Department of Psychology and Neuroscience, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Department of Psychological and Brain Sciences, University of Delaware, Newark, DE, USA.
Clin Psychol Rev. 2024 Aug;112:102464. doi: 10.1016/j.cpr.2024.102464. Epub 2024 Jul 8.
High-quality clinical care and research on suicidal thoughts and behaviors (STBs) depends on availability and implementation of reliable and valid measures of STBs. In contrast to studies examining STB risk factors, screening instruments, or treatment, little research has rigorously examined the content, characteristics, and psychometric properties of STB measures themselves. This systematic review (1) identified STB measures that conform to empirically supported definitions of STBs, and (2) identified peer-reviewed papers reporting on the psychometric properties of these measures in adults. Data on psychometric properties and other measure characteristics were extracted. A total of 21 eligible measures were identified in the first stage. In the second stage, 70 articles (with 79 independent samples) were included with psychometric data in adult samples for 19 measures. Although there was support for strong internal consistency and content validity across many measures, face validity and clinical utility concerns were prevalent. Few measures comprehensively assessed suicidal behaviors, and interview-based assessments tended to show the strongest psychometric properties and clinical utility. Findings are discussed in the context of recommendations for improving existing measures, including future research to increase utility and translatability across clinical settings, delivery methods, and diverse populations.
高质量的临床护理和自杀意念与行为（STB）研究依赖于可靠和有效的 STB 测量工具的可用性和实施。与研究自杀意念与行为风险因素、筛查工具或治疗方法不同，很少有研究严格检查 STB 测量工具本身的内容、特征和心理计量学特性。本系统评价（1）确定了符合自杀意念与行为经验支持定义的 STB 测量工具，（2）确定了报告这些测量工具在成人中心理计量学特性的同行评审论文。提取了心理计量学特性和其他测量特征的数据。在第一阶段确定了 21 项符合条件的测量工具。在第二阶段，纳入了 70 篇文章（79 个独立样本），有 19 项测量工具在成人样本中具有心理计量学数据。尽管许多测量工具在内部一致性和内容有效性方面得到了很好的支持，但表面有效性和临床实用性的问题仍然存在。很少有测量工具全面评估自杀行为，基于访谈的评估往往表现出最强的心理计量学特性和临床实用性。研究结果在改进现有测量工具的建议背景下进行了讨论，包括未来的研究，以提高临床环境、传递方法和不同人群中的实用性和可翻译性。
