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dc.contributor.authorBrown, Lily A.
dc.contributor.authorBoudreaux, Edwin D
dc.contributor.authorArias, Sarah A.
dc.contributor.authorMiller, Ivan W.
dc.contributor.authorMay, Alexis M.
dc.contributor.authorCamargo, Carlos A. Jr.
dc.contributor.authorBryan, Craig J.
dc.contributor.authorArmey, Michael F.
dc.date2022-08-11T08:08:25.000
dc.date.accessioned2022-08-23T15:54:38Z
dc.date.available2022-08-23T15:54:38Z
dc.date.issued2020-07-24
dc.date.submitted2020-09-22
dc.identifier.citation<p>Brown LA, Boudreaux ED, Arias SA, Miller IW, May AM, Camargo CA Jr, Bryan CJ, Armey MF. C-SSRS performance in emergency department patients at high risk for suicide. Suicide Life Threat Behav. 2020 Jul 24. doi: 10.1111/sltb.12657. Epub ahead of print. PMID: 32706437. <a href="https://doi.org/10.1111/sltb.12657">Link to article on publisher's site</a></p>
dc.identifier.issn0363-0234 (Linking)
dc.identifier.doi10.1111/sltb.12657
dc.identifier.pmid32706437
dc.identifier.urihttp://hdl.handle.net/20.500.14038/29594
dc.description.abstractOBJECTIVE: To evaluate the psychometric and predictive performance of the Columbia-Suicide Severity Rating Scale (C-SSRS) in emergency department (ED) patients with suicidal ideation or attempts (SI/SA). METHODS: Participants (n = 1,376, mean age 36.8, 55% female, 76.8% white) completed the C-SSRS during the ED visit and were followed for one year. Reliability analyses, exploratory structural equation modeling, and prediction of future SA were explored. RESULTS: Reliability of the Suicidal Ideation subscale was adequate, but was poor for the Intensity of Ideation and Suicidal Behavior subscales. Three empirically derived factors characterized the C-SSRS. Only Factor 1 (Suicidal Ideation and Attempts) was a reliable predictor of subsequent SA, though odds ratios were small (ORs: 1.09-1.10, CI95% : 1.04, 1.15). The original C-SSRS Suicidal Ideation and Suicidal Behavior subscales and the C-SSRS ED screen predicted subsequent SA, again with small odds ratios (ORs: 1.07-1.19, CI95% : 1.01, 1.29). In participants without a SA history, no C-SSRS subscale predicted subsequent SA. History of any SA (OR: 1.98, CI95% : 1.43, 2.75) was the strongest predictor of subsequent SA. CONCLUSIONS: The psychometric evidence for the C-SSRS was mixed. History of a prior SA, as measured by the C-SSRS, provided the most parsimonious and powerful assessment for predicting future SA.
dc.language.isoen_US
dc.relation<p><a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=32706437&dopt=Abstract">Link to Article in PubMed</a></p>
dc.relation.urlhttps://doi.org/10.1111/sltb.12657
dc.subjectEmergency Medicine
dc.subjectHealth Services Administration
dc.subjectMental and Social Health
dc.subjectMental Disorders
dc.subjectPsychiatry and Psychology
dc.titleC-SSRS performance in emergency department patients at high risk for suicide
dc.typeJournal Article
dc.source.journaltitleSuicide and life-threatening behavior
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/faculty_pubs/1812
dc.identifier.contextkey19508495
html.description.abstract<p>OBJECTIVE: To evaluate the psychometric and predictive performance of the Columbia-Suicide Severity Rating Scale (C-SSRS) in emergency department (ED) patients with suicidal ideation or attempts (SI/SA).</p> <p>METHODS: Participants (n = 1,376, mean age 36.8, 55% female, 76.8% white) completed the C-SSRS during the ED visit and were followed for one year. Reliability analyses, exploratory structural equation modeling, and prediction of future SA were explored.</p> <p>RESULTS: Reliability of the Suicidal Ideation subscale was adequate, but was poor for the Intensity of Ideation and Suicidal Behavior subscales. Three empirically derived factors characterized the C-SSRS. Only Factor 1 (Suicidal Ideation and Attempts) was a reliable predictor of subsequent SA, though odds ratios were small (ORs: 1.09-1.10, CI95% : 1.04, 1.15). The original C-SSRS Suicidal Ideation and Suicidal Behavior subscales and the C-SSRS ED screen predicted subsequent SA, again with small odds ratios (ORs: 1.07-1.19, CI95% : 1.01, 1.29). In participants without a SA history, no C-SSRS subscale predicted subsequent SA. History of any SA (OR: 1.98, CI95% : 1.43, 2.75) was the strongest predictor of subsequent SA.</p> <p>CONCLUSIONS: The psychometric evidence for the C-SSRS was mixed. History of a prior SA, as measured by the C-SSRS, provided the most parsimonious and powerful assessment for predicting future SA.</p>
dc.identifier.submissionpathfaculty_pubs/1812
dc.contributor.departmentDepartment of Emergency Medicine


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