Assessing risk of self-harm in acute paediatric settings: a multicentre exploratory evaluation of the CYP-MH SAPhE instrument.
paediatrics
risk management
statistics & research methods
suicide & self-harm
Journal
BMJ open
ISSN: 2044-6055
Titre abrégé: BMJ Open
Pays: England
ID NLM: 101552874
Informations de publication
Date de publication:
28 05 2021
28 05 2021
Historique:
entrez:
29
5
2021
pubmed:
30
5
2021
medline:
5
6
2021
Statut:
epublish
Résumé
To psychometrically assess the Children and Young People-Mental Health Self-harm Assessment in Paediatric healthcare Environments (CYP-MH SAPhE) instrument for the identification of immediate risk of self-harm in CYP, aged 10-19 years, in acute paediatric wards or emergency departments. The CYP-MH SAPhE Instrument was developed through a robust scoping review and Delphi consensus with 30 clinicians/topic experts. To evaluate the psychometric properties, a multicentre exploratory study was conducted. Three acute hospitals in the UK. 163 CYP presenting at acute hospital settings with primary mental health (cases) or physical health (non-cases) conditions. Psychometric properties of the CYP-MH SAPhE instrument were evaluated through Principle Axis Factoring (PAF) with Oblimin (Kaiser normalisation) alongside measures of internal consistency (Cronbach's α), convergent, discriminant and face validity. PAF of the dichotomous items (n=9) loaded onto three factors (1) behaviours and intentions; (2) suicidality and (3) self-harm. Factors 1 (Cronbach's α=0.960) and 3 (Cronbach's α=1) had high internal consistency. There was: good level of agreement between raters (kappa=0.65); a moderately positive correlation between the CYP-MH SAPhE instrument and the Columbia-Suicide Severity Rating Scale; and discrimination between cases and non-cases across the three factors (factor 1: m=88 vs 70; factor 2: m=102 vs 70; factor 3: m=104 vs 68). Assessment of face validity resulted in six items being removed, culminating in an eight question, rapid assessment instrument. The results support the CYP-MH SAPhE Tool as a potentially reliable and valid instrument to identify immediate risk of self-harm in CYP presenting to acute paediatric healthcare environments, which is a burgeoning and significant global health issue.
Identifiants
pubmed: 34049904
pii: bmjopen-2020-043762
doi: 10.1136/bmjopen-2020-043762
pmc: PMC8166599
doi:
Types de publication
Journal Article
Multicenter Study
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e043762Investigateurs
Dorothy Bean
(D)
Marie Armstrong
(M)
Rebecca Green
(R)
Sharon O'Love
(S)
David Clark
(D)
Rachel Dolby
(R)
Elizabeth Byrne
(E)
Damian Wood
(D)
Tessa Jones
(T)
Rachel Barker
(R)
Miranda Witchell
(M)
Lynda Walton
(L)
Gisela Robinson
(G)
Melanie Hayman
(M)
Coral Smith
(C)
Vanessa Unsworth
(V)
Caroline Moulds
(C)
Laura Looby
(L)
Informations de copyright
© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
Références
JAMA. 2005 Apr 6;293(13):1635-43
pubmed: 15811983
J Am Acad Child Adolesc Psychiatry. 2004 Jan;43(1):71-9
pubmed: 14691362
BMJ Open. 2017 May 4;7(4):e014750
pubmed: 28473515
J Clin Psychol. 1998 Dec;54(8):1063-78
pubmed: 9840778
Arch Pediatr Adolesc Med. 2012 Dec;166(12):1170-6
pubmed: 23027429
J Clin Epidemiol. 2007 Jan;60(1):34-42
pubmed: 17161752
J Consult Clin Psychol. 1986 Oct;54(5):724-5
pubmed: 3771893
J Affect Disord. 2017 Jun;215:37-48
pubmed: 28315579
Aust Prescr. 2019 Jun;42(3):90-92
pubmed: 31363306
Am J Psychiatry. 2011 Dec;168(12):1266-77
pubmed: 22193671
Pediatrics. 2001 May;107(5):1133-7
pubmed: 11331698
BMJ Open. 2018 Apr 12;8(4):e020964
pubmed: 29654046
BMJ. 2017 Oct 18;359:j4351
pubmed: 29046278
J Adolesc. 2003 Oct;26(5):623-33
pubmed: 12972273
Pediatr Emerg Care. 2009 Apr;25(4):217-20
pubmed: 19382317
J Child Health Care. 2019 Jun;23(2):178-199
pubmed: 30058359
Aust N Z J Psychiatry. 2005 Mar;39(3):121-8
pubmed: 15701059
J Affect Disord. 2009 Oct;117(3):168-73
pubmed: 19187970
J Consult Clin Psychol. 1984 Dec;52(6):1020-7
pubmed: 6520272