Acute Suicidal Affective Disturbance (ASAD): A confirmatory factor analysis with 1442 psychiatric inpatients

Acute Suicidal Affective Disturbance (ASAD) is a newly proposed diagnostic entity that characterizes rapid onset suicidal intent. This study aims to confirm the factor structure of ASAD among psychiatric inpatients, and to determine the clinical utility of ASAD in predicting suicide attempt status....

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Bibliographic Details
Published in:Journal of psychiatric research 2016-09, Vol.80, p.97-104
Main Authors: Stanley, Ian H., Rufino, Katrina A., Rogers, Megan L., Ellis, Thomas E., Joiner, Thomas E.
Format: Article
Language:English
Subjects:
Acute suicidal affective disturbance
Adolescent
Adult
Aged
ASAD
Diagnostics
Female
Humans
Inpatients
Male
Mental Disorders - diagnosis
Mental Disorders - psychology
Middle Aged
Psychiatric classification
Psychiatric Status Rating Scales
Regression Analysis
Risk Factors
Sleep Wake Disorders - etiology
Suicide
Suicide - psychology
Surveys and Questionnaires
Young Adult
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Description
Summary:Acute Suicidal Affective Disturbance (ASAD) is a newly proposed diagnostic entity that characterizes rapid onset suicidal intent. This study aims to confirm the factor structure of ASAD among psychiatric inpatients, and to determine the clinical utility of ASAD in predicting suicide attempt status. Overall, 1442 psychiatric inpatients completed a battery of self-report questionnaires assessing symptoms theorized to comprise the ASAD construct. Utilizing these data, a confirmatory factor analysis with a one-factor solution was performed. Regression analyses were employed to determine if the ASAD construct predicted past suicide attempts, and analyses of variance (ANOVAs) were employed to determine if ASAD symptoms differed by the presence and number of past suicide attempts. The one-factor solution indicated good fit: χ2(77) = 309.1, p 
ISSN:0022-3956
1879-1379
DOI:10.1016/j.jpsychires.2016.06.012