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Allowing for Nondisclosure in High Suicide Risk Groups
Matthew C Podlogar1, Thomas E Joiner1
1Department of Psychology, Florida State University, Tallahassee, FL, USA.
Assessment
|May 5, 2019
Summary
Including a "prefer not to disclose" option in suicide risk screening minimally impacted accuracy but was favored by higher-risk individuals. This approach may improve trust and disclosure for better assessments.
Area of Science:
- Psychiatry
- Psychology
- Public Health
Background:
- Self-report is crucial for suicide risk screening but prone to inaccurate disclosure.
- Explicit nondisclosure options may enhance assessment validity by addressing barriers.
Purpose of the Study:
- To investigate the impact of explicit nondisclosure options in suicide risk screening.
- To examine the prevalence and correlates of nondisclosure in high-risk populations.
Main Methods:
- The study included military service members/veterans, men over 50, and LGBTQ young adults.
- Participants completed suicide risk screening with an explicit nondisclosure option.
Main Results:
- Explicit nondisclosure minimally affected screening sensitivity and specificity.
- Higher-risk participants more frequently selected the nondisclosure option.
- Nondisclosure was linked to past unhelpful reactions and fear of stigmatized consequences.
Conclusions:
- Allowing explicit nondisclosure in suicide risk screening offers potential psychometric advantages.
- This option may improve trust, patient autonomy, and facilitate accurate disclosure.
- It can be a safe method to discuss barriers and improve assessment validity.
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