School of Medicine Publications and Presentations
Psychometric evaluation of the 9-item Concise Health Risk Tracking - Self-Report (CHRT-SR BrowZine Journal Cover 9) (a measure of suicidal risk) in adolescent psychiatric outpatients in the Texas Youth Depression and Suicide Research Network (TX-YDSRN)
Document Type
Article
Publication Date
5-2023
Abstract
Background: This study evaluated the psychometric properties of the 9-item Concise Health Risk Tracking Self-Report (CHRT-SR9), a measure of suicidality, in adolescent psychiatric outpatients.
Methods: Altogether, 933 depressed or suicidal adolescents (12-20 years of age), receiving treatment at psychiatric outpatient clinics in Texas, completed the 16-item CHRT-SR at baseline and one month later. CHRT-SR9 was extracted from CHRT-SR16 using multigroup confirmatory factor analysis. Sex and age measurement invariance, classical test theory, item response theory (IRT), and concurrent validity analyses (against the suicidal ideation Item 9 of Patient Health Questionnaire-Adolescent (PHQ-A)) were conducted.
Results: The CHRT-SR9 demonstrated excellent model fit with four factors (pessimism, helplessness, despair, and suicidal thoughts). Measurement invariance was upheld. Acceptable item-total correlations (0.56-0.80) and internal consistency (Spearman-Brown 0.78-0.89) were revealed. IRT analyses showed a unidimensional instrument with excellent item performance. Using the CHRT-SR9 total score as a measure of overall suicidality and comparing it against levels of PHQ-A Item 9, the mean (standard deviation) of CHRT-SR9 total score was 8.64 (SD = 5.97) for no-risk (0 on Item 9), 17.05 (SD = 5.00) for mild, 23.16 (SD = 5.05) for moderate, and 26.96 (SD = 5.24) for severe-risk (3 on Item 9). Significant differences (p-value<0.0001) indicated that CHRT-SR9 total score distinguished between levels of suicidal risk. Furthermore, CHRT-SR9 was sensitive to change over a one-month period.
Limitations: Whether CHRT-SR9 predicts actual suicidal attempts in adolescents is not well defined.
Conclusion: The CHRT-SR9 is an easy-to-administer, user-friendly self-report with good psychometric qualities which makes it an excellent screening measure of suicidal risk in adolescent psychiatric outpatients.
Recommended Citation
Nandy, K., Rush, A. J., Slater, H., Mayes, T. L., Minhajuddin, A., Jha, M., Blader, J. C., Brown, R., Emslie, G., Fuselier, M. N., Garza, C., Gushanas, K., Kennard, B., Storch, E. A., Wakefield, S. M., & Trivedi, M. H. (2023). Psychometric evaluation of the 9-item Concise Health Risk Tracking - Self-Report (CHRT-SR9) (a measure of suicidal risk) in adolescent psychiatric outpatients in the Texas Youth Depression and Suicide Research Network (TX-YDSRN). Journal of affective disorders, 329, 548–556. https://doi.org/10.1016/j.jad.2023.02.018
Publication Title
Journal of affective disorders
DOI
10.1016/j.jad.2023.02.018
Academic Level
faculty
Mentor/PI Department
Psychiatry
Comments
Not open access.
Copyright © 2023. Published by Elsevier B.V.