The use of Self-Reporting Questionnaire (SRQ-20) for Clinical Group Identification and Suicide Risk Prediction
DOI:
https://doi.org/10.20435/pssa.v13i4.1219Keywords:
surveys and questionnaire, mental disorders, suicideAbstract
The Self-Reporting Questionnaire (SRQ-20) is a screening scale frequently used in basic care to assess indicators of common mental disorders (CMD). The objective of this study was to investigate evidence of clinical validity of the SRQ-20, comparing clinical and non-clinical participants, and verifying its capacity to differentiate groups with specific psychiatric disorders, as well as to predict suicide risk. The study had 161 participants, of which 60% composed a clinical sample. Descriptive analyzes, correlations, ANOVAs, logistic regression analysis and ROC curves were performed. Results showed a large effect size to SRQ-20 in differentiate clinical and nonclinical groups. Patients with mood or anxiety disorders did not differ from psychotics in relation to the number of common mental symptoms presented. Personality disorders presented significantly higher scores than other groups. SRQ-20 was also a good predictor of suicide risk. The scale has been shown to be a useful clinical tool, especially in brief evaluation of CMD and possible signs of risk.
References
Amorim, P. (2000). Mini International Neuropsychiatric Interview (MINI): Validação de entrevista breve para diagnóstico de transtornos mentais. Brazilian Journal of Psychiatry, 22(3), 106-115. doi: http://10.1590/S1516-44462000000300003
Antony, M. M., Bieling, P. J., Cox, B. J., Enns, M. W., & Swinson, R. P. (1998). Psychometric properties of the 42-item and 21-item versions of the Depression Anxiety Stress Scales in clinical groups and a community sample. Psychological Assessment, 10(2), 176-181. doi: http://10.1037/1040-3590.10.2.176
Bolsoni, L. M., & Zuardi, A. W. (2015). Estudos psicométricos de instrumentos breves de rastreio para múltiplos transtornos mentais [Psychometric studies of brief screening tools for multiple mental disorders]. Jornal Brasileiro de Psiquiatria, 64(1), 63-69. doi: http://10.1590/0047-2085000000058
Botega, N. J. (2014). Comportamento suicida: Epidemiologia. Psicologia USP, 25(3), 231-236.
Botti, N. C. L., Castro, C. G., Silva, A. K., Silva, M. F., Oliveira, L. C., Castro, A. C. H. O., & Fonseca, L. L. K. (2010). Avaliação da ocorrência de transtornos mentais comuns entre a população de rua de Belo Horizonte. Barbarói, 33, 178-193.
Carmo, M. B. B., Santos, L. M., Feitosa, C. A., Fiaccone, R. L., Silva, N. B., Santos, D. N. Barreto, M. L., & Amorim, L. D. (2018). Screening for common mental disorders using the SRQ-20 in Brazil: What are the alternative strategies for analysis? Revista Brasileira de Psiquiatria, 40, 115-122. doi: http://10.1590/1516-4446-2016-2139
Chen, S., Zhao, G., Li, L., Wang, Y., Chiu, H., & Caine, E. (2009). Psychometric properties of the Chinese version of the Self-Reporting Questionnaire 20 (SRQ-20) in community settings. International Journal of Social Psychiatry, 55, 538-547. doi: http://10.1177/0020764008095116
Clark, L. A., & Watson, D. (1991). Tripartite model of anxiety and depression: Psychometric evidence and taxonomic implications. Journal of Abnormal Psychology, 100, 316-336.
De-Sousa, D. A., Moreno, A. L., Gauer, G., Manfro, G. G., & Koller, S. H. (2013). Revisão sistemática de instrumentos para avaliação de ansiedade na população brasileira [Systematic review of instruments to evaluate anxiety in Brazilian population]. Avaliação Psicológica, 12(3), 397-410. Recuperado de http://pepsic.bvsalud.org/pdf/avp/v12n3/v12n3a15.pdf
Eksterman, A. (1994). Abordagem psicodinâmica dos sintomas somáticos. Revista Brasileira de Psicanálise, 28(1), 9-24.
Gili-Planas, M., Rocca-Bennasar, M., Ferrer-Perez, V., & Bernardo-Arroyo, M. (2001). Suicidal ideation, psychiatric disorder, and medical illness in a community epidemiological study. Suicide and Life Threatening Behavior, 31(2), 207-213.
Goldney, R. D., Dal Grande, E., Fisher, L. J., & Wilson, D. (2003). Population attributable risk of major depression for suicidal ideation in a random and representative community sample. Journal of Affective Disorders, 74(3), 267-272.
Goldberg D, & Huxley P. (1992). Common mental disorders: a bio-social model. London: Tavistock.
