TY - JOUR PY - 2023// TI - Concurrent validity and reliability of suicide risk assessment instruments: a meta-analysis of 20 instruments across 27 international cohorts JO - Neuropsychology A1 - Campos, Adrian I. A1 - van Velzen, Laura S. A1 - Veltman, Dick J. A1 - Pozzi, Elena A1 - Ambrogi, Sonia A1 - Ballard, Elizabeth D. A1 - Banaj, Nerisa A1 - Başgöze, Zeynep A1 - Bellow, Sophie A1 - Benedetti, Francesco A1 - Bollettini, Irene A1 - Brosch, Katharina A1 - Canales-Rodríguez, Erick J. A1 - Clarke-Rubright, Emily K. A1 - Colic, Lejla A1 - Connolly, Colm G. A1 - Courtet, Philippe A1 - Cullen, Kathryn R. A1 - Dannlowski, Udo A1 - Dauvermann, Maria R. A1 - Davey, Christopher G. A1 - Deverdun, Jérémy A1 - Dohm, Katharina A1 - Erwin-Grabner, Tracy A1 - Goya-Maldonado, Roberto A1 - Fani, Negar A1 - Fortea, Lydia A1 - Fuentes-Claramonte, Paola A1 - Gonul, Ali Saffet A1 - Gotlib, Ian H. A1 - Grotegerd, Dominik A1 - Harris, Mathew A. A1 - Harrison, Ben J. A1 - Haswell, Courtney C. A1 - Hawkins, Emma L. A1 - Hill, Dawson A1 - Hirano, Yoshiyuki A1 - Ho, Tiffany C. A1 - Jollant, Fabrice A1 - Jovanovic, Tanja A1 - Kircher, Tilo A1 - Klimes-Dougan, Bonnie A1 - Le Bars, Emmanuelle A1 - Lochner, Christine A1 - McIntosh, Andrew M. A1 - Meinert, Susanne A1 - Mekawi, Yara A1 - Melloni, Elisa A1 - Mitchell, Philip A1 - Morey, Rajendra A. A1 - Nakagawa, Akiko A1 - Nenadic, Igor A1 - Olié, Emilie A1 - Pereira, Fabricio A1 - Phillips, Rachel D. A1 - Piras, Fabrizio A1 - Poletti, Sara A1 - Pomarol-Clotet, Edith A1 - Radua, Joaquim A1 - Ressler, Kerry J. A1 - Roberts, Gloria A1 - Rodríguez-Cano, Elena A1 - Sacchet, Matthew D. A1 - Salvador, Raymond A1 - Sandu, Anca-Larisa A1 - Shimizu, Eiji A1 - Singh, Aditya A1 - Spalletta, Gianfranco A1 - Steele, J. Douglas A1 - Stein, Dan J. A1 - Stein, Frederike A1 - Stevens, Jennifer S. A1 - Teresi, Giana I. A1 - Uyar-Demir, Aslihan A1 - van der Wee, Nic J. A1 - van der Werff, Steven J. A1 - van Rooij, Sanne J. H. A1 - Vecchio, Daniela A1 - Verdolini, Norma A1 - Vieta, Eduard A1 - Waiter, Gordon D. A1 - Whalley, Heather A1 - Whittle, Sarah L. A1 - Yang, Tony T. A1 - Zarate, Carlos A. A1 - Thompson, Paul M. A1 - Jahanshad, Neda A1 - van Harmelen, Anne-Laura A1 - Blumberg, Hilary P. A1 - Schmaal, Lianne A1 - Renteria, Miguel E. SP - 315 EP - 329 VL - 37 IS - 3 N2 - OBJECTIVE: A major limitation of current suicide research is the lack of power to identify robust correlates of suicidal thoughts or behavior. Variation in suicide risk assessment instruments used across cohorts may represent a limitation to pooling data in international consortia.

METHOD: Here, we examine this issue through two approaches: (a) an extensive literature search on the reliability and concurrent validity of the most commonly used instruments and (b) by pooling data (N ∼ 6,000 participants) from cohorts from the Enhancing NeuroImaging Genetics Through Meta-Analysis (ENIGMA) Major Depressive Disorder and ENIGMA-Suicidal Thoughts and Behaviour working groups, to assess the concurrent validity of instruments currently used for assessing suicidal thoughts or behavior.

RESULTS: We observed moderate-to-high correlations between measures, consistent with the wide range (κ range: 0.15-0.97; r range: 0.21-0.94) reported in the literature. Two common multi-item instruments, the Columbia Suicide Severity Rating Scale and the Beck Scale for Suicidal Ideation were highly correlated with each other (r = 0.83). Sensitivity analyses identified sources of heterogeneity such as the time frame of the instrument and whether it relies on self-report or a clinical interview. Finally, construct-specific analyses suggest that suicide ideation items from common psychiatric questionnaires are most concordant with the suicide ideation construct of multi-item instruments.

CONCLUSIONS: Our findings suggest that multi-item instruments provide valuable information on different aspects of suicidal thoughts or behavior but share a modest core factor with single suicidal ideation items. Retrospective, multisite collaborations including distinct instruments should be feasible provided they harmonize across instruments or focus on specific constructs of suicidality. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Language: en

LA - en SN - 0894-4105 UR - http://dx.doi.org/10.1037/neu0000850 ID - ref1 ER -