{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T23:26:40Z","timestamp":1787873200326,"version":"build-2784847793"},"reference-count":30,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T00:00:00Z","timestamp":1779926400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T00:00:00Z","timestamp":1779926400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["R44MH138162"],"award-info":[{"award-number":["R44MH138162"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Autism Dev Disord"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>\n                      Mental health (MH) challenges in autistic youth are often under-identified due in part to limited availability of assessment tools developed or adapted for the autism population. The K-CAT\n                      <jats:sup>\u00ae<\/jats:sup>\n                      , a battery of computerized adaptive tests assessing up to nine MH domains in the general population, shows promise in addressing this need. Because these general instruments may not be valid or acceptable for use with autistic individuals, we evaluated the K-CAT\n                      <jats:sup>\u00ae<\/jats:sup>\n                      \u2019s content validity for autistic youth with input from the autism community.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Feedback was obtained from autistic youth, caregivers, and clinicians on the K-CAT\n                      <jats:sup>\u00ae<\/jats:sup>\n                      through a mixed methods research design. One-hundred-fifty-one youth and caregivers provided feedback on ease of administration, relevance, comprehensiveness, and comprehensibility of the K-CAT\n                      <jats:sup>\u00ae<\/jats:sup>\n                      overall. Thirty youth\/caregiver dyads and 15 clinicians then participated in the mixed methods study of the K-CAT\n                      <jats:sup>\u00ae<\/jats:sup>\n                      at the module- and item-level.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      While participants had positive impressions of the K-CAT\n                      <jats:sup>\u00ae<\/jats:sup>\n                      overall, weaknesses were identified by most participants and several recommendations for change were provided. The modules identified as most challenging were the Mania, Oppositional Defiant Disorder, and Conduct Disorder (CD) modules of the Child Version and the CD, Mania, and Anxiety modules of the Parent Version. The most commonly reported concerns were comprehension\/clarity issues and symptom overlap between MH conditions and autism.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      Modifications to the K-CAT\n                      <jats:sup>\u00ae<\/jats:sup>\n                      appear both necessary and feasible. Findings will inform the development of a K-CAT\n                      <jats:sup>\u00ae<\/jats:sup>\n                      Autism Version, which has the potential to transform the detection and monitoring of MH symptoms in autistic youth.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s10803-026-07367-4","type":"journal-article","created":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T06:22:55Z","timestamp":1779949375000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Content Validity of the K-CAT\u00ae Assessing Mental Health Challenges in Autism: A Mixed Methods Analysis of Perspectives from Autistic Youth, Caregivers, and Clinicians"],"prefix":"10.1007","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8615-0063","authenticated-orcid":false,"given":"Paige E.","family":"Cervantes","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cecilia","family":"Becker","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah M.","family":"Horwitz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ethan","family":"Lai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yehuda","family":"Cohen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert D.","family":"Gibbons","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lawrence A.","family":"Palinkas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,5,28]]},"reference":[{"issue":"4","key":"7367_CR1","doi-asserted-by":"publisher","first-page":"822","DOI":"10.1177\/1362361320908410","volume":"24","author":"TW Benevides","year":"2020","unstructured":"Benevides, T. W., Shore, S. M., Palmer, K., Duncan, P., Plank, A., Andresen, M.