Gonçalves, D. M., Stein, A. T., & Kapczinski, F. (2008).Avaliação de desempenho do Self-Reporting Questionnaire como instrumento de rastreamento psiquiátrico: um estudocomparativo com o Structured Clinical Interview for DSM-IV-TR.Cadernos de SaúdePública,24(2), 380-390.
Guirado, G. M. P., & Pereira, N. M. P. (2016). Uso do Self-Reporting Questionnaire (SRQ-20) para determinação dos sintomas físicos e psicoemocionais em funcionários de uma indústria metalúrgica do Vale do Paraíba/SP. Caderno de Saúde Coletiva, 24(1), 92-98. doi: http://10.1590/1414-462X201600010103
Harding, T. W., De Arango, M. V., Baltazar, J., Climent, C. E., Ibrahim, H. H. A., & Ladrido-Ignacio, L. (1980). Mental disorders in primary health care: a study of their frequency and diagnosis in four developing countries. Psychological Medicine, 10, 231-241.
Iacoponi, E., Mari, J. J. (1989). Reliability and factor structure of the Portuguese version of Self Reporting Questionnaire. International Journal of Social Psychiatry, 35(3), 213-222. doi: http://10.1177/002076408903500301
Moraes, R. S. M., Silva, D. A. S., Oliveira, W. F., & Peres, M. A. (2017). Social inequalities in the prevalence of common mental disorders in adults: A population-based study in Southern Brazil. Revista Brasileira de Epidemiologia, 20(1), 43-56. doi: http://10.1590/1980-5497201700010004
Morey, L. C., Gunderson, J. G., Quigley, B. D., Shea, M. T., Skodol, A. E., McGlashan, T. H., . . . Zanarini, M. C. (2002). The representation of borderline, avoidant, obsessive-compulsive, and schizotypal personality disorders by the five-factor model. Journal of Personality Disorders, 16(3), 215-234.
Netsereab, T. B., Kifle, M. M., Tesfagiorgis, R. B., Habteab, S. G., Weldeabzgi, Y. K., & Tesfamariam, O. Z. (2018). Validation of the WHO self-reporting questionnaire-20 (SRQ-20) item in primary health care settings in Eritrea. International Journal of Mental Systems, 12(61), 1-9. doi: http://10.1186/s13033-018-0242-y
Paraventi, F., Cogo-Moreira, H., Paula, C. S., & Mari, J. J. (2015). Psychometric properties of the self-reporting questionnaire (SRQ-20): Measurement invariance across women from Brazilian community settings. Comprehensive Psychiatry, 58, 213-220. doi: http://10.1016/j.comppsych.2014.11.020
Santos, K. O. B., Araújo, T. M., & Oliveira, N. F. (2009). Estrutura fatorial e consistência interna do Self-Reporting Questionnaire (SRQ-20) em população urbana [Factor structure and internal consistency of the Self-Reporting Questionnaire (SRQ-20) in an urban population]. Caderno de Saúde Pública, 25(1), 214-222. doi: http://10.1590/S0102-311X2009000100023
Santos, K. O. B., Carvalho, F. M., & Araújo, T. M. (2016). Consistência interna do self-reporting questionnaire-20 em grupos ocupacionais. Revista de Saúde Pública, 50(6), 1-10. doi: http://10.1590/S1518-8787.2016050006100
Sheehan, D. V., Lecrubier, Y., Sheehan, K. H., Amorim, P., Janavs, J., Weiller, E., . . . Dunbar, G. C. (1998). The Mini-International Neuropsychiatric Interview (M.I.N.I.): The development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. The Journal of Clinical Psychiatry, 59(20), 22-33.
Youngmann, R., Zilber, N., Workneh, F., & Giel, R. (2008). Adapting a SRQ for Ethiopian populations: A culturally-sensitive psychiatric screening instrument. Transcultural Psychiatry, 45(4), 566-589. doi: http://10.1177/1363461508100783
World Health Organization. Expert Committee on Mental Health. (1994). User’s Guide to Self Reporting Questionnaire (SRQ). Geneva: WHO.
World Health Organization. (2018). Mental health. Geneva: WHO. Recuperado de https://www.who.int/mental_health/suicide-prevention/en/
Published
How to Cite
Issue
Section
License
The articles published on journal Psicologia e Saúde holds the copyrights of all texts published by it. Due to that, there is a demand for a letter of copyright cession (see Appreciation). The full reproduction of any article of this Journal in other publications, by any means, requires a written authorization of the Editorial Board. Partial reproductions of articles (abstracts, more than 500 words of text, tables, pictures and other illustrations, sound files) should have the written permission of the Editorial Board and the Authors.