Zusammenfassung
Ziel der Studie Untersuchung klinikinterner Suizidrisikostufen hinsichtlich ihrer Validität und Reliabilität.
Methodik Evaluationsstudie mit 163 Patienten. Prüfung der Interraterreliabilität sowie der
inneren Kriteriumsvalidität und der Konstruktvalidität.
Ergebnisse Es konnte eine gute Interraterreliabilität und Validität der Suizidrisikostufen festgestellt
werden, störungsspezifische Subgruppen zeigten deutliche Unterschiede.
Schlussfolgerung Die klinikinternen Suizidrisikostufen könnten aufgrund ihrer guten Validität und
Reliabilität einen wichtigen Beitrag zur Beurteilung von Suizidalität bei stationär-psychiatrischen
Patienten leisten.
Abstract
Objective Examination of in-hospital suicide risk levels concerning their validity and their
reliability.
Method The internal suicide risk levels were evaluated in a cross sectional study of in
163 inpatients. A reliability check was performed via determining interrater-reliability
of senior physician, therapist and the responsible nurse. Within the scope of the
validity check, we conducted analyses of criterion validity and construct validity.
Results For the total sample an “acceptable” to “good” interrater-reliability (Kendalls W = .77)
of suicide risk levels were obtained. Schizophrenic disorders showed the lowest values,
for personality disorders we found the highest level of interrater-reliability. When
examining the criterion validity, Item-9 of the BDI-II is substantial correlated to
our suicide risk levels (ρm = .54, p < .01). Within the scope of construct validity check, affective disorders
showed the highest correlation (ρ = .77), compatible also with “convergent validity”.
They differed with schizophrenic disorders which showed the least concordance (ρ = .43).
Conclusion In-hospital suicide risk levels may represent an important contribution to the assessment
of suicidal behavior of inpatients experiencing psychiatric treatment due to their
overall good validity and reliability.
Schlüsselwörter
Suizidalität - Einschätzung - Reliabilität - Validität - Suizidrisiko
Keywords
suicidality - assessment - reliability - validity - suicide risk
