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A first study on the usability and feasibility of four subtypes of suicidality in emergency mental health care
Based on clinical experience, a (hypothetical) four-type model of suicidality that differentiates between subtypes with a unique pathway to entrapment ((h)4ME)was developed. The subtypes are: 1) perceptual disintegration (PD), 2) primary depressive cognition (PDC), 3) psychosocial turmoil (PT) and 4...
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Published in: | BMC psychiatry 2023-11, Vol.23 (1), p.878-878, Article 878 |
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creator | de Winter, Remco F P Meijer, Connie M van den Bos, Anne T Kool-Goudzwaard, Nienke Enterman, John H Gemen, Manuela A M L Nuij, Chani Hazewinkel, Mirjam C Steentjes, Danielle van Son, Gabrielle E de Beurs, Derek P de Groot, Marieke H |
description | Based on clinical experience, a (hypothetical) four-type model of suicidality that differentiates between subtypes with a unique pathway to entrapment ((h)4ME)was developed. The subtypes are: 1) perceptual disintegration (PD), 2) primary depressive cognition (PDC), 3) psychosocial turmoil (PT) and 4) inadequate communication/coping (IC). This study was carried out to examine the usability and feasibility of the subtypes in an absolute and dimensional way with the SUICIDI-2 instrument.
A first step was to examine the model and the SUICIDI-2 instrument for usability and feasibility in clinical practice. We aim to investigate the'real life' practical application of the model and hope the feedback we get after practical use of the model will help us with improvements for the model and the SUICIDI-2 instrument.
Discharge letters to general practitioners of 25 cases of anonymized suicidal emergency patients were independently reviewed by three psychiatrists and three nurses. Using the SUICIDI-2 instrument, describing the proposed subtypes, cases were classified by the psychiatrists and nurses. Intraclass Correlation Coefficients (ICC) for absolute/discrete and dimensional ratings were calculated to examine the model's usability and the instrument's feasibility. The study was approved by the ethical board.
All raters were able to recognize and classify the cases in subtypes. We found an average measure of good reliability for absolute/(discrete) subtypes. For dimensional scores, we found excellent average measures for the subtype PDC, and good average measures for the subtypes PD, PT and IC. The reliability of dimensional score for the SUICIDI-2 was relatively lower than an alternative dimensional rating, but had good ICC values for all subtypes. After reviewing the results though, we found some inconsistently assessment between raters. This was ground to narrow down the criteria per subtype to describe the subtypes more precisely. This resulted in adjusted formulations for subtypes PD and IC and agreement was achieved about formulations in the revised SUICIDI-3.
The hypothetical model of entrapment leading to suicidality shows promising results for both the usability and feasibility of the SUICIDI instrument. Follow up studies with participants with a more diverse background may show consistency and validity for the model. |
doi_str_mv | 10.1186/s12888-023-05374-8 |
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A first step was to examine the model and the SUICIDI-2 instrument for usability and feasibility in clinical practice. We aim to investigate the'real life' practical application of the model and hope the feedback we get after practical use of the model will help us with improvements for the model and the SUICIDI-2 instrument.
Discharge letters to general practitioners of 25 cases of anonymized suicidal emergency patients were independently reviewed by three psychiatrists and three nurses. Using the SUICIDI-2 instrument, describing the proposed subtypes, cases were classified by the psychiatrists and nurses. Intraclass Correlation Coefficients (ICC) for absolute/discrete and dimensional ratings were calculated to examine the model's usability and the instrument's feasibility. The study was approved by the ethical board.
All raters were able to recognize and classify the cases in subtypes. We found an average measure of good reliability for absolute/(discrete) subtypes. For dimensional scores, we found excellent average measures for the subtype PDC, and good average measures for the subtypes PD, PT and IC. The reliability of dimensional score for the SUICIDI-2 was relatively lower than an alternative dimensional rating, but had good ICC values for all subtypes. After reviewing the results though, we found some inconsistently assessment between raters. This was ground to narrow down the criteria per subtype to describe the subtypes more precisely. This resulted in adjusted formulations for subtypes PD and IC and agreement was achieved about formulations in the revised SUICIDI-3.
