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Suicide Crisis Tool Predictive of At-Risk Behavior
Depress Anxiety; ePub 2016 Oct 6; Galynker, et al
The Suicide Crisis Inventory (SCI) was predictive of future suicidal behavior (SB) in high-risk psychiatric inpatients during the crucial weeks following their hospital discharge, a recent study found. Researchers assessed adult psychiatric patients (n = 201) hospitalized for high suicide risk. Logistic regression models assessed the SCI's predictive validity for SB in the 4 to 8 weeks following hospital discharge and its incremental predictive validity over traditional risk factors (n = 137, 64% f/u rate). They found:
- The SCI had excellent internal consistency; its total score at discharge predicted short-term SB with 64% sensitivity 88% specificity (odds ratio=13) at its optimal cut score.
- In a test of its incremental predictive validity, SCI total score at discharge improved prediction of SB over traditional risk factors, with an adjusted odds ratio of 2.02.
- The SCI admission vs discharge test-retest reliability and score distributions showed it to be an acute state measure.
Galynker I, Yaseen ZS, Cohen A, Benhamou O, Hawes M, Briggs J. Prediction of suicidal behavior in high risk psychiatric patients using an assessment of acute suicidal state: The Suicide Crisis Inventory. [Published online ahead of print October 6, 2016]. Depress Anxiety. doi:mixed10.1002/da.22559.