Validation of a brief tool to assess and monitor suicidal ideation: The Youth Suicide Ideation Screen (YSIS-3)
Open accessAbstract
Background . Suicidal ideation is common in young people. Assessment and monitoring can help to understand its dynamic nature and inform treatment planning.Aims . The aims were to evaluate psychometric properties of a brief screening tool - the Youth Suicide Ideation Screen-3 item (YSIS-3) and determine its correlation with the Suicidal Ideation Question-Junior (SIQ-JR) and measures of depressive and anxiety symptoms a.Method . Cronbach's alpha (α) was used to evaluate internal consistency of the YSIS-3 in 1107 young people. Convergent validity was evaluated using network analysis based on individual item polychoric correlations. Structural equation modelling was used to understand latent constructs; pearson product moment correlations to validate the integrity of the underlying construct. and two-way mixed Intraclass Correlation Coefficient to examine longitudinal stability and Cohen's d to assess sensitivity to change.Results . The YSIS-3 was found to have internal consistency, convergent validity and criteria validity almost identical to the 15-item SIQ-JR. There was a high correlation (0.91) between the latent factor underpinning YSIS-3 and SIQ-JR. The YSIS-3 was more sensitive to change among those presenting with suicidal ideation at baseline.Conclusions . The YSIS-3 is a valid measure for the assessment and monitoring of suicidal ideation, and is sensitive to change. This brief measure can contribute to regular monitoring of the presence and nature of suicidal ideation, which when included in comprehensive assessment, will inform the clinical management of those at risk of suicide.
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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 [44]
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- Authors
- Hetrick, S. E., Gao, C. X., Filia, K. M., Menssink, J. M., Rickwood, D. J., Herrman, H., Hickie, I., McGorry, P., Telford, N., Parker, A. G., & Cotton, S. M.
- Affiliations
- University of Auckland (NZ)
- The University of Melbourne (AU)
- University of Canberra (AU)
- The University of Sydney (AU)
- Victoria University (AU)
- Corresponding author
- Cotton, Sue M.
- ORCID
- Venue
- Journal of Affective Disorders
- Publisher
- Elsevier BV
- Published
- 2021-12
- Volume
- 295
- Pages
- 235-242
- ISSN
- 0165-0327 (ISSN-L)
- OpenAlex
- W3198851626
- Cited by
- 17
- References
- 46
- Citations by year
- 2026: 5 · 2025: 4 · 2024: 3 · 2023: 3 · 2022: 2
- FWCI
- 1.36
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Licence
- Locations
- Journal of Affective Disorders (publishedVersion)
- PubMed (publishedVersion)
- Victoria University Research Repository (Victoria University) (submittedVersion)
- Minerva Access (University of Melbourne) (submittedVersion)
- ResearchSpace (University of Auckland) (submittedVersion, cc-by-nc-nd)
- Funders
- University of Melbourne
- National Health and Medical Research Council (APP1076940)
- 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 › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
- Keywords
- suicidal ideation, suicide risk screening, psychometric validation, adolescents, internal consistency, convergent validity, sensitivity to change, longitudinal stability, depressive symptoms, anxiety symptoms
- MeSH terms
- Adolescent, Anxiety, Humans, Mass Screening, Psychometrics, Reproducibility of Results, Suicidal Ideation
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