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SIBAT-A Computerized Assessment Tool for Suicide Ideation and Behavior: Development and Psychometric Properties.

Larry Alphs1, Dong-Jing Fu2, David Williamson3

  • 1Dr. Alphs is with Denovo Biopharma in San Diego, California (he was with Janssen Scientific Affairs, LLC in Titusville, New Jersey at the time the work reported herein was performed).

Innovations in Clinical Neuroscience
|August 12, 2022
PubMed
Summary
This summary is machine-generated.

The Suicide Ideation and Behavior Assessment Tool (SIBAT) offers a comprehensive approach to assessing suicidal ideation and behavior (SIB). This validated tool enhances patient and clinician assessments for improved suicide risk management.

Keywords:
SIBATdeath by suicidepsychometric validationsuicidalitysuicide assessmentsuicide attemptsuicide behaviorsuicide ideation

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Area of Science:

  • Psychiatry and Mental Health
  • Clinical Psychology
  • Psychometrics

Background:

  • Current assessments for suicidal ideation and behavior (SIB) often rely on single-rater data, lack detail on patient-specific drivers, and cannot detect rapid changes.
  • Existing methods frequently omit semistructured interviews, leading to increased rater variability in SIB assessment.

Purpose of the Study:

  • To introduce the Suicide Ideation and Behavior Assessment Tool (SIBAT), designed to overcome the limitations of current SIB assessment methods.
  • To present the development and psychometric validation of the SIBAT.

Main Methods:

  • The SIBAT was developed over four years by over 30 experts, incorporating input from patients, clinicians, and regulatory authorities in the US and Europe.
  • The tool features eight independent, computer-based modules for patient and clinician ratings, including a semistructured interview and risk assessment.
  • Cognitive interviews with diverse participants informed the final SIBAT version, which underwent psychometric evaluation.

Main Results:

  • Psychometric testing demonstrated good inter-rater reliability (intraclass coefficient range: 0.68-0.82) and intra-rater reliability (weighted-kappa range: 0.64-0.76).
  • The SIBAT showed concurrent validity with other instruments used for assessing SIB.
  • The tool integrates patient-reported data with clinician assessment and interviews.

Conclusions:

  • The SIBAT provides a reliable and valid method for assessing SIB in both adolescents and adults.
  • The tool's comprehensive approach, combining patient and clinician input, supports effective suicide risk assessment and management.