Cultural validation of the structured clinical interview for diagnostic and statistical manual of mental disorders in Indigenous Australians

Australas Psychiatry. 2019 Aug;27(4):362-365. doi: 10.1177/1039856219852289. Epub 2019 Jun 5.


Objective: This study determined the cultural appropriateness of the Structured Clinical Interview for the DSM-IV Axis I Disorders (SCID-I) as an acceptable tool for diagnosing mental illness among Indigenous people.

Methods: De-identified qualitative feedback from participants and psychologists regarding the cultural appropriateness of the SCID-I for Indigenous people using open-ended anonymous questionnaires was gathered. Aboriginal Medial Service staff and Indigenous Support Workers participated in a focus group.

Results: A total of 95.6% of participants felt comfortable during the 498 questionnaires completed. Psychologists also provided qualitative feedback for 502 (92.3%) interviews, of whom 40.4% established a good rapport with participants. Of the participants, 77.7% understood the SCID-I questions well, while 72.5% did not require any cultural allowances to reach a clinical diagnosis.

Conclusion: When administered by a culturally safe trained psychologist, SCID-I is well tolerated in this group.

Keywords: SCID-I; cultural appropriateness; indigenous; mental health; validation.

Publication types

  • Research Support, Non-U.S. Gov't
  • Validation Study

MeSH terms

  • Australia / ethnology
  • Cultural Competency*
  • Diagnostic and Statistical Manual of Mental Disorders
  • Feedback
  • Health Services, Indigenous / organization & administration
  • Humans
  • Interview, Psychological / methods*
  • Interview, Psychological / standards*
  • Mental Disorders / diagnosis*
  • Mental Disorders / ethnology
  • Native Hawaiian or Other Pacific Islander / statistics & numerical data*
  • Reproducibility of Results
  • Surveys and Questionnaires