Predictive Validity of the MAYSI-2 and PAI-A for Suicide-Related Behavior and Nonsuicidal Self-Injury Among Adjudicated Adolescent Offenders on Probation

Abstract

This prospective study evaluated the ability of the MAYSI-2 and PAI-A to predict suicide-related behavior (SRB) and nonsuicidal self-injury (NSSI) among adjudicated adolescent offenders on probation. Predictive validity of the MAYSI-2 for SRB and NSSI has generally been postdictively examined among detained adolescents. In addition, no published studies have examined the predictive validity of the PAI-A for SRB and NSSI among adolescent offenders. Neither the MAYSI-2 nor PAI-A added incremental predictive validity above lifetime SRB or NSSI. However, several MAYSI-2 and PAI-A subscales were predictive of SRB or NSSI. With some exceptions, most recommended instrument cut-off scores differentiated between low-risk and high-risk youth. These findings suggest that the MAYSI-2 and PAI-A hold promise for evaluating SRB and NSSI among justice-involved youth. In addition, these findings contribute to more informed decisions regarding the use of these tools and can be used to inform SRB and NSSI prevention efforts.

Keywords

adolescent offenders MAYSI-2 nonsuicidal self-injury PAI-A suicide-related behavior

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