"在西班牙语人群中加强自杀预防的三个量表的验证：自杀意念、耻辱感和素养"。

IF 3.7 2区医学 Q1 PSYCHIATRY

Journal of psychiatric research Pub Date : 2024-10-16 DOI:10.1016/j.jpsychires.2024.10.013

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引用次数: 0

摘要

背景：西班牙和拉丁美洲不断攀升的自杀率凸显了对适合这些人群的精确评估和预防工具的迫切需要。本研究旨在对三个基本量表进行文化适应性调整和验证：自杀意念属性量表（SIDAS）、自杀耻辱感量表-简表（SOSS-SF）和自杀素养量表-简表（LOSS-SF）：共有 678 名参与者（其中 150 人有自杀倾向）完成了在线调查。这些量表经过了严格的回译，并由来自西班牙和拉丁美洲的母语人士进行了改编。SIDAS 和 SOSS-SF 采用确认性因子分析（CFA）进行验证，验证标准包括拟合指数（如 RMSEA、CFI）。LOSS-SF 通过项目反应理论（IRT）进行了验证。此外，还对所有量表进行了性别不变性评估：CFA证实了SIDAS和SOSS-SF的原始因子结构，显示出良好的拟合指数和内部一致性。对 LOSS-SF 的分析需要排除两个项目，因此最终的西班牙文版本有 10 个项目，并且是单因子结构。所有量表均具有性别不变性：本研究中经过文化改编和验证的量表在评估西班牙语人群的自杀意念、自杀耻辱感和自杀素养方面具有很强的可靠性和有效性。这些经过验证的工具有可能加强临床评估、为个性化干预措施提供信息、监测公共卫生措施、对社区进行自杀教育，以及推动自杀预防和治疗方面的研究。

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“Validation of three scales for enhanced suicide prevention in Spanish-speaking populations: Suicidal ideation, stigma, and literacy”

Background

Escalating suicide rates in Spain and Latin America underscore the critical need for accurate assessment and prevention tools tailored to these populations. This study aimed to culturally adapt and validate three essential scales: the Suicidal Ideation Attributes Scale (SIDAS), the Suicide Stigma Scale - Short Form (SOSS-SF), and the Suicide Literacy Scale - Short Form (LOSS-SF).

Method

A total of 678 participants (including 150 with suicidal ideation) completed an online survey. The scales underwent rigorous back-translation and adaptation by native speakers from Spain and Latin America. SIDAS and SOSS-SF were validated using Confirmatory Factor Analysis (CFA), with criteria including fit indices (e.g., RMSEA, CFI). LOSS-SF underwent validation through Item Response Theory (IRT). Additionally, gender invariance was assessed across all scales.

Results

CFA confirmed the original factor structures of SIDAS and SOSS-SF, demonstrating good fit indices and internal consistency. The analysis of LOSS-SF required excluding two items, resulting in a final Spanish version with 10 items and an unifactorial structure. Gender invariance was established across all scales.

Conclusions

The culturally adapted and validated scales in this study demonstrate robust reliability and validity for assessing suicidal ideation, suicide stigma, and suicide literacy among Spanish-speaking populations. These validated tools have the potential to enhance clinical assessment, inform personalized interventions, monitor public health initiatives, educate communities about suicide, and advance research in suicide prevention and treatment.

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来源期刊

Journal of psychiatric research 医学-精神病学

CiteScore

7.30

自引率

2.10%

发文量

622

审稿时长

130 days

期刊介绍： Founded in 1961 to report on the latest work in psychiatry and cognate disciplines, the Journal of Psychiatric Research is dedicated to innovative and timely studies of four important areas of research: (1) clinical studies of all disciplines relating to psychiatric illness, as well as normal human behaviour, including biochemical, physiological, genetic, environmental, social, psychological and epidemiological factors; (2) basic studies pertaining to psychiatry in such fields as neuropsychopharmacology, neuroendocrinology, electrophysiology, genetics, experimental psychology and epidemiology; (3) the growing application of clinical laboratory techniques in psychiatry, including imagery and spectroscopy of the brain, molecular biology and computer sciences;