Can Implicit Measures Augment Suicide Detection in Youth? The Feasibility and Acceptability of the Death Implicit Association Test among Pediatric Medical Inpatients
Background: Medically ill youth are at increased suicide risk, necessitating early detection. This study aimed to assess the feasibility of administering the Death Implicit Association Test (Death IAT) to pediatric medical inpatients. Methods: Participants completed measures including the Ask Suicid...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-02-01
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| Series: | Adolescents |
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| Online Access: | https://www.mdpi.com/2673-7051/2/1/6 |
| _version_ | 1827629931952078848 |
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| author | Annabelle M. Mournet Daniel S. Powell Elizabeth C. Lanzillo Sandra McBee-Strayer Emory Bergdoll Catherine R. Glenn Alexander Millner Maryland Pao Matthew K. Nock Lisa M. Horowitz Jeffrey A. Bridge |
| author_facet | Annabelle M. Mournet Daniel S. Powell Elizabeth C. Lanzillo Sandra McBee-Strayer Emory Bergdoll Catherine R. Glenn Alexander Millner Maryland Pao Matthew K. Nock Lisa M. Horowitz Jeffrey A. Bridge |
| author_sort | Annabelle M. Mournet |
| collection | DOAJ |
| description | Background: Medically ill youth are at increased suicide risk, necessitating early detection. This study aimed to assess the feasibility of administering the Death Implicit Association Test (Death IAT) to pediatric medical inpatients. Methods: Participants completed measures including the Ask Suicide-Screening Questions (ASQ) and the Death IAT. Results: Over 90% of participants found the Death IAT to be acceptable and more than 75% of participants were comfortable completing the task. There was a small, but statistically significant, improvement from pre-survey to post-survey reports of mood (<i>t</i>(174) = 3.02, <i>p</i> = 0.003, <i>d</i> = 0.15). Participants who endorsed a past suicide attempt on the ASQ had significantly higher “suicide” trial D-scores than those without a past suicide attempt (Wilcoxon <i>W</i> = 1312; <i>p</i> = 0.048; <i>d</i> = 0.61). Conclusions: Implementing an IAT measure among pediatric medical inpatients was feasible and acceptable. In exploratory analyses, “suicide” trial IAT D-scores were associated with past suicide attempts, suggesting future studies should examine whether implicit measures may be useful in hospital settings to augment detection of youth suicide risk. |
| first_indexed | 2024-03-09T14:00:14Z |
| format | Article |
| id | doaj.art-b5186f43df53470aa9d73c7da5c8486f |
| institution | Directory Open Access Journal |
| issn | 2673-7051 |
| language | English |
| last_indexed | 2024-03-09T14:00:14Z |
| publishDate | 2022-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Adolescents |
| spelling | doaj.art-b5186f43df53470aa9d73c7da5c8486f2023-11-30T10:27:31ZengMDPI AGAdolescents2673-70512022-02-0121445210.3390/adolescents2010006Can Implicit Measures Augment Suicide Detection in Youth? The Feasibility and Acceptability of the Death Implicit Association Test among Pediatric Medical InpatientsAnnabelle M. Mournet0Daniel S. Powell1Elizabeth C. Lanzillo2Sandra McBee-Strayer3Emory Bergdoll4Catherine R. Glenn5Alexander Millner6Maryland Pao7Matthew K. Nock8Lisa M. Horowitz9Jeffrey A. Bridge10Office of the Clinical Director, National Institute of Mental Health, Bethesda, MD 20892, USAOffice of the Clinical Director, National Institute of Mental Health, Bethesda, MD 20892, USAOffice of the Clinical Director, National Institute of Mental Health, Bethesda, MD 20892, USAThe Abigail Wexner Research Institute at Nationwide Children’s Hospital, Columbus, OH 43215, USAThe Abigail Wexner Research Institute at Nationwide Children’s Hospital, Columbus, OH 43215, USADepartment of Psychology, Old Dominion University, Norfolk, VA 23529, USADepartment of Psychology, Harvard University, Cambridge, MA 02138, USAOffice of the Clinical Director, National Institute of Mental Health, Bethesda, MD 20892, USADepartment of Psychology, Harvard University, Cambridge, MA 02138, USAOffice of the Clinical Director, National Institute of Mental Health, Bethesda, MD 20892, USAThe Abigail Wexner Research Institute at Nationwide Children’s Hospital, Columbus, OH 43215, USABackground: Medically ill youth are at increased suicide risk, necessitating early detection. This study aimed to assess the feasibility of administering the Death Implicit Association Test (Death IAT) to pediatric medical inpatients. Methods: Participants completed measures including the Ask Suicide-Screening Questions (ASQ) and the Death IAT. Results: Over 90% of participants found the Death IAT to be acceptable and more than 75% of participants were comfortable completing the task. There was a small, but statistically significant, improvement from pre-survey to post-survey reports of mood (<i>t</i>(174) = 3.02, <i>p</i> = 0.003, <i>d</i> = 0.15). Participants who endorsed a past suicide attempt on the ASQ had significantly higher “suicide” trial D-scores than those without a past suicide attempt (Wilcoxon <i>W</i> = 1312; <i>p</i> = 0.048; <i>d</i> = 0.61). Conclusions: Implementing an IAT measure among pediatric medical inpatients was feasible and acceptable. In exploratory analyses, “suicide” trial IAT D-scores were associated with past suicide attempts, suggesting future studies should examine whether implicit measures may be useful in hospital settings to augment detection of youth suicide risk.https://www.mdpi.com/2673-7051/2/1/6suicide riskmental health screeningDeath Implicit Association Testyouthpediatric medical inpatient |
| spellingShingle | Annabelle M. Mournet Daniel S. Powell Elizabeth C. Lanzillo Sandra McBee-Strayer Emory Bergdoll Catherine R. Glenn Alexander Millner Maryland Pao Matthew K. Nock Lisa M. Horowitz Jeffrey A. Bridge Can Implicit Measures Augment Suicide Detection in Youth? The Feasibility and Acceptability of the Death Implicit Association Test among Pediatric Medical Inpatients Adolescents suicide risk mental health screening Death Implicit Association Test youth pediatric medical inpatient |
| title | Can Implicit Measures Augment Suicide Detection in Youth? The Feasibility and Acceptability of the Death Implicit Association Test among Pediatric Medical Inpatients |
| title_full | Can Implicit Measures Augment Suicide Detection in Youth? The Feasibility and Acceptability of the Death Implicit Association Test among Pediatric Medical Inpatients |
| title_fullStr | Can Implicit Measures Augment Suicide Detection in Youth? The Feasibility and Acceptability of the Death Implicit Association Test among Pediatric Medical Inpatients |
| title_full_unstemmed | Can Implicit Measures Augment Suicide Detection in Youth? The Feasibility and Acceptability of the Death Implicit Association Test among Pediatric Medical Inpatients |
| title_short | Can Implicit Measures Augment Suicide Detection in Youth? The Feasibility and Acceptability of the Death Implicit Association Test among Pediatric Medical Inpatients |
| title_sort | can implicit measures augment suicide detection in youth the feasibility and acceptability of the death implicit association test among pediatric medical inpatients |
| topic | suicide risk mental health screening Death Implicit Association Test youth pediatric medical inpatient |
| url | https://www.mdpi.com/2673-7051/2/1/6 |
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