Abstract：
BACKGROUND:Many patients treated in the emergency department (ED) for non-psychiatric complaints have elevated suicide risk. Universal screening can detect occult suicide risk, but gold standard risk measurement tools, such as the Beck Scale for Suicidal Ideation (BSS), are too long and cumbersome for ED use. OBJECTIVE:To test the performance of seven novel 0- to 10-point suicide risk "rulers" against the BSS. METHOD:399 patients from three EDs completed seven novel risk rulers, traditional binary screening items, and the BSS. Using BSS criterion references, we tested the diagnostic performance of each risk ruler and examined correlations between the rulers and BSS scores. RESULTS:By varying thresholds on the risk rulers, high levels of sensitivity and specificity were obtained. A threshold of 3 on the "sadness" ruler gave 89% sensitivity for the BSS criterion reference, and a threshold of 1 on the "wish to be dead" ruler provided 94-97% specificity. CONCLUSION:Our novel risk rulers may be an efficient way to detect risk and triage potentially suicidal patients, showing good concurrent validity with the BSS. Clinicians can obtain high sensitivity and high specificity using just two rulers. Further research should examine the rulers' ability to predict independent clinician risk ratings and prospective suicidal behavior.
journal_name
Gen Hosp Psychiatryjournal_title
General hospital psychiatryauthors
O'Connor L,Larkin C,Ibrahim AF,Allen M,Wang B,Boudreaux EDdoi
10.1016/j.genhosppsych.2018.08.004subject
Has Abstractpub_date
2020-01-01 00:00:00pages
97-102eissn
0163-8343issn
1873-7714pii
S0163-8343(18)30052-5journal_volume
63pub_type
杂志文章abstract：:Hashimoto's encephalopathy (HE), which carries kaleidoscopic clinical presentations, is easily misdiagnosed in clinical practice. Early diagnosis and prompt initiation of steroid therapy are associated with good prognosis. We describe a 50-year-old female patient who had subclinical hypothyroidism and who presented he...
journal_title：General hospital psychiatry
pub_type： 杂志文章
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更新日期：2014-05-01 00:00:00
abstract：:This paper reviews the purposes and methodologic requirements of conclusion-oriented research for evaluating outcomes of consultation-liaison (C-L) teaching in psychiatry. Requirements for replicating educational methods and outcomes, and for demonstrating cause-effect relationships between program inputs and program ...
journal_title：General hospital psychiatry
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doi：10.1016/0163-8343(79)90008-2
更新日期：1979-12-01 00:00:00
abstract：OBJECTIVE:Primary care providers are increasingly taking on the role of ad hoc mental health provider. However, before patients in primary care can be treated, they must be identified. This study set out to validate a very brief screening instrument for identifying primary care patients with anxiety and depression. ME...
journal_title：General hospital psychiatry
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journal_title：General hospital psychiatry
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doi：10.1016/0163-8343(85)90006-4
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abstract：:A 32-year-old female with a seven year history of multiple sclerosis was hospitalized due to an exacerbation of symptoms, and complained of a high frequency of urination and occasional urinary incontinence. A urologic consult was obtained and the patient was diagnosed as having neurogenic (spastic) bladder, resulting ...
journal_title：General hospital psychiatry
pub_type： 杂志文章
doi：10.1016/0163-8343(82)90022-6
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abstract：OBJECTIVE:This study presents the psychometric properties of a brief measure to assess beliefs about psychotropic medications and psychotherapy among patients with anxiety disorders. METHOD:Data were collected on a large sample of primary care patients with a range of anxiety disorders, as part of the Collaborative Ca...
