Department of Psychology, Florida State University, Tallahassee, Florida.
U.S. Department of Veterans Affairs, Rocky Mountain Mental Illness Research, Education and Clinical Center, Aurora, Colorado.
J Clin Psychol. 2019 Jul;75(7):1332-1349. doi: 10.1002/jclp.22776. Epub 2019 Apr 16.
Utilizing a sample of military service members at risk of suicide, this study aimed to: (a) identify patterns of suicide attempt (SA) history reporting across five measures and (b) evaluate whether consistent SA reporters (i.e., individuals who consistently report an SA history across measures) differ from inconsistent SA reporters on other clinical severity indices.
Participants (N = 984) completed five validated SA history measures and self-report psychiatric symptom measures.
Of the sample, 35.4% inconsistently responded to SA history measures. Inconsistent reporters disclosed more severe suicide threat histories than consistent reporters. On all other clinical severity indices, inconsistent reporters evinced either less severe or comparable symptom levels.
A nontrivial portion of service members may respond inconsistently to different assessments of SA history. Research is needed to identify factors that account for inconsistent SA history reporting and to improve the accuracy of SA history assessments among military personnel.
本研究利用有自杀风险的军人样本：(a) 确定五种测量方法报告自杀尝试 (SA) 史的模式；(b) 评估在其他临床严重程度指标上，是否一致报告 SA 史的个体（即，在多种测量方法中一致报告 SA 史的个体）与不一致报告 SA 史的个体存在差异。
参与者（N=984）完成了五种经验证的 SA 史测量和自我报告的精神症状测量。
在该样本中，35.4%的个体对 SA 史测量的反应不一致。不一致报告者披露的自杀威胁史比一致报告者更严重。在所有其他临床严重程度指标上，不一致报告者表现出的症状严重程度要么较低，要么相当。
相当一部分军人可能会对 SA 史的不同评估作出不一致的反应。需要开展研究，以确定导致 SA 史不一致报告的因素，并提高军事人员中 SA 史评估的准确性。
