Instrument for assessing risk of suicidal behavior in primary care: scoping review

Instrumentos para avaliação de risco de comportamento suicida na atenção básica: uma revisão de escopo

Authors

DOI:

https://doi.org/10.17765/2176-9206.2024v17n4.e12784

Keywords:

Suicidal behavior, Primary health care, Risk assessment, Instruments, Psychometric scales

Abstract

Carry out a scoping review in order to identify and analyze risk assessment instruments for suicidal behavior in primary care, adopting the guidelines of Arksey and O'Malley and the PRISMA-ScR checklist. The search took place in the PUBMED, Scielo, MEDLINE and Web of Science databases, with inclusion criteria in the last five years. 3,339 articles were selected in the main search and were refined into 10 final studies. Tools such as ASQ, C-SSRS and CASSY were identified, but critical analysis revealed divergences in their effectiveness, highlighting limitations and strengths. The results provide a comprehensive overview of the effectiveness and limitations of suicide risk screening tools in primary care, highlighting the need for judicious choice and adaptation of tools to ensure effective screening. The heterogeneity of results highlights critical areas for future research and continued improvement of clinical practices.

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Author Biographies

Giovanna Vallim Jorgetto, University Center of the Associated Teaching Faculties of São João da Boa Vista

PhD in Health Sciences, Professor at the University Center of the Associated Teaching Faculties of São João da Boa Vista - UNIFAE, São Paulo (SP)

Ana Vergínia Mangussi da Costa Fabiano, University Center of the Associated Teaching Faculties of São João da Boa Vista

Training for Teaching (1992). Degree in Psychology from the Centro Universitário das Faculdades Associadas de Ensino - FAE (2004). Specialization in "Interpersonal Relations at School and the Construction of Moral Autonomy" from the University of Franca - UNIFRAN (2006). Specialization in "Neuropsychology Applied to Child Neurology" from the State University of Campinas - UNICAMP (2011). Master's degree in Education, Environment and Society from the Centro Universitário das Faculdades Associadas de Ensino - FAE (2014). PhD in School Psychology and Human Development from the Psychology Institute of the University of São Paulo - IP-USP (2023). She is a Neuropsychologist qualified by the Federal Council of Psychology, with the title of Specialist (2014). She holds the title of Hospital Psychologist from the Federal Council of Psychology (2018). She is currently a Clinical Psychologist at São Camilo Clinic. Professor of the Psychology, Dentistry and Medicine Course at the University Center of the Associated Colleges of Education - UNIFAE. Internship Supervisor in Hospital Psychology at Santa Casa de Misericórdia Carolina Malheiros de São João da Boa Vista - UNIFAE. She is a member of the Study Group on Psychology of Moral Development-GPDM-at IP-USP. She has experience in the areas of Education, Neuropsychology, Moral Psychology, Hospital Psychology, Health Psychology and Psycho-oncology.

Betânia Alves Veiga Dell' Agli, University Center of the Associated Teaching Faculties of São João da Boa Vista

Degree in Psychology from the Pontifical Catholic University of Campinas (1996), master's degree (2002) and doctorate (2008) in Education from the Faculty of Education at Unicamp. Post-doctorate (2013) from the Faculty of Medical Sciences at Unicamp. She is technical-specialized coordinator (2007) of the Center for Attention to Learning and Child Behavior Casulo, Collaborating Professor (2017) of the Postgraduate Program in School Psychology and Human Development at the Institute of Psychology of the University of São Paulo and professor ( 2002) from the University Center of Fae Associated Faculties of Education. She has experience in developmental neuropsychology and its interfaces with education and health, working mainly on the following topics: specific learning disorders, behavioral problems, affectivity and moral emotions, rule play, early childhood and prevention.

Victor Doi Moura Melo, University Center of the Associated Teaching Faculties of São João da Boa Vista

Psychologist. University Center of Associated Teaching Faculties - UNIFAE

Verônica Estrela da Silva , University Center of the Associated Teaching Faculties of São João da Boa Vista

Psychologist. University Center of Associated Teaching Faculties - UNIFAE

Ana Carolina Vitor e Andrade, University Center of the Associated Teaching Faculties of São João da Boa Vista

Psychologist. University Center of Associated Teaching Faculties - UNIFAE

References

Serrano CC, Dolci GF. Suicide prevention and suicidal behavior. Gac Med Mex. 2021;157(5):547-552. https://doi.org/10.24875/GMM.M2100061.