-L., Caplan, R., Cook, B., Gassner, D., Hector, B. L., Morgan, L., Nebeker, L., Purkis, Y., Rankowski, B., Wittig, K., & Coughlin, S. S. (2020). Listening to the autistic voice: Mental health priorities to guide research and practice in autism from a stakeholder-driven project. Autism, 24(4), 822\u2013833. https:\/\/doi.org\/10.1177\/1362361320908410","journal-title":"Autism"},{"issue":"2","key":"7367_CR2","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1191\/1478088706qp063oa","volume":"3","author":"V Braun","year":"2006","unstructured":"Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77\u2013101. https:\/\/doi.org\/10.1191\/1478088706qp063oa","journal-title":"Qualitative Research in Psychology"},{"key":"7367_CR4","doi-asserted-by":"publisher","unstructured":"Brookman-Frazee, L., Drahota, A., Chlebowski, C., Koenig, Y., Williams, K. N., Hill, B., & McPherson, J. (2020). Designing autism spectrum disorder interventions for community implementation. In The Oxford Handbook of Autism and Co-Occurring Psychiatric Conditions. https:\/\/doi.org\/10.1093\/oxfordhb\/9780190910761.013.21","DOI":"10.1093\/oxfordhb\/9780190910761.013.21"},{"issue":"8","key":"7367_CR3","doi-asserted-by":"publisher","first-page":"938","DOI":"10.1177\/1362361317712650","volume":"22","author":"L Brookman-Frazee","year":"2018","unstructured":"Brookman-Frazee, L., Stadnick, N., Chlebowski, C., Baker-Ericz\u00e9n, M., & Ganger, W. (2018). Characterizing psychiatric comorbidity in children with autism spectrum disorder receiving publicly funded mental health services. Autism, 22(8), 938\u2013952. https:\/\/doi.org\/10.1177\/1362361317712650","journal-title":"Autism"},{"issue":"10","key":"7367_CR5","doi-asserted-by":"publisher","first-page":"3477","DOI":"10.1007\/s10803-020-04431-5","volume":"50","author":"SA Cassidy","year":"2020","unstructured":"Cassidy, S. A., Bradley, L., Cogger-Ward, H., Shaw, R., Bowen, E., Glod, M., Baron-Cohen, S., & Rodgers, J. (2020). Measurement properties of the suicidal behaviour questionnaire-revised in autistic adults. Journal of Autism and Developmental Disorders, 50(10), 3477\u20133488. https:\/\/doi.org\/10.1007\/s10803-020-04431-5","journal-title":"Journal of Autism and Developmental Disorders"},{"issue":"3","key":"7367_CR6","doi-asserted-by":"publisher","DOI":"10.1177\/13623613221112202","volume":"27","author":"PE Cervantes","year":"2022","unstructured":"Cervantes, P. E., Conlon, G. R., Seag, D. E., Feder, M., Lang, Q., Meril, S., Baroni, A., Li, A., Hoagwood, K. E., & Horwitz, S. M. (2022). Mental health service availability for autistic youth in New York City: An examination of the developmental disability and mental health service systems. Autism\u202f: The International Journal of Research and Practice, , Article 13623613221112202. https:\/\/doi.org\/10.1177\/13623613221112202","journal-title":"Autism : The International Journal of Research and Practice"},{"issue":"4","key":"7367_CR7","doi-asserted-by":"publisher","first-page":"601","DOI":"10.1007\/s10882-024-09963-7","volume":"37","author":"PE Cervantes","year":"2025","unstructured":"Cervantes, P. E., Gibbons, R. D., Palinkas, L. A., Conlon, G. R., & Horwitz, S. M. (2025). Perspectives from the autism community on the potential utility of a novel measure of suicide risk and mental health symptoms for autistic youth: A pilot study. Journal of Developmental and Physical Disabilities, 37(4), 601\u2013612. https:\/\/doi.org\/10.1007\/s10882-024-09963-7","journal-title":"Journal of Developmental and Physical Disabilities"},{"key":"7367_CR8","doi-asserted-by":"crossref","unstructured":"Fleiss, J. L., Levin, B., & Paik, M. C. (2003). Statistical methods for rates and proportions. John Wiley & Sons, Inc.","DOI":"10.1002\/0471445428"},{"issue":"8","key":"7367_CR9","doi-asserted-by":"publisher","DOI":"10.1007\/s11920-019-1053-9","volume":"21","author":"RD Gibbons","year":"2019","unstructured":"Gibbons, R. D., & deGruy, F. V. (2019). Without wasting a word: Extreme improvements in efficiency and accuracy using computerized adaptive testing for mental health disorders (CAT-MH). Current Psychiatry Reports, 21(8), Article 67. https:\/\/doi.org\/10.1007\/s11920-019-1053-9","journal-title":"Current Psychiatry