Citation

Molero P, Grunebaum MF, Galfalvy HC, Bongiovi MA, Lowenthal D, Almeida MG, Burke AK, Stevenson E, Mann JJ, Oquendo MA. Arch. Suicide Res. 2014; 18(1): 50-57.

Affiliation

a Department of Psychiatry, Division of Molecular Imaging and Neuropathology , Columbia University and New York State Psychiatric Institute , 1051 Riverside Drive , New York , NY , 10032 , United States.

Copyright

(Copyright © 2014, International Academy of Suicide Research, Publisher Informa - Taylor and Francis Group)

DOI

10.1080/13811118.2013.803446

PMID

24350632

Abstract

OBJECTIVE: To compare structured clinical assessment versus research measurement of suicidal risk among inpatients with major depression. METHODS: 50 depressed inpatients underwent a structured clinical and an independent research assessment of suicidal risk. Agreement between both assessments and its impact upon time to first readmission was tested. RESULTS: A false negative rate of 25% in the clinical screening of past suicide attempts was associated with older age, concealment and reported lower frequency of suicidal thoughts. Mean times to first readmission (2.5-years follow-up) were 74 weeks (discordant responders) and 118 weeks (concordant responders). CONCLUSION: A failure to detect 25% of patients with past suicide attempt history in the clinical assessment was associated with older age and concealment of suicidal thoughts.

Language: en