Psychometric validation of the Columbia-Suicide Severity rating scale in Spanish-speaking adolescents.

Introduction: Adolescent suicide is a major public health issue, and early and accurate detection is of great concern. There are many reliable instruments for this purpose, such as the Columbia-Suicide severity rating scale (C-SSRS), but no validation exists for Spanish speaking Latin American adole...

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Publicado en:Colombia Medica Vol. 48; no. 4; pp. 174 - 183
Autor principal: Serrani Azcurra, Daniel
Formato: research tables/charts Journal Article
Publicado: Universidad del Valle 2017
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Psychometric validation of the Columbia-Suicide Severity rating scale in Spanish-speaking adolescents.
      aug:
        au: Serrani Azcurra, Daniel
        affil: Neuropsychology and Development Psychology Program from the Department of Interdisciplinary Studies, Biology, Psychology and Culture Faculty of Psychology Universidad Nacional de Rosario Rosario, Argentina, Universidad Nacional de Rosario
      sug:
        subj:
          Psychometrics In Adolescence
          Instrument Validation
          Suicidal Ideation Psychosocial Factors
          Human
          Scales
          Spain
          Adolescence
          Exploratory Research
          Factor Analysis
          Adult
          Risk Assessment
          Questionnaires
          Beck Depression Inventory, Revised Edition
          ROC Curve
          Support, Psychosocial
          Students
          Pliability
          Reliability and Validity
          Predictive Value of Tests
          Adolescent: 13-18 years
          Adult: 19-44 years
      ab:
        Introduction: Adolescent suicide is a major public health issue, and early and accurate detection is of great concern. There are many reliable instruments for this purpose, such as the Columbia-Suicide severity rating scale (C-SSRS), but no validation exists for Spanish speaking Latin American adolescents. Objetive: To assess psychometric properties and cut-off scores of the C-SSRS in Spanish speaking adolescents. Methods: Exploratory assessment with principal component analysis (PCA) and Varimax rotation, and confirmatory analysis (CFA) were performed on two groups with 782 and 834 participants respectively (N=1,616). Mean age was 24.8 years. A Receiver operator analysis was applied to distinguish between control and suicide-risk subgroups adolescents. Results: Promax rotation yielded two 10-items factors, for suicide ideation and behavior respectively. C-SSRS was positively correlated with other suicide risk scales, such as Beck Depression Inventory-II, Suicidal Behaviors Questionnaire-Revised, or PHQ-9. Confirmatory factor analysis yielded a two-factor solution as the best goodness of fit model. C-SSRS showed adequate ability to detect suicide risk group with positive predictive value of 68.3%. ROC analyses showed cutoff scores of ≥6 and ≥4 for suicide ideation and behavior scales respectively Conclusion: This research offers data supporting psychometric validity and reliability of C-SSRS in nonclinical Spanish-speaking students. Added benefits are flexible scoring and management easiness. This questionnaire yields data on distinct aspects of suicidality, being more parsimonious than separate administration of a bunch of questionnaires
        Introducción: Suicidio adolescente es un problema de salud pública y su detección temprana es de gran interés. Hay numerosos instrumentos confiables para este objetivo, como la escala Columbia para la detección del riesgo de suicidio, pero no ha sido validada para población adolescente de habla hispana en Latinoamérica. Objetivo: Validar psicométricamente y explorar los puntos de corte para la escala Columbia en adolescentes de habla hispana. Métodos: Análisis exploratorio con extracción de componentes principales y rotación Varimax así como análisis confirmatorio fueron llevados a cabo sobre 782 y 834 participantes respectivamente (N=1616). La edad media fue de 24.8 años. El análisis ROC distinguió entre controles y adolescentes en riesgo de suicidio. Resultados: La rotación Promax arrojó dos factores de 10 ítems, para ideación y comportamiento suicida respectivamente. La C-SSRS correlaciono positivamente con otras escalas de detección de riesgo de suicidio como Beck Depression Inventory-II, Suicidal Behaviors Questionnaire-Revised, o el PHQ-9. El análisis factorial confirmatorio ofreció una solución de 2 factores como el modelo con mejor ajuste. El análisis ROC tuvo puntos de corte ≥ 6 y ≥ 4 para las escalas de ideación y comportamiento suicida respectivamente Conclusión: Esta investigación ofrece datos que apoyan la validez psicométrica y confiabilidad de la C-SSRS en población de estudiantes adolescentes hispano-hablantes latinoamericanos. Beneficios adicionales son un sistema de puntaje flexible y facilidad de administración. Este cuestionario ofrece datos sobre distintos aspectos de suicidalidad siendo más robusto que la administración separada de varios cuestionarios diferentes.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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