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

Publication Date


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.


emergency medicine, emergency psychiatry, suicide screening and assessment

Rights and Permissions

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

Journal/Book/Conference Title

Archives of suicide research : official journal of the International Academy for Suicide Research

PubMed ID