Predicting suicidal behaviours using clinical instruments: Systematic review and meta-analysis of positive predictive values for risk scales

No abstract is available for this paper.

• Publication year

  2017

• Venue

  British Journal of Psychiatry

• Publication date

  2017-06-01

• Fields of study

  Medicine, Psychology

• Identifiers
  DOI 10.1192/bjp.bp.116.182717PMID 28302700
• External record

  Open on Semantic Scholar

• Source metadata

  Semantic Scholar, PubMed

• No claims are published for this paper.

• No concepts are published for this paper.

• Interpreting results and drawing conclusions

  2019cited by this paper
• Psychosocial interventions for self-harm in adults.

  2016cited by this paper
• Effective psychological and psychosocial approaches to reduce repetition of self-harm: a systematic review, meta-analysis and meta-regression

  2016cited by this paper
• Which are the most useful scales for predicting repeat self-harm? A systematic review evaluating risk scales using measures of diagnostic accuracy

  2016cited by this paper
• Letters, green cards, telephone calls and postcards: Systematic and meta-analytic review of brief contact interventions for reducing self-harm, suicide attempts and suicide

  2015cited by this paper
• The Repeated Episodes of Self-Harm (RESH) score: A tool for predicting risk of future episodes of self-harm by hospital patients.

  2014cited by this paper
• Hospital Presenting Self-Harm and Risk of Fatal and Non-Fatal Repetition: Systematic Review and Meta-Analysis

  2014influential reference
• Predictive Validity of the Suicide Trigger Scale (STS-3) for Post-Discharge Suicide Attempt in High-Risk Psychiatric Inpatients

  2014cited by this paper
• Prognostic models to detect and monitor the near-term risk of suicide: state of the science.

  2014influential reference
• Suicide risk assessment and risk formulation part II: Suicide risk formulation and the determination of levels of risk.

  2014cited by this paper
• R: A language and environment for statistical computing.

  2014cited by this paper
• The SAD PERSONS Scale for Suicide Risk Assessment: A Systematic Review

  2014cited by this paper
• Assessment of self-harm risk using implicit thoughts.

  2013cited by this paper
• The sad truth about the SADPERSONS Scale: an evaluation of its clinical utility in self-harm patients

  2013cited by this paper
• Suicide risk assessment: where are we now?

  2013cited by this paper
• Predictors of suicide attempt in early-onset, first-episode psychoses: a longitudinal 24-month follow-up study.

  2013cited by this paper
• Can repetition of deliberate self-harm be predicted? A prospective multicenter study validating clinical decision rules.

  2013cited by this paper
• Predictive Validity of the MINI Suicidal Scale for Self-Harm in Acute Psychiatry: A Prospective Study of the First Year after Discharge

  2012cited by this paper
• The development of a population-level clinical screening tool for self-harm repetition and suicide: the ReACT Self-Harm Rule

  2012cited by this paper
• Deliberate self-harm patients in the emergency department: who will repeat and who will not? Validation and development of clinical decision rules

  2012cited by this paper
• Evaluating the predictive validity of suicidal intent and medical lethality in youth.

  2012cited by this paper
• Predicting suicide attempts with the SAD PERSONS scale: a longitudinal analysis.

  2012cited by this paper
• Hopelessness as a predictor of attempted suicide among first admission patients with psychosis: a 10-year cohort study.

  2012cited by this paper
• Emergency Department Assessment of Self-Harm Risk Using Psychometric Questionnaires

  2012cited by this paper
• QUADAS-2: A Revised Tool for the Quality Assessment of Diagnostic Accuracy Studies

  2011cited by this paper
• Self-harm subscale of the Schedule for Nonadaptive and Adaptive Personality (SNAP): predicting suicide attempts over 8 years of follow-up.

