Assessing suicide attempts and depression among Chinese speakers over the Internet

Background: In populations where mental health resources are scarce or unavailable, or where stigma prevents help-seeking, the Internet may be a way to identify and reach at-risk persons using self-report validated screening tools as well as to characterize individuals seeking health information online. Aims: We examined the feasibility of delivering an Internet-based Chinese-language depression and suicide screener […]

Concordance between the Columbia-Suicide Severity Rating Scale and Beck Scale for Suicide Ideation in assessing suicide behaviour in young adults with schizophrenia spectrum disorders

The Columbia Suicide Severity Rating Scale (C–SSRS) is considered the gold standard for collecting information on suicidal ideation and behavior by the Food and Drug Administration (FDA) of the United States. To determine the accuracy of the C-SSRS compared to the Beck Scale for Suicidal Ideation (BSS) for collecting suicide attempt history in the schizophrenia […]

Does screening high school students for psychological distress, deliberate self-harm, or suicidal ideation cause distress–and is it acceptable? An Australian-based study

Background: Programs designed to detect students at risk of depression and suicidality have shown success (Shaffer et al., 2004). Aims: The current study sought to examine whether or not such a program was acceptable to participants and whether or not it caused distress. Methods: Participants were boys aged 14 to 16. Participants were assessed using an on-line questionnaire; […]

Self-report of suicidal thoughts and behavior vs. school nurse evaluations in Dutch high-school students

Background: Systematic screening to identify adolescents at risk for suicidal behavior is crucial to suicide prevention. Aims: The current practice of screening and follow-up actions taken by school nurses in schools for secondary education in Rotterdam, the Netherlands, was studied. Methods: In Rotterdam, an approach was developed in which, as a standard routine, students are invited to an […]

Improving risk assessment with suicidal patients: A preliminary evaluation of the clinical utility of the Scale for Impact of Suicidality-Management, Assessment and Planning of Care (SIS-MAP)

Background: Although a number of suicide-risk assessment tools are available to clinicians, the high levels of suicide still evident in society suggest a clear need for new strategies in order to facilitate the prevention of suicidal behaviors. Aims: The present study examined the utilization of a new structured clinical interview called the Scale for Impact of Suicidality […]

Suicide in young people: screening, risk assessment, and intervention

Suicide is the fourth leading cause of death among young people worldwide and the third leading cause of death among those in the US. This review outlines the epidemiology of suicide and suicidal behavior in young people. It discusses intersectionality as an emerging framework to guide research on prevention of suicide in young people and […]

A community-based survey and screening for depression in the elderly: The short-term effect on suicide risk in Japan

Background: In addition to implementing a depression screening program, conducting a survey beforehand might contribute to suicide risk reduction for the elderly. Aims: This study evaluates outcomes of a community-based program to prevent suicide among individuals aged 60 and over, using a quasiexperimental design with an intervention region (41,337 residents, 35.1% aged 60 and over) and a […]

Assessing suicidal thoughts and behaviors and nonsuicidal self-injury in autistic and non-autistic early adolescents using the Columbia Suicide Severity Rating Scale

Suicidal thoughts and behaviors and nonsuicidal self-injury are more common in autistic adolescents than non-autistic adolescents, per parent- and self-report. Clinician-rated measures of suicide risk (e.g. Columbia Suicide Severity Rating Scale) have not been investigated with autistic youth despite high parent–child rating discrepancies. In the present study, the Columbia Suicide Severity Rating Scale was employed […]

Item response theory and differential item functioning analyses with the suicidal behaviors questionnaire: Revised in US and Chinese samples

Background: Despite the widespread use of the Suicidal Behaviors Questionnaire-Revised (SBQ-R) and advances in item response theory (IRT) modeling, item-level analysis with the SBQ-R has been minimal. Aims: This study extended IRT modeling strategies to examine the response parameters and potential differential item functioning (DIF) of the individual SBQ-R items in samples of US (N = 320) and Chinese […]

Acoustic analysis of speech for screening for suicide risk: Machine learning classifiers for between- and within-person evaluation of suicidality

Background: Assessing a patient’s suicide risk is challenging for health professionals because it depends on voluntary disclosure by the patient and often has limited resources. The application of novel machine learning approaches to determine suicide risk has clinical utility. Objective: This study aimed to investigate cross-sectional and longitudinal approaches to assess suicidality based on acoustic […]

Prediction of suicide attempts and suicide-related events among adolescents seen in emergency departments

Objective  To compare the Ask Suicide-Screening Questions (ASQ) instrument with the Computerized Adaptive Screen for Suicidal Youth (CASSY) instrument for the prediction of suicidal behavior among adolescents seen in EDs, across demographic and clinical strata. Design, Setting, and Participants  The Emergency Department Study for Teens at Risk for Suicide is a prospective, random-series, multicenter cohort study that […]

Comparison of screening for suicidal ideation in the year prior to death by suicide

