The Columbia-Suicide Severity Rating Scale: Associations between interrupted, aborted, and actual suicide attempts among adolescent inpatients

Hill, Ryan M.; Hatkevich, Claire; Kazimi, Iram; Sharp, Carla

doi:10.1016/j.psychres.2017.06.014

Cited by 15 publications

(19 citation statements)

References 6 publications

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“…Both of these by-products are responsible for their toxicity. 187 , 188 Paraphenylenediamine ingestion is another conventional means to commit suicide in southern Punjab. 189…”

Section: Discussionmentioning

confidence: 99%

Suicide by poisoning in Pakistan: review of regional trends, toxicity and management of commonly used agents in the past three decades

et al. 2021

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Background Suicide is one of the leading mental health crises and takes one life every 40 seconds. Four out of every five suicides occur in low- and middle-income countries. Despite religion being a protective factor against suicide, the estimated number of suicides is rapidly increasing in Pakistan. Aims Our review focuses on the trends of suicide and means of self-poisoning in the past three decades, and the management of commonly used poisons. Method We searched two electronic databases (PubMed and PakMediNet) for published English-language studies describing agents used for suicide in different regions of Pakistan. A total of 46 out of 85 papers (N = 54 747 cases) met our inclusion criteria. Results Suicidal behaviour was more common among individuals younger than 30 years. Females comprised 60% of those who attempted suicide in our study sample, although the ratio of completed suicides favoured males. There were regional trends in the choice of agent for overdose. Organophosphate poisoning was reported across the nation, with a predominance of cases from the agricultural belt of South Punjab and interior Sindh. Aluminium phosphide (‘wheat pills’) was a preferred agent in North Punjab, whereas paraphenylenediamine (‘kala pathar’) was implicated in deaths by suicide from South Punjab. Urban areas had other means for suicide, including household chemicals, benzodiazepines, kerosene oil and rat poison. Conclusions Urgent steps are needed, including psychoeducational campaigns on mental health and suicide, staff training, medical resources for prompt treatment of self-poisoning and updated governmental policy to regulate pesticide sales.

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“…Both of these by-products are responsible for their toxicity. 187 , 188 Paraphenylenediamine ingestion is another conventional means to commit suicide in southern Punjab. 189…”

Section: Discussionmentioning

confidence: 99%

Suicide by poisoning in Pakistan: review of regional trends, toxicity and management of commonly used agents in the past three decades

et al. 2021

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“…The screening for suicidal ideation and behavior is performed using the Columbia-Suicide Severity Rating Scale (C-SSRS) [45], an internationally approved scale for the assessment of suicidality and one of the most used in clinical trials, part of the Treatment of Adolescent Suicide Attempters (TASA) study that assesses suicidal risk [46]. This scale is also used in different settings to distinguish suicidal from non-suicidal self-injurious behavior, provide definitions of these two entities, and measure the full range of suicidal behavior and suicidal ideation [46][47][48][49]. It also estimates their severity and intensity over indicated periods and defines the type and lethality of suicidal behavior [46,50], and selected items predict the risk of suicide, such as preparatory activity [50].…”

Section: Screening Of Suicidal Ideationmentioning

confidence: 99%

Suicidal ideation among Lebanese adolescents: scale validation, prevalence and correlates

