Multi-informant prediction of near-term suicidal behavior independent of suicidal ideation

Gelan Ying, Lisa J. Cohen, Lauren Lloveras, Shira Barzilay, Igor Galynker

Research output: Contribution to journalArticlepeer-review


Background: Both the Suicide Crisis Syndrome (SCS) and clinicians’ emotional responses to suicidal patients are predictive of near-term suicidal behaviors. Thus, we tested predictive validity of a combination of the proposed Diagnostic and Statistical Manual SCS criteria and the Therapist Response Questionnaire Suicide Form (TRQ-SF) for near-term suicidal behavior. Methods: The presence of SCS in adult psychiatric outpatients (N=451) was assessed using relevant items from validated psychometric assessments. Clinicians completed the TRQ-SF immediately after patient intake. Suicide attempts (SA) and a combination of suicide plans and attempts (SPA) were measured at one month follow-up (N=359). Results: At follow-up nine patients reported having SPA and seven reported SA. Meeting the SCS criteria were associated with near-term SA (χ2=5.987, p<0.01), while high TRQ-SF scores were associated with both near-term SA (χ2=5.971, p<0.05) and SPA (χ2=7.069, p<0.01). Meeting either the SCS or having high TRQ-SF scores, but not both, was associated with near-term SA (χ2=11.893, p<0.01) and SPA (χ2=11.449, p<0.01). Incremental predictive validity over standard suicide risk factors and individual scales was demonstrated in logistic regressions. Conclusions: Multi-informant risk assessment not reliant on patient self-reported ideation appear to enhance predictive power of traditional risk assessments in identifying imminent suicide risk.

Original languageEnglish
Article number113169
JournalPsychiatry Research
StatePublished - Sep 2020
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2020 Elsevier B.V.


  • Adult
  • Female
  • Follow-Up Studies
  • Forecasting
  • Humans
  • Male
  • Middle Aged
  • Outpatient Clinics, Hospital/standards
  • Prospective Studies
  • Psychiatric Status Rating Scales/standards
  • Risk Assessment
  • Risk Factors
  • Self Report
  • Suicidal Ideation
  • Suicide, Attempted/psychology

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Biological Psychiatry


Dive into the research topics of 'Multi-informant prediction of near-term suicidal behavior independent of suicidal ideation'. Together they form a unique fingerprint.

Cite this