Revue de la littérature : les outils cliniques d’évaluation du risque suicidaire chez l’adulte en soins primaires

Abstract : In France, more than 60% of suiciders contacted their general practitioner the month before their suicide. There is no brief validated tool in this context. The purpose of this study was to search for clinical tools to evaluate adult suicide risk in primary cares. Method : literature review following the PRISMA protocol (Preferred Reporting Items for Systematic reviews and Meta-Analyses). The research was achieved in August 2018 within PubMed, Cochrane and PsycINFO databases. To be included, an article had to contain a clinical tool for assessing suicide risk in non-specialized care. Results : 1199 screened articles, 8 included with 9 described tools. 5 had at least one data. The Modified SAD Persons Scale had a satisfactory negative predictive value and sensitivity but a low specificity and positive predictive in one survey which were not confirmed in a second study. SAD Persons Scale had an area under the curve between 0.72 and 0.76. The long version of Columbia Suicide Severity Rating Scale had a Cronbach alpha of 0.73. Scale of Suicide Ideation SSI and Suicide Assessment Five-Step Evaluation and Triage had low psychometric measures. Patient Safety Screener 2 and 3 were highly correlated with the SSI. Discussion : 9 suicide risk assessment tools were found. The psychometric measures found for 5 of them are disappointing. No tool were found in general practice.
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Master Thesis
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Mathilde Blanchet. Revue de la littérature : les outils cliniques d’évaluation du risque suicidaire chez l’adulte en soins primaires. Sciences du Vivant [q-bio]. 2019. ⟨dumas-02122265⟩

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