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Gepubliceerd in: Journal of Psychopathology and Behavioral Assessment 3/2012

01-09-2012

The Suicide (SPI) and Violence Potential Indices (VPI) from the Personality Assessment Inventory: A Preliminary Exploration of Validity in an Outpatient Psychiatric Sample

Auteurs: Samuel Justin Sinclair, Iruma Bello, Maren Nyer, Jenelle Slavin-Mulford, Michelle B. Stein, Megan Renna, Daniel Antonius, Mark A. Blais

Gepubliceerd in: Journal of Psychopathology and Behavioral Assessment | Uitgave 3/2012

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Abstract

Assessing risk of harm to self and others is an important component of psychological assessment, although methods for risk assessment vary considerably. The Personality Assessment Inventory (PAI) is frequently administered to evaluate general psychological functioning, as well as to provide information about suicide and violence risk. The purpose of this study was to evaluate the construct validity of the PAI Suicide (SPI) and Violence Potential (VPI) indices in a sample of 158 psychiatric outpatients referred for psychological and neuropsychological assessment within a large northeastern academic medical center between 2007 and 2011. Results generally supported the convergent and divergent validity of both SPI and VPI when evaluating groups with and without a history of suicide and violence risk, and effect sizes were moderate to large even after controlling for other covariates. SPI and VPI scores were also found to vary significantly across different psychiatric groups in ways that would be expected. Finally, we explored the relationship between SPI and VPI, and executive functioning impairment—a neuropsychological variable found to be associated with impulsive self and other-harming behaviors. Consistent with prior research, SPI and VPI were found to be significantly elevated in groups demonstrating executive dysfunction. The implications of these findings and specifically the utility of using SPI and VPI in the assessment of risk are discussed.
Literatuur
go back to reference American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders-TR (4th ed.). Washington DC: American Psychiatric Association. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders-TR (4th ed.). Washington DC: American Psychiatric Association.
go back to reference Boccaccini, M. T., Murrie, D. C., Hawes, S. W., Simpler, A., & Johnson, J. (2010). Predicting recidivism with the personality assessment inventory in a sample of sex offenders screened for civil commitment as sexually violent predators. Psychological Assessment, 22, 142–148. PubMedCrossRef Boccaccini, M. T., Murrie, D. C., Hawes, S. W., Simpler, A., & Johnson, J. (2010). Predicting recidivism with the personality assessment inventory in a sample of sex offenders screened for civil commitment as sexually violent predators. Psychological Assessment, 22, 142–148. PubMedCrossRef
go back to reference Boone, D. (1998). Internal consistency reliability of the personality assessment inventory with psychiatric inpatients. Journal of Clinical Psychology, 54, 839–843. PubMedCrossRef Boone, D. (1998). Internal consistency reliability of the personality assessment inventory with psychiatric inpatients. Journal of Clinical Psychology, 54, 839–843. PubMedCrossRef
go back to reference Braxton, L. E., Calhoun, P. S., Williams, J. E., & Boggs, C. D. (2007). Validity rates of the personality assessment inventory and the minnesota multiphasic personality inventory-2 in a VA medical center setting. Journal of Personality Assessment, 88, 5–15. PubMed Braxton, L. E., Calhoun, P. S., Williams, J. E., & Boggs, C. D. (2007). Validity rates of the personality assessment inventory and the minnesota multiphasic personality inventory-2 in a VA medical center setting. Journal of Personality Assessment, 88, 5–15. PubMed
go back to reference Breshears, R. E., Brenner, L. A., Harwood, J. E. F., & Gutierrez, P. (2010). Predicting suicidal behavior in veterans with traumatic brain injury: the utility of the personality assessment inventory. Journal of Personality Assessment, 92, 349–355. PubMedCrossRef Breshears, R. E., Brenner, L. A., Harwood, J. E. F., & Gutierrez, P. (2010). Predicting suicidal behavior in veterans with traumatic brain injury: the utility of the personality assessment inventory. Journal of Personality Assessment, 92, 349–355. PubMedCrossRef
go back to reference Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). New Jersey: Lawrence Erlbaum. Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). New Jersey: Lawrence Erlbaum.
go back to reference Crawford, E. F., Calhoun, P. S., Braxton, L. E., & Beckham, J. C. (2007). Validity of the personality assessment inventory aggression scales and violence potential index in veterans with PTSD. Journal of Personality Assessment, 88, 90–98. PubMed Crawford, E. F., Calhoun, P. S., Braxton, L. E., & Beckham, J. C. (2007). Validity of the personality assessment inventory aggression scales and violence potential index in veterans with PTSD. Journal of Personality Assessment, 88, 90–98. PubMed
go back to reference Deisinger, J. A. (1995). Exploring the factor structure of the personality assessment inventory. Assessment, 2, 173–179. Deisinger, J. A. (1995). Exploring the factor structure of the personality assessment inventory. Assessment, 2, 173–179.
