About this trial
The goal of this observational validation study is to assess the psychometric properties of the Spanish versions of the Suicide Crisis Inventory-Revised (SCS-2) and the Suicidal Crisis Syndrome Checklist (SCS-C) in adults recently hospitalized for suicidal behavior in Chile. The study aims to determine whether the Spanish versions of the SCS-2 and SCS-C demonstrate adequate internal consistency, construct validity, interrater reliability, and test-retest stability, and whether these tools validly assess imminent suicide risk in a Spanish-speaking psychiatric population. Clinical assessments using the SCS-2 and SCS-C will be compared with established diagnostic and functional measures, including the Mini International Neuropsychiatric Interview (MINI), the Sheehan Disability Scale (SDS), and the Sheehan Suicidality Tracking Scale (S-STS), to evaluate convergent and discriminant validity. Participants will complete the SCS-2 and SCS-C at both admission and discharge from a psychiatric intensive care unit, undergo structured interviews and functional assessments, be evaluated by two independent raters for interrater reliability, and be reassessed within a short time interval to measure test-retest reliability. Follow-up contacts at 7 and 30 days post-discharge will be used to assess suicidal behavior outcomes. This is the first study to culturally adapt and validate these suicide-specific instruments in Latin America.
Eligibility criteria
Qualifiers
Age ≥ 18 years
Currently hospitalized in the Psychiatric Intensive Care Unit (UHCIP) at Complejo Asistencial Dr. Sótero del Río (CASR)
Deliberate self-inflicted violence with actual or potential injury and explicit or implicit suicidal intent
Preparatory behaviors for suicide
Disqualifiers
Presence of severe psychotic symptoms
Qualitative or quantitative disturbance of consciousness (e.g., delirium, coma)
Severe psychomotor agitation requiring mechanical restraint
Inability to understand or complete study procedures (e.g., due to cognitive impairment or language barriers)
Trial design
Treatments tested in this trial
- Suicidal Crisis Syndrome Checklist (SCS-C)
- Suicide Crisis Inventory-Revised (SCS-2)
Treatment groups
Sponsors and collaborators
University Diego Portales
Lead sponsor
Hospital Dr Sotero del Rio
Collaborator