The clinical application of suicide risk assessment: A theory‐driven approach

• DOI: 10.1002/cpp.2086
• Publication Date: 2017-04-19T02:26:57Z
• Authors: Sean M. Mitchell; Sarah L. Brown; Jared F. Roush; Angelea D. Bolaños; Andrew K. Littlef...; Andrew J. Marshall; Danielle R. Jahn; Robert D. Morgan; Kelly C. Cukrowicz
• Keywords: Adult; Male; Inpatients; Risk Assessment; 3. Good health; Suicide; 03 medical and health sciences; 0302 clinical medicine; Surveys and Questionnaires; Humans; Female; Interpersonal Relations

The interpersonal theory of suicide posits that thwarted belongingness (TB) and perceived burdensomeness (PB) increase ideation; however, studies have found mixed results regarding this hypothesis among psychiatric inpatients. This study aimed to (a) demonstrate how assessing TB PB using the Interpersonal Needs Questionnaire (INQ) can provide clinically useful information (b) investigate statistical methodology may impact clinical application INQ. Participants were 139 (Sample 1) 104 2) In both samples, ordinal logistic regression indicated PB, separately, significant predictors ideation-related outcomes; when examined as simultaneous predictors, was no longer a predictor. interaction between not for either sample. Despite this, scores provided relevant about outcomes. For example, highest on 93% 95% chance having some level distress due ideation 1), 91% 92% desire death, 79% 84% suicide, respectively 2). also proposes cutoff INQ (for respectively, 22 17 ideation, 33 31 suicide). Although these indicate multicollinearity create interpretational ambiguity clinicians, each be separate outcomes in inpatient settings should incorporated into risk assessment.The 15-item (an assessment burdensomeness) assessment. Among inpatients, greater burdensomeness, associated with increased levels suicide. experiencing an elevated or Recommended provided. score maximized sensitivity specificity detect