TY - JOUR
PY - 2023//
TI - Turkish adaptation study of the ask suicide-screening questions in adolescents
JO - Noro Psikiyatr Ars
A1 - Uygun, Sabide Duygu
A1 - Uytun, Merve Çıkılı
A1 - Ünlü, Hande Konşuk
A1 - Ayıdağa, Esra Akman
A1 - Çelik Büyükceran, Özge
A1 - Vatansever, Göksel
A1 - Günay, Fatih
A1 - Kılıç, Birim Günay
SP - 158
EP - 168
VL - 60
IS - 2
N2 - INTRODUCTION: This study aimed to demonstrate the validity of the Ask Suicide-Screening Questions (ASQ) in a clinical sample consisting of adolescents admitted to child and adolescent psychiatry (CAP), and then to confirm its validation in those presenting to the pediatric emergency department (PED), which was the main target group for the study.
METHOD: This cross-sectional study evaluated the compatibility of the ASQ with the suicide probability scale, which is a standardized measure, to identify cases with suicide risk in 248 adolescents aged 10-18 years. To demonstrate the clinical validity of the scale, sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), positive likelihood ratio (PLR), negative likelihood ratio (NLR), Kappa, and area under the curve (AUC) performance metrics and 95% confidence interval (CI) values were calculated.
RESULTS: Positive screening rate, sensitivity, specificity, PPV and NPV for the CAP patients were calculated as 31.8%, 100% (95% CI: 100.0-100.0), 70.9% (95% CI: 63.4-78.4), 12.8% (95% CI: 3.2-22.3) and 100% (95% CI: 100.0-100.0), respectively. The PLR and AUC were calculated as 3.4% (95% CI: 2.7-4.5) and 0.855 (95% CI: 0.817-0.892), respectively. Positive screening rate, sensitivity, specificity, PPV and NPV for the PED patients were calculated as 28%, 100% (95% CI: 100.0-100.0), 75.3% (95% CI: 66.3-84.2), 21.4% (95% CI: 6.2-36.6) and 100% (95% CI: 100.0-100.0), respectively. The PLR, Kappa and AUC were 4.05% (95% CI: 2.82-5.81), 0.278 and 0.876 (95% CI: 0.832-0.921), respectively.
CONCLUSION: This study showed the first evidence that Turkish adaptation of the ASQ is a valid screening tool for identifying those at risk of suicide among adolescents who applied to the CAP and PED.
Language: en
LA - en SN - 1300-0667 UR - http://dx.doi.org/10.29399/npa.28242 ID - ref1 ER -