@article{ref1,
title="Screening for adolescent suicidality in primary care: the bullying-insomnia-tobacco-stress test. A population-based pilot study",
journal="Early intervention in psychiatry",
year="2018",
author="Binder, Philippe and Heintz, Anne-Laure and Servant, Coralie and Roux, Marie-Thérèse and Robin, Stéphane and Gicquel, Ludovic and Ingrand, Pierre",
volume="12",
number="4",
pages="637-644",
abstract="AIM: Adolescents at risk for suicide often see their general practitioner solely for somatic or administrative reasons. A simple screening test given during a conversation would be of substantial help to send a signal and tackle the problem. We propose to update a screening test previously validated in France - the TSTS-Cafard - because of significant changes in the lives of adolescents with the growth of the cyber world since 2000. <br><br>METHODS: The design and setting was a cross-sectional study involving 912 15-year-old adolescents in 90 French schools. They completed a questionnaire that included the TSTS-Cafard and risk factors extracted from the Health Behaviour in School-Aged Children survey. To improve the test, we selected questions drawn from the recent literature. Answers were analysed according to 'suicidality' = at least one suicide attempt in life or suicidal ideation often over the past 12 months. <br><br>RESULTS: Suicidality rates were 9.6% for boys and 23.1% for girls. Although the TSTS-Cafard test was generally effective, one question was no longer discriminating. A new test, entitled 'BITS', included only four questions on bullying, insomnia, tobacco and stress, with three levels of response and scores ranging from 0 to 8. Improvement was achieved without loss of performance. Using a cut-off score of 3, we achieved 78% accuracy (area under the curve), 75% sensitivity and 70% specificity. <br><br>CONCLUSION: The BITS test could allow the question of suicide risk to be addressed during a routine check-up in primary care but the results need to be validated with 13 to 18-year olds.<br><br>© 2016 John Wiley & Sons Australia, Ltd.<p /> <p>Language: en</p>",
language="en",
issn="1751-7885",
doi="10.1111/eip.12352",
url="http://dx.doi.org/10.1111/eip.12352"
}