Utility of the Patient Health Questionnaire-9 to assess suicide risk in patients with systemic sclerosis.
Identifieur interne : 001385 ( Main/Exploration ); précédent : 001384; suivant : 001386Utility 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. ThombsSource :
- Arthritis care & research [ 2151-4658 ] ; 2013.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen (MeSH), Dépistage de masse (méthodes), Dépistage de masse (statistiques et données numériques), Dépression (diagnostic), Dépression (psychologie), Dépression (épidémiologie), Enquêtes et questionnaires (statistiques et données numériques), Femelle (MeSH), Humains (MeSH), Idéation suicidaire (MeSH), Mâle (MeSH), Sclérodermie systémique (psychologie), Sclérodermie systémique (épidémiologie), Suicide (prévention et contrôle), Suicide (psychologie), Sujet âgé (MeSH).
- MESH :
- diagnostic : Dépression.
- méthodes : Dépistage de masse.
- prévention et contrôle : Suicide.
- psychologie : Dépression, Sclérodermie systémique, Suicide.
- statistiques et données numériques : Dépistage de masse, Enquêtes et questionnaires.
- épidémiologie : Dépression, Sclérodermie systémique.
- Adulte d'âge moyen, Femelle, Humains, Idéation suicidaire, Mâle, Sujet âgé.
English descriptors
- KwdEn :
- Aged (MeSH), Depression (diagnosis), Depression (epidemiology), Depression (psychology), Female (MeSH), Humans (MeSH), Male (MeSH), Mass Screening (methods), Mass Screening (statistics & numerical data), Middle Aged (MeSH), Scleroderma, Systemic (epidemiology), Scleroderma, Systemic (psychology), Suicidal Ideation (MeSH), Suicide (prevention & control), Suicide (psychology), Surveys and Questionnaires (statistics & numerical data).
- MESH :
- diagnosis : Depression.
- epidemiology : Depression, Scleroderma, Systemic.
- methods : Mass Screening.
- prevention & control : Suicide.
- psychology : Depression, Scleroderma, Systemic, Suicide.
- statistics & numerical data : Mass Screening, Surveys and Questionnaires.
- Aged, Female, Humans, Male, Middle Aged, Suicidal Ideation.
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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<author><name sortKey="Hudson, Marie" sort="Hudson, Marie" uniqKey="Hudson M" first="Marie" last="Hudson">Marie Hudson</name>
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<author><name sortKey="Baron, Murray" sort="Baron, Murray" uniqKey="Baron M" first="Murray" last="Baron">Murray Baron</name>
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<term>Dépistage de masse (statistiques et données numériques)</term>
<term>Dépression (diagnostic)</term>
<term>Dépression (psychologie)</term>
<term>Dépression (épidémiologie)</term>
<term>Enquêtes et questionnaires (statistiques et données numériques)</term>
<term>Femelle (MeSH)</term>
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<term>Sclérodermie systémique (épidémiologie)</term>
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<term>Sujet âgé (MeSH)</term>
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<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Depression</term>
<term>Scleroderma, Systemic</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Mass Screening</term>
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<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Suicide</term>
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<term>Sclérodermie systémique</term>
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<term>Sclérodermie systémique</term>
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<front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b>
</p>
<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>
</div>
<div type="abstract" xml:lang="en"><p><b>METHODS</b>
</p>
<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>
</div>
<div type="abstract" xml:lang="en"><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>
</p>
<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>
</div>
</front>
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<Abstract><AbstractText Label="OBJECTIVE" NlmCategory="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.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="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.</AbstractText>
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<CopyrightInformation>Copyright © 2013 by the American College of Rheumatology.</CopyrightInformation>
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