Assessment of near-term risk for suicide attempts using the suicide crisis inventory.

Journal of Affective Disorders
Shira BarzilayIgor Galynker

Abstract

The Suicide Crisis Syndrome (SCS) describes a pre-suicidal mental state marked by entrapment accompanied by affective disturbances, loss of cognitive control, hyperarousal and social withdrawal. This study tested the consistency and validity of the Suicide Crisis Inventory (SCI), a proposed measure of SCS severity, amongst a large, heterogeneous patient sample. The SCI was used to assess 867 adult psychiatric inpatients and outpatients. Confirmatory factor analysis, logistic regressions and area under the curve analyses (AUC) were used to examine internal structure, construct validity and predictive validity for suicide ideation, plan and attempt one-month post-assessment. The five-factor model of the SCS demonstrated good fit and excellent internal consistency. SCI scores indicated significant associations but non-redundancy with depression, anxiety, and independence from other dimensions of psychiatric distress. SCI scores specifically predicted suicide attempts with an AUC of 0.733 and odds ratio=8.62 (p<0.001) at optimal cut-off point. SCI incremental predictive validity over and beyond suicidal ideation and attempts history reported at baseline was supported for predicting suicide attempts (β= 0.012, S.E = 0.006; p=0.046)....Continue Reading

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Aug 24, 2017·Suicide & Life-threatening Behavior·Lisa Janet CohenIgor Galynker
Feb 6, 2018·Suicide & Life-threatening Behavior·Lisa Janet CohenIgor Galynker
Nov 21, 2018·Psychiatric Services : a Journal of the American Psychiatric Association·Julie E RichardsGreg Simon
Mar 23, 2019·Behavioral Sciences & the Law·Allison SchuckIgor Galynker

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Citations

Aug 2, 2021·Acta Psychiatrica Scandinavica·Megan L RogersIgor Galynker
Aug 18, 2021·Psychiatry Research·Lauren McMullenIgor Galynker

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