Hostname: page-component-586b7cd67f-g8jcs Total loading time: 0 Render date: 2024-11-23T00:57:41.307Z Has data issue: false hasContentIssue false

Evaluation of a modified interview version and of a self-rating version of the Suicide Assessment Scale

Published online by Cambridge University Press:  16 April 2020

A. Niméus*
Affiliation:
Department of Psychiatry, Clinical Sciences, Lund University Hospital, S-22185Lund, Sweden
F. Hjalmarsson Ståhlfors
Affiliation:
Department of Psychiatry, Clinical Sciences, Lund University Hospital, S-22185Lund, Sweden
C. Sunnqvist
Affiliation:
Department of Psychiatry, Clinical Sciences, Lund University Hospital, S-22185Lund, Sweden
B. Stanley
Affiliation:
Department of Psychiatry, Clinical Sciences, Lund University Hospital, S-22185Lund, Sweden
L. Träskman-Bendz
Affiliation:
Department of Psychiatry, Clinical Sciences, Lund University Hospital, S-22185Lund, Sweden
*
*Corresponding author. Tel.: +46 46 17 3845; fax: +46 46 17 3840. E-mail address: anders.nimeus@med.lu.se (A. Niméus).
Get access

Abstract

The Suicide Assessment Scale (SUAS) was constructed to be sensitive to change of suicidality. It was recently found to be predictive of suicide in a group of suicide attempters. The aim of the present study was to evaluate the reliability and validity of a modified interview version of SUAS with defined scores and also a new self-rating version (SUAS-S). The subjects consisted of former inpatients, 42 persons who had been admitted because of a suicide attempt about 12 years ago and 22 control patients. The subjects were rated according to the SUAS, the SUAS-S, as well as the Montgomery Asberg Depression Rating Scale (MADRS). The interrater reliability was found to be high. The SUAS correlated significantly with the MADRS, but the concordance was not consistent, which indicates that the SUAS measures something different from depression. The SUAS-S correlated significantly with the interview-rated SUAS, thus exhibiting good concurrent validity. In summary, both the modified interview version of SUAS and the SUAS-S seem to be valid, reliable and easily used suicide assessment instruments.

Type
Original article
Copyright
Copyright © Elsevier SAS 2006

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Hawton, K.General hospital management of suicide attempters. Hawton, K., van Heeringen, K., Handbook of suicide and attempted suicide New York: John Wiley & Sons, Ltd; 2000. 519537.CrossRefGoogle Scholar
Pokorny, A.D.Prediction of suicide in psychiatric patients Arch. Gen. Psychiatry 1983; 40:249257.CrossRefGoogle ScholarPubMed
Hawton, K.Assessment of suicide risk Br. J. Psychiatry 1987; 150:145153.CrossRefGoogle ScholarPubMed
Beck, A.T., Brown, G.K., Steer, R.A., Dahlsgaard, K.K., Grisham, J.R.Suicide ideation at its worst point: a predictor of eventual suicide in psychiatric outpatients Suicide Life Threat. Behav. 1999; 29:19.Google ScholarPubMed
Hawton, K., Zahl, D., Weatherall, R.Suicide following deliberate self-harm: long-term follow-up of patients who presented to a general hospital Br. J. Psychiatry 2003; 182:537542.CrossRefGoogle ScholarPubMed
Gaynes, B.N., West, S.L., Ford, C.A., Frame, P., Klein, J., Lohr, K.N.Screening for suicide risk in adults: a summary of the evidence for the U.S. Preventive services task force Ann. Intern. Med. 140(10)2004 822835.CrossRefGoogle ScholarPubMed
Beck, A.T., Weissman, A., Lester, D., Trexler, L.The measurement of pessimism. The hopelessness scale J. Consult. Clin. Psychol. 1974; 42:861865.CrossRefGoogle ScholarPubMed
Niméus, A., Alsén, M., Träskman-Bendz, L.High suicidal intent scores indicate future suicide Arch. Suicide Res. 2002; 6:211219.CrossRefGoogle Scholar
Beck, A.T., Steer, R.A.Clinical predictors of eventual suicide: a 5- to 10-year prospective study of suicide attempters J. Affect. Dis. 1989; 17:203209.CrossRefGoogle ScholarPubMed
Suominen, K., Isometsa, E., Ostamo, A., Lonnqvist, J.Level of suicidal intent predicts overall mortality and suicide after attempted suicide: a 12-year follow-up study BMC Psychiatry 4(1)2004 11.CrossRefGoogle ScholarPubMed
Harriss, L., Hawton, K., Zahl, D.Value of measuring suicidal intent in the assessment of people attending hospital following self-poisoning or self-injury Br. J. Psychiatry 2005; 186:6066.CrossRefGoogle ScholarPubMed
Hjelmeland, H., Stiles, T.C., Bille-Brahe, U., Ostamo, A., Salander-Renberg, E., Wasserman, D.Parasuicide: the value of suicidal intent and various motives as predictors of future suicidal behaviour Arch. Suicide Res. 1998; 4:209225.CrossRefGoogle Scholar
Niméus, A.Hopelessness and suicidal behavior J. Affect. Disord. 1997; 42:137144.CrossRefGoogle ScholarPubMed
Montgomery, S.A., Åsberg, M.A new depression scale designed to be sensitive to change Br. J. Psychiatry 1979; 134:382389.CrossRefGoogle ScholarPubMed
Thompson, C.Descriptive dimensions of rating scales. Thompson, C.Instruments of psychiatric research Surrey: John Wiley & Sons, Ltd; 1989. 162165.Google Scholar
Stanley, B., Träskman-Bendz, L., Stanley, M.The suicide assessment scale: a scale evaluating change in suicidal behavior Psychopharm. Bull. 1986; 1:200205.Google Scholar
Niméus, A., Alsén, M., Träskman-Bendz, L.The suicide assessment scale—an instrument assessing suicide risk of suicide attempters Eur. Psychiatry 2000; 15:416423.CrossRefGoogle ScholarPubMed
Westrin, A., Nimeus, A.The dexamethasone suppression test and CSF-5-HIAA in relation to suicidality and depression in suicide attempters Eur. Psychiatry 18(4)2003 166171.CrossRefGoogle ScholarPubMed
Joiner, T.E. Jr., Rudd, M.D., Rajab, M.H.Agreement between self- and clinician-rated suicidal symptoms in a clinical sample of young adults: explaining discrepancies J. Consult. Clin. Psychol. 67(2)1999 171176.CrossRefGoogle Scholar
Prusoff, B.A., Klerman, G.L., Paykel, E.S.Concordance between clinical assessments and patients’ self-report in depression Arch. Gen. Psychiatry 26(6)1972 546552.CrossRefGoogle ScholarPubMed
American Psychiatric Association. Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC 1994Google Scholar
Norusis, M.SPSS base system user’s guide. SPSS for Windows 6.0 Chicago, USA: SPSS Inc.; 1990.Google Scholar
Submit a response

Comments

No Comments have been published for this article.