A brief screening tool for suicidal symptoms in adolescents and young adults in general health settings: reliability and validity data from the Australian National General Practice Youth Suicide Prevention Project

Joiner, Thomas E.; Pfaff, Jon J.; Acres, John

doi:10.1016/s0005-7967(01)00017-1

Cited by 298 publications

(300 citation statements)

References 18 publications

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“…Participants are asked to select the statement that best describes their experiences within the past 2 w. A total score of 3 has been recommended as a cutoff for clinically significant risk; however, in clinical practice settings, nonzero scores may still warrant further investigation. 28 Previous research has found the DSI-SS to have strong psychometric properties, 29 and internal consistency in the current sample was high (α = 0.93).…”

Section: Depressive Symptoms Inventory-suicidality Subscale (Dsi-ss)mentioning

confidence: 60%

Is Insomnia Lonely? Exploring Thwarted Belongingness as an Explanatory Link between Insomnia and Suicidal Ideation in a Sample of South Korean University Students

Chu

Hom

Rogers

et al. 2016

Journal of Clinical Sleep Medicine

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Study Objectives: Suicide is a serious public health problem, and suicide rates are particularly high in South Korea. Insomnia has been identified as a risk factor for suicidal ideation; however, little is known about the mechanisms accounting for this relationship in this population. Based on the premise that insomnia can be lonely (e.g., being awake when everyone else is asleep), the purpose of this study was to examine whether greater insomnia severity would be associated with higher levels of thwarted belongingness and suicidal ideation, and whether thwarted belongingness would mediate the relationship between insomnia and suicidal ideation. Methods: Predictions were tested in a sample of 552 South Korean young adults who completed self-report measures of insomnia severity, suicidal ideation, and thwarted belongingness. Results: Greater insomnia symptom severity was significantly and positively associated with thwarted belongingness and suicidal ideation. Mediation analyses revealed that thwarted belongingness significantly accounted for the relationship between insomnia severity and suicidal ideation. Conclusions: These findings highlight the potential importance of monitoring and therapeutically impacting insomnia and thwarted belongingness to help reduce suicide risk. Keywords: insomnia, thwarted belongingness, suicidal ideation, interpersonal theory of suicide, South Korea Citation: Chu C, Hom MA, Rogers ML, Ringer FB, Hames JL, Suh S, Joiner TE. Is insomnia lonely? Exploring thwarted belongingness as an explanatory link between insomnia and suicidal ideation in a sample of South Korean university students. J Clin Sleep Med 2016;12(5):647-652.

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Section: Depressive Symptoms Inventory-suicidality Subscale (Dsi-ss)mentioning

confidence: 60%

Is Insomnia Lonely? Exploring Thwarted Belongingness as an Explanatory Link between Insomnia and Suicidal Ideation in a Sample of South Korean University Students

Chu

Hom

Rogers

et al. 2016

Journal of Clinical Sleep Medicine

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“…28 Instead, only by asking patients directly about depression and suicide (versus relying on them to volunteer the information) does one reliably improve case finding and the psychometric quality of diagnostic data. [29][30][31][32] Using systematic assessment methods with depression-specific questions seems to provide the best identification results. [27][28][29]33 Many steps are involved in implementing systematic depression-identification procedures within a busy practice setting (eg, training office staff in the use of procedures, adjusting other paperwork demands to fit the depression-identification procedures, ensuring that providers review the information, teaching providers how to use the information, and determining whether the procedures actually benefit youth).…”

Section: Literature Reviews: Identification and Assessmentmentioning

confidence: 99%

Guidelines for Adolescent Depression in Primary Care (GLAD-PC): I. Identification, Assessment, and Initial Management

et al. 2007

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OBJECTIVES. To develop clinical practice guidelines to assist primary care clinicians in the management of adolescent depression. This first part of the guidelines addresses identification, assessment, and initial management of adolescent depression in primary care settings.METHODS. By using a combination of evidence-and consensus-based methodologies, guidelines were developed by an expert steering committee in 5 phases, as informed by (1) current scientific evidence (published and unpublished), (2) a series of focus groups, (3) a formal survey, (4) an expert consensus workshop, and (5) draft revision and iteration among members of the steering committee.RESULTS. Guidelines were developed for youth aged 10 to 21 years and correspond to initial phases of adolescent depression management in primary care, including identification of at-risk youth, assessment and diagnosis, and initial management. The strength of each recommendation and its evidence base are summarized. The identification, assessment, and initial management section of the guidelines includes recommendations for (1) identification of depression in youth at high risk, (2) systematic assessment procedures using reliable depression scales, patient and caregiver interviews, and Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition criteria, (3) patient and family psychoeducation, (4) establishing relevant links in the community, and (5) the establishment of a safety plan.CONCLUSIONS. This part of the guidelines is intended to assist primary care clinicians in the identification and initial management of depressed adolescents in an era of great clinical need and a shortage of mental health specialists but cannot replace clinical judgment; these guidelines are not meant to be the sole source of guidance for adolescent depression management. Additional research that addresses the identification and initial management of depressed youth in primary care is needed, including empirical testing of these guidelines. 4,5 Even when diagnosed by PC physicians, only half of these patients are treated appropriately. 3 Furthermore, rates of completion of specialty mental health referral for youth with a recognized emotional disorder from general medical settings are quite low (J. V. Campo, MD, written communication, 2006).In view of the shortage of mental health clinicians and barriers to children having access to mental health professionals, the well-documented need for PC clinicians to learn how to manage this condition, the increasing evidence base available to guide clinical practice, increased selective serotonin reuptake inhibitor-prescribing rates in pediatric PC, 6,7 and new evidence that a multifaceted approach with mental health consultation may improve the management of depression in PC settings, [8][9][10][11] guidelines may be a necessary first step in the identification and management of depression in adolescents in PC. Unfortunately, no depression-management guidelines have been developed for use in the PC setting in the United S...

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“…The finding from this study, that young adults seeing a general practitioner are more likely to have suicidal ideation after controlling for other mental and physical health measures, highlights the need for general practitioners to be aware of this problem, and if necessary, ask sufficient questions to ensure such ideation is not present. A brief four-question screening tool developed in Australia for this age group, has recently been tested and reported (Joiner et al 2002).…”

Section: Figure 2 General Practitioner Visits By Young Men and Womenmentioning

confidence: 99%

Factors associated with young adults' obtaining general practitioner services

Parslow¹,

Jorm²,

Christensen³

et al. 2002

Aust. Health Review

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A brief screening tool for suicidal symptoms in adolescents and young adults in general health settings: reliability and validity data from the Australian National General Practice Youth Suicide Prevention Project

Cited by 298 publications

References 18 publications

Is Insomnia Lonely? Exploring Thwarted Belongingness as an Explanatory Link between Insomnia and Suicidal Ideation in a Sample of South Korean University Students

Is Insomnia Lonely? Exploring Thwarted Belongingness as an Explanatory Link between Insomnia and Suicidal Ideation in a Sample of South Korean University Students

Guidelines for Adolescent Depression in Primary Care (GLAD-PC): I. Identification, Assessment, and Initial Management

Factors associated with young adults' obtaining general practitioner services

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