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Utility of the Patient Health Questionnaire-9 to assess suicide risk in patients with systemic sclerosis.

Identifieur interne : 001385 ( Main/Exploration ); précédent : 001384; suivant : 001386

Utility of the Patient Health Questionnaire-9 to assess suicide risk in patients with systemic sclerosis.

Auteurs : Ilya Razykov [Canada] ; Marie Hudson ; Murray Baron ; Brett D. Thombs

Source :

RBID : pubmed:23203723

Descripteurs français

English descriptors

Abstract

OBJECTIVE

Item 9 of the Patient Health Questionnaire-9 (PHQ-9), which inquires about both passive thoughts of death and active ideas of self-harm, has been used to assess suicide risk in arthritis. The objectives of this study were 1) to determine the proportion of systemic sclerosis (SSc; scleroderma) patients who responded "yes" to item 9 who endorsed active suicidal ideation in response to more direct questions during a structured clinical interview, and 2) to report whether the PHQ-8, which does not include item 9 from the PHQ-9, performs similarly to the PHQ-9.

METHODS

Patients were recruited from the Canadian Scleroderma Research Group Registry. The PHQ-9 and Composite International Diagnostic Interview (CIDI) depression module were administered during a phone interview. Scores on the PHQ-8 were calculated by removing item 9 from the PHQ-9. Item 9 responses were compared to suicidal ideation and intent in the last year based on the CIDI. Scores on the PHQ-8 and PHQ-9 were compared using Pearson's correlations.

RESULTS

There were 345 patients interviewed, of whom 31 (9.0%) endorsed item 9 of the PHQ-9. Of those, based on the CIDI, 14 (45.2%) had passive thoughts of suicide or death. Only 1 patient (3.2%) had thoughts about suicide in some detail at any point in the last 12 months. The correlation between PHQ-9 and PHQ-8 scores was 0.998.

CONCLUSION

Item 9 appears to identify many patients who do not report active suicidal ideation. The PHQ-8 may be a better option for assessment of depressive symptoms than the PHQ-9 in patients with SSc.


DOI: 10.1002/acr.21894
PubMed: 23203723


Affiliations:


Links toward previous steps (curation, corpus...)


Le document en format XML

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<name sortKey="Razykov, Ilya" sort="Razykov, Ilya" uniqKey="Razykov I" first="Ilya" last="Razykov">Ilya Razykov</name>
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<nlm:affiliation>McGill University and Lady Davis Institute for Medical Research, Jewish General Hospital, Montreal, Quebec, Canada.</nlm:affiliation>
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<name sortKey="Hudson, Marie" sort="Hudson, Marie" uniqKey="Hudson M" first="Marie" last="Hudson">Marie Hudson</name>
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<name sortKey="Baron, Murray" sort="Baron, Murray" uniqKey="Baron M" first="Murray" last="Baron">Murray Baron</name>
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<name sortKey="Thombs, Brett D" sort="Thombs, Brett D" uniqKey="Thombs B" first="Brett D" last="Thombs">Brett D. Thombs</name>
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<term>Aged (MeSH)</term>
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<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Mass Screening (methods)</term>
<term>Mass Screening (statistics & numerical data)</term>
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<term>Scleroderma, Systemic (epidemiology)</term>
<term>Scleroderma, Systemic (psychology)</term>
<term>Suicidal Ideation (MeSH)</term>
<term>Suicide (prevention & control)</term>
<term>Suicide (psychology)</term>
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<term>Adulte d'âge moyen (MeSH)</term>
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<term>Dépression (diagnostic)</term>
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<term>Enquêtes et questionnaires (statistiques et données numériques)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Idéation suicidaire (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Sclérodermie systémique (psychologie)</term>
<term>Sclérodermie systémique (épidémiologie)</term>
<term>Suicide (prévention et contrôle)</term>
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<b>OBJECTIVE</b>
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<p>Item 9 of the Patient Health Questionnaire-9 (PHQ-9), which inquires about both passive thoughts of death and active ideas of self-harm, has been used to assess suicide risk in arthritis. The objectives of this study were 1) to determine the proportion of systemic sclerosis (SSc; scleroderma) patients who responded "yes" to item 9 who endorsed active suicidal ideation in response to more direct questions during a structured clinical interview, and 2) to report whether the PHQ-8, which does not include item 9 from the PHQ-9, performs similarly to the PHQ-9.</p>
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<p>
<b>METHODS</b>
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<p>Patients were recruited from the Canadian Scleroderma Research Group Registry. The PHQ-9 and Composite International Diagnostic Interview (CIDI) depression module were administered during a phone interview. Scores on the PHQ-8 were calculated by removing item 9 from the PHQ-9. Item 9 responses were compared to suicidal ideation and intent in the last year based on the CIDI. Scores on the PHQ-8 and PHQ-9 were compared using Pearson's correlations.</p>
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<p>
<b>RESULTS</b>
</p>
<p>There were 345 patients interviewed, of whom 31 (9.0%) endorsed item 9 of the PHQ-9. Of those, based on the CIDI, 14 (45.2%) had passive thoughts of suicide or death. Only 1 patient (3.2%) had thoughts about suicide in some detail at any point in the last 12 months. The correlation between PHQ-9 and PHQ-8 scores was 0.998.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSION</b>
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<p>Item 9 appears to identify many patients who do not report active suicidal ideation. The PHQ-8 may be a better option for assessment of depressive symptoms than the PHQ-9 in patients with SSc.</p>
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