The Utility of MMPI-2 Suicide Items for Assessing Suicidal Potential: Development of a Suicidal Potential Scale

Abstract

The assessment of suicidal potential is one of the most challenging and stress-inducing tasks facing clinicians. Studies that have attempted to identify specific MMPI codetypes, scales, or individual items predictive of completed suicide have produced inconsistent findings. This study focused on the relationship between the six most direct MMPI-2 suicide items (Items 150, 303, 506, 520, 524, and 530) and verbally reported history of suicidal ideation and behavior among a sample of psychotherapy outpatients (n = 116). These six MMPI-2 suicide items provided valuable information regarding suicidal ideation and behavior above and beyond that of verbal self-report. These items were grouped together to create a single scale, the Suicidal Potential Scale (SPS) that manifested strong internal consistency. The SPS provides the clinician with a reliable method of assessing for selfreported suicidal ideation and behavior.

Keywords

MMPI-2 suicide critical items personality assessment scale development

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References

Bongar, B. (1991). The suicidal patient: Clinical and legal standards of care. Washington, DC: American Psychological Association.

Butcher, J. N. , Dahlstrom, W. G. , Graham, J. R. , Tellegen, A. M. , & Kaemmer, B. (1989). MMPI-2: Manual for administration and scoring. Minneapolis: University of Minnesota Press.

Butcher, J. N. , & Han, K. (1995). Development of an MMPI-2 scale to assess the presentation of self in a superlative manner: The S scale. In J. N. Butcher & C. D. Spielberger (Eds.), Advances in personality assessment (Vol. 10, pp. 25-50). Hillsdale, NJ: Erlbaum.

Caldwell, A. B. (1999). [MMPI-2 data research file for clinical patients]. Unpublished raw data.

Clopton, J. R. (1978). A note on the MMPI as a suicide predictor.Journal of Consulting and Clinical Psychology, 46, 335-336.

Clopton, J. R. , (1979). The MMPI and suicide. In C. S. Newmark (Ed.), MMPI: Clinical research and trends (pp. 149-166). New York: Praeger.

Clopton,J. R. , & Jones, W. C. (1975). Use of the MMPI in the prediction of suicide. Journal of Clinical Psychology, 31, 52-54.

Clopton,J. R. , Pallis, D.J. , & Birtchnell,J. (1979). MMPI profile patterns of suicide attempters.Journal of Consulting and Clinical Psychology, 47, 135-139.

Clopton, J. R. , Post, R. D. , & Larde, J. (1983). Identification of suicide attempters by means of MMPI profiles. Journal of Clinical Psychology, 39, 868-871.

10.

Deutch, C. J. (1984). Self-report sources of stress among psychotherapists. Professional Psychology: Research and Practice, 15, 833-845.

11.

Devries, A. G. (1967). Control variables in the identification of suicidal behavior. Psychological Reports, 20, 1131-1135.

12.

Eyman, J. R. , & Eyman, S. K. (1991). Personality assessment in suicide prevention. Suicide and Life Threatening Behavior, 21, 37-53.

13.

Farberow, N. L. (1950). Personality patterns of suicidal mental hospital patients. Genetic Psychology Monographs, 42, 3-79.

14.

Faust, D. (1986). Research on human judgment and its application to clinical practice. Professional Psychology: Research and Practice, 17, 420-430.

15.

Foster, L. L. (1975). MMPI correlates of suiciding patients. Newsletter for Research in Mental Health and Behavioral Sciences, 17, 9-10.

16.

Garb, H. N. (1998). Studying the clinician: Judgment research and psychological assessment. Washington, DC: American Psychological Association.

17.

Greene, R. L. (2000). The MMPI-2: An interpretive manual. Boston: Allyn & Bacon.

18.

Hathaway, S. R. , & McKinley, J. C. (1940). A multiphasic personality schedule (Minnesota): I. Construction of the schedule.Journal of Psychology, 10, 249-254.

19.

Jobes, D. , Eyman,J. R. , & Yufit, R. (1995). How clinicians assess suicide risk in adolescents and adults. Crisis Intervention and Time Limited Treatment, 2, 1-12.

20.

Johnson, W. B. , Lall, R. , Bongar, B. , & Norlund, M. D. (1999). The role of objective personality inventories in suicide risk assessment: An evaluation and proposal. Suicide and Life Threatening Behavior, 29. 165-185.

21.

Joiner, T. E. , Walker, R. L. , Rudd, M. D. , & Jobes, D. A. (1999). Scientizing and routinizing the assessment of suicidality in outpatient practice. Professional Psychology: Research and Practice, 30, 447-453.

22.

Koss, M. P. , Butcher, J. N. , & Hoffmann, N. G. (1976). The MMPI critical items: How well do they work? Journal of Consulting and Clinical Psychology, 44, 921-928.

23.

Leonard, C. V. (1977). The MMPI as a suicide predictor. Journal of Consulting and Clinical Psychology. 45, 367-377.

24.

Meehl, P. E. (1954). Clinical vs. statistical prediction. Minneapolis: University of Minnesota Press.

25.

Meehl, P. E. , & Hathaway, S. R. (1946). The K factor as a suppressor variable in the MMPI. Journal of Applied Psychology, 30, 525-564.

26.

Nichols, D. S. , & Greene, R. L. (1991, March). New measuresfor dissimulation on the MMPI/MMPI-2. Paper presented at the 26th Annual Symposium on Recent Developments in the Use of the MMPI (MMPI-2/MMPI-A), St. Petersburg Beach, FL.

27.

Paulhus, D. L. (1984). Two-component models of socially desirable responding. Journal of Personality and Social Psychology, 46, 598-609.

28.

Quinsey, V. L. , Harris, G. T. , Rice, M. E. , & Cormier, C. A. (1998). Violent offenders: Appraising and managing risk. Washington, DC: American Psychological Association.

29.

Ravensborg, M. R. , & Foss, A. (1969). Suicide and natural death in a state hospital population: A comparison of admission complaints, MMPI profiles, and social competence factors.Journal of Consulting and Clinical Psychology, 33, 466-471.

30.

Rosen, A. , Hales, W. M. , & Simon, W. (1954). Classification of "suicidal" patients.Journal of Consulting and Clinical Psychology, 18, 359-362.

31.

Rudd, M. D. , Joiner, T. E. , Jobes, D. A. , & King, C. A. (1999). The outpatient treatment of suicidality: An integration of science and recognition of its limitations. Professional Psychology: Research and Practice, 30, 437-446.

32.

Sendbuehler, J. M. , Kincel, R. L. , Nemeth, G. , & Oertel, J. (1979). Dimension of seriousness in attempted suicide: Significance of the MF scale in suicidal MMPI profiles. Psychological Reports, 44, 343-361.

33.

Sepaher, I. , Bongar, B. , & Greene, R. L. (1999). Codetype base rates for the "I mean business" suicide items on the MMPI-2. Journal of Clinical Psychology, 55, 1167-1173.

34.

Simon, W. , & Gilberstadt, H. (1958). Analysis of the personality structure of 26 actual suicides. Journal of Nervous and Mental Disease, 127, 555-557.

35.

Tarter, R. E. , Templer, D. I. , & Perley, R. L. (1975). Social role orientation and pathological factors in suicide attempts of varying lethality.Journal of Community Psychology, 3, 295-299.

36.

Watson, C. G. , Klett, W. G. , Walters, C. , & Vassar, P. (1984). Suicide and the MMPI: A cross-validation of predictors. Journal of Clinical Psychology, 40, 115-119.