Development of a Scale to Assess Suicide Thoughts and Behaviors among Preteens

项目摘要 这2个研究中心（佛罗里达国际大学、耶鲁大学）提出了行政补充， Pettit/Silverman R 01 MH 119299 -01，针对社交威胁的注意力定向，以减少社交焦虑， 青年，旨在完善和评估发展和文化敏感的儿童和父母评级量表， 自杀想法和行为（STB）在9至12岁的青春期前。如NOT-MH-22-085中所强调的， 迫切需要重新考虑和调整用于评估青少年和成人STB的措施和方法 为处于危险中的青春期前的孩子们。为了满足这一需求，我们设计了一个儿童自我评价量表的初始版本 儿童自杀风险和意念量表（S-RISK），基于最突出的经验， 支持自杀的想法到行动理论从构想到行动的一个基石是 自杀意念和自杀行为之间的关系不断积累的数据支持这一基石理论区分 在成人和青少年中，强调需要区分自杀意念和自杀行为， 筛选和风险评估方法。在本补编中，我们建议开发一个家长级版本， 的S-RISK和收集急需的数据的S-RISK儿童和家长版本在青春期前和他们的 父母这些青春期前的孩子年龄在9到12岁之间，他们被诊断为焦虑症， 少数民族背景（49%西班牙裔，15%多种族，10%黑人）。在试验阶段，我们将使用混合 方法包括认知反应访谈，以获得关于S-RISK儿童和父母的数据， N = 10个青春期前儿童及其父母，确保青春期前儿童及其父母能够使用清晰简单的语言 来自不同的背景。在测试阶段，我们将把改进后的S-RISK子风险和父风险管理到 独立样本N = 100青春期前和他们的父母。我们将检查量表的项目属性， 可靠性和并行有效性，通过利用我们已经管理的STB的三个评估。我们也将 使用父母补助金中收集的措施来检查孩子和父母的特征如何与分数相关， S-RISK儿童和父母，包括社会人口特征、儿童负担和 精神疾病家族史，以及父母的抑郁和焦虑经历。总体而言，数据 从这个补充将导致一个规模评估青春期前STB和定位我们追求未来的理论- 驱动量表开发R 01，包括因子效度、预测效度和 在青少年前的亚群中的心理测量特性。此外，本补编将促进对 STB在青少年前社交焦虑和相关障碍，并使发展和文化敏感 自杀的想法-行动理论的测试。

Project Summary This 2-site (Florida International University, Yale University) proposed Administrative Supplement to Pettit/Silverman R01MH119299-01, Targeting Attention Orienting to Social Threat to Reduce Social Anxiety in Youth, aims to refine and evaluate developmentally and culturally sensitive child and parent rating scales of suicide thoughts and behaviors (STB) among preteens ages 9 to 12 years. As highlighted in NOT-MH-22-085, there is critical need reconsider and adapt measures and methods used to assess STB in adolescents and adults for preteens at risk. Toward addressing this need, we had designed an initial version of a child self-rating scale of STB, the Suicide Risk and Ideation Scale for Kids (S-RISK), grounded in the most prominent empirically supported ideation-to-action theories of suicide. A cornerstone of ideation-to-action is the distinction made between suicide ideation versus suicide action. Accumulating data support this cornerstone theoretical distinction in adults and adolescents, highlighting the need to distinguish between suicide ideation and suicide action in screening and risk assessment approaches. In this Supplement, we propose to develop a parent-rated version of the S-RISK and collect critically needed data on the S-RISK Child and Parent versions in preteens and their parents. These preteens are ages 9 to 12, meet for a diagnosis of an anxiety disorder, and are largely from minoritized backgrounds (49% Hispanic, 15% Multiracial, 10% Black). In a pilot phase, we will use a mixed methods approach including cognitive response interviewing to obtain data on the S-RISK Child and Parent in N = 10 preteens and their parents, ensuring clear and simple language that is accessible to preteens and parents from diverse backgrounds. In a test phase, we will administer the refined S-RISK Child and Parent to an independent sample of N = 100 preteens and their parents. We will examine the scale's item properties, reliability, and concurrent validity by leveraging three assessments of STB we already administer. We also will use measures collected in the Parent Grant to examine how child and parent characteristics relate to scores on the S-RISK Child and Parent, including sociodemographic characteristics, child burdensomeness and belongingness, family history of mental illness, and parent experiences of depression and anxiety. Overall, data from this Supplement will result in a scale assessing preteen STB and position us to pursue a future theory- driven scale development R01 including evaluation of factorial validity, predictive validity, and generalization of psychometric properties across subgroups of preteens. Further, this Supplement will advance understanding of STB in preteens with social anxiety and related disorders and enable developmentally and culturally sensitive testing of ideation-to-action theories of suicide.