Screening as an Approach for Adolescent Suicide Prevention

Center for the Study and Prevention of Suicide, Dept. of Psychiatry, University of Rochester Medical Center, New York 14642, USA.
Suicide and Life-Threatening Behavior (Impact Factor: 1.4). 01/2007; 36(6):614-37. DOI: 10.1521/suli.2006.36.6.614
Source: PubMed


Among the provisions of the recently signed Garrett Lee Smith Memorial Act, Congress called for the use of screening to detect adolescents who are at risk for suicide. After a review of the literature, 17 studies involving screening instruments and programs were identified. We addressed the question: What do we know about the demonstrated effectiveness and safety of screening as a tool or program to prevent suicide among adolescents? While youth suicide screening programs offer the promise of improving identification for those who need treatment the most, further research is essential to understand how, when, where, and for whom screening programs can be used effectively and efficiently.

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    • "Second, there may be worries about the acceptability and potential iatrogenic effects of the use of questionnaires that focus only on suicidal ideation in unselected general population samples, either for research or for screening purposes (Peña and Caine, 2006). Third, diverse screening tools for suicide-related ideation exist, and most are designed specifically for use as screening tools in the context of suicide prevention programs. "
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    ABSTRACT: The Mood and Feelings Questionnaire (MFQ) is widely used for the assessment of depression in adolescents. The main aim of this study was to examine the concurrent and predictive validity of a composite of four MFQ items related to suicidal ideation using an interview measure of suicidal ideation. A prospective 3-wave high-risk study of offspring of parents with recurrent depression was used including 294 families where children were initially aged 9–17 years. Measures included four parent and child rated MFQ items assessing suicide-related ideation (referred to here as the “MFQ-SI”) and a clinically-defined interview measure of suicidal ideation. A parent-child combined MFQ-SI subscale performed well as a screening tool against the interview measure of suicidal ideation (baseline AUC (95% CI):0.92 (0.85–1.00)). Longitudinally, this measure showed reasonable predictive validity against future suicidal ideation (AUC (95% CI):0.73 (0.58–0.88)). Lastly, there was evidence that a child-rated MFQ-SI scale performed better than a parent-rated one in detecting concurrent suicidal ideation. Longitudinally, both parent and child scales showed reasonable predictive validity against future suicidal ideation. In summary, a brief screen using four MFQ items related to suicidal ideation performs well in identifying concurrent and future suicidal ideation in high-risk adolescents.
    04/2014; 216(1). DOI:10.1016/j.psychres.2014.01.040
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    • "Although anger has been differentiated from related constructs such as hostility (e.g., Friedman 1992), the seven-item Hostility subscale of the SPS (Cull and Gill 1988) has been identified as a potential measure of angerhostility that is associated with suicide-related behaviors. To our knowledge, however, the total SPS score, not the Hostility subscale score, is used frequently as a broad measure (e.g., suicide probability score) in suicide related investigations (e.g., Gutierrez et al. 2000; Peña and Caine 2006). As an example, Bisconer and Gross (2007) reported a high and statistically significant correlation between scores on the total SPS scale score and a measure of suicidal ideation, r=.80, p<.001, in an adult psychiatric sample. "
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    ABSTRACT: We conducted 4 studies to develop and cross-validate scores on a multidimensional self-report measure of suicide and anger expression, the Suicide Anger Expression Inventory-28 (SAEI-28). The SAEI-28 evaluates Suicide Rumination, Maladaptive Expression, Reactive Distress, and Adaptive Expression with 7 content specific items each. Participants were between ages 14 and 47years old. Study 1 developed a pool of content relevant and representative items for the new inventory. Study 2 explored potential domains of the SAEI-28 items, evaluating preliminary estimates of internal consistency reliability. Study 3 examined specific structures of the SAEI-28 items and scale reliability. Study 4 evaluated the fit of the oblique 4-factor model to 2 alternative solutions. Support was found for estimates of internal consistency reliability for the scales. Criterion-related validity and potential correlates for the SAEI-28 scales were also assessed. KeywordsSuicide-Anger expression-Factor analysis-Self-report-Psychometrics
    Journal of Psychopathology and Behavioral Assessment 12/2010; 32(4):595-608. DOI:10.1007/s10862-010-9186-5 · 1.55 Impact Factor
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    • "Thus, schools remain an effective setting for suicide prevention. School-based suicide screening programs offer promise and can be used most effectively when considered in combination with effective referral resources (Peña & Caine, 2006). Social workers, if given the appropriate training, time, and financial resources, could be instrumental in the implementation of screening and preventive education programs. "
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    ABSTRACT: Screening for suicidality, as called for by the President's New Freedom Commission on Mental Health, is a major public health concern. As a place where adolescents spend a considerable amount of their waking hours, school is an important venue for screening adolescents for suicidal behaviors and providing preventive education and risk management. Social workers, as the largest occupational group of mental health professionals in the United States, have a significant role to play in the national strategy to prevent youth suicide, especially at the school level. This article reviews the literature on suicide prevention screening, warning signs, and risk factors to gain a better understanding of evidence-based screening strategies and discuss the implications for school social workers, counselors, and psychologists. It focuses on the identification of research-based information and explication of potential means for guiding preventive screening and clinical practice with suicidal adolescents.
    Children & schools 10/2007; 29(4):219-227. DOI:10.1093/cs/29.4.219
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