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Prediction of fatal and non-fatal suicide attempts by the Columbia Suicide Severity Rating Scale (C-SSRS): systematic review and meta-analysis: commentary, Large

Published online by Cambridge University Press:  10 November 2025

Matthew M. Large Open the ORCID record for Matthew M. Large [Opens in a new window]
Matthew M. Large*
Affiliation:
School of Psychiatry and Mental Health, UNSW, Sydney, Australia Eastern Suburbs Mental Health Service, Sydney, Australia
*
Correspondence: Matthew M. Large. Email: mmclarge@gmail.com
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Abstract

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Keywords

Suiciderisk assessmentprognostic/prediction modellingforensic psychiatry

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Type
Commentary
Information
The British Journal of Psychiatry , First View , pp. 1
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Copyright
© The Author(s), 2025. Published by Cambridge University Press on behalf of Royal College of Psychiatrists

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References

Daray, FM, Grendas, LN, Neupane, SP, Chiapella, LC, Fisher, PW, Gould, MS, et al. Prediction of fatal and non-fatal suicide attempts by the Columbia Suicide Severity Rating Scale (C-SSRS): systematic review and meta-analysis. Br J Psychiatry [Epub ahead of print] 12 Sep 2025. Available from: https://doi.org/10.1192/bjp.2025.10316.CrossRefGoogle ScholarPubMed
Large, M, Corderoy, A, McHugh, C. Is suicidal behaviour a stronger predictor of later suicide than suicidal ideation? A systematic review and meta-analysis. Aust N Z J Psychiatry 2021; 55: 254–67.10.1177/0004867420931161CrossRefGoogle ScholarPubMed
Ribeiro, JD, Franklin, JC, Fox, KR, Bentley, KH, Kleiman, EM, Chang, BP, et al. Self-injurious thoughts and behaviors as risk factors for future suicide ideation, attempts, and death: a meta-analysis of longitudinal studies. Psychol Med 2016; 46: 225–36.10.1017/S0033291715001804CrossRefGoogle Scholar
Belsher, BE, Smolenski, DJ, Pruitt, LD, Bush, NE, Beech, EH, Workman, DE, et al. Prediction models for suicide attempts and deaths: a systematic review and simulation. JAMA Psychiatry 2019; 76: 642–51.10.1001/jamapsychiatry.2019.0174CrossRefGoogle ScholarPubMed
Chan, MK, Bhatti, H, Meader, N, Stockton, S, Evans, J. Predicting suicide following self-harm: systematic review of risk factors and risk scales. Br J Psychiatry 2016; 209: 277–83.10.1192/bjp.bp.115.170050CrossRefGoogle ScholarPubMed
Large, MM. The role of prediction in suicide prevention. Dialogues Clin Neurosci 2018; 20: 197–205.10.31887/DCNS.2018.20.3/mlargeCrossRefGoogle ScholarPubMed
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