go back to reference Dougherty, D. M., Mathias, C. W., Marsh, D. M., Moeller, F. G., & Swann, A. C. (2004). Suicidal behaviors and drug abuse: impulsivity and its assessment. Drug and alcohol dependence. Special Issue: Drug Abuse and Suicidal Behavior, 76, S93–S105. Dougherty, D. M., Mathias, C. W., Marsh, D. M., Moeller, F. G., & Swann, A. C. (2004). Suicidal behaviors and drug abuse: impulsivity and its assessment. Drug and alcohol dependence. Special Issue: Drug Abuse and Suicidal Behavior, 76, S93–S105.
go back to reference Edens, J. F., Cruise, K. R., & Buffington-Vollum, J. K. (2001). Forensic and correctional applications of the personality assessment inventory. Behavioral Science and the Law, 19, 519–543. CrossRef Edens, J. F., Cruise, K. R., & Buffington-Vollum, J. K. (2001). Forensic and correctional applications of the personality assessment inventory. Behavioral Science and the Law, 19, 519–543. CrossRef
go back to reference Farrington, D. P. (2006). Family background and psychopathy. In C. Patrick (Ed.), Handbook of psychopathy (pp. 229–250). New York: Guilford Press. Farrington, D. P. (2006). Family background and psychopathy. In C. Patrick (Ed.), Handbook of psychopathy (pp. 229–250). New York: Guilford Press.
go back to reference Harkavy-Friedman, J. M., Keilp, J. G., Grunebaum, M. F., Sher, L., Printz, D., Burke, A. K., & Oquendo, M. (2006). Are BPI and BPII suicide attempters distinct neuropsychologically? Journal of Affective Disorders, 94, 255–259. PubMedCrossRef Harkavy-Friedman, J. M., Keilp, J. G., Grunebaum, M. F., Sher, L., Printz, D., Burke, A. K., & Oquendo, M. (2006). Are BPI and BPII suicide attempters distinct neuropsychologically? Journal of Affective Disorders, 94, 255–259. PubMedCrossRef
go back to reference Harvey, P. D., Keefe, R. S. E., Patterson, T. L., Heaton, R. K., & Bowie, C. R. (2009). Abbreviated neuropsychological assessment in schizophrenia: prediction of different aspects of outcome. Journal of Clinical and Experimental Neuropsychology, 31, 462–471. PubMedCrossRef Harvey, P. D., Keefe, R. S. E., Patterson, T. L., Heaton, R. K., & Bowie, C. R. (2009). Abbreviated neuropsychological assessment in schizophrenia: prediction of different aspects of outcome. Journal of Clinical and Experimental Neuropsychology, 31, 462–471. PubMedCrossRef
go back to reference Heaton, S. K., Chelune, G. J., Talley, J. L., Kay, G. G., & Curtiss, G. (1993). Wisconsin card sorting test manual: Revised and expanded. Odessa, FL: Psychological Assessment Resources. Heaton, S. K., Chelune, G. J., Talley, J. L., Kay, G. G., & Curtiss, G. (1993). Wisconsin card sorting test manual: Revised and expanded. Odessa, FL: Psychological Assessment Resources.
go back to reference Holden, R. (2000). Are there promising MMPI substitutes for assessing psychopathology and personality? Review and prospect. In R. H. Dana (Ed.), Handbook of cross-cultural and multicultural personality assessment (pp. 267–292). Mahwah, NJ: Lawrence Erlbaum Associates, Inc. Holden, R. (2000). Are there promising MMPI substitutes for assessing psychopathology and personality? Review and prospect. In R. H. Dana (Ed.), Handbook of cross-cultural and multicultural personality assessment (pp. 267–292). Mahwah, NJ: Lawrence Erlbaum Associates, Inc.
