Identification of nearly fatal suicide attempts: Self-Inflicted Injury Severity Form.
The Self-Inflicted Injury Severity Form (SIISF) was developed as an epidemiological research tool for identifying individuals in hospital emergency departments who have life-threatening self-inflicted injuries. Data were collected from 715 patients with self-inflicted injuries in two large hospitals. In 295 of these cases, a second set of data was independently collected for assessment of interrater reliability. Validity was assessed by comparing the SIISF results with simultaneously collected Risk-Rescue Ratings. Assessment of interrater reliability found that only 2.4% of physicians disagreed on the suicide method used. The kappa statistic for method used was .94, indicating excellent agreement. The SIISF was found to distinguish between severe and less severe injuries. Thus, it appears to provide a simple method to distinguish patients who have life-threatening self-inflicted injuries.
Centers for Disease Control and Prevention (CDC), National Center for Injury Prevention and Control (NCIPC), Atlanta, GA 30341, USA.
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Potter
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Kresnow
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Powell
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O'Carroll
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Lee
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Frankowski
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Swann
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Bayer
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Bautista
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Briscoe
D000293:Adolescent; D000328:Adult; D015982:Bias; D003625:Data Collection; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008297:Male; D010819:Physician's Role; D011314:Preventive Health Services / Q000458:organization & administration; D011569:Psychiatric Status Rating Scales / Q000592:standards*; D011594:Psychometrics; D015203:Reproducibility of Results; D018570:Risk Assessment; D016728:Self-Injurious Behavior / Q000145:classification*; D018709:Statistics, Nonparametric; D013406:Suicide, Attempted / Q000145:classification / Q000517:prevention & control* / Q000706:statistics & numerical data; D013781:Texas / Q000453:epidemiology; D015599:Trauma Severity Indices