Department of Psychiatry, Columbia University College of Physicians & Surgeons and New York State Psychiatric Institute, New York, NY, USA.
Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Psychiatry Res. 2017 Dec;258:189-193. doi: 10.1016/j.psychres.2017.08.008. Epub 2017 Aug 12.
Enhancing the ability to cope with suicidal thoughts, urges, and crises is a key component of therapeutic work with suicidal patients. Suicide-related coping can serve as a treatment target, can provide an additional component in the evaluation of suicidal patients, and can serve as an outcome in randomized controlled trials for the prevention of suicide. However, to date, psychometrically sound measures to assess suicide-related coping are lacking. The aim of this study was to examine the psychometric properties of a new measure, the Suicide-Related Coping Scale (SRCS). Adult patients who were either admitted to a psychiatric inpatient unit (n = 97) or an Emergency Department (n = 232) for suicide-related concerns were enrolled in this study. All were administered the SRCS at baseline and at one month. Factor analyses and internal consistency analyses were conducted. Additional measures were administered to assess convergent and divergent validity. Factor analysis of the SRCS revealed two factors, internal and external coping strategies. The SRCS had high internal consistency, good convergent validity and was sensitive to change. Suicide-related coping is a promising construct as measured by the SRCS to assess suicide-related coping in both clinical practice and trials.
提高应对自杀念头、冲动和危机的能力是治疗自杀患者的关键组成部分。与自杀相关的应对方式可以作为治疗目标，可以为评估自杀患者提供额外的组成部分，并可作为预防自杀的随机对照试验的结果。然而，迄今为止，缺乏评估与自杀相关的应对措施的心理测量学上合理的措施。本研究旨在检验一种新的评估与自杀相关的应对措施的心理测量学特性，即自杀相关应对量表（SRCS）。本研究招募了因自杀相关问题而住院的成年患者，包括精神科住院部（n=97）和急诊科（n=232）。所有患者在基线和一个月时均接受了 SRCS 评估。进行了因素分析和内部一致性分析。还进行了其他措施来评估聚合和发散效度。SRCS 的因子分析显示有两个因素，内部和外部应对策略。SRCS 具有较高的内部一致性、良好的聚合效度和对变化的敏感性。SRCS 是一个有前途的自杀相关应对的测量方法，可以在临床实践和试验中评估与自杀相关的应对方式。
