Predictive Validity and Treatment Sensitivity of the Death-Implicit Association Test (D-IAT) During Inpatient Treatment and Across a 6-Month Follow-Up Period.
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| Title: | Predictive Validity and Treatment Sensitivity of the Death-Implicit Association Test (D-IAT) During Inpatient Treatment and Across a 6-Month Follow-Up Period. |
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| Authors: | Levy, Hannah (AUTHOR), Lord, Kayla (AUTHOR), Rice, Tyler (AUTHOR), Sain, Kimberly (AUTHOR), Stubbing, Jessica (AUTHOR), Diefenbach, Gretchen (AUTHOR), Tolin, David (AUTHOR) |
| Source: | Cognitive Therapy & Research. Aug2025, Vol. 49 Issue 4, p702-711. 10p. |
| Subjects: | Predictive validity, Suicide risk assessment, Suicide risk factors, Cognitive therapy, Follow-up studies (Medicine), Treatment effectiveness, Inpatient care |
| Abstract: | Purpose: The Death-Implicit Association Test (D-IAT) was developed to assess implicit cognitions that may indicate a bias towards suicide or death. Although the D-IAT is widely used, little is known about its prospective validity. The current study assessed the prospective validity and treatment sensitivity of the D-IAT in a large sample of inpatients at high risk of suicide. We hypothesized that baseline D-IAT scores would (a) improve from pre- to post- inpatient admission, reflecting a stronger association between self and life; and (b) predict suicidal thoughts and behaviors across a 6-month follow-up period post-discharge. Methods: Participants were 200 individuals admitted to the psychiatric inpatient unit for suicide risk. They were randomly assigned to receive inpatient treatment as usual (TAU) or brief cognitive-behavioral therapy for suicide prevention (BCBT) and completed the D-IAT before and after treatment and monthly for six months after discharge. Results: Contrary to our hypotheses, D-IAT scores did not significantly change from pre- to post-admission and did not predict suicidal thoughts or behaviors across the follow-up period, with the exception of aborted attempts. Conclusions: The findings largely do not support the prospective validity of the D-IAT nor its sensitivity to detect treatment effects, although replication in samples with greater frequency of suicidal behaviors across the follow-up period will be needed. [ABSTRACT FROM AUTHOR] |
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| Database: | Psychology and Behavioral Sciences Collection |
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| Abstract: | Purpose: The Death-Implicit Association Test (D-IAT) was developed to assess implicit cognitions that may indicate a bias towards suicide or death. Although the D-IAT is widely used, little is known about its prospective validity. The current study assessed the prospective validity and treatment sensitivity of the D-IAT in a large sample of inpatients at high risk of suicide. We hypothesized that baseline D-IAT scores would (a) improve from pre- to post- inpatient admission, reflecting a stronger association between self and life; and (b) predict suicidal thoughts and behaviors across a 6-month follow-up period post-discharge. Methods: Participants were 200 individuals admitted to the psychiatric inpatient unit for suicide risk. They were randomly assigned to receive inpatient treatment as usual (TAU) or brief cognitive-behavioral therapy for suicide prevention (BCBT) and completed the D-IAT before and after treatment and monthly for six months after discharge. Results: Contrary to our hypotheses, D-IAT scores did not significantly change from pre- to post-admission and did not predict suicidal thoughts or behaviors across the follow-up period, with the exception of aborted attempts. Conclusions: The findings largely do not support the prospective validity of the D-IAT nor its sensitivity to detect treatment effects, although replication in samples with greater frequency of suicidal behaviors across the follow-up period will be needed. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 01475916 |
| DOI: | 10.1007/s10608-024-10564-z |
