Evaluation of the Reliability and Validity of Two Clinician- Judgment Suicide Risk Assessment Instruments

Background: This study evaluates the psychometric properties and factor structure of two clinician-judgment suicide risk assessment instruments – the Suicide Assessment Checklist developed by Yufit and the other developed by Rogers. Methods: As an archival study, 85 client records were obtained through a university psychology clinic. Results: Internal consistency was high for only one subscale of the Yufit checklist after deleting items for factor analyses, whereas internal consistency was high for the overall Rogers checklist after deleting items. Interrater reliability was excellent for both instruments. Both checklists correlated with self-reported suicidality on the Personality Assessment Inventory. Preliminary analyses indicated that data from the Yufit checklist are unsuitable for factor analysis, whereas factor analysis of the Rogers checklist identified one depressive factor. Conclusions: These findings provided evidence supporting the reliability and validity of the Rogers checklist. The findings also provided a good starting point for future research of the Yufit checklist.

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Evaluation of the Reliability and Validity of Two Clinician-Judgment Suicide-Risk Assessment Instruments

PsycEXTRA Dataset ◽

10.1037/e504562008-001 ◽

2008 ◽

Author(s):

Prachi Kene ◽

Joseph D. Hovey

Keyword(s):

Risk Assessment ◽

Suicide Risk ◽

Reliability And Validity ◽

Assessment Instruments ◽

Suicide Risk Assessment ◽

Clinician Judgment

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A review of suicide risk assessment instruments and approaches

Mental Health Clinician ◽

10.9740/mhc.2015.09.216 ◽

2015 ◽

Vol 5 (5) ◽

pp. 216-223 ◽

Cited By ~ 10

Author(s):

Megan Lotito ◽

Emmeline Cook

Keyword(s):

Risk Assessment ◽

Suicide Risk ◽

Assessment Instruments ◽

Suicide Risk Assessment ◽

Simple Task ◽

Clinical Interviews ◽

Number Of Factors ◽

Assessment Measure ◽

Patient Will ◽

Commit Suicide

Abstract Introduction: Conducting an accurate suicide risk assessment (SRA) is no simple task as there are a number of factors that influence an individual's level of suicidality and his/her willingness to share this information. Therefore, it is imperative that practitioners adopt a systematic approach to conducting and documenting the foreseeability that a patient will commit suicide. Methods PubMed was used to search for articles published in MEDLINE journals using the following keywords: suicide, risk assessment, measure, scale. Randomized trials and pilot, proof-of-concept publications investigating the use of specific SRA measurements were included in the review. The scales are described based on the prevailing opinions in psychiatry from the American Psychiatric Association's Textbook of Suicide Assessment and Management (2nd ed., 2012). Results Although various SRA scales exist, experts in the field have repeatedly concluded that there is not any one scale that can predict who will commit suicide to any useful degree. However, when used along with the clinical interview, standardized suicide risk factor components of clinical and research scales remain crucial to gaining information often omitted by patients regarding thoughts and preparation for suicide. A summary of the most widely cited scales and approaches used in SRA is provided. Discussion SRA remains a challenge largely due to the fact that suicidal behavior is multifactorial. As a result, risk formulation is a process that should involve both standardized measures and detailed clinical interviews repeated over time.

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The Suicide Risk Assessment and Management Manual (S-RAMM) Validation Study 1

Irish Journal of Psychological Medicine ◽

10.1017/s0790966700000215 ◽

2009 ◽

Vol 26 (2) ◽

pp. 54-58 ◽

Cited By ~ 6

Author(s):

Atif Ijaz ◽

Alexia Papaconstantinou ◽

Helen O'Neill ◽

Harry G Kennedy

Keyword(s):

Risk Assessment ◽

Internal Consistency ◽

Validation Study ◽

Suicide Risk ◽

Suicide Risk Assessment ◽

Rater Reliability ◽

Cronbach's Alpha ◽

Cohen's Kappa ◽

Risk Assessment And Management ◽

Professional Judgement

AbstractObjective:There are validated tools for structured professional judgement of risk of violence, but few for risk of suicide. The Suicide Risk Assessment and Management Manual (S-RAMM) is a new structured professional judgement tool closely modelled on the HCR-20. This is the first validation study for the S-RAMM. We measured inter-rater reliability, internal consistency, concurrent validity with another validated risk instrument (HCR-20) and with a measure of psychopathology (PANSS). We tested whether the tool could distinguish between groups of patients clinically assessed as at varying levels of risk of suicide or self harm.Method:Two researchers jointly interviewed 25 current in-patients for inter-rater reliability (Cohen's kappa) and internal consistency (Cronbach's alpha) and interviewed 81 of 83 current in-patients to assess whether the mean scores for different wards were significantly different (using ANOVA). Two other researchers made independent ratings of the HCR-20 and PANSS.Results:Inter-rater reliability was acceptable for all items (Cohen's kappa >0.5 for all but three items) and all sub-scale and total scores (Spearman correlations all >0.8). Internal consistency was high, (Cronbach's alpha all sub-scales >0.6). Scores stratified significantly with high scores for admission and intensive care units and progressively lower scores in rehabilitation and predischarge units. The HCR-20 historical and S-RAMM background scores did not correlate but the dynamic sub-scales correlated significantly. PANSS scores also correlated significantly with S-RAMM scores.Conclusion:The S-RAMM has better than minimum acceptable characteristics for use as a clinical or research tool. Prospective studies of sensitivity and specificity are now required.

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Concurrent validity and reliability of suicide risk assessment instruments: A meta analysis of 20 instruments across 27 international cohorts

10.1101/2021.09.15.21263562 ◽

2021 ◽

Author(s):

Adrian I. Campos ◽

Laura S. Van Velzen ◽

Dick J. Veltman ◽

Elena Pozzi ◽

Sonia Ambrogi ◽

...

Keyword(s):

Risk Assessment ◽

Suicidal Ideation ◽

Concurrent Validity ◽

Suicide Risk ◽

Rating Scale ◽

Assessment Instruments ◽

Depression Severity ◽

Suicide Risk Assessment ◽

Suicidal Thoughts ◽

Severity Rating

AbstractObjectiveA major limitation of current suicide research is the lack of power to identify robust correlates of suicidal thoughts or behaviour. Variation in suicide risk assessment instruments used across cohorts may represent a limitation to pooling data in international consortia.MethodHere, we examine this issue through two approaches: (i) an extensive literature search on the reliability and concurrent validity of the most commonly used instruments; and (ii) by pooling data (N∼6,000 participants) from cohorts from the ENIGMA-Major Depressive Disorder (ENIGMA-MDD) and ENIGMA-Suicidal Thoughts and Behaviour (ENIGMA-STB) working groups, to assess the concurrent validity of instruments currently used for assessing suicidal thoughts or behaviour.ResultsOur results suggested a pattern of moderate-to-high correlations between instruments, consistent with the wide range of correlations, r=0.22-0.97, reported in the literature. Two common complex instruments, the Columbia Suicide Severity Rating Scale (C-SSRS) and the Beck Scale for Suicidal Ideation (SSI), were highly correlated with each other (r=0.83), as were suicidal ideation items from common depression severity questionnaires.ConclusionsOur findings suggest that multi-item instruments provide valuable information on different aspects of suicidal thoughts or behaviour, but share a core factor with single suicidal ideation items found in depression severity questionnaires. Multi-site collaborations including cohorts that used distinct instruments for suicide risk assessment should be feasible provided that they harmonise across instruments or focus on specific constructs of suicidal thoughts or behaviours.Key pointsQuestion: To inform future suicide research in multi-site international consortia, it is important to examine how different suicide measures relate to each other and whether they can be used interchangeably.Findings: Findings suggest detailed instruments (such as the Columbia Suicide Severity Rating Scale and Beck Scale for Suicidal Ideation) provide valuable information on suicidal thoughts and behaviour, and share a core factor with items on suicidal ideation from depression severity rating scale (such as the Hamilton Depression Rating Scale or the Beck Depression Inventory).Importance: Results from international collaborations can mitigate biases by harmonising distinct suicide risk assessment instruments.Next steps: Pooling data within international suicide research consortia may reveal novel clinical, biological and cognitive correlates of suicidal thoughts and/or behaviour.