go back to reference Hopwood, C. J., Baker, K. L., & Morey, L. C. (2008). Extratest validity of selected personality assessment inventory scales and indicators in an inpatient substance abuse setting. Journal of Personality Assessment, 90, 574–577. PubMedCrossRef Hopwood, C. J., Baker, K. L., & Morey, L. C. (2008). Extratest validity of selected personality assessment inventory scales and indicators in an inpatient substance abuse setting. Journal of Personality Assessment, 90, 574–577. PubMedCrossRef
go back to reference Jollant, F., Bellivier, F., Leboyer, M., Astruc, B., Torres, S., Verdier, R., Castelnau, D., Malafosse, A., & Courtet, P. (2005). Impaired decision making in suicide attempters. The American Journal of Psychiatry, 162, 304–310. PubMedCrossRef Jollant, F., Bellivier, F., Leboyer, M., Astruc, B., Torres, S., Verdier, R., Castelnau, D., Malafosse, A., & Courtet, P. (2005). Impaired decision making in suicide attempters. The American Journal of Psychiatry, 162, 304–310. PubMedCrossRef
go back to reference Junginger, J. (1996). Psychosis and violence: the case for a content analysis of psychotic experience. Schizophrenia Bulletin, 22(1), 91–103. PubMedCrossRef Junginger, J. (1996). Psychosis and violence: the case for a content analysis of psychotic experience. Schizophrenia Bulletin, 22(1), 91–103. PubMedCrossRef
go back to reference Keilp, J. G., Sackeim, H. A., Brodsky, B., Oquendo, M., Malone, K., Sackeim, H., & Mann, J. J. (2001). Neuropsychological dysfunction in depressed suicide attempters. The American Journal of Psychiatry, 158(5), 735–741. PubMedCrossRef Keilp, J. G., Sackeim, H. A., Brodsky, B., Oquendo, M., Malone, K., Sackeim, H., & Mann, J. J. (2001). Neuropsychological dysfunction in depressed suicide attempters. The American Journal of Psychiatry, 158(5), 735–741. PubMedCrossRef
go back to reference Lezak, M. D., Howieson, D. B., & Loring, D. W. (2004). Neuropsychological assessment (4th ed.). New York: New York, Oxford University Press. Lezak, M. D., Howieson, D. B., & Loring, D. W. (2004). Neuropsychological assessment (4th ed.). New York: New York, Oxford University Press.
go back to reference Marzuk, P. M., Hartwell, N., Leon, A. C., & Portera, L. (2005). Executive functioning in depressed patients with suicidal ideation. Acta Psychiatrica Scandinavia, 112, 294–301. CrossRef Marzuk, P. M., Hartwell, N., Leon, A. C., & Portera, L. (2005). Executive functioning in depressed patients with suicidal ideation. Acta Psychiatrica Scandinavia, 112, 294–301. CrossRef
go back to reference Monahan, J., Steadman, H. J., Silver, E., Appelbaum, P. S., Robbins, P. C., Mulvey, E. P., Roth, L. H., Grisso, T., & Banks, S. (2001). Rethinking risk assessment. Oxford: Oxford University Press. Monahan, J., Steadman, H. J., Silver, E., Appelbaum, P. S., Robbins, P. C., Mulvey, E. P., Roth, L. H., Grisso, T., & Banks, S. (2001). Rethinking risk assessment. Oxford: Oxford University Press.
go back to reference Monahan, J., & Steadman, H. J. (1994). Violence and mental disorder. Chicago: University of Chicago Press. Monahan, J., & Steadman, H. J. (1994). Violence and mental disorder. Chicago: University of Chicago Press.
go back to reference Morgan, A. B., & Lilienfeld, S. O. (2000). A meta-analytic review of the relation between antisocial behavior and neuropsychological measures of executive function. Clinical Psychology Review, 20, 113–136. PubMedCrossRef Morgan, A. B., & Lilienfeld, S. O. (2000). A meta-analytic review of the relation between antisocial behavior and neuropsychological measures of executive function. Clinical Psychology Review, 20, 113–136. PubMedCrossRef
go back to reference Morey, L. C. (1991). Classification of mental disorder as a collection of hypothetical constructs. Journal of Abnormal Psychology, 100, 289–293. PubMedCrossRef Morey, L. C. (1991). Classification of mental disorder as a collection of hypothetical constructs. Journal of Abnormal Psychology, 100, 289–293. PubMedCrossRef
go back to reference Morey, L. C. (1996). An interpretive guide to the personality assessment inventory. Odessa, FL: Psychological Assessment Resources. Morey, L. C. (1996). An interpretive guide to the personality assessment inventory. Odessa, FL: Psychological Assessment Resources.
go back to reference Morey, L. C. (2007). Personality assessment inventory: Professional manual (2nd ed.). Odessa, FL: Psychological Assessment Resources. Morey, L. C. (2007). Personality assessment inventory: Professional manual (2nd ed.). Odessa, FL: Psychological Assessment Resources.
