Double RASS cutpoint accurately diagnosed suicidal risk in females with long-term conditions attending the emergency department compared to their male counterparts

Ntountoulaki, Elisavet; Guthrie, Elspeth; Kotsis, Konstantinos; Paika, Vassiliki; Tatsioni, Athina; Tomenson, Barbara; Fountoulakis, Konstantinos Ν.; Carvalho, André F.; Hyphantis, Thomas

doi:10.1016/j.comppsych.2016.06.010

Cited by 8 publications

(3 citation statements)

References 55 publications

(69 reference statements)

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“…It focuses mainly on current diagnosis and contains 120 questions for screening 17 axis I DSM-IV disorders. MINI has been previously used in studies with Greek medical patients [ 36 – 38 ].…”

Section: Methodsmentioning

confidence: 99%

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The Greek-Orthodox version of the Brief Religious Coping (B-RCOPE) instrument: psychometric properties in three samples and associations with mental disorders, suicidality, illness perceptions, and quality of life

et al. 2017

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BackgroundThe B-RCOPE is a brief measure assessing religious coping. We aimed to assess the psychometric properties of its Greek version in people with and without long-term conditions (LTCs). Associations between religious coping and mental illness, suicidality, illness perceptions, and quality of life were also investigated.MethodsThe B-RCOPE was administered to 351 patients with diabetes, chronic pulmonary obstructive disease (COPD), and rheumatic diseases attending either the emergency department (N = 74) or specialty clinics (N = 302) and 127 people without LTCs. Diagnosis of mental disorders was established by the MINI. Associations with depressive symptom severity (PHQ-9), suicidal risk (RASS), illness perceptions (B-IPQ), and health-related quality of life (WHOQOL-BREF) were also investigated.ResultsThe Greek version of B-RCOPE showed a coherent two-dimensional factor structure with remarkable stability across the three samples corresponding to the positive (PRC) and negative (NRC) religious coping dimensions. Cronbach’s alphas were 0.91–0.96 and 0.77–0.92 for the PRC and NRC dimensions, respectively. Furthermore, NRC was associated with poorer mental health, greater depressive symptom severity and suicidality, and impaired HRQoL. In patients with LTCs, PRC correlated with lower perceived illness timeline, while NRC was associated with greater perceived illness consequences, lower perceived treatment control, greater illness concern, and lower illness comprehensibility.ConclusionsThese findings indicate that the Greek-Orthodox B-RCOPE version may reliably assess religious coping. In addition, negative religious coping (i.e., religious struggle) is associated with adverse illness perceptions, and thus may detrimentally impact adaptation to medical illness. These findings deserve replication in prospective studies.

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Section: Methodsmentioning

confidence: 99%

“…Items are rated on a 0–3 Likert-type scale ( not at all to very much ) and the scores were transformed in accordance to suggestions of the standardization study for use within the Greek population [ 40 ]. In patients with LTCs attending the ED, Cronbach’s alpha for the RASS was 0.80 [ 38 ]. Higher scores indicate greater suicidal risk.…”

Section: Methodsmentioning

confidence: 99%

The Greek-Orthodox version of the Brief Religious Coping (B-RCOPE) instrument: psychometric properties in three samples and associations with mental disorders, suicidality, illness perceptions, and quality of life

et al. 2017

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“…Items are rated on a 0-3 Likert-type scale (not at all to very much) and the scores were transformed according to the suggestions of the standardization study for use within the Greek population [46]. In patients with LTCs attending the ED Cronbach's alpha for the RASS was 0.80 and alpha derived from the present sample was 0.77 [47]. Higher scores indicate greater suicidal risk.…”

Section: Measures and Study Instrumentsmentioning

confidence: 99%

The Greek Version of the Resilience Scale (RS-14): Psychometric Properties in three Samples and Associations with Mental Illness, Suicidality, and Quality of Life

Ntountoulaki¹,

Paika²,

Kotsis³

et al. 2017

JPCPY

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Background: Resilience is defined as the capacity to successfully maintain or regain mental health and well-being in the face of significant adversity or risk. The Wagnild and Young Resilience Scale-14 (RS-14) is a brief measure assessing resilience. We aimed to assess the psychometric properties of its Greek version in three samples, people with long-term conditions (LTCs) attending the emergency department, people with LTCs attending specialty clinics and people without LTCs. Associations between resilience and mental illness, suicidality, and quality of life were also investigated. Methods:The RS-14 was administered to 495 participants; 366 patients with diabetes, chronic pulmonary obstructive disease (COPD) and rheumatic diseases attending either the emergency department (N=74) or specialty clinics (N=292) and 129 individuals without LTCs. Diagnosis of mental disorders was established by the Mini International Neuropsychiatric Interview (MINI). Associations with depressive symptom severity (PHQ-9), suicidal risk (RASS), and health-related quality of life (WHOQOL-BREF) were also investigated. Results:The Greek version of RS-14 showed a coherent one-dimensional factor structure with remarkable stability across the three samples. Cronbach's alphas were 0.88-0.91 across the three samples, being 0.89 for the entire sample. Furthermore, greater RS-14 scores were associated with better mental health, lower depressive symptom severity and suicidal risk and better health-related quality of life and satisfaction with general health. Conclusion:The results of the present study showed that the Greek version of RS-14 may reliably assess resilience. In addition, lower levels of resilience are associated with established mental disorders and increased suicidal risk, and thus may detrimentally impact mental health. These findings deserve replication in prospective studies.

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ED recommendations for suicide prevention in adults: The ICAR2E mnemonic and a systematic review of the literature

Wilson

Moutier

Wolf

et al. 2020

The American Journal of Emergency Medicine

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Double RASS cutpoint accurately diagnosed suicidal risk in females with long-term conditions attending the emergency department compared to their male counterparts

Cited by 8 publications

References 55 publications

The Greek-Orthodox version of the Brief Religious Coping (B-RCOPE) instrument: psychometric properties in three samples and associations with mental disorders, suicidality, illness perceptions, and quality of life

The Greek-Orthodox version of the Brief Religious Coping (B-RCOPE) instrument: psychometric properties in three samples and associations with mental disorders, suicidality, illness perceptions, and quality of life

The Greek Version of the Resilience Scale (RS-14): Psychometric Properties in three Samples and Associations with Mental Illness, Suicidality, and Quality of Life

ED recommendations for suicide prevention in adults: The ICAR2E mnemonic and a systematic review of the literature

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