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[Brief Suicide Questionnaire. Inter-rater reliability]. 2012
Rebeca García-Nieto, and
Isabel Parra Uribe, and
Diego Palao, and
Jorge Lopez-Castroman, and
Pilar Alejandra Sáiz, and
María Paz García-Portilla, and
Jerónimo Saiz Ruiz, and
Angela Ibañez, and
Thais Tiana, and
Santiago Durán Sindreu, and
Victor Perez Sola, and
Yolanda de Diego-Otero, and
Lucia Pérez-Costillas, and
Rafael Fernández García-Andrade, and
Dolores Saiz-González, and
Miguel Angel Jiménez Arriero, and
Mercedes Navío Acosta, and
Lucas Giner, and
Julio Antonio Guija, and
José Luis Escobar, and
Jorge Antonio Cervilla, and
Marta Quesada, and
Dolores Braquehais, and
Hilario Blasco-Fontecilla, and
Teresa Legido-Gil, and
Fuensanta Aroca, and
Enrique Baca-García, and
Fundación Jiménez Díaz, Madrid, CIBERSAM, España.
BACKGROUND Inter-rater agreement is a crucial aspect in the planning and performance of a clinical trial in which the main assessment tool is the clinical interview. The main objectives of this study are to study the inter-rater agreement of a tool for the assessment of suicidal behavior (Brief Suicide Questionnaire) and to examine whether the inter-examiner agreement when multiple ratings are made on a single subject is an efficient method to assess the reliability of an instrument. METHODS In the context of designing a multicenter clinical trial, 32 psychiatrists assessed a videotaped clinical interview of a patient with suicidal behavior. In order to identify those items in which a greater level of discordance existed and detect the examiners whose ratings differed significantly from the average ratings, we used the DOMENIC method (Detecion of Multiple Examiners Not in Consensus). RESULTS Inter-rater agreement was between poor (<70%) to excelent (90-100%. Inter-rater agreement in Brugha's list of threatening experiences ranged from 75.5 and 100%; in the Global Assessment of Functioning (GAF) Scale was 82.58%; in the Beck's Suicidal Intent Scale, ranged from 67.5 and 97%; in the Beck's Scale for Suicide Ideation, ranged from 63.5 and 100%; and in the Lethality Rating Scale was 88.39%. On the whole, the level of agreement among raters, both in general scores and in particular items, was appropriate. CONCLUSIONS The proposed design allows the assessment of the inter-rater agreement in an efficient way (only in one session). In addition, regarding the Brief Suicide Questionnaire, inter-raters agreement was appropriate.
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