@article{ref1,
title="The Rorschach Suicide Constellation: assessing various degrees of lethality",
journal="Journal of personality assessment",
year="2001",
author="Fowler, J. C. and Piers, C. and Hilsenroth, M. J. and Holdwick, D. J. and Padawer, J. R.",
volume="76",
number="2",
pages="333-351",
abstract="In this article we examine the relation between the Rorschach Comprehensive System's Suicide Constellation (S-CON; Exner, 1993; Exner & Wiley, 1977) and lethality of suicide attempts during the course of patients' hospitalization at the Austen Riggs Center (Stockbridge, MA). Patient records were rated as nonsuicidal (n = 37), parasuicidal (n = 37), or near-lethal (n = 30) based on the presence and lethality of self-destructive acts. Diagnostic efficiency statistics utilizing a cutoff score of 7 or more positive indicators successfully predicted which patients would engage in near-lethal suicidal activity relative to parasuicidal patients (overall correct classification rate [OCC] =.79), nonsuicidal inpatients (OCC =.79), and college students (OCC =.89). Although these predictions were influenced by relatively high base rates in the hospital population (14.5%), base rate estimates were calculated for other hypothetical populations revealing different prediction estimates that should be considered when judging the relative efficacy of the S-CON. Logistic regression analysis revealed that an S-CON score of 7 or more was the sole predictor of near-lethal suicide attempts among 9 psychiatric and demographic variables.<p /><p>Language: en</p>",
language="en",
issn="0022-3891",
doi="10.1207/S15327752JPA7602_13",
url="http://dx.doi.org/10.1207/S15327752JPA7602_13"
}