Podlogar Matthew C, Rogers Megan L, Chiurliza Bruno, Hom Melanie A, Tzoneva Mirela, Joiner Thomas
Department of Psychology, Florida State University.
Psychol Assess. 2016 Aug;28(8):963-74. doi: 10.1037/pas0000242. Epub 2015 Nov 30.
The use of self-report surveys for suicide risk screening is a key first step in identifying currently suicidal individuals and connecting them with appropriate follow-up assessment and care. Online methods for suicide risk screening are becoming more common, yet they present a number of complexities compared with traditional methods. This study aimed to assess whether forcing item responses may unintentionally hide or misrepresent otherwise useful missing suicide risk data. We investigated in secondary analyses of 3 independent samples of undergraduates (ns = 1,306; 694; 172) whether participants who chose not to respond specifically to current suicide risk screening items (i.e., Nondisclosers) scored significantly different from other risk response groups (i.e., Deniers, Lower-Risk Endorsers, and Higher-Risk Endorsers) on auxiliary measures related to suicidality. Multivariate Analysis of Variance (MANOVA) tests for each sample revealed that Nondisclosers were rare (ns = 7, 6, 7) and scored significantly higher than Deniers and similarly to Endorsers on suicide risk related measures. In 1 sample, Nondisclosers tended to score higher than all groups on suicide risk related measures. These findings suggest that nondisclosure for suicide risk screening questions is a preferred option for a distinct group of respondents who are likely at elevated suicide risk. Allowing for and flagging Nondisclosers for follow-up suicide risk assessment may be an ethical and feasible way to enhance the sensitivity of online suicide risk screenings for weary respondents, who if forced, may choose to underreport their suicide risk and misrepresent data. (PsycINFO Database Record
使用自我报告调查进行自杀风险筛查是识别当前有自杀倾向的个体并为其提供适当后续评估和护理的关键第一步。在线自杀风险筛查方法正变得越来越普遍，但与传统方法相比，它们存在一些复杂之处。本研究旨在评估强制项目回答是否可能无意中隐藏或歪曲原本有用的缺失自杀风险数据。我们在对3个独立的大学生样本（样本量分别为n = 1306、694、172）进行的二次分析中，调查了那些选择不专门回答当前自杀风险筛查项目的参与者（即未披露者）在与自杀倾向相关的辅助测量指标上的得分是否与其他风险回答组（即否认者、低风险认可者和高风险认可者）有显著差异。对每个样本进行的多变量方差分析（MANOVA）测试显示，未披露者很少见（样本量分别为7、6、7），并且在与自杀风险相关的测量指标上得分显著高于否认者，与认可者得分相似。在1个样本中，未披露者在与自杀风险相关的测量指标上的得分往往高于所有组。这些发现表明，对于可能处于较高自杀风险的特定受访者群体来说，不披露自杀风险筛查问题是一个更可取的选择。允许并标记未披露者以便进行后续自杀风险评估，对于那些疲惫的受访者来说，可能是一种符合伦理且可行的方法，可以提高在线自杀风险筛查的敏感性，因为如果强制他们回答，他们可能会选择少报自己的自杀风险并歪曲数据。（PsycINFO数据库记录）
