• 作者：Rebeca Garcí ; a-Nieto^a ; Isabel Parra Uribe^b ; Diego Palao^b ; Jorge Lopez-Castroman^a ; Pilar Alejandra Sá ; iz^c ; Marí ; a Paz Garcí ; a-Portilla^c ; Jeró ; nimo Saiz Ruiz^d ; Angela Ibañ ; ez^d ; Thais Tiana^e ; Santiago Durá ; n Sindreu^e ; Victor Perez Sola^e ; Yolanda de Diego-Otero^f ; Lucia Pé ; rez-Costillas^f ; Rafael Ferná ; ndez Garcí ; a-Andrade^g ; Dolores Saiz-Gonzá ; lez^g ; Miguel Angel Jimé ; nez Arriero^h ; Mercedes Naví ; o Acosta^h ; Lucas Ginerⁱ ; Julio Antonio Guijaⁱ ; ^j ; José ; Luis Escobar^k ; Jorge Antonio Cervilla^k ; ^l ; Marta Quesada^m ; Dolores Braquehais^m ; Hilario Blasco-Fontecilla^a ; Teresa Legido-Gil^a ; Fuensanta Arocaⁿ ; Enrique Baca-Garcí ; a^a ; ^ebaca@fjd.es ; GEICS^&loz ;
• 关键词：Ensayos clí ; nicos ; Escalas clí ; nicas ; Estadí ; stica ; Acuerdo entre-examinadores ; Psicometrí ; a ; Intentos de suicidio ; Suicidio
• 刊名：Revista de Psiquiatría y Salud Mental
• 出版年：2012
• 出版时间：January-March, 2012
• 年：2012
• 卷：5
• 期：1
• 页码：24-36
• 全文大小：282 K
• ISSN：S1888989111001479

Introduction

Inter-rater agreement is a crucial aspect in the planning and performance of a clinical trial in which the main assessment tool is the clinical interview. The main objectives of this study are to study the inter-rater agreement of a tool for the assessment of suicidal behavior (Brief Suicide Questionnaire) and to examine whether the inter-examiner agreement when multiple ratings are made on a single subject is an efficient method to assess the reliability of an instrument.

Method

In the context of designing a multicenter clinical trial, 32 psychiatrists assessed a videotaped clinical interview of a patient with suicidal behavior. In order to identify those items in which a greater level of discordance existed and detect the examiners whose ratings differed significantly from the average ratings, we used the DOMENIC method (Detecion of Multiple Examiners Not in Consensus).

Results

Inter-rater agreement was between poor (<70%) to excelent (90-100%. Inter-rater agreement in Brugha's list of threatening experiences ranged from 75.5 and 100%; in the Global Assessment of Functioning (GAF) Scale was 82.58%; in the Beck's Suicidal Intent Scale, ranged from 67.5 and 97%; in the Beck's Scale for Suicide Ideation, ranged from 63.5 and 100%; and in the Lethality Rating Scale was 88.39%. On the whole, the level of agreement among raters, both in general scores and in particular items, was appropriate.

Conclusion

The proposed design allows the assessment of the inter-rater agreement in an efficient way (only in one session). In addition, regarding the Brief Suicide Questionnaire, inter-raters agreement was appropriate.