Abstract

The Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF; Ben-Porath & Tellegen, 2008/2011) has demonstrated utility in suicide risk assessment. Limited research with the MMPI-2-RF in higher acuity populations exists, particularly regarding the impact of possible underreporting on prediction of suicide risk. The current study serves to extend previous findings of the utility of clinically indicated MMPI-2-RF scales and proxy indices in 293 veterans (83.62% White, 85.32% male, and 74.40% with past-week suicide ideation) enrolled in a Veterans Affairs Medical Center partial psychiatric hospitalization program. Differences in self-report indicators and MMPI-2-RF scales and proxy indices relevant in assessing suicide ideation between veterans indicated as possibly underreporting and those who were not and the ability of the scales and proxy indices to predict current suicide ideation were examined. These indicators, scales, and proxy indices, with the exception of SUI, were significantly impacted by underreporting, and none of the examined scales or proxy indices (or their interaction) were consistently associated with self-reported suicide ideation after accounting for SUI. However, SUI was consistently associated with suicide ideation and was less influenced by under-reporting. In acutely ill psychiatric patients, SUI may be the most robust indicator of current suicide ideation.

摘要

明尼苏达州多相人格量表-2-重组表（MMPI-2-RF； Ben-Porath＆Tellegen，2008/2011）已证明可用于自杀风险评估。MMPI-2-RF在高视力人群中的研究还很有限，特别是关于可能的少报对自杀风险预测的影响。本研究旨在扩大先前在临床研究中应用MMPI-2-RF量表和代理人指数在退伍军人事务中登记的293名退伍军人（83.62％的白人，85.32％的男性和74.40％的自杀观念）的发现。医疗中心部分精神病住院计划。自我评估指标，MMPI-2-RF量表和代理指数与评估自杀意念有关的差异，其中被表明可能是漏报的与未报告者之间存在差异，研究了量表和代理指数预测当前自杀意念的能力。这些指标，量表和代理指标（SUI除外）受到漏报的影响很大，并且在考虑了SUI后，没有一个检查过的量表或代理指标（或其相互作用）与自我报告的自杀意向一致。但是，SUI始终与自杀意念相关联，并且较少受到漏报的影响。在严重精神病患者中，SUI可能是当前自杀观念的最有力指标。这些指标，量表和代理指标（SUI除外）受到漏报的影响很大，并且在考虑了SUI后，没有一个检查过的量表或代理指标（或其相互作用）与自我报告的自杀意向一致。但是，SUI始终与自杀意念相关联，并且较少受到漏报的影响。在严重精神病患者中，SUI可能是当前自杀观念的最有力指标。这些指标，量表和代理指标（SUI除外）受到漏报的影响很大，并且在考虑了SUI后，没有一个检查过的量表或代理指标（或其相互作用）与自我报告的自杀意向一致。但是，SUI始终与自杀意念相关联，并且较少受到漏报的影响。在严重精神病患者中，SUI可能是当前自杀观念的最有力指标。SUI始终与自杀观念相关联，并且较少受到漏报的影响。在严重精神病患者中，SUI可能是当前自杀观念的最有力指标。SUI始终与自杀观念相关联，并且较少受到漏报的影响。在严重精神病患者中，SUI可能是当前自杀观念的最有力指标。