{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"institution":[{"name":"medRxiv"}],"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T11:58:18Z","timestamp":1790423898675,"version":"4.1.0"},"posted":{"date-parts":[[2026,9,23]]},"group-title":"Psychiatry and Clinical Psychology","reference-count":39,"publisher":"openRxiv","license":[{"start":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T00:00:00Z","timestamp":1790121600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"accepted":{"date-parts":[[2026,9,23]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>\n                    The Concise Health Risk Tracking (CHRT) assessment has utility in suicide risk prediction in adults and adolescents. Because multi-informant assessment is the gold standard in pediatric populations, a parent report version of the CHRT may enhance evaluation of youth suicide risk. We adapted the self-report version of the 16-item CHRT as a parent report version (CHRT-PR\n                    <jats:sub>16<\/jats:sub>\n                    ) and evaluated the psychometric properties and continuous age- and sex-specific norms in a nationally representative sample of parents.\n                  <\/jats:p>\n                <\/jats:sec>\n                <jats:sec>\n                  <jats:title>Method<\/jats:title>\n                  <jats:p>\n                    Parents of youth aged 6-18 years (N=2,236; 2,235 in sex-stratified analyses) completed the CHRT-PR\n                    <jats:sub>16<\/jats:sub>\n                    , enabling evaluation of both the 16- and 14-item (CHRT-PR\n                    <jats:sub>14<\/jats:sub>\n                    ) version. Psychometric analyses included internal consistency, factor structure, Item Response Theory, measurement invariance, criterion validity, and continuous norming using Generalized Additive Models for Location, Scale and Shape (GAMLSS).\n                  <\/jats:p>\n                <\/jats:sec>\n                <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>\n                    Internal consistency was excellent for both CHRT-PR\n                    <jats:sub>16<\/jats:sub>\n                    and CHRT-PR\n                    <jats:sub>14<\/jats:sub>\n                    (both\n                    <jats:italic>\n                      \u03c9\n                      <jats:sub>t<\/jats:sub>\n                    <\/jats:italic>\n                    =.98,\n                    <jats:italic>\u03b1<\/jats:italic>\n                    =.96), although general factor variance was higher for CHRT-PR\n                    <jats:sub>14<\/jats:sub>\n                    (\n                    <jats:italic>\n                      \u03c9\n                      <jats:sub>H<\/jats:sub>\n                    <\/jats:italic>\n                    =.83) than CHRT-PR\n                    <jats:sub>16<\/jats:sub>\n                    (\n                    <jats:italic>\n                      \u03c9\n                      <jats:sub>H<\/jats:sub>\n                    <\/jats:italic>\n                    =.68). Mokken scale analysis confirmed zero monotonicity violations for CHRT-PR\n                    <jats:sub>14<\/jats:sub>\n                    . CHRT-PR\n                    <jats:sub>16<\/jats:sub>\n                    showed a clinically trivial edge in criterion correlations with other measures of psychopathology. In GAMLSS modeling, a zero-inflated negative binomial distribution achieved optimal fit for both scales. Score trajectories diverged by age and sex around age 10, with males scoring slightly higher at upper percentiles.\n                  <\/jats:p>\n                <\/jats:sec>\n                <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>\n                    CHRT-PR\n                    <jats:sub>16<\/jats:sub>\n                    and CHRT-PR\n                    <jats:sub>14<\/jats:sub>\n                    demonstrate strong psychometric support, essential unidimensionality, measurement invariance, and optimal GAMLSS fit. Age- and sex-specific percentile lookup tables provide population-level benchmarks to guide measurement-based care, symptom tracking, and suicide risk stratification in pediatric settings.\n                  <\/jats:p>\n                <\/jats:sec>","DOI":"10.64898\/2026.09.21.26363585","type":"posted-content","created":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T20:20:18Z","timestamp":1790194818000},"source":"Crossref","is-referenced-by-count":0,"title":["Psychometric Properties and Continuous National Norms of the Parent-Report Concise Health Risk Tracking Assessment: Charting Pediatric Suicide Risk Across Age and Sex"],"prefix":"10.64898","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-4814-0739","authenticated-orcid":false,"given":"Halle","family":"Deericks","sequence":"first","affiliation":[{"name":"Center for Suicide Prevention & Research, The Abigail Wexner Research Institute at Nationwide Children\u2019s Hospital, Columbus, OH"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2251-6860","authenticated-orcid":false,"given":"Eric A.","family":"Youngstrom","sequence":"additional","affiliation":[{"name":"Institute for Mental & Behavioral Health Research, The Abigail Wexner Research Institute at Nationwide Children\u2019s Hospital, Columbus, OH"},{"name":"Department of Psychiatry & Behavioral Health, The Ohio State University, Columbus, OH"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2780-3327","authenticated-orcid":false,"given":"Mindy","family":"Westlund Schreiner","sequence":"additional","affiliation":[{"name":"Department of Psychiatry & Behavioral Health, The Ohio State University, Columbus, OH"},{"name":"Behavioral Health, Nationwide Children\u2019s Hospital, Columbus, OH"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"54368","reference":[{"key":"2026092604101070000_2026.09.21.26363585v1.1","doi-asserted-by":"publisher","DOI":"10.1037\/1040-3590.7.3.261"},{"key":"2026092604101070000_2026.09.21.26363585v1.2","doi-asserted-by":"crossref","unstructured":"Achenbach, T. 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