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Assessing for Suicidal Behavior in Youth Using the Achenbach System of Empirically Based Assessment

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Assessing for Suicidal Behavior in Youth Using the Achenbach System of Empirically Based Assessment. / Van Meter, Anna; Perez Algorta, Guillermo Daniel; Youngstrom, E.A.; Lechtman, Yana; Youngstrom, Jen K.; Feeny, Norah C.; Findling, Robert.

In: European Child and Adolescent Psychiatry, Vol. 27, No. 2, 02.2018, p. 159-169.

Research output: Contribution to journalJournal article

Harvard

Van Meter, A, Perez Algorta, GD, Youngstrom, EA, Lechtman, Y, Youngstrom, JK, Feeny, NC & Findling, R 2018, 'Assessing for Suicidal Behavior in Youth Using the Achenbach System of Empirically Based Assessment' European Child and Adolescent Psychiatry, vol. 27, no. 2, pp. 159-169. https://doi.org/10.1007/s00787-017-1030-y

APA

Van Meter, A., Perez Algorta, G. D., Youngstrom, E. A., Lechtman, Y., Youngstrom, J. K., Feeny, N. C., & Findling, R. (2018). Assessing for Suicidal Behavior in Youth Using the Achenbach System of Empirically Based Assessment. European Child and Adolescent Psychiatry, 27(2), 159-169. https://doi.org/10.1007/s00787-017-1030-y

Vancouver

Van Meter A, Perez Algorta GD, Youngstrom EA, Lechtman Y, Youngstrom JK, Feeny NC et al. Assessing for Suicidal Behavior in Youth Using the Achenbach System of Empirically Based Assessment. European Child and Adolescent Psychiatry. 2018 Feb;27(2):159-169. https://doi.org/10.1007/s00787-017-1030-y

Author

Van Meter, Anna ; Perez Algorta, Guillermo Daniel ; Youngstrom, E.A. ; Lechtman, Yana ; Youngstrom, Jen K. ; Feeny, Norah C. ; Findling, Robert. / Assessing for Suicidal Behavior in Youth Using the Achenbach System of Empirically Based Assessment. In: European Child and Adolescent Psychiatry. 2018 ; Vol. 27, No. 2. pp. 159-169.

Bibtex

@article{46e0bcd9cde44ca5a22e2f440f627ce9,
title = "Assessing for Suicidal Behavior in Youth Using the Achenbach System of Empirically Based Assessment",
abstract = "Objective: This study investigated the clinical utility of the Achenbach System of Empirically Based Assessment (ASEBA) for identifying youth at risk for suicide. Specifically, we investigated how well the Total Problems scores and the sum of two suicide-related items (#18 “Deliberately harms self or attempts suicide” and #91 “Talks about killing self”) were able to distinguish youth with a history of suicidal behavior. Method: Youth (N=1117) aged 5 to 18 were recruited for two studies of mental illness. History of suicidal behavior was assessed by semi-structured interviews (KSADS) with youth and caregivers. Youth, caregivers, and a primary teacher each completed the appropriate form (YSR, CBCL, TRF, respectively) of the ASEBA. Areas under the curve (AUCs) from ROC analyses and diagnostic likelihood ratios (DLRs) were used to measure the ability of both Total Problems T-scores, as well as the summed score of two suicide-related items, to identify youth with a history of suicidal behavior. Results: The Suicide Items from the CBCL and YSR performed well (AUCs=.85 and .70, respectively). The TRF Suicide Items did not perform better than chance, AUC=.45. The AUCs for the Total Problems scores were poor-to-fair (.33-.65). The CBCL Suicide Items outperformed all other scores (ps=.04 to <.0005). Combining the CBCL and YSR items did not lead to incremental improvement in prediction over the CBCL alone. Conclusion: The sum of two questions from a commonly used assessment tool can offer important information about a youth’s risk for suicidal behavior The low burden of this approach could facilitate wide-spread screening for suicide in an increasingly at-risk population.",
keywords = "Suicide , Diagnostic accuracy, ROC, Evidence-based assessment",
author = "{Van Meter}, Anna and {Perez Algorta}, {Guillermo Daniel} and E.A. Youngstrom and Yana Lechtman and Youngstrom, {Jen K.} and Feeny, {Norah C.} and Robert Findling",
note = "The final publication is available at Springer via http://dx.doi.org/10.1007/s00787-017-1030-y",
year = "2018",
month = "2",
doi = "10.1007/s00787-017-1030-y",
language = "English",
volume = "27",
pages = "159--169",
journal = "European Child and Adolescent Psychiatry",
issn = "1018-8827",
publisher = "D. Steinkopff-Verlag",
number = "2",

}

RIS

TY - JOUR

T1 - Assessing for Suicidal Behavior in Youth Using the Achenbach System of Empirically Based Assessment

AU - Van Meter, Anna

AU - Perez Algorta, Guillermo Daniel

AU - Youngstrom, E.A.

