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首页> 外文期刊>Clinical infectious diseases >Routine, self-administered, touch-screen, computer-based suicidal ideation assessment linked to automated response team notification in an HIV primary care setting.
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Routine, self-administered, touch-screen, computer-based suicidal ideation assessment linked to automated response team notification in an HIV primary care setting.

机译：常规的，自我管理的，基于触摸屏的，基于计算机的自杀意念评估与艾滋病毒初级保健机构中的自动响应小组通知相关联。

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BACKGROUND: Human immunodeficiency virus (HIV) and AIDS continue to be associated with an underrecognized risk for suicidal ideation, attempted suicide, and completed suicide. Suicidal ideation represents an important predictor for subsequent attempted and completed suicide. We sought to implement routine screening of suicidal ideation and associated conditions using computerized patient-reported outcome (PRO) assessments. METHODS: Two geographically distinct academic HIV primary care clinics enrolled patients who attended scheduled visits from December 2005 through February 2009. Touch-screen, computer-based PRO assessments were implemented into routine clinical care. Substance abuse, alcohol consumption, depression, and anxiety were assessed. The 9-item Patient Health Questionnaire assesses the frequency of suicidal ideation in the preceding 2 weeks. A response of "nearly every day" triggered an automated page to predetermined clinic personnel, who completed more detailed self-harm assessments. RESULTS: Overall, 1216 patients (740 from the University of Alabama at Birmingham and 476 from the University of Washington) completed the initial PRO assessment during the study period. Patients were predominantly white (646 [53%]) and male (959 [79%]), with a mean age (+/- standard deviation) of 44 +/- 10 years. Among surveyed patients, 170 (14%) endorsed some level of suicidal ideation, whereas 33 (3%) admitted suicidal ideation nearly every day. In multivariable analysis, suicidal ideation risk was lower with advancing age (odds ratio [OR], 0.74 per 10 years; 95% confidence interval [CI], 0.58-0.96) and was increased with current substance abuse (OR, 1.88; 95% CI, 1.03-3.44) and more-severe depression (OR, 3.91 for moderate depression [95% CI, 2.12-7.22] and 25.55 for severe depression [95% CI, 12.73-51.30]). DISCUSSION: Suicidal ideation was associated with current substance abuse and depression. The use of novel technologies to incorporate routine self-reported screening for suicidal ideation and other health domains allows for timely detection and intervention for this life-threatening condition.
机译：背景：人类免疫缺陷病毒（HIV）和艾滋病继续与人们未充分认识到的自杀观念，企图自杀和完全自杀的风险有关。自杀意念是随后尝试和完全自杀的重要预测指标。我们试图使用计算机化的患者报告结果（PRO）评估来对自杀意念和相关状况进行常规筛查。方法：2005年12月至2009年2月，有两家按地区划分的学术HIV初级保健诊所招募了定期就诊的患者。在常规临床护理中采用了基于触摸屏的计算机PRO评估。评估了药物滥用，饮酒，抑郁和焦虑。 9个项目的患者健康调查表评估了前2周的自杀意念发生频率。 “几乎每天”的回复触发了预定的诊所人员的自动页面，他们完成了更详细的自我伤害评估。结果：总体上，在研究期间，有1216例患者（阿拉巴马大学伯明翰分校的740名患者和华盛顿大学的476名患者）完成了初始PRO评估。患者主要是白人（646 [53％]）和男性（959 [79％]），平均年龄（+/-标准偏差）为44 +/- 10岁。在接受调查的患者中，有170位（14％）认可了一定程度的自杀意念，而33位（3％）几乎每天都接受自杀意念。在多变量分析中，自杀观念的风险随着年龄的增长而降低（优势比[OR]，每10年0.74; 95％置信区间[CI]，0.58-0.96），并随着当前滥用药物而增加（OR，1.88; 95％） CI，1.03-3.44）和更严重的抑郁症（中度抑郁症，OR，3.91 [95％CI，2.12-7.22]，重度抑郁症，抑郁症，25.55，[95％CI，12.73-51.30]。讨论：自杀意念与当前的药物滥用和抑郁症有关。使用新颖的技术结合常规的自我报告筛查自杀意念和其他健康状况，可以及时发现和干预这种威胁生命的疾病。

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