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Does assessing suicidality frequently and repeatedly cause harm? A randomized control study.

Mary Kate Law1, R Michael Furr1, Elizabeth Mayfield Arnold2

  • 1Department of Psychology.

Psychological Assessment
|April 21, 2015
PubMed
Summary
This summary is machine-generated.

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Frequent suicide assessments appear safe, even for individuals with borderline personality disorder (BPD). This study found no significant negative impact from repeated suicide-related questions, suggesting careful implementation is key.

Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Mental Health Research

Background:

  • Assessing suicidality is crucial in mental health but raises concerns about potential harm.
  • Previous research has not definitively established the impact of frequent suicide assessments on individuals.

Purpose of the Study:

  • To evaluate if repeated, frequent assessments of suicide-related thoughts and behaviors cause negative effects.
  • To assess these effects in a general adult population, including those at risk and with borderline personality disorder (BPD).

Main Methods:

  • A longitudinal randomized control trial with 282 adults, including many with BPD.
  • Participants were assigned to either a control assessment group (negative psychological experiences) or an intensive suicide assessment group (suicide-related items plus negative psychological experiences).

Related Experiment Videos

  • Assessments occurred multiple times daily for 2 weeks, with follow-ups for 6 months.

    • Main Results:

    • Little evidence was found that intensive suicide assessment triggered negative outcomes, including suicidal ideation or behavior, even in individuals with BPD.
    • A few temporary and nonrobust significant effects were observed.
    • The study suggests that frequent assessments do not significantly harm participants.

    Conclusions:

    • Intensive suicide assessments, even when frequent, do not appear to cause significant harm, even in high-risk populations like those with BPD.
    • Researchers and clinicians should weigh the benefits against potential risks when using experience sampling methods that include suicide-related items.
    • Informing participants about potential risks is recommended when implementing such assessments.