The PHQ-9 Item 9 based screening for suicide risk: a validation study of the Patient Health Questionnaire (PHQ)−9 Item 9 with the Columbia Suicide Severity Rating Scale (C-SSRS)

Na, Peter J.; Yaramala, Satyanarayana R.; Kim, Jihoon A.; Kim, Hyelee; Goes, Fernando S.; Zandi, Peter P.; Voort, Jennifer L. Vande; Sutor, Bruce; Croarkin, Paul E.; Bobo, William V.

doi:10.1016/j.jad.2018.02.045

Cited by 169 publications

(119 citation statements)

References 33 publications

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“…The score on item 9 in 841 patients was compared with the Columbia Suicide Severity Rating Scale (C‐SSRS) considered a gold standard in the field. Of these 841 patients, 13.4% were assessed as positive for suicide risk using the C‐SSRS compared with 41.1% who were assessed as positive for suicide risk using item 9 of the PHQ‐9 (Na, Yarmala, Kim, et al, ). When the PHQ 9 is being used as a screening tool for mood disorder and suicidality, a positive score on item 9 requires further exploration and assessment in order to decrease the risk of false‐positive results, which may lead to inefficient deployment of resources.…”

Section: Summary Of Findingsmentioning

confidence: 99%

Preventing suicide, promoting resilience: Is this achievable from a global perspective?

Ivbijaro

Kolkiewicz

Goldberg

et al. 2019

Asia-Pacific Psychiatry

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Suicide continues to be a major health concern globally despite many initiatives to identify risk factors and methods for suicide prevention. We have carried out a detailed narrative review of the literature from 2016 to 2019 using the headings of Personal resilience (P1), People (P2), Places (P3), Prevention (P4), Promoting collaboration (P5), and Promoting research (P6) in order to support an integrated approach to suicide prevention and the promotion of personal and population resilience. We have made 10 key recommendations on how this can be moved forward.

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Section: Summary Of Findingsmentioning

confidence: 99%

Preventing suicide, promoting resilience: Is this achievable from a global perspective?

Ivbijaro

Kolkiewicz

Goldberg

et al. 2019

Asia-Pacific Psychiatry

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“…The C‐SSRS was designed to measure the severity of suicidal ideation and suicide behaviors. Findings supporting its validity and utility have been reported in a number of studies (Madan et al., ; Mundt et al., ; Na et al., ; Posner et al., ; Viguera et al., ; Youngstrom et al., ), including a recent study in VHA patients (Matarazzo et al., ).…”

mentioning

confidence: 65%

Use of the Columbia‐Suicide Severity Rating Scale (C‐SSRS) in a large sample of Veterans receiving mental health services in the Veterans Health Administration

Katz¹,

Barry

Cooper³

et al. 2019

Suicide & Life Threat Behav

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Objective To evaluate the associations of self‐reports of suicidal ideation and behavior using the Columbia‐Suicide Severity Rating Scale (C‐SSRS) in a survey of patients receiving mental health services in the Veterans Health Administration (VHA) with reports of attempts documented in medical records and administrative data. Method The C‐SSRS was administered to 15,373 Veterans in the Veterans Outcome Assessment (VOA) survey. Concurrent validity was evaluated by comparing self‐reports from the past 3 months with VHA records. Predictive validity was evaluated by logistic regression models using attempts over the subsequent 3 months as the outcome. Results Tests of concurrent validity found strong associations between self‐reports and attempts documented in VHA records, but there were substantial numbers of discordant responses. In tests of predictive validity, area under the ROC curve for predicting future attempts was >0.8. There were differences in the distribution of responses and of psychometric properties across VHA mental health programs. Conclusions Findings support the value of screening and the validity of the self‐reports based on the C‐SSRS, but limitations in concordance with medical records and variability across programs suggest the need for clinical judgment in interpreting responses.

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“…For example, the PHQ-9 item 9 often overestimates suicidal ideation. 24 This is an important clinical consideration given the already considerable burden on mental health services. At all times, it was made clear that the guidance did not supersede clinical judgement but since screening naturally resulted in higher rates of referrals, liaison psychiatry services struggled to meet the demand, and this would be worth exploring further in the future.…”

Section: Limitationsmentioning

confidence: 99%

Integrating mental and physical health assessment in a neuro-otology clinic: feasibility, acceptability, associations and prevalence of common mental health disorders

et al. 2020

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People with persistent physical symptoms are at risk of psychological symptoms, although recognition in medical settings is low. This is a retrospective observational study of 954 patients in a hospital outpatient neuro-otology clinic in order to assess the feasibility and acceptability of an electronic informatics system for collection of patient-reported outcomes, with real-time feedback to guide clinical care and describe the prevalence of anxiety and depressive symptoms. The proportion of patients successfully completing the screen was high (70%). The decline rate was low (5%). The most common reason to decline was lack of confidence with technology. The prevalence of probable depression was 21% and for probable anxiety was 29%. Suicidal ideation was present in 5%. Anxiety and depression were highly correlated to dizziness specific outcome measures (p<0.01). Electronic screening is feasible and acceptable to patients and staff in this setting, helping to identify service needs, inform care and monitor outcomes.

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The PHQ-9 Item 9 based screening for suicide risk: a validation study of the Patient Health Questionnaire (PHQ)−9 Item 9 with the Columbia Suicide Severity Rating Scale (C-SSRS)

Cited by 169 publications

References 33 publications

Preventing suicide, promoting resilience: Is this achievable from a global perspective?

Preventing suicide, promoting resilience: Is this achievable from a global perspective?

Use of the Columbia‐Suicide Severity Rating Scale (C‐SSRS) in a large sample of Veterans receiving mental health services in the Veterans Health Administration

Integrating mental and physical health assessment in a neuro-otology clinic: feasibility, acceptability, associations and prevalence of common mental health disorders

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