The predictive validity of the Depression Hopelessness Suicide screening form for self-harm among prisoners.
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| Title: | The predictive validity of the Depression Hopelessness Suicide screening form for self-harm among prisoners. |
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| Authors: | Martin, Michael S. (AUTHOR), Dorken, Shannon K. (AUTHOR), Simpson, Alexander I.F. (AUTHOR), McKenzie, Kwame (AUTHOR), Colman, Ian (AUTHOR) |
| Source: | Journal of Forensic Psychiatry & Psychology. Nov2014, Vol. 25 Issue 6, p733-747. 15p. 3 Charts. |
| Subjects: | Despair, Truthfulness & falsehood, Causes of death, Suicidal ideation, Suicide |
| Abstract: | The Depression Hopelessness Suicide Screening Form (DHS) includes 12 ‘critical items’, which have not been validated for the prospective prediction of self-harm. We conducted a retrospective cohort study (N = 4196) to validate the ability of the DHS critical items to prospectively predict inmates with at least one incident of self-harm during the first six months of imprisonment. While the critical items were highly sensitive (89.5%) at predicting incidents of self-harm, 51.3% of the inmates endorsed at least one item. Five items reflecting more recent and specific risk factors reduced the referral rate to 17.7%, while maintaining high sensitivity (84.2%). While the DHS has high sensitivity to predict inmates at risk of self-harm, treating all items as equally critical results in excessive numbers of false positives that likely exceed the capacity of prison resources for professional assessment and intervention. Referral rules based on recency and specificity of risk factors are proposed. [ABSTRACT FROM PUBLISHER] |
| Copyright of Journal of Forensic Psychiatry & Psychology is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
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