@article{ref1,
title="Identifying suicidal risk in adolescents and young adults with type 1 diabetes: are depression screeners sufficient?",
journal="Diabetes care",
year="2022",
author="Moss, Ashley C. and Roberts, Alissa J. and Yi-Frazier, Joyce P. and Read, Kendra L. and Taplin, Craig E. and Weaver, Kathryn W. and Pihoker, Catherine and Hirsch, Irl B. and Malik, Faisal S.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="OBJECTIVE: Examine the utility of suicide-risk items embedded within depression screeners for identifying the presence of suicide risk in adolescents and young adults (AYA) with type 1 diabetes. RESEARCH DESIGN AND METHODS: Sensitivity, specificity, and predictive value of self-report of suicide risk on the Patient Health Questionniaire-9 (PHQ-9) were compared with the pediatric psychologist-administered Columbia-Suicide Severity Risk Survey (C-SSRS) as the reference standard for AYA with type 1 diabetes seen in a multidisciplinary AYA Diabetes Program clinic. <br><br>RESULTS: Of 133 participants, 9.8% and 11.3% reported suicide risk on the PHQ-9 and C-SSRS, respectively. Sensitivity of the PHQ-9 risk item was 53.3% (95% CI 27.4%-77.7%), specificity was 95.7% (95% CI 89.9%-98.4%), positive predictive value was 61.5% (95% CI 32.3%-84.9%), and negative predictive value was 94.2% (95% CI 87.9-97.4%). <br><br>CONCLUSIONS: Depression screeners appear to under-identify AYA with type 1 diabetes who may otherwise be at risk for suicide.<p /> <p>Language: en</p>",
language="en",
issn="0149-5992",
doi="10.2337/dc21-1553",
url="http://dx.doi.org/10.2337/dc21-1553"
}