BACKGROUND: Although there are disability weights available for a wide range of health states, these do not include suicidality. This makes it difficult to evaluate the severity of suicidality in comparison with other health states. The aim of this study therefore is to estimate disability weights for suicidal thoughts and for mental distress involved in non-fatal suicide attempts. METHODS: A Dutch expert panel of sixteen medical practitioners who were knowledgeable about suicidality estimated disability weights (DWs) for twelve health states by interpolating them on a calibrated Visual Analogue Scale. The DWs for ten of these health states had been estimated in previous studies and were used to determine the external consistency of the panel. The other two concerned health states for suicidal thoughts and non-fatal suicide attempts. The resulting DWs could vary between 0 (best imaginable health state) and 1 (worst imaginable health state). RESULTS: Both internal (Cronbach's α = 0.98) and external consistency of the panel were satisfactory. The DWs for suicidal thoughts and non-fatal suicide attempts were estimated to be 0.36 and 0.46 respectively. LIMITATIONS: The panel was relatively small, which resulted in broad confidence intervals. CONCLUSIONS: Suicidal thoughts are considered to be as disabling as alcohol dependence and severe asthma. The mental distress involved in non-fatal suicide attempts is thought to be comparable in disability to heroin dependence and initial stage Parkinson's. These results demonstrate the severity of suicidality.
BACKGROUND: Although there are disability weights available for a wide range of health states, these do not include suicidality. This makes it difficult to evaluate the severity of suicidality in comparison with other health states. The aim of this study therefore is to estimate disability weights for suicidal thoughts and for mental distress involved in non-fatal suicide attempts. METHODS: A Dutch expert panel of sixteen medical practitioners who were knowledgeable about suicidality estimated disability weights (DWs) for twelve health states by interpolating them on a calibrated Visual Analogue Scale. The DWs for ten of these health states had been estimated in previous studies and were used to determine the external consistency of the panel. The other two concerned health states for suicidal thoughts and non-fatal suicide attempts. The resulting DWs could vary between 0 (best imaginable health state) and 1 (worst imaginable health state). RESULTS: Both internal (Cronbach's α = 0.98) and external consistency of the panel were satisfactory. The DWs for suicidal thoughts and non-fatal suicide attempts were estimated to be 0.36 and 0.46 respectively. LIMITATIONS: The panel was relatively small, which resulted in broad confidence intervals. CONCLUSIONS: Suicidal thoughts are considered to be as disabling as alcohol dependence and severe asthma. The mental distress involved in non-fatal suicide attempts is thought to be comparable in disability to heroin dependence and initial stage Parkinson's. These results demonstrate the severity of suicidality.
Authors: Nadine Steckling; Brecht Devleesschauwer; Julia Winkelnkemper; Florian Fischer; Bret Ericson; Alexander Krämer; Claudia Hornberg; Richard Fuller; Dietrich Plass; Stephan Bose-O'Reilly Journal: Int J Environ Res Public Health Date: 2017-01-10 Impact factor: 3.390
Authors: Frank Iorfino; Tracey A Davenport; Laura Ospina-Pinillos; Daniel F Hermens; Shane Cross; Jane Burns; Ian B Hickie Journal: J Med Internet Res Date: 2017-07-12 Impact factor: 5.428
Authors: Bregje A J van Spijker; M Cristina Majo; Filip Smit; Annemieke van Straten; Ad J F M Kerkhof Journal: J Med Internet Res Date: 2012-10-26 Impact factor: 5.428
Authors: Nadine Steckling; Dietrich Plass; Stephan Bose-O'Reilly; Alfred Bogomir Kobal; Alexander Krämer; Claudia Hornberg Journal: Health Qual Life Outcomes Date: 2015-12-09 Impact factor: 3.186