title: Comparison of the Composite International Diagnostic interview (CIDI-Auto) with clinical diagnosis in a suicidal population.
abstract: The objective was to examine agreement between routine clinician diagnoses of DSM-IV Anxiety, Depressive, Substance-Use disorders with diagnoses generated by CIDI-Auto Version 2.1, administered by trained interviewers. Subjects were 329 deliberate self poisoning patients at a tertiary referral center in Australia. Tests of agreement were: percentage agreement, sensitivity, specificity, positive and negative predictive values, positive and negative likelihood ratios, and Cohen's kappa coefficients, for 1 month and 12 month CIDI diagnoses. Agreement was poor (kappa <0.40) for Anxiety, Depressive and Substance-Use disorders. Since diagnosis largely determines subsequent treatment, these findings did not support the use of the less expensive CIDI-Auto procedure to replace clinical diagnosis by experienced clinicians for this group of patients exhibiting suicidal behavior.
authors.affiliation: Hunter New England Mental Health Services, Newcastle, NSW, Australia.
authors.forename: Himali
authors.initials: H
authors.lastname: Jayasekera
authors.forename: Gregory
authors.initials: G
authors.lastname: Carter
authors.forename: Kerrie
authors.initials: K
authors.lastname: Clover
mesh_terms: D000328:Adult; D001008:Anxiety Disorders / Q000175:diagnosis* / Q000628:therapy; D002983:Clinical Competence / Q000592:standards; D057186:Comparative Effectiveness Research; D017046:Cost Savings / Q000379:methods / Q000592:standards; D019091:Critical Pathways / Q000191:economics / Q000592:standards; D003866:Depressive Disorder / Q000175:diagnosis* / Q000628:therapy; D003936:Diagnosis, Computer-Assisted; D039721:Diagnostic and Statistical Manual of Mental Disorders; D005260:Female; D006801:Humans; D007406:Interview, Psychological / Q000379:methods; D008297:Male; D011613:Psychotherapy; D015203:Reproducibility of Results; D019966:Substance-Related Disorders / Q000175:diagnosis* / Q000628:therapy; D059020:Suicidal Ideation