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Moving Beyond Self-Report: Implicit Associations about Death/Life Prospectively Predict Suicidal Behavior among
Sean M Barnes1,2, Nazanin H Bahraini1,3, Jeri E Forster1,4
1Rocky Mountain Mental Illness Research, Education, and Clinical Center, Denver, CO, USA.
Abstract:
Reliance on self-report limits clinicians' ability to accurately predict suicidal behavior. In this study the predictive validity of an objective measure, the death/suicide Implicit Association Test (d/sIAT), was tested among psychiatrically hospitalized veterans. Following acute stabilization, 176 participants completed the d/sIAT and traditional suicide risk assessments. Participants had similar d/sIAT scores regardless of whether they had recently attempted suicide. However, d/sIAT scores significantly predicted suicide attempts during the 6-month follow-up above and beyond other known risk factors for suicidal behavior (OR = 1.89; 95% CI: 1.15-3.12; based on 1SD increase). The d/sIAT may augment the accuracy of suicide risk assessment.
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