Classification Algorithm for the Determination of Suicide Attempt and Suicide (CAD-SAS). Development and psychometric properties.

Background: One methodological difficulty in research into suicide attempts and suicide is distinguishing these phenomena from nonsuicidal self-harming behaviors and accidents. This is problematic because a reliable assessment of the presence or absence of the outcome variable is fundamental for the...

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Publicado en:Crisis: The Journal of Crisis Intervention & Suicide Prevention Vol. 33; no. 6; pp. 151 - 162
Autores principales: Fedyszyn IE, Harris MG, Robinson J, Paxton SJ, Fedyszyn, Izabela E, Harris, Meredith G, Robinson, Jo, Paxton, Susan J
Formato: research Journal Article
Publicado: Hogrefe Publishing GmbH 2012 Jan 1
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2012 Jan 1
      vid: 33
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      pub: Hogrefe Publishing GmbH
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        atl: Classification Algorithm for the Determination of Suicide Attempt and Suicide (CAD-SAS). Development and psychometric properties.
      aug:
        au:
          Fedyszyn IE
          Harris MG
          Robinson J
          Paxton SJ
          Fedyszyn, Izabela E
          Harris, Meredith G
          Robinson, Jo
          Paxton, Susan J
        affil: School of Psychological Science, La Trobe University, Melbourne, VIC 3086, Australia
      sug:
        subj:
          Algorithms
          Self-Injurious Behavior Classification
          Suicide Classification
          Suicide, Attempted Classification
          Adolescence
          Female
          Human
          Male
          Psychometrics
          Reproducibility of Results
          Young Adult
          Scales
          Adolescent: 13-18 years
          Female
          Male
      ab: Background: One methodological difficulty in research into suicide attempts and suicide is distinguishing these phenomena from nonsuicidal self-harming behaviors and accidents. This is problematic because a reliable assessment of the presence or absence of the outcome variable is fundamental for the validity of the findings.Aims: To develop a standardized rating system, the Classification Algorithm for the Determination of Suicide Attempt and Suicide (CAD-SAS), and to investigate its psychometric properties.Methods: To examine the test-retest reliability, one investigator rated 217 narratives of real-life self-harming incidents at initial assessment and 4 weeks later. To establish the interrater reliability, three independent raters assessed a random sample of 70 narratives using the CAD-SAS. To examine the validity, one investigator using the CAD-SAS compared ratings to clinical judgments made by a consultant psychiatrist without the CAD-SAS on the same random set of 70 narratives.Results: Test-retest reliability was excellent (97.2% agreement) and interrater reliability was substantial (70.0% agreement, κ = 0.70). Agreement in the classification of incidents with the "real-world" clinical judgments supports the validity of the CAD-SAS (64.3% agreement, κ = 0.46).Conclusions: The reliability and validity of future studies can be enhanced through the standardized assessment and classification of incidents.
      pubtype: Periodical
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        research
        Journal Article
      ougenre: Article
    language: English
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