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Published on: February 2, 2017
Measurement Choices for Youth Suicidality
Danielle R Busby1, Jennifer L Hughes2, Mallory Walters3
1Department of Psychiatry and Behavioral Sciences, University of Texas Medical Branch, Galveston, USA. drbusby@utmb.edu.
Youth suicide is a public health crisis. This review examines tools for screening suicidal thoughts and behaviors (STBs) in adolescents, emphasizing psychometric properties and clinical utility for early detection.
Area of Science:
- Public Health
- Adolescent Psychology
- Psychometrics
Background:
- Suicidal thoughts and behaviors (STBs) are a leading cause of death in youth aged 10-24.
- Medical settings offer a crucial opportunity for early detection of suicidality in adolescents.
- Many at-risk youth may not have diagnosed mental health conditions and are identified through direct questioning.
Purpose of the Study:
- To conduct a scoping review of measures used for screening and assessing adolescent suicidal ideation, behavior, and plans.
- To evaluate the psychometric properties and clinical utility of these measures.
- To discuss key considerations for effective suicide risk screening and assessment in youth.
Main Methods:
- Scoping review methodology applied to identify relevant measures.
- Analysis of psychometric properties (reliability, validity) of selected instruments.
- Assessment of clinical utility and practical application in healthcare settings.
Main Results:
- Various self-report questionnaires, clinical interviews, and computerized adaptive screens are used for STB assessment.
- The review details the psychometric strengths and limitations of different measurement tools.
- Considerations for selecting appropriate measures based on specific clinical contexts are highlighted.
Conclusions:
- Effective screening and assessment of youth STBs require measures with robust psychometric properties and clinical utility.
- Measurement-based care approaches are essential for monitoring and managing adolescent suicide risk.
- This review provides a resource for healthcare providers to select appropriate tools for adolescent suicide risk assessment.
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