Suicide risk assessment: Trust an implicit probe or listen to the patient?

Psychological Assessment
Dominique P HarrisonAbdul-Rahman Hudaib

Abstract

Previous research suggests implicit cognition can predict suicidal behavior. This study examined the utility of the death/suicide implicit association test (d/s-IAT) in acute and prospective assessment of suicide risk and protective factors, relative to clinician and patient estimates of future suicide risk. Patients (N = 128; 79 female; 111 Caucasian) presenting to an emergency department were recruited if they reported current suicidal ideation or had been admitted because of an acute suicide attempt. Patients completed the d/s-IAT and self-report measures assessing three death-promoting (e.g., suicide ideation) and two life-sustaining (e.g., zest for life) factors, with self-report measures completed again at 3- and 6-month follow-ups. The clinician and patient provided risk estimates of that patient making a suicide attempt within the next 6 months. Results showed that among current attempters, the d/s-IAT differentiated between first time and multiple attempters; with multiple attempters having significantly weaker self-associations with life relative to death. The d/s-IAT was associated with concurrent suicidal ideation and zest for life, but only predicted the desire to die prospectively at 3 months. By contrast, clinici...Continue Reading

Citations

Sep 27, 2018·Social Cognitive and Affective Neuroscience·Tiffany C HoIan H Gotlib
Nov 29, 2020·Death Studies·Xu WangJing Chen
Dec 22, 2020·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Scott A SimpsonAlicia Dalton
Jan 20, 2021·Suicide & Life-threatening Behavior·Brian A O'SheaMatthew K Nock

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