  2011cited by this paper
• Sensitivity × PPV is a recognized test called the clinical utility index (CUI+)

  2011cited by this paper
• Conducting Meta-Analyses in R with the metafor Package

  2010cited by this paper
• Role of Intense Affects in Predicting Short-term Risk for Suicidal Behavior: A Prospective Study

  2010cited by this paper
• Analysing and Presenting Results

  2010cited by this paper
• Does The Suicide Assessment Scale Predict Risk Of Repetition? A Prospective Study Of Suicide Attempters At A Hospital Emergency Department

  2010cited by this paper
• Predictive Validity of the Suicide Probability Scale in a Male Inmate Population

  2010cited by this paper
• Random effects meta‐analysis of event outcome in the framework of the generalized linear mixed model with applications in sparse data

  2010cited by this paper
• Increased risk of suicide attempt in mood disorders and TPH1 genotype.

  2009cited by this paper
• CSF 5-HIAA and DST non-suppression--orthogonal biologic risk factors for suicide in male mood disorder inpatients.

  2009cited by this paper
• Detecting and predicting self-harm behaviour in prisoners: a prospective psychometric analysis of three instruments

  2009cited by this paper
• The PRISMA Statement for Reporting Systematic Reviews and Meta-Analyses of Studies That Evaluate Health Care Interventions: Explanation and Elaboration

  2009cited by this paper
• The PRISMA Statement for Reporting Systematic Reviews and Meta-Analyses of Studies That Evaluate Health Care Interventions: Explanation and Elaboration

  2009cited by this paper
• Assessing the Wish to Die: A 30-Year Review of the Suicide Intent Scale

  2008cited by this paper
• Hospital admissions for self harm after discharge from psychiatric inpatient care: cohort study

  2008cited by this paper
• DST non-suppression predicts suicide after attempted suicide.

  2007cited by this paper
• Assessment of psychiatrically hospitalized suicidal adolescents: self-report instruments as predictors of suicidal thoughts and behavior.

  2007cited by this paper
• Suicide in mental health in-patients and within 3 months of discharge

  2006cited by this paper
• The case of the misleading funnel plot

  2006cited by this paper
• CSF 5‐HIAA, suicide intent and hopelessness in the prediction of early suicide in male high‐risk suicide attempters

  2006cited by this paper
• Hyperactivity of the hypothalamic-pituitary-adrenal axis and mortality in major depressive disorder.

  2006cited by this paper
• A clinical tool for assessing risk after self-harm.

  2006cited by this paper
• Value of measuring suicidal intent in the assessment of people attending hospital following self-poisoning or self-injury

  2005cited by this paper
• Predicting High-Risk Behaviors in Veterans With Posttraumatic Stress Disorder

  2005cited by this paper
• A multivariate study of predictors of repeat parasuicide

  2004cited by this paper
• The dexamethasone suppression test as a predictor of suicidal behavior in unipolar depression.

  2004cited by this paper
• Moving beyond sensitivity and specificity: using likelihood ratios to help interpret diagnostic tests

  2003cited by this paper
• Can the Edinburgh Risk of Repetition Scale predict repetition of deliberate self-poisoning in an Australian clinical setting?

  2002cited by this paper
• The Relationship Between DST Results and Suicidal Behavior

  2002cited by this paper
• High Suicidal Intent Scores Indicate Future Suicide

  2002cited by this paper
• Fatal and non-fatal repetition of self-harm

  2002cited by this paper
• Randomised controlled trial of brief psychological intervention after deliberate self poisoning.

  2001cited by this paper
• Dexamethasone suppression test and suicide attempts in schizophrenic patients

  2001cited by this paper
• The Suicide Assessment Scale: an instrument assessing suicide risk of suicide attempters

  2000cited by this paper
• Risk factors for suicide in psychiatric outpatients: a 20-year prospective study.

  2000cited by this paper
• The prediction of parasuicide repetition in a high-risk group.

  1999cited by this paper
• Suicide ideation at its worst point: a predictor of eventual suicide in psychiatric outpatients.

  1999cited by this paper
• Hopelessness and suicidal behavior.

  1997cited by this paper
• A preliminary statistical model for identifying repeaters of parasuicide

  1997cited by this paper
• Predictive validity of the suicide probability scale among adolescents in group home treatment.

