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Prospective Development and Validation of the Computerized Adaptive Screen for Suicidal Youth [jamanetwork.com]

 

By Cheryl A. King, David Brent, Jacqueline Grupp-Phelan, et al., JAMA Psychiatry, February 3, 2021

Key Points

Question Can use of a computerized adaptive screen reliably predict a youth suicide attempt within 3 months?

Findings This prognostic study with a derivation cohort of 2075 adolescents and an independent prospective validation cohort of 2754 adolescents developed and validated the Computerized Adaptive Screen for Suicidal Youth (CASSY) to predict a suicide attempt within 3 months. In the independent validation cohort, the area under the curve for the CASSY was 0.87 (95% CI, 0.85-0.89) for prediction of a suicide attempt within 3 months.

Meaning In this study, the CASSY had a strong, validated classification accuracy, and it may improve recognition of youth suicide risk.

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