The five-item Brief-Symptom Rating Scale as a suicide ideation screening instrument for psychiatric inpatients and community residents
2008

Using the BSRS-5 to Screen for Suicide Ideation

Sample size: 2510 publication 10 minutes Evidence: high

Author Information

Author(s): Lung For-Wey, Lee Ming-Been

Primary Institution: Kaohsiung Armed Forces General Hospital

Hypothesis

Can the five-item Brief Symptom Rating Scale (BSRS-5) effectively screen for suicide ideation in different populations?

Conclusion

The BSRS-5 is an efficient tool for screening suicide ideation in psychiatric inpatients, general medical patients, and community residents.

Supporting Evidence

  • The BSRS-5 showed good reliability and validity across different groups.
  • Inferiority, hostility, and depression were significant predictors of suicide ideation in the psychiatric group.
  • The optimal cut-off points for the BSRS-5 were determined for each group to effectively screen for suicide ideation.

Takeaway

The BSRS-5 is a quick questionnaire that helps doctors find out if someone might be thinking about suicide, and it works for different types of patients.

Methodology

Participants from psychiatric, community, and general medical settings completed the BSRS-5 questionnaire or a structured telephone interview.

Potential Biases

Potential bias due to different interview methods for community versus psychiatric and medical groups.

Limitations

The community group was interviewed by phone, which may have led to underreporting of suicide ideation compared to the other groups.

Participant Demographics

The study included 501 psychiatric participants, 1,040 community participants (47.8% male), and 969 general medical participants (61.1% male).

Statistical Information

P-Value

p<0.001

Confidence Interval

95% CI: 0.80-0.87

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1186/1471-244X-8-53

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