OBJECTIVE: This study reports on the psychometric properties of a brief, self-administered screening questionnaire, the Columbia Suicide Screen (CSS), intended to identify high school students at risk for suicide. METHOD: Seventeen hundred twenty-nine 9th- to 12th-grade students completed the CSS and Beck Depression Inventory during school hours in 1991 to 1994. Three hundred fifty-six students who screened positively and 285, group matched on age, gender, and ethnicity, who screened negatively were examined on the Diagnostic Interview Schedule for Children (DISC), version 2.3, to assess validity. The DISC-based suicide risk criterion was suicidal ideation or prior suicide attempt and a DSM-III-R diagnosis of major depression or dysthymia or substance use. Test-retest reliability was assessed in a subsample of 85. RESULTS: The most balanced algorithm had a sensitivity of 0.75, specificity 0.83, and positive predictive value 16%. Suicidal ideation and prior attempt item reliabilities (kappa) were 0.48 and 0.58, respectively. Eight-day test-retest reliability for the most balanced scoring algorithm was 0.32. CONCLUSIONS: The CSS demonstrated good sensitivity and reasonable specificity identifying students at risk for suicide. A second-stage evaluation would be needed to reduce the burden of low specificity.
OBJECTIVE: This study reports on the psychometric properties of a brief, self-administered screening questionnaire, the Columbia Suicide Screen (CSS), intended to identify high school students at risk for suicide. METHOD: Seventeen hundred twenty-nine 9th- to 12th-grade students completed the CSS and Beck Depression Inventory during school hours in 1991 to 1994. Three hundred fifty-six students who screened positively and 285, group matched on age, gender, and ethnicity, who screened negatively were examined on the Diagnostic Interview Schedule for Children (DISC), version 2.3, to assess validity. The DISC-based suicide risk criterion was suicidal ideation or prior suicide attempt and a DSM-III-R diagnosis of major depression or dysthymia or substance use. Test-retest reliability was assessed in a subsample of 85. RESULTS: The most balanced algorithm had a sensitivity of 0.75, specificity 0.83, and positive predictive value 16%. Suicidal ideation and prior attempt item reliabilities (kappa) were 0.48 and 0.58, respectively. Eight-day test-retest reliability for the most balanced scoring algorithm was 0.32. CONCLUSIONS: The CSS demonstrated good sensitivity and reasonable specificity identifying students at risk for suicide. A second-stage evaluation would be needed to reduce the burden of low specificity.
Authors: Peter A Wyman; C Hendricks Brown; Mark LoMurray; Karen Schmeelk-Cone; Mariya Petrova; Qin Yu; Erin Walsh; Xin Tu; Wei Wang Journal: Am J Public Health Date: 2010-07-15 Impact factor: 9.308
Authors: Michelle A Scott; Holly C Wilcox; Irvin Sam Schonfeld; Mark Davies; Roger C Hicks; J Blake Turner; David Shaffer Journal: Am J Public Health Date: 2008-12-04 Impact factor: 9.308
Authors: Michael Kaess; Romuald Brunner; Peter Parzer; Vladimir Carli; Alan Apter; Judit A Balazs; Julio Bobes; Horia G Coman; Doina Cosman; Padraig Cotter; Tony Durkee; Luca Farkas; Dana Feldman; Christian Haring; Miriam Iosue; Jean-Pierre Kahn; Helen Keeley; Tina Podlogar; Vita Postuvan; Franz Resch; Pilar A Sáiz; Merike Sisask; Alexandra Tubiana; Peeter Värnik; Marco Sarchiapone; Christina W Hoven; Danuta Wasserman Journal: Eur Child Adolesc Psychiatry Date: 2013-11-19 Impact factor: 4.785
Authors: Bradley D Stein; Sheryl H Kataoka; Alison B Hamilton; Dana Schultz; Gery Ryan; Pamela Vona; Marleen Wong Journal: J Behav Health Serv Res Date: 2009-03-17 Impact factor: 1.505