Suicide risk assessment tools for adults in general medical practice

被引:6
作者
Peyron, Pierre-Antoine [1 ]
David, Michel [2 ]
机构
[1] CHU Lapeyronie, Dept Med Legale, F-34295 Montpellier 5, France
[2] Fac Med Montpellier, Dept Med Gen, F-34060 Montpellier 2, France
来源
PRESSE MEDICALE | 2015年 / 44卷 / 06期
关键词
ASSESSMENT SCALE RSD; PSYCHOMETRIC PROPERTIES; SELF-HARM; EVENTUAL SUICIDE; KILLING YOURSELF; STAYING ALIVE; IDEATION; VALIDATION; PREDICTION; BEHAVIOR;
D O I
10.1016/j.lpm.2014.12.009
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background > It is estimated that almost half of suicide victims have consulted a general practitioner during the month preceding their act. The implementation of a suicide risk assessment tool validated in primary care is therefore needed in general medical practice. Objectives > To review the suicide risk assessment tools for adults, to discuss their validity, and to suggest a pertinent tool which could be used in primary care. Methods > Research into scientific databases (keywords: psychiatric status rating scales; tools; questionnaires; risk assessment; suicide; attempted suicide; suicidal ideation; primary core; family practice; general practice) and into French and English language primary core journals. Review of publications and recommendations from health promotion and suicide prevention organizations, and from general practice and psychiatry learned societies. Results > Two categories of suicide risk assessment tools have been found. On one hand, questionnaires aim at predicting suicidal behaviours (or their recurrence) using a risk score. They are interesting in research but of limited value in clinical practice because of their low specificity and individual predictive power. On the other hand, semi-directive interviews unable clinicians to explore the three dimensions of suicidality (levels of risk, urgency and danger), thus knowing to what extent the patient is suicidal and to adopt the appropriate preventive care strategy. Their use in clinical routine is highly recommended. The Grille d'estimation de la dangerosite dun passage a l'acte suicidaire is the only interview to have been validated in primary core so far It could be a pertinent tool in general practice. Conclusion > Preventing suicide in primary care requires the assessment of suicide risk using a semi-directive interview. We suggest a qualitative study to be carried out in general practice on the Grille d'estimation de la dangerosite dun passage a l'acte suicidaire.
引用
收藏
页码:590 / 600
页数:11
相关论文
共 83 条
  • [1] Agence nationale d'accreditation et d'evaluanon en sante, 2000, AN LIT GRAD REC GUID
  • [2] Agence nationale d'accreditation et d'evaluation en sante, 2000, C CONS
  • [3] [Anonymous], 2003, Am J Psychiatry, V160, P1
  • [4] [Anonymous], 2008, PROTECTION PERSONNES
  • [5] [Anonymous], BAROMETRE SANTE MED
  • [6] Australian and New Zealand clinical practice guidelines for the management of adult deliberate self-harm
    Arumanayagam, M
    Bell, C
    Boyce, P
    Carter, G
    Dudley, M
    Goldney, R
    McPhee, J
    Mulder, R
    Penrose-Wall, J
    Wilhelm, K
    [J]. AUSTRALIAN AND NEW ZEALAND JOURNAL OF PSYCHIATRY, 2004, 38 (11-12) : 868 - 884
  • [7] BECK AT, 1979, J CONSULT CLIN PSYCH, V47, P343, DOI 10.14482/psdc.36.1.378.2
  • [8] BECK AT, 1988, J CLIN PSYCHOL, V44, P499, DOI 10.1002/1097-4679(198807)44:4<499::AID-JCLP2270440404>3.0.CO
  • [9] 2-6
  • [10] CLINICAL PREDICTORS OF EVENTUAL SUICIDE - A 5-YEAR TO 10-YEAR PROSPECTIVE-STUDY OF SUICIDE ATTEMPTERS
    BECK, AT
    STEER, RA
    [J]. JOURNAL OF AFFECTIVE DISORDERS, 1989, 17 (03) : 203 - 209