Predictive validity of a five-item symptom checklist to screen psychiatric morbidity and suicide ideation in general population and psychiatric settings

Wu, Chia‐Yi; Lee, Jia-In; Lee, Ming-Been; Liao, Shih‐Cheng; Chang, Chia‐Ming; Chen, Hsi‐Chung; Lung, For‐Wey

doi:10.1016/j.jfma.2015.05.004

Cited by 39 publications

(39 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Although such interviews may be influenced by participant environmental factors, which the researcher has limited control, structured questions and standard operating procedures developed by the researchers at the TSPC were followed by experienced personnel with specific training, thus ensuring that reliable data were acquired. Moreover, the research team has careful inspection of the yearly results drew from CATI for more than 12 years and published articles elsewhere [ 2 , 18 ], which provide evidence of the reliability of our study.…”

Section: Discussionmentioning

confidence: 99%

“…Psychopathology assessment: We used the Brief Symptom Rating Scale to measure the level of psychological distress in the past week of the respondents [ 18 ]. It is a 5-item Likert scale (scores of 0 to 4) that contained the following questions [ 2 ]: (1) having trouble falling asleep (insomnia); (2) feeling tense or keyed up (anxiety); (3) feeling easily annoyed or irritated (hostility); (4) feeling low in mood (depression); and (5) feeling inferior to others (inferiority).…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Associations between health-related self-efficacy and suicidality

Isaac

McLachlan

et al. 2018

BMC Psychiatry

Self Cite

View full text Add to dashboard Cite

BackgroundFew studies have focused on exploring the association of self-efficacy and suicidal behaviour. In this study, we aim to investigate the association between health-related self-efficacy and suicidality outcomes, including lifetime/recent suicidal ideation, suicidal attempts and future intent of suicide.MethodsA computer-assisted telephone interview (CATI) system was used to draw potential respondents aged over 15 in Taiwan via telephone numbers, which were selected by a stratified proportional randomization method according to the distribution of population size in different geographic areas of Taiwan. We obtained available information on suicide behaviours for the analysis of 2110 participants. Logistic regression was applied to investigate the independent effect of health-related self-efficacy on life-time suicidal thoughts and attempts.ResultsSuicidality measured as suicide ideation and attempted suicide was reported as 12.6 and 2.7% respectively in the sample. Among those with suicide ideation, 9.8% had thoughts of future suicide intent. Female gender, low education, people living alone or separated, history of psychiatric disorders, substance abuse, poor self-rated mental health and physical health were associated with suicidality factors. Low health-related self-efficacy was associated with lifetime suicide ideation, prior suicide attempt and future suicidal intent. Among those with recent suicidal ideation, low health self-efficacy was independently associated with future suicide intent after adjustment of gender, age, education, marital status, substance abuse, psychological distress, poor mental and physical health.ConclusionHealth-related self-efficacy was associated with suicide risks across different time points from prior ideation to future intention. Evaluation of the progress of self-efficacy in health may be long-term targets of intervention in suicide prevention strategies.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Associations between health-related self-efficacy and suicidality

Isaac

McLachlan

et al. 2018

BMC Psychiatry

Self Cite

View full text Add to dashboard Cite

show abstract

“…It is therefore rather difficult to find a comparison group having the same class, education background, and occupational status as those of our study population. Nonetheless, the prevalence rate of suicidal ideation for females was 2.6%, and 2.1% for general population (male and female) in Taiwan (Lee et al., ; Wu et al., ). In addition, psychological work environment parameters of personal or general burnout, client‐related burnout, and job stress were important risk factors for suicidal ideation, and the contributions of these factors to suicidal ideation were relatively high.…”

Section: Discussionmentioning

confidence: 99%

“…The five‐item Brief Psychiatric Symptom Rating Scale, with one item in the suicidal ideation dimension, has been reported to have good internal consistency (range 0.77–0.99; Lee et al., ). The item was added at the end of the five‐item Brief Psychiatric Symptom Rating Scale and has been used in community and working populations in previous surveys (Chin et al., ; Wu et al., ).…”

