关键词: Guyana PVEST depression suicide prevention youth risk

来  源:   DOI:10.1111/sltb.13068

Abstract:
OBJECTIVE: Suicide risk for youth in resource- limited settings has been largely underrepresented in the literature and requires targeted examination of practical ways to address this growing public health concern. The present study focuses on the clinical utility of depression risk assessment tools addressing how and for whom suicide prevention intervention is most beneficial within a low-middle-income-country, high suicide risk youth sample.
METHODS: Youth who reported a previous suicide attempt versus those who did not were criterion to test the validity of depression and hopelessness symptom assessment tools. We used item analyses to identify depressive symptom endorsements that most informed youth suicide risk, which will better equip rural practitioners for targeted intervention and monitoring of youth with an already high risk for suicide.
RESULTS: Findings demonstrated that practitioners may target symptoms of social anhedonia, depressed mood, concentration disturbance, feelings of worthlessness, sleep disturbance, and fatigue for suicide prevention-intervention efforts among high-risk youth.
CONCLUSIONS: Study implications are for clinicians\' use of the BDI-II and CES-D for depression symptom identification and suicide risk monitoring in settings with limited mental health infrastructure.
摘要:
目的:在文献中,资源有限的环境中青年的自杀风险在很大程度上被低估,需要有针对性地研究解决这一日益增长的公共卫生问题的实际方法。本研究侧重于抑郁症风险评估工具的临床效用,解决自杀预防干预在中低收入国家中如何以及对谁最有益。高自杀风险青年样本。
方法:曾报告过自杀未遂的青年与未自杀的青年是检验抑郁和绝望症状评估工具有效性的标准。我们使用项目分析来确定抑郁症状认可,大多数知情青年自杀风险,这将使农村从业人员更好地对自杀风险已经很高的青年进行有针对性的干预和监测。
结果:研究结果表明,从业者可能会针对社交快感缺失的症状,情绪低落,浓度扰动,毫无价值的感觉,睡眠障碍,和疲劳为高危青年的自杀预防干预努力。
结论:研究意义在于临床医生在精神卫生基础设施有限的环境中使用BDI-II和CES-D进行抑郁症状识别和自杀风险监测。
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