Identifying Youth at Risk for Suicidal Thoughts and Behaviors Using the "p" factor in Primary Care: An Exploratory Study

Suicide is a major, preventable public health problem. The general factor of psychopathology ("p" factor) might help improve detection and prediction of individuals at risk for suicide. This cross-sectional proof-of-concept study tests whether the p-factor score is associated with suicidal...

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Bibliographic Details
Published in:Archives of suicide research 2023-07, Vol.27 (3), p.1047-1062
Main Authors: Ruan-Iu, Linda, Rivers, Alannah Shelby, Barzilay, Ran, Moore, Tyler M., Tien, Allen, Diamond, Guy
Format: Article
Language:English
Subjects:
Adolescent
At risk populations
Avoidable
Behavioral Health Screen
Clinical assessment
Cross-Sectional Studies
Factor analysis
General factor
Health behavior
Health problems
Humans
Mental depression
p-factor
Primary care
Primary Health Care
Psychopathology
Public health
screening
Suicidal behavior
Suicidal Ideation
Suicide
Suicide, Attempted - prevention & control
youth
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Summary:Suicide is a major, preventable public health problem. The general factor of psychopathology ("p" factor) might help improve detection and prediction of individuals at risk for suicide. This cross-sectional proof-of-concept study tests whether the p-factor score is associated with suicidal thoughts and behaviors (STB) better than a depression scale alone. Youth (N = 841; mean age 18.02, SD = 3.36) in primary care were universally screened using the Behavioral Health Screen (BHS). Factor analysis and ROC results showed the BHS assesses the p-factor, and the p-factor score demonstrates higher classification accuracy of several types of STB than a depression scale. The p-factor could help clinicians in the identification of youths with STB.
ISSN:1381-1118
1543-6136
DOI:10.1080/13811118.2022.2106925