Predictive Validity of the Columbia‐Suicide Severity Rating Scale among a Cohort of At‐risk Veterans

Matarazzo, Bridget B.; Brown, Gregory K.; Stanley, Bárbara; Forster, Jeri E.; Billera, Melodi; Currier, Glenn W.; Ghahramanlou‐Holloway, Marjan; Brenner, Lisa A.

doi:10.1111/sltb.12515

Cited by 27 publications

(18 citation statements)

References 16 publications

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“…The C‐SSRS was designed to measure the severity of suicidal ideation and suicide behaviors. Findings supporting its validity and utility have been reported in a number of studies (Madan et al., ; Mundt et al., ; Na et al., ; Posner et al., ; Viguera et al., ; Youngstrom et al., ), including a recent study in VHA patients (Matarazzo et al., ).…”

mentioning

confidence: 65%

Use of the Columbia‐Suicide Severity Rating Scale (C‐SSRS) in a large sample of Veterans receiving mental health services in the Veterans Health Administration

Katz¹,

Barry

Cooper³

et al. 2019

Suicide & Life Threat Behav

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Objective To evaluate the associations of self‐reports of suicidal ideation and behavior using the Columbia‐Suicide Severity Rating Scale (C‐SSRS) in a survey of patients receiving mental health services in the Veterans Health Administration (VHA) with reports of attempts documented in medical records and administrative data. Method The C‐SSRS was administered to 15,373 Veterans in the Veterans Outcome Assessment (VOA) survey. Concurrent validity was evaluated by comparing self‐reports from the past 3 months with VHA records. Predictive validity was evaluated by logistic regression models using attempts over the subsequent 3 months as the outcome. Results Tests of concurrent validity found strong associations between self‐reports and attempts documented in VHA records, but there were substantial numbers of discordant responses. In tests of predictive validity, area under the ROC curve for predicting future attempts was >0.8. There were differences in the distribution of responses and of psychometric properties across VHA mental health programs. Conclusions Findings support the value of screening and the validity of the self‐reports based on the C‐SSRS, but limitations in concordance with medical records and variability across programs suggest the need for clinical judgment in interpreting responses.

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mentioning

confidence: 65%

Use of the Columbia‐Suicide Severity Rating Scale (C‐SSRS) in a large sample of Veterans receiving mental health services in the Veterans Health Administration

Katz¹,

Barry

Cooper³

et al. 2019

Suicide & Life Threat Behav

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“…For the purposes of the current study, the following measures from the C-SSRS were included in analyses: (a) presence or absence of any prior suicide attempt (including interrupted, aborted, and actual suicide attempts), (b) total frequency of prior suicide attempts; (c) presence or absence of any prior suicidal ideation, and (d) most severe prior suicidal ideation, rated on a scale of 1 ( passive wish to be dead ) to 5 ( active suicidal ideation with intent and plan ). Prior research suggests the C-SSRS demonstrates good concurrent and predictive validity in veteran samples (Katz, Barry, Cooper, Kasprow, & Hoff, 2020; Matarazzo et al, 2019).…”

Section: Methodsmentioning

confidence: 99%

Arrest history and psychopathology among veterans at risk for suicide.

Edwards

Gromatsky

Sissoko

et al. 2022

Psychological Services

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While preliminary evidence suggests an association between legal involvement and suicide risk among veterans, no research to date has explored the prevalence and/or correlates of legal involvement among veterans at high risk for suicide. The current study examined the relation of suicide attempt, suicidal ideation, and psychopathology to history of criminal arrest in a sample of 286 veterans at risk for suicide. Results indicated approximately half (47%) of at-risk veterans had a history of arrest. Inconsistent with hypotheses, arrest history was not associated with history of suicide attempt, current suicidal ideation, or severity of psychopathological symptoms. Arrest history was, however, associated with diagnoses of substance use disorder and antisocial personality disorder in this high-suicide risk sample. Further, likelihood of an antisocial personality disorder diagnosis was associated with higher frequency of past arrests. Taken together, results indicate that many veterans at risk for suicide have a history of arrest, and at-risk veterans with such history likely have a specific pattern of psychopathology, including antisocial personality traits and substance use. As such, legal status and history of justice involvement may be important considerations when assessing suicide risk and management of this high-risk population.

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“…The clinician-administered C-SSRS was examined in a sample of military veterans. Key findings suggested the ideation severity subscale was associated with lifetime STBs and preparatory behavior at baseline and 6-month follow-up (Mattarazzo et al, 2018). Moreover, the ideation severity subscale predicted an actual suicide attempt for veterans completing 6-month follow-up.…”

Section: Suicide Screening Measures: the Columbia-suicide Severity Ra...mentioning

confidence: 99%

Psychometric assessment of two suicide screeners when used under routine conditions in military outpatient treatment programs.

Franks¹,

Cramer²,

Cunningham³

et al. 2021

Psychological Services

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Suicide remains a pressing problem among active-duty military personnel. Recent Department of Veterans Affairs and Department of Defense suicide prevention practice guidelines highlight the need for further screening research. The present study assessed the psychometric properties of 2 common self-report suicide screening tools: the Suicidal Behaviors Questionnaire-Revised (SBQ-R) and the Columbia Suicide Severity Rating Scale (C-SSRS) ideation subscale. Data (n ϭ 200 active-duty personnel) were drawn from medical records and self-report questionnaires from 2 outpatient treatment settings in a military hospital. Primary findings include: (a) confirmatory factor analytic support for the SBQ-R but not the self-report version of the C-SSRS ideation severity subscale; and (b) acceptable reliability for both the SBQ-R and C-SSRS ideation severity subscale. Recommendations are offered for military suicide screening practice and research. Impact StatementFindings support the use of the Suicidal Behaviors Questionnaire-Revised as a suicide screener for outpatient active-duty military personnel. However, lack of support for the computer-administered self-report version of the Columbia Suicide Severity Rating Scale Ideation Severity subscale was found. Careful application of these suicide screeners may be integrated into comprehensive suicide risk-assessment practices within military outpatient behavioral health settings.

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Predictive Validity of the Columbia‐Suicide Severity Rating Scale among a Cohort of At‐risk Veterans

Cited by 27 publications

References 16 publications

Use of the Columbia‐Suicide Severity Rating Scale (C‐SSRS) in a large sample of Veterans receiving mental health services in the Veterans Health Administration

Use of the Columbia‐Suicide Severity Rating Scale (C‐SSRS) in a large sample of Veterans receiving mental health services in the Veterans Health Administration

Arrest history and psychopathology among veterans at risk for suicide.

Psychometric assessment of two suicide screeners when used under routine conditions in military outpatient treatment programs.

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