● Describe the full continuum and dimensionality of suicidal ideations and suicidal behavior measured by severity; and
● Provide a user-friendly format for the integration of direct patient interviews with reports from third-party entities in the assessment of suicidality. (Harmer et al., 2022)
Figure 2. Suicidal Ideation Definitions and Prompts
Note . From “Suicidal ideation,” by Harmer et al., 2023. StatPearls. ( https://www.ncbi.nlm.nih.gov/books/NBK565877 ). Suicidal Ideation and Behavior Assessment Tool (SIBAT) Following the advent of telemedicine and its wide adoption in primary care, including psychiatry, researchers have argued for the development of suicidal ideation and behavior assessment
triggers, and protective factors. The information provided is compiled and coded for review by the clinician. In turn, in Modules 7 and 8, the clinician conducts a semi-structured interview to clarify ambiguities in the patient modules and/or request information that might be missing or wrongly coded. Here, the clinician leverages the four main outcomes of SIBAT to determine the severity of suicidality including: Frequency of Suicidality Thinking (FoST)
tools based on the modalities of telemedicine. Such tools, if developed, would provide a means to assess suicidality in an emergency situation without primary care personnel present. The SIBA tool is designed as a computerized suicidality assessment method requiring input from both the clinician and patient. This is important to ensure the integration of third-party data and reports as contained in the C-CSSRS is preserved. SIBAT captures patients’ reported suicidality scores, risk factor scores, and protective factors, and it and helps the clinician make an informed diagnosis and classifications of SIB. The rating system on SIBAT is based on the Clinician Global Impression (CGI) rating of suicide risk and severity of suicidality. The assessment points on this computerized tool are contained in modules, with each module designed to have a 5.8-grade reading level for easy comprehension (Alphs et al., 2022). To make sure assessments are done in a structured way and the integration of reports is seamless, SIBAT features three clinician-reported modules and five patient-reported modules. See Figure 3. The patient-reported modules are completed and self-reported by the patient to provide a comprehensive and clear understanding of information relating to SIB, risk factors,
1. CGI of Severity of Suicidality 2. CGI of Imminent Suicide Risk 3. CGI of Long-Term Suicide Risk (Alphs et al., 2020).
Based on information gathered from the structured interview, the clinician completes the scoring of Module 7. In Module 8, the clinician documents the outcome of the assessment, the severity of suicidal ideation, and an optimal management regimen for the patient. SIBAT’s stepwise approach to suicide assessment and outcome management makes it especially effective in population studies and the large-scale risk of suicidality measurement in an at-risk patient. Although not yet recommended in drug trials and survey research, the potential of SIBAT in suicidal ideation and behavior measurement remains significant.
Page 89
Book Code: PCUS1624
EliteLearning.com/Counselor
Powered by FlippingBook