Brief Suicide Questionnaire. Inter-rater reliability
Por:
Garcia-Nieto, R, Uribe, IP, Palao, D, Lopez-Castroman, J, Saiz, PA, Garcia-Portilla, MP, Ruiz, JS, Ibanez, A, Tiana, T, Sindreu, SD, Sola, VP, de Diego-Otero, Y, Perez-Costillas, L, Garcia-Andrade, RF, Saiz-Gonzalez, D, Arriero, MAJ, Acosta, MN, Giner, L, Guija, JA, Escobar, JL, Cervilla, JA, Quesada, M, Braquehais, D, Blasco-Fontecilla, H, Legido-Gil, T, Aroca, F, Baca-Garcia, E
Publicada:
1 ene 2012
Resumen:
Introduction: Inter-rater agreement is a crucial aspect in the planning and performance of a clinical trial in which the main assessment tool is the clinical interview. The main objectives of this study are to study the inter-rater agreement of a tool for the assessment of suicidal behavior (Brief Suicide Questionnaire) and to examine whether the inter-examiner agreement when multiple ratings are made on a single subject is an efficient method to assess the reliability of an instrument.
Method: In the context of designing a multicenter clinical trial, 32 psychiatrists assessed a videotaped clinical interview of a patient with suicidal behavior. In order to identify those items in which a greater level of discordance existed and detect the examiners whose ratings differed significantly from the average ratings, we used the DOMENIC method (Detecion of Multiple Examiners Not in Consensus).
Results: Inter-rater agreement was between poor (<70%) to excelent (90-100%. Inter-rater agreement in Brugha's list of threatening experiences ranged from 75.5 and 100%; in the Global Assessment of Functioning (GAF) Scale was 82.58%; in the Beck's Suicidal Intent Scale, ranged from 67.5 and 97%; in the Beck's Scale for Suicide Ideation, ranged from 63.5 and 100%; and in the Lethality Rating Scale was 88.39%. On the whole, the level of agreement among raters, both in general scores and in particular items, was appropriate.
Conclusion: The proposed design allows the assessment of the inter-rater agreement in an efficient way (only in one session). In addition, regarding the Brief Suicide Questionnaire, inter-raters agreement was appropriate. (C) 2011 SEP y SEPB. Published by Elsevier Espana, S.L. All rights reserved.
Filiaciones:
Garcia-Nieto, R:
Fdn Jimenez Diaz, CIBERSAM, E-28040 Madrid, Spain
Uribe, IP:
Univ Parc Tauli Sabadell, Corp Sanitaria, Barcelona, Spain
Palao, D:
Univ Parc Tauli Sabadell, Corp Sanitaria, Barcelona, Spain
Lopez-Castroman, J:
Fdn Jimenez Diaz, CIBERSAM, E-28040 Madrid, Spain
Saiz, PA:
Univ Oviedo, CIBERSAM, Oviedo, Spain
Garcia-Portilla, MP:
Univ Oviedo, CIBERSAM, Oviedo, Spain
Ruiz, JS:
Hosp Univ Ramon & Cajal, IRYCIS, CIBERSAM, Madrid, Spain
Ibanez, A:
Hosp Univ Ramon & Cajal, IRYCIS, CIBERSAM, Madrid, Spain
Tiana, T:
Hosp Santa Creu & Sant Pau, CIBERSAM, Barcelona, Spain
Sindreu, SD:
Hosp Santa Creu & Sant Pau, CIBERSAM, Barcelona, Spain
Sola, VP:
Hosp Santa Creu & Sant Pau, CIBERSAM, Barcelona, Spain
de Diego-Otero, Y:
Hosp Carlos Haya, Malaga, Spain
Fdn IMABIS, Malaga, Spain
Perez-Costillas, L:
Hosp Carlos Haya, Malaga, Spain
Fdn IMABIS, Malaga, Spain
Garcia-Andrade, RF:
Hosp Univ Clin San Carlos, CIBERSAM, Madrid, Spain
Saiz-Gonzalez, D:
Hosp Univ Clin San Carlos, CIBERSAM, Madrid, Spain
Arriero, MAJ:
Hosp 12 Octubre, CIBERSAM, E-28041 Madrid, Spain
Acosta, MN:
Hosp 12 Octubre, CIBERSAM, E-28041 Madrid, Spain
Giner, L:
Univ Seville, Seville, Spain
Guija, JA:
Univ Seville, Seville, Spain
Inst Med Legal, Seville, Spain
Escobar, JL:
Hosp Univ San Cecilio, Unidad Salud Mental, Granada, Spain
Cervilla, JA:
Hosp Univ San Cecilio, Unidad Salud Mental, Granada, Spain
Univ Granada, Dept Psiquiatria, CIBERSAM, E-18071 Granada, Spain
Quesada, M:
Hosp Univ Vall dHebron, CIBERSAM, Barcelona, Spain
Braquehais, D:
Hosp Univ Vall dHebron, CIBERSAM, Barcelona, Spain
Blasco-Fontecilla, H:
Fdn Jimenez Diaz, CIBERSAM, E-28040 Madrid, Spain
Legido-Gil, T:
Fdn Jimenez Diaz, CIBERSAM, E-28040 Madrid, Spain
Aroca, F:
Univ Nacl Autonoma Mexico, Inst Matemat, Mexico City 04510, DF, Mexico
Baca-Garcia, E:
Fdn Jimenez Diaz, CIBERSAM, E-28040 Madrid, Spain
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