The hypothetical model of entrapment leading to suicidality shows promising results for both the usability and feasibility of the SUICIDI instrument. Follow up studies with participants with a more diverse background may show consistency and validity for the model.</description><identifier>ISSN: 1471-244X</identifier><identifier>EISSN: 1471-244X</identifier><identifier>DOI: 10.1186/s12888-023-05374-8</identifier><identifier>PMID: 38012641</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Analysis ; Cognition ; Differentiation of suicidality ; Emergency services ; Evidence-based medicine ; Examinations ; Feasibility Studies ; Health aspects ; Humans ; Medical personnel ; Mental disorders ; Mental Disorders - psychology ; Mental Health ; Mental health care ; Methods ; Nurses ; Patients ; Prevention ; Psychiatric services ; Psychiatrists ; Reproducibility of Results ; Risk assessment ; Risk factors ; Suicidal behavior ; Suicidal behaviour ; Suicidal Ideation ; Suicidal subtypes ; Suicidality ; Suicide - psychology ; Suicides & suicide attempts ; Usability ; Validation study ; Validity</subject><ispartof>BMC psychiatry, 2023-11, Vol.23 (1), p.878-878, Article 878</ispartof><rights>2023. The Author(s).</rights><rights>COPYRIGHT 2023 BioMed Central Ltd.</rights><rights>2023. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c508t-95145258c0fa21efdbfc11843408cdcc3dae48e8d6d318f08aecb57448cd93ad3</citedby><cites>FETCH-LOGICAL-c508t-95145258c0fa21efdbfc11843408cdcc3dae48e8d6d318f08aecb57448cd93ad3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/2902117773?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>314,780,784,25751,27922,27923,37010,37011,44588</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38012641$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>de Winter, Remco F P</creatorcontrib><creatorcontrib>Meijer, Connie M</creatorcontrib><creatorcontrib>van den Bos, Anne T</creatorcontrib><creatorcontrib>Kool-Goudzwaard, Nienke</creatorcontrib><creatorcontrib>Enterman, John H</creatorcontrib><creatorcontrib>Gemen, Manuela A M L</creatorcontrib><creatorcontrib>Nuij, Chani</creatorcontrib><creatorcontrib>Hazewinkel, Mirjam C</creatorcontrib><creatorcontrib>Steentjes, Danielle</creatorcontrib><creatorcontrib>van Son, Gabrielle E</creatorcontrib><creatorcontrib>de Beurs, Derek P</creatorcontrib><creatorcontrib>de Groot, Marieke H</creatorcontrib><title>A first study on the usability and feasibility of four subtypes of suicidality in emergency mental health care</title><title>BMC psychiatry</title><addtitle>BMC Psychiatry</addtitle><description>Based on clinical experience, a (hypothetical) four-type model of suicidality that differentiates between subtypes with a unique pathway to entrapment ((h)4ME)was developed. The subtypes are: 1) perceptual disintegration (PD), 2) primary depressive cognition (PDC), 3) psychosocial turmoil (PT) and 4) inadequate communication/coping (IC). This study was carried out to examine the usability and feasibility of the subtypes in an absolute and dimensional way with the SUICIDI-2 instrument.
A first step was to examine the model and the SUICIDI-2 instrument for usability and feasibility in clinical practice. We aim to investigate the'real life' practical application of the model and hope the feedback we get after practical use of the model will help us with improvements for the model and the SUICIDI-2 instrument.
Discharge letters to general practitioners of 25 cases of anonymized suicidal emergency patients were independently reviewed by three psychiatrists and three nurses. Using the SUICIDI-2 instrument, describing the proposed subtypes, cases were classified by the psychiatrists and nurses. Intraclass Correlation Coefficients (ICC) for absolute/discrete and dimensional ratings were calculated to examine the model's usability and the instrument's feasibility. The study was approved by the ethical board.
All raters were able to recognize and classify the cases in subtypes. We found an average measure of good reliability for absolute/(discrete) subtypes. For dimensional scores, we found excellent average measures for the subtype PDC, and good average measures for the subtypes PD, PT and IC. The reliability of dimensional score for the SUICIDI-2 was relatively lower than an alternative dimensional rating, but had good ICC values for all subtypes. After reviewing the results though, we found some inconsistently assessment between raters. This was ground to narrow down the criteria per subtype to describe the subtypes more precisely. This resulted in adjusted formulations for subtypes PD and IC and agreement was achieved about formulations in the revised SUICIDI-3.
