Citation

Fowler JC, Piers C, Hilsenroth MJ, Holdwick DJ, Padawer JR. J. Pers. Assess. 2001; 76(2): 333-351.

Copyright

(Copyright © 2001, Society for Personality Assessment, Publisher Informa - Taylor and Francis Group)

DOI

10.1207/S15327752JPA7602_13

PMID

11393464

Abstract

In this article we examine the relation between the Rorschach Comprehensive System's Suicide Constellation (S-CON; Exner, 1993; Exner & Wiley, 1977) and lethality of suicide attempts during the course of patients' hospitalization at the Austen Riggs Center (Stockbridge, MA). Patient records were rated as nonsuicidal (n = 37), parasuicidal (n = 37), or near-lethal (n = 30) based on the presence and lethality of self-destructive acts. Diagnostic efficiency statistics utilizing a cutoff score of 7 or more positive indicators successfully predicted which patients would engage in near-lethal suicidal activity relative to parasuicidal patients (overall correct classification rate [OCC] =.79), nonsuicidal inpatients (OCC =.79), and college students (OCC =.89). Although these predictions were influenced by relatively high base rates in the hospital population (14.5%), base rate estimates were calculated for other hypothetical populations revealing different prediction estimates that should be considered when judging the relative efficacy of the S-CON. Logistic regression analysis revealed that an S-CON score of 7 or more was the sole predictor of near-lethal suicide attempts among 9 psychiatric and demographic variables.

Language: en

Keywords

Adult; Analysis of Variance; Diagnosis, Differential; Female; Humans; Logistic Models; Male; Reproducibility of Results; Rorschach Test; Suicide; Suicide, Attempted; Time Factors