Identification of Nearly Fatal Suicide Attempts: Self-Inflicted Injury Severity Form

The Self‐inflicted Injury Severity Form (SIISF) was developed as an epidemiological research tool for identifying individuals in hospital emergency departments who have life‐threatening self‐inflicted injuries. Data were collected from 715 patients with self‐inflicted injuries in two large hospitals...

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Bibliographic Details
Published in:Suicide & life-threatening behavior 1998-06, Vol.28 (2), p.174-186
Main Authors: Potter, Lloyd B., Kresnow, Marcie-jo, Powell, Kenneth E., O'Carroll, Patrick W., Lee, Roberta K., Frankowski, Ralph F., Swann, Alan C., Bayer, Timothy L., Bautista, Marilyn H., Briscoe, Margaret G.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Bias
Biological and medical sciences
Data Collection
Death
Diagnosis
Diagnosis, Differential
Emergency Medical Services
Female
Hospitals
Humans
Injuries
Interrater Reliability
Male
Measures (Instruments)
Medical sciences
Mental Disorders
Patients
Physician's Role
Preventive Health Services - organization & administration
Psychiatric Status Rating Scales - standards
Psychiatry
Psychology. Psychoanalysis. Psychiatry
Psychometrics
Psychometrics. Diagnostic aid systems
Psychopathology. Psychiatry
Reproducibility of Results
Research Tools
Risk Assessment
Self Destructive Behavior
Self-Injurious Behavior - classification
Statistical analysis
Statistics, Nonparametric
Suicide
Suicide, Attempted - classification
Suicide, Attempted - prevention & control
Suicide, Attempted - statistics & numerical data
Suicides & suicide attempts
Techniques and methods
Texas
Texas - epidemiology
Trauma Severity Indices
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Summary:The Self‐inflicted Injury Severity Form (SIISF) was developed as an epidemiological research tool for identifying individuals in hospital emergency departments who have life‐threatening self‐inflicted injuries. Data were collected from 715 patients with self‐inflicted injuries in two large hospitals. In 295 of these cases, a second set of data was independently collected for assessment of interrater reliability. Validity was assessed by comparing the SIISF results with simultaneously collected Risk—Rescue Ratings. Assessment of interrater reliability found that only 2.4% of physicians disagreed on the suicide method used. The kappa statistic for method used was .94, indicating excellent agreement. The SIISF was found to distinguish between severe and less severe injuries. Thus, it appears to provide a simple method to distinguish patients who have life‐threatening self‐inflicted injuries.
ISSN:0363-0234
1943-278X
DOI:10.1111/j.1943-278X.1998.tb00637.x