title: Appraisal of suicidal risk among adolescents and young adults through the Rorschach test.
abstract: The aims of this study are to investigate suicidal behaviors among adolescents and young adults and to test an index composed using Rorschach test responses related to an increased risk of suicide. Using a cross-sectional design, 4 groups were studied (according to criteria of the Columbia Classification Algorithm of Suicide Assessment [Posner, Oquendo, Gould, Stanley, & Davies, 2007]): A group with suicidal ideation (n = 30), a group with parasuicidal behavior (n = 30), a group with near-lethal suicide attempts (n = 26), and a control group (n = 30). Responses to the Rorschach test yielded 6 potential indicators of suicidal behavior (scored according to Exner's Comprehensive System and the Suicidal Index for Adolescents; Silberg & Armstrong, 1992 ). Rorschach scores including at least 4 of these 6 indicators selected 69% of the people who had committed serious suicide attempts. The Rorschach Suicidal Index reached an acceptable reliability and was related to other criteria of suicide risk, such as the Beck Depression Inventory (BDI; Beck, Ward, Mendelsohn, Mock, & Erbaugh, 1961) and Linehan Reasons for Living Inventory (RFL-I; Linehan, Goodstein, Nielsen, & Chiles, 1983). Moreover, the Rorschach Suicidal Index showed incremental validity over the BDI and the RFL-I to predict suicidal behavior. A path analysis additionally showed that low social support was an important mediator between the Rorschach Suicidal Index and the number of suicide attempts committed by participants.
authors.affiliation: Warsaw School of Social Psychology, Faculty in Wroclaw, Poland. sblasczyk-schiep@swps.edu.pl
authors.forename: Sybilla
authors.initials: S
authors.lastname: Blasczyk-Schiep
authors.forename: Miguel
authors.initials: M
authors.lastname: Kazén
authors.forename: Julius
authors.initials: J
authors.lastname: Kuhl
authors.forename: Michał
authors.initials: M
authors.lastname: Grygielski
mesh_terms: D000293:Adolescent; D005260:Female; D006801:Humans; D008297:Male; D010551:Personality; D010555:Personality Inventory; D011569:Psychiatric Status Rating Scales; D011594:Psychometrics; D015203:Reproducibility of Results; D012306:Risk; D012392:Rorschach Test; D012944:Social Support; D013315:Stress, Psychological; D059020:Suicidal Ideation; D013405:Suicide; D055815:Young Adult