San Paolo Bachelor School of Nursing, University of Milan, San Paolo Teaching Hospital, Milan.
Department of Health Sciences for Health, University of Milan.
Riv Psichiatr. 2019 Jan-Feb;54(1):31-36. doi: 10.1708/3104.30938.
People with mental disorders have higher risk of suicide compared to the general population. Assessment of risk factors can help nurses reducing suicidal risk. The Nurses' Global Assessment of Suicide Risk scale (NGASR) has proven valid and reliable in supporting the nursing evaluation of suicidal risk in different studies. The aim of the study was to examine the psychometric properties of the NGASR in the Italian population.
We translated the scale and administered it to a sample of 121 patients admitted to acute psychiatric wards.
The Content Validity Index-Scale (CVI-S) was 96.7%, the correlation with the Scale for Suicide Ideation (SSI) score was high (r=.98, p<.001). Inter-rater reliability (rho=.97, p<.001), and test-retest stability (p=.96) were satisfactory. Factor analysis pointed out 5 factors and the 15 items of the NGASR-ita explained 61.29% of total variance. Of the 121 subjects assessed upon admission, 25.62% had average or higher suicidal risk.
The use of valid screening tools in support of Suicide risk assessment is recommended. The NGASR-ita is a valid and reliable tool, suitable for nursing assessment of suicidal risk in the acute psychiatric setting.
与普通人群相比，精神障碍患者的自杀风险更高。评估风险因素可以帮助护士降低自杀风险。护士全球评估自杀风险量表（NGASR）已在不同研究中证明了其在支持护理评估自杀风险方面的有效性和可靠性。本研究旨在检验 NGASR 在意大利人群中的心理测量特性。
我们对 121 名入住急性精神科病房的患者进行了量表翻译和评估。
内容效度指数-量表（CVI-S）为 96.7%，与自杀意念量表（SSI）评分高度相关（r=.98，p<.001）。评分者间信度（rho=.97，p<.001）和重测信度（p=.96）均令人满意。因子分析指出，NGASR-ita 的 5 个因子和 15 个项目解释了总方差的 61.29%。在入院时评估的 121 名患者中，25.62%的患者具有中等到更高的自杀风险。
建议使用有效的筛查工具来支持自杀风险评估。NGASR-ita 是一种有效的、可靠的工具，适用于急性精神科环境中对自杀风险的护理评估。
