Adaptation of the Beck Hopelessness Scale as a suicide risk screening tool among Nigerian patients with schizophrenia.

Journal: International journal of psychiatry in clinical practice

Volume: 22

Issue: 1

Year of Publication: 2018

Affiliated Institutions:  a Department of Mental Health , Obafemi Awolowo University Teaching Hospital , Ile-Ife , Osun State , Nigeria.

Abstract summary 

We examined the adaptation of the Beck Hopelessness Scale (BHS) as a subjective suicide risk assessment tool in detecting Nigerian patients with schizophrenia who are at a high risk of suicide.Schizophrenia patients (211) completed the BHS in addition to a sociodemographic questionnaire. They were objectively interviewed with the suicidality module of the Mini International Neuropsychiatric Interview (MINI) as the 'gold standard', against which the criterion validity of the BHS was examined.The receiver operating characteristics (ROC) curve of the 20-item BHS scale at a total cut-off score of 9 (sensitivity 0.889, specificity 0.916) against the patients' MINI Suicidality Module risk categorisation had an Area Under the Curve (AUC) of 0.96 (95% CI: 0.928-0.987), while, the four-item BHS scale demonstrated a ROC curve with an AUC of 0.92 (95% CI: 0.868-0.966) at a cut-off score of 1 (sensitivity 1.000, specificity 0.832).The BHS has proven to be valid in terms of its sensitivity and specificity in the identification of the high suicidal risk Nigerian schizophrenia outpatients.

Authors & Co-authors:  Aloba Olutayo O Esan Olufemi O Alimi Taiwo T

Study Outcome 

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Citations : 
Authors :  3
Identifiers
Doi : 10.1080/13651501.2017.1356928
SSN : 1471-1788
Study Population
Male,Female
Mesh Terms
Adolescent
Other Terms
Beck Hopelessness Scale;Nigerian schizophrenia patients;sensitivity;specificity;suicidality
Study Design
Cross Sectional Study
Study Approach
Country of Study
Niger
Publication Country
England