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Development and evaluation of the Clinician Suicide Risk Assessment Checklist

King, Robert, Lloyd, Chris , Meehan, Tom , O'Neill, Khaleda , & Wilesmith, Cindy (2006) Development and evaluation of the Clinician Suicide Risk Assessment Checklist. Advances in Mental Health, 5(1), pp. 67-80.

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Abstract

This paper describes the development and evaluation of a new instrument - the Clinician Suicide Risk Assessment Checklist (CSRAC). The instrument assesses the clinician's competency in three areas: clinical interviewing, assessment of specific suicide risk factors, and formulating a management plan. A draft checklist was constructed by integrating information from 1) literature review 2) expert clinician focus group and 3) consultation with experts. It was utilised in a simulated clinical scenario with clinician trainees and a trained actor in order to test for inter-rater agreement. Agreement was calculated and the checklist was re-drafted with the aim of maximising agreement.

A second phase of simulated clinical scenarios was then conducted and inter-rater agreement was calculated for the revised checklist. In the first phase of the study, 18 of 35 items had inadequate inter-rater agreement (60%>), while in the second phase, using the revised version, only 3 of 39 items failed to achieve adequate inter-rater agreement. Further evidence of reliability and validity are required. Continued development of the CSRAC will be necessary before it can be utilised to assess the effectiveness of risk assessment training programs.

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ID Code: 46457
Item Type: Journal Article
Keywords: clinician training, evaluation, instrument development, suicide, suicide risk assessment
DOI: 10.5172/jamh.5.1.67
ISSN: 1837-4905
Subjects: Australian and New Zealand Standard Research Classification > PSYCHOLOGY AND COGNITIVE SCIENCES (170000) > PSYCHOLOGY (170100)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Schools > School of Psychology & Counselling
Copyright Owner: eContent Management
Deposited On: 13 Oct 2011 13:52
Last Modified: 01 Mar 2012 00:36

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