title: The Modular Assessment of Risk for Imminent Suicide (MARIS): A proof of concept for a multi-informant tool for evaluation of short-term suicide risk.
abstract: To date, no diagnostic tool has demonstrated clinical value for the assessment of short-term suicide risk among high-risk individuals. To this end we have developed the Modular Assessment of Risk for Imminent Suicide (MARIS), a modular patient and clinician informed risk evaluation instrument. Here we assess its predictive validity for suicidal behavior (SB) in psychiatric patients following discharge from an inpatient unit.
  
  
  
  The MARIS and a psychological test battery were administered to 136 adult psychiatric patients hospitalized for high risk of suicide. Eighty-six participants had complete data at discharge and 59 (69.8%) were reached for follow-up. Logistic regressions were used to assess the predictive validity of the MARIS for SB over the 4-8weeks following hospital discharge and its incremental predictive validity over standard risk factors.
  
  
  
  Patients who exhibited SB in the period between initial assessment and follow-up had significantly higher MARIS scores. ROC analysis indicated good sensitivity and specificity of MARIS in identifying risk (OR=19). Further, MARIS total score significantly improved predictive validity by the standard risk factors when added to a model comprising global depression severity, hopelessness, and lifetime number of suicide attempts, and was the only factor that approached independent significance.
  
  
  
  The MARIS appears to be a practical and effective tool for detecting short-term suicide risk following hospital discharge, supporting the validity of modular multi-informant approach to suicide risk evaluation. Replication of these findings and further investigation of the applications of such an approach are warranted.
authors: Mount Sinai Beth Israel, Department of Psychiatry, 317 E 17th St, New York, NY 10003, USA.
authors: Mariah
authors: M
authors: Hawes
authors: Mount Sinai Beth Israel, Department of Psychiatry, 317 E 17th St, New York, NY 10003, USA.
authors: Zimri
authors: Z
authors: Yaseen
authors: Mount Sinai Beth Israel, Department of Psychiatry, 317 E 17th St, New York, NY 10003, USA.
authors: Jessica
authors: J
authors: Briggs
authors: Mount Sinai Beth Israel, Department of Psychiatry, 317 E 17th St, New York, NY 10003, USA. Electronic address: Igalynke@chpnet.org.
authors: Igor
authors: I
authors: Galynker
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010351:Patient Discharge / Q000592:standards; D011581:Psychological Tests / Q000592:standards*; D018570:Risk Assessment; D012307:Risk Factors; D016728:Self-Injurious Behavior / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology; D012680:Sensitivity and Specificity; D059020:Suicidal Ideation; D013405:Suicide / Q000523:psychology*; D013406:Suicide, Attempted / Q000523:psychology*; D013997:Time Factors; D055815:Young Adult