Reports"},{"issue":"11","key":"7367_CR10","doi-asserted-by":"publisher","first-page":"1264","DOI":"10.1016\/j.jaac.2019.08.009","volume":"59","author":"RD Gibbons","year":"2020","unstructured":"Gibbons, R. D., Kupfer, D. J., Frank, E., Lahey, B. B., George-Milford, B. A., Biernesser, C. L., Porta, G., Moore, T. L., Kim, J. B., & Brent, D. A. (2020). Computerized adaptive tests for rapid and accurate assessment of psychopathology dimensions in youth. Journal of the American Academy of Child & Adolescent Psychiatry, 59(11), 1264\u20131273. https:\/\/doi.org\/10.1016\/j.jaac.2019.08.009","journal-title":"Journal of the American Academy of Child & Adolescent Psychiatry"},{"key":"7367_CR11","doi-asserted-by":"publisher","DOI":"10.1007\/s00787-022-02065-9","author":"MJ Hollocks","year":"2022","unstructured":"Hollocks, M. J., Leno, V. C., Chandler, S., White, P., Yorke, I., Charman, T., Pickles, A., Baird, G., & Simonoff, E. (2022). Psychiatric conditions in autistic adolescents: Longitudinal stability from childhood and associated risk factors. European Child & Adolescent Psychiatry. https:\/\/doi.org\/10.1007\/s00787-022-02065-9","journal-title":"European Child & Adolescent Psychiatry"},{"issue":"10","key":"7367_CR12","doi-asserted-by":"publisher","first-page":"3462","DOI":"10.1007\/s10803-020-04394-7","volume":"50","author":"SJ Howe","year":"2020","unstructured":"Howe, S. J., Hewitt, K., Baraskewich, J., Cassidy, S., & McMorris, C. A. (2020). Suicidality among children and youth with and without autism spectrum disorder: A systematic review of existing risk assessment tools. Journal of Autism and Developmental Disorders, 50(10), 3462\u20133476. https:\/\/doi.org\/10.1007\/s10803-020-04394-7","journal-title":"Journal of Autism and Developmental Disorders"},{"issue":"1","key":"7367_CR13","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2020.33565","volume":"4","author":"K K\u00f5lves","year":"2021","unstructured":"K\u00f5lves, K., Fitzgerald, C., Nordentoft, M., Wood, S. J., & Erlangsen, A. (2021). Assessment of suicidal behaviors among individuals with autism spectrum disorder in Denmark. JAMA Network Open, 4(1), Article e2033565. https:\/\/doi.org\/10.1001\/jamanetworkopen.2020.33565","journal-title":"JAMA Network Open"},{"issue":"1","key":"7367_CR14","doi-asserted-by":"publisher","first-page":"34","DOI":"10.3109\/01942638.2011.606260","volume":"32","author":"JM Kramer","year":"2012","unstructured":"Kramer, J. M., Coster, W. J., Kao, Y. C., Snow, A., & Orsmond, G. I. (2012). A new approach to the measurement of adaptive behavior: Development of the PEDI-CAT for children and youth with autism spectrum disorders. Physical & Occupational Therapy in Pediatrics, 32(1), 34\u201347. https:\/\/doi.org\/10.3109\/01942638.2011.606260","journal-title":"Physical & Occupational Therapy in Pediatrics"},{"issue":"10","key":"7367_CR15","doi-asserted-by":"publisher","first-page":"819","DOI":"10.1016\/S2215-0366(19)30289-5","volume":"6","author":"MC Lai","year":"2019","unstructured":"Lai, M. C., Kassee, C., Besney, R., Bonato, S., Hull, L., Mandy, W., Szatmari, P., & Ameis, S. H. (2019). Prevalence of co-occurring mental health diagnoses in the autism population: A systematic review and meta-analysis. The Lancet Psychiatry, 6(10), 819\u2013829. https:\/\/doi.org\/10.1016\/S2215-0366(19)30289-5","journal-title":"The Lancet Psychiatry"},{"issue":"2","key":"7367_CR16","doi-asserted-by":"publisher","first-page":"289","DOI":"10.1177\/13623613211067928","volume":"26","author":"W Mandy","year":"2022","unstructured":"Mandy, W. (2022). Six ideas about how to address the autism mental health crisis. Autism, 26(2), 289\u2013292. https:\/\/doi.org\/10.1177\/13623613211067928","journal-title":"Autism"},{"issue":"1","key":"7367_CR17","doi-asserted-by":"publisher","first-page":"164","DOI":"10.1016\/j.rasd.2010.03.006","volume":"5","author":"CA Mazefsky","year":"2011","unstructured":"Mazefsky, C. A., Kao, J., & Oswald, D. P. (2011). Preliminary evidence suggesting caution in the use of psychiatric self-report measures with adolescents with high-functioning autism spectrum disorders. Research in Autism Spectrum Disorders, 5(1), 164\u2013174. https:\/\/doi.org\/10.1016\/j.rasd.2010.03.006","journal-title":"Research in Autism Spectrum