Suicide Cognitions Scale: Psychometric Support in a Community Sample Using Bifactor Modeling and Altered Item Content

Moscardini, Emma H.; Pardue-Bourgeois, Sarah; Oakey-Frost, Nicolas; Powers, Jeffrey; Bryan, Craig J.; Tucker, Raymond P.

doi:10.1177/10731911211050894

Cited by 9 publications

(17 citation statements)

References 58 publications

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“…Of note, the authors do not propose that these constructs (i.e., hopelessness, defeat, entrapment) be used to create a novel amalgamated scale at this stage; rather, like those of the SCS-R, the results suggest the existence of a “suicidal belief system” which “reflects a distorted and maladaptive thinking style” where no unique set of suicidogenic cognitions is more or less important in potentiating suicidal behavior [ 53 ] (p. 10). Thus, the authors are cautious to label the observed unidimensional general factor considering recent theoretical discussion [ 3 ], but the observed results may indeed support the optimally parsimonious operationalization of the suicidal belief system [ 1 , 50 , 52 ].…”

Section: Discussionmentioning

confidence: 99%

Defeat, Entrapment, and Hopelessness: Clarifying Interrelationships between Suicidogenic Constructs

Oakey-Frost

Moscardini

Russell

et al. 2022

IJERPH

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Psychological theories of suicide posit conceptually similar constructs related to the development of suicidal thinking. These constructs often evince high-magnitude interrelationships across studies. Within these theories, defeat, entrapment and hopelessness standout as conceptually and quantitatively similar. Theoretical improvements may be facilitated through clarifying the subscale and item-level similarities among these constructs. Factor analytic and phenomenological work has demonstrated equivocal evidence for a distinction between defeat and entrapment; hopelessness is not typically analyzed together with defeat and entrapment despite evidence of large-magnitude interrelationships. This study explored the interrelationships among the foregoing constructs within a sample of undergraduate students (N = 344) from two universities within the Southeastern United States. Participants, oversampled for lifetime history of suicidal ideation and attempts, completed an online cross-sectional survey assessing defeat, entrapment, hopelessness and SI. Exploratory factor and parallel analyses demonstrated support for a one factor solution when analyzed at subscale level of the three measures as well as when all items of the three measures were analyzed together. Ad hoc exploratory structural equation modeling (ESEM) bifactor results evinced support for the existence of a single, general factor at the item level. Item level communalities and bifactor fit indices suggest that hopelessness may be somewhat distinct from defeat and entrapment. Clinical and theoretical implications are discussed in the context of study limitations.

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Section: Discussionmentioning

confidence: 99%

Defeat, Entrapment, and Hopelessness: Clarifying Interrelationships between Suicidogenic Constructs

Oakey-Frost

Moscardini

Russell

et al. 2022

IJERPH

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“…Individuals rate their agreement with items on a scale from 1 (strongly disagree) to 5 (strongly agree). The short form is comprised of 3 items with the best coverage of the latent variable of the SCS and are items from the Suicide Cognition Scale-Revised ( 19 – 21 ). Higher scores reflect greater severity of suicide-related beliefs.…”

Section: Methodsmentioning

confidence: 99%

After the fall: Responding to the Champlain Towers building collapse

Beidel

Rozek

Bowers

et al. 2023

Front. Public Health

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In June 2021, a condominium in Florida collapsed, with the loss of 98 lives. Search and rescue teams spent 2 weeks, recovering the victims. This study's objective was to assess the presence of psychological symptoms that might emerge in the following months, using the PTSD Checklist for DSM-5 (PCL-5), Patient Health Questionnaire−9 (PHQ-9), Generalized Anxiety Disorder – 7 (GAD-7), Suicide Cognitions Scale-Short (SCS-S), and the Insomnia Severity Index (ISI). A monthly survey conducted for 3 months found that overall, mean scores on these measures did not indicate significant emotional distress. We then compared the scores when the group was divided into responders who recovered human remains and those who did not. Scores were significantly higher among the subgroup that recovered human remains. Fifty-three percent (53%) of this sub-group met the cut-off score for a provisional diagnosis of PTSD, depressive disorder or generalized anxiety disorder−15% met the cut-off score criteria on the PCL-5 for probable PTSD, 36.8% for probable depressive disorder on the PHQ-9, and 26.3% for probable generalized anxiety disorder on the GAD-7. The results are consistent with other investigations examining mental health after mass disasters. Specifically, not all first responders will develop emotional distress but certain recovery activities may put some responders at higher risk, with a percentage displaying psychological distress. The results emphasize the need to assess the impact of these events on the mental health of first responders and to consider strategies to prevent or mitigate the development of impairing psychopathology.

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“…Psychologists can also ask about nonsuicidal thoughts related to future suicidal thoughts or behaviors as measured by the Suicide Cognitions Scale. This would include items that tap perceived burdensomeness (e.g., others would be better off if I were dead), entrapment (e.g., my pain is unbearable, and there is no foreseeable end to it), or passive ideation (e.g., I do not have plans to kill myself, but I would prefer to be dead; Moscardini et al, 2023).…”

Section: Early Risk Detectionmentioning

confidence: 99%

Laws, risk management, and ethical principles when working with suicidal patients.

Knapp

2024

Professional Psychology: Research and Practice

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Working with a suicidal patient is a high-risk enterprise for the patient who might die from suicide, the patient's family who might lose a loved one, and the psychologist who is likely to feel extreme grief or fear of legal liability after the suicide of a patient. To minimize the likelihood of such patient deaths, psychologists must ensure that they know and follow the relevant laws dealing with suicidal patients, rely on risk management strategies that anticipate and address problems in treatment early, and use overarching ethical principles to guide their clinical decisions. This article looks at the roles of laws, risk management strategies, and ethical principles; how they interact; and how a proper understanding of them can improve the quality of patient care while protecting psychologists from legal liability. Public Significance StatementThis article describes how understanding the roles and interactions of laws, risk management principles, and ethics can help psychotherapists improve the quality of their services to suicidal patients.

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Suicide Cognitions Scale: Psychometric Support in a Community Sample Using Bifactor Modeling and Altered Item Content

Cited by 9 publications

References 58 publications

Defeat, Entrapment, and Hopelessness: Clarifying Interrelationships between Suicidogenic Constructs

Defeat, Entrapment, and Hopelessness: Clarifying Interrelationships between Suicidogenic Constructs

After the fall: Responding to the Champlain Towers building collapse

Laws, risk management, and ethical principles when working with suicidal patients.

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