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Validation of the Columbia Suicide Severity Rating Scale in Depression Patients

Abstract

The purpose of this study was to verify the validity of the C-SSRS in depression patients. A total of 100 depression patients participated. C-SSRS, Beck’s Depression Inventory, Scale for suicide ideation was used to measure the depression and suicide risk of depression patient. The result was that internal consistency coefficient was good ranging from 0.62 to 0.88. In order to verify construct validity of the C-SSRS, exploratory factor analysis was conducted, and as a result, a factor structure with two sub-factors was identified in the suicidal ideation severity scale. Correlation analysis between the C-SSRS and other scales was conducted in order to look at convergent validity and discriminant validity of the C-SSRS. The convergent validity and discriminant validity of the C-SSRS were proved and the C-SSRS was verified to have predictive validity for suicide attempts.

keywords
suicide, C-SSRS, depression, reliability, validity, factor analysis, 자살, 한국판 C-SSRS 척도, 우울장애, 신뢰도, 타당도, 요인구조

Reference

1.

성태제 (2007). SPSS/AMOS 를 이용한 알기 쉬운 통계분석. 서울: 학지사.

2.

신민섭, 박광배. 오경자. 김중술 (1990). 고등학생의 자살 성향에 관한 연구: 우울-절망-자살간의 구조직 관계에 대한 분석. 한국심리학회지: 임상, 9(1), 1-19.

3.

이영호, 송종용 (1991). BDI, SDS, MMPI-D 척도의 신뢰도 및 타당도에 대한 연구. 한국심리학회지 임상, 10(1), 98-113.

4.

이중서, 배승오, 안용민, 박두병, 노경선, 신현균, 김용식 (2005). 한국판 Hamilton 우울증 평가 척도의 신뢰도, 타당도 연구. J. Korean Neuropsychiatr Assoc, 44(4), 456-465.

5.

이창수 (2011). 컬럼비아 대학 자살 심각성 평가 척도의 한국에서의 신뢰도 및 타당도에 대한 연구. 석사학위청구논문, 인제대학교

6.

이혜선, & 권정혜 (2009). 한국판 자살생각척도 (K-BSI)의 타당화 연구. 한국심리학회지: 임상, 28(4), 1155-1172.

7.

American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders, 4th edn Washington. DC: American Psychiatric Association.

8.

Beck, A. T., Beck, R., & Kovacs, M. (1975). Classification of suicidal behaviors: I. Quantifying intent and medical lethality. The American journal of psychiatry.

9.

Beck, A. T., Brown, G. K., Steer, R. A., Dahlsgaard, K. K., & Grisham, J. R. (1999). Suicide ideation at its worst point: a predictor of eventual suicide in psychiatric outpatients. Suicide and Life-Threatening Behavior, 29(1), 1-9.

10.

Beck, A. T., Kovacs, M., & Weissman, A. (1979). Assessment of suicidal intention: the Scale for Suicide Ideation. Journal of consulting and clinical psychology, 47(2), 343.

11.

Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression. Archives of general psychiatry, 4(6), 561.

12.

Blasco-Fontecilla, H., Delgado-Gomez, D., Ruiz- Hernandez, D., Aguado, D., Baca-Garcia, E., & Lopez-Castroman, J. (2012). Combining scales to assess suicide risk. Journal of psychiatric research, 46(10), 1272-1277.

13.

Bongiovi-Garcia, M. E., Merville, J., Almeida, M. G., Burke, A., Ellis, S., Stanley, B. H., & Oquendo, M. A. (2009). Comparison of clinical and research assessments of diagnosis, suicide attempt history and suicidal ideation in major depression. Journal of affective disorders, 115(1), 183-188.

14.

Bradvik, L., Mattisson, C., Bogren, M., & Nettelbladt, P. (2008). Long-term suicide risk of depression in the Lundby cohort 1947-1997-severity and gender. Acta Psychiatrica Scandinavica, 117(3), 185-191.

15.

Brown, G. K., Beck, A. T., Steer, R. A., & Grisham, J. R. (2000). Risk factors for suicide in psychiatric outpatients: a 20-year prospective study. Journal of consulting and clinical psychology, 68(3), 371.

