Abstract

Aim

Prior studies suggest that individuals may respond inconsistently to different assessments of suicide attempt (SA) history; yet, little is known regarding why inconsistent reporting of SA history may occur. The overarching goal of this study was to examine individuals’ self-reported reasons for inconsistently responding to different self-report measures designed to assess SA history.

Methods

Young adults who reported a lifetime history of suicidal ideation (N = 141) completed three different self-report measures of SA history: the (1) Beck Scale for Suicide Ideation (BSS), (2) Suicidal Behaviors Questionnaire-Revised (SBQ-R), and (3) Self-Injurious Thoughts and Behaviors Interview-Short Form (SITBI-SF). All measures were administered in a randomized order to control for potential order effects. Descriptive statistics were used to test study aims.

Results

Of the sample, 75% of participants denied an SA history across all three measures, 16% reported an SA history across all measures (“consistent responders”), and 9% responded inconsistently to SA history measures (“inconsistent responders”). Of the 9% (n = 12) of participants who inconsistently responded to SA history measures, the most commonly reported reasons for inconsistent reporting were that the definition of the term “attempt” was not made clear and that the participant did not read the SA history probes carefully.

Conclusion

Findings from this study underscore a need for increased efforts to improve SA history assessments.

• HIGHLIGHTS

• Some individuals may provide inconsistent responses across different suicide attempt measures.

• Confusion about the definition of a “suicide attempt” may lead to inconsistent responding.

• Further research is needed to improve our assessment of suicide attempt history.

中文翻译：

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检查影响自杀未遂史的差异报告的因素在本科生的自杀风险升高

摘要

目标

先前的研究表明，个体可能对自杀未遂 (SA) 历史的不同评估做出不一致的反应；然而，关于为什么会出现不一致的 SA 历史报告，我们知之甚少。本研究的首要目标是检查个人自我报告的原因，这些原因对旨在评估 SA 历史的不同自我报告措施做出不一致的反应。

方法

报告终生有自杀意念史的年轻人 ( N  = 141) 完成了三种不同的 SA 历史自我报告测量：(1) 贝克自杀意念量表 (BSS)，(2) 修订的自杀行为问卷 (SBQ- R) 和 (3) 自伤思想和行为访谈 - 简短形式 (SITBI-SF)。所有测量均按随机顺序进行，以控制潜在的顺序效应。描述性统计用于测试研究目标。

结果

在样本中，75% 的参与者在所有三个测量中都否认了 SA 历史，16% 的参与者报告了所有测量中的 SA 历史（“一致的响应者”），9% 的参与者对 SA 历史测量的响应不一致（“不一致的响应者”）。在 9% ( n  = 12) 的参与者中，对 SA 历史测量的反应不一致，报告不一致的最常见原因是“尝试”一词的定义不明确，并且参与者没有阅读 SA历史仔细探讨。

结论

本研究的结果强调需要加大力度改进 SA 历史评估。

• 强调

• 有些人可能会在不同的自杀未遂措施中提供不一致的反应。

• 对“自杀未遂”定义的混淆可能会导致反应不一致。

• 需要进一步的研究来改进我们对自杀未遂史的评估。