  1996cited by this paper
• Repetition of attempted suicide: The performance of the Edinburgh predictive scales in patients in Oxford

  1995cited by this paper
• CSF 5-HIAA predicts suicide risk after attempted suicide.

  1994cited by this paper
• Suicide after discharge from psychiatric inpatient care.

  1993influential reference
• Deliberate self‐poisoning: treatment follow‐up of repeaters and nonrepeaters

  1992cited by this paper
• The Construction and Selection of Predictive Scales, with Special Reference to Parasuicide

  1991cited by this paper
• Relationship between hopelessness and ultimate suicide: a replication with psychiatric outpatients.

  1990cited by this paper
• Prediction of eventual suicide in psychiatric inpatients by clinical ratings of hopelessness.

  1989cited by this paper
• Cerebrospinal Fluid Monoamine Metabolites and Suicidal Behavior in Depressed Patients: A 5-Year Follow-up Study

  1989cited by this paper
• Methods of measuring thyroid hormone levels.

  1988cited by this paper
• Predicting repetition of deliberate self‐harm: A review of the literature in the light of a current study

  1988cited by this paper
• The DST and suicide among depressed alcoholic patients.

  1988cited by this paper
• Validation of Six Risk Scales for Suicide Attempters

  1988cited by this paper
• Psychological predictors of future suicidal behaviour in hospitalized suicide attempters.

  1988cited by this paper
• Suicide risk prediction by computer interview: a prospective study.

  1987cited by this paper
• Skin conductance habituation and cerebrospinal fluid 5-hydroxyindoleacetic acid in suicidal patients.

  1986cited by this paper
• Assessment of severity of suicide attempts. A trial with the dexamethasone suppression test and 2 rating scales.

  1986cited by this paper
• Reduced CSF concentrations of homovanillic acid and homovanillic acid to 5-hydroxyindoleacetic acid ratios in depressed patients: relationship to suicidal behavior and dexamethasone nonsuppression.

  1986cited by this paper
• Hopelessness and eventual suicide: a 10-year prospective study of patients hospitalized with suicidal ideation.

  1985cited by this paper
• Development of a clinical instrument to estimate suicide risk.

  1985cited by this paper
• Estimating Suicide Risk Among Attempted Suicides

  1984cited by this paper
• Prediction of suicide in psychiatric patients. Report of a prospective study.

  1983cited by this paper
• Evaluation of suicidal patients: the SAD PERSONS scale.

  1983cited by this paper
• The dexamethasone suppression test in suicidal patients with unipolar depression.

  1983cited by this paper
• The Dexamethasone Suppression Test for Melancholia

  1982cited by this paper
• SUICIDE, NEUROENDOCRINE DYSFUNCTION AND CSF 5-HIAA CONCENTRATIONS IN DEPRESSION

  1981cited by this paper
• Predictive scales for parasuicide repetition. Further results

  1979cited by this paper
• Development and Validation of Scales for Estimation of Suicide Risk

  1976cited by this paper
• 5-HIAA in the cerebrospinal fluid. A biochemical suicide predictor?

  1976cited by this paper
• Cross-Validation of a Predictive Scale for Subsequent Suicidal Behaviour in an Italian Sample

  1976cited by this paper
• A Scale for Predicting Subsequent Suicidal Behaviour

  1973cited by this paper
• Further Suicidal Behaviour: The Development and Validation of Predictive Scales

  1970cited by this paper
• MANIC DEPRESSIVE ILLNESS

  1970cited by this paper
• An instrument for evaluating suicide potential: a preliminary study.

  1966cited by this paper
• An inventory for measuring depression.

  1961cited by this paper
• Detection of suicidal patients: an example of some limitations in the prediction of infrequent events.

  1954cited by this paper

• Understanding the suicide rate post-discharge from a psychiatric hospital: Time for a rethink.

  2026cites this paper
• Cutoff scores and predictive validity of the Acute Suicidal Affective Disturbance Inventory (ASADI) for future suicide attempts and suicidal ideation with intent.

