TY - JOUR PY - 2021// TI - Introducing the psychological autopsy methodology checklist JO - Suicide and life-threatening behavior A1 - Conner, Kenneth R. A1 - Chapman, Benjamin P. A1 - Beautrais, Annette L. A1 - Brent, David A. A1 - Bridge, Jeffrey A. A1 - Conwell, Yeates A1 - Falter, Tyler A1 - Holbrook, Amanda A1 - Schneider, Barbara SP - ePub EP - ePub VL - ePub IS - ePub N2 - OBJECTIVE: Case-control psychological autopsy studies are the research standard for the postmortem, quantitative study of ongoing or recent risk factors for suicide. We aimed to develop a reliable checklist of methodological quality of these studies.

METHOD: We adapted items from a validated checklist to address general methodological elements and created novel items to address the unique aspects of psychological autopsy research to generate a 16-item checklist assessing reporting, external validity, internal validity, and power. We used percent agreement and kappa to evaluate inter-rater reliability of the items and overall checklist based on independent ratings of 26 case-control psychological autopsy studies conducted internationally. We also summed the items to generate overall quality ratings, assessing internal consistency with coefficient alpha (α).

RESULTS: Inter-rater reliability for the overall checklist was high (percent agreement, 86.5%) and that based conservatively on kappa was substantial (κ.71) whereas internal consistency was low (α = 0.56). The inter-rater reliability of the individual items showed acceptable to high agreement.

CONCLUSION: A novel checklist provides a reliable means to assess the methodological quality of specific elements of quantitative case-control psychological autopsy studies, providing detailed guidance in planning such studies. Lower internal consistency may limit its utility as a summary measure of study quality.

Language: en

LA - en SN - 0363-0234 UR - http://dx.doi.org/10.1111/sltb.12738 ID - ref1 ER -