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简短自杀叙事问卷:巴西样本的因子结构、内部一致性和有效性。

Abbreviated Suicidal Narrative Inventory: factor structure, internal consistency, and validity in a Brazilian sample.

机构信息

Laboratório de Psiquiatria Translacional, Programa de Pós-Graduação em Ciências da Saúde, Universidade do Extremo Sul Catarinense, Criciúma, SC, Brazil.

Department of Psychology, Texas State University, San Marcos, TX, USA.

出版信息

Braz J Psychiatry. 2024;46:e20233270. doi: 10.47626/1516-4446-2023-3270. Epub 2024 Mar 11.

DOI:10.47626/1516-4446-2023-3270
PMID:38467495
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11474438/
Abstract

OBJECTIVE

To test the factor structure, reliability, and validity of the Brazilian version of the Abbreviated Suicidal Narrative Inventory (SNI-38).

METHODS

We used an anonymous online questionnaire of the SNI-38 and self-report measures administered between November 2020 and October 2021 in the Brazilian community. Participants were recruited through social media advertisements. Confirmatory factor analysis (CFA) was performed to test the factor structure of the SNI-38. In addition, we assessed internal consistency and convergent validity against stressful life events, suicide crisis syndrome, suicidal ideation, and suicide attempts.

RESULTS

A total of 2,660 participants were included. The eight-factor model of the SNI-38 had a good model fit (?2[637] = 7,473.98, p < 0.001, comparative fit index [CFI] = 0.99, Tucker-Lewis index [TLI] = 0.99, root mean squared error of approximation [RMSEA] = 0.07, standardized root mean residual [SRMR] = 0.06). Notably, all items were significantly and positively loaded onto their respective factors (factor loadings = 0.45). The reliability of all subscales except for goal disengagement ranged from good to high. Furthermore, all subscales except goal disengagement showed positive correlations with variables such as suicide crisis syndrome, stressful life events, lifetime/past month suicidal ideation, and lifetime suicide attempts.

CONCLUSION

These findings provide preliminary support for the validity of the Brazilian version of the SNI-38 as an appropriate, valid instrument for measuring suicidal narratives in Brazilian individuals.

摘要

目的

检验巴西版简短叙事自杀清单(SNI-38)的结构因素、信度和效度。

方法

我们于 2020 年 11 月至 2021 年 10 月在巴西社区使用 SNI-38 的匿名在线问卷和自我报告测量进行了此项研究。参与者通过社交媒体广告招募。采用验证性因子分析(CFA)检验 SNI-38 的结构因素。此外,我们评估了与生活应激事件、自杀危机综合征、自杀意念和自杀未遂的内部一致性和聚合效度。

结果

共纳入 2660 名参与者。SNI-38 的 8 因素模型具有良好的模型拟合(?2[637] = 7473.98,p < 0.001,比较拟合指数 [CFI] = 0.99,Tucker-Lewis 指数 [TLI] = 0.99,近似均方根误差 [RMSEA] = 0.07,标准化均方根残差 [SRMR] = 0.06)。值得注意的是,所有条目均显著正向加载于各自的因子(因子负荷= 0.45)。除目标脱离外,所有分量表的信度均为良好至高度。此外,除目标脱离外,所有分量表均与自杀危机综合征、生活应激事件、终生/过去 1 个月自杀意念和终生自杀未遂等变量呈正相关。

结论

这些发现初步支持了巴西版 SNI-38 的有效性,它是一种适合巴西个体测量自杀叙事的有效工具。

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Braz J Psychiatry. 2024;46:e20233270. doi: 10.47626/1516-4446-2023-3270. Epub 2024 Mar 11.
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本文引用的文献

1
Factor Structure and Validity of the Suicidal Narrative Inventory Among Indian Adults.自杀叙事量表在印度成年人中的因子结构和效度。
Crisis. 2023 Sep;44(5):371-379. doi: 10.1027/0227-5910/a000884. Epub 2022 Nov 2.
2
Differential impact on suicide mortality during the COVID-19 pandemic in Brazil.巴西在新冠大流行期间自杀死亡率的差异影响。
Braz J Psychiatry. 2022 Nov 24;44(6):628-634. doi: 10.47626/1516-4446-2022-2581.
3
Excess suicides in Brazil: Inequalities according to age groups and regions during the COVID-19 pandemic.巴西超额自杀人数:新冠大流行期间按年龄组和地区划分的不平等现象。
Int J Soc Psychiatry. 2022 Aug;68(5):997-1009. doi: 10.1177/00207640221097826. Epub 2022 May 27.
4
Suicide Attempts and Suicide in Brazil: An Epidemiological Analysis.巴西的自杀未遂与自杀:一项流行病学分析。
Florence Nightingale J Nurs. 2021 Oct;29(3):294-302. doi: 10.5152/FNJN.2021.21035.
5
The burden of suicide in Brazil: findings from the Global Burden of Disease Study 2019.巴西的自杀负担:来自 2019 年全球疾病负担研究的发现。
Rev Soc Bras Med Trop. 2022 Jan 28;55(suppl 1):e0299. doi: 10.1590/0037-8682-0299-2021. eCollection 2022.
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Suicide rates between men and women in Brazil, 2000-2017.巴西 2000-2017 年男女自杀率。
Cad Saude Publica. 2021 Dec 15;37(12):e00281020. doi: 10.1590/0102-311X00281020. eCollection 2021.
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The Narrative-Crisis Model of suicide and its prediction of near-term suicide risk.自杀的叙事-危机模型及其对近期自杀风险的预测。
Suicide Life Threat Behav. 2022 Apr;52(2):231-243. doi: 10.1111/sltb.12816. Epub 2021 Nov 11.
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The revised suicide crisis inventory (SCI-2): Validation and assessment of prospective suicidal outcomes at one month follow-up.修订后的自杀危机量表(SCI-2):1个月随访时前瞻性自杀结局的验证与评估
J Affect Disord. 2021 Dec 1;295:1280-1291. doi: 10.1016/j.jad.2021.08.048. Epub 2021 Aug 27.
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How do distal and proximal risk factors combine to predict suicidal ideation and behaviors? A prospective study of the narrative crisis model of suicide.远端和近端风险因素如何结合来预测自杀意念和行为?自杀叙述危机模型的前瞻性研究。
J Affect Disord. 2020 Dec 1;277:914-926. doi: 10.1016/j.jad.2020.08.088. Epub 2020 Sep 2.
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The suicide crisis syndrome: A network analysis.自杀危机综合征:网络分析。
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