{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T04:49:35Z","timestamp":1773118175988,"version":"3.50.1"},"reference-count":29,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rehabilitation (Stuttg)"],"published-print":{"date-parts":[[2024,6]]},"abstract":"Zusammenfassung<\/jats:title>\n Ziel der Studie Suizidalit\u00e4t wird in der Rehabilitation bisher selten\n systematisch erfasst, obwohl bei Personen mit k\u00f6rperlichen und psychischen\n Beeintr\u00e4chtigungen das Suizidalit\u00e4tsrisiko erh\u00f6ht ist. Das Item 9 des\n 9-Item-Depressionsmodul des Patient Health Questionnaire (PHQ-9) fragt nach dem\n Wunsch, tot zu sein oder sich selbst Leid zuf\u00fcgen zu wollen, und k\u00f6nnte als\n m\u00f6gliches Screening auf Suizidalit\u00e4t genutzt werden. Die Columbia Suicide\n Severity Rating Scale (C-SSRS) ist ein standardisiertes Interview zur Erfassung\n von Suizidalit\u00e4t. Wir erhoben die H\u00e4ufigkeit von Suizidalit\u00e4t in der\n orthop\u00e4dischen und kardiologischen Rehabilitation mittels C-SSRS und PHQ-9,\n untersuchten die diagnostische Genauigkeit des Item 9 des PHQ-9 und des\n PHQ-9-Gesamtwertes zur Identifizierung von Suizidalit\u00e4t und erfassten die\n Akzeptanz der Suizidalit\u00e4tsabkl\u00e4rung durch die Teilnehmenden.<\/jats:p>\n Methodik Die Studienteilnehmenden wurden mit dem PHQ-9 gescreent und\n anschlie\u00dfend mittels C-SSRS interviewt. Sensitivit\u00e4t und Spezifit\u00e4t des Items 9\n des PHQ-9 und des PHQ-9-Gesamtwertes wurden f\u00fcr das Vorliegen einer mit der\n C-SSRS erfassten Suizidalit\u00e4t und in einer Sensitivit\u00e4tsanalyse f\u00fcr das\n Vorliegen unspezifischer aktiver Suizidgedanken (Item 2 der C-SSRS) \u00fcberpr\u00fcft.\n Wir berechneten die Area under the curve (AUC) zur Vorhersage der F\u00e4higkeit des\n PHQ-9, zwischen Personen mit und ohne akuter Suizidalit\u00e4t zu unterscheiden. Die\n Teilnehmenden bewerteten Screening und Interview.<\/jats:p>\n Ergebnisse Bei 405 Studienteilnehmenden lag die Pr\u00e4valenz akuter\n Suizidalit\u00e4t gemessen mit der C-SSRS bei 0,5%. 4% berichteten in der C-SSRS\n unspezifische aktive Suizidgedanken. 10,4% gaben Suizidgedanken im Item 9 des\n PHQ-9 an. Die Sensitivit\u00e4t des Item 9 und des PHQ-9-Gesamtwertes f\u00fcr die\n Identifizierung akuter Suizidalit\u00e4t betrug lediglich 50,0% (95%-KI: 1,3% bis\n 98,7%). Das Item 9 war jedoch sensitiv (81,3%, 95%-KI: 54,4% bis 96,0%) und\n spezifisch (92,5%, 95%-KI: 89,5% bis 95,0%) f\u00fcr die Erkennung unspezifischer\n aktiver Suizidgedanken. Die Sch\u00e4tzer f\u00fcr die Sensitivit\u00e4t waren aufgrund der\n geringen Pr\u00e4valenz akuter Suizidalit\u00e4t mit gro\u00dfer Unsicherheit behaftet. Die\n Ansprache von Suizidalit\u00e4t wurde von den Studienteilnehmenden als sinnvoll und\n hilfreich bewertet.<\/jats:p>\n Schlussfolgerung Bei positiver Antwort des Item 9 ist die unmittelbare\n Gefahr eines Suizids gering. Der Einsatz des PHQ-9 eignet sich aber zur\n Identifizierung von Personen mit unspezifischen suizidalen Gedanken. Ein\n auff\u00e4lliger Wert im Item 9 des PHQ-9 sollte psychodiagnostisch abgekl\u00e4rt\n werden.