Underreporting on the Mmpi-2-RF Extends to Extra-Test Measures of Suicide Risk

Authors

Lauren R Khazem
Katrina A Rufino
Megan L Rogers
Austin J Gallyer
Thomas E Joiner
Joye C Anestis

Language

English

Publication Date

8-1-2021

Journal

Psychological Assessment

DOI

10.1037/pas0001034

PMID

33914566

PMCID

PMC8544758

PubMedCentral® Posted Date

8-1-2022

PubMedCentral® Full Text Version

Author MSS

Abstract

Detection of under-reporting in suicide risk assessment remains a significant concern in clinical practice. The aim of this research is to examine whether under-reporting based on elevated MMPI-2-RF K-r and L-r scale scores may aid in identifying patients with suppressed scores on SUI and extra-test measures of suicide risk. We anticipated that, in voluntarily admitted psychiatric inpatients (N=1,011) and individuals receiving outpatient services in a university-affiliated psychology clinic (N=521), those indicated as under-reporting would produce lower mean scores across SUI and extra-test measures of suicide risk, and that the magnitudes of the associations between SUI and extra-test scores would be strongest for those underreporting. A series of t-tests and correlational analyses were conducted in both samples. While those classified as under-reporting consistently produced lower mean scores for SUI and extra-test measures of suicide risk, the magnitudes of the associations were consistently significant and stronger only in outpatients without K-r or L-r scale elevations. Clinical implications for this research include examining K-r elevations when assessing suicide risk and incorporating a therapeutic assessment approach to suicide risk assessment.

Keywords

Humans, MMPI, Reproducibility of Results, Risk Assessment, Suicide, suicide risk, MMPI-2-RF, under-reporting, inpatients, outpatients

Published Open-Access

yes

Recommended Citation

Khazem, Lauren R; Rufino, Katrina A; Rogers, Megan L; et al., "Underreporting on the Mmpi-2-RF Extends to Extra-Test Measures of Suicide Risk" (2021). Staff and Researcher Publications. 84.
https://digitalcommons.library.tmc.edu/clinic_pub/84