Concurrent validity and reliability of suicide risk assessment instruments: A meta-analysis of 20 instruments across 27 international cohorts.
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Campos Adrian I, Van Velzen Laura S, Veltman Dick J, Pozzi Elena, Ambrogi Sonia, Ballard Elizabeth D, Banaj Nerisa, Başgöze Zeynep, Bellow Sophie, Benedetti Francesco, Bollettini Irene, Brosch Katharina, Canales-Rodríguez Erick J, Clarke-Rubright Emily K, Colic Lejla, Connolly Colm G, Courtet Philippe, Cullen Kathryn R, Dannlowski Udo, Dauvermann Maria R, Davey Christopher G, Deverdun Jeremy, Dohm Katharina, Erwin-Grabner Tracy, Goya-Maldonado Roberto, Fani Negar, Fortea Lydia, Fuentes-Claramonte Paola, Gonul Ali Saffet, Gotlib Ian H, Grotegerd Dominik, Harris Mathew A, Harrison Ben J, Haswell Courtney C, Hawkins Emma L, Hill Dawson, Hirano Yoshiyuki, Ho Tiffany C, Jollant Fabrice, Jovanovic Tanja, Kircher Tilo, Klimes-Dougan Bonnie, le Bars Emmanuelle, Lochner Christine, McIntosh Andrew M, Meinert Susanne, Mekawi Yara, Melloni Elisa, Mitchell Philip, Morey Rajendra A, Nakagawa Akiko, Nenadić Igor, Olié Emilie, Pereira Fabricio, Phillips Rachel D, Piras Fabrizio, Poletti Sara, Pomarol-Clotet Edith, Radua Joaquim, Ressler Kerry J, Roberts Gloria, Rodriguez-Cano Elena, Sacchet Matthew D, Salvador Raymond, Sandu Anca-Larisa, Shimizu Eiji, Singh Aditya, Spalletta Gianfranco, Steele J Douglas, Stein Dan J, Stein Frederike, Stevens Jennifer S, Teresi Giana I, Uyar-Demir Aslihan, van der Wee Nic J, van der Werff Steven J, van Rooij Sanne J H, Vecchio Daniela, Verdolini Norma, Vieta Eduard, Waiter Gordon D, Whalley Heather, Whittle Sarah L, Yang Tony T, Zarate Carlos A, Thompson Paul M, Jahanshad Neda, van Harmelen Anne-Laura, Blumberg Hilary P, Schmaal Lianne, Rentería Miguel E
Аннотация
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).