Identifying Suicide Risk in Adolescents and Young Adults With Type 1 Diabetes: Are Depression Screeners Sufficient?
Diabetes Care
; 45(5): 1288-1291, 2022 05 01.
Article
en En
| MEDLINE
| ID: mdl-35147698
ABSTRACT
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 ANDMETHODS:
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.
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Suicidio
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Diabetes Mellitus Tipo 1
Tipo de estudio:
Diagnostic_studies
/
Etiology_studies
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Prognostic_studies
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Risk_factors_studies
Límite:
Adolescent
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Adult
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Child
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Humans
Idioma:
En
Revista:
Diabetes Care
Año:
2022
Tipo del documento:
Article