TY  - JOUR
PY  - 2022//
TI  - Identifying suicidal risk in adolescents and young adults with type 1 diabetes: are depression screeners sufficient?
JO  - Diabetes care
A1  - Moss, Ashley C.
A1  - Roberts, Alissa J.
A1  - Yi-Frazier, Joyce P.
A1  - Read, Kendra L.
A1  - Taplin, Craig E.
A1  - Weaver, Kathryn W.
A1  - Pihoker, Catherine
A1  - Hirsch, Irl B.
A1  - Malik, Faisal S.
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - 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>
LA  - en
SN  - 0149-5992
UR  - http://dx.doi.org/10.2337/dc21-1553
ID  - ref1
ER  -