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The Concise Health Risk Tracking Self-Report (CHRT-SR) assessment of suicidality in depressed outpatients: A psychometric evaluation.
- Source :
-
Depression and anxiety [Depress Anxiety] 2019 Apr; Vol. 36 (4), pp. 313-320. Date of Electronic Publication: 2018 Oct 29. - Publication Year :
- 2019
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Abstract
- Background: The 12-item Concise Health Risk Tracking Self-Report (CHRT-SR <subscript>12</subscript> ) is a brief, self-report measure that systematically assesses both suicidal thinking and associated thoughts that may indicate the propensity for suicidal acts. It can be used as a tool to both assess risk and guide treatment interventions targeting associated cognitions.<br />Methods: This report used acute treatment data from a clinically representative sample of outpatients with nonpsychotic major depressive disorder (N = 665) participating in the Combining Medications to Enhance Depression Outcomes trial, who received up to 12 weeks of escitalopram, escitalopram plus bupropion SR, or venlafaxine XR plus mirtazapine. Outcome assessors and patients were masked to treatment.<br />Results: Factor analysis of CHRT-SR <subscript>12</subscript> confirmed that the 12 items have higher order structure with two subscales (Propensity, Suicidal Thoughts) and a total score. Internal consistencies were acceptable for both subscales and total score. All three scales were modestly correlated with overall depression severity (r = 0.54 to r = 0.21) and highly discriminating among patients grouped by suicide item ratings on three different depressive symptom ratings. The three scales also distinguished change over the acute phase treatment for those with different levels of baseline suicidal ideation (measured by 30-item Inventory of Depressive Symptomatology (item 18) and for those with change in suicidal ideation (baseline to last visit).<br />Conclusions: The CHRT-SR <subscript>12</subscript> has good to excellent psychometric properties and is sensitive to change in suicidal thinking and propensity toward suicidal behavior in outpatients with major depressive disorder. It allows for the monitoring of thoughts and feelings associated with increased suicidal risk as well as levels of thoughts about suicide.<br /> (© 2018 Wiley Periodicals, Inc.)
- Subjects :
- Adult
Aged
Bupropion therapeutic use
Citalopram therapeutic use
Depression diagnosis
Depression drug therapy
Depressive Disorder, Major diagnosis
Depressive Disorder, Major drug therapy
Drug Therapy, Combination
Factor Analysis, Statistical
Female
Humans
Male
Middle Aged
Mirtazapine therapeutic use
Outcome Assessment, Health Care
Psychometrics
Risk Assessment
Single-Blind Method
Venlafaxine Hydrochloride therapeutic use
Depression psychology
Depressive Disorder, Major psychology
Self Report
Suicidal Ideation
Subjects
Details
- Language :
- English
- ISSN :
- 1520-6394
- Volume :
- 36
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Depression and anxiety
- Publication Type :
- Academic Journal
- Accession number :
- 30370613
- Full Text :
- https://doi.org/10.1002/da.22855