Implicit identification with death detects and predicts short‐term suicide risk among adolescents discharged from the emergency room

Author:

Toukhy N.12ORCID,Barzilay S.23ORCID,Hamdan S.4,Grisaru‐Hergas D.2,Haruvi‐Catalan L.2,Levis Frenk M.2ORCID,Apter A.2567,Benaroya‐Milshtein N.25,Fennig S.25,Gvion Y.1ORCID

Affiliation:

1. Department of Psychology Bar Ilan University Ramat Gan Israel

2. Schneider Children's Medical Center of Israel Petach Tikva Israel

3. Department of Community Mental Health University of Haifa Haifa Israel

4. School of Behavioral Sciences Academic College of Tel‐Aviv Yaffo (MTA) Tel Aviv Israel

5. Sackler School of Medicine Tel Aviv University Tel Aviv Israel

6. Reichman University Herzliya Israel

7. Ruppin Academic Center Emek Hefer Israel

Abstract

AbstractBackgroundImplicit identification with death, measured by the Death–Suicide‐Implicit Association Test (D/S‐IAT), has been found to predict long‐term suicide risk among adolescents. However, previous studies did not examine the predictive utility of D/S‐IAT on short‐term suicide risk trajectories among adolescents, especially during the critical period following discharge from the emergency room (ER) due to suicide behaviors.ObjectiveThis study examined the ability of the D/S‐IAT to discriminate and predict suicide risk trajectories during the month following initial suicide risk assessment, among adolescents recently discharged from the ER.MethodsOne hundred and fifteen adolescents aged 9–18 years (77.4% female) were assessed at clinic intake. All participants completed D/S‐IAT and self‐report measures for suicide risk, depression, and anxiety during intake and 1‐month follow‐up.ResultsThe D/S‐IAT distinguished and predicted participants with continued heightened suicide risk at follow‐up, above and beyond depression, anxiety, and suicide risk level at intake.ConclusionsAlong with conventional measures, D/S‐IAT may be utilized to predict short‐term suicide risk during post‐ER discharge.

Funder

American Foundation for Suicide Prevention

Ministry of Science, Technology and Space

Publisher

Wiley

Subject

Psychiatry and Mental health,Public Health, Environmental and Occupational Health,Clinical Psychology

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