The validity of proxy-based data in suicide research: a study of patients 50 years of age and older who attempted suicide. I. Psychiatric diagnoses
Abstract
Objective: To investigate the validity of best‐estimate methodology for making psychiatric diagnoses among individuals who attempted suicide. Method: Subjects were 80 patients admitted for treatment following a suicide attempt. Psychiatric diagnoses based on structured interviews with subjects were compared with diagnoses made based on interviews with proxy respondents. In both cases, interview information was supplemented with pre‐admission psychiatric and medical records to inform diagnoses. Results: Diagnostic agreement, based on kappa coefficients, was substantial for major depression and bipolar disorders, and moderate for non‐affective psychoses, organic mood and anxiety disorders. Agreement was substantial for substance dependence but poor for substance abuse disorders. Conclusion: Results support best‐estimate methodology for making mood and substance dependence diagnoses in research of suicidal behavior in this age group, with potential implications for interpreting postmortem research of completed suicide.
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Studies demonstrate the validity of the psychological autopsy method.
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From Suicide in older adults (2011) · cites this paper as [6]
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- Authors
- Conner, K. R., Duberstein, P. R., & Conwell, Y.
- Affiliations
- University of Rochester Medicine (US)
- Corresponding author
- Conner, Kenneth R.
- Venue
- Acta Psychiatrica Scandinavica
- Publisher
- Wiley
- Published
- 2001-09
- Volume
- 104
- Issue
- 3
- Pages
- 204-209
- ISSN
- 0001-690X (ISSN-L)
- 1600-0447
- OpenAlex
- W1973627751
- Cited by
- 97
- References
- 52
- Citations by year
- 2025: 1 · 2023: 1 · 2021: 2 · 2020: 1 · 2019: 1 · 2018: 4 · 2017: 1 · 2015: 4 · 2014: 3 · 2013: 5 · 2012: 7
- FWCI
- 9.77
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Acta Psychiatrica Scandinavica (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute on Alcohol Abuse and Alcoholism (K23AA000318)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
- Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
- Keywords
- suicide attempts, older adults, proxy respondents, major depressive disorder, bipolar disorder, non-affective psychosis, anxiety disorders, substance dependence, substance use disorders, diagnostic agreement
- MeSH terms
- Aged, Aged, 80 and over, Mental Disorders, Family Relations, Female, Humans, Male, Middle Aged, Suicide, Reproducibility of Results
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