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Cited by 55Suicide and Self-Harm StudiesAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPsychometric Methodologies and Testing

Psychometric properties of the concise health risk tracking (CHRT) in adolescents with suicidality

Mayes, Taryn L., Kennard, Betsy D., Killian, Michael, Carmody, Thomas, Grannemann, Bruce D., Rush, A. John, Jha, Manish K., Hughes, Jennifer +2 more·2018·Journal of Affective Disorders
DOI 10.1016/j.jad.2018.03.007
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Abstract

Background Several self-report rating scales have been developed to assess suicidal ideation, yet few examine other factors related to increased suicidal risk, and even fewer have been validated in both adolescents and adults. We evaluate the 14-item Concise Health Risk Tracking - Self Report (CHRT-SR), a measure previously validated in adults, in a sample of adolescents at risk for suicide.Method Data are from a retrospective chart review of adolescents treated in an intensive outpatient program for youth with severe suicidality. Teens completed the CHRT-SR and Quick Inventory of Depressive Symptomatology - Adolescents (QIDS-A) at baseline and discharge. The CHRT-SR was evaluated to determine the factor validity, internal consistency, construct validity, and sensitivity to change.Results Adolescents (n = 271) completed the CHRT-SR prior to treatment, and 231 completed the CHRT-SR at discharge. Three factors were identified with excellent model fit: Propensity, Impulsivity, and Suicidal Thoughts. Internal consistency reliability coefficients were good-to-excellent for the total score and all three factors at baseline (a = 0.774-0.915) and exit (a = 0.849-0.941). The total score and all three factors significantly correlated with overall depression severity and suicidal ideation as rated by teens and parent (p = .704-0.756, all p < .001). The CHRT-SR was sensitive to change, with moderate to large effect sizes (Cohen's d = 0.599-1.062).Limitations Study limitations include generalizability, lack of a control group, and retrospective data from a sample of opportunity.Conclusions The CHRT-SR is a reliable and valid measure for examining severity of suicidal thoughts and associated risk factors, and is sensitive to change following an intervention in adolescents.

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  • Additional risk screening tools shown to be effective in youth populations include the SIQ-JR, YSIS-3, and CHRT-SR.

    “Additional risk screening tools shown to be effective in youth populations include the Suicidal Ideation Questionnaire (SIQ-JR),43 Youth Suicide Ideation Screen (YSIS-3),44 and the Concise Health Risk Tracking Self-Report (CHRT-SR) 45”

    From Evidence-based youth suicide prevention and intervention in pediatric primary care settings. (2024) · cites this paper as [45]

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Authors
Mayes, T. L., Kennard, B. D., Killian, M., Carmody, T., Grannemann, B. D., Rush, A. J., Jha, M. K., Hughes, J., Emslie, G. J., & Trivedi, M. H.
Affiliations
  • The University of Texas Southwestern Medical Center (US)
  • Children's Medical Center (US)
  • The University of Texas at Arlington (US)
  • Duke-NUS Medical School (SG)
Corresponding author
Trivedi, Madhukar H.
ORCID
Venue
Journal of Affective Disorders
Publisher
Elsevier BV
Published
2018-08
Volume
235
Pages
45-51
ISSN
0165-0327 (ISSN-L)
DOI
10.1016/j.jad.2018.03.007
OpenAlex
W2789927764
Cited by
55
References
23
Citations by year
2026: 7 · 2025: 8 · 2024: 7 · 2023: 14 · 2022: 5 · 2021: 2 · 2020: 2 · 2019: 3 · 2018: 5 · 2017: 1
FWCI
3.52
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Journal of Affective Disorders (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Duke
  • Duke University
  • NIMH
Topics
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
Keywords
suicidal ideation, adolescent suicidality, suicide risk factors, impulsivity, depression severity, psychometric validation, factor structure, internal consistency, sensitivity to change, intensive outpatient treatment, self-report scale
MeSH terms
Adolescent, Child, Depression, Female, Humans, Male, Psychometrics, Retrospective Studies, Risk Factors, Suicide, Reproducibility of Results, Risk Assessment, Self Report, Suicidal Ideation

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