title: [Brief Suicide Questionnaire. Inter-rater reliability].
abstract: BACKGROUND
  Inter-rater agreement is a crucial aspect in the planning and performance of a clinical trial in which the main assessment tool is the clinical interview. The main objectives of this study are to study the inter-rater agreement of a tool for the assessment of suicidal behavior (Brief Suicide Questionnaire) and to examine whether the inter-examiner agreement when multiple ratings are made on a single subject is an efficient method to assess the reliability of an instrument.
  
  
  METHODS
  In the context of designing a multicenter clinical trial, 32 psychiatrists assessed a videotaped clinical interview of a patient with suicidal behavior. In order to identify those items in which a greater level of discordance existed and detect the examiners whose ratings differed significantly from the average ratings, we used the DOMENIC method (Detecion of Multiple Examiners Not in Consensus).
  
  
  RESULTS
  Inter-rater agreement was between poor (<70%) to excelent (90-100%. Inter-rater agreement in Brugha's list of threatening experiences ranged from 75.5 and 100%; in the Global Assessment of Functioning (GAF) Scale was 82.58%; in the Beck's Suicidal Intent Scale, ranged from 67.5 and 97%; in the Beck's Scale for Suicide Ideation, ranged from 63.5 and 100%; and in the Lethality Rating Scale was 88.39%. On the whole, the level of agreement among raters, both in general scores and in particular items, was appropriate.
  
  
  CONCLUSIONS
  The proposed design allows the assessment of the inter-rater agreement in an efficient way (only in one session). In addition, regarding the Brief Suicide Questionnaire, inter-raters agreement was appropriate.
authors.affiliation: Fundación Jiménez Díaz, Madrid, CIBERSAM, España.
authors.forename: Rebeca
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authors.lastname: García-Nieto
authors.forename: Isabel
authors.initials: I
authors.lastname: Parra Uribe
authors.forename: Diego
authors.initials: D
authors.lastname: Palao
authors.forename: Jorge
authors.initials: J
authors.lastname: Lopez-Castroman
authors.forename: Pilar Alejandra
authors.initials: PA
authors.lastname: Sáiz
authors.forename: María Paz
authors.initials: MP
authors.lastname: García-Portilla
authors.forename: Jerónimo
authors.initials: J
authors.lastname: Saiz Ruiz
authors.forename: Angela
authors.initials: A
authors.lastname: Ibañez
authors.forename: Thais
authors.initials: T
authors.lastname: Tiana
authors.forename: Santiago
authors.initials: S
authors.lastname: Durán Sindreu
authors.forename: Victor
authors.initials: V
authors.lastname: Perez Sola
authors.forename: Yolanda
authors.initials: Y
authors.lastname: de Diego-Otero
authors.forename: Lucia
authors.initials: L
authors.lastname: Pérez-Costillas
authors.forename: Rafael
authors.initials: R
authors.lastname: Fernández García-Andrade
authors.forename: Dolores
authors.initials: D
authors.lastname: Saiz-González
authors.forename: Miguel Angel
authors.initials: MA
authors.lastname: Jiménez Arriero
authors.forename: Mercedes
authors.initials: M
authors.lastname: Navío Acosta
authors.forename: Lucas
authors.initials: L
authors.lastname: Giner
authors.forename: Julio Antonio
authors.initials: JA
authors.lastname: Guija
authors.forename: José Luis
authors.initials: JL
authors.lastname: Escobar
authors.forename: Jorge Antonio
authors.initials: JA
authors.lastname: Cervilla
authors.forename: Marta
authors.initials: M
authors.lastname: Quesada
authors.forename: Dolores
authors.initials: D
authors.lastname: Braquehais
authors.forename: Hilario
authors.initials: H
authors.lastname: Blasco-Fontecilla
authors.forename: Teresa
authors.initials: T
authors.lastname: Legido-Gil
authors.forename: Fuensanta
authors.initials: F
authors.lastname: Aroca
authors.forename: Enrique
authors.initials: E
authors.lastname: Baca-García
mesh_terms: D006801:Humans; D015588:Observer Variation; D015203:Reproducibility of Results; D059020:Suicidal Ideation; D011795:Surveys and Questionnaires