Validation of the Ask Suicide-Screening Questions for Adult Medical Inpatients : A Brief Tool for All Ages

Published by Elsevier Inc..

BACKGROUND: Few brief suicide risk screening instruments are validated for use in both adult and pediatric medical populations. Using the pediatric Ask Suicide-Screening Questions (ASQ) development study as a model, this study aimed to determine whether the ASQ is a valid suicide risk-screening instrument for use among adults medical patients, as well as to evaluate a set of other potential screening questions for use in adults.

METHODS: Adult patients hospitalized on inpatient medical/surgical units from 4 hospitals were recruited to participate in a cross-sectional instrument-validation study. The 4-item ASQ and other candidate items were compared against the 25-item, previously validated Adult Suicidal Ideation Questionnaire as the criterion standard.

RESULTS: A total of 727 adult medical inpatients completed the screening process. Compared with the Adult Suicidal Ideation Questionnaire, the ASQ performed best among the full set of candidate items, demonstrating strong psychometric properties, with a sensitivity of 100% (95% confidence interval = 90%-100%), a specificity of 89% (95% confidence interval = 86%-91%), and a negative predictive value of 100% (95% confidence interval = 99%-100%). A total of 4.8% (35/727) of the participants screened positive for suicide risk based on the standard criterion Adult Suicidal Ideation Questionnaire.

CONCLUSIONS: The ASQ is a valid and brief suicide risk-screening tool for use among adults. Screening medical/surgical inpatients for suicide risk can be performed effectively for both adult and pediatric patients using this brief, primary screener.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:61

Enthalten in:

Psychosomatics - 61(2020), 6 vom: 12. Nov., Seite 713-722

Sprache:

Englisch

Beteiligte Personen:

Horowitz, Lisa M [VerfasserIn]
Snyder, Deborah J [VerfasserIn]
Boudreaux, Edwin D [VerfasserIn]
He, Jian-Ping [VerfasserIn]
Harrington, Colin J [VerfasserIn]
Cai, June [VerfasserIn]
Claassen, Cynthia A [VerfasserIn]
Salhany, Joan E [VerfasserIn]
Dao, Tram [VerfasserIn]
Chaves, John F [VerfasserIn]
Jobes, David A [VerfasserIn]
Merikangas, Kathleen R [VerfasserIn]
Bridge, Jeffrey A [VerfasserIn]
Pao, Maryland [VerfasserIn]

Links:

Volltext

Themen:

Adult medical inpatients
Instrument validation study
Journal Article
Medical settings
Research Support, N.I.H., Intramural
Suicide risk screening

Anmerkungen:

Date Completed 25.11.2021

Date Revised 24.12.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.psym.2020.04.008

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM310675774