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Published on: January 24, 2020
Clinical decision making regarding suicide risk: Effect of patient and clinician age
Noah Chase Berman1, Esther S Tung1, Natalie Matheny1
1a Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School , Boston , Massachusetts , USA.
Abstract:
To ascertain how patient age influences suicide risk assessment, clinicians (N = 262) read an ambiguous vignette about Bill (aged either 39 or 79 years old) and subsequently rated Bill's suicide risk and hospitalization needs. Suicide-risk ratings varied greatly and young clinicians rated Bill's suicide risk and hospitalization needs higher when he was elderly (79 years old); whereas, older clinicians rated Bill's suicide risk and need for hospitalization higher when he was younger (39 years old). The interaction between patient and clinician age may reflect a "similarity" bias, such that clinicians perceive those who are different (i.e., younger or older) to be at elevated risk.
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