Using the suicide risk screen to identify suicidal adolescents among potential high school dropouts

Objective: To examine the validity of the Suicide Risk Screen (SRS) for ide ntifying suicide-risk youths among potential high school dropouts. Method: Five hundred eighty-one potential dropouts, aged 14 to 20 years, participat ed in a 3-stage case identification protocol. A potential dropout pool was created in 7 schools; students, randomly selected, completed a questionnair e containing the SRS and participated in an assessment interview. Validity measures included Reynolds' Suicide Ideation Questionnaire (SIQ-JR) and 2 c linician rating scales, the Direct Suicide Risk (DSR) and Clinical Risk Ass essment (CRA). Results: Suicide-risk severity was significantly associated with categorization defined by the SRS criteria. SRS sensitivity ranged fro m 87% to 100%, specificity from 54% to 60%. Of 7 SRS elements, depression, suicidal ideation, and suicide threats predicted all validity measures. Sui cide attempts predicted the DSR and CRA, but not Reynolds' SIQ-JR. Drug inv olvement, though relatively weaker, consistently predicted all validity mea sures. No additional psychosocial indicators improved the prediction of SIQ -JR or the DSR, Family support, likelihood of dropout, and risky behaviors, however, were additional predictors of the CRA ratings. Conclusions: The S RS is an effective and pragmatic method for identifying suicide-risk youths among potential dropouts in school settings.