Section: Methodsmentioning

confidence: 99%

“…Taiwan has a relatively higher suicide rate than other countries (Ministry of Health and Welfare, Taiwan, ; World Health Organization, ). Although some studies have examined the prevalence of suicidal ideation in the general population in Taiwan (Lee et al., ; Wu et al., ), little is known about the suicide rates among different occupations, and even less is known about suicide among nurses. Nurses in Taiwan were reported to have higher strain and burnout as compared to the general working population (Chin, Guo, Hung, Yang, & Shiao, ) and high rates of considering leaving their jobs (Chin et al., ).…”

mentioning

confidence: 99%

See 1 more Smart Citation

Psychological Work Environment and Suicidal Ideation Among Nurses in Taiwan

Chin

Chen

et al. 2018

J of Nursing Scholarship

View full text Add to dashboard Cite

Purpose Nurses are exposed to a poor psychological work environment; this may cause poor mental health, which is a risk factor for suicidal ideation. We investigated the association between psychological work environment and suicidal ideation among hospital nurses in Taiwan. Design We conducted a cross‐sectional survey in Taiwan female nurses using stratified sampling by region (north, central, south, and east) to select representative centers for this study. Methods A self‐report questionnaire including items on demographic data, the psychological work environment, and suicidal ideation was sent to nurses working in hospitals. Multiple logistic regression and population attributable risk analyses were performed to assess the effect of the psychological work environment on suicidal ideation. Findings A total of 2,734 eligible questionnaires (76.8%) were returned. The prevalence of suicidal ideation was 18.3%, and higher risk was found to be associated with the educational level of junior college or below, higher personal burnout, higher client‐related burnout, and always feeling stressed at work. Estimation of population attributable risk showed that higher personal burnout, client‐related burnout, and always feeling stressed at work were the most crucial factors among nurses, accounting for 19.4%, 8.6%, and 10.5% of suicidal ideation, respectively. Conclusions A considerable proportion of nurses developed suicidal ideation. A poor psychological work environment was a relevant factor for suicidal ideation. Clinical Evidence This study provides relevant knowledge for nursing management levels in preventing the development of suicidal ideation among nurses. Not only for nurses’ mental health, but for patient safety and care quality, further studies in improving nurses’ psychological work environment are warranted.

show abstract

Prevalence and factors associated with suicide ideation and psychiatric morbidity among inpatients of a general hospital: A consecutive three‐year study

Lee

Burdick

et al. 2020

The Kaohsiung J of Med Scie

View full text Add to dashboard Cite

Using a self‐administered questionnaire (the five‐item Brief Symptom Rating Scale, BSRS‐5), determine the prevalence of suicide ideation (SI), psychiatric morbidity (PM), and the factors associated with these conditions in a general hospital in Taiwan. All individuals aged 12 years or older, who were admitted to a Medical University Hospital between August 2014 and December 2016, were asked to fill out the BSRS‐5 at admission. The study was conducted in a medical inpatient setting, excluding Intensive Care Units and the Emergency Service Department. The 93,129 participants were recruited for analysis. Pearson's correlation, regression analysis and path analysis were performed to test the association between SI and each item of psychopathology and to determine the discrimination validity of individual BSRS‐5 items for predicting SI. The prevalence rate was 2.3% for SI and 2.0% for PM among all participants. PM was more prevalent in females and those aged 25–54 years. Individuals with PM had a significantly higher rate of SI (44.6%) than did others (1.4%). The prevalence of PM was varied by department, e.g., Psychiatry (44.3%), Rehabilitation Medicine (7.9%), and Nephrology (5.2%). The regression analysis and path analysis with structural equation model indicated that depression, hostility, anxiety, and inferiority were significant independent predictors of SI. The BSRS‐5 is an efficient and useful screening tool to identify psychological distress and SI among inpatients in a general hospital. Its integration into the electronic medical chart facilitates identifying patients at risk.

show abstract

Predictive validity of a five-item symptom checklist to screen psychiatric morbidity and suicide ideation in general population and psychiatric settings

Abstract: The BSRS-5R was validated as an efficient checklist to screen for psychiatric morbidity and suicide ideation in the general public. The result is valuable in translating into general medical and community settings for early detection of suicide ideation.

Cited by 39 publications

References 37 publications

Associations between health-related self-efficacy and suicidality

Associations between health-related self-efficacy and suicidality

Psychological Work Environment and Suicidal Ideation Among Nurses in Taiwan

Prevalence and factors associated with suicide ideation and psychiatric morbidity among inpatients of a general hospital: A consecutive three‐year study

Contact Info

Product

Resources

About