journal_title：General hospital psychiatry
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doi：10.1016/j.genhosppsych.2005.05.005
更新日期：2005-09-01 00:00:00
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journal_title：General hospital psychiatry
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journal_title：General hospital psychiatry
pub_type： 杂志文章
doi：10.1016/0163-8343(92)90007-w
更新日期：1992-11-01 00:00:00
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journal_title：General hospital psychiatry
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.genhosppsych.2017.05.007
更新日期：2017-11-01 00:00:00
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journal_title：General hospital psychiatry
pub_type： 杂志文章
doi：10.1016/j.genhosppsych.2018.05.010
更新日期：2018-01-01 00:00:00
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journal_title：General hospital psychiatry
pub_type： 杂志文章
doi：10.1016/j.genhosppsych.2018.11.007
更新日期：2020-01-01 00:00:00
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journal_title：General hospital psychiatry
pub_type： 杂志文章
doi：10.1016/0163-8343(79)90053-7
更新日期：1979-07-01 00:00:00
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journal_title：General hospital psychiatry
pub_type： 杂志文章
doi：10.1016/j.genhosppsych.2017.06.009
更新日期：2017-09-01 00:00:00
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journal_title：General hospital psychiatry
pub_type： 杂志文章
doi：10.1016/j.genhosppsych.2017.08.002
更新日期：2018-01-01 00:00:00
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journal_title：General hospital psychiatry
pub_type： 杂志文章
doi：10.1016/0163-8343(80)90087-0
更新日期：1980-12-01 00:00:00
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journal_title：General hospital psychiatry
pub_type： 杂志文章
doi：10.1016/0163-8343(91)90009-l
更新日期：1991-01-01 00:00:00
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journal_title：General hospital psychiatry
pub_type： 杂志文章
doi：10.1016/j.genhosppsych.2011.07.009
更新日期：2011-11-01 00:00:00
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journal_title：General hospital psychiatry
pub_type： 杂志文章
doi：10.1016/0163-8343(86)90021-6
更新日期：1986-11-01 00:00:00
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journal_title：General hospital psychiatry
pub_type： 杂志文章
doi：10.1016/s0163-8343(97)00095-9
更新日期：1998-01-01 00:00:00
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journal_title：General hospital psychiatry
pub_type： 杂志文章
doi：10.1016/j.genhosppsych.2008.02.005
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journal_title：General hospital psychiatry
pub_type： 杂志文章
doi：10.1016/j.genhosppsych.2017.04.009
更新日期：2017-07-01 00:00:00
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journal_title：General hospital psychiatry
pub_type： 杂志文章
doi：10.1016/j.genhosppsych.2010.01.016
更新日期：2010-05-01 00:00:00
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journal_title：General hospital psychiatry
pub_type： 杂志文章,评审
doi：10.1016/j.genhosppsych.2020.11.008
更新日期：2021-01-01 00:00:00
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journal_title：General hospital psychiatry
pub_type： 杂志文章
doi：10.1016/j.genhosppsych.2007.09.005
更新日期：2008-01-01 00:00:00
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journal_title：General hospital psychiatry
pub_type： 杂志文章
doi：10.1016/j.genhosppsych.2012.02.005
更新日期：2012-09-01 00:00:00
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journal_title：General hospital psychiatry
pub_type： 杂志文章
doi：10.1016/j.genhosppsych.2007.03.006
更新日期：2007-07-01 00:00:00
abstract：:Outpatient consultation-liaison (C-L) psychiatry has been beset with problems concerning funding and patient acceptance. Though the consultation, liaison, and referral clinic models for outpatient C-L psychiatry each offer advantages, they have not conquered these fundamental problems. This paper introduces the multid...
journal_title：General hospital psychiatry
pub_type： 杂志文章
doi：10.1016/0163-8343(93)90005-9
更新日期：1993-11-01 00:00:00
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journal_title：General hospital psychiatry
pub_type： 杂志文章
doi：10.1016/0163-8343(95)00023-k
更新日期：1995-05-01 00:00:00
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journal_title：General hospital psychiatry
pub_type： 杂志文章
doi：10.1016/j.genhosppsych.2014.05.006
更新日期：2014-09-01 00:00:00
abstract：OBJECTIVE:Although breast cancer patients' depression changes over time, most longitudinal studies have assessed the influence of only baseline depression on quality of life (QoL). Therefore, this study investigated the influence of changes in depression status on QoL in the year after surgery. METHODS:Participants we...
journal_title：General hospital psychiatry
pub_type： 杂志文章
doi：10.1016/j.genhosppsych.2017.09.009
更新日期：2018-01-01 00:00:00
