Department of Psychological Sciences, Western Kentucky University, Bowling Green, KY, USA.
Department of Psychiatry and Behavioral Sciences, University of Louisville School of Medicine, Louisville, KY, USA.
Suicide Life Threat Behav. 2020 Feb;50(1):263-276. doi: 10.1111/sltb.12587. Epub 2019 Sep 18.
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.
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.
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.
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.
对于成年人来说，协作评估和管理自杀风险（CAMS；Jobes，（2006 年，Managing suicidal risk: A collaborative approach，New York，Guilford）和 Jobes，（2016 年，Managing suicidal risk: A collaborative approach，New York，Guilford））是一种具有复制的循证支持有效性的治疗框架。目前的研究是对青少年精神病学样本中 CAMS 的主要评估和治疗计划工具——自杀状态表（SSF-IV）的心理测量验证。
数据来自 100 名 12-17 岁的住院青少年（平均年龄为 14.6；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）、心理痛苦、压力、激动、生存理由和自尊的测量。
验证性因素分析发现，双因素模型最适合数据，心理痛苦、压力和激动因素在一个因素上，绝望和自我仇恨在另一个因素上。除压力外，所有核心 SSF 结构都与同期测量显著相关，SSF 总体自杀风险与自我报告和隐性自杀性显著相关。有自杀企图史的青少年在大多数核心 SSF 项目上的得分明显高于无自杀企图史的青少年。
这些结果初步验证了 SSF 在青少年中的心理测量有效性，并表明它不需要为这个年龄组进行调整或修改。
