Suicide Ideation at Its Worst Point: A Predictor of Eventual Suicide in Psychiatric Outpatients

Suicide Ideation at Its Worst Point: A Predictor of Eventual Suicide in Psychiatric Outpatients Scales for measuring current suicide ideation (SSI‐C), suicide ideation at its worst point in the patient's life (SSI‐W), and hopelessness (BHS) were administered to 3,701 outpatients seeking psychiatric treatment. Thirty patients from this sample eventually committed suicide, within a mean of 4 years from the initial assessment. Based on cut‐off scores derived from receiver operating characteristic (ROC) analyses, the SSI‐W had an odds ratio of 13.84 for predicting suicide, whereas the SSI‐C and the BHS had odds ratios of 5.42 and 6.43, respectively. The assessment of suicide ideation at its worst point identifies a subgroup of patients at relatively high risk for eventual suicide. Robust interventions and periodic monitoring for suicide ideation and hopelessness are recommended to reduce long‐term suicide risk. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Suicide and Life-Threatening Behavior Wiley

Suicide Ideation at Its Worst Point: A Predictor of Eventual Suicide in Psychiatric Outpatients

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Abstract

Scales for measuring current suicide ideation (SSI‐C), suicide ideation at its worst point in the patient's life (SSI‐W), and hopelessness (BHS) were administered to 3,701 outpatients seeking psychiatric treatment. Thirty patients from this sample eventually committed suicide, within a mean of 4 years from the initial assessment. Based on cut‐off scores derived from receiver operating characteristic (ROC) analyses, the SSI‐W had an odds ratio of 13.84 for predicting suicide, whereas the SSI‐C and the BHS had odds ratios of 5.42 and 6.43, respectively. The assessment of suicide ideation at its worst point identifies a subgroup of patients at relatively high risk for eventual suicide. Robust interventions and periodic monitoring for suicide ideation and hopelessness are recommended to reduce long‐term suicide risk.

Journal

Suicide and Life-Threatening BehaviorWiley

Published: Mar 1, 1999

References

  • Psychometric characteristics of the Scale for Suicide Ideation with psychiatric outpatients
    Beck, Beck; Brown, Brown; Steer, Steer
  • Inadequate response to therapy as a predictor of suicide
    Dahlsgaard, Dahlsgaard; Beck, Beck; Brown, Brown
  • Suicide prediction revisited
    Pokorny, Pokorny

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