<\/jats:p>","DOI":"10.1055\/a-2192-3688","type":"journal-article","created":{"date-parts":[[2024,3,29]],"date-time":"2024-03-29T23:35:17Z","timestamp":1711755317000},"page":"180-188","source":"Crossref","is-referenced-by-count":3,"title":["Sensitivit\u00e4t und Spezifit\u00e4t des PHQ-9 zur Identifikation von\n Suizidalit\u00e4t in der medizinischen Rehabilitation"],"prefix":"10.1055","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4296-5383","authenticated-orcid":false,"given":"Annika","family":"Sternberg","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Sozialmedizin und Epidemiologie, Universit\u00e4t zu\n L\u00fcbeck"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6417-7812","authenticated-orcid":false,"given":"Matthias","family":"Bethge","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Sozialmedizin und Epidemiologie, Universit\u00e4t zu\n L\u00fcbeck"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jona","family":"Ober","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Sozialmedizin und Epidemiologie, Universit\u00e4t zu\n L\u00fcbeck"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisa","family":"Weier","sequence":"additional","affiliation":[{"name":"M\u00fchlenbergklinik Holsteinische Schweiz, Malente"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dieter","family":"Benninghoven","sequence":"additional","affiliation":[{"name":"M\u00fchlenbergklinik Holsteinische Schweiz, Malente"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,3,29]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1007\/s00103-021-03470-2","article-title":"Suizide in Deutschland: Ergebnisse der amtlichen Todesursachenstatistik","volume":"65","author":"T Schelhase","year":"2022","journal-title":"Bundesgesundheitsblatt Gesundheitsforschung\n Gesundheitsschutz"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"881","DOI":"10.1016\/S0140-6736(09)60741-8","article-title":"Global patterns of mortality in young people: a systematic analysis of\n population health data","volume":"374","author":"G C Patton","year":"2009","journal-title":"Lancet"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"1044","DOI":"10.5498\/wjp.v12.i8.1044","article-title":"Worldwide suicide mortality trends (2000-2019): A joinpoint regression\n analysis","volume":"12","author":"M Ilic","year":"2022","journal-title":"World J Psychiatry"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"l94","DOI":"10.1136\/bmj.l94","article-title":"Global, regional, and national burden of suicide mortality 1990 to 2016:\n systematic analysis for the Global Burden of Disease Study 2016","volume":"364","author":"M Naghavi","year":"2019","journal-title":"BMJ"},{"key":"ref5","first-page":"230","article-title":"Characteristics of suicide victims who had verbally communicated suicidal\n feelings to their family members","volume":"27","author":"A Paraschakis","year":"2015","journal-title":"Psychiatr Danub"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"1522","DOI":"10.1001\/archinte.160.10.1522","article-title":"Suicidal ideation and suicide attempts in general medical illnesses","volume":"160","author":"B Druss","year":"2000","journal-title":"Arch Intern Med"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"11","DOI":"10.1016\/j.rmed.2019.03.018","article-title":"Chronic obstructive pulmonary disease as a risk factor for suicide: A systematic\n review and meta-analysis","volume":"151","author":"M S Sampaio","year":"2019","journal-title":"Respir Med"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"187","DOI":"10.1016\/j.jad.2018.05.046","article-title":"Suicide death rates in patients with cardiovascular diseases \u2013 A 15-year\n nationwide cohort study in Taiwan","volume":"238","author":"VC-C Wu","year":"2018","journal-title":"J Affect Disord"},{"key":"ref9","first-page":"133","volume-title":"The Association Between Physical Illness\/Medical Conditions and Suicide Risk.\n In: O\u2019Connor RC, Pirkis J, Hrsg. 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