The Modular Assessment of Risk for Imminent Suicide (MARIS): A proof of concept for a multi-informant tool for evaluation of short-term suicide risk

Hawes, Mariah; Yaseen, Zimri S.; Briggs, Jessica; Galynker, Igor

doi:10.1016/j.comppsych.2016.10.002

Cited by 38 publications

(61 citation statements)

References 53 publications

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“…On the one hand, clinicians' emotional responses may be diagnostic, such that the clinician is responding to the clinical state of the patient, specifically to concurrently perceived suicide risk or SI severity. This interpretation is in line with our previous analyses of the TRQ‐SF scale (Barzilay et al, ; Barzilay et al, ; Hawes et al, ), which showed that clinicians' emotional responses were independently associated with suicidal variables. However, the clinician may also be responding to other patient states or personality traits that directly reflect the patient's propensity to form a positive alliance.…”

Section: Discussionsupporting

confidence: 91%

“…Mental health clinicians often experience negative emotional responses when encountering suicidal patients (Ellis et al, ), and these emotional responses have been found to be associated with short‐term treatment outcomes (Barzilay et al, ; Hawes et al, ; Yaseen et al, ). However, potential mediators for these associations have not been examined.…”

Section: Discussionmentioning

confidence: 99%

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Associations between clinicians' emotional responses, therapeutic alliance, and patient suicidal ideation

et al. 2019

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Background Mental health clinicians frequently experience intense negative emotional responses to suicidal patients, which have been related to treatment outcome. This study examines the therapeutic alliance as a mediator of the relationship between clinicians' negative emotional responses at the initial encounter and patients' suicidal ideation (SI) concurrently and 1 month later. Methods We assessed 378 adult psychiatric outpatients (62.7% female; mean age = 39.1 ± 14.6 years) and their 61 treating clinicians. Following the initial encounter, self‐report questionnaires assessed clinicians' emotional responses to their patients, patients' and clinicians' perception of the therapeutic alliance, and patients' SI. The SI was reassessed 1 month after the initial visit. Multilevel mediation analyses were performed. Results Patients' (but not clinicians') perception of the therapeutic alliance mediated the relationship between clinicians' negative emotional responses to patients and patients' SI 1 month following the initial visit (indirect effect estimate = 0.015; p < .001). Conclusions The association between clinicians' negative emotional response and patients' prospective SI appears to be transmitted, at least partly, through the patients' perception of the poorer early quality of the therapeutic alliance. Thus, clinicians' awareness and management of their emotional states appear essential both for the identification of suicidal risk and to enhance therapeutic alliance and treatment outcomes.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Associations between clinicians' emotional responses, therapeutic alliance, and patient suicidal ideation

et al. 2019

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“…Finally, it is possible that a singular approach to suicide risk assessment is not sufficient. There is evidence that modular assessments, such as the Modular Assessment of Risk for Imminent Suicide (MARIS; Hawes, Yaseen, Briggs, & Galynker, ), which includes both patient and clinician components, may be better suited for capturing all individuals who are at risk. Future research should also focus on these modular assessments to understand their relation to a pre‐suicidal mental state.…”

Section: Discussionmentioning

confidence: 99%

Suicide Crisis Syndrome: A review of supporting evidence for a new suicide‐specific diagnosis

Schuck

Calati

Barzilay

et al. 2019

Behavioral Sci & The Law

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Suicide is a major public health problem, and suicide rates are still on the rise. Current strategies for identifying individuals at risk for suicide, such as the use of a patient's self‐reported suicidal ideation or evidence of past suicide attempts, have not been sufficient in reducing suicide rates. Recently, research groups have been focused on determining the acute mental state preceding a suicide attempt. The development of an acute suicidal diagnosis, the Suicide Crisis Syndrome (SCS), is aimed at capturing this state to better treat individuals. The SCS has five main evidence‐based components—entrapment, affective disturbance, loss of cognitive control, hyperarousal, and social withdrawal. The SCS may provide clinicians with the ability to identify individuals who are experiencing an acute pre‐suicidal mental state, regardless of their self‐reported suicidal ideation. Future research leading to the incorporation of this diagnosis into clinical practice could improve the quality of care and reduce the personal, societal, and legal burden of suicide.

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“…Thus, more diverse samples are needed to test the applicability of these results to other patient populations and treatment settings. Third, the criteria were approximated based on available measures in the ongoing MARIS research study (Hawes, Yaseen, Briggs, & Galynker, ). Finally, we lacked available measures of two subcomponents of Criterion B: evasive communication with others and cognitive rigidity.…”

Section: Discussionmentioning

confidence: 99%

Predictive Validity of Proposed Diagnostic Criteria for the Suicide Crisis Syndrome: An Acute Presuicidal State

Yaseen

Hawes

Barzilay

et al. 2018

Suicide & Life Threat Behav

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The Modular Assessment of Risk for Imminent Suicide (MARIS): A proof of concept for a multi-informant tool for evaluation of short-term suicide risk

Cited by 38 publications

References 53 publications

Associations between clinicians' emotional responses, therapeutic alliance, and patient suicidal ideation

Associations between clinicians' emotional responses, therapeutic alliance, and patient suicidal ideation

Suicide Crisis Syndrome: A review of supporting evidence for a new suicide‐specific diagnosis

Predictive Validity of Proposed Diagnostic Criteria for the Suicide Crisis Syndrome: An Acute Presuicidal State

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