Predicting Suicidality Using a Computer Adaptive Test: Two Longitudinal Studies of Sexual and Gender Minority Youth.
Objective: Over the past decade, rates of death by suicide have increased among youth. Efficient and effective screening approaches are needed for suicide prevention. Sexual and gender minority youth (SGMY) experience profound disparities, but little is known about subgroups and risk assessments nee...
| Publicado en: | Journal of Consulting & Clinical Psychology Vol. 89; no. 3; pp. 166 - 176 |
|---|---|
| Autores principales: | , , , , , |
| Formato: | Artículo |
| Publicado: |
American Psychological Association
Mar2021
|
| 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=149946552&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 149946552 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 0022006X JCC jtl: Journal of Consulting & Clinical Psychology issn: 0022006X maglogo: N pubinfo: dt: Mar2021 vid: 89 iid: 3 pid: 34 pub: American Psychological Association artinfo: ui: 149946552 10.1037/ccp0000531 ppf: 166 ppct: 10 formats: tig: atl: Predicting Suicidality Using a Computer Adaptive Test: Two Longitudinal Studies of Sexual and Gender Minority Youth. aug: au: Mustanski, Brian Whitton, Sarah W. Newcomb, Michael E. Clifford, Antonia Ryan, Daniel T. Gibbons, Robert D. affil: Institute for Sexual and Gender Minority Health and Wellbeing, Northwestern University Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University Department of Psychology, University of Cincinnati Departments of Public Health Sciences (Biostatistics), Medicine, Comparative Human Development, and Psychiatry, University of Chicago su: Sexual minorities Suicidal ideation Suicide risk factors Suicide prevention Bisexuality Computer adaptive testing Longitudinal method sug: subj: Sexual minorities Suicidal ideation Suicide risk factors Suicide prevention Bisexuality Computer adaptive testing Longitudinal method keyword: bisexual gay lesbian suicide youth bisexual gay lesbian suicide youth ab: Objective: Over the past decade, rates of death by suicide have increased among youth. Efficient and effective screening approaches are needed for suicide prevention. Sexual and gender minority youth (SGMY) experience profound disparities, but little is known about subgroups and risk assessments need to be validated. This study tested the psychometric properties and predictive value of a highly efficient computerized adaptive test for suicide risk (CAT-SS) among SGMY. Methods: Participants in two cohort studies of SGMY completed the CAT-SS and validated measures of suicidality in 2018 (n = 1,073) and at their follow-up visit 6 months later (n = 936). Tests of psychometrics and predictive validity were performed. Results: Younger, assigned female at birth, nonmonosexual (e.g., bisexual; relative to monosexual), and gender nonconforming or nongender binary (relative to cisgender and transgender) participants had significantly higher CAT-SS scores. None of the CAT-SS items met the threshold for differential item functioning. In longitudinal analyses, prediction of suicidality moved from poor to good accuracy once CAT-SS was included in the model. CAT-SS significantly improved prediction of suicidality over-and-above reported suicidality at a prior wave. Conclusions: The current study validated CAT-SS as a brief predictor of suicide risk in the disproportionately affected population of SGMY. Screening of SGMY in clinical and community settings using CAT-SS could allow for the identification of participants that need services to reduce their risk of future suicide. Results support the need for particular attention to suicide prevention among SGMY who are teenagers, assigned female at birth, nonmonosexual, and gender nonconforming or nongender binary. Public Health Statement: Sexual and gender minority youth (SGMY) are at disproportionate risk for suicidal ideation, attempts, and death by suicide. This study demonstrated that among SGMY a very brief CAT was more predictive of future suicidality than self-report of prior suicidality. Screening of SGMY in clinical and community settings using this tool could allow for efficient identification of participants that need services to reduce their risk of future suicide. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
|---|