Validating the Suicide Status Form for the Collaborative Assessment and Management of Suicidality in a Psychiatric Adolescent Sample
Validating the Suicide Status Form for the Collaborative Assessment and Management of Suicidality in a Psychiatric Adolescent Sample
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DOI：
10.1111/sltb.12587
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发表时间：
2019-09-18
影响因子：
3.2
通讯作者：
Jobes, David A.
中科院分区：
文献类型：
--
作者：
Brausch, Amy M.;O'Connor, Stephen S.;Jobes, David A.
背景 对于成年人来说，自杀的协作评估和管理（CAMS；Jobes，（2006，管理自杀风险：协作方法，纽约，吉尔福德）和 Jobes，（2016，管理自杀风险：协作方法，纽约，吉尔福德））是一个治疗框架，具有重复的基于证据的有效性支持。目前的研究是在青少年精神病学样本中对自杀状态表 (SSF-IV) 进行心理测量验证，自杀状态表是 CAMS 的主要评估和治疗计划工具。方法 从住院机构的 100 名 12-17 岁青少年中收集数据（平均年龄 = 14.6 岁；67.5% 为女性，80% 为白人）。青少年接受了 SSF-IV 的 A 部分，以及总体自杀风险（显性和隐性）、精神痛苦、压力、焦虑、生活原因和自尊的测量。结果验证性因素分析发现了一个最适合数据的双因素模型，其中一个因素是心理痛苦、压力和焦虑，另一个因素是绝望和自我憎恨。除压力外，所有核心 SSF 结构均与同时测量的指标显着相关，并且 SSF 总体自杀风险与自我报告和隐含自杀倾向显着相关。与没有自杀企图历史的青少年相比，有自杀企图历史的青少年在大多数核心 SSF 项目上的得分显着更高。结论 这些结果为青少年使用 SSF 提供了初步的心理测量验证，并表明它不需要针对该年龄组进行调整或修改。
Background For adults, the Collaborative Assessment and Management of Suicidality (CAMS; Jobes, (2006, Managing suicidal risk: A collaborative approach, New York, Guilford) and Jobes, (2016, Managing suicidal risk: A collaborative approach, New York, Guilford)) is a treatment framework with replicated evidenced-based support for effectiveness. The current study is a psychometric validation of the Suicide Status Form (SSF-IV), the main assessment and treatment planning tool for CAMS, in an adolescent psychiatric sample. Methods Data were collected from 100 adolescents, aged 12-17, in inpatient settings (mean age = 14.6; 67.5% female, 80% white). Adolescents were administered Part A of the SSF-IV, as well as measures of overall suicide risk (both explicit and implicit), mental pain, Stress, Agitation, reasons for living, and self-esteem. Results Confirmatory factor analysis found a two-factor model to fit the data best, with Psychological Pain, Stress, and Agitation loading on one factor, and Hopelessness and Self-Hate on another. All of the core SSF constructs except Stress were significantly correlated with concurrent measures, and SSF overall suicide risk was significantly correlated with self-reported and implicit suicidality. Adolescents with suicide attempt history reported significantly higher scores on most core SSF items compared to no attempt history. Conclusions These results provide initial psychometric validation of the SSF for use with adolescents and indicate that it does not need to be adapted or modified for this age group.