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Clinical Evaluation of Prior Suicide Attempts and Suicide Risk in Psychiatric Inpatients
- Source :
- Crisis. 23:47-54
- Publication Year :
- 2002
- Publisher :
- Hogrefe Publishing Group, 2002.
-
Abstract
- Summary: Background: In practice psychiatrists rely on their own experience and intuition to evaluate the suicide potential of individual patients, but the algorithms for the decision-making process remain unclear. Objectives: (1) to establish models for the decision making process for evaluating suicide risk; (2) to simulate the impact of information concerning the number of previous suicide attempts on the clinician's ability to detect patients who performed medically serious suicide attempts (MSSAs). Methods: Four decision models (linear, dichotomized, hyperbolic, and undifferentiated) depicting the influence of the number of previous suicide attempts on the clinician's recognition of MSSAs in 250 psychiatric inpatients were elicited and tested by a series of discriminant analyses. Results: The dichotomized model (“all or none”) was found to be the most efficient in detecting medically serious suicide attempts. Conclusion: The “all or none” paradigm seems to be the most appropriate way to evaluate the weight of previous suicide attempts in the decision-making process identifying medically serious suicide attempt patients.
- Subjects :
- Adult
Male
medicine.medical_specialty
Adolescent
Decision Making
MEDLINE
Poison control
Suicide, Attempted
Suicide prevention
Occupational safety and health
Risk Factors
Injury prevention
medicine
Humans
Decision-making
Psychiatry
Aged
Aged, 80 and over
business.industry
Mental Disorders
Human factors and ergonomics
Middle Aged
Hospitalization
Psychiatry and Mental health
Female
business
Decision model
Clinical psychology
Subjects
Details
- ISSN :
- 21512396 and 02275910
- Volume :
- 23
- Database :
- OpenAIRE
- Journal :
- Crisis
- Accession number :
- edsair.doi.dedup.....63e4ed577e1f70cf464ef1ff5d816c0f