Psychometric properties of the suicidal history of self-rating screening scale

The aim of this study was to develop a reliable self-report instrument (the Suicide History Self-Rating Screening Scale: SHSS) to identify individuals with a higher propensity for suicide in the near term. One hundred and twenty nine consecutive inpatients with mental illness completed the SHSS (a 16-item measure assessing death thoughts, suicidal ideation and behavior[…]

Integration of face-to-face screening with real-time machine learning to predict risk of suicide among adults

Importance:  Understanding the differences and potential synergies between traditional clinician assessment and automated machine learning might enable more accurate and useful suicide risk detection. Objective:  To evaluate the respective and combined abilities of a real-time machine learning model and the Columbia Suicide Severity Rating Scale (C-SSRS) to predict suicide attempt (SA) and suicidal ideation (SI).[…]

Adolescent suicide assessment and management in primary care

Background
To understand how suicide management occurs within the primary care setting in terms of follow-up assessments and referral practices. Methods
At an initial primary care visit, adolescents (aged 12–20 years old) completed electronic screening. Data were focused on youth who endorsed a suicidal risk item while completing screening at two Midwestern primary care[…]

Suicide attempt endophenotypes: Latent profiles of child and adolescent aggression and impulsivity differentially predict suicide attempt in females

Suicide is a leading cause of death in young adulthood. Identifying early prevention targets to reduce later suicide is a public health priority. Impulsivity and aggression in early childhood may represent actionable early prevention candidate endophenotypes for later suicidal behavior. Our objective is to to understand the association of aggression and impulsivity trajectories with mental[…]

Suicide risk assessments: Why are we still relying on these a decade after the evidence showed they perform poorly?

Suicide deaths have a profound impact on whānau and community and are a tragic loss. However, from a statistical point of view, suicide is a relatively rare event. Predicting rare events is difficult, and the implications for suicide prevention were highlighted in an important editorial in this journal more than a decade ago, yet little[…]

Preventing suicide among women veterans: Gender-sensitive, trauma-informed conceptualization

Purpose of Review
There is growing concern regarding suicide among women veterans, who have experienced an increase in suicide rates that has exceeded that reported for other US adult populations. Recent research has bolstered understanding of correlates of suicide risk specific to women veterans. Yet most existing suicide prevention initiatives take a gender-neutral, rather[…]

Suicide risk before mental health treatment initiation: Implications for screening and access to care

With rising suicide rates in the United States over the past two decades, a critical need has emerged to improve interventions to prevent suicide. Previous research has indicated that the period before initiation of mental health treatment may be a particularly vulnerable time for individuals with suicidal behavior. Presence of suicide risk before treatment initiation[…]

Computerized-adaptive vs. traditional ratings of depression and suicidal thoughts: An assay sensitivity pilot study in a ketamine clinical trial

There is a public health need for improved suicide risk assessment tools. This pilot methodology study compared the assay sensitivity of computerized adaptive tests (CAT) of depression and suicidal ideation vs. traditional ratings in a randomized trial subgroup. The last 20 persons to enroll in a published ketamine trial in suicidal depression were studied. This[…]

How clinicians incorporate suicide risk factors into suicide risk assessment

Background: The literature has focused on explicit communications of suicidal ideation, although such communications are infrequent and less overt symptoms are comparable indicators of suicide risk. Aims: Our aim was to understand how clinicians consider inexplicit suicide risk factors in assessments of risk. Method: A national sample of 75 psychiatric crisis clinicians were provided with three vignettes, which varied in[…]

Instability of suicidal ideation in patients hospitalized for depression: An exploratory study using smartphone ecological momentary assessment

This study used ecological momentary assessment (EMA) to explore the correlates of suicidal ideation (SI) instability in patients hospitalized for depression and SI. Thirty-nine adult inpatients were given smartphones with visual analogue scales to rate current depressed mood, anger/irritability, feeling socially connected, and SI three times a day throughout hospitalization. Affective Lability Scales (ALS) were[…]