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The 9-item Concise Health Risk Tracking – Self-Report (CHRT-SR(9)) measure of suicidal risk: Performance in adult primary care patients
PURPOSE: To evaluate the psychometric properties of a 9-item Concise Health Risk Tracking Self-Report (or CHRT-SR(9)) to assess suicidal risk in adult primary care outpatients. METHODS: Overall, 369 adults completed the original 14-item version of CHRT-SR at baseline and within 4 months thereafter,...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9971953/ https://www.ncbi.nlm.nih.gov/pubmed/36865066 http://dx.doi.org/10.3389/fpsyt.2023.1014766 |
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author | Nandy, Karabi Rush, A. John Carmody, Thomas J. Mayes, Taryn L. Trivedi, Madhukar H. |
author_facet | Nandy, Karabi Rush, A. John Carmody, Thomas J. Mayes, Taryn L. Trivedi, Madhukar H. |
author_sort | Nandy, Karabi |
collection | PubMed |
description | PURPOSE: To evaluate the psychometric properties of a 9-item Concise Health Risk Tracking Self-Report (or CHRT-SR(9)) to assess suicidal risk in adult primary care outpatients. METHODS: Overall, 369 adults completed the original 14-item version of CHRT-SR at baseline and within 4 months thereafter, from which the CHRT-SR(9) was extracted using multigroup confirmatory factor analysis. Measurement invariance (across age and sex) and classical test theory characteristics of the CHRT-SR(9) were evaluated. Concurrent validity was assessed by comparing CHRT-SR(9) responses to those of the suicide item in the Patient Health Questionnaire (PHQ-9), both cross-sectionally and as a change measure over time. RESULTS: Confirmatory factor analysis identified the CHRT-SR(9) as the optimal solution. Factors included pessimism, helplessness, despair (2 items each) and suicidal thoughts (3 items). Measurement invariance held across sex and age groups, indicating that mean differences among sub-groups were real and not attributable to measurement bias. Classical test theory revealed acceptable item-total correlations overall (0.57–0.79) and internal consistency (Spearman–Brown from 0.76 to 0.90). Concurrent validity analyses revealed that the CHRT-SR(9) can measure both improvement and worsening of suicidality over time. A PHQ-9 response of 0, 1, 2, and 3 on the suicide item corresponded to 7.82 (5.53), 16.80 (4.99), 20.71 (5.36), and 25.95 (7.30) (mean and SD) on CHRT-SR(9) total score, respectively. CONCLUSION: The CHRT-SR(9) is a brief self-report evaluating suicidality with excellent psychometric properties that is sensitive to change over time. |
format | Online Article Text |
id | pubmed-9971953 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-99719532023-03-01 The 9-item Concise Health Risk Tracking – Self-Report (CHRT-SR(9)) measure of suicidal risk: Performance in adult primary care patients Nandy, Karabi Rush, A. John Carmody, Thomas J. Mayes, Taryn L. Trivedi, Madhukar H. Front Psychiatry Psychiatry PURPOSE: To evaluate the psychometric properties of a 9-item Concise Health Risk Tracking Self-Report (or CHRT-SR(9)) to assess suicidal risk in adult primary care outpatients. METHODS: Overall, 369 adults completed the original 14-item version of CHRT-SR at baseline and within 4 months thereafter, from which the CHRT-SR(9) was extracted using multigroup confirmatory factor analysis. Measurement invariance (across age and sex) and classical test theory characteristics of the CHRT-SR(9) were evaluated. Concurrent validity was assessed by comparing CHRT-SR(9) responses to those of the suicide item in the Patient Health Questionnaire (PHQ-9), both cross-sectionally and as a change measure over time. RESULTS: Confirmatory factor analysis identified the CHRT-SR(9) as the optimal solution. Factors included pessimism, helplessness, despair (2 items each) and suicidal thoughts (3 items). Measurement invariance held across sex and age groups, indicating that mean differences among sub-groups were real and not attributable to measurement bias. Classical test theory revealed acceptable item-total correlations overall (0.57–0.79) and internal consistency (Spearman–Brown from 0.76 to 0.90). Concurrent validity analyses revealed that the CHRT-SR(9) can measure both improvement and worsening of suicidality over time. A PHQ-9 response of 0, 1, 2, and 3 on the suicide item corresponded to 7.82 (5.53), 16.80 (4.99), 20.71 (5.36), and 25.95 (7.30) (mean and SD) on CHRT-SR(9) total score, respectively. CONCLUSION: The CHRT-SR(9) is a brief self-report evaluating suicidality with excellent psychometric properties that is sensitive to change over time. Frontiers Media S.A. 2023-02-14 /pmc/articles/PMC9971953/ /pubmed/36865066 http://dx.doi.org/10.3389/fpsyt.2023.1014766 Text en Copyright © 2023 Nandy, Rush, Carmody, Mayes and Trivedi. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Psychiatry Nandy, Karabi Rush, A. John Carmody, Thomas J. Mayes, Taryn L. Trivedi, Madhukar H. The 9-item Concise Health Risk Tracking – Self-Report (CHRT-SR(9)) measure of suicidal risk: Performance in adult primary care patients |
title | The 9-item Concise Health Risk Tracking – Self-Report (CHRT-SR(9)) measure of suicidal risk: Performance in adult primary care patients |
title_full | The 9-item Concise Health Risk Tracking – Self-Report (CHRT-SR(9)) measure of suicidal risk: Performance in adult primary care patients |
title_fullStr | The 9-item Concise Health Risk Tracking – Self-Report (CHRT-SR(9)) measure of suicidal risk: Performance in adult primary care patients |
title_full_unstemmed | The 9-item Concise Health Risk Tracking – Self-Report (CHRT-SR(9)) measure of suicidal risk: Performance in adult primary care patients |
title_short | The 9-item Concise Health Risk Tracking – Self-Report (CHRT-SR(9)) measure of suicidal risk: Performance in adult primary care patients |
title_sort | 9-item concise health risk tracking – self-report (chrt-sr(9)) measure of suicidal risk: performance in adult primary care patients |
topic | Psychiatry |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9971953/ https://www.ncbi.nlm.nih.gov/pubmed/36865066 http://dx.doi.org/10.3389/fpsyt.2023.1014766 |
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