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Validation of the Ask Suicide-Screening Questions for Adult Medical Inpatients: A Brief Tool for All Ages.
Horowitz, Lisa M; Snyder, Deborah J; Boudreaux, Edwin D; He, Jian-Ping; Harrington, Colin J; Cai, June; Claassen, Cynthia A; Salhany, Joan E; Dao, Tram; Chaves, John F; Jobes, David A; Merikangas, Kathleen R; Bridge, Jeffrey A; Pao, Maryland.
Afiliación
  • Horowitz LM; Office of the Clinical Director, National Institute of Mental Health, Bethesda, MD. Electronic address: horowitzl@mail.nih.gov.
  • Snyder DJ; Office of the Clinical Director, National Institute of Mental Health, Bethesda, MD.
  • Boudreaux ED; Department of Emergency Medicine, University of Massachusetts Medical School, Worcester, MA.
  • He JP; Genetic Epidemiology Research Branch, National Institute of Mental Health, National Institute of Mental Health, Bethesda, MD.
  • Harrington CJ; Department of Psychiatry, Rhode Island Hospital, Providence, RI.
  • Cai J; Department of Psychiatry, Walter Reed National Military Medical Center, Bethesda, MD.
  • Claassen CA; Department of Psychiatry, John Peter Smith Health Network, Fort Worth, TX.
  • Salhany JE; Department of Psychiatry, Rhode Island Hospital, Providence, RI.
  • Dao T; Department of Psychiatry, Walter Reed National Military Medical Center, Bethesda, MD.
  • Chaves JF; Department of Psychiatry, Walter Reed National Military Medical Center, Bethesda, MD.
  • Jobes DA; Department of Psychology, Catholic University of America, Washington, DC.
  • Merikangas KR; Genetic Epidemiology Research Branch, National Institute of Mental Health, National Institute of Mental Health, Bethesda, MD.
  • Bridge JA; Center for Innovation in Pediatric Practice, The Abigail Wexner Research Unit at Nationwide Children's Hospital and The Ohio State University, Columbus, OH.
  • Pao M; Office of the Clinical Director, National Institute of Mental Health, Bethesda, MD.
Psychosomatics ; 61(6): 713-722, 2020.
Article en En | MEDLINE | ID: mdl-32487323
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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Prevención del Suicidio / Pacientes Internos Tipo de estudio: Diagnostic_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies / Screening_studies Límite: Adult / Child / Humans Idioma: En Revista: Psychosomatics Año: 2020 Tipo del documento: Article Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Prevención del Suicidio / Pacientes Internos Tipo de estudio: Diagnostic_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies / Screening_studies Límite: Adult / Child / Humans Idioma: En Revista: Psychosomatics Año: 2020 Tipo del documento: Article Pais de publicación: Reino Unido