TY  - JOUR
PY  - 2014//
TI  - The emergency physician's assessment of suicide risk in intentional self-poisoning using the modified SAD PERSONS scale versus standard psychiatric evaluation in a general hospital in South India: a cross-sectional study
JO  - Tropical doctor
A1  - Chandramouleeswaran, Susmita
A1  - Edwin, Natasha Catherine
A1  - Victor, Peter John
A1  - Tharyan, Prathap
SP  - 21
EP  - 26
VL  - 45
IS  - 1
N2  - INTRODUCTION: The reliable identification, by emergency physicians, of those with intentional self-poisoning at risk of repeating attempts is crucial, particularly in countries with a shortfall of mental health professionals. <br><br>METHODS: This cross-sectional study of intentional self-poisoning in India compared an emergency physician's assessment for the need for psychiatric referral, using the modified SAD PERSONS Scale (MSPS) as an interview guide, with a standard psychiatric interview. <br><br>RESULTS: In 67 consecutive adults with intentional self-poisoning, MSPS cut-off scores of 5 or more best approximated psychiatric assessments for the need for psychiatric referral (positive likelihood ratio 2.9, 95% confidence interval [CI] 0.8-10.2; negative likelihood ratio 0.5, 95% CI 0.3-0.8). <br><br>CONCLUSIONS: MSPS-guided emergency physicians' assessments after self-poisoning showed modest concordance with psychiatric assessments of suicide-risk. Concordance with psychiatric assessments may improve if risk factors prevalent in different settings are identified and incorporated in the MSPS.<p />  <p>Language: en</p>
LA  - en
SN  - 0049-4755
UR  - http://dx.doi.org/10.1177/0049475514553985
ID  - ref1
ER  -