TY - JOUR
T1 - Psychometric evaluation of the 9-item Concise Health Risk Tracking - Self-Report (CHRT-SR9) (a measure of suicidal risk) in adolescent psychiatric outpatients in the Texas Youth Depression and Suicide Research Network (TX-YDSRN)
AU - Nandy, Karabi
AU - Rush, A. John
AU - Slater, Holli
AU - Mayes, Taryn L.
AU - Minhajuddin, Abu
AU - Jha, Manish
AU - Blader, Joseph C.
AU - Brown, Ryan
AU - Emslie, Graham
AU - Fuselier, Madeleine N.
AU - Garza, Cynthia
AU - Gushanas, Kim
AU - Kennard, Beth
AU - Storch, Eric A.
AU - Wakefield, Sarah M.
AU - Trivedi, Madhukar H.
N1 - Funding Information:
This manuscript was funded by the Texas Youth Depression and Suicide Research Network (TX-YDSRN) , a research initiative of the Texas Child Mental Health Care Consortium (TCMHCC). The TCMHCC was created by the 86th Texas Legislature and, in part, funds multi-institutional research to improve mental health care for children and adolescents in Texas. The content is solely the responsibility of the authors and does not necessarily represent the official views of the funding organizations. The TX-YDSRN is implemented under the leadership of the central UT Southwestern HUB (Madhukar Trivedi, M.D., Principal Investigator, Sarah Wakefield, M.D., Medical Director [Texas Tech University Health Science Center Lubbock], Abu Minhajuddin, PhD, Data/Statistics Lead, Maria Monastirsky, M.A., regulatory oversight, and Holli Slater, PhD).
Funding Information:
The Texas Youth Depression and Suicide Research Network is a research initiative of the Texas Child Mental Health Care Consortium (TCMHCC) and the Center for Depression Research and Clinical Care of the Peter O'Donnell Jr. Brain Institute at the University of Texas Southwestern Medical Center. The TCMHCC was created by the 86th Texas Legislature and, in part, funds multi-institutional research to improve mental health care for children and adolescents in Texas. The content is solely the responsibility of the authors and does not necessarily represent the official views of the various funding organizations. The funding source had no role in the design, collection, analysis, or interpretation of the data.The authors would like to thank the patients, clinics, staff, and colleagues who made this project possible. We acknowledge the TX-YDSRN teams from the following sites: University of Texas Southwestern Medical Center: Graham J. Emslie, Betsy D. Kennard, Laura Stone, Raney Sachs; Baylor Medical Center: Gabrielle Armstrong, Emily Bivins, Kendall Drummond, Andrew Guzick, Madeleine Fuselier, David Riddle, Johanna Saxena, Eric Storch; Texas A&M University System Health Science Center: Tri Le, Emily Turek, Olga Raevskaya; Texas Tech University Health Science Center Lubbock: Chanaka Kahathaduwa, Robyn Richmond, Aunththara Lokubandara, Victoria Johnson; Texas Tech University Health Science Center El Paso: Sarah L Martin, Zuber Mulla, Alejandro Fornelli, Caitlin Chanoi; University of Texas at Austin Dell Medical School: Ryan Brown, Tyler Wilson, Caroline Lee, and Stephanie Noble Hernandez; University of Texas Health San Antonio: Norma Balli-Borrero, Sofia Ballesteros, Abigail Cuellar, Kristina Martinez Fields; University of Texas Rio Grande Valley: Cynthia Garza, Diana Chapa, Catherine Hernandez; University of Texas Health Science Center Houston: Cesar Soutullo, Cordelia Collins; University of Texas Health Science Center Tyler: Jamon Blood, Kiley Schneider, Donna Rokahr, University of Texas Medical Branch: Michaella Petrosky, Layla Kratovic, Akila Gopalkrishnan; University of North Texas Health Science Center: Cynthia Claassen, David Farmer, Summer Ladd, Aimon Anwar, Amanda Rosenberg. This manuscript was funded by the Texas Youth Depression and Suicide Research Network (TX-YDSRN), a research initiative of the Texas Child Mental Health Care Consortium (TCMHCC). The TCMHCC was created by the 86th Texas Legislature and, in part, funds multi-institutional research to improve mental health care for children and adolescents in Texas. The content is solely the responsibility of the authors and does not necessarily represent the official views of the funding organizations. The TX-YDSRN is implemented under the leadership of the central UT Southwestern HUB (Madhukar Trivedi, M.D. Principal Investigator, Sarah Wakefield, M.D. Medical Director [Texas Tech University Health Science Center Lubbock], Abu Minhajuddin, PhD, Data/Statistics Lead, Maria Monastirsky, M.A. regulatory oversight, and Holli Slater, PhD).
