Abstract

Suicide is a major, preventable public health problem. The general factor of psychopathology (“p” factor) might help improve detection and prediction of individuals at risk for suicide. This cross-sectional proof-of-concept study tests whether the p-factor score is associated with suicidal thoughts and behaviors (STB) better than a depression scale alone. Youth (N = 841; mean age 18.02, SD = 3.36) in primary care were universally screened using the Behavioral Health Screen (BHS). Factor analysis and ROC results showed the BHS assesses the p-factor, and the p-factor score demonstrates higher classification accuracy of several types of STB than a depression scale. The p-factor could help clinicians in the identification of youths with STB.

摘要

自杀是一个重大的、可预防的公共卫生问题。精神病理学的一般因素（“p”因素）可能有助于改善对有自杀风险的个体的检测和预测。这项横断面概念验证研究测试了 p 因子评分是否比单独的抑郁量表更好地与自杀想法和行为 (STB) 相关。 使用行为健康筛查 (BHS) 对初级保健中的青少年（N = 841；平均年龄 18.02，SD = 3.36）进行普遍筛查。因子分析和 ROC 结果显示，BHS 评估的是 p 因子，p 因子得分显示出几种 STB 类型的分类准确性高于抑郁量表。p 因子可以帮助临床医生识别患有 STB 的青少年。