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Karolinska Interpersonal Violence Scale predicts suicide in suicide attempters.
J Clin Psychiatry. 2010 Aug; 71(8):1025-32.JC

Abstract

BACKGROUND

Both childhood trauma and violent behavior are important risk factors for suicidal behavior. The aim of the present study was to construct and validate a clinical rating scale that could measure both the exposure to and the expression of violence in childhood and during adult life and to study the ability of the Karolinska Interpersonal Violence Scale (KIVS) to predict ultimate suicide in suicide attempters.

METHOD

A total of 161 suicide attempters and 95 healthy volunteers were assessed with the KIVS measuring exposure to violence and expressed violent behavior in childhood (between 6-14 years of age) and during adult life (15 years or older). The Buss-Durkee Hostility Inventory (BDHI), "Urge to act out hostility" subscale from the Hostility and Direction of Hostility Questionnaire (HDHQ), and the Early Experience Questionnaire (EEQ) were used for validation. All patients were followed up for cause of death and a minimum of 4 years from entering in the study.

RESULTS

Five patients who committed suicide within 4 years had significantly higher scores in exposure to violence as a child, in expressed violent behavior as an adult, and in KIVS total score compared to survivors. Suicide attempters scored significantly higher compared to healthy volunteers in 3 of the 4 KIVS subscales. There were significant correlations between the subscales measuring exposure to and expression of violent behavior during the life cycle. BDHI, Urge to act out hostility, and EEQ validated the KIVS.

CONCLUSIONS

Exposure to violence in childhood and violent behavior in adulthood are risk factors for completed suicide in suicide attempters. Behavioral dysregulation of aggression is important to assess in clinical work. The KIVS is a valuable new tool for case detection and long-term clinical suicide prevention.

Authors+Show Affiliations

Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden. jussi.jokinen@ki.seNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

20797380

Citation

Jokinen, Jussi, et al. "Karolinska Interpersonal Violence Scale Predicts Suicide in Suicide Attempters." The Journal of Clinical Psychiatry, vol. 71, no. 8, 2010, pp. 1025-32.
Jokinen J, Forslund K, Ahnemark E, et al. Karolinska Interpersonal Violence Scale predicts suicide in suicide attempters. J Clin Psychiatry. 2010;71(8):1025-32.
Jokinen, J., Forslund, K., Ahnemark, E., Gustavsson, J. P., Nordström, P., & Asberg, M. (2010). Karolinska Interpersonal Violence Scale predicts suicide in suicide attempters. The Journal of Clinical Psychiatry, 71(8), 1025-32. https://doi.org/10.4088/JCP.09m05944blu
Jokinen J, et al. Karolinska Interpersonal Violence Scale Predicts Suicide in Suicide Attempters. J Clin Psychiatry. 2010;71(8):1025-32. PubMed PMID: 20797380.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Karolinska Interpersonal Violence Scale predicts suicide in suicide attempters. AU - Jokinen,Jussi, AU - Forslund,Kaj, AU - Ahnemark,Ewa, AU - Gustavsson,J Petter, AU - Nordström,Peter, AU - Asberg,Marie, PY - 2009/12/28/received PY - 2010/03/16/accepted PY - 2010/8/28/entrez PY - 2010/8/28/pubmed PY - 2010/9/10/medline SP - 1025 EP - 32 JF - The Journal of clinical psychiatry JO - J Clin Psychiatry VL - 71 IS - 8 N2 - BACKGROUND: Both childhood trauma and violent behavior are important risk factors for suicidal behavior. The aim of the present study was to construct and validate a clinical rating scale that could measure both the exposure to and the expression of violence in childhood and during adult life and to study the ability of the Karolinska Interpersonal Violence Scale (KIVS) to predict ultimate suicide in suicide attempters. METHOD: A total of 161 suicide attempters and 95 healthy volunteers were assessed with the KIVS measuring exposure to violence and expressed violent behavior in childhood (between 6-14 years of age) and during adult life (15 years or older). The Buss-Durkee Hostility Inventory (BDHI), "Urge to act out hostility" subscale from the Hostility and Direction of Hostility Questionnaire (HDHQ), and the Early Experience Questionnaire (EEQ) were used for validation. All patients were followed up for cause of death and a minimum of 4 years from entering in the study. RESULTS: Five patients who committed suicide within 4 years had significantly higher scores in exposure to violence as a child, in expressed violent behavior as an adult, and in KIVS total score compared to survivors. Suicide attempters scored significantly higher compared to healthy volunteers in 3 of the 4 KIVS subscales. There were significant correlations between the subscales measuring exposure to and expression of violent behavior during the life cycle. BDHI, Urge to act out hostility, and EEQ validated the KIVS. CONCLUSIONS: Exposure to violence in childhood and violent behavior in adulthood are risk factors for completed suicide in suicide attempters. Behavioral dysregulation of aggression is important to assess in clinical work. The KIVS is a valuable new tool for case detection and long-term clinical suicide prevention. SN - 1555-2101 UR - https://www.unboundmedicine.com/medline/citation/20797380/Karolinska_Interpersonal_Violence_Scale_predicts_suicide_in_suicide_attempters_ L2 - http://www.psychiatrist.com/jcp/article/pages/2010/v71n08/v71n0809.aspx DB - PRIME DP - Unbound Medicine ER -