开发自杀意念的微妙筛查:心理测量特征及对家庭治疗师的启示

IF 1 Q3 PSYCHOLOGY, CLINICAL
Kyle D. Killian
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引用次数: 0

摘要

虽然每年有 1000 万美国成年人有自杀倾向,170 万人试图自杀,但由于耻辱、羞愧、尴尬以及对非自愿住院治疗的恐惧,人们可能无法坦率、真实地认可与自杀倾向(SI)相关的评估项目。家庭成员的自杀意念和自杀企图会使其他成员的自杀风险增加数倍,因此准确检测 SI 对夫妻和家庭治疗师来说至关重要。为了解决在筛查 SI 过程中出现的耻辱感和假阴性的问题,我们从 32 个 "替代 "项目中开发出了一个包含 19 个项目的自杀意念微妙筛查(SSSI),这些 "替代 "项目可反映心理痛苦、情绪智力以及情绪和认知的负面变化。数据收集还使用了人口统计学表格、自杀意念测量表、焦虑、抑郁和创伤压力测量表以及贝克无望量表和人际需求问卷。对来自非随机、多样化成人样本(N = 306)的数据进行主成分分析和可靠性、相关性和多元回归程序,证明 SSSI 具有极佳的可靠性(α = .93)以及收敛性和区分性有效性。在对自杀想法的直接测量中,三维 SSSI 占据了 54.9% 的方差,接收者特征曲线确定了 35 分的临界值,灵敏度为 0.937,特异度为 0.81,表明该工具能成功识别有自杀想法和无自杀想法的人。本文对临床意义和未来研究进行了讨论。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Development of a Subtle Screening for Suicidal Ideation: Psychometric Characteristics and Implications for Family Therapists

Development of a Subtle Screening for Suicidal Ideation: Psychometric Characteristics and Implications for Family Therapists

While 10 million U.S. adults experience suicidal thoughts and 1.7 million attempt suicide annually, candid, truthful endorsement of assessment items related to suicidal ideation (SI) can be inhibited by stigma, shame, and embarrassment and a fear of involuntary hospitalization. Suicidal ideation in, and suicide attempts by, family members increase the suicide risk among other members by several times, and so accurate detection of SI is crucial for couple and family therapists. To address concerns about stigma and false negatives in screening for SI, a 19-item subtle screening of suicidal ideation (SSSI) was developed from a pool of 32 “proxy” items tapping psychological pain, emotional intelligence, and negative alterations in mood and cognitions. A demographics form, a measure of suicidal ideation, measures of anxiety, depression, and traumatic stress, and versions of the Beck Hopelessness Scale and the Interpersonal Needs Questionnaire were also used for data collection. Principal components analysis and reliability, correlation, and multiple regression procedures on data from a non-random, diverse sample of adults (N = 306) provided evidence of excellent reliability (α = .93) and convergent and discriminant validity for the SSSI. The three-dimensional SSSI accounted for 54.9% of the variance in a direct measure of suicidal thoughts, and a Receiver Operator Characteristic curve identified a cut-off score of 35 with a sensitivity of .937 and specificity of .81, indicating the instrument successfully identifies those with and without suicidal thoughts. Clinical implications and future research are discussed.

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来源期刊
CONTEMPORARY FAMILY THERAPY
CONTEMPORARY FAMILY THERAPY PSYCHOLOGY, CLINICAL-
CiteScore
2.50
自引率
7.70%
发文量
34
期刊介绍: Contemporary Family Therapy: An International Journal (COFT) is is a quarterly, peer-reviewed publication that presents the latest developments in research, practice, theory, and training in couple and family therapy. COFT publishes applied and basic research with implications for systemic theory, treatment, and policy. COFT appreciates a multidisciplinary approach, and welcomes manuscripts which address processes and outcomes in systemic treatment across modalities and within broader social contexts. The journal’s content is relevant to systemic therapy practitioners and researchers, as well as marriage and family therapists, family psychologists, clinical social workers, and social policy specialists.
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