Validity of the modular assessment of risk for imminent suicide in predicting short‐term suicidality
Abstract
Objective The Modular Assessment of Risk for Imminent Suicide (MARIS) is a clinical assessment tool, consisting of four modules assessing (1) a pre-suicidal cognitive-affective state (Module 1); (2) patients' attitudes toward suicide (Module 2); (3) clinicians' assessment of suicide risk factors (Module 3); and (4) clinicians' emotional responses to patients (Module 4) that assesses short-term suicide risk. Initial evidence provided evidence for its reliability and concurrent validity. The present study extended these findings by examining the MARIS's predictive validity in relation to suicidal thoughts and behaviors at one-month follow-up. Methods A sample of 1039 psychiatric patients (378 inpatients, 661 outpatients) and their clinicians (N = 144) completed a battery of measures at baseline; 670 patients completed the one-month follow-up assessment. Results MARIS total scores predicted suicidal thoughts and behaviors at one-month follow-up, even after controlling for baseline suicidal thoughts and behaviors. Moreover, both Module 1 and the Distress subscale of Module 4 were uniquely associated with suicidal thoughts and behaviors at one-month follow-up, controlling for baseline suicidal thoughts and behaviors. Modules 2 and 3, on the other hand, exhibited poor internal consistency. Conclusion Overall, both patient- and clinician-rated indices are uniquely predictive of suicidal thoughts and behaviors at one-month follow-up, highlighting the need for integrating clinicians'…
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The internal consistency of the 8-item short-form version (SCI-SF) was good, with Cronbach's alpha = 0.87.
“Finally, the internal consistency of the 8-item short-form version (SCI-SF) was shown to be good: Cronbach's α = 0.87 (Calati et al., 2020;Rogers, Vespa, et al., 2021).”
From Suicide Crisis Syndrome: A systematic review (2024) · cites this paper as Rogers, Vespa, et al., 2021
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Suicide Crisis Syndrome: A systematic review
Melzer, L., Forkmann, T., & Teismann, T. (2024) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.13065 · Cited by 30 · see citing works
- Authors
- Rogers, M. L., Vespa, A., Bloch‐Elkouby, S., & Galynker, I.
- Affiliations
- Mount Sinai Beth Israel (US)
- Corresponding author
- Rogers, Megan L.
- Venue
- Acta Psychiatrica Scandinavica
- Publisher
- Wiley
- Published
- 2021-08-10
- Volume
- 144
- Issue
- 6
- Pages
- 563-577
- ISSN
- 0001-690X (ISSN-L)
- 1600-0447
- OpenAlex
- W3191911736
- Cited by
- 24
- References
- 10
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 6 · 2023: 10 · 2022: 4
- FWCI
- 3.41
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Acta Psychiatrica Scandinavica (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Social Sciences › Psychology › Social Psychology › Mental Health via Writing
- Keywords
- suicide risk assessment, predictive validity, suicidal ideation, suicidal behavior, attitudes toward suicide, distress, psychiatric inpatients and outpatients
- MeSH terms
- Humans, Risk Factors, Suicide, Suicide, Attempted, Reproducibility of Results, Risk Assessment, Suicidal Ideation
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