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The Construction and Selection of Predictive Scales, with Special Reference to Parasuicide

Published online by Cambridge University Press:  02 January 2018

Norman Kreitman*
Affiliation:
MRC Unit for Epidemiological Studies in Psychiatry, University Department of Psychiatry, Royal Edinburgh Hospital, Morningside Park, Edinburgh EH10 5HF
J. Foster
Affiliation:
MRC Unit for Epidemiological Studies in Psychiatry, University Department of Psychiatry, Royal Edinburgh Hospital, Morningside Park, Edinburgh EH10 5HF
*
Correspondence

Abstract

Issues concerning the use of predictive and screening instruments include the difficulties posed by temporal changes in the base rates for the behaviour of interest, the possible advantages of using three rather than the customary two risk categories, and the desirability of specifying in advance the proportional sizes of the risk subgroups. A method is proposed for constructing and assessing tripartite risk scales, and a new scale for predicting the repetition of parasuicide, with the results of a prospective validation study, is reported.

Type
Papers
Copyright
Copyright © 1991 The Royal College of Psychiatrists 

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References

Barnes, R. (1979) Characteristics of the chronic suicide attempter. Proceedings of 10th International Congress for Suicide Prevention and Crisis Intervention, pp. 120125. Ottawa, Canada: International Society for Suicide Prevention.Google Scholar
Buglass, D. & Horton, J. (1974a) A scale for predicting subsequent suicidal behaviour. British Journal of Psychiatry, 124, 573576.Google Scholar
Buglass, D. & Horton, J. (1974b) The repetition of parasuicide: a comparison of three cohorts. British Journal of Psychiatry, 125, 168174.CrossRefGoogle ScholarPubMed
Burk, F., Kurz, A. & Moller, H. (1985) Suicide risk scales: do they help to predict suicidal behaviour? European Archives of Psychiatry and Neurological Science, 235, 153157.CrossRefGoogle ScholarPubMed
Erdreich, L. S. & Lee, E. T. (1981) Use of relative operating characteristic analysis in epidemiology. American Journal of Epidemiology, 114, 649662.Google Scholar
Garzotto, N., Buglass, D., Holding, T. A., et al (1977) Aspects of suicide and parasuicide. Acta Psychiatrica Scandinavica, 50, 204214.Google Scholar
Garzotto, M., Siani, R., Zimmerman Tansella, C., et al (1976) Cross-validation of a predictive scale of subsequent suicidal behaviour in an Italian sample. British Journal of Psychiatry, 128, 137140.CrossRefGoogle Scholar
Kreitman, N., (ed.) (1977) Parasuicide. Chichester: Wiley.Google Scholar
Kreitman, N. (ed.) & Casey, P. (1988) The repetition of parasuicide: an epidemiological and clinical study. British Journal of Psychiatry, 153, 792800.Google Scholar
Platt, S., Hawton, K., Kreitman, N., et al (1988) Recent clinical and epidemiological trends in parasuicide in Edinburgh and Oxford – a tale of two cities. Psychological Medicine, 18, 405418.CrossRefGoogle Scholar
Reynolds, P. & Eaton, P. (1986) Multiple attempter of suicide presenting at an emergency department. Canadian Journal of Psychiatry, 31, 328330.CrossRefGoogle ScholarPubMed
Siani, R., Garzotto, M., Zimmerman Tansella, C., et al (1979) Predictive scales for parasuicide repetition. Acta Psychiatrica Scandinavica, 59, 1723.Google Scholar
Wang, A. G., Nielsen, B., Bille-Brahe, U., et al (1985) Attempted suicide in Denmark. Acta Psychiatrica Scandinavica, 72, 389394.CrossRefGoogle ScholarPubMed
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