Suicide assessment: Clinical interview vs. self-report

Abstract

This study examined whether patients disclosed the same information about suicidal behaviors on a self-report instrument that they conveyed to a clinician in a face-to-face interview. The results indicated a generally high level of agreement between these two forms of suicide assessment. The one exception was the question that concerns recent suicidal ideation, where patients tended to disclose more on the self-report form.

Mental Defeat Is Associated With Suicide Intent in Patients With Chronic Pain

“…Amongst chronic pain studies, the tendency has been to use only one item from a standardised measure such as the Beck Depression Inventory [34] or combine items from a variety of general distress tools [16,52]. In addition, we were also aware that evidence suggests people are more likely to disclose honestly using self-report tools [53]. The BSS, as used in the current study, has been well validated for this purpose and it was hoped that the presence of the researcher when completing this measure may have enabled the person to feel better supported to disclose difficult thoughts, although this approach is not immune to recall errors and biases.…”

Early signs of worry: Psychosis risk symptom visual distortions are independently associated with suicidal ideation

“…Finally, the use of self-report items may have introduced bias such as social desirability inhibiting responses. However, self-report measures may also lead to more open responding for items concerning suicide (Kaplan et al, 1994). Shared method bias may also inflate the correlations between self-report measures, though it should also be noted that the PROD screen uses a combination of selfreport and interviewer ratings, which may be more robust to bias.…”

Youth suicidal behavior: Assessment and intervention

“…The assessment of suicide risk in adolescents is particularly difficult because teenagers may provide evaluators with discrepant information and have a reluctance to disclose personal information to adult authority figures (Brent et al, 1988;Velting et al, 1998). Some research suggests that suicidal patients are more likely to disclose current suicidal ideation on a self-report measure than in a clinical interview (Kaplan et al, 1994;Velting et al, 1998). …”