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)
Nelson, C., Johnston, M., & Shrivastava, A.
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 Management, Assessment, and Planning of Care (SIS-MAP).
Methods: SIS-MAP ratings were obtained from a group of incoming psychiatric patients over a 6-month period at Regional Mental Health Care, St. Thomas, Canada.
Results: A canonical discriminant function analysis resulted in a total 74.0% of original grouped cases correctly classified based on admission status (admitted or not; Wilks λ = .749, p < .001). The specificity of the scale was 78.1%, while the sensitivity of the scale was 66.7%. Additionally, mean total scores on the scale were used to establish clinical cutoffs to facilitate future level of care decisions.
Conclusions: Preliminary analysis suggests the SIS-MAP is a valid and reliable tool for determining the level of psychiatric care needed for adults with suicidal ideation.