Predictive validity of the MINI suicidal scale for self-harm in acute psychiatry: a prospective study of the first year after discharge

Arch Suicide Res. 2012;16(4):287-302. doi: 10.1080/13811118.2013.722052.


The aim of the study was to explore the predictive validity of the Suicidal Scale of the Mini-International Neuropsychiatric Interview as a screen for suicidal behavior and non-suicidal self-injury following discharge from an acute psychiatric ward. Using a prospective, naturalistic design, the patients were screened with the Suicidal Scale when discharged (n = 307). At 12 months post-discharge, the Suicidal Scale was a significant predictor of suicidal behavior (n = 48) and suicidal behavior+non-suicidal self-injury (n = 49) but not for non-suicidal self-injury (n = 15). For patients without any known previous suicide attempts (n = 180), the Suicidal Scale was a significant predictor of suicidal behavior (n = 21) and suicidal behavior+non-suicidal self-injury (n = 11). Further research is needed to determine the overall utility of the routine screening of self-harm.

MeSH terms

  • Adult
  • Female
  • Follow-Up Studies
  • Humans
  • Interview, Psychological
  • Male
  • Middle Aged
  • Patient Discharge / statistics & numerical data*
  • Prospective Studies
  • Psychiatric Department, Hospital
  • Psychiatric Status Rating Scales / statistics & numerical data*
  • Psychometrics
  • Reproducibility of Results
  • Self Concept
  • Self-Injurious Behavior / psychology*
  • Severity of Illness Index*
  • Suicide / psychology
  • Suicide, Attempted / psychology*
  • Surveys and Questionnaires
  • Young Adult