Concurrent validity and reliability of suicide risk assessment instruments: A meta-analysis of 20 instruments across 27 international cohorts.

IF 2.6 3区心理学 Q3 NEUROSCIENCES Neuropsychology Pub Date : 2023-03-01 DOI:10.1037/neu0000850

Adrian I Campos, Laura S Van Velzen, Dick J Veltman, Elena Pozzi, Sonia Ambrogi, Elizabeth D Ballard, Nerisa Banaj, Zeynep Başgöze, Sophie Bellow, Francesco Benedetti, Irene Bollettini, Katharina Brosch, Erick J Canales-Rodríguez, Emily K Clarke-Rubright, Lejla Colic, Colm G Connolly, Philippe Courtet, Kathryn R Cullen, Udo Dannlowski, Maria R Dauvermann, Christopher G Davey, Jeremy Deverdun, Katharina Dohm, Tracy Erwin-Grabner, Roberto Goya-Maldonado, Negar Fani, Lydia Fortea, Paola Fuentes-Claramonte, Ali Saffet Gonul, Ian H Gotlib, Dominik Grotegerd, Mathew A Harris, Ben J Harrison, Courtney C Haswell, Emma L Hawkins, Dawson Hill, Yoshiyuki Hirano, Tiffany C Ho, Fabrice Jollant, Tanja Jovanovic, Tilo Kircher, Bonnie Klimes-Dougan, Emmanuelle le Bars, Christine Lochner, Andrew M McIntosh, Susanne Meinert, Yara Mekawi, Elisa Melloni, Philip Mitchell, Rajendra A Morey, Akiko Nakagawa, Igor Nenadić, Emilie Olié, Fabricio Pereira, Rachel D Phillips, Fabrizio Piras, Sara Poletti, Edith Pomarol-Clotet, Joaquim Radua, Kerry J Ressler, Gloria Roberts, Elena Rodriguez-Cano, Matthew D Sacchet, Raymond Salvador, Anca-Larisa Sandu, Eiji Shimizu, Aditya Singh, Gianfranco Spalletta, J Douglas Steele, Dan J Stein, Frederike Stein, Jennifer S Stevens, Giana I Teresi, Aslihan Uyar-Demir, Nic J van der Wee, Steven J van der Werff, Sanne J H van Rooij, Daniela Vecchio, Norma Verdolini, Eduard Vieta, Gordon D Waiter, Heather Whalley, Sarah L Whittle, Tony T Yang, Carlos A Zarate, Paul M Thompson, Neda Jahanshad, Anne-Laura van Harmelen, Hilary P Blumberg, Lianne Schmaal, Miguel E Rentería

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引用次数: 0

Abstract

Objective: A major limitation of current suicide research is the lack of power to identify robust correlates of suicidal thoughts or behavior. Variation in suicide risk assessment instruments used across cohorts may represent a limitation to pooling data in international consortia.

Method: Here, we examine this issue through two approaches: (a) an extensive literature search on the reliability and concurrent validity of the most commonly used instruments and (b) by pooling data (N ∼ 6,000 participants) from cohorts from the Enhancing NeuroImaging Genetics Through Meta-Analysis (ENIGMA) Major Depressive Disorder and ENIGMA-Suicidal Thoughts and Behaviour working groups, to assess the concurrent validity of instruments currently used for assessing suicidal thoughts or behavior.

Results: We observed moderate-to-high correlations between measures, consistent with the wide range (κ range: 0.15-0.97; r range: 0.21-0.94) reported in the literature. Two common multi-item instruments, the Columbia Suicide Severity Rating Scale and the Beck Scale for Suicidal Ideation were highly correlated with each other (r = 0.83). Sensitivity analyses identified sources of heterogeneity such as the time frame of the instrument and whether it relies on self-report or a clinical interview. Finally, construct-specific analyses suggest that suicide ideation items from common psychiatric questionnaires are most concordant with the suicide ideation construct of multi-item instruments.

Conclusions: Our findings suggest that multi-item instruments provide valuable information on different aspects of suicidal thoughts or behavior but share a modest core factor with single suicidal ideation items. Retrospective, multisite collaborations including distinct instruments should be feasible provided they harmonize across instruments or focus on specific constructs of suicidality. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

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自杀风险评估工具的并发有效性和可靠性：对 27 个国际队列中的 20 种工具进行荟萃分析。

研究目的目前自杀研究的一个主要局限是缺乏识别自杀想法或行为的可靠相关因素的能力。不同队列中使用的自杀风险评估工具存在差异，这可能会限制国际联合会数据的汇集：在此，我们通过两种方法研究了这一问题：（a）对最常用工具的可靠性和并发有效性进行了广泛的文献检索；（b）汇集 "通过元分析增强神经成像遗传学（ENIGMA）重度抑郁障碍 "工作组和 "ENIGMA-自杀想法和行为 "工作组的队列数据（N ∼ 6,000 名参与者），以评估目前用于评估自杀想法或行为的工具的并发有效性：我们观察到测量指标之间存在中度到高度的相关性，与文献报道的广泛范围（κ范围：0.15-0.97；r范围：0.21-0.94）一致。哥伦比亚自杀严重程度评定量表和贝克自杀意念量表这两种常见的多项目工具之间具有高度相关性（r = 0.83）。敏感性分析确定了异质性的来源，如工具的时间范围以及它是依赖于自我报告还是临床访谈。最后，结构特异性分析表明，普通精神科问卷中的自杀意念项目与多项目工具中的自杀意念结构最为吻合：我们的研究结果表明，多项目工具可提供有关自杀想法或行为不同方面的有价值信息，但与单一的自杀意念项目共享一个适度的核心因子。包括不同工具在内的回顾性多地点合作应该是可行的，但前提是这些工具必须协调统一，或侧重于自杀倾向的特定结构。(PsycInfo Database Record (c) 2023 APA, 版权所有）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Neuropsychology 医学-神经科学

CiteScore

4.10

自引率

4.20%

发文量

132

审稿时长

6-12 weeks

期刊介绍： Neuropsychology publishes original, empirical research; systematic reviews and meta-analyses; and theoretical articles on the relation between brain and human cognitive, emotional, and behavioral function.