  2026cites this paper
• Time to suicide after psychiatric inpatient discharge: a nationwide Swedish survival analysis

  2026cites this paper
• The impact of alcohol use disorder and PTSD comorbidity on risk of suicide attempt.

  2026cites this paper
• Suicide-risk implications in legalising medical assistance in dying for mental disorders

  2026cites this paper
• Is anti-ligature an automatic requirement for suicide prevention?: Assessing legal obligations in alternative mental health crisis services.

  2026cites this paper
• Artificial Intelligence in Suicide Prevention: A Systematic Review of Randomized Controlled Trials on Risk Prediction, Fully Automated Interventions, and AI-Guided Treatment Allocation

  2025influential citation
• Evaluating Generative Pretrained Transformer (GPT) models for suicide risk assessment in synthetic patient journal entries

  2025cites this paper
• Judgments of predictability, preventability and causation of mental health homicides in England 2010 - 2023.

  2025cites this paper
• Machine Learning Models for Predicting Mental Health Crises in Adolescents Using Electronic Health Records: A Systematic Review

  2025cites this paper
• Musicians, the music industry, and suicide: epidemiology, risk factors, and suggested prevention approaches

  2025cites this paper
• Evaluating the ability of artificial intelligence to predict suicide: A systematic review of reviews.

  2025cites this paper
• Differentiating adolescent suicidal and nonsuicidal self-harm with machine learning: Beyond suicidal intent and capability for suicide.

  2025cites this paper
• Machine learning algorithms and their predictive accuracy for suicide and self-harm: Systematic review and meta-analysis

  2025cites this paper
• Developing a Prediction Model for Suicidality Among COVID-19 Patients in Korea Using Timely Data From the National Center for Disaster and Trauma

  2025cites this paper
• A call to health policymakers for new directions in suicide prevention and research

  2025cites this paper
• Most medical conditions are associated with an increased risk of suicide

  2025cites this paper
• Clinical AND Statistical Prediction: Integrating Clinician Judgment and Statistical Models to Improve the Prediction of Suicidal Behavior

  2025cites this paper
• Prediction of suicidal attempts among Chinese adolescents with mood disorders: a clinical study using a machine learning approach

  2025cites this paper
• High testosterone levels associated with elevated suicidal risk in male adolescents with depression

  2025cites this paper
• Exploring Implicit Emotional Associations With Death in Patients With Current Suicidal Ideation: Results From Novel Attitude Implicit Association Tests for Suicide

  2025cites this paper
• Predicting Intentional Self-Harm Following Psychiatric Discharge in Catalonia, Spain: Machine Learning Models from Linked Registry Data

  2025cites this paper
• Measuring unbearable psychache in suicide risk: psychometric evidence for the Italian UP3 and comparison with the psychache scales

  2025cites this paper
• Validity and feasibility of the oxford mental illness suicide tool (OxMIS): A mini-review and meta-analysis.

  2025cites this paper
• Prediction of suicidal behaviour as a three-body problem

  2025cites this paper
• Predicting Risk of Suicidal Ideation with Digital Ecological Momentary Assessment of Sleep, Stress, Mood, and Pain: Implications for Tech-Enabled Suicide Prevention

  2025cites this paper
• Perceived Barriers and Enablers to Shared Decision-Making in Assessment and Management of Risk: A Qualitative Interview Study with Mental Health Professionals

  2025cites this paper
• Implementation of a Universal Screening and Referral Program for University Students at Risk of Suicide: A Case Study and Recommendations

  2025cites this paper
• Risk Model–Guided Clinical Decision Support for Suicide Screening

  2025cites this paper
• Long-term efficacy and safety of vagus nerve stimulation in treatment-resistant depression: A systematic review.

  2025cites this paper
• Clinical utility of the brief suicide cognitions scale with high-risk inpatient, outpatient, and emergency department clinical samples.

  2025cites this paper
• Mental-Health Crisis Prediction in U.S. Veterans: Opportunities and Pitfalls of Machine-Learning on VA–DoD Data

  2025cites this paper
• Bidirectional associations between negative relationship events and suicidal ideation: an EMA study of stress exposure and generation.

