Zusammenfassung
Die Erfassung der Suizidalität erweist sich im klinischen Alltag als schwierig und komplex. In der vorliegenden Studie wurde geklärt, ob PRISM sich eignet, die subjektiv wahrgenommene Suizidalität valide zu messen. Die non-verbale Visualisierungsmethode PRISM (Pictoral Representation of Illness Self Measure) wurde von Büchi et al. (2002) entwickelt, um den subjektiven Leidensdruck einer körperlichen Erkrankung zu messen. Es wurde der „PRISM-S“ (Pictoral Representation of Ilness Self Measure – Suicidality) verwendet. 156 Patienten, die zur freiwilligen stationären Behandlung ins Kriseninterventionszentrum Winterthur aufgenommen wurden, nahmen an der vorliegenden Studie teil. Als Vergleichsinstrumente und Goldstandards wurden die Beck Scale for Suicide Ideation (BSS) und die Depressive Symptome Inventory – Suicidality Subscale (DSI-SS) verwendet. Die Resultate zeigten eine hohe Korrelation zwischen dem PRISM-S und dem BSS (r = − 0,73) bzw. dem DSISS (r = − 0,76). Hausärzte, Psychiater und Psychologen erhalten durch PRISM-S ein valides Instrument, um die Suizidalität eines Patienten einfach und schnell zu überprüfen.
Abstract
In routine clinical practice the assessment of suicidality proves to be difficult and complex. The aim of the present study was to examine if PRISM can be used to measure validly the person’s subjectively perceived suicidality. The nonverbal visualization technique PRISM (Pictoral Representation of Illness and Self Measure) has been developed by Büchi et al. (2002) to evaluate the perceived burden of suffering due to physical illness. The adapted version of PRISM used in our study is called PRISM-S (Pictoral Representation of Illness and Self Measure – Suicidality). 156 eligible inpatients, admitted voluntarily to the crisis intervention centre Winterthur, participated in the study. We used as gold standards the well established assessment tools the Beck Scale of Suicide Ideation (BSS) and the Depressive Symptome Inventory – Subscale (DSI-SS). The results showed high correlations between PRISM-S and the BSS (r = − 0,73) and the DSI-SS scores (r = − 0,76). Clinicians, general practitioners, psychiatrists and psychologists receive with PRISM-S a valid suicidality assessment tool that is very brief and easy to administer in clinical settings.
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Ring, M., Harbauer, G., Haas, S. et al. Validierung des Suizidalitätseinschätzungsinstrumentes PRISM-S (Pictoral Representation of Illness Self Measure – Suicidality). Neuropsychiatr 28, 192–197 (2014). https://doi.org/10.1007/s40211-014-0123-9
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DOI: https://doi.org/10.1007/s40211-014-0123-9