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Time: 9:06 pm

Results for inmate self-injury

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Author: Brown, Gregory P.

Title: Suicide Risk Assessment Instruments: A Review of Current Literature

Summary: A review of the current literature (2000 - 2016) on suicide/self-injury assessment instruments in use in adult, institutional environments (general hospitals, psychiatric facilities, correctional institutions) was undertaken. Instruments were evaluated based on reports of their reliability, validity, sensitivity, specificity and predictive value. Thirteen instruments were identified for which there was either (1) sufficient psychometric data and estimates of predictive validity available to show evidence of utility in predicting suicidal behaviour and suicide, or (2) evidence of promise or a unique approach in predicting suicidal behaviour and suicide. Among the thirteen instruments identified, two are currently in use in the Correctional Service of Canada (CSC) assessment process: the Depression, Hopelessness and Suicide scale (DHS; Mills & Kroner, 2004; 2005) and the Columbia-Suicide Severity Rating Scale (C-SSRS; Posner et al., 2011). Factors identified in the literature as risk factors (stressors) for suicide/self-injury as well as protective factors were also reviewed. Seventy-one risk factors (29 static; 26 dynamic; 16 institutional) were identified in the literature as statistically significantly associated with suicidal behaviour and suicide. Nine protective factors were identified in the literature. No one suicide risk assessment instrument, neither in general hospital, psychiatric hospital or correctional facilities, stands out as superior. All of the suicide risk assessment instruments commonly in use make use of self-report or clinical/interviewer elicited information about suicidal ideation or suicide plans. Alternatively, a number of studies have independently demonstrated a link between cognitive deficits measured by performance on tests like the Suicide Stroop task and the Iowa Gambling Test and risk for suicidal behaviour and suicide. Some recent studies have shown promise in exploring the link between genetic markers predictive of risk for suicidal behaviour and suicide. The review of the literature points to the need for a more focussed empirical strategy for the development, testing and validation of screening tools and instruments. Such a strategy requires that tools and instruments demonstrate sound psychometric properties (reliability and validity), be sensitive to changes in dynamic factors correlated with suicidal behaviour and suicide, and demonstrate the capacity to prospectively predict suicidal behaviour and suicide with high levels of both sensitivity and specificity, across a range of population subgroups. Whether suicide risk assessment screening tools and instruments should be developed specifically for major at risk populations, reflecting unique static, dynamic and environmental risk factors is a question that requires further study. The results of the systematic review will support the assessment of the suicide/self-injury measures currently in use by CSC.

Details: Ottawa: Correctional Service Canada, 2017. 76p.

Source: Internet Resource: 2017 No. R-392: Accessed February 20, 2018 at: http://publications.gc.ca/collections/collection_2017/scc-csc/PS83-3-392-eng.pdf

Year: 2017

Country: Cameroon

URL: http://publications.gc.ca/collections/collection_2017/scc-csc/PS83-3-392-eng.pdf

Shelf Number: 149191

Keywords:
Inmate Self-Injury
Inmate Suicide
Prison Suicide
Risk Assessment Instruments
Suicides