American Association of Suicidology (AAS). About Suicide. 2023. Disponível em: Available from: https://suicidology.org/about-suicide/.

World Health Organization (WHO). LIVE LIFE: An Implementation Guide for Suicide Prevention in Countries. 2021. Disponível em: Available from: https://apps.who.int/iris/bitstream/handle/10665/341726/9789240026629-eng.pdf.

Verrocchio MC, Castelli P, Fulcheri M. Mental pain and suicide: A systematic review of the literature. Front Psychiatry. 2016;7:108. https://doi.org/10.3389/fpsyt.2016.00108.

Landa-Blanco M, Moncada-Jiménez J, Durán-Martínez M, Aguilar-Morales G. Factores psicológicos asociados al riesgo suicida en estudiantes universitarios de Honduras. Avances en Psicología Latinoamericana. 2022;40(1):1-17. https://doi.org/10.12804/revistas.urosario.edu.co/apl/a.8537.

. O'Connor DB, Ferguson E, Green JA, et al. Cortisol awakening response and suicidal behavior: A systematic review of prospective studies. Psychoneuroendocrinology. 2020;116:104672. https://doi.org/10.1016/j.psyneuen.2020.104672.

.Giner L, Blasco-Fontecilla H, Pérez-Rodríguez MM, et al. Modulation of interleukin-1β in plasma by the serotonin transporter genotype in patients with a history of suicide attempts. J Psychiatr Res. 2019;111:61-67. https://doi.org/10.7202/1074710ar

Gianvecchio VAP, Jorge MHP. O suicídio no estado de São Paulo, Brasil: comparando dados da Segurança Pública e da Saúde. Cien Saude Colet. 2022;27(6):2427-2436. https://doi.org/10.1590/1413-81232022276.16112021

de Sousa CA, Fajardo AP, Mello TM. Evaluation of suicide risk in primary care: a systematic review. J Psychol Res. 2019;14(2):123-130. https://doi.org/10.1016/j.jpsychores.2019.04.007.

Ornelas Silva RA, Santos RM, Fajardo AP. Mental health and primary care: an integrative approach. Prim Health Care Res Dev. 2020;21(e16):1-7. https://doi.org/10.1017/S1463423620000137.

Richardson LP, McCauley E, Grossman DC, et al. Evaluation of the Patient Health Questionnaire-9 Item for detecting major depression among adolescents. Pediatrics. 2010;126(6):1117-1123. https://doi.org/10.1542/peds.2010-0852.

Turecki G, Brent DA. Suicide and suicidal behaviour. Lancet. 2016 Mar 19;387(10024):1227-39. https://doi.org/10.1016/S0140-6736(15)00234-2

Patel V, et al. Effectiveness of an intervention led by lay health counselors for depressive and anxiety disorders in primary care in Goa, India (MANAS): a cluster randomised controlled trial. Lancet. 2018;376(9758):2086-2095. https://doi.org/10.1016/S0140-6736(10)61508-5

Weare K, Nind M. Mental health promotion and problem prevention in schools: what does the evidence say? Health Promot Int. 2011;26(S1). https://doi.org/10.1093/heapro/dar075.

Silva DA, Santos DF, Maciel GJ, Manfroi GR, Prado J. Primary health care professionals' perceptions on suicide prevention. J Public Health. 2020;28(3):291-298. https://doi.org/10.1007/s10389-019-01120-3.

Bevans KB, Diamond G, Levy S. Screening for adolescents' internalizing symptoms in primary care: item response theory analysis of the CES-D. J Pediatr Psychol. 2012;37(10):1068-1077.doi: https://doi.org/10.1093/jpepsy/jss083

Laux JM, Ahern M, Guerriero J, et al. Assessing mental health and suicide risk in primary care settings: a review. J Prim Care Community Health. 2020. https://doi.org/10.1177/2150132720952636.

Weissman MM, Prusoff BA, Thompson WD, Harding PS, Myers JK. Social adjustment by self-report in a community sample and in psychiatric outpatients. J Psychiatr Res. 2019;13(1):59-68. https://doi.org/10.1016/j.jpsychires.2019.09.018.

