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Predicting Planned Suicide Attempts With the Columbia-Suicide Severity Rating Scale: A Subanalysis of the 2013 Korea National Suicide Survey on Emergency Department Visitors.
J Nerv Ment Dis. 2019 02; 207(2):59-68.JN

Abstract

Identifying predictors of planned suicide attempts (PSA) is critical because these are associated with grave consequences. Using data of suicide attempters visiting emergency departments, we investigated whether the Columbia-Suicide Severity Rating Scale (C-SSRS) subscales, by retrospectively evaluating ideation before an attempt, could predict the occurrence of PSA versus unplanned suicide attempts using logistic regression analyses. The severity subscale was used as a continuous (model A) and a categorical (model B) variable. In model A, higher scores on each subscale were associated with increased risk of PSA. In model B, the highest score on the severity subscale and a higher intensity subscale score predicted PSA. The severity and intensity subscales had areas under receiver operating curves of 0.712 and 0.688 with optimum cutoff points of 4/5 and 15/16, respectively. In addition, being aged 30 to 49 and 50 to 69 years, being male, interpersonal stress, and depressive and adjustment disorders increased PSA risk. The C-SSRS subscales, along with sociodemographic and clinical risk factors, can predict PSA.

Authors+Show Affiliations

No affiliation info availableNo affiliation info availableDepartment of Psychiatry, UCSF Weill Institute for Neurosciences, University of California, San Francisco, San Francisco, California.No affiliation info availableNo affiliation info availableDepartment of Psychiatry, Pusan National University Yangsan Hospital, Yangsan-si, Gyeongsangnam-do, Republic of Korea.No affiliation info available

Pub Type(s)

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

Language

eng

PubMed ID

30672875

Citation

Park, C Hyung Keun, et al. "Predicting Planned Suicide Attempts With the Columbia-Suicide Severity Rating Scale: a Subanalysis of the 2013 Korea National Suicide Survey On Emergency Department Visitors." The Journal of Nervous and Mental Disease, vol. 207, no. 2, 2019, pp. 59-68.
Park CHK, Kim H, Kim B, et al. Predicting Planned Suicide Attempts With the Columbia-Suicide Severity Rating Scale: A Subanalysis of the 2013 Korea National Suicide Survey on Emergency Department Visitors. J Nerv Ment Dis. 2019;207(2):59-68.
Park, C. H. K., Kim, H., Kim, B., Kim, E. Y., Lee, H. J., Kim, D., & Ahn, Y. M. (2019). Predicting Planned Suicide Attempts With the Columbia-Suicide Severity Rating Scale: A Subanalysis of the 2013 Korea National Suicide Survey on Emergency Department Visitors. The Journal of Nervous and Mental Disease, 207(2), 59-68. https://doi.org/10.1097/NMD.0000000000000921
Park CHK, et al. Predicting Planned Suicide Attempts With the Columbia-Suicide Severity Rating Scale: a Subanalysis of the 2013 Korea National Suicide Survey On Emergency Department Visitors. J Nerv Ment Dis. 2019;207(2):59-68. PubMed PMID: 30672875.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Predicting Planned Suicide Attempts With the Columbia-Suicide Severity Rating Scale: A Subanalysis of the 2013 Korea National Suicide Survey on Emergency Department Visitors. AU - Park,C Hyung Keun, AU - Kim,Hyeyoung, AU - Kim,Bora, AU - Kim,Eun Young, AU - Lee,Hyun Jeong, AU - Kim,Daewook, AU - Ahn,Yong Min, PY - 2019/1/24/pubmed PY - 2019/11/27/medline PY - 2019/1/24/entrez SP - 59 EP - 68 JF - The Journal of nervous and mental disease JO - J Nerv Ment Dis VL - 207 IS - 2 N2 - Identifying predictors of planned suicide attempts (PSA) is critical because these are associated with grave consequences. Using data of suicide attempters visiting emergency departments, we investigated whether the Columbia-Suicide Severity Rating Scale (C-SSRS) subscales, by retrospectively evaluating ideation before an attempt, could predict the occurrence of PSA versus unplanned suicide attempts using logistic regression analyses. The severity subscale was used as a continuous (model A) and a categorical (model B) variable. In model A, higher scores on each subscale were associated with increased risk of PSA. In model B, the highest score on the severity subscale and a higher intensity subscale score predicted PSA. The severity and intensity subscales had areas under receiver operating curves of 0.712 and 0.688 with optimum cutoff points of 4/5 and 15/16, respectively. In addition, being aged 30 to 49 and 50 to 69 years, being male, interpersonal stress, and depressive and adjustment disorders increased PSA risk. The C-SSRS subscales, along with sociodemographic and clinical risk factors, can predict PSA. SN - 1539-736X UR - https://www.unboundmedicine.com/medline/citation/30672875/Predicting_Planned_Suicide_Attempts_With_the_Columbia_Suicide_Severity_Rating_Scale:_A_Subanalysis_of_the_2013_Korea_National_Suicide_Survey_on_Emergency_Department_Visitors_ L2 - https://doi.org/10.1097/NMD.0000000000000921 DB - PRIME DP - Unbound Medicine ER -