Programa de Pós-Graduação em Ciências da Saúde, Laboratório de Psiquiatria Translacional, Universidade do Extremo Sul Catarinense, Criciúma, SC, Brazil.
Department of Psychology, Texas State University, San Marcos, TX, USA.
Braz J Psychiatry. 2024;46:e20233366. doi: 10.47626/1516-4446-2023-3366. Epub 2024 Feb 20.
To evaluate the factor structure, reliability, and validity of the Brazilian version of the Suicide Crisis Inventory-2 (SCI-2) among Brazilian adults.
The SCI-2 was cross-culturally adapted into Portuguese and administered to 2,265 Brazilian participants. Confirmatory factor analysis (CFA) was used to assess factor structure, internal consistency, convergent validity, and criterion validity by using measures such as suicidal narratives, stressful life events, suicidal ideation, and suicide attempts.
The revised one-factor model of the SCI-2 demonstrated an adequate, although not optimal, model fit (?2[1539] = 31,442.79, p < 0.001, comparative fit index [CFI] = 0.99, Tucker-Lewis index [TLI] = 0.99, root mean square error of approximation [RMSEA] = 0.09, standardized root mean residual [SRMR] = 0.05). The revised five-factor model, on the other hand, demonstrated good fit (?2[1529] = 14,174.86, p < 0.001, CFI = 1.00, TLI = 1.00, RMSEA = 0.06, SRMR = 0.04). Comparison of these two models indicated that the five-factor model had a better fit than the one-factor model. Both the total and subscale scores of the SCI-2 showed strong internal consistency and good convergent and criterion validity in relation to stressful life events, suicidal narratives (excluding the goal disengagement subscale), suicidal ideation, and suicide attempts.
Our findings suggest that the Brazilian version of the SCI-2 is a valid tool for assessing symptoms of suicidal crisis syndrome.
评估巴西版自杀危机量表-2(SCI-2)在巴西成年人中的因子结构、信度和效度。
SCI-2 经过跨文化翻译为葡萄牙语,并对 2265 名巴西参与者进行了测试。采用验证性因子分析(CFA)评估因子结构、内部一致性、聚合效度和效标效度,采用的方法包括自杀叙述、生活压力事件、自杀意念和自杀企图等。
SCI-2 的修订单因素模型表现出尚可的模型拟合(?2[1539] = 31.442.79,p < 0.001,比较拟合指数 [CFI] = 0.99,Tucker-Lewis 指数 [TLI] = 0.99,近似误差均方根 [RMSEA] = 0.09,标准化均方根残差 [SRMR] = 0.05)。另一方面,修订后的五因素模型表现出良好的拟合(?2[1529] = 14.174.86,p < 0.001,CFI = 1.00,TLI = 1.00,RMSEA = 0.06,SRMR = 0.04)。这两种模型的比较表明,五因素模型的拟合优于单因素模型。SCI-2 的总分和分量表得分与生活压力事件、自杀叙述(排除目标脱离分量表)、自杀意念和自杀企图均表现出较强的内部一致性和良好的聚合和效标效度。
我们的研究结果表明,巴西版 SCI-2 是评估自杀危机综合征症状的有效工具。