go back to reference Morey, L. C., & Quigley, B. D. (2002). The use of the personality assessment inventory in assessing offenders. International Journal of Offender Therapy and Comparative Criminology, 46, 333–349. PubMedCrossRef Morey, L. C., & Quigley, B. D. (2002). The use of the personality assessment inventory in assessing offenders. International Journal of Offender Therapy and Comparative Criminology, 46, 333–349. PubMedCrossRef
go back to reference Neumann, C. S., & Hare, R. D. (2008). Psychopathic traits in a large community sample: links to violence, alcohol use, and intelligence. Journal of Consulting and Clinical Psychology, 76, 893–899. PubMedCrossRef Neumann, C. S., & Hare, R. D. (2008). Psychopathic traits in a large community sample: links to violence, alcohol use, and intelligence. Journal of Consulting and Clinical Psychology, 76, 893–899. PubMedCrossRef
go back to reference Reitan, R. M., & Wolfson, D. (1985). The Halstead-Reimn neuropsychological test battery: Theory and clinical interpretation. Tucson, AZ: Neuropsychology Press. Reitan, R. M., & Wolfson, D. (1985). The Halstead-Reimn neuropsychological test battery: Theory and clinical interpretation. Tucson, AZ: Neuropsychology Press.
go back to reference Sellbom, M., & Bagby, R. M. (2008). Response Styles on Multi-Scale Inventories. In R. Rogers (Ed.), Clinical assessment of malingering and deception (3rd ed.). New York: Guilford Press. Sellbom, M., & Bagby, R. M. (2008). Response Styles on Multi-Scale Inventories. In R. Rogers (Ed.), Clinical assessment of malingering and deception (3rd ed.). New York: Guilford Press.
go back to reference Sinclair, S. J., Siefert, C. J., Shorey, H., Antonius, D., Shiva, A., Kehl-Fie, K., & Blais, M. A. (2009). A psychometric evaluation of the personality assessment inventory—short form (PAI-SF) clinical scales in an inpatient psychiatric sample. Psychiatry Research, 170, 262–266. PubMedCrossRef Sinclair, S. J., Siefert, C. J., Shorey, H., Antonius, D., Shiva, A., Kehl-Fie, K., & Blais, M. A. (2009). A psychometric evaluation of the personality assessment inventory—short form (PAI-SF) clinical scales in an inpatient psychiatric sample. Psychiatry Research, 170, 262–266. PubMedCrossRef
go back to reference Siefert, C. J., Sinclair, S. J., Kehl-Fie, K. A., & Blais, M. A. (2009). An item level psychometric analysis of the personality assessment inventory clinical scales. Assessment, 16, 373–383. PubMedCrossRef Siefert, C. J., Sinclair, S. J., Kehl-Fie, K. A., & Blais, M. A. (2009). An item level psychometric analysis of the personality assessment inventory clinical scales. Assessment, 16, 373–383. PubMedCrossRef
go back to reference Sinclair, S.J., Antonius, D., Shiva, A., Siefert, C.J., Kehl-Fie, K., Lama, S., Shorey, H.S., & Blais M.A. (2010). The psychometric properties of the personality assessment inventory-short form (PAI-SF) in inpatient forensic and civil samples. Journal of Psychopathology and Behavioral Assessment, 406–415. Sinclair, S.J., Antonius, D., Shiva, A., Siefert, C.J., Kehl-Fie, K., Lama, S., Shorey, H.S., & Blais M.A. (2010). The psychometric properties of the personality assessment inventory-short form (PAI-SF) in inpatient forensic and civil samples. Journal of Psychopathology and Behavioral Assessment, 406–415.
go back to reference Soloff, P. H., Lynch, K. G., Kelly, T. M., Malone, K. M., & Mann, J. J. (2000). Characteristics of suicide attempts of patients with major depressive episode and borderline personality disorder: a comparative study. The American Journal of Psychiatry, 157, 601–608. PubMedCrossRef Soloff, P. H., Lynch, K. G., Kelly, T. M., Malone, K. M., & Mann, J. J. (2000). Characteristics of suicide attempts of patients with major depressive episode and borderline personality disorder: a comparative study. The American Journal of Psychiatry, 157, 601–608. PubMedCrossRef
go back to reference The Psychological Corporation (1999). Wechsler Abbreviated Scale of Intelligence. New York, NY: The Psychological Corporation: Harcourt Brace & Company. The Psychological Corporation (1999). Wechsler Abbreviated Scale of Intelligence. New York, NY: The Psychological Corporation: Harcourt Brace & Company.
go back to reference Trenerry, M. R., Crosson, B., Deboe, J., & Leber, W. (1989). Stroop Neuropsychological Test (SNST). Odessa, FL: Psychological Resources Inc. Trenerry, M. R., Crosson, B., Deboe, J., & Leber, W. (1989). Stroop Neuropsychological Test (SNST). Odessa, FL: Psychological Resources Inc.
