(CHRT-SR)评估自杀行为的风险。我们在青少年门诊患者的代表性样本中报告其心理测量特性。方法657名接受初级或精神科治疗的青少年(18岁)在基线和3个月内完成了14项CHRT-SR。为了确定量表的最佳简短解决方案,我们使用多组验证性因子分析评估了CHRT-SR的因素结构,并检验了不同年龄和性别的测量不变性。评价了最优解的项目反应理论和经典测试理论的特点。通过将最佳解决方案与另一种自杀措施进行比较来评估其并发效度(包括横截面和随时间变化的测量)。结果验证性因子分析确定9项CHRT-SR (CHRT-SR9)为最优方案。经典测试理论和项目反应理论均显示出良好的拟合性。同时效度分析显示,它可以测量随时间推移自杀行为的改善/恶化。结论CHRT-SR9是一份对自杀倾向随时间变化敏感的青少年样本的简短自我报告,具有良好的心理测量特性。它在其他人群中的表现和预测未来自杀事件的能力值得研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

The Concise Health Risk Tracking - Self-Report (CHRT-SR)—A measure of suicidal risk: Performance in adolescent outpatients

The Concise Health Risk Tracking - Self-Report (CHRT-SR)—A measure of suicidal risk: Performance in adolescent outpatients

Objectives

The Concise Health Risk Tracking Self-Report (CHRT-SR) assesses the risk of suicidal behavior. We report its psychometric properties in a representative sample of adolescent outpatients.

Methods

A sample (n = 657) of adolescents (<18 years of age) in primary or psychiatric care completed the 14-item version of CHRT-SR at both baseline and within 3 months. To identify an optimal brief solution for the scale, we evaluated the factor structure of CHRT-SR using multigroup confirmatory factor analysis, and testing measurement invariance across age and gender. The item response theory and classical test theory characteristics of the optimal solution were evaluated. Concurrent validity (both cross-sectional and as a change measure over time) of the optimal solution was assessed by comparing it to another suicide measure.

Results

Confirmatory factor analysis identified the 9-item CHRT-SR (CHRT-SR9) as the optimal solution. Classical test theory and item response theory indicated excellent fit. Concurrent validity analyses revealed that it can measure both improvement/worsening of suicidality over time.

Conclusion

The CHRT-SR9 is a brief self-report with excellent psychometric properties in a sample of adolescents that is sensitive to changes in suicidality over time. Its performance in other populations and ability to predict future suicidal events deserves study.

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来源期刊
CiteScore
5.20
自引率
6.50%
发文量
48
审稿时长
>12 weeks
期刊介绍: The International Journal of Methods in Psychiatric Research (MPR) publishes high-standard original research of a technical, methodological, experimental and clinical nature, contributing to the theory, methodology, practice and evaluation of mental and behavioural disorders. The journal targets in particular detailed methodological and design papers from major national and international multicentre studies. There is a close working relationship with the US National Institute of Mental Health, the World Health Organisation (WHO) Diagnostic Instruments Committees, as well as several other European and international organisations. MPR aims to publish rapidly articles of highest methodological quality in such areas as epidemiology, biostatistics, generics, psychopharmacology, psychology and the neurosciences. Articles informing about innovative and critical methodological, statistical and clinical issues, including nosology, can be submitted as regular papers and brief reports. Reviews are only occasionally accepted. MPR seeks to monitor, discuss, influence and improve the standards of mental health and behavioral neuroscience research by providing a platform for rapid publication of outstanding contributions. As a quarterly journal MPR is a major source of information and ideas and is an important medium for students, clinicians and researchers in psychiatry, clinical psychology, epidemiology and the allied disciplines in the mental health field.
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