Heath Patrick J, Vogel David L, Vidales Carlos, Abraham W Todd
Department of Psychological Science, Gustavus Adolphus College, Saint Peter, Minnesota, USA.
Department of Psychology, Iowa State University, Ames, Iowa, USA.
Mil Psychol. 2021 Oct 8;34(3):280-287. doi: 10.1080/08995605.2021.1962186. eCollection 2022.
Military suicide rates are near all-time highs. To help clinicians and researchers study suicide risk factors in military samples, the Military Suicide Research Consortium (MSRC) developed a set of brief suicide-risk screening measures. While previous research has examined the reliability of these screening measures, it remains unclear if measurement differences exist across different military branches. This is an important omission given that establishing measurement equivalence or invariance (ME/I) across groups is a prerequisite for making group comparisons, which are necessary for accurately identifying and effectively intervening with groups at heightened risk. This study examined the ME/I of four MSRC screening measures (e.g., Depressive Symptom Index - Suicidality Subscale; Interpersonal Needs Questionnaire; Suicidal Behaviors Questionnaire - Revised; Suicide Intent Scale) using a sample of 4,487 participants across military branches (Army; National Guard; Navy; Marine; Air Force) using a series of multiple-group confirmatory factor analyses (MGCFA). We assessed configural, threshold, and loading invariance, with results indicating that the brief screening measures are fully invariant between individuals from different military branches and that these suicide screeners can be used to examine differences across branches in future research. Research and applied implications are discussed.
军事自杀率接近历史最高水平。为了帮助临床医生和研究人员研究军事样本中的自杀风险因素,军事自杀研究联盟(MSRC)制定了一套简短的自杀风险筛查措施。虽然先前的研究已经检验了这些筛查措施的可靠性,但不同军事分支之间是否存在测量差异仍不明确。鉴于在不同群体之间建立测量等效性或不变性(ME/I)是进行群体比较的先决条件,而群体比较对于准确识别高风险群体并对其进行有效干预是必要的,所以这是一个重要的遗漏。本研究使用一系列多组验证性因素分析(MGCFA),以来自不同军事分支(陆军、国民警卫队、海军、海军陆战队、空军)的4487名参与者为样本,检验了MSRC的四项筛查措施(例如,抑郁症状指数 - 自杀亚量表、人际需求问卷、自杀行为问卷 - 修订版、自杀意图量表)的ME/I。我们评估了构型、阈值和载荷不变性,结果表明这些简短的筛查措施在不同军事分支的个体之间是完全不变的,并且这些自杀筛查工具可用于在未来研究中检验不同分支之间的差异。文中讨论了研究和应用方面的意义。