  2025cites this paper
• Биомаркеры в суицидологии (обзор)

  2025cites this paper
• Neurological, Metabolic, and Psychopathological Correlates of Lifetime Suicidal Behaviour in Major Depressive Disorder without Current Suicide Ideation

  2024influential citation
• Prevalence of suicidal ideation in German psychotherapy outpatients: A large multicenter assessment.

  2024cites this paper
• Prediction of suicidal ideation among preadolescent children with machine learning models: A longitudinal study.

  2024cites this paper
• Can we predict suicide?

  2024cites this paper
• Assessment and management of self-harm and suicide risk in young people

  2024cites this paper
• Alterations in performance and discriminating power of the death/suicide implicit association test across the lifespan

  2024cites this paper
• Descriptive analysis of 1,048 presentations in the first five years of a zero-suicide framework in a child and youth mental health service in Australia

  2024cites this paper
• Protective + Risk Observations For Eliminating Sexual Offense Recidivism (PROFESOR): rationale for development and an initial investigation of reliability

  2024cites this paper
• Developing a risk prediction model for death at first suicide attempt—Identifying risk factors from Thailand’s national suicide surveillance system data

  2024cites this paper
• Dynamic prediction of lung cancer suicide risk based on meteorological factors and clinical characteristics：A landmarking analysis approach.

  2024cites this paper
• A systematic review of the studies testing the integrated motivational-volitional model of suicidal behaviour

  2024cites this paper
• Conduites suicidaires de la personne âgée : état des connaissances

  2024cites this paper
• Developing a clinical decision support system software prototype that assists in the management of patients with self-harm in the emergency department: protocol of the PERMANENS project

  2024cites this paper
• Prediction of Suicide Rates in India Using Machine Learning

  2024cites this paper
• Collaboration matters: A randomized controlled trial of patient-clinician collaboration in suicide risk assessment and intervention.

  2024cites this paper
• AI-Based Suicide Risk Assessment

  2024cites this paper
• Associations between NIH Toolbox Emotion Battery measures and previous suicide attempt in bipolar I disorder.

  2024cites this paper
• Prevention of self-harm and suicide in young people up to the age of 25 in education settings.

  2024cites this paper
• The Lancet Commission on self-harm.

  2024cites this paper
• Deep learning for identifying personal and family history of suicidal thoughts and behaviors from EHRs

  2024cites this paper
• Prediction of Suicidal Thoughts and Suicide Attempts in People Who Gamble Based on Biological-Psychological-Social Variables: A Machine Learning Study

  2024cites this paper
• Advances in suicide prevention: critical overview of the gaps in suicide risk assessments, multimodal strategies, medicolegal risks, and the emerging evidence

  2024cites this paper
• Suicide risk assessment tools and prediction models: new evidence, methodological innovations, outdated criticisms

  2024cites this paper
• Randomized Controlled Comparative Effectiveness Trial of Risk Model-Guided Clinical Decision Support for Suicide Screening

  2024cites this paper
• Savižudiškų minčių intensyvumo skalė (SIDAS) ir Savižudiško elgesio klausimynas – patikslintas (SBQ-R): lietuviškų versijų psichometriniai rodikliai

  2024cites this paper
• The dexamethasone suppression test as a biomarker for suicidal behavior: A systematic review and meta-analysis.

  2024cites this paper
• The association between ketamine and esketamine and suicidality: reports to the Food And Drug Administration Adverse Event Reporting System (FAERS)

  2024cites this paper
• A meta-analysis of the effects of design thinking on student learning

  2024cites this paper
• Editorial: Psychometrics in psychiatry 2022: anxiety and stress disorders

  2024cites this paper
• Un New Deal per le terapie psicodinamiche: lo psicoanalista come burocrate di strada

  2024cites this paper
• Feasibility, Safety, and Acceptability of Cognitive Processing Therapy for PTSD Following a Recent Suicide Attempt: A Case Study

  2024cites this paper
• Factors within the clinical encounter that impact upon risk assessment within child and adolescent mental health services: a rapid realist synthesis.

