Implicit measure of suicidal ideation in patients with depression

Xu, Wei; Wei, Lei; Liu, Kezhi; Liang, Xuemei; Wang, Yan; Huang, Chaohua; Zhang, Tao; Chen, Jing

doi:10.1080/07481187.2020.1850549

Cited by 7 publications

(11 citation statements)

References 39 publications

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“…Table 1 summarizes the characteristics of the reviewed studies [3,7,12,16,20,[25][26][27][28][29][30][31][36][37][38][39][40][41][42][43][44][45][46][47][48][49][50][51][52][53][54]. The sample size of the reviewed studies ranged between 32 [51] and 7015 [43].…”

Section: Characteristics Of the Reviewed Studiesmentioning

confidence: 99%

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Implicit Cognition Tests for the Assessment of Suicide Risk: a Systematic Review

Moreno

Guitérrez-Rojas

Porras-Segovia

2022

Curr Psychiatry Rep

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Purpose of Review Suicide risk assessment is a challenge in clinical practice. Implicit measures may present with advantages with respect to explicit methods, and therefore may be useful for the assessment of suicide risk. We conducted a systematic review of 2 databases (PubMed and EMBASE) about implicit tests that measure suicide risk to explore their validity and reliability.Recent Findings Initial research revealed 321 articles. After the selection process, 31 articles were included in the review. The most death-related implicit cognition test used was the Death/Suicide Implicit association test (D/S IAT), followed by the Suicide Stroop Task. The Suicide Affect Misattribution Procedure (S-AMP) and the Death version of the Implicit Relational Assessment Procedure (D-IRAP) were also used. Summary We found that the measures reviewed were generally valid for the assessment of past and future suicidal thoughts and behaviors, with statistically significant results regarding retrospective and prospective associations.

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Section: Characteristics Of the Reviewed Studiesmentioning

confidence: 99%

“…Four studies have reported the concurrent validity of the D/S IAT [6,50,51,54]. Three studies employed the Beck Scale for Suicide ideation (BSS) as gold standard and found a positive correlation between the D/S IAT and the scale [6,51,54].…”

Section: Concurrent Validity Of the D/s Iatmentioning

confidence: 99%

Implicit Cognition Tests for the Assessment of Suicide Risk: a Systematic Review

Moreno

Guitérrez-Rojas

Porras-Segovia

2022

Curr Psychiatry Rep

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“…Included studies defined a suicide attempt using the Self-Injurious Thoughts and Behaviours Interview (SITBI or SITBI-German; Barnes et al ., 2017; Bender et al ., 2019; Dickstein et al ., 2015; Fischer et al ., 2014; Glenn et al ., 2017a, 2017b; Harrison et al ., 2014, 2018; Millner et al ., 2018, 2019; Nock et al ., 2010; Nock, Holmberg, Photos, & Michel, 2007; O'Shea, Glenn, Millner, Teachman, & Nock, 2020; Rath et al ., 2021), the Columbia Suicide Severity Rating Scale (CSSRS; Ellis, Rufino, & Green, 2016; Posner et al ., 2011), or a combination of the Beck Scale for Suicidal Ideation (BSI; Beck, Brown, and Steer, 1997) and the suicidal thoughts and behaviours questionnaire-revised (SBQ-R or SBQ-R German; Glaesmer et al ., 2018; Osman et al ., 2001; Podlogar et al ., 2020; Rath et al ., 2021). Other studies defined suicide attempt based on self-report corroborated through medical records (Wang et al, 2020) or endorsement of an actual attempt on the Kiddie-Scale for Affective Disorders and Schizophrenia-Present and Lifetime (Ho et al, 2021; Kaufman et al, 1997).…”

Section: Resultsmentioning

confidence: 99%

“…We computed ORs for previous suicidal behaviour according to the cutoff of zero, representing equipoise between life and death, for the 15 studies ( n = 9000) for which this data was either published or obtained through contact with the authors (Table 1). Dichotomized data were unavailable for three studies (Dickstein et al, 2015; Nock et al, 2010; or Wang et al, 2020). Dichotomously defined D-IAT scores weakly discriminated individuals with ( n = 3022, 33.58%) and without ( n = 5978, 66.42%) a history of suicide attempts (OR 1.38, 95% CI 1.01 to 1.89, p = 0.04; Fig.…”

Section: Resultsmentioning

confidence: 99%

“…Several studies have used the D-IAT to determine its ability to detect past and future suicidal behaviour; however, the literature is mixed. Specifically, while the majority of individuals have stronger implicit associations with life (Harrison et al, 2020), differences have been found in the strength of this association between suicide attempters and non-attempters, with non-attempters showing stronger associations with life (Glenn et al, 2017b; Harrison, Stritzke, Fay, Ellison, & Hudaib, 2014; Millner, Coppersmith, Teachman, & Nock, 2018; Podlogar, Gutierrez, & Joiner, 2020; Wang et al, 2020). However, others have failed to find a difference between D-IAT scores in suicide attempters and non-attempters (Barnes et al, 2017; Dickstein et al, 2015; Millner et al, 2019; Rath et al, 2021; Tello, Harika-Germaneau, Serra, Jaafari, & Chatard, 2020).…”

Section: Introductionmentioning

confidence: 99%

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The death-implicit association test and suicide attempts: a systematic review and meta-analysis of discriminative and prospective utility

et al. 2021

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Suicide risk assessment involves integrating patient disclosure of suicidal ideation and non-specific risk factors such as family history, past suicidal behaviour, and psychiatric symptoms. A death version of the implicit association test (D-IAT) has been developed to provide an objective measure of the degree to which the self is affiliated with life or death. However, this has inconsistently been associated with past and future suicidal behaviour. Here, we systematically review and quantitatively synthesize the literature examining the D-IAT and suicide attempts. We searched psychINFO, Medline, EMBASE, and the Cochrane Central Register of Controlled Trials (CENTRAL) from inception until 9 February 2021 to identify publications reporting D-IAT scores and suicide attempts (PROSPERO; CRD42020194394). Using random-effects models, we calculated standardized mean differences (SMD) and odds ratios (ORs) for retrospective suicide attempts. We then calculated ORs for future suicide attempts. ORs were dichotomized using a cutoff of zero representing equipoise between self-association with life and death. Eighteen studies met our inclusion criteria (n = 9551). The pooled SMD revealed higher D-IAT scores in individuals with a history of suicide attempt (SMD = 0.25, 95% CI 0.15 to 0.35); however, subgroup analyses demonstrated heterogeneity with acute care settings having lower effect sizes than community settings. Dichotomized D-IAT scores discriminated those with a history of suicide attempt from those without (OR 1.38 95% CI 1.01 to 1.89) and predicted suicide attempt over a six-month follow-up period (OR 2.99 95% CI 1.45 to 6.18; six studies, n = 781). The D-IAT may have a supplementary role in suicide risk assessment; however, determination of acute suicide risk and related clinical decisions should not be based solely on D-IAT performance.

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Utility of the Death-Implicit Association Test in a Sample of Suicidal Inpatients

Lord,

Rice,

Levy

et al. 2024

Cogn Ther Res

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Implicit measure of suicidal ideation in patients with depression

Cited by 7 publications

References 39 publications

Implicit Cognition Tests for the Assessment of Suicide Risk: a Systematic Review

Implicit Cognition Tests for the Assessment of Suicide Risk: a Systematic Review

The death-implicit association test and suicide attempts: a systematic review and meta-analysis of discriminative and prospective utility

Utility of the Death-Implicit Association Test in a Sample of Suicidal Inpatients

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