16.

Brown, G. K., Steer, R. A., Henriques, G. R., & Beck, A. T. (2005). The internal struggle between the wish to die and the wish to live: a risk factor for suicide. American journal of psychiatry, 162(10), 1977-1979.

17.

Callahan, C. M., Hendrie, H. C., Nienaber, N. A., & Tierney, W. M. (1996). Suicidal ideation among older primary care patients. Journal of the American Geriatrics Society.

18.

Conwell Y, Duberstein PR, Cox C, Herrmann JH, Forbes NT, & Caine ED. (1996) Relationships of age and axis I diagnosis in victims of completed suicide: a psychological autopsy study. Am J Psychiatry, 153(8), 1001-1008

19.

Crosby, A. E., Ortega, L., & Melanson, C. (2011). Self-directed violence surveillance: Uniform definitions and recommended data elements: Centers for Disease Control and Prevention, National Center for Injury Prevention and Control, Division of Violence Prevention.

20.

Fenton, W. S., McGlashan, T. H., Victor, B. J., & Blyler, C. R. (1997). Symptoms, subtype, and suicidality in patients with schizophrenia spectrum disorders. American journal of psychiatry, 154(2), 199-204.

21.

Fergusson, D. M., Beautrais, A. L., & Horwood, L. J. (2003). Vulnerability and resiliency to suicidal behaviours in young people. Psychological medicine, 33(1), 61-73.

22.

Hamilton, M. (1967). Development of a rating scale for primary depressive illness. British journal of social and clinical psychology, 6(4), 278-296.

23.

Harris, E. C., & Barraclough, B. (1997). Suicide as an outcome for mental disorders. A meta-analysis. The British Journal of Psychiatry, 170(3), 205-228.

24.

Hawton, K. (1987). Assessment of suicide risk. The British Journal of Psychiatry.

25.

Henriksson, M. M., Aro, H. M., Marttunen, M. J., Heikkinen, M. E., Isometsa, E., Kuoppasalmi, K., & Lonnqvist, J. (1993). Mental disorders and comorbidity in suicide. American journal of psychiatry, 150, 935-935.

26.

Isomets, E. T., & Henriksson, M. (1994). Suicide in bipolar disorder in Finland. Am J Psychiatry, 151(7).

27.

Joiner Jr, T. E., & Rudd, M. D. (2000). Intensity and duration of suicidal crisis vary as a function of previous suicide attempts and negative life events. Journal of Consulting and Clinical Psychology, 68(5), 909.

28.

Joiner Jr, T. E., Rudd, M. D., Rouleau, M. R., & Wagner, K. D. (2000). Parameters of suicidal crises vary as a function of previous suicide attempts in youth inpatients. Journal of the American Academy of Child & Adolescent Psychiatry, 39(7), 876-880.

29.

Joiner Jr, T. E., Steer, R. A., Brown, G., Beck, A. T., Pettit, J. W., & Rudd, M. D. (2003). Worst-point suicidal plans: a dimension of suicidality predictive of past suicide attempts and eventual death by suicide. Behaviour Research and Therapy, 41(12), 1469-1480.

30.

Kessler, R. C., Borges, G., & Walters, E. E. (1999). Prevalence of and risk factors for lifetime suicide attempts in the National Comorbidity Survey. Archives of general psychiatry, 56(7), 617.

31.

Kuo, W. -H., Gallo, J. J., & Tien, A. (2001). Incidence of suicide ideation and attempts in adults: the 13-year follow-up of a community sample in Baltimore, Maryland. Psychological medicine, 31(07), 1181-1191.

32.

Klonsky, E. D., & May, A. (2010). Rethinking impulsivity in suicide. Suicide and Life- Threatening Behavior, 40(6), 612-619.

33.

Lewinsohn, P. M., Rohde, P., & Seeley, J. R. (1996). Adolescent suicidal ideation and attempts: Prevalence, risk factors, and clinical implications. Clinical Psychology: Science and Practice, 3(1), 25-46.

34.

