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Axis I screens and suicide risk in jails: a comparative analysis
Kimberly S Harrison1, Richard Rogers
1University of North Texas, USA.
Assessment
|May 17, 2007
Summary
Screening tools like MDSIS show promise for identifying suicidal inmates, while the PAS Negative Affect subscale aids in ruling out major depression in jail populations.
Area of Science:
- Forensic Psychology
- Clinical Psychology
- Correctional Mental Health
Background:
- Jail settings present significant challenges for mental health screening.
- Correctional staff often provide initial inmate mental health appraisals.
- Accurate identification of major depression and suicide risk is crucial.
Purpose of the Study:
- To evaluate the effectiveness of specialized and general screening tools for major depression and suicidal ideation in jail detainees.
- To compare the performance of the Referral Decision Scale, Mental Disability/Suicide Intake Screen (MDSIS), and Personality Assessment Screener (PAS).
Main Methods:
- A sample of 100 jail detainees was assessed.
- The study evaluated three screening instruments: Referral Decision Scale, MDSIS, and PAS.
- Effectiveness was measured by sensitivity and specificity for key mental health conditions.
Main Results:
- The MDSIS composite score demonstrated high sensitivity (1.00) and good specificity (0.71) for suicidal ideation.
- The PAS Negative Affect subscale proved useful in ruling out major depression among inmates.
Conclusions:
- The MDSIS is a promising tool for identifying suicidal ideation in jail populations.
- The PAS Negative Affect subscale can assist in excluding major depression diagnoses in correctional settings.
- Improved screening methods are needed to support mental health professionals in jails.
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