Detalle Publicación

Past suicide attempts in depressed inpatients: clinical versus research assessment.
Autores: Molero Santos, Patricio; Grunebaum, M.; Galfalvy, HC; Bongiovi MA; Lowenthal D; Almeida MG; Burke AK; Stevenson E; Mann JJ; Oquendo MA
Título de la revista: ARCH SUICIDE RES
ISSN: 1381-1118
Volumen: 18
Número: 1
Páginas: 50-57
Fecha de publicación: 2014
The objective of this study was to compare structured clinical assessment versus research measurement of suicidal risk among inpatients with major depression. Fifty depressed inpatients underwent a structured clinical and an independent research assessment of suicidal risk. Agreement between both assessments and its impact upon time to first readmission was tested. A false negative rate of 25% in the clinical screening of past suicide attempts was associated with older age, concealment, and reported lower frequency of suicidal thoughts. Mean times to first readmission (2.5 years follow-up) were 74 weeks (discordant responders) and 118 weeks (concordant responders). A failure to detect 25% of patients with past suicide attempt history in the clinical assessment was associated with older age and concealment of suicidal thoughts.