The five-item Brief-Symptom Rating Scale as a suicide ideation screening instrument for psychiatric inpatients and community residents

For-Wey Lung; Ming-Been Lee
January 2008
BMC Psychiatry;2008, Vol. 8, Special section p1
Academic Journal
Background: An efficient screening instrument which can be used in diverse settings to predict suicide in different populations is vital. The aim of this study was to use the five-item Brief Symptom Rating Scale (BSRS-5) as a screening instrument for the prediction of suicide ideation in psychiatric, community and general medical settings. Methods: Five hundred and one psychiatric, 1,040 community and 969 general medical participants were recruited. The community participants completed a structured telephone interview, and the other two groups completed the self-report BSRS-5 questionnaire. Results: The logistic regression analysis showed that the predictors of suicide ideation for the psychiatric group were depression, hostility and inferiority (p < 0.001, p = 0.016, p = 0.011), for the community group, inferiority, hostility and insomnia (p < 0.001, p < 0.001, p = 0.003), and for the general medical group, inferiority, hostility, depression and insomnia (p < 0.001, p = 0.001, p = 0.020, p = 0.008). The structural equation model showed the same symptom domains that predicted suicide ideation for all three groups. The receiver operating characteristic curve using the significant symptom domains from logistic regression showed that for the psychiatric group, the optimal cut-off point was 4/5 for the total of the significant dimensions (positive predictive value [PPV] = 78.01%, negative predictive value [NPV] = 79.05%), for the community group, 7/8 (PPV = 68.75%, NPV = 96.09%), and for the general medical group, 12/13 (PPV = 92.86%, NPV = 88.48%). Conclusion: The BSRS-5 is an efficient tool for the screening of suicide ideation-prone psychiatric inpatients, general medical patients, and community residents. Understanding the discriminative symptom domains for different groups and the relationship between them can help health care professionals in their preventative programs and clinical treatment.


Related Articles

  • Concordance between Hopkins Symptom Checklist (HSCL-10) and Pakistan Anxiety and Depression Questionnaire (PADQ), in a rural self-motivated population in Pakistan. Syed, Hammad Raza; Zachrisson, Henrik Daae; Dalgard, Odd Steffen; Dalen, Ingvild; Ahlberg, Nora // BMC Psychiatry;2008, Vol. 8, Special section p1 

    Background: There have been no previous studies conducted in Pakistan comparing the concordance of any well established Western anxiety/depression screening instrument with an indigenous scale, in a community based setting. Methods: Participants (n = 1040) in the present study were recruited...

  • ADAPTATION TO PORTUGUESE OF THE DEPRESSION, ANXIETY AND STRESS SCALES (DASS). Alves Apóstolo, João Luís; Cruz Mendes, Aida; Aguiar Azeredo, Zaida // Revista Latino-Americana de Enfermagem (RLAE);nov/dic2006, Vol. 14 Issue 6, p863 

    Objective: to adapt to Portuguese, of Portugal, the Depression, Anxiety and Stress Scales, a 21-item short scale (DASS 21), designed to measure depression, anxiety and stress. Method: After translation and back-translation with the help of experts, the DASS 21 was administered to patients in...

  • Effect of Major Depressive Disorder and Insomnia on Somatization. Jin Yong Jun; Seog Ju Kim; Yu-Jin Lee; Seong-Jin Cho // Sleep Medicine & Psychophysiology;2012, Vol. 19 Issue 2, p84 

    Introduction: The objective of the present study was to investigate the independent effects of major depressive disorder (MDD) and insomnia on somatization, respectively.Methods: A total of 181 participants (73 males and 108 females ; mean age 41.59±8.92) without serious medical problem were...

  • Insomnia in Parkinson's disease: frequency and progression over time. Gjerstad, M. D.; Wentzel-Larsen, T.; Aarsland, D.; Larsen, J. P. // Journal of Neurology, Neurosurgery & Psychiatry;May2007, Vol. 78 Issue 5, p476 

    Objectives: To examine the development of nocturnal sleeping problems in patients with Parkinson's disease (PD) over an 8-year period and to study the clinical and demographic correlates of insomnia. Methods: 231 patients were included in a population-based prevalence study in 1993, and...

  • Detection of Depression in Acute Schizophrenia: Sensitivity and Specificity of 2 Standard Observer Rating Scales. Muller, Matthias J.; Muller, Kay-Maria; Fellgiebel, Andreas // Canadian Journal of Psychiatry;May2006, Vol. 51 Issue 6, p387 

    Objective: To compare the psychometric properties of the Calgary Depression Rating Scale (CDRS) and the Hamilton Depression Rating Scale (HDRS) for severity assessment of depression in acute schizophrenia. Method: During clinical routine treatment, we investigated 119 inpatients with acute...

  • Common Treatment of Polycystic Ovarian Syndrome and Major Depressive Disorder: Case Report and Review. Rasgon, N.L.; Carter, M.S.; Elman, S.; Bauer, M.; Love, M.; Korenman, S.G. // Current Drug Targets - Immune, Endocrine & Metabolic Disorders;Apr2002, Vol. 2 Issue 1, p97 

    We present the case of a young woman with treatment-resistant major depression, who presented to the Mood Disorders Clinic with a Hamilton Psychiatric Rating Scale for Depression (HAM-D-21) score of 28, after a year-long treatment with Effexor-XR. The patient also had untreated Polycystic...

  • Relationship Between Self-Report and Clinician-Rated Impairment in Depressed Outpatients. Kramer, Teresa L.; Owen, Richard R.; Wilson, Crystal; Thrush, Carol R. // Community Mental Health Journal;Aug2003, Vol. 39 Issue 4, p299 

    This study examined the potential of using the Global Assessment of Functioning (GAF) scale as a valid measure of patient-reported status and predictor of three-month outcomes for 59 patients seeking outpatient treatment for depression. A moderate relationship between the GAF and patient report...

  • An examination of the sensitivity of the six-item Hamilton Rating Scale for Depression in a sample of patients suffering from major depressive disorder. Hooper, Cynthia L.; Bakish, David // Journal of Psychiatry & Neuroscience;Mar2000, Vol. 25 Issue 2, p178 

    Examines sensitivity of the 6-item Hamilton Rating Scale for Depression (HRSD6) in patients suffering from major depressive disorder. Comparison of HRSD6 with the 17-item HRSD and Montgomery-Asberg Depression Rating Scale; Analysis of four antidepressant treatments; Need for a shorter and less...

  • The Major Depression Inventory versus Schedules for Clinical Assessment in Neuropsychiatry in a population sample. Forsell, Yvonne // Social Psychiatry & Psychiatric Epidemiology;Mar2005, Vol. 40 Issue 3, p209 

    Aims: This study examined the association between the Major Depression Inventory (MDI) and the Schedules for Clinical Assessment in Neuropsychiatry (SCAN).Methodology: A questionnaire including the MDI was sent out to an adult population and was completed by a total of...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics