PDF(Pubmed)
Abstract：
UNASSIGNED: This study aims to investigate the agreement between the Huaxi Emotional Index (HEI) and the Nurses\' Global Assessment of Suicide Risk (NGASR) in assessing high suicide risk and to explore the predictive value of HEI in identifying high suicide risk among patients with depression.
UNASSIGNED: Convenience sampling was used and 386 inpatients with depression were included in this cross-sectional study. All patients were admitted to the Mental Health Center, West China Hospital between June and December 2023. The inclusion criteria were as follows, a diagnosis of depression according to the International Classification of Diseases, Tenth Revision (ICD-10), age over 18, and completion of both NGASR and HEI assessments. According to the exclusion criteria, depression patients who had other comorbid mental disorders or those who had severe cognitive impairments and were unable to communicate effectively were excluded. The study was approved by the Biomedical Ethics Review Committee of West China Hospital (Approval No. 647, 2021). Demographic data such as age, sex, ethnicity, marital status, and educational attainment were collected using a self-designed questionnaire. Both the HEI and NGASR were applied to evaluate the patients. We conducted statistical analyses with SPSS 27, employing Spearman\'s rank correlation for correlation analysis, Kappa tests for consistency between the two instruments, and receiver operating characteristic (ROC) curves for evaluating the predictive performance of HEI scores for high suicide risk, with the optimal HEI cutoff value determined on the basis of the Youden Index.
UNASSIGNED: The study included 386 depression inpatients with an average age of 32 years and an average length-of-stay of 14 days. Of these participants, 252 were female (65.3%) and 134 were male (34.7%). Regarding ethnicity, most of the participants were Han Chinese (89.4%), Tibetans accounted for 7.3%, and other minorities, 3.3%. Regarding marital status, 51.3% of the participants were married, 41.2% single, 6.5% divorced, and 1.0% widowed. Regarding educational attainment, 26.2% had an undergraduate or graduate education, 20.7% had junior college education, 24.8% had high school or secondary technical school education, and 28.2% had middle school education or less. The NGASR identified 57.3% of the participants as being at high suicide risk, while the HEI identified 53.6% as having severe emotional distress. There was a moderate agreement between the HEI and the NGASR scores, with a Kappa value of 0.518 ( P<0.001), indicating statistically significant differences. At an HEI score of 17, the Youden Index peaked at 0.52, predicting high suicide risk with a specificity of 76.36%, a sensitivity of 76.02%, and an area under the ROC curve of 0.829 (95% CI: 0.787-0.871), demonstrating statistically significant differences.
UNASSIGNED: HEI and NGASR demonstrate moderate agreement in assessing high suicide risk among depression patients. The HEI questionnaire effectively predicts high suicide risk in patients with depression, with 17 being the optimal cutoff value for assessing high suicide risk.
UNASSIGNED: Convenience sampling was used and 386 inpatients with depression were included in this cross-sectional study. All patients were admitted to the Mental Health Center, West China Hospital between June and December 2023. The inclusion criteria were as follows, a diagnosis of depression according to the International Classification of Diseases, Tenth Revision (ICD-10), age over 18, and completion of both NGASR and HEI assessments. According to the exclusion criteria, depression patients who had other comorbid mental disorders or those who had severe cognitive impairments and were unable to communicate effectively were excluded. The study was approved by the Biomedical Ethics Review Committee of West China Hospital (Approval No. 647, 2021). Demographic data such as age, sex, ethnicity, marital status, and educational attainment were collected using a self-designed questionnaire. Both the HEI and NGASR were applied to evaluate the patients. We conducted statistical analyses with SPSS 27, employing Spearman\'s rank correlation for correlation analysis, Kappa tests for consistency between the two instruments, and receiver operating characteristic (ROC) curves for evaluating the predictive performance of HEI scores for high suicide risk, with the optimal HEI cutoff value determined on the basis of the Youden Index.
UNASSIGNED: The study included 386 depression inpatients with an average age of 32 years and an average length-of-stay of 14 days. Of these participants, 252 were female (65.3%) and 134 were male (34.7%). Regarding ethnicity, most of the participants were Han Chinese (89.4%), Tibetans accounted for 7.3%, and other minorities, 3.3%. Regarding marital status, 51.3% of the participants were married, 41.2% single, 6.5% divorced, and 1.0% widowed. Regarding educational attainment, 26.2% had an undergraduate or graduate education, 20.7% had junior college education, 24.8% had high school or secondary technical school education, and 28.2% had middle school education or less. The NGASR identified 57.3% of the participants as being at high suicide risk, while the HEI identified 53.6% as having severe emotional distress. There was a moderate agreement between the HEI and the NGASR scores, with a Kappa value of 0.518 ( P<0.001), indicating statistically significant differences. At an HEI score of 17, the Youden Index peaked at 0.52, predicting high suicide risk with a specificity of 76.36%, a sensitivity of 76.02%, and an area under the ROC curve of 0.829 (95% CI: 0.787-0.871), demonstrating statistically significant differences.
