Detection of underreporting in suicide risk assessment remains a significant concern in clinical practice. The aim of this research is to examine whether underreporting based on elevated Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF) K-r and L-r scale scores may aid in identifying patients with suppressed scores on the Suicide/Death Ideation scale (SUI) and extra-test measures of suicide risk. We anticipated that, in voluntarily admitted psychiatric inpatients (N = 1,011) and individuals receiving outpatient services in a university-affiliated psychology clinic (N = 521), those indicated as underreporting would produce lower mean scores across SUI and extra-test measures of suicide risk, and that the magnitudes of the associations between SUI and extra-test scores would be strongest for those underreporting. A series of t tests and correlational analyses were conducted in both samples. Although those classified as underreporting consistently produced lower mean scores for SUI and extra-test measures of suicide risk, the magnitudes of the associations were consistently significant and stronger only in outpatients without K-r or L-r scale elevations. Clinical implications for this research include examining K-r elevations when assessing suicide risk and incorporating a therapeutic assessment approach to suicide risk assessment. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

中文翻译：

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对 MMPI-2-RF 的漏报延伸到自杀风险的额外测试措施。

在自杀风险评估中发现漏报仍然是临床实践中的一个重要问题。本研究的目的是检查基于提高的明尼苏达多相人格量表-2-重组形式 (MMPI-2-RF) Kr 和 Lr 量表得分的少报是否有助于识别自杀/死亡意念量表得分被抑制的患者。 SUI）和自杀风险的额外测试措施。我们预计，在自愿入院的精神科住院患者（N = 1,011）和在大学附属心理诊所接受门诊服务的个人（N = 521）中，那些被认为报告不足的人会在 SUI 和额外测试的自杀测量中产生较低的平均分数风险，并且对于那些漏报的人来说，SUI 和额外测试分数之间的关联程度最强。对两个样本都进行了一系列 t 检验和相关分析。尽管被归类为漏报的患者在 SUI 和自杀风险的额外测试测量中始终产生较低的平均分数，但关联的幅度始终显着且仅在没有 Kr 或 Lr 量表升高的门诊患者中更强。这项研究的临床意义包括在评估自杀风险时检查 Kr 升高，并将治疗评估方法纳入自杀风险评估。（PsycInfo 数据库记录 (c) 2021 APA，保留所有权利）。仅在没有 Kr 或 Lr 量表升高的门诊患者中，关联的幅度始终显着且更强。这项研究的临床意义包括在评估自杀风险时检查 Kr 升高，并将治疗评估方法纳入自杀风险评估。（PsycInfo 数据库记录 (c) 2021 APA，保留所有权利）。仅在没有 Kr 或 Lr 量表升高的门诊患者中，关联的幅度始终显着且更强。这项研究的临床意义包括在评估自杀风险时检查 Kr 升高，并将治疗评估方法纳入自杀风险评估。（PsycInfo 数据库记录 (c) 2021 APA，保留所有权利）。