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Assessment
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MMPI-A Patterns Related to the Endorsement of Suicidal Ideation

Robert P. Archer

Eastern Virginia Medical School

David Slesinger

Virginia Consortium Program

This study focused on the relationship between the occurrence of specific Minnesota Multiphasic Personality Inventory-Adolescent (MMPI-A) basic scale profile patterns and the frequency of endorsement of three items related, in varying degrees, to suicide ideation (MMPI-A Items 177, 283, and 399). The research sample consisted of adolescents (n = 348) with diagnoses of depression, conduct disorder, and other psychiatric disorders. Significant relationships were found for the overall MMPI-A basic scale profile, several MMPI-A single scale high points, and specific two-point codetype groupings. Findings revealed higher basic clinical scale profiles for those adolescents endorsing suicidal ideation. Further results revealed lower frequencies of item endorsement for spike 4 and spike 9 profiles, and higher item endorsement frequencies for Scale 2, Scale 8, and for the two-point codetypes of 4-8/8-4, 8-919-8 and 6-8/8-6. Issues are discussed related to the clinical usefulness and limitations of the MMPI-A in the assessment and prediction of suicidal ideation and behavior in adolescents.

Key Words: MMPI-A • suicidal ideation • item endorsement • adolescents • basic scale profile

Assessment, Vol. 6, No. 1, 51-59 (1999)
DOI: 10.1177/107319119900600106
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