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Identification of Nearly Fatal Suicide Attempts: Self‐Inflicted Injury Severity Form
Author(s) -
Potter Lloyd B.,
Kresnow Marciejo,
Powell Kenneth E.,
O'Carroll Patrick W.,
Lee Roberta K.,
Frankowski Ralph F.,
Swann Alan C.,
Bayer Timothy L.,
Bautista Marilyn H.,
Briscoe Margaret G.
Publication year - 1998
Publication title -
suicide and life‐threatening behavior
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.544
H-Index - 90
eISSN - 1943-278X
pISSN - 0363-0234
DOI - 10.1111/j.1943-278x.1998.tb00637.x
Subject(s) - inter rater reliability , cohen's kappa , medicine , kappa , injury prevention , statistic , poison control , epidemiology , suicide prevention , injury severity score , occupational safety and health , reliability (semiconductor) , human factors and ergonomics , medical emergency , psychiatry , emergency medicine , psychology , statistics , pathology , developmental psychology , linguistics , rating scale , philosophy , mathematics , power (physics) , physics , quantum mechanics
The Self‐inflicted Injury Severity Form (SIISF) was developed as an epidemiological research tool for identifying individuals in hospital emergency departments who have life‐threatening self‐inflicted injuries. Data were collected from 715 patients with self‐inflicted injuries in two large hospitals. In 295 of these cases, a second set of data was independently collected for assessment of interrater reliability. Validity was assessed by comparing the SIISF results with simultaneously collected Risk—Rescue Ratings. Assessment of interrater reliability found that only 2.4% of physicians disagreed on the suicide method used. The kappa statistic for method used was .94, indicating excellent agreement. The SIISF was found to distinguish between severe and less severe injuries. Thus, it appears to provide a simple method to distinguish patients who have life‐threatening self‐inflicted injuries.