Distinguishing Levels of Suicide Risk in Depressed Male Veterans: The Role of Internalizing and Externalizing Psychopathology as Measured by the MMPI-2-RF

Miller, Stephanie N.; Bozzay, Melanie L.; Ben‐Porath, Yossef S.; Arbisi, Paul A.

doi:10.1177/1073191117743787

Cited by 7 publications

(9 citation statements)

References 61 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Psychiatric readmissions were positively correlated with measures of SUI and STW, and both of these provided incremental validity for readmissions beyond prior psychiatric hospitalization and the presence of co-occurring disorder diagnosis at intake. These findings were not consistent with our predictions derived from earlier work (e.g., Mattson et al, 2012; Tarescavage et al, 2014), but add to the growing body of studies highlighting the utility of SUI scores to predict clinically meaningful information (Glassmire et al, 2016; S. N. Miller et al, 2019; Tarescavage et al, 2018).…”

Section: Discussioncontrasting

confidence: 99%

“…These findings are in line with prior work which has identified a role of mental health and substance-related problems in homelessness (Edens et al, 2011; Greenberg & Rosenheck, 2010). These results are also consistent with previously reported findings linking MMPI-2-RF scores to clinically relevant historical indicators (Tarescavage, Scheman, et al, 2015) and symptom measures (Anderson et al, 2015; S. N. Miller et al, 2019).…”

Section: Discussionsupporting

confidence: 93%

“…The Restructured Form of the Minnesota Multiphasic Personality Inventory–2 (MMPI-2-RF; Ben-Porath & Tellegen, 2008/2013) is one instrument that can provide clinical information relevant to homeless individuals and their treatment. MMPI-2-RF scores have been associated with measures of psychopathology (e.g., Anderson et al, 2015), with recent research suggesting that these scores can differentiate individuals who attempt suicide from those who only think about it (S. N. Miller et al, 2019).…”

mentioning

confidence: 99%

See 2 more Smart Citations

Clinical Utility of the Minnesota Multiphasic Personality Inventory–2–Restructured Form (MMPI-2-RF) in a Residential Treatment Program for Homeless Individuals

Ruiz

Dorritie

2020

Assessment

View full text Add to dashboard Cite

The current study examined the clinical utility of the Restructured Form of the Minnesota Multiphasic Personality Inventory–2 (MMPI-2-RF) in a residential treatment program for homeless individuals. MMPI-2-RF scale scores from 146 participants with valid profiles were correlated with variables obtained at intake and during treatment. The sample was then followed 12 months postdischarge to test preregistered hypotheses regarding MMPI-2-RF predictors of hospital readmissions. The results indicated that a variety of MMPI-2-RF scale scores were correlated with historical and diagnostic variables at intake and with measures of treatment outcome, including behavioral problems and successful outcome. A broad range of MMPI-2-RF scale scores were related to readmissions postdischarge and many of these relationships remained significant when tested in Poisson regression models containing other predictors. However, the postdischarge findings were generally inconsistent with our predictions and were of small effect size. The clinical implications of MMPI-2-RF results for residential treatment programs are discussed.

show abstract

Section: Discussioncontrasting

confidence: 99%

Section: Discussionsupporting

confidence: 93%

mentioning

confidence: 99%

See 1 more Smart Citation

Clinical Utility of the Minnesota Multiphasic Personality Inventory–2–Restructured Form (MMPI-2-RF) in a Residential Treatment Program for Homeless Individuals

Ruiz

Dorritie

2020

Assessment

View full text Add to dashboard Cite

show abstract

“…In all models, SUI was the best (i.e., largest sized) predictor of history of suicide attempts-every one-unit increase in SUI was related to a 30%-40% increase in the odds of a suicide attempt history. The current findings, therefore, contribute to the large body of empirical evidence that SUI is a robust and valid indicator of suicidality (Glassmire et al, 2016;Gottfried et al, 2014;Khazem et al, 2020;Miller et al, 2017), and its validity and clinical utility have been demonstrated in diverse samples (e.g., outpatient, forensic inpatient, and veteran). This state of current evidence indicates that any additional suicide indicator needs to demonstrate incremental contribution above and beyond SUI, and researchers exploring the utility of additional suicide indicators from among MMPI-2-RF scales must account for SUI in their models.…”

Section: Discussionmentioning

confidence: 57%

“…Research has also evaluated how MMPI-2-RF internalizing and externalizing scales can differentiate suicide risk and predict future suicidal behavior (e.g., Miller et al, 2017). For example, individuals with elevated EID (Emotional/Internalizing Dysfunction) and BXD (Behavioral/Externalizing Dysfunction) scores were at two to four times greater risk of engaging in future suicidal behavior compared to those without such elevations (Tarescavage et al, 2018).…”

mentioning

confidence: 99%

Predicting suicide attempt history in a psychiatric inpatient sample: A replication and extension.

