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Predictive Validity of the Columbia-Suicide Severity Rating Scale for Short-Term Suicidal Behavior: A Danish Study of Adolescents at a High Risk of Suicide.
Arch Suicide Res. 2017 Jul 03; 21(3):455-469.AS

Abstract

Using the Columbia-Suicide Severity Rating Scale (C-SSRS), we examined the predictive and incremental predictive validity of past-month suicidal behavior and ideation for short-term suicidal behavior among adolescents at high risk of suicide. The study was conducted in 2014 on a sample of 85 adolescents (90.6% females) who participated at follow-up (85.9%) out of the 99 (49.7%) baseline respondents. All adolescents were recruited from a specialized suicide-prevention clinic in Denmark. Through multivariate logistic regression analyses, we examined whether baseline suicidal behavior predicted subsequent suicidal behavior (actual attempts and suicidal behavior of any type, including preparatory acts, aborted, interrupted and actual attempts; mean follow-up of 80.8 days, SD = 52.4). Furthermore, we examined whether suicidal ideation severity and intensity incrementally predicted suicidal behavior at follow-up over and above suicidal behavior at baseline. Actual suicide attempts at baseline strongly predicted suicide attempts at follow-up. Baseline suicidal ideation severity and intensity did not significantly predict future actual attempts over and above baseline attempts. The suicidal ideation intensity items deterrents and duration were significant predictors of subsequent actual attempts after adjustment for baseline suicide attempts and suicidal behavior of any type, respectively. Suicidal ideation severity and intensity, and the intensity items frequency, duration and deterrents, all significantly predicted any type of suicidal behavior at follow-up, also after adjusting for baseline suicidal behavior. The present study points to an incremental predictive validity of the C-SSRS suicidal ideation scales for short-term suicidal behavior of any type among high-risk adolescents.

Authors

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Pub Type(s)

Journal Article

Language

eng

PubMed ID

27602917

Citation

Conway, Paul Maurice, et al. "Predictive Validity of the Columbia-Suicide Severity Rating Scale for Short-Term Suicidal Behavior: a Danish Study of Adolescents at a High Risk of Suicide." Archives of Suicide Research : Official Journal of the International Academy for Suicide Research, vol. 21, no. 3, 2017, pp. 455-469.
Conway PM, Erlangsen A, Teasdale TW, et al. Predictive Validity of the Columbia-Suicide Severity Rating Scale for Short-Term Suicidal Behavior: A Danish Study of Adolescents at a High Risk of Suicide. Arch Suicide Res. 2017;21(3):455-469.
Conway, P. M., Erlangsen, A., Teasdale, T. W., Jakobsen, I. S., & Larsen, K. J. (2017). Predictive Validity of the Columbia-Suicide Severity Rating Scale for Short-Term Suicidal Behavior: A Danish Study of Adolescents at a High Risk of Suicide. Archives of Suicide Research : Official Journal of the International Academy for Suicide Research, 21(3), 455-469. https://doi.org/10.1080/13811118.2016.1222318
Conway PM, et al. Predictive Validity of the Columbia-Suicide Severity Rating Scale for Short-Term Suicidal Behavior: a Danish Study of Adolescents at a High Risk of Suicide. Arch Suicide Res. 2017 Jul 3;21(3):455-469. PubMed PMID: 27602917.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Predictive Validity of the Columbia-Suicide Severity Rating Scale for Short-Term Suicidal Behavior: A Danish Study of Adolescents at a High Risk of Suicide. AU - Conway,Paul Maurice, AU - Erlangsen,Annette, AU - Teasdale,Thomas William, AU - Jakobsen,Ida Skytte, AU - Larsen,Kim Juul, Y1 - 2016/08/16/ PY - 2016/9/8/pubmed PY - 2018/5/9/medline PY - 2016/9/8/entrez KW - C-SSRS KW - adolescents KW - suicidal behavior KW - suicidal ideation intensity KW - suicidal ideation severity SP - 455 EP - 469 JF - Archives of suicide research : official journal of the International Academy for Suicide Research JO - Arch Suicide Res VL - 21 IS - 3 N2 - Using the Columbia-Suicide Severity Rating Scale (C-SSRS), we examined the predictive and incremental predictive validity of past-month suicidal behavior and ideation for short-term suicidal behavior among adolescents at high risk of suicide. The study was conducted in 2014 on a sample of 85 adolescents (90.6% females) who participated at follow-up (85.9%) out of the 99 (49.7%) baseline respondents. All adolescents were recruited from a specialized suicide-prevention clinic in Denmark. Through multivariate logistic regression analyses, we examined whether baseline suicidal behavior predicted subsequent suicidal behavior (actual attempts and suicidal behavior of any type, including preparatory acts, aborted, interrupted and actual attempts; mean follow-up of 80.8 days, SD = 52.4). Furthermore, we examined whether suicidal ideation severity and intensity incrementally predicted suicidal behavior at follow-up over and above suicidal behavior at baseline. Actual suicide attempts at baseline strongly predicted suicide attempts at follow-up. Baseline suicidal ideation severity and intensity did not significantly predict future actual attempts over and above baseline attempts. The suicidal ideation intensity items deterrents and duration were significant predictors of subsequent actual attempts after adjustment for baseline suicide attempts and suicidal behavior of any type, respectively. Suicidal ideation severity and intensity, and the intensity items frequency, duration and deterrents, all significantly predicted any type of suicidal behavior at follow-up, also after adjusting for baseline suicidal behavior. The present study points to an incremental predictive validity of the C-SSRS suicidal ideation scales for short-term suicidal behavior of any type among high-risk adolescents. SN - 1543-6136 UR - https://www.unboundmedicine.com/medline/citation/27602917/Predictive_Validity_of_the_Columbia_Suicide_Severity_Rating_Scale_for_Short_Term_Suicidal_Behavior:_A_Danish_Study_of_Adolescents_at_a_High_Risk_of_Suicide_ L2 - https://www.tandfonline.com/doi/full/10.1080/13811118.2016.1222318 DB - PRIME DP - Unbound Medicine ER -