Columbia Suicide Severity Rating Scale Screen scores in adults with Chiari malformation Type 1
Data files
Oct 07, 2025 version files 34.14 KB
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README.md
1.66 KB
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Suicide_Risk_in_Adults_with_Chiari_malformation_Type_I.xlsx
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Abstract
Adult Chiari malformation Type 1 is a neurological condition characterized by high levels of chronic pain, disability, and psychological distress, yet self-harming behaviors have not previously been studied in this patient group. The purpose of this study was to determine the prevalence of elevated suicide risk scores among adults with Chiari malformation Type I using the Columbia Suicide Severity Rating Scale – Screen and examine the association between risk scores and pain, disability, and psychological distress. A web-based, anonymous survey was administered, comprised of validated scales and demographic questions. Suicide risk (Columbia Screen score) was dichotomized as Low or High-Risk, and both crude and adjusted odds ratios were calculated to determine statistical associations with pain, disability, and psychological measures. Overall, 44% of 372 respondents scored in the High-Risk group. Depression at the moderate level or above, age younger than 30 years, and severe or complete neck-related disability were each significant predictors of High-Risk scoring. This study suggests that suicidal ideation is a potentially serious morbidity associated with Chiari malformation Type 1 and should be investigated further.
https://doi.org/10.5061/dryad.c866t1gj0
Description of the data and file structure
An anonymous, web-based survey was administered to adults (18+) with a self-reported physician diagnosis of Chiari malformation Type 1. The dataset includes 372 respondents who completed the survey. Participants were recruited through Conquer Chiari's (a patient organization) website, social media platforms, and email contact list.
Files and variables
File: Suicide_Risk_in_Adults_with_Chiari_malformation_Type_I.xlsx
Description: An Excel file with 372 data rows and 14 columns. Note that one subject contains missing data for Gender and Age, which is entered as 'n/a'.
Variables
- ID - Unique identifier
- Gender - Not defined to protect human subjects' anonymity
- Age (years)
- Surgery - history of Chiari decompression surgery (Yes=1)
- CSSRS Screen - Risk category from Columbia Suicide Severity Rating Scale - Screen
- Suicide HiRisk - CSSRS risk category dichotomized (0-1 = 0; 2-3 = 1)
- UCLA - Total score from the UCLA Loneliness scale
- SFMPQ - Total pain score from McGill Short Form Pain Questionnaire - 2
- IES - Total score from Impact of Event Scale - Revised
- DASSD - Depression subscale score from the DASS-21
- DASSA - Anxiety subscale score from the DASS-21
- NDI - Total Neck Disability Index score (doubled)
- Covid - Total score from the Covid Impact Scale
- PCS - Total score from the Pain Catastrophizing Scale
Code/software
Any spreadsheet software
Access information
NA