UNASSIGNED: HEI and NGASR demonstrate moderate agreement in assessing high suicide risk among depression patients. The HEI questionnaire effectively predicts high suicide risk in patients with depression, with 17 being the optimal cutoff value for assessing high suicide risk.
摘要：
■本研究旨在调查华西情绪指数（HEI）和护士自杀风险全球评估（NGASR）在评估高自杀风险方面的一致性，并探讨HEI在识别抑郁症患者高自杀风险方面的预测价值。
■使用方便抽样，386名抑郁症住院患者纳入了这项横断面研究。所有病人均入住精神卫生中心,2023年6月至12月华西医院。纳入标准如下，根据国际疾病分类，抑郁症的诊断，第十次修订(ICD-10),年龄在18岁以上，完成NGASR和HEI评估。根据排除标准,患有其他合并症精神障碍或患有严重认知障碍且无法有效沟通的抑郁症患者被排除在外.本研究获得华西医院生物医学伦理审查委员会批准(批准号647,2021)。人口统计数据，如年龄，性别,种族,婚姻状况,和教育程度是使用自行设计的问卷收集的。HEI和NGASR均用于评估患者。我们用SPSS27进行了统计分析，采用Spearman的秩相关进行相关分析，Kappa测试两种仪器之间的一致性，和受试者工作特征（ROC）曲线，用于评估高自杀风险的HEI分数的预测性能，根据尤登指数确定的最佳HEI截止值。
■该研究包括386名抑郁症住院患者，平均年龄为32岁，平均住院时间为14天。在这些参与者中,252名女性（65.3%），134名男性（34.7%）。关于种族,大多数参与者是汉族（89.4％），藏人占7.3%,和其他少数民族，3.3%。关于婚姻状况，51.3%的参与者已婚，41.2%单,6.5%离婚,和1.0%丧偶。关于教育程度，26.2%有本科或研究生学历，20.7%有大专学历，24.8%的人受过高中或中等技校教育，28.2%的中学文化程度或以下。NGASR确定57.3％的参与者处于高自杀风险中，而HEI认为53.6%的人有严重的情绪困扰。HEI和NGASR分数之间有适度的一致性，Kappa值为0.518(P<0.001)，表明统计学上的显著差异。在HEI得分为17分时，Youden指数达到0.52的峰值，预测自杀风险高，特异性为76.36%，灵敏度为76.02%，ROC曲线下面积为0.829（95％CI：0.787-0.871），显示出统计学上的显著差异。
HEI和NGASR在评估抑郁症患者的高自杀风险方面表现出适度的一致性。HEI问卷可有效预测抑郁症患者的高自杀风险，17是评估高自杀风险的最佳临界值。
■使用方便抽样，386名抑郁症住院患者纳入了这项横断面研究。所有病人均入住精神卫生中心,2023年6月至12月华西医院。纳入标准如下，根据国际疾病分类，抑郁症的诊断，第十次修订(ICD-10),年龄在18岁以上，完成NGASR和HEI评估。根据排除标准,患有其他合并症精神障碍或患有严重认知障碍且无法有效沟通的抑郁症患者被排除在外.本研究获得华西医院生物医学伦理审查委员会批准(批准号647,2021)。人口统计数据，如年龄，性别,种族,婚姻状况,和教育程度是使用自行设计的问卷收集的。HEI和NGASR均用于评估患者。我们用SPSS27进行了统计分析，采用Spearman的秩相关进行相关分析，Kappa测试两种仪器之间的一致性，和受试者工作特征（ROC）曲线，用于评估高自杀风险的HEI分数的预测性能，根据尤登指数确定的最佳HEI截止值。
■该研究包括386名抑郁症住院患者，平均年龄为32岁，平均住院时间为14天。在这些参与者中,252名女性（65.3%），134名男性（34.7%）。关于种族,大多数参与者是汉族（89.4％），藏人占7.3%,和其他少数民族，3.3%。关于婚姻状况，51.3%的参与者已婚，41.2%单,6.5%离婚,和1.0%丧偶。关于教育程度，26.2%有本科或研究生学历，20.7%有大专学历，24.8%的人受过高中或中等技校教育，28.2%的中学文化程度或以下。NGASR确定57.3％的参与者处于高自杀风险中，而HEI认为53.6%的人有严重的情绪困扰。HEI和NGASR分数之间有适度的一致性，Kappa值为0.518(P<0.001)，表明统计学上的显著差异。在HEI得分为17分时，Youden指数达到0.52的峰值，预测自杀风险高，特异性为76.36%，灵敏度为76.02%，ROC曲线下面积为0.829（95％CI：0.787-0.871），显示出统计学上的显著差异。
HEI和NGASR在评估抑郁症患者的高自杀风险方面表现出适度的一致性。HEI问卷可有效预测抑郁症患者的高自杀风险，17是评估高自杀风险的最佳临界值。
