Children and Young People-Mental Health Safety Assessment Tool (CYP-MH SAT) study: Protocol for the development and psychometric evaluation of an assessment tool to identify immediate risk of self-harm and suicide in children and young people (10-19 years) in acute paediatric hospital settings

BMJ Open. 2018 Apr 12;8(4):e020964. doi: 10.1136/bmjopen-2017-020964.

Abstract

Introduction: Currently, no standardised, evidence-based assessment tool for assessing immediate self-harm and suicide in acute paediatric inpatient settings exists.

Aim: The aim of this study is to develop and test the psychometric properties of an assessment tool that identifies immediate risk of self-harm and suicide in children and young people (10-19 years) in acute paediatric hospital settings.

Methods and analysis: Development phase: This phase involved a scoping review of the literature to identify and extract items from previously published suicide and self-harm risk assessment scales. Using a modified electronic Delphi approach, these items will then be rated according to their relevance for assessment of immediate suicide or self-harm risk by expert professionals. Inclusion of items will be determined by 65%-70% consensus between raters. Subsequently, a panel of expert members will convene to determine the face validity, appropriate phrasing, item order and response format for the finalised items.Psychometric testing phase: The finalised items will be tested for validity and reliability through a multicentre, psychometric evaluation. Psychometric testing will be undertaken to determine the following: internal consistency, inter-rater reliability, convergent, divergent validity and concurrent validity.

Ethics and dissemination: Ethical approval was provided by the National Health Service East Midlands-Derby Research Ethics Committee (17/EM/0347) and full governance clearance received by the Health Research Authority and local participating sites. Findings from this study will be disseminated to professionals and the public via peer-reviewed journal publications, popular social media and conference presentations.

Keywords: mental health; paediatrics; risk management.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acute Disease
  • Adolescent
  • Child
  • Cross-Sectional Studies
  • England
  • Health Status Indicators*
  • Hospitals, Pediatric
  • Humans
  • Inpatients / psychology
  • Mental Health
  • Patient Safety*
  • Psychometrics
  • Reproducibility of Results
  • Research Design
  • Risk Assessment / methods*
  • Self-Injurious Behavior / diagnosis
  • Self-Injurious Behavior / prevention & control*
  • Suicide Prevention
  • Young Adult