University of Massachusetts Medical School Faculty Publications


The Patient Safety Screener: Validation of a Brief Suicide Risk Screener for Emergency Department Settings

UMMS Affiliation

Department of Emergency Medicine



Document Type



Emergency Medicine | Mental and Social Health | Psychiatry | Psychiatry and Psychology


This study evaluated the concurrent validity of a brief suicide risk screener for adults in the emergency department (ED). Two versions of the verbally administered Patient Safety Screener (2-item, 3-item) were compared to a reference standard, the Beck Scale for Suicide Ideation (BSSI). Analyses included measures of agreement (Kappa). Agreement between the Patient Safety Screener-2 and -3 and the BSSI (n = 951) was almost perfect for overall positive screening (K = 0.94-0.95) and past suicide attempts (K = 0.97-0.98). Agreement on ideation ranged from fair (K = 0.34) for the 2 item version to good (K = 0.61) for the 3 item version. The Patient Safety Screener's concurrent validity with the BSSI ranged from fair to almost perfect and warrants additional study.

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Citation: Arch Suicide Res. 2017 Jan 2;21(1):52-61. doi: 10.1080/13811118.2015.1040934. Epub 2016 Feb 24. Link to article on publisher's site

Related Resources

Link to Article in PubMed


emergency medicine, emergency psychiatry, suicide screening and assessment

PubMed ID