4 research outputs found
The five-item Brief-Symptom Rating Scale as a suicide ideation screening instrument for psychiatric inpatients and community residents
<p>Abstract</p> <p>Background</p> <p>An efficient screening instrument which can be used in diverse settings to predict suicide in different populations is vital. The aim of this study was to use the five-item Brief Symptom Rating Scale (BSRS-5) as a screening instrument for the prediction of suicide ideation in psychiatric, community and general medical settings.</p> <p>Methods</p> <p>Five hundred and one psychiatric, 1,040 community and 969 general medical participants were recruited. The community participants completed a structured telephone interview, and the other two groups completed the self-report BSRS-5 questionnaire.</p> <p>Results</p> <p>The logistic regression analysis showed that the predictors of suicide ideation for the psychiatric group were depression, hostility and inferiority (<it>p </it>< 0.001, <it>p </it>= 0.016, <it>p </it>= 0.011), for the community group, inferiority, hostility and insomnia (<it>p </it>< 0.001, <it>p </it>< 0.001, <it>p </it>= 0.003), and for the general medical group, inferiority, hostility, depression and insomnia (<it>p </it>< 0.001, <it>p </it>= 0.001, <it>p </it>= 0.020, <it>p </it>= 0.008). The structural equation model showed the same symptom domains that predicted suicide ideation for all three groups. The receiver operating characteristic curve using the significant symptom domains from logistic regression showed that for the psychiatric group, the optimal cut-off point was 4/5 for the total of the significant dimensions (positive predictive value [PPV] = 78.01%, negative predictive value [NPV] = 79.05%), for the community group, 7/8 (PPV = 68.75%, NPV = 96.09%), and for the general medical group, 12/13 (PPV = 92.86%, NPV = 88.48%).</p> <p>Conclusion</p> <p>The BSRS-5 is an efficient tool for the screening of suicide ideation-prone psychiatric inpatients, general medical patients, and community residents. Understanding the discriminative symptom domains for different groups and the relationship between them can help health care professionals in their preventative programs and clinical treatment.</p
Inter-assessor reliability of practice based biomechanical assessment of the foot and ankle
Background
There is no consensus on which protocols should be used to assess foot and lower limb
biomechanics in clinical practice. The reliability of many assessments has been questioned by
previous research. The aim of this investigation was to (i) identify (through consensus) what
biomechanical examinations are used in clinical practice and (ii) evaluate the inter-assessor
reliability of some of these examinations.
Methods
Part1: Using a modified Delphi technique 12 podiatrists derived consensus on the
biomechanical examinations used in clinical practice. Part 2: Eleven podiatrists assessed 6
participants using a subset of the assessment protocol derived in Part 1. Examinations were
compared between assessors.
Results
Clinicians choose to estimate rather than quantitatively measure foot position and motion.
Poor inter-assessor reliability was recorded for all examinations. Intra-class correlation
coefficient values (ICC) for relaxed calcaneal stance position were less than 0.23 and were
less than 0.14 for neutral calcaneal stance position. For the examination of ankle joint
dorsiflexion, ICC values suggest moderate reliability (less than 0.61). The results of a random
effects ANOVA highlight that participant (up to 5.7°), assessor (up to 5.8°) and random (upto 5.7°) error all contribute to the total error (up to 9.5° for relaxed calcaneal stance position,
up to 10.7° for the examination of ankle joint dorsiflexion). Kappa Fleiss values for
categorisation of first ray position and mobility were less than 0.05 and for limb length
assessment less than 0.02, indicating slight agreement.
Conclusion
Static biomechanical assessment of the foot, leg and lower limb is an important protocol in
clinical practice, but the key examinations used to make inferences about dynamic foot
function and to determine orthotic prescription are unreliable