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] |
| 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.) | |
| Database: | Psychology and Behavioral Sciences Collection |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 186837446 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti 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. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Levy%2C+Hannah%22">Levy, Hannah</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lord%2C+Kayla%22">Lord, Kayla</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Rice%2C+Tyler%22">Rice, Tyler</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Sain%2C+Kimberly%22">Sain, Kimberly</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Stubbing%2C+Jessica%22">Stubbing, Jessica</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Diefenbach%2C+Gretchen%22">Diefenbach, Gretchen</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Tolin%2C+David%22">Tolin, David</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Cognitive+Therapy+%26+Research%22">Cognitive Therapy & Research</searchLink>. Aug2025, Vol. 49 Issue 4, p702-711. 10p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Predictive+validity%22">Predictive validity</searchLink><br /><searchLink fieldCode="DE" term="%22Suicide+risk+assessment%22">Suicide risk assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Suicide+risk+factors%22">Suicide risk factors</searchLink><br /><searchLink fieldCode="DE" term="%22Cognitive+therapy%22">Cognitive therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Follow-up+studies+%28Medicine%29%22">Follow-up studies (Medicine)</searchLink><br /><searchLink fieldCode="DE" term="%22Treatment+effectiveness%22">Treatment effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22Inpatient+care%22">Inpatient care</searchLink> – Name: Abstract Label: Abstract Group: Ab 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] – Name: AbstractSuppliedCopyright Label: Group: Ab 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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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1007/s10608-024-10564-z Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 10 StartPage: 702 Subjects: – SubjectFull: Predictive validity Type: general – SubjectFull: Suicide risk assessment Type: general – SubjectFull: Suicide risk factors Type: general – SubjectFull: Cognitive therapy Type: general – SubjectFull: Follow-up studies (Medicine) Type: general – SubjectFull: Treatment effectiveness Type: general – SubjectFull: Inpatient care Type: general Titles: – TitleFull: Predictive Validity and Treatment Sensitivity of the Death-Implicit Association Test (D-IAT) During Inpatient Treatment and Across a 6-Month Follow-Up Period. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Levy, Hannah – PersonEntity: Name: NameFull: Lord, Kayla – PersonEntity: Name: NameFull: Rice, Tyler – PersonEntity: Name: NameFull: Sain, Kimberly – PersonEntity: Name: NameFull: Stubbing, Jessica – PersonEntity: Name: NameFull: Diefenbach, Gretchen – PersonEntity: Name: NameFull: Tolin, David IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 08 Text: Aug2025 Type: published Y: 2025 Identifiers: – Type: issn-print Value: 01475916 Numbering: – Type: volume Value: 49 – Type: issue Value: 4 Titles: – TitleFull: Cognitive Therapy & Research Type: main |
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