Use of the Columbia‐Suicide Severity Rating Scale (C‐SSRS) in a large sample of Veterans receiving mental health services in the Veterans Health Administration

Suicide and Life-Threatening Behavior - Tập 50 Số 1 - Trang 111-121 - 2020
Ira R. Katz1, Catherine N. Barry2, Samantha A. Cooper3, Wesley J. Kasprow4,5, Rani A. Hoff4,5
1Department of Veterans Affairs Office of Mental Health and Suicide Prevention Philadelphia PA USA
2VA Program Evaluation Resource Center Menlo Park CA USA
3VA Serious Mental Illness Treatment Resource and Evaluation Center, Ann Arbor, MI, USA
4Department of Psychiatry,Yale University, New Haven, CT, USA
5VA Northeast Program Evaluation Center, West Haven, CT, USA

Tóm tắt

ObjectiveTo evaluate the associations of self‐reports of suicidal ideation and behavior using the Columbia‐Suicide Severity Rating Scale (C‐SSRS) in a survey of patients receiving mental health services in the Veterans Health Administration (VHA) with reports of attempts documented in medical records and administrative data.MethodThe C‐SSRS was administered to 15,373 Veterans in the Veterans Outcome Assessment (VOA) survey. Concurrent validity was evaluated by comparing self‐reports from the past 3 months with VHA records. Predictive validity was evaluated by logistic regression models using attempts over the subsequent 3 months as the outcome.ResultsTests of concurrent validity found strong associations between self‐reports and attempts documented in VHA records, but there were substantial numbers of discordant responses. In tests of predictive validity, area under the ROC curve for predicting future attempts was >0.8. There were differences in the distribution of responses and of psychometric properties across VHA mental health programs.ConclusionsFindings support the value of screening and the validity of the self‐reports based on the C‐SSRS, but limitations in concordance with medical records and variability across programs suggest the need for clinical judgment in interpreting responses.

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Tài liệu tham khảo

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Suicide and Life-Threatening Behavior

Tập 50 Số 1

111-121

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