TY - JOUR
T1 - Screening for atypical suicide risk with person fit statistics among people presenting to alcohol and other drug treatment
AU - Conrad, Kendon J.
AU - Bezruczko, Nikolaus
AU - Chan, Ya Fen
AU - Riley, Barth
AU - Diamond, Guy
AU - Dennis, Michael L.
N1 - Funding Information:
The development of this paper was supported by the Center for Substance Abuse Treatment (CSAT), Substance Abuse and Mental Health Services Administration (SAMHSA) contract 270-2007-0191 using data provided by the following grants and contracts from CSAT ( TI11320 , TI11324 , TI11317 , TI11321 , TI11323 , TI11874 , TI11424 , TI11894 , TI11871 , TI11433 , TI11423 , TI11432 , TI11422 , TI11892 , TI11888 , TI013313 , TI013309 , TI013344 , TI013354 , TI013356 , TI013305 , TI013340 , TI130022 , TI03345 , TI012208 , TI013323 , TI14376 , TI14261 , TI14189 , TI14252 , TI14315 , TI14283 , TI14267 , TI14188 , TI14103 , TI14272 , TI14090 , TI14271 , TI14355 , TI14196 , TI14214 , TI14254 , TI14311 , TI15678 , TI15670 , TI15486 , TI15511 , TI15433 , TI15479 , TI15682 , TI15483 , TI15674 , TI15467 , TI15686 , TI15481 , TI15461 , TI15475 , TI15413 , TI15562 , TI15514 , TI15672 , TI15478 , TI15447 , TI15545 , TI15671 , TI11320 , TI12541 , TI00567 ); Contract 207-98-7047, Contract 277-00-6500, Contract 270-2003-0006, the National Institute on Alcohol Abuse and Alcoholism (NIAAA) ( R01 AA 10368 ), the National Institute on Drug Abuse (NIDA) ( R37 DA11323 ; R01 DA018183 ), the Illinois Criminal Justice Information Authority ( 95-DB-VX-0017 ), the Illinois Office of Alcoholism and Substance Abuse ( PI 00567 ), the Interventions Foundation's Drug Outcome Monitoring Study (DOMS) , and the Robert Wood Johnson Foundation's Reclaiming Futures ( 45054 , 45059 , 45060 , 45053 , 47266 ). The foregoing agencies had no further role in study design; in the collection, analysis and interpretation of data; in the writing of the report; or in the decision to submit the paper for publication.
PY - 2010/1/15
Y1 - 2010/1/15
N2 - Symptoms of internalizing disorders (depression, anxiety, somatic, trauma) are the major risk factors for suicide. Atypical suicide risk is characterized by people with few or no symptoms of internalizing disorders. Objective: In persons screened at intake to alcohol or other drug (AOD) treatment, this research examined whether person fit statistics would support an atypical subtype at high risk for suicide that did not present with typical depression and other internalizing disorders. Methods: Symptom profiles of the prototypical, typical, and atypical persons, as defined using fit statistics, were tested on 7408 persons entering AOD treatment using the Global Appraisal of Individual Needs (GAIN; Dennis et al., 2003a,b). Results: Of those with suicide symptoms, the findings were as expected with the atypical group being higher on suicide and lower on symptoms of internalizing disorders. In addition, the atypical group was similar or lower on substance problems, symptoms of externalizing disorders, and crime and violence. Conclusions: Person fit statistics were useful in identifying persons with atypical suicide profiles and in enlightening aspects of existing theory concerning atypical suicidal ideation.
AB - Symptoms of internalizing disorders (depression, anxiety, somatic, trauma) are the major risk factors for suicide. Atypical suicide risk is characterized by people with few or no symptoms of internalizing disorders. Objective: In persons screened at intake to alcohol or other drug (AOD) treatment, this research examined whether person fit statistics would support an atypical subtype at high risk for suicide that did not present with typical depression and other internalizing disorders. Methods: Symptom profiles of the prototypical, typical, and atypical persons, as defined using fit statistics, were tested on 7408 persons entering AOD treatment using the Global Appraisal of Individual Needs (GAIN; Dennis et al., 2003a,b). Results: Of those with suicide symptoms, the findings were as expected with the atypical group being higher on suicide and lower on symptoms of internalizing disorders. In addition, the atypical group was similar or lower on substance problems, symptoms of externalizing disorders, and crime and violence. Conclusions: Person fit statistics were useful in identifying persons with atypical suicide profiles and in enlightening aspects of existing theory concerning atypical suicidal ideation.
KW - Atypical suicide
KW - Diagnostic profile
KW - GAIN
KW - Rasch person fit
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U2 - 10.1016/j.drugalcdep.2009.07.023
DO - 10.1016/j.drugalcdep.2009.07.023
M3 - Article
C2 - 19748746
AN - SCOPUS:73549101734
SN - 0376-8716
VL - 106
SP - 92
EP - 100
JO - Drug and Alcohol Dependence
JF - Drug and Alcohol Dependence
IS - 2-3
ER -
