A Psychometric Investigation of the Suicide Status Form II with a Psychiatric Inpatient Sample

Conrad, Amy K.; Jacoby, Aaron M.; Jobes, David A.; Lineberry, Timothy W.; Shea, Catherine E.; Ewing, Theresa D. Arnold; Schmid, Phyllis J.; Ellenbecker, Susan M.; Lee, Joy; Fritsche, Kathryn; Grenell, Jennifer A.; Gehin, Jessica M.; Kung, Simon

doi:10.1521/suli.2009.39.3.307

Cited by 90 publications

(87 citation statements)

References 44 publications

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“…For example, according to Beck's cognitive model of suicide, once a suicide schema is activated, anxiety (and agitation) can serve as an expression of attentional fixation on suicide, which interacts with hopelessness to increase suicide risk (e.g., Wenzel & Beck, 2008; Wenzel, Brown, & Beck, in press). Although anxiety is not explicitly addressed in Joiner's interpersonal theory of suicide (Joiner, 2005; Van Orden et al, 2010), this model's emphasis on the fearsome nature of suicidal behavior is consistent with evidence showing that acute anxious states (e.g., heightened arousal/agitation, severe panic attacks) are often present immediately prior to lethal or near-lethal suicidal acts (e.g., Britton, Ilgen, Rudd, & Conner, 2012; Busch, Fawcett, & Jacobs, 2003; Conrad et al, 2009; Fawcett et al, 1990; Hall, Platt, & Hall, 1999; Ribeiro et al, 2015; Ribeiro, Silva, & Joiner, 2014). These findings align with Fawcett's influential conceptualizations of anxiety/agitation as a determinant for acute suicide risk (e.g., Fawcett, 2001; Fawcett, Busch, Jacobs, Kravitz, & Fogg, 1997), and expert clinical consensus identifying agitation as a “warning sign” for suicide (e.g., Rudd et al, 2006).…”

Section: Introductionsupporting

confidence: 67%

Anxiety and its disorders as risk factors for suicidal thoughts and behaviors: A meta-analytic review

Bentley

Franklin

Ribeiro³

et al. 2016

Clinical Psychology Review

319

161

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Suicidal thoughts and behaviors are highly prevalent public health problems with devastating consequences. There is an urgent need to improve our understanding of risk factors for suicide to identify effective intervention targets. The aim of this meta-analysis was to examine the magnitude and clinical utility of anxiety and its disorders as risk factors for suicide ideation, attempts, and deaths. We conducted a literature search through December 2014; of the 65 articles meeting our inclusion criteria, we extracted 180 cases in which an anxiety-specific variable was used to longitudinally predict a suicide-related outcome. Results indicated that anxiety is a statistically significant, yet weak, predictor of suicide ideation (OR=1.49, 95% CI: 1.18, 1.88) and attempts (OR=1.64, 95% CI: 1.47, 1.83), but not deaths (OR=1.01, 95% CI: 0.87, 1.18). The strongest associations were observed for PTSD. Estimates were reduced after accounting for publication bias, and diagnostic accuracy analyses indicated acceptable specificity but poor sensitivity. Overall, the extant literature suggests that anxiety and its disorders, at least when these constructs are measured in isolation and as trait-like constructs, are relatively weak predictors of suicidal thoughts and behaviors over long follow-up periods. Implications for future research priorities are discussed.

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Section: Introductionsupporting

confidence: 67%

Anxiety and its disorders as risk factors for suicidal thoughts and behaviors: A meta-analytic review

Bentley

Franklin

Ribeiro³

et al. 2016

Clinical Psychology Review

319

161

View full text Add to dashboard Cite

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“…The survey also assesses patient perceived overall suicide risk on a 1-5 scale, frequency of suicidal ideation on a 0-4 scale, and wish-to-live and wish-to-die on a 0-8 scale. (26)…”

Section: Methodsmentioning

confidence: 99%

How does active substance use at psychiatric admission impact suicide risk and hospital length-of-stay?

Miller

Hitschfeld

Lineberry

et al. 2016

Journal of Addictive Diseases

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Background/Objective Despite their high prevalence, little is known about the effects of substance use disorders (SUD) and active substance use on the suicide risk or length of stay (LOS) of psychiatric inpatients. This study examines the relationship between active substance use at the time of psychiatric hospitalization and changes in suicide risk measures and LOS. Methods Admission and discharge ratings on the Suicide Status Form-II-R, diagnoses, and toxicology data from 2333 unique psychiatric inpatients were examined. Data for patients using alcohol, THC, methamphetamines, cocaine, benzodiazepines, opiates, barbiturates, PCP and multiple substances on admission were compared with data from 1426 admissions without substance use. Results Patients with substance use by toxicology on admission had a 0.9 day shorter LOS compared to toxicology-negative patients. During initial nurse evaluation on the inpatient unit, these patients reported lower suicide measures (i.e. suicidal ideation frequency, overall suicide risk, and wish-to-die). No significant between-group differences were seen at discharge. Patients admitted with a SUD diagnosis had a 1.0 day shorter LOS than those without, while those with a SUD diagnosis and positive toxicology reported the lowest measures of suicidality on admission. These results remained independent of psychiatric diagnosis. Discussion For acute psychiatric inpatients, suicide risk is higher and LOS is longer in patients with SUDs who are NOT acutely intoxicated compared with patients without a SUD. Toxicology-positive patients are less suicidal on admission and improve faster than their toxicology-negative counterparts. This study gives support to the clinical observation that acutely intoxicated patients may stabilize quickly with regard to suicidal urges and need for inpatient care.

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“…Prior analyses of the SSF Core Assessment items demonstrate good to excellent validity with Cronbach ranging from .78 to .98. (Conrad et al, 2009). …”

Section: Methodsmentioning

confidence: 99%

An Evidence-Based Clinical Approach to Suicide Prevention in the Department of Defense: The Collaborative Assessment and Management of Suicidality (CAMS)

Jobes

Lento

Brazaitis

2012

Military Psychology

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There are few evidence-based approaches for the treatment of suicidality particularly within the Department of Defense settings (DoD) (Schoenbaum, Heinssen, & Pearson, 2009). This article describes a relatively new suicide-specific approach called the "Collaborative Assessment and Management of Suicidality" (CAMS). There is growing evidence that CAMS can meaningfully impact suicidal ideation, overall symptom distress, increase hope, and may positively impact non-mental health utilization. The prospect of using CAMS within military treatment facilities is discussed as a means of clinically assessing and treating suicidal ideation and related behaviors for military personnel.The various psychological stressors associated with recent U.S. military operations, including Operation Iraqi Freedom (OIF), Operation Enduring Freedom (OEF), and Operation New Dawn (OND), have come to the forefront of attention for military leaders, policymakers, and the broader U.S. population. Related to these concerns has been the alarming rise in military suicide rates over the past decade. Between 2001 and 2008, the Department of Defense (DoD) has experienced roughly a 50% increase in suicide deaths of active duty service members,

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A Psychometric Investigation of the Suicide Status Form II with a Psychiatric Inpatient Sample

Cited by 90 publications

References 44 publications

Anxiety and its disorders as risk factors for suicidal thoughts and behaviors: A meta-analytic review

Anxiety and its disorders as risk factors for suicidal thoughts and behaviors: A meta-analytic review

How does active substance use at psychiatric admission impact suicide risk and hospital length-of-stay?

An Evidence-Based Clinical Approach to Suicide Prevention in the Department of Defense: The Collaborative Assessment and Management of Suicidality (CAMS)

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