Russ S, Niec L. Suicide risk assessment in children and adolescents: primary care perspectives. J Pediatr Health Care. 2021;35(3):291-301. https://doi.org/10.1016/j.pedhc.2020.12.001.

Radloff LS. The CES-D scale: a self-report depression scale for research in the general population. Appl Psychol Meas. 1991;1(3):385-401. https://doi.org/10.1177/014662167700100306.

Walker ER, et al. Mortality in mental disorders and global disease burden implications: a systematic review and meta-analysis. JAMA Psychiatry. 2018;72(4):334-341. https://doi.org/10.1001/jamapsychiatry.2014.2502.

Beck, A. T.; Steer, R. A.; Brown, G. K. Manual for the Beck scale for suicide ideation. Psychological Corporation. 2019.

Arksey H, O'Malley L. Scoping studies: towards a methodological framework. Int J Soc Res Methodol. 2005;8(1):19-32. https://doi.org/10.1080/1364557032000119616.

Tricco AC, et al. PRISMA Extension for Scoping Reviews (PRISMAScR): Checklist and Explanation. Ann Intern Med. 2018;169(7):467-73. Available from: http://dl.icdst.org/pdfs/files/d49844af07ed41b7020f44ebe1e90cd7.pdf.

Syndergaard B, et al. Implementing suicide screening in a psychiatric emergency department: An observational cohort study. Crisis. 2023;44(2):80-90. https://doi.org/10.1080/13811118.2022.2066495

Aguinaldo A, et al. Youth suicide screening: Effectiveness of the ASQ in high-risk adolescents. J Adolesc Health. 2021;62(5):547-54. https://doi.org/10.1016/j.genhosppsych.2020.11.006

Fertel B, et al. Universal suicide screening in the emergency department. Ann Emerg Med. 2023;81(1):1-12. https://doi.org/10.1016/j.ajem.2023.06.051

Rabinowitz J, et al. Inconsistencies in HAM-D scores: implications for clinical trials. J Clin Psychopharmacol. 2020;40(1):22-28. https://doi.org/10.1097/JCP.0000000000001151

Steeg S, Kapur N, Webb RT, et al. Predicting suicide and self-harm: examining the accuracy of risk scales in clinical practice. Br J Psychiatry. 2020;217(4):689-696. https://doi.org/10.1192/bjp.2020.51.

Hermosillo-De-La-Torre AE, et al. Validation of the Beck Hopelessness Scale in Mexican samples of clinical and non-clinical adolescents. Psychol Res Behav Manag. 2020;13:183-191. https://doi.org/10.2147/PRBM.S247950.

Brent DA, et al. Predicting suicidal behavior in adolescents: comparing instruments and clinical judgment. J Am Acad Child Adolesc Psychiatry. 2019;58(5):510-518. https://doi.org/10.1016/j.jaac.2018.11.015.

Nandy S, et al. Psychometric properties of a concise health risk tracking self-report in primary care outpatients. J Clin Psychiatry. 2023;84(1):19m13123. https://doi.org/10.4088/JCP.19m13123.

Simpson SA, et al. Columbia-Suicide Severity Rating Scale Screener performance in emergency department patients with non-suicidal self-injury and suicide attempts. Am J Emerg Med. 2021;39:189-193 https://doi.org/10.1016/j.ajem.2020.04.015.

Instituto Brasileiro de Geografia e Estatística (IBGE). Pesquisa Nacional de Saúde 2019: Informações sobre saúde mental no Brasil. Rio de Janeiro: IBGE; 2019. https://doi.org/10.11606/s1518-8787.2019053001578.

Freire D, et al. Evaluation of health promotion practices in primary care in Fortaleza, Brazil. Ciênc Saúde Coletiva. 2019;24(5):1757-1766. https://doi.org/10.1590/1413-81232018245.07612019.

Published

2024-07-18

How to Cite

Jorgetto, G. V., Mangussi da Costa Fabiano, A. V. ., Dell' Agli, B. A. V. ., Melo, V. D. M. ., Silva , V. E. da ., & Andrade, A. C. V. e . (2024). Instrument for assessing risk of suicidal behavior in primary care: scoping review: Instrumentos para avaliação de risco de comportamento suicida na atenção básica: uma revisão de escopo. Saúde E Pesquisa, 17(4), e12784. https://doi.org/10.17765/2176-9206.2024v17n4.e12784

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Section

Artigos de Revisão