Rufino¹,

Daruwala²,

Anestis³

2021

Psychological Assessment

View full text Add to dashboard Cite

Press) profile configurations to predict which individuals engage in suicidal behavior using an outpatient psychiatric sample. Their results revealed that an interaction of overarousal [Hypomanic Activation (RC9) or Activation (ACT)] and shutdown [Demoralization (RCd)] indicators predicted increased history of suicide attempts. The purpose of the present study was to replicate and extend these results to a psychiatric inpatient sample in order to determine their generalizability to a clinically severe, at-risk population. The present study examined 581 valid MMPI-2-RF protocols of adult psychiatric inpatients who endorsed any level of suicide ideation on the Columbia-Suicide Severity Rating Scale (C-SSRS; Posner et al., The American Journal of Psychiatry, 2011Psychiatry, , 168, 1266 in the 2 weeks prior to admission. Results revealed that in four of the six models tested, shutdown (Low Positive Emotions [RC2], Helplessness/Hopelessness [HLP]) but not overactivation (RC9, ACT) indicators provided an additional prediction of suicide attempt history beyond Suicidal/Death Ideation (SUI) and the covariates. The two models containing RCd did not provide additional predictive value above Suicidal/Death Ideation (SUI) with main effects or interaction terms. Overall, our results do not replicate those of Stanley et al. (Psychological Assessment, 2018, 20, 1249. Furthermore, while SUI was the best predictor of a history of suicide attempts, results indicate the main effects of RC2 and HLP were negative predictors of prior suicide attempts. Limitations of the study and clinical implications of the results are discussed. Public Significance StatementThis study attempted to replicate and extend the results of Stanley et al. (Psychological Assessment, 2018, 20, 1249 to a psychiatric inpatient sample. Although the present study did not replicate those of the outpatients in the Stanley et al. (Psychological Assessment, 2018, 20, 1249 study, results showed that in most models, low scores on shutdown (social isolation and self-alienation) indicators provided an additional prediction of suicide attempts.

show abstract

Eyes of the beholders: Multi‐method relationships between internalizing and externalizing symptom dimensions and aggression risk

Bozzay,

Bresin,

Brown

et al. 2024

Aggressive Behavior

Self Cite

View full text Add to dashboard Cite

Although aggression occurs across a range of disorders, associations between dimensions of psychopathology and self‐ and other‐directed aggression are not well understood. Investigating associations between psychopathology dimensions and aggression helps further understanding about the etiology of aggression, and ultimately, can inform intervention and prevention strategies. This study adopted a multi‐method approach to examine associations between internalizing and externalizing dimensions of psychopathology and self‐ and other‐directed aggression as a function of reporter (participant and informant) and modality of aggression measurement (subjective and objective). Participants were an unselected sample of 151 racially diverse adults recruited from the community. Dimensions of psychopathology were assessed using interview and questionnaire reports from participants and collateral informants, and forms of aggression were measured via subjective reports and an objective, laboratory aggression paradigm. Analyses of participant‐reported psychological symptom data consistently linked externalizing symptoms to other‐directed aggression, and internalizing symptoms to self‐directed aggression. Results across informant and participant reporters replicated prior findings showing a significant interaction between internalizing and externalizing dimensions in predicting intimate partner violence. Most other effects in informant models were nonsignificant. The findings uncover consistency in and replicability of relationships between dimensions of psychopathology and certain manifestations of aggression and highlight the importance of examining multiple forms of aggression in etiological research. Examining aggression through a transdiagnostic lens can help us better understand and intervene upon processes implicated in devasting forms of self‐ and other‐directed aggression.

show abstract

Distinguishing Levels of Suicide Risk in Depressed Male Veterans: The Role of Internalizing and Externalizing Psychopathology as Measured by the MMPI-2-RF

Cited by 7 publications

References 61 publications

Clinical Utility of the Minnesota Multiphasic Personality Inventory–2–Restructured Form (MMPI-2-RF) in a Residential Treatment Program for Homeless Individuals

Clinical Utility of the Minnesota Multiphasic Personality Inventory–2–Restructured Form (MMPI-2-RF) in a Residential Treatment Program for Homeless Individuals

Predicting suicide attempt history in a psychiatric inpatient sample: A replication and extension.

Eyes of the beholders: Multi‐method relationships between internalizing and externalizing symptom dimensions and aggression risk

Contact Info

Product

Resources

About