Predicting Future Suicide: Clinician Opinion versus a Standardized Assessment Tool.
<bold>Objective: </bold>To compare the effectiveness of clinician prediction of risk to a standardized assessment of presentation status.<bold>Methods: </bold>All adult psychiatry emergency department consults in the two main hospitals in Winnipeg, Canada, were assessed using a standardized form (n ...
| Publicado en: | Suicide & Life-Threatening Behavior Vol. 49; no. 4; pp. 941 - 952 |
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| Autores principales: | , , , |
| Formato: | journal article |
| Publicado: |
Wiley-Blackwell
Aug2019
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=138053165&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 138053165 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 03630234 SUI jtl: Suicide & Life-Threatening Behavior issn: 03630234 maglogo: Y pubinfo: dt: Aug2019 vid: 49 iid: 4 pid: 480 pub: Wiley-Blackwell artinfo: ui: 138053165 10.1111/sltb.12481 ppf: 941 ppct: 11 formats: tig: atl: Predicting Future Suicide: Clinician Opinion versus a Standardized Assessment Tool. aug: au: Randall, Jason R. Sareen, Jitender Chateau, Dan Bolton, James M. affil: Department of Community Health Sciences, College of Medicine, Faculty of Health Sciences, University of Manitoba, Winnipeg MB, Canada Manitoba Centre for Health Policy, Department of Community Health Sciences, College of Medicine, Faculty of Health Sciences, University of Manitoba, Winnipeg MB, Canada Injury Prevention Centre, School of Public Health, University of Alberta, Edmonton AB, Canada Department of Psychiatry, College of Medicine, Faculty of Health Sciences, University of Manitoba, Winnipeg MB, Canada su: Winnipeg (Man.) Canada Suicide prevention Suicide risk factors Health risk assessment Suicidal ideation Suicidal behavior Emergency medical services Psychosocial factors Suicide risk assessment Psychiatric emergencies Risk assessment Predictive tests Evaluation research Research funding Probability theory Hospital emergency services Research methodology Research Comparative studies Algorithms sug: subj: Suicide prevention Suicide risk factors Health risk assessment Suicidal ideation Suicidal behavior Emergency medical services Psychosocial factors Winnipeg (Man.) Canada Emergency and Other Relief Services Municipal police services Administration of Public Health Programs Suicide risk assessment Psychiatric emergencies Risk assessment Predictive tests Evaluation research Research funding Probability theory Hospital emergency services Research methodology Research Comparative studies Algorithms ab: <bold>Objective: </bold>To compare the effectiveness of clinician prediction of risk to a standardized assessment of presentation status.<bold>Methods: </bold>All adult psychiatry emergency department consults in the two main hospitals in Winnipeg, Canada, were assessed using a standardized form (n = 5,376). This form includes two risk scales for a gestalt physician assessment of risk (Suicide Likelihood scale, suicide Attempt Likelihood scale) and the Columbia Classification Algorithm of Suicide Assessment (C-CASA). Regression determined whether assessments predicted future suicide attempts and deaths. The area under the curve (AUC) determined the prediction accuracy of these methods.<bold>Results: </bold>Although the regression results were significant, the AUCs were either moderate or poor. Clinician assessment was not effective at predicting deaths (AUC = .546, .36-.73), but moderately accurate at predicting future attempts (AUC = .728, .66-.79). C-CASA assessment was moderately accurate at predicting both attempts and deaths (AUC = .666 and .678).<bold>Conclusions: </bold>Clinician assessment does not significantly outperform a simple assessment of the occurrence of suicidal thoughts and behaviors during presentation to the emergency department. Behavior-based standardized assessments should be further researched in this field. Assessment of suicidality at presentation using C-CASA or similar assessment should be standard for psychiatric patients assessed in the emergency department. pubtype: Academic Journal doctype: journal article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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