Use of the Columbia-Suicide Severity Rating Scale Screener in a General Hospital Setting.
Harin Kim, C Hyung Keun Park, Sung Moon Jeong and 6 others
PMID 40143588WHAT IT FOUND
In general hospital inpatients, nurse interviews for suicide screening were accepted more often than self-report, but self-report found more high-risk patients.
Older patients refused self-report; male and surgical patients refused nurse interviews.
Key findings
01The nurse-interview mode was accepted by 93.8% of patients, compared with 74.7% for the self-report mode.
02Among 398 patients who completed screening, 349 were no risk, 34 low risk, 8 moderate risk, and 7 high risk; self-report was associated with a higher chance of being classified high risk than nurse interview.
03Older patients were more likely to refuse self-report, while male and surgical patients were more likely to refuse nurse interview; 3 of 7 high-risk patients refused psychiatric referral.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
This was done at a single hospital, so local ward culture, nurse training and patient mix may have shaped the results. Each ward used one screening mode, so the nurse-interview and self-report groups differed in department mix and age, and differences may not be due to the mode alone. The study did not know patients' psychiatric history or illness severity, which could affect both refusal and risk. All patients were Korean, and the Korean C-SSRS screener was not fully validated, so results may not transfer to other settings. Only 7 patients were high risk, so differences in high-risk detection are unstable.
Declared interests
The authors declared no conflicts of interest.
The easy way to misread this
Do not conclude that self-report is a better suicide screen than nurse interview. The modes were assigned by ward, the screener was not fully validated, and only 7 patients were high risk, so the finding may reflect disclosure differences rather than true risk.