Recent theories of suicide behavior have proposed a risk factor that differentiates suicide ideators from suicide attempters: Suicide capability. Fearlessness about death, one component of capability, has predicted the likelihood of a future attempt in adult samples. Although there is preliminary evidence about its value in youth, the fearlessness about death scale (FAD) has not yet been validated in clinical adolescents. We sought to examine the psychometric properties of this scale in adolescents at high risk for making a future suicide attempt. Youth who were evaluated for an intensive outpatient program (IOP) for suicidal adolescents (N = 496; M, SD for age = 14.78, 1.59) reported lifetime history of suicide attempts and NSSI, suicide ideation, depressive symptoms, and completed the FAD at entry and at discharge (n = 329). Confirmatory factor analysis showed structural validity of the FAD scale and its invariance across age, sex, and time. Independent t-tests indicated that FAD scores distinguished between those with and without NSSI, as well as those with single versