Implicit and Explicit Assessment of Suicide Risk

Centre Hospitalier Universitaire, Amiens108 enrolled

Overview

In 2007 Nock \& Banaji developed a so-called implicit suicide risk measurement using a computer tool: the Implicit Association Test (IAT). This measurement, associated with traditional evaluations, makes it possible to better predict suicidal recurrence. In 2020, the Poitiers team of Tello was able to replicate these results on a French population. However, although a high IAT score predicts the onset of suicide at 1 year, there is no data on how this score changes over time nor even data concerning the measure's ability to differentiate a population with explicit suicidal ideation from a population without explicit suicidal ideation. The investigators therefore seek to demonstrate an evolution of implicit suicidal ideation over time by replicating the measurement at inclusion, at 6 months and at 12 months, for different patient profiles: Suicidal ideation vs No suicidal ideation and suicide attempt vs no suicide attempt. Patients will be recruited from the emergency-unit of CHU Amiens-Picardie and will take the suicide-IAT as well as various questionnaires.

Study Type

INTERVENTIONAL

Allocation

NON_RANDOMIZED

Purpose

OTHER

Masking

NONE

Enrollment

108

Conditions

Implicit Association Test Suicide Prevention, Suicide

Interventions

Implicit Attitude TestOTHER

The IAT (Implicit Attitude Test) is a method of indirectly measuring the relative strength of associations between different concepts stored in memory based on reaction times on computer. The general idea behind this measure is that an individual will be much faster to categorize an object into a predetermined category, if this categorization is consistent with their own way of processing information.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Person presenting to emergencies for psychiatric reasons * Adult person * Free and informed consent signed * Person speaking and writing French fluently Exclusion Criteria: * Neurological disorders or major cognitive deterioration: presence of confusion * Acute psychotic decompensation * Troubled acute behavior * Abuse Impregnation of a toxic substance and / or drug impairing cognitive functions at the time of assessment * Adult under protective measure.

Outcomes

Primary Outcomes

Variation of IAT score betwenn the 3 groups

IAT is Implicit Attitude Test The IAT is a brief computer-administered test that uses people's reaction times when classifying semantic stimuli to measure the automatic mental associations they hold about various topics, in this case, life and death/suicide. The death/suicide IAT will be administered and scored in keeping with standard IAT procedures. Response latencies for all trials were recorded and analyzed using the standard IAT scoring algorithm.

Time frame: one year