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Does The Suicide Assessment Scale Predict Risk Of Repetition? A Prospective Study Of Suicide Attempters At A Hospital Emergency Department

Published online by Cambridge University Press:  16 April 2020

M. Waern ,
N. Sjöström ,
T. Marlow  and
J. Hetta
M. Waern*
Affiliation:
Department of Psychiatry and Neurochemistry, Sahlgrenska Academy, Gothenburg University, Sahlgrenska University Hospital, 41345Gothenburg, Sweden
N. Sjöström
Affiliation:
Institute of Health and Care Sciences, Section for learning and leadership, Sahlgrenska Academy, University of Gothenburg, Box 457, 40530Göteborg, Sweden
T. Marlow
Affiliation:
Department of Psychiatry and Neurochemistry, Sahlgrenska Academy, Gothenburg University, Sahlgrenska University Hospital, 41345Gothenburg, Sweden
J. Hetta
Affiliation:
Karolinska Institutet, Department of Clinical Neuroscience, Division of Psychiatry, Karolinska University Hospital Huddinge, HS M57, 14186Stockholm, Sweden
*
*Corresponding author. Tel.: +46 31 342 2164; fax: +46 31 828163. E-mail address: [email protected] (M. Waern).
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Abstract

Purpose

To determine whether the modified version of the Suicide Assessment Scale (SUAS) can be utilised to predict risk of repeat suicidal behaviour.

Subjects and methods

Hundred and sixty-five patients aged 18 to 68 years who were admitted to emergency wards after a suicide attempt were interviewed. Follow-up interviews (n = 96) were carried out after 2 months. Associations between SUAS scores and repeat attempt (fatal/non-fatal) during the following 3 years were analysed and the instrument's ability to predict repetition was assessed.

Results

High SUAS score (>30) was associated with repetition. The ability of the SUAS to correctly predict repeat suicidal behaviour in the entire study group was low (AUC = 0.65, 95% CI = 0.56–0.74) but better for those (n = 42) who reported ongoing psychiatric treatment at follow-up (AUC = 0.78, 95% CI 0.63–0.94). Among the latter group, all with baseline SUAS scores >30 made repeats.

Conclusion

The modified SUAS performed well as a screening instrument in psychiatric patients.

Keywords

SuicideDepressionPsychometry and assessments
Type
Suicidology
Information
European Psychiatry , Volume 25 , Issue 7 , November 2010 , pp. 421 - 426
Copyright
Copyright © Elsevier Masson SAS 2019

