Construct validity of a proposed new diagnostic entity: Acute Suicidal Affective Disturbance (ASAD)
Construct validity of a proposed new diagnostic entity: Acute Suicidal Affective Disturbance (ASAD)
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DOI：
10.1016/j.jad.2015.07.049
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发表时间：
2016-01-01
影响因子：
6.6
通讯作者：
Joiner, Thomas E., Jr.
中科院分区：
文献类型：
--
作者：
Tucker, Raymond P.;Michaels, Matt S.;Joiner, Thomas E., Jr.
工作背景：目前的研究提出了初步支持的结构效度的急性自杀情感障碍（ASAD），一个临床实体组成的急性自杀风险和几个相关features.Methods：参与者（N=195）是大学生谁被招募的历史自杀企图（S），历史的自杀意念，或没有历史的自杀企图或自杀意念。参与者完成了研究措施online.Results：因素分析结果表明，一个单一的因素解决方案的ASAD症状的终身措施。该措施表现出较强的收敛和发散效度与自杀相关的结果和增量预测效度的共同相关性，因为ASAD症状的终生发生预测了过去自杀企图的数量，超出了许多自杀风险因素。终生ASAD症状在多次自杀企图者、单次自杀企图者和无自杀企图史者之间存在差异，在有自杀意念和自杀企图史者和有自杀意念但无自杀企图史者之间也存在差异。局限性：横断面研究设计限制了ASAD症状和自杀行为之间因果关系的推断能力。只有过去的ASAD症状（不是目前的症状）measured.Conclusions：ASAD似乎是一个统一的临床实体，急性自杀风险的特点，这可能有助于临床医生在确定客户端的潜在自杀死亡。(C)2015 Elsevier B.V.版权所有。
Background: The current study presents initial support for the construct validity of Acute Suicidal Affective Disturbance (ASAD), a clinical entity consisting of acute suicide risk and several related features.Methods: Participants (N=195) were university students who were recruited for a history of suicide attempt(s), history of suicidal ideation, or no history of suicide attempts or suicidal ideation. Participants completed study measures online.Results: Factor analytic results indicated a one factor solution for a lifetime measure of ASAD symptoms. The measure demonstrated strong convergent and divergent validity with common correlates of suiciderelated outcomes and incremental predictive validity, as lifetime occurrence of ASAD symptoms predicted number of past suicide attempts above and beyond a host of suicide risk factors. Lifetime ASAD symptoms differed between those with multiple suicide attempts, those with a single attempt, and participants without a history of attempts, as well as between participants with a history of both suicidal ideation and attempts and those with a history of suicidal ideation but not suicide attempts.Limitations: The cross-sectional research design limits the ability to infer causation between ASAD symptoms and suicidal behavior. Only past ASAD symptoms (not current symptoms) were measured.Conclusions: ASAD appears to be a unified clinical entity that characterizes acute suicide risk which may assist clinicians in determining a client's potential for death by suicide. (C) 2015 Elsevier B.V. All rights reserved.