The hypothetical model of entrapment leading to suicidality shows promising results for both the usability and feasibility of the SUICIDI instrument. Follow up studies with participants with a more diverse background may show consistency and validity for the model.</description><subject>Analysis</subject><subject>Cognition</subject><subject>Differentiation of suicidality</subject><subject>Emergency services</subject><subject>Evidence-based medicine</subject><subject>Examinations</subject><subject>Feasibility Studies</subject><subject>Health aspects</subject><subject>Humans</subject><subject>Medical personnel</subject><subject>Mental disorders</subject><subject>Mental Disorders - psychology</subject><subject>Mental Health</subject><subject>Mental health care</subject><subject>Methods</subject><subject>Nurses</subject><subject>Patients</subject><subject>Prevention</subject><subject>Psychiatric services</subject><subject>Psychiatrists</subject><subject>Reproducibility of Results</subject><subject>Risk assessment</subject><subject>Risk factors</subject><subject>Suicidal behavior</subject><subject>Suicidal behaviour</subject><subject>Suicidal Ideation</subject><subject>Suicidal subtypes</subject><subject>Suicidality</subject><subject>Suicide - psychology</subject><subject>Suicides & suicide attempts</subject><subject>Usability</subject><subject>Validation study</subject><subject>Validity</subject><issn>1471-244X</issn><issn>1471-244X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNptUk2PFCEQ7RiNuzv6BzwYEi9eeuVzoI-TjbqbbOJFE2-EhmKGSXczAn3ofy_z4foRwwGq6r1HFbymeUPwLSFq_SETqpRqMWUtFkzyVj1rrgmXpKWcf3_-x_mqucl5jzGRSpCXzRVTmNA1J9fNtEE-pFxQLrNbUJxQ2QGas-nDEMqCzOSQB5PDJY4e-TgnlOe-LAfIx0Segw3OnOphQjBC2sJkFzTCVMyAdmCGskPWJHjVvPBmyPD6sq-ab58-fr27bx-_fH642zy2VmBV2k4QLqhQFntDCXjXe1tH5oxjZZ21zBngCpRbO0aUx8qA7YXkvFY7ZhxbNQ9nXRfNXh9SGE1adDRBnxIxbbVJJdgB9NqC6qQQZN1LTp03zirc90AEptY5UbXen7UOKf6YIRc9hmxhGMwEcc6aqo5Lyrv6D6vm3T_QfX2sqU6qaa0TIqVkv1FbU-8Pk48lGXsU1RspOeswVqqibv-DqsvBGGycwIea_4tAzwSbYs4J_NPcBOujYfTZMLo2qk-G0UfS20vHcz-Ce6L8cgj7CfyWux8</recordid><startdate>20231127</startdate><enddate>20231127</enddate><creator>de Winter, Remco F P</creator><creator>Meijer, Connie M</creator><creator>van den Bos, Anne T</creator><creator>Kool-Goudzwaard, Nienke</creator><creator>Enterman, John H</creator><creator>Gemen, Manuela A M L</creator><creator>Nuij, Chani</creator><creator>Hazewinkel, Mirjam C</creator><creator>Steentjes, Danielle</creator><creator>van Son, Gabrielle E</creator><creator>de Beurs, Derek P</creator><creator>de Groot, Marieke H</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><general>BMC</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>DOA</scope></search><sort><creationdate>20231127</creationdate><title>A first study on the usability and feasibility of four subtypes of suicidality in emergency mental health care</title><author>de Winter, Remco F P ; Meijer, Connie M ; van den Bos, Anne T ; Kool-Goudzwaard, Nienke ; Enterman, John H ; Gemen, Manuela A M L ; Nuij, Chani ; Hazewinkel, Mirjam C ; Steentjes, Danielle ; van Son, Gabrielle E ; de Beurs, Derek P ; de Groot, Marieke H</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c508t-95145258c0fa21efdbfc11843408cdcc3dae48e8d6d318f08aecb57448cd93ad3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Analysis</topic><topic>Cognition</topic><topic>Differentiation of suicidality</topic><topic>Emergency services</topic><topic>Evidence-based medicine</topic><topic>Examinations</topic><topic>Feasibility Studies</topic><topic>Health aspects</topic><topic>Humans</topic><topic>Medical personnel</topic><topic>Mental disorders</topic><topic>Mental Disorders - psychology</topic><topic>Mental Health</topic><topic>Mental health care</topic><topic>Methods</topic><topic>Nurses</topic><topic>Patients</topic><topic>Prevention</topic><topic>Psychiatric services</topic><topic>Psychiatrists</topic><topic>Reproducibility of Results</topic><topic>Risk assessment</topic><topic>Risk factors</topic><topic>Suicidal behavior</topic><topic>Suicidal behaviour</topic><topic>Suicidal Ideation</topic><topic>Suicidal subtypes</topic><topic>Suicidality</topic><topic>Suicide - psychology</topic><topic>Suicides & suicide attempts</topic><topic>Usability</topic><topic>Validation study</topic><topic>Validity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>de Winter, Remco F P</creatorcontrib><creatorcontrib>Meijer, Connie M</creatorcontrib><creatorcontrib>van den Bos, Anne T</creatorcontrib><creatorcontrib>Kool-Goudzwaard, Nienke</creatorcontrib><creatorcontrib>Enterman, John H</creatorcontrib><creatorcontrib>Gemen, Manuela