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References

Antretter, E., Dunkel, D., Haring, C., Corcoran, P., De Leo, D., Fekete, S.et al.The factorial structure of the suicide intent scale: a comparative study in clinical samples from 11 European regions. Int J Methods Psychiatr Res 2008; 17: 63–79.CrossRefGoogle ScholarPubMed
Baca-Garcia, E., Diaz-Sastre, C., Resa, E.G., Blasco, H., Conesa, D.B., Saiz-Ruiz, J.et al.Variables associated with hospitalization decisions by emergency psychiatrists after a patient's suicide attempt. Psychiatr Serv 2004; 55: 792–797.CrossRefGoogle ScholarPubMed
Beck, A.T., Steer, R.A.Clinical predictors of eventual suicide: a 5- to 10-year prospective study of suicide attempters. J Affect Disord 1989; 17: 203–209.CrossRefGoogle ScholarPubMed
Beck, A.T., Schuyler, D., Herman, I.Development of suicidal intent scales. Beck, A.T., Resnik, H.L.P., Lettieri, D.J., The prediction of suicide Bowie (MD): Charles Press; 1974. 45–56.Google Scholar
Beck, A.T., Brown, G.K., Steer, R.A., Dahlsgaard, K.K., Grisham, J.R.Suicide ideation at its worst point: a predictor of eventual suicide in psychiatric outpatients. Suicide Life Threat Behav 1999; 29: 1–9.Google ScholarPubMed
Caldera, T., Herrera, A., Kullgren, G., Renberg, E.S.Suicide intent among parasuicide patients in Nicaragua: a surveillance and follow-up study. Arch Suicide Res 2007; 11: 351–360.CrossRefGoogle ScholarPubMed
Cedereke, M., Ojehagen, A.Prediction of repeated parasuicide after 1–12 months. Eur Psychiatry 2005; 20: 101–109.CrossRefGoogle ScholarPubMed
Cochrane-Brink, K.A., Lofchy, J.S., Sakinofsky, I.Clinical rating scales in suicide risk assessment. Gen Hosp Psychiatry 2000; 22: 445–451.CrossRefGoogle ScholarPubMed
Harris, E.C., Barraclough, B.Suicide as an outcome for mental disorders. A meta-analysis. Br J Psychiatry 1997; 170: 205–228.CrossRefGoogle ScholarPubMed
Harriss, L., Hawton, K.Suicidal intent in deliberate self-harm and the risk of suicide: the predictive power of the suicide intent scale. J Affect Disord 2005; 86: 225–233.CrossRefGoogle ScholarPubMed
Haw, C., Hawton, K., Houston, K., Townsend, E.Psychiatric and personality disorders in deliberate self-harm patients. Br J Psychiatry 2001; 178: 48–54.CrossRefGoogle ScholarPubMed
Hawton, K., Rodham, K., Evans, E., Weatherall, R.Deliberate self harm in adolescents: self report survey in schools in England. BMJ 2002; 325: 1207–1211.CrossRefGoogle ScholarPubMed
Holmstrand, C., Nimeus, A., Traskman-Bendz, L.Risk factors of future suicide in suicide attempters–a comparison between suicides and matched survivors. Nord J Psychiatry 2006; 60: 162–167.CrossRefGoogle ScholarPubMed
Kapur, N., Cooper, J., King-Hele, S., Webb, R., Lawlor, M., Rodway, C.et al.The repetition of suicidal behavior: a multicenter cohort study. J Clin Psychiatry 2006; 67: 1599–1609.CrossRefGoogle ScholarPubMed
Lindqvist, D., Nimeus, A., Traskman-Bendz, L.Suicidal intent and psychiatric symptoms among inpatient suicide attempters. Nord J Psychiatry 2007; 61: 27–32.CrossRefGoogle ScholarPubMed
Lizardi, D., Sher, L., Sullivan, G.M., Stanley, B., Burke, A., Oquendo, M.A.Association between familial suicidal behavior and frequency of attempts among depressed suicide attempters. Acta Psychiatr Scand 2009; 119: 406–410.CrossRefGoogle ScholarPubMed
Mattila-Evenden, M., Svanborg, P., Gustavsson, P., Asberg, M.Determinants of self-rating and expert rating concordance in psychiatric out-patients, using the affective subscales of the CPRS. Acta Psychiatr Scand 1996; 94: 386–396.CrossRefGoogle ScholarPubMed
Nimeus, A., Alsen, M., Traskman-Bendz, L.The suicide assessment scale: an instrument assessing suicide risk of suicide attempters. Eur Psychiatry 2000; 15: 416–423.CrossRefGoogle ScholarPubMed
Nimeus, A., Hjalmarsson Stahlfors, F., Sunnqvist, C., Stanley, B., Traskman-Bendz, L.Evaluation of a modified interview version and of a self-rating version of the suicide assessment scale. Eur Psychiatry 2006; 21: 471–477.CrossRefGoogle ScholarPubMed
Nock, M.K., Borges, G., Bromet, E.J., Cha, C.B., Kessler, R.C., Lee, S.Suicide and suicidal behavior. Epidemiol Rev 2008; 30: 133–154.CrossRefGoogle ScholarPubMed
Pokorny, A.D.A scheme for classifying suicidal behaviorsBeck, A.T., Resnik, H.L.P., Lettieri, D.J., The prediction of suicide Bowie (MD): Charles Press; 1974. 29–44.Google Scholar
Runeson, B., Scocco, P., DeLeo, D., Meneghel, G., Wasserman, D.Management of suicide attempts in Italy and Sweden. A comparison of services offered to consecutive samples of suicide attempters. Gen Hosp Psychiatry 2000; 22: 432–436.CrossRefGoogle ScholarPubMed
Sjostrom, N., Waern, M., Hetta, J.Nightmares and sleep disturbances in relation to suicidality in suicide attempters. Sleep 2007; 30: 91–95.CrossRefGoogle ScholarPubMed
Sjostrom, N., Hetta, J., Waern, M.Persistent nightmares are associated with repeat suicide attempt: a prospective study. Psychiatry Res 2009; 170: 208–211.CrossRefGoogle ScholarPubMed
Stanley, B., Traskman-Bendz, L., Stanley, M.The suicide assessment scale: a scale evaluating change in suicidal behavior. Psychopharmacol Bull 1986; 22: 200–205.Google ScholarPubMed
Suominen, K., Isometsa, E., Ostamo, A., Lonnqvist, J.Level of suicidal intent predicts overall mortality and suicide after attempted suicide: a 12-year follow-up study. BMC Psychiatry 2004; 4: 11.CrossRefGoogle ScholarPubMed
Svanborg, P., Asberg, M.A new self-rating scale for depression and anxiety states based on the comprehensive psychopathological rating scale. Acta Psychiatr Scand 1994; 89: 21–28.CrossRefGoogle ScholarPubMed
Svanborg, P., Asberg, M.A comparison between the Beck depression inventory (BDI) and the self-rating version of the Montgomery Asberg depression rating scale (MADRS). J Affect Disord 2001; 64: 203–216.CrossRefGoogle Scholar
Tidemalm, D., Langstrom, N., Lichtenstein, P., Runeson, B.Risk of suicide after suicide attempt according to coexisting psychiatric disorder: Swedish cohort study with long term follow-up. BMJ 2008; 337: a2205.CrossRefGoogle ScholarPubMed
Westrin, A., Nimeus, A.The dexamethasone suppression test and CSF-5-HIAA in relation to suicidality and depression in suicide attempters. Eur Psychiatry 2003; 18: 166–171.CrossRefGoogle ScholarPubMed
Ziherl, S., Zalar, B.Risk of suicide after attempted suicide in the population of Slovenia from 1970 to 1996. Eur Psychiatry 2006; 21: 396–400.CrossRefGoogle ScholarPubMed
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