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New Screening Tool to Decrease Suicidality Risk

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The assessment tool was first used in the Sidney & Lois Eskenazi Hospital Emergency Department in Indianapolis four years ago on over 400 patients.

The assessment is called Convergent Functional Information for Suicidality (CFI-S). It can be taken on paper or in a digital format and is a simple 22 item yes/no questionnaire focusing on psycho-social risk factors rather than biological markers, as some of the other studies by Niculescu and his group.

Suicide Screening and Prevention

Unlike current clinical screenings, CFI-S does not ask about suicidal ideation and generates a quantitative risk score.

“Patients do not always want to answer questions specifically about suicidal ideation, because they may be afraid of being hospitalized,” Niculescu said.

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“Because this tool leaves out those questions, it is easier to deploy in any setting and can be a complementary questionnaire to use with current standard clinical screenings.”

Researchers found that at four years follow-up, the CFI-S tool was 80 percent predictive of future suicidality. The predictive ability increased to 90 percent when using artificial intelligence and machine-learning approaches in collaboration with colleagues at University of Southern California. The study found top risk factors for suicide were feeling useless or unneeded, a history of suicidality and social isolation.

Source: Eurekalert

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