et al. 2020

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Background In addition to the unstable political situation, Lebanon had experienced a cycle of wars, local armed conflicts, terrorist attacks, and crises (lack of clean water, recurrent power failure, and waste mismanagement, in addition to the growing number of unemployed people, as the number of Syrian refugees has dramatically increased, and led to competition for jobs with locals. All these factors make the Lebanese population prone to mental disorders, particularly suicide, without clear management policies. This study aims to validate the Columbia-Suicide Severity Rating Scale (CSSRS), and determine the prevalence of suicidal ideation and associated factors among a Lebanese nationally representative sample of adolescents from 9th to 12th grades. Methods Participants were 1810 adolescents who enrolled in this cross-sectional study (January–May 2019), using a proportionate random sample of schools from all Lebanese Mohafazat. The Columbia-Suicide Severity Rating Scale was used to screen for suicidal ideation. Results The results showed that 28.9% had some type of suicidal ideation [95% CI 26.7–31.1%]. The CSSRS items converged on a one-factor solution, accounting for a total of 85.40% of the variance (αCronbach = 0.966). Higher psychological abuse (Beta = 0.041), child physical abuse (Beta = 0.030), alcohol dependence (Beta = 0.062), social fear (Beta = 0.028), victimization/bullying score (Beta = 0.028), impulsivity (Beta = 0.028) and internet addiction (Beta = 0.010) scores were significantly associated with higher suicidal ideation. Same applies to adolescents whose parents are separated compared to living together (Beta = 0.992) and in females compared to males (0.311). On another hand, a higher age (Beta = − 0.182) was significantly associated with lower suicidal ideation. Conclusion This study provides insights about suicidal ideation among Lebanese adolescents and related risk factors, such as child psychological and physical abuse, alcohol use disorders, social fear, bullying and victimization, impulsivity, and internet addiction.

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“…Three intervention studies focused on training,297 therapy298 and observation299; all reported a reduction in self-harm behaviours and a further intervention focusing on training for staff resulted in positive attitude towards self-harm patients, greater closeness and improved self-efficacy 300. Of the 17 papers that centred on suicidal behaviours, five studies investigated the observance of risk factors301–305 and three intervention studies found significant reductions in suicide-related behaviours and cognitions 306–308. An additional eight papers explored staff,309–312 patient313 314 and both staff and patient315 316 views and attitudes towards suicidal behaviour.…”

Section: Resultsmentioning

confidence: 99%

Patient safety in inpatient mental health settings: a systematic review

et al. 2019

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ObjectivesPatients in inpatient mental health settings face similar risks (eg, medication errors) to those in other areas of healthcare. In addition, some unsafe behaviours associated with serious mental health problems (eg, self-harm), and the measures taken to address these (eg, restraint), may result in further risks to patient safety. The objective of this review is to identify and synthesise the literature on patient safety within inpatient mental health settings using robust systematic methodology.DesignSystematic review and meta-synthesis. Embase, Cumulative Index to Nursing and Allied Health Literature, Health Management Information Consortium, MEDLINE, PsycINFO and Web of Science were systematically searched from 1999 to 2019. Search terms were related to ‘mental health’, ‘patient safety’, ‘inpatient setting’ and ‘research’. Study quality was assessed using the Hawker checklist. Data were extracted and grouped based on study focus and outcome. Safety incidents were meta-analysed where possible using a random-effects model.ResultsOf the 57 637 article titles and abstracts, 364 met inclusion criteria. Included publications came from 31 countries and included data from over 150 000 participants. Study quality varied and statistical heterogeneity was high. Ten research categories were identified: interpersonal violence, coercive interventions, safety culture, harm to self, safety of the physical environment, medication safety, unauthorised leave, clinical decision making, falls and infection prevention and control.ConclusionsPatient safety in inpatient mental health settings is under-researched in comparison to other non-mental health inpatient settings. Findings demonstrate that inpatient mental health settings pose unique challenges for patient safety, which require investment in research, policy development, and translation into clinical practice.PROSPERO registration numberCRD42016034057.

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The Columbia-Suicide Severity Rating Scale: Associations between interrupted, aborted, and actual suicide attempts among adolescent inpatients

Cited by 15 publications

References 6 publications

Suicide by poisoning in Pakistan: review of regional trends, toxicity and management of commonly used agents in the past three decades

Suicide by poisoning in Pakistan: review of regional trends, toxicity and management of commonly used agents in the past three decades

Suicidal ideation among Lebanese adolescents: scale validation, prevalence and correlates

Patient safety in inpatient mental health settings: a systematic review

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