Assessment of suicidal thoughts and behaviors in adults: A systematic review of measure psychometric properties and implications for clinical and research utility

IF 13.7 1区心理学 Q1 PSYCHOLOGY, CLINICAL Clinical Psychology Review Pub Date : 2024-08-01 DOI:10.1016/j.cpr.2024.102464

Olivia H. Pollak , Ana E. Sheehan , Rachel F.L. Walsh , Auburn R. Stephenson , Holly Zell , Jenna Mayes , Hannah R. Lawrence , Alexandra H. Bettis , Richard T. Liu

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Abstract

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.

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成人自杀想法和行为评估：对测量心理测量学特性及其对临床和研究用途的影响的系统回顾

有关自杀想法和行为（STBs）的高质量临床护理和研究取决于是否有可靠有效的 STBs 测量方法并能实施这些测量方法。与针对 STB 危险因素、筛查工具或治疗方法的研究相比，很少有研究对 STB 测量方法本身的内容、特点和心理测量特性进行严格的检查。本系统性综述（1）确定了符合经验支持的 STB 定义的 STB 测量方法，（2）确定了报道这些测量方法在成人中心理测量特性的同行评审论文。提取了有关心理测量特性和其他测量特征的数据。第一阶段共确定了 21 项符合条件的测量方法。在第二阶段，有 70 篇文章（包含 79 个独立样本）收录了 19 个测量指标在成人样本中的心理测量数据。尽管许多测量指标都具有较强的内部一致性和内容效度，但表面效度和临床效用方面的问题却普遍存在。很少有测量能全面评估自杀行为，而基于访谈的评估往往显示出最强的心理测量特性和临床实用性。本文结合改进现有测量方法的建议对研究结果进行了讨论，包括未来的研究，以提高在临床环境、实施方法和不同人群中的实用性和可转化性。

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来源期刊

Clinical Psychology Review PSYCHOLOGY, CLINICAL-

CiteScore

23.10

自引率

1.60%

发文量

期刊介绍： Clinical Psychology Review serves as a platform for substantial reviews addressing pertinent topics in clinical psychology. Encompassing a spectrum of issues, from psychopathology to behavior therapy, cognition to cognitive therapies, behavioral medicine to community mental health, assessment, and child development, the journal seeks cutting-edge papers that significantly contribute to advancing the science and/or practice of clinical psychology. While maintaining a primary focus on topics directly related to clinical psychology, the journal occasionally features reviews on psychophysiology, learning therapy, experimental psychopathology, and social psychology, provided they demonstrate a clear connection to research or practice in clinical psychology. Integrative literature reviews and summaries of innovative ongoing clinical research programs find a place within its pages. However, reports on individual research studies and theoretical treatises or clinical guides lacking an empirical base are deemed inappropriate for publication.