Publisher Copyright:
© 2023
PY - 2023/5/15
Y1 - 2023/5/15
N2 - Background: This study evaluated the psychometric properties of the 9-item Concise Health Risk Tracking Self-Report (CHRT-SR9), a measure of suicidality, in adolescent psychiatric outpatients. Methods: Altogether, 933 depressed or suicidal adolescents (12–20 years of age), receiving treatment at psychiatric outpatient clinics in Texas, completed the 16-item CHRT-SR at baseline and one month later. CHRT-SR9 was extracted from CHRT-SR16 using multigroup confirmatory factor analysis. Sex and age measurement invariance, classical test theory, item response theory (IRT), and concurrent validity analyses (against the suicidal ideation Item 9 of Patient Health Questionnaire-Adolescent (PHQ-A)) were conducted. Results: The CHRT-SR9 demonstrated excellent model fit with four factors (pessimism, helplessness, despair, and suicidal thoughts). Measurement invariance was upheld. Acceptable item-total correlations (0.56–0.80) and internal consistency (Spearman-Brown 0.78–0.89) were revealed. IRT analyses showed a unidimensional instrument with excellent item performance. Using the CHRT-SR9 total score as a measure of overall suicidality and comparing it against levels of PHQ-A Item 9, the mean (standard deviation) of CHRT-SR9 total score was 8.64 (SD = 5.97) for no-risk (0 on Item 9), 17.05 (SD = 5.00) for mild, 23.16 (SD = 5.05) for moderate, and 26.96 (SD = 5.24) for severe-risk (3 on Item 9). Significant differences (p-value<0.0001) indicated that CHRT-SR9 total score distinguished between levels of suicidal risk. Furthermore, CHRT-SR9 was sensitive to change over a one-month period. Limitations: Whether CHRT-SR9 predicts actual suicidal attempts in adolescents is not well defined. Conclusion: The CHRT-SR9 is an easy-to-administer, user-friendly self-report with good psychometric qualities which makes it an excellent screening measure of suicidal risk in adolescent psychiatric outpatients.
AB - Background: This study evaluated the psychometric properties of the 9-item Concise Health Risk Tracking Self-Report (CHRT-SR9), a measure of suicidality, in adolescent psychiatric outpatients. Methods: Altogether, 933 depressed or suicidal adolescents (12–20 years of age), receiving treatment at psychiatric outpatient clinics in Texas, completed the 16-item CHRT-SR at baseline and one month later. CHRT-SR9 was extracted from CHRT-SR16 using multigroup confirmatory factor analysis. Sex and age measurement invariance, classical test theory, item response theory (IRT), and concurrent validity analyses (against the suicidal ideation Item 9 of Patient Health Questionnaire-Adolescent (PHQ-A)) were conducted. Results: The CHRT-SR9 demonstrated excellent model fit with four factors (pessimism, helplessness, despair, and suicidal thoughts). Measurement invariance was upheld. Acceptable item-total correlations (0.56–0.80) and internal consistency (Spearman-Brown 0.78–0.89) were revealed. IRT analyses showed a unidimensional instrument with excellent item performance. Using the CHRT-SR9 total score as a measure of overall suicidality and comparing it against levels of PHQ-A Item 9, the mean (standard deviation) of CHRT-SR9 total score was 8.64 (SD = 5.97) for no-risk (0 on Item 9), 17.05 (SD = 5.00) for mild, 23.16 (SD = 5.05) for moderate, and 26.96 (SD = 5.24) for severe-risk (3 on Item 9). Significant differences (p-value<0.0001) indicated that CHRT-SR9 total score distinguished between levels of suicidal risk. Furthermore, CHRT-SR9 was sensitive to change over a one-month period. Limitations: Whether CHRT-SR9 predicts actual suicidal attempts in adolescents is not well defined. Conclusion: The CHRT-SR9 is an easy-to-administer, user-friendly self-report with good psychometric qualities which makes it an excellent screening measure of suicidal risk in adolescent psychiatric outpatients.
KW - Adolescent
KW - Concise Health Risk Tracking Scale Self-Report (CHRT-SR)
KW - Depression
KW - Psychiatric outpatients
KW - Psychometrics
KW - Suicidal risk
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U2 - 10.1016/j.jad.2023.02.018
DO - 10.1016/j.jad.2023.02.018
M3 - Article
C2 - 36806661
AN - SCOPUS:85150394454
SN - 0165-0327
VL - 329
SP - 548
EP - 556
JO - Journal of Affective Disorders
JF - Journal of Affective Disorders
ER -