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Development of a Measure for Mental Health Crisis Assessment: Preliminary Psychometrics Of the Crisis Acuity Scale

机译：心理健康危机评估方法的发展：危机敏锐度量表的初步心理计量学

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摘要

Measurement for clinicians involved in the assessment and triage of individuals in a state of crisis is currently lacking. Authors report on the development of a scale designed to assess crisis acuity in a community setting: the Crisis Acuity Scale. Psychometric properties of this Scale are based upon ratings and recommendations from 416 crisis episodes over a 16 month period of time. Both internal consistency and inter-rater reliability were clinically significant. Convergent, discriminant, and predictive validities of acuity ratings with final dispositions were significant. Principal components analysis (PCA) suggested a six factor structure comprised of cognitive impairment, suicide potential, depression, functional impairment, aggression, and resistance. Common variation of items with factors was generally as predicted. Further psychometric development of this scale is discussed with practical applications of such an instrument for profiling settings and documenting the assessment process.
机译：当前缺乏对处于危机状态的个人评估和分类的临床医生的评估。作者报告了旨在评估社区环境中危机敏锐度的量表的发展：危机敏锐度量表。该量表的心理计量学性质基于16个月内416次危机发作的评分和建议。内部一致性和评估者间的可靠性均具有临床意义。最终处置的敏锐度等级具有收敛性，判别性和预测性。主成分分析（PCA）提出了六因素结构，包括认知障碍，自杀潜力，抑郁，功能障碍，攻击性和抵抗力。项目与因素的共同变化通常是如预期的。在量表设置和记录评估过程的这种工具的实际应用中，讨论了该量表的进一步心理测量发展。

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