A M L</creatorcontrib><creatorcontrib>Nuij, Chani</creatorcontrib><creatorcontrib>Hazewinkel, Mirjam C</creatorcontrib><creatorcontrib>Steentjes, Danielle</creatorcontrib><creatorcontrib>van Son, Gabrielle E</creatorcontrib><creatorcontrib>de Beurs, Derek P</creatorcontrib><creatorcontrib>de Groot, Marieke H</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest_Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Publicly Available Content Database (Proquest) (PQ_SDU_P3)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>BMC psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>de Winter, Remco F P</au><au>Meijer, Connie M</au><au>van den Bos, Anne T</au><au>Kool-Goudzwaard, Nienke</au><au>Enterman, John H</au><au>Gemen, Manuela A M L</au><au>Nuij, Chani</au><au>Hazewinkel, Mirjam C</au><au>Steentjes, Danielle</au><au>van Son, Gabrielle E</au><au>de Beurs, Derek P</au><au>de Groot, Marieke H</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A first study on the usability and feasibility of four subtypes of suicidality in emergency mental health care</atitle><jtitle>BMC psychiatry</jtitle><addtitle>BMC Psychiatry</addtitle><date>2023-11-27</date><risdate>2023</risdate><volume>23</volume><issue>1</issue><spage>878</spage><epage>878</epage><pages>878-878</pages><artnum>878</artnum><issn>1471-244X</issn><eissn>1471-244X</eissn><abstract>Based on clinical experience, a (hypothetical) four-type model of suicidality that differentiates between subtypes with a unique pathway to entrapment ((h)4ME)was developed. The subtypes are: 1) perceptual disintegration (PD), 2) primary depressive cognition (PDC), 3) psychosocial turmoil (PT) and 4) inadequate communication/coping (IC). This study was carried out to examine the usability and feasibility of the subtypes in an absolute and dimensional way with the SUICIDI-2 instrument.
A first step was to examine the model and the SUICIDI-2 instrument for usability and feasibility in clinical practice. We aim to investigate the'real life' practical application of the model and hope the feedback we get after practical use of the model will help us with improvements for the model and the SUICIDI-2 instrument.
Discharge letters to general practitioners of 25 cases of anonymized suicidal emergency patients were independently reviewed by three psychiatrists and three nurses. Using the SUICIDI-2 instrument, describing the proposed subtypes, cases were classified by the psychiatrists and nurses. Intraclass Correlation Coefficients (ICC) for absolute/discrete and dimensional ratings were calculated to examine the model's usability and the instrument's feasibility. The study was approved by the ethical board.
All raters were able to recognize and classify the cases in subtypes. We found an average measure of good reliability for absolute/(discrete) subtypes. For dimensional scores, we found excellent average measures for the subtype PDC, and good average measures for the subtypes PD, PT and IC. The reliability of dimensional score for the SUICIDI-2 was relatively lower than an alternative dimensional rating, but had good ICC values for all subtypes. After reviewing the results though, we found some inconsistently assessment between raters. This was ground to narrow down the criteria per subtype to describe the subtypes more precisely. This resulted in adjusted formulations for subtypes PD and IC and agreement was achieved about formulations in the revised SUICIDI-3.
The hypothetical model of entrapment leading to suicidality shows promising results for both the usability and feasibility of the SUICIDI instrument. Follow up studies with participants with a more diverse background may show consistency and validity for the model.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>38012641</pmid><doi>10.1186/s12888-023-05374-8</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Analysis Cognition Differentiation of suicidality Emergency services Evidence-based medicine Examinations Feasibility Studies Health aspects Humans Medical personnel Mental disorders Mental Disorders - psychology Mental Health Mental health care Methods Nurses Patients Prevention Psychiatric services Psychiatrists Reproducibility of Results Risk assessment Risk factors Suicidal behavior Suicidal behaviour Suicidal Ideation Suicidal subtypes Suicidality Suicide - psychology Suicides & suicide attempts Usability Validation study Validity |
title | A first study on the usability and feasibility of four subtypes of suicidality in emergency mental health care |
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