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 -