AU - Lechtman, Yana

AU - Youngstrom, Jen K.

AU - Feeny, Norah C.

AU - Findling, Robert

N1 - The final publication is available at Springer via http://dx.doi.org/10.1007/s00787-017-1030-y

PY - 2018/2

Y1 - 2018/2

N2 - Objective: This study investigated the clinical utility of the Achenbach System of Empirically Based Assessment (ASEBA) for identifying youth at risk for suicide. Specifically, we investigated how well the Total Problems scores and the sum of two suicide-related items (#18 “Deliberately harms self or attempts suicide” and #91 “Talks about killing self”) were able to distinguish youth with a history of suicidal behavior. Method: Youth (N=1117) aged 5 to 18 were recruited for two studies of mental illness. History of suicidal behavior was assessed by semi-structured interviews (KSADS) with youth and caregivers. Youth, caregivers, and a primary teacher each completed the appropriate form (YSR, CBCL, TRF, respectively) of the ASEBA. Areas under the curve (AUCs) from ROC analyses and diagnostic likelihood ratios (DLRs) were used to measure the ability of both Total Problems T-scores, as well as the summed score of two suicide-related items, to identify youth with a history of suicidal behavior. Results: The Suicide Items from the CBCL and YSR performed well (AUCs=.85 and .70, respectively). The TRF Suicide Items did not perform better than chance, AUC=.45. The AUCs for the Total Problems scores were poor-to-fair (.33-.65). The CBCL Suicide Items outperformed all other scores (ps=.04 to <.0005). Combining the CBCL and YSR items did not lead to incremental improvement in prediction over the CBCL alone. Conclusion: The sum of two questions from a commonly used assessment tool can offer important information about a youth’s risk for suicidal behavior The low burden of this approach could facilitate wide-spread screening for suicide in an increasingly at-risk population.

AB - Objective: This study investigated the clinical utility of the Achenbach System of Empirically Based Assessment (ASEBA) for identifying youth at risk for suicide. Specifically, we investigated how well the Total Problems scores and the sum of two suicide-related items (#18 “Deliberately harms self or attempts suicide” and #91 “Talks about killing self”) were able to distinguish youth with a history of suicidal behavior. Method: Youth (N=1117) aged 5 to 18 were recruited for two studies of mental illness. History of suicidal behavior was assessed by semi-structured interviews (KSADS) with youth and caregivers. Youth, caregivers, and a primary teacher each completed the appropriate form (YSR, CBCL, TRF, respectively) of the ASEBA. Areas under the curve (AUCs) from ROC analyses and diagnostic likelihood ratios (DLRs) were used to measure the ability of both Total Problems T-scores, as well as the summed score of two suicide-related items, to identify youth with a history of suicidal behavior. Results: The Suicide Items from the CBCL and YSR performed well (AUCs=.85 and .70, respectively). The TRF Suicide Items did not perform better than chance, AUC=.45. The AUCs for the Total Problems scores were poor-to-fair (.33-.65). The CBCL Suicide Items outperformed all other scores (ps=.04 to <.0005). Combining the CBCL and YSR items did not lead to incremental improvement in prediction over the CBCL alone. Conclusion: The sum of two questions from a commonly used assessment tool can offer important information about a youth’s risk for suicidal behavior The low burden of this approach could facilitate wide-spread screening for suicide in an increasingly at-risk population.

KW - Suicide

KW - Diagnostic accuracy

KW - ROC

KW - Evidence-based assessment

U2 - 10.1007/s00787-017-1030-y

DO - 10.1007/s00787-017-1030-y

M3 - Journal article

VL - 27

SP - 159

EP - 169

JO - European Child and Adolescent Psychiatry

JF - European Child and Adolescent Psychiatry

SN - 1018-8827

IS - 2

ER -