go back to reference Van Heering, C., & Marusic, A. (2003). Understanding the suicidal brain. The British Journal of Psychiatry, 183, 282–284. CrossRef Van Heering, C., & Marusic, A. (2003). Understanding the suicidal brain. The British Journal of Psychiatry, 183, 282–284. CrossRef
go back to reference Voracek, M. (2004). National intelligence and suicide rate: an ecological study of 85 countries. Personality and Individual Differences, 37, 543–553. CrossRef Voracek, M. (2004). National intelligence and suicide rate: an ecological study of 85 countries. Personality and Individual Differences, 37, 543–553. CrossRef
go back to reference Voracek, M. (2009). National intelligence, suicide rate, and subjective well-being. Perceptual and Motor Skills, 109, 718–720. PubMedCrossRef Voracek, M. (2009). National intelligence, suicide rate, and subjective well-being. Perceptual and Motor Skills, 109, 718–720. PubMedCrossRef
go back to reference Walters, G. D., Duncan, S. A., & Geyer, M. D. (2003). Predicting disciplinary adjustment in inmates undergoing forensic evaluation: a direct comparison of the PCL-R and the PAI. The Journal of Forensic Psychiatry and Psychology, 14, 382–393. CrossRef Walters, G. D., Duncan, S. A., & Geyer, M. D. (2003). Predicting disciplinary adjustment in inmates undergoing forensic evaluation: a direct comparison of the PCL-R and the PAI. The Journal of Forensic Psychiatry and Psychology, 14, 382–393. CrossRef
go back to reference Walters, G.D., & Duncan, S.A. (2005). Use of the PCL-R and PAI to predict release outcome in inmates undergoing forensic evaluation. The Journal of Forensic Psychiatry and Psychology, 16, 459–476. Walters, G.D., & Duncan, S.A. (2005). Use of the PCL-R and PAI to predict release outcome in inmates undergoing forensic evaluation. The Journal of Forensic Psychiatry and Psychology, 16, 459–476.
go back to reference Wechsler, D. (1997). Wechsler adult intelligence scale—3rd edition (WAIS-3®). San Antonio, TX: Harcourt Assessment. Wechsler, D. (1997). Wechsler adult intelligence scale—3rd edition (WAIS-3®). San Antonio, TX: Harcourt Assessment.
go back to reference Westheide, J., Quednow, B. B., Kuhn, K., Hoppe, C., Cooper-Mahkorn, D., Hawellek, B., Eichler, P., Maier, W., & Wagner, M. (2008). Executive performance of depressed suicide attempters: the role of suicidal ideation. European Archives of Psychiatry and Clinical Neuroscience, 258(7), 414–421. PubMedCrossRef Westheide, J., Quednow, B. B., Kuhn, K., Hoppe, C., Cooper-Mahkorn, D., Hawellek, B., Eichler, P., Maier, W., & Wagner, M. (2008). Executive performance of depressed suicide attempters: the role of suicidal ideation. European Archives of Psychiatry and Clinical Neuroscience, 258(7), 414–421. PubMedCrossRef
go back to reference Wenzel, A., Berchick, E. R., Tenhave, T., Halberstadt, S., Brown, G. K., & Beck, A. T. (2011). Predictors of suicide relative to other deaths in patients with suicide attempts and suicide ideation: a 30-year prospective study. Journal of Affective Disorders, 132, 375–382. PubMedCrossRef Wenzel, A., Berchick, E. R., Tenhave, T., Halberstadt, S., Brown, G. K., & Beck, A. T. (2011). Predictors of suicide relative to other deaths in patients with suicide attempts and suicide ideation: a 30-year prospective study. Journal of Affective Disorders, 132, 375–382. PubMedCrossRef
Metagegevens
Titel
The Suicide (SPI) and Violence Potential Indices (VPI) from the Personality Assessment Inventory: A Preliminary Exploration of Validity in an Outpatient Psychiatric Sample
Auteurs
Samuel Justin Sinclair
Iruma Bello
Maren Nyer
Jenelle Slavin-Mulford
Michelle B. Stein
Megan Renna
Daniel Antonius
Mark A. Blais
Publicatiedatum
01-09-2012
Uitgeverij
Springer US
Gepubliceerd in
Journal of Psychopathology and Behavioral Assessment / Uitgave 3/2012
Print ISSN: 0882-2689
Elektronisch ISSN: 1573-3505
DOI
https://doi.org/10.1007/s10862-012-9277-6