Disorders"},{"issue":"1","key":"7367_CR18","doi-asserted-by":"publisher","first-page":"113","DOI":"10.1016\/j.jaac.2019.04.027","volume":"59","author":"RK McBain","year":"2020","unstructured":"McBain, R. K., Kareddy, V., Cantor, J. H., Stein, B. D., & Yu, H. (2020). Systematic review: United States workforce for autism-related child healthcare services. Journal of the American Academy of Child & Adolescent Psychiatry, 59(1), 113\u2013139. https:\/\/doi.org\/10.1016\/j.jaac.2019.04.027","journal-title":"Journal of the American Academy of Child & Adolescent Psychiatry"},{"issue":"4","key":"7367_CR19","doi-asserted-by":"publisher","first-page":"1041","DOI":"10.1007\/s10803-017-3282-2","volume":"48","author":"H McConachie","year":"2018","unstructured":"McConachie, H., Livingstone, N., Morris, C., Beresford, B., Le Couteur, A., Gringras, P., Garland, D., Jones, G., Macdonald, G., Williams, K., & Parr, J. R. (2018). Parents suggest which indicators of progress and outcomes should be measured in young children with autism spectrum disorder. Journal of Autism and Developmental Disorders, 48(4), 1041\u20131051. https:\/\/doi.org\/10.1007\/s10803-017-3282-2","journal-title":"Journal of Autism and Developmental Disorders"},{"issue":"1","key":"7367_CR20","doi-asserted-by":"publisher","first-page":"61","DOI":"10.1089\/aut.2019.0074","volume":"2","author":"C Nicolaidis","year":"2020","unstructured":"Nicolaidis, C., Raymaker, D. M., McDonald, K. E., Lund, E. M., Leotti, S., Kapp, S. K., Katz, M., Beers, L. M., Kripke, C., Maslak, J., Hunter, M., & Zhen, K. Y. (2020). Creating accessible survey instruments for use with autistic adults and people with intellectual disability: Lessons learned and recommendations. Autism in Adulthood, 2(1), 61\u201376. https:\/\/doi.org\/10.1089\/aut.2019.0074","journal-title":"Autism in Adulthood"},{"key":"7367_CR21","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2022.102144","volume":"93","author":"L O\u2019Halloran","year":"2022","unstructured":"O\u2019Halloran, L., Coey, P., & Wilson, C. (2022). Suicidality in autistic youth: A systematic review and meta-analysis. Clinical Psychology Review, 93, Article 102144. https:\/\/doi.org\/10.1016\/j.cpr.2022.102144","journal-title":"Clinical Psychology Review"},{"issue":"6","key":"7367_CR22","doi-asserted-by":"publisher","first-page":"851","DOI":"10.1080\/15374416.2014.910791","volume":"53","author":"LA Palinkas","year":"2014","unstructured":"Palinkas, L. A. (2014). Qualitative methods in mental health services research. Journal of Clinical Child and Adolescent Psychology: The Official Journal for the Society of Clinical Child and Adolescent Psychology American Psychological Association Division, 53(6), 851\u2013861. https:\/\/doi.org\/10.1080\/15374416.2014.910791. 43.","journal-title":"Journal of Clinical Child and Adolescent Psychology: The Official Journal for the Society of Clinical Child and Adolescent Psychology American Psychological Association Division"},{"key":"7367_CR23","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2025.3796","author":"M Panayiotou","year":"2025","unstructured":"Panayiotou, M., Razum, J., Eisele, G., Wang, S. B., Fried, E. I., & Cohen, Z. D. (2025). Interpretation issues with the Patient Health Questionnaire instructions. JAMA Psychiatry. https:\/\/doi.org\/10.1001\/jamapsychiatry.2025.3796","journal-title":"JAMA Psychiatry"},{"issue":"11","key":"7367_CR24","doi-asserted-by":"publisher","first-page":"1205","DOI":"10.1002\/aur.1603","volume":"9","author":"J Rodgers","year":"2016","unstructured":"Rodgers, J., Wigham, S., McConachie, H., Freeston, M., Honey, E., & Parr, J. R. (2016). Development of the anxiety scale for children with autism spectrum disorder (ASC-ASD): Measuring anxiety in ASD. Autism Research, 9(11), 1205\u20131215. https:\/\/doi.org\/10.1002\/aur.1603","journal-title":"Autism Research"},{"issue":"1","key":"7367_CR25","doi-asserted-by":"publisher","first-page":"40","DOI":"10.1080\/09540261.2018.1450229","volume":"30","author":"TE Rosen","year":"2018","unstructured":"Rosen, T. E., Mazefsky, C. A., Vasa, R. A., & Lerner, M. D. (2018). Co-occurring psychiatric conditions in autism spectrum disorder. International Review of Psychiatry, 30(1), 40\u201361. https:\/\/doi.org\/10.1080\/09540261.2018.1450229","journal-title":"International Review of