Getting the Best Return on Your Screening Investment: An Analysis of the Suicidal Ideation Questionnaire and Reynolds Adolescent Depression Scale.

摘要: Abstract. Data from 64 adolescent inpatients admitted for serious suicidal ideation, 50 following a suicide attempt, and 56 randomly selected high school control participants were used to evaluate the sensitivity, specificity, positive predictive value, negative value of Suicidal Ideation Questionnaire (SIQ) Reynolds Adolescent Depression Scale--2nd Edition (RADS-2). The purpose study was provide information necessary selecting assessment tools use in large-scale screenings students risk. hypothesis that combination mean scores on two measures critical item would best clinical utility partially supported. SIQ found be very useful discriminating between groups, whereas RADS--2 did not perform as expected. fewest false negatives result relying RADS-2 scale [greater than or equal to]63 to]4. However, parsimonious hence most cost-effective approach rely to]l4 with Items 2, 3, 4 screening purposes. ********** Systematic identify adolescents at risk is an important component secondary prevention efforts (e.g.. Garland, Shaffer, & Whittle, 1989; Miller DuPaul, 1996; Vieland, Underwood, Busner, 1991; Shaffer et al.. 2004); it task which psychologists are well suited. When conducting such screenings, assess range suicide-related behaviors (e.g., depressive symptoms thoughts about (Perez, 2005). A dilemma schools low-base-rate behavior (Kung, Hoyert, Xu, Murphy, 2008) can quite costly. 14.5% national survey reported seriously considering 11.3% had made plan prior year (Eaton al., 2008). Adolescents clearly reporting suicide, costs terms emotional impact school, family, friends enormous (Gutierrez Osman, As result, seem highly defensible investment resources. challenge determining how get return investment. Several options exist assessing potentially high-risk adolescents; widely disseminated Columbia Teen-Screen (Columbia University TeenScreen Program, 2007) Signs Suicide (Aseltine DeMartino, 2004) program. Both have been evaluated by Substance Abuse Mental Health Services Administration listed their National Registry Evidence-based Programs Practices (Substance Administration, 2006, 2007). major advantage these programs they standardized come significant amounts supporting materials. there associated both. requires supplies (which include laptop computers), postage, three staff members administer program Free consultation, training, technical assistance available administrators. kits, manual training video staff, must purchased 2006). also offers in-person although indicates vary depending needs school. In addition financial programs, will some extent regardless method chooses use, currently absence published data validity (i.e., association results target behaviors) either …