The patient safety screener: validation of a brief suicide risk screener for emergency department settings
Abstract
This study evaluated the concurrent validity of a brief suicide risk screener for adults in the emergency department (ED). Two versions of the verbally administered Patient Safety Screener (2-item, 3-item) were compared to a reference standard, the Beck Scale for Suicide Ideation (BSSI). Analyses included measures of agreement (Kappa). Agreement between the Patient Safety Screener-2 and -3 and the BSSI (n = 951) was almost perfect for overall positive screening (K = 0.94-0.95) and past suicide attempts (K = 0.97-0.98). Agreement on ideation ranged from fair (K = 0.34) for the 2 item version to good (K = 0.61) for the 3 item version. The Patient Safety Screener's concurrent validity with the BSSI ranged from fair to almost perfect and warrants additional study.
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The Joint Commission recommends universal suicide risk screening in emergency departments because emergency department patients have an overrepresentation of suicide risk.
“Universal screening for suicide risk in the emergency department entails screening every patient regardless of presenting complaint and is a practice recommended by the Joint Commission [11] due to an overrepresentation of suicide risk in emergency department patients [22–24].”
From Emergency department safety assessment and follow-up evaluation 2: an implementation trial to improve suicide prevention. (2020) · cites this paper as [24]
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References 21 · Cited by 74
- Authors
- Boudreaux, E. D., Jaques, M. L., Brady, K. M., Matson, A., & Allen, M. H.
- Affiliations
- University of Massachusetts Chan Medical School (US)
- Worcester Polytechnic Institute (US)
- VA Rocky Mountain Network (US)
- Corresponding author
- Boudreaux, Edwin D.
- Venue
- Archives of Suicide Research
- Publisher
- Informa UK Limited
- Published
- 2015-03-31
- Volume
- 19
- Issue
- 2
- Pages
- 151-160
- ISSN
- 1381-1118 (ISSN-L)
- 1543-6136
- OpenAlex
- W2037681680
- Cited by
- 74
- References
- 21
- Citations by year
- 2026: 7 · 2025: 6 · 2024: 10 · 2023: 9 · 2022: 10 · 2021: 5 · 2020: 8 · 2019: 4 · 2018: 8 · 2017: 3 · 2016: 3 · 2015: 1
- FWCI
- 6.20
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Archives of Suicide Research (publishedVersion)
- PubMed (publishedVersion)
- The Journal of the American Medical Association (JAMA) Network (American Medical Association) (submittedVersion)
- Funders
- This study was funded through internal department funds.
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Health Sciences › Medicine › Emergency Medicine › Emergency and Acute Care Studies
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Keywords
- suicide risk screening, suicidal ideation, Beck Scale for Suicide Ideation, concurrent validity, emergency department, suicide attempts, brief screening instrument, suicide prevention
- MeSH terms
- Suicide Prevention, Adult, Emergency Medical Services, Emergency Service, Hospital, Female, Humans, Male, Mass Screening, Middle Aged, Psychiatric Status Rating Scales, Psychometrics, Suicide, Attempted, Reproducibility of Results, Risk Assessment, Suicidal Ideation, Patient Safety
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