title: Past suicide attempts in depressed inpatients: clinical versus research assessment.
abstract: The objective of this study was to compare structured clinical assessment versus research measurement of suicidal risk among inpatients with major depression. Fifty depressed inpatients underwent a structured clinical and an independent research assessment of suicidal risk. Agreement between both assessments and its impact upon time to first readmission was tested. A false negative rate of 25% in the clinical screening of past suicide attempts was associated with older age, concealment, and reported lower frequency of suicidal thoughts. Mean times to first readmission (2.5 years follow-up) were 74 weeks (discordant responders) and 118 weeks (concordant responders). A failure to detect 25% of patients with past suicide attempt history in the clinical assessment was associated with older age and concealment of suicidal thoughts.
authors.forename: Patricio
authors.initials: P
authors.lastname: Molero
authors.forename: Michael F
authors.initials: MF
authors.lastname: Grunebaum
authors.forename: Hanga C
authors.initials: HC
authors.lastname: Galfalvy
authors.forename: Mary A
authors.initials: MA
authors.lastname: Bongiovi
authors.forename: David
authors.initials: D
authors.lastname: Lowenthal
authors.forename: M Goretti
authors.initials: MG
authors.lastname: Almeida
authors.forename: Ainsley K
authors.initials: AK
authors.lastname: Burke
authors.forename: Ellen
authors.initials: E
authors.lastname: Stevenson
authors.forename: J John
authors.initials: JJ
authors.lastname: Mann
authors.forename: Maria A
authors.initials: MA
authors.lastname: Oquendo
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001714:Bipolar Disorder / Q000523:psychology*; D015331:Cohort Studies; D003865:Major Depressive Disorder / Q000523:psychology*; D005260:Female; D006801:Humans; D007297:Inpatients / Q000523:psychology*; D008297:Male; D008875:Middle Aged; D012106:Research; D018570:Risk Assessment / Q000379:methods*; D012307:Risk Factors; D059020:Suicidal Ideation; D013406:Suicide, Attempted / Q000523:psychology*; D055815:Young Adult; D000092864:Suicide Prevention