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.
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]
Copyright of Cognitive Therapy & Research is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: 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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  Data: 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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  Data: <i>Copyright of Cognitive Therapy & Research is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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