Background Screening for suicidality with a Patient Health Questionnaire-9 (PHQ-9) at our institution has previously been reported to occur 37.9% in the year prior to suicide death. Our institution has initiated practice changes aimed at increasing this screening rate. Methodology We reviewed patient records who died by suicide (cases) between January 16, 2013 and December […]

User feedback on the use of a natural language processing application to screen for suicide risk in the emergency department

Suicide is the 10th leading cause of death in the USA and globally. Despite decades of research, the ability to predict who will die by suicide is still no better than 50%. Traditional screening instruments have helped identify risk factors for suicide, but they have not provided accurate predictive power for reducing death rates. Over […]

A pilot study of clinicians’ perceptions of feasibility, client-centeredness, and usability of the systematic tailored assessment for responding to suicidality protocol

Background: The Systematic Tailored Assessment for Responding to Suicidality (STARS) is a client-centered, psychosocial needs-based assessment protocol. This semistructured interview obtains client prioritized indicators that contribute to suicidality and informs commensurate care responses for preventing suicide. Aim: To pilot the feasibility, client-centeredness, and usability of the STARS protocol, including clinicians’ perceptions of ease of use; content validity; and […]

Evaluating potential iatrogenic effects of a suicide-focused research protocol

Background: Concerns regarding the potential iatrogenic effects of suicide assessment have long impeded suicide research. Aims: We sought to examine the effects of an intensive, suicide-focused assessment protocol on mood, suicidality, and urges to harm oneself or others. Method: Participants were adults admitted to a psychiatric inpatient unit for recent suicidal ideation or behavior, or reasons unrelated to suicide. Our […]

Tools to detect risk of death by suicide: A systematic review and meta-analysis

Objective: There is limited knowledge about the ability of instruments to detect risk of suicide in a range of settings. Prior reviews have not considered whether the utility of instruments depends on prior probability of risk. We performed a systematic review to determine the diagnostic accuracy of instruments to detect risk of suicide in adults using […]

Reliability and validity of the Korean version of the Ask Suicide-Screening Questions (ASQ)

Background: The Ask Suicide-Screening Questions (ASQ) tool is a simple suicide screening tool developed to screen patient suicide risk (SR). The purpose of this study was to verify the reliability and validity of the ASQ tool in hospitalized patients. Methods: The internal consistency and test-retest reliability of the South Korean version of the ASQ tool […]

Trends in positive depression and suicide risk screens in pediatric primary care during COVID-19

Objective: Adolescent mental health concerns increased during COVID-19, but it is unknown whether early increases in depression and suicide risk have been sustained. We examined changes in positive screens for depression and suicide risk in a large pediatric primary care network through May 2022. Methods: Using an observational repeated cross-sectional design, we examined changes in depression and […]

Screening for depression and suicide risk in children and adolescents: Updated evidence report and systematic review for the US Preventive Services Task Force

Importance  Depression, suicidal ideation, and self-harm behaviors in youth are associated with functional impairment and suicide. Objective  To review the evidence on screening for depression or suicide risk in children and adolescents to inform the US Preventive Services Task Force (USPSTF). Data Sources  PubMed, Cochrane Library, PsycINFO, CINAHL, and trial registries through July 19, 2021; references, experts, and […]

Screening for anxiety in children and adolescents: Evidence report and systematic review for the US Preventive Services Task Force

Importance  Anxiety in children and adolescents is associated with impaired functioning, educational underachievement, and future mental health conditions. Objective  To review the evidence on screening for anxiety in children and adolescents to inform the US Preventive Services Task Force. Data Sources  PubMed, Cochrane Library, PsycINFO, CINAHL, and trial registries through July 19, 2021; references, experts, and surveillance through […]

Utilizing digital predictive biomarkers to identify Veteran suicide risk

Veteran suicide is one of the most complex and pressing health issues in the United States. According to the 2020 National Veteran Suicide Prevention Annual Report, since 2018 an average of 17.2 Veterans died by suicide each day. Veteran suicide risk screening is currently limited to suicide hotlines, patient reporting, patient visits, and family or […]

Validating the suicide status form for the Collaborative Assessment and Management of Suicidality in a psychiatric adolescent sample

Background For adults, the Collaborative Assessment and Management of Suicidality (CAMS; Jobes, (2006, Managing suicidal risk: A collaborative approach, New York, Guilford) and Jobes, (2016, Managing suicidal risk: A collaborative approach, New York, Guilford)) is a treatment framework with replicated evidenced-based support for effectiveness. The current study is a psychometric validation of the Suicide Status Form (SSF-IV), […]

Development and validation of static and adaptive screeners to assess suicidal thoughts and behavior

Objective The aim of the current study was to use a 23-item bank of self-reported symptoms of suicidal thoughts and behaviors to develop new brief measures of suicide risk using data-driven methods. Collectively referred to as the Rapid Measurement Toolkit for Suicidality (RMTS), the new brief static and adaptive measures would allow more efficient screening […]