Centre for Mental Health Research, Research School of Population Health, The Australian National University, Canberra, ACT, Australia.
Black Dog Institute, University of New South Wales, Sydney, NSW, Australia.
Crisis. 2022 Sep;43(5):385-390. doi: 10.1027/0227-5910/a000798. Epub 2021 Jun 15.
Until recently, little was known about the public's knowledge of suicide or its association with help-seeking. In this article we describe the development, validation, and application of the Literacy of Suicide Scale (LOSS). A total of 658 people participated in the development of the LOSS, while 191 participated in a validation study. Item response theory was used to identify LOSS items. A systematic review of the literature was conducted to ascertain the breadth of use and application of the LOSS. Overall, 26 items were selected for the final version of the LOSS, with 12 items identified for a short form of the scale. The LOSS has been included in 25 studies across nine countries with general community, student, and clinical populations. The LOSS has demonstrated change in response to psychoeducation interventions and is associated with suicide stigma and help-seeking in select studies. Further validation of the LOSS in clinical populations is needed. The LOSS is a comprehensive measure of suicide literacy that may be used to identify knowledge gaps, inform awareness-raising activities, and assess the effectiveness of interventions to improve suicide literacy. The LOSS has been used in a broad range of settings, demonstrating application to diverse populations and cultural contexts.
直到最近，人们对公众对自杀的了解程度及其与寻求帮助的关系知之甚少。在本文中，我们描述了自杀素养量表（LOSS）的开发、验证和应用。共有 658 人参与了 LOSS 的开发，而 191 人参与了验证研究。项目反应理论用于确定 LOSS 的项目。我们对文献进行了系统回顾，以确定 LOSS 的广泛使用和应用。总的来说，选择了 26 个项目作为 LOSS 的最终版本，其中确定了 12 个项目作为量表的简短形式。LOSS 已被纳入来自九个国家的 25 项研究中，涵盖了一般社区、学生和临床人群。LOSS 已证明在对心理教育干预的反应中发生了变化，并与某些研究中的自杀耻辱感和寻求帮助有关。还需要在临床人群中进一步验证 LOSS。LOSS 是自杀素养的综合衡量标准，可用于识别知识差距，开展提高认识活动，并评估提高自杀素养干预措施的有效性。LOSS 已在广泛的环境中使用，证明适用于不同的人群和文化背景。