Mann, J. J., Waternaux, C., Haas, G. L., & Malone, K. M. (1999). Toward a clinical model of suicidal behavior in psychiatric patients. American journal of psychiatry, 156(2), 181-189.

35.

Marzuk, P., Tardiff, K., Leon, A., Portera, L., & Weiner, C. (1997). The prevalence of aborted suicide attempts among psychiatric in-patients. Acta Psychiatrica Scandinavica, 96(6), 492-496.

36.

Montgomery, S. A., & Asberg, M. (1979). A new depression scale designed to be sensitive to change. The British journal of psychiatry, 134(4), 382-389.

37.

Mundt, J. C., Greist, J. H., Gelenberg, A. J., Katzelnick, D. J., Jefferson, J. W., & Modell, J. G. (2010). Feasibility and validation of a computer-automated Columbia-Suicide severity rating scale using interactive voice response technology. Journal of psychiatric research, 44(16), 1224-1228.

38.

Nock, M. K., & Kessler, R. C. (2006). Prevalence of and risk factors for suicide attempts versus suicide gestures: analysis of the National Comorbidity Survey. Journal of Abnormal Psychology, 115(3), 616.

39.

Nordstrom, P., Samuelsson, M., & Asberg, M. (1995). Survival analysis of suicide risk after attempted suicide. Acta Psychiatrica Scandinavica, 91(5), 336-340.

40.

Osby, U., Brandt, L., Correia, N., Ekbom, A., & Sparen, P. (2001). Excess mortality in bipolar and unipolar disorder in Sweden. Archives of general psychiatry, 58(9), 844.

41.

Osman, A., Bagge, C. L., Gutierrez, P. M., Konick, L. C., Kopper, B. A., & Barrios, F. X. (2001). The Suicidal Behaviors Questionnaire-Revised (SBQ-R): validation with clinical and nonclinical samples. Assessment, 8(4), 443-454.

42.

Pettit, J. W., Garza, M. J., Grover, K. E., Schatte, D. J., Morgan, S. T., Harper, A., & Saunders, A. E. (2009). Factor structure and psychometric properties of the Modified Scale for Suicidal Ideation among suicidal youth. Depression and anxiety, 26(8), 769-774.

43.

Posner, K., Brown, G. K., Stanley, B., Brent, D. A., Yershova, K. V., Oquendo, M. A., Shen, S., & Mann, J. J. (2011). The Columbia Suicide Severity Rating Scale: initial validity and internal consistency findings from three multisite studies with adolescents and adults. American journal of psychiatry, 168(12), 1266- 1277.

44.

Reynolds, W. (1991). ASIQ, Adult Suicidal Ideation Questionnaire: Professional Manual: Psychological Assessment Resources, Incorporated.

45.

Runeson, B., Tidemalm, D., Dahlin, M., Lichtenstein, P., & Langstrom, N. (2010). Method of attempted suicide as predictor of subsequent successful suicide: national long term cohort study. BMJ: British Medical Journal, 341.

46.

Shaffer, D. (1988). The epidemiology of teen suicide: an examination of risk factors. Journal of Clinical Psychiatry.

47.

Sheehan, D. V., Lecrubier, Y., Sheehan, K. H., Amorim, P., Janavs, J., Weiller, E., & Dunbar, G. C. (1998). The Mini-International Neuropsychiatric Interview (MINI): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. Journal of clinical psychiatry, 59, 22-33.

48.

Solomon, R. L. (1980). The opponent-process theory of acquired motivation: the costs of pleasure and the benefits of pain. American Psychologist, 35(8), 691.

49.

Steer, R. A., Beck, A. T., Garrison, B., & Lester, D. (1988). Eventual Suicide in Interrupted and Uninterrupted Attempters: A Challenge to the Cry-for-Help Hypothesis. Suicide and Life-Threatening Behavior, 18(2), 119-128.

50.

Witte, T. K., Merrill, K. A., Stellrecht, N. E., Bernert, R. A., Hollar, D. L., Schatschneider, C., & Joiner Jr, T. E. (2008). “Impulsive” youth suicide attempters are not necessarily all that impulsive. Journal of affective disorders, 107(1), 107-116.

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