Psychiatry"},{"issue":"2","key":"7367_CR26","doi-asserted-by":"publisher","first-page":"275","DOI":"10.1016\/j.chc.2020.01.002","volume":"29","author":"C Shulman","year":"2020","unstructured":"Shulman, C., Rice, C. E., Morrier, M. J., & Esler, A. (2020). The role of diagnostic instruments in dual and differential diagnosis in autism spectrum disorder across the lifespan. Child and Adolescent Psychiatric Clinics of North America Autism Spectrum Disorder Across the Lifespan: Part I, 29(2), 275\u2013299. https:\/\/doi.org\/10.1016\/j.chc.2020.01.002","journal-title":"Child and Adolescent Psychiatric Clinics of North America Autism Spectrum Disorder Across the Lifespan: Part I"},{"issue":"8","key":"7367_CR27","doi-asserted-by":"publisher","first-page":"921","DOI":"10.1097\/CHI.0b013e318179964f","volume":"47","author":"E Simonoff","year":"2008","unstructured":"Simonoff, E., Pickles, A., Charman, T., Chandler, S., Loucas, T., & Baird, G. (2008). Psychiatric disorders in children with autism spectrum disorders: Prevalence, comorbidity, and associated factors in a population-derived sample. Journal of the American Academy of Child & Adolescent Psychiatry, 47(8), 921\u2013929. https:\/\/doi.org\/10.1097\/CHI.0b013e318179964f","journal-title":"Journal of the American Academy of Child & Adolescent Psychiatry"},{"issue":"9","key":"7367_CR28","doi-asserted-by":"publisher","first-page":"1225","DOI":"10.1016\/j.rasd.2014.06.008","volume":"8","author":"JA Stern","year":"2014","unstructured":"Stern, J. A., Gadgil, M. S., Blakeley-Smith, A., Reaven, J. A., & Hepburn, S. L. (2014). Psychometric properties of the SCARED in youth with autism spectrum disorder. Research in Autism Spectrum Disorders, 8(9), 1225\u20131234. https:\/\/doi.org\/10.1016\/j.rasd.2014.06.008","journal-title":"Research in Autism Spectrum Disorders"},{"key":"7367_CR29","volume-title":"Basics of qualitative research: Techniques and procedures for developing grounded theory","author":"AL Strauss","year":"1998","unstructured":"Strauss, A. L., & Corbin, J. (1998). Basics of qualitative research: Techniques and procedures for developing grounded theory. Sage."},{"issue":"5","key":"7367_CR30","doi-asserted-by":"publisher","first-page":"1159","DOI":"10.1007\/s11136-018-1829-0","volume":"27","author":"CB Terwee","year":"2018","unstructured":"Terwee, C. B., Prinsen, C. A. C., Chiarotto, A., Westerman, M. J., Patrick, D. L., Alonso, J., Bouter, L. M., De Vet, H. C. W., & Mokkink, L. B. (2018). COSMIN methodology for evaluating the content validity of patient-reported outcome measures: A Delphi study. Quality of Life Research, 27(5), 1159\u20131170. https:\/\/doi.org\/10.1007\/s11136-018-1829-0","journal-title":"Quality of Life Research"}],"container-title":["Journal of Autism and Developmental Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10803-026-07367-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s10803-026-07367-4","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10803-026-07367-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T06:22:57Z","timestamp":1779949377000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s10803-026-07367-4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,28]]},"references-count":30,"alternative-id":["7367"],"URL":"https:\/\/doi.org\/10.1007\/s10803-026-07367-4","relation":{},"ISSN":["0162-3257","1573-3432"],"issn-type":[{"value":"0162-3257","type":"print"},{"value":"1573-3432","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,28]]},"assertion":[{"value":"2 February 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"7 May 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"28 May 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Dr. Gibbons has served as an expert witness in cases related to suicide for the US Department of Justice, and Pfizer, Wyeth, and GSK pharmaceutical companies and founded the company Adaptive Testing Technologies that distributes computerized adaptive mental health tests. These activities have been reviewed and approved by the University of Chicago in accordance with its conflict-of-interest policies. Dr. Horwitz receives royalties from the American Psychiatric Association Press. Mr. Cohen is the CEO of Adaptive Testing Technologies. The other authors declare that they have no conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}