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A Meta-Analysis of the Association between the Children’s Depression Inventory (CDI) and Suicidality
Aggression and Violent Behavior ( IF 3.4 ) Pub Date : 2020-12-29 , DOI: 10.1016/j.avb.2020.101539
David Detullio , Danielle H. Millen , Tom D. Kennedy

A number of factors are associated with adolescent suicidal behaviors. One such factor is depressive symptoms, and there are multiple measures designed to assess youth depressive symptoms. One of the most commonly used instruments to assess depressive symptoms in youth is the Children’s Depression Inventory (CDI). The aim of this meta-analysis was to evaluate the association between the CDI total score and adolescent suicidality (e.g., suicidal ideation, suicide attempts). Research reports were located through searching databases (e.g., PsycINFO) and reviewing reference lists. A total of 56 research reports (N = 24369) were identified as meeting inclusion criteria. Due to non-overlapping subgroups, 66 correlations were included in a random-effects model. The overall correlation between the CDI total score and suicidality was found to be 0.36, 95% confidence interval (CI) [0.32, 0.41], 80% credibility interval (CrI) [0.13, 0.60], I2 = 94.15. Two coded study characteristics were found to significantly moderate effect sizes: when passive suicidal ideation was incorporated into the measurement of suicidality and sample type (i.e., clinical, school, community, forensic, mixed). Based on the results of this meta-analysis, CDI total scores could be used as a tool for evaluating adolescents’ suicide risk. However, a determination of adolescents’ suicide risk should never be based on CDI results alone, and the limitations of this meta-analysis should be considered when evaluating the strength of the findings.



中文翻译:

对儿童抑郁量表(CDI)和自杀倾向之间关系的Meta分析

许多因素与青少年的自杀行为有关。这样的因素之一就是抑郁症状,并且有多种旨在评估青年抑郁症状的措施。评估青少年抑郁症状的最常用工具之一是儿童抑郁量表(CDI)。这项荟萃分析的目的是评估CDI总分与青少年自杀倾向(例如自杀意念,自杀未遂)之间的关联。通过搜索数据库(例如PsycINFO)并查看参考列表来查找研究报告。共有56篇研究报告(N= 24369)被确定为符合纳入标准。由于不重叠的亚组,随机效应模型中包含66个相关性。发现CDI总分与自杀率之间的总体相关性为0.36、95%置信区间(CI)[0.32、0.41],80%可信区间(CrI)[0.13、0.60],I 2= 94.15。发现两个编码的研究特征可显着降低效应的大小:将被动自杀观念纳入自杀性和样本类型(即临床,学校,社区,法医,混合)的测量中。根据这项荟萃分析的结果,CDI总分可以用作评估青少年自杀风险的工具。但是,确定青少年自杀风险绝不能仅基于CDI结果,在评估结果的强度时应考虑这种荟萃分析的局限性。

更新日期:2021-01-04
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