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Suicidal Behavior on Axis VI

Crisis ◽

10.1027/0227-5910/a000057 ◽

2011 ◽

Vol 32 (2) ◽

pp. 110-113 ◽

Cited By ~ 10

Author(s):

Kimberly A. Van Orden ◽

Tracy K. Witte ◽

Jill Holm-Denoma ◽

Kathryn H. Gordon ◽

Thomas E. Joiner

Keyword(s):

Risk Assessment ◽

Suicide Risk ◽

Risk Assessments ◽

Global Assessment Of Functioning ◽

Suicide Risk Assessment ◽

Predictive Utility ◽

Eating Disordered ◽

Assessment Protocol ◽

Dsm V ◽

Starting Point

Background. Oquendo and colleagues ( Oquendo, Baca-García, Mann, & Giner, 2008 ; Oquendo & Currier, 2009 ) recommend that DSM-V emphasize suicide risk assessment on a sixth axis, thereby increasing regularity of suicide risk assessments. Aims. We propose that evidence of nonredundancy with Axis V – Global Assessment of Functioning (GAF) is one piece of data that can serve as a starting point for a line of research establishing incremental predictive utility for a separate suicide risk assessment in the DSM framework. Methods. A standardized suicide risk assessment protocol, measures of depressive, anxious, and eating disordered symptomatology, as well as an index of comorbidity were administered to a sample of 412 adult outpatients. Results. Our data indicate that data from standardized suicide risk assessments are associated with indices of symptomatology severity as well as comorbidity, controlling for GAF. Conclusions. These results support the nonredundancy of the assessments and suggest the utility of longitudinal investigations of the predictive utility of a sixth DSM axis in the assessment of suicide risk.

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Psychometric Properties of the Multicultural Counselling Competence Training Survey-Revised (MCCTS-R): Application for Counsellor Trainees in Malaysia

Pertanika Journal of Science and Technology ◽

10.47836/pjssh.29.s1.09 ◽

2021 ◽

Vol 29 (S1) ◽

Author(s):

Maizatul Mardiana Harun ◽

Wan Marzuki Wan Jaafar ◽

Asmah Ismail ◽

Sidek Mohd Noah

Keyword(s):

Factor Analysis ◽

Factor Structure ◽

Internal Consistency ◽

Convergent Validity ◽

High Reliability ◽

Reliability And Validity ◽

Structure Reliability ◽

Multicultural Counselling ◽

Starting Point ◽

Competence Training

The purpose of this study is to examine the reliability and validity of the translated and adapted Multicultural Counselling Competence and Training Survey-Revised (MCCTS-R) for its use in measuring perceived multicultural counselling competence among counsellor trainees in Malaysia. This descriptive-correlational study was conducted on 208 counsellor trainees from local universities. They were chosen through cluster random sampling. The drawing procedure was done using a fishbowl method. At the time of data collection, the counsellor trainees were at the end of their counselling internship in various organisations around Klang Valley and East Malaysia during the study. Based on the factor analysis, the three-factor structure, which was the same as the original version, was confirmed with 20 items retained. For reliability, internal consistency and construct reliability were evaluated and confirmed. The finding showed that internal consistency was α = .952 and construct reliability was .882. In addition, MCCTS-R was found to have good construct validity based on the corrected item-total correlation value, which varied from r = .533 - .756. The convergent validity value obtained from the confirmatory factor analysis was .714. Overall, the factor structure, reliability, and validity of the adapted MCCTS-R were all confirmed in this study. The high reliability and good validity indicate that MCCTS-R can successfully be used by counsellor trainees across gender and ethnicity. The findings can be a starting point for multicultural counselling to gain greater focus from the counselling academia and professionals as it gives a mere reflection of counsellor trainees perceived multicultural counselling competence.

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