  2024cites this paper
• Patients with Suicidal Ideation for Outpatient Surgery at Freestanding Ambulatory Surgery Centers: How Do We Decide to Proceed or to Postpone?

  2024cites this paper
• Amelioration of suicidal ideation in routine care psychotherapy: preliminary findings from a large multicenter assessment

  2024cites this paper
• Does machine-learning-based prediction of suicide risk actually reduce rates of suicide: A critical examination.

  2023cites this paper
• Development and evaluation of a predictive algorithm and telehealth intervention to reduce suicidal behavior among university students.

  2023cites this paper
• Predicting suicide attempts among Norwegian adolescents without using suicide-related items: a machine learning approach

  2023cites this paper
• The Columbia-suicide severity rating scale: validity and psychometric properties of an online Spanish-language version in a Mexican population sample

  2023cites this paper
• Folate and Its Significance in Depressive Disorders and Suicidality: A Comprehensive Narrative Review

  2023cites this paper
• Validation of the Farsi version of the Suicide Ideation and Behavior Scale

  2023cites this paper
• Validation and application of the Chinese version of the Columbia-Suicide Severity Rating Scale: Suicidality and cognitive deficits in patients with major depressive disorder.

  2023cites this paper
• Does Suicide Risk Screening Improve the Identification of Primary Care Patients Who Will Attempt Suicide Versus Depression Screening Alone?

  2023cites this paper
• Questions for Suicide Risk Assessment: There, Then and How to Measure?

  2023cites this paper
• Circadian Activity Rhythms and Psychopathology in Major Depressive Episodes

  2023influential citation
• Toward objective characterizations of suicide risk: A narrative review of laboratory-based cognitive and behavioral tasks.

  2023cites this paper
• StackDPP: Stacking-Based Explainable Classifier for Depression Prediction and Finding the Risk Factors among Clinicians

  2023cites this paper
• Virtually screening adults for depression, anxiety, and suicide risk using machine learning and language from an open-ended interview

  2023influential citation
• A Suicide-Specific Diagnosis - The Case Against.

  2023cites this paper
• Using the stress–vulnerability model to better understand suicide in prison populations

  2023cites this paper
• Analysis and evaluation of explainable artificial intelligence on suicide risk assessment

  2023cites this paper
• Improving the management of self-harm in primary care

  2023cites this paper
• The Association of Sex Ratio on Suicide Rates in United States Counties: An Exploration of Mechanisms

  2023cites this paper
• Identification of young females at high risk of suicide following hospital-treated self-harm in Victoria, Australia

  2023cites this paper
• Machine learning-based prediction for self-harm and suicide attempts in adolescents.

  2023influential citation
• Suicide Prevention for International Students: A Scoping Review

  2023cites this paper
• Efficacy of the Crisis Risk Triage Scale in Inpatient Units Within the United States

  2023influential citation
• Raising Suicide in Medical Appointments—Barriers and Facilitators Experienced by Young Adults and GPs: A Mixed-Methods Systematic Review

  2023cites this paper
• How is suicide risk assessed in healthcare settings in the UK? A systematic scoping review

  2023cites this paper
• A review of natural language processing in the identification of suicidal behavior

  2023cites this paper
• Scoping Review of Postvention for Mental Health Providers Following Patient Suicide.

  2023cites this paper
• Predictive value of suicidal risk assessment using data from China's largest suicide prevention hotline.

  2023cites this paper
• A new deal for dynamic psychotherapies: The psychoanalyst as street‐level bureaucrat

  2023cites this paper
• Unveiling Adolescent Suicidality: Holistic Analysis of Protective and Risk Factors Using Multiple Machine Learning Algorithms

  2023cites this paper
• Rapid intensification of suicide risk preceding suicidal behavior among primary care patients.

  2023cites this paper
• Evaluation of the Risk Identification for Suicide and Enhanced Care Model in a Native American Community.

  2023cites this paper
• Validierung der Skala Suizidales Erleben und Verhalten (SSEV-KJ) für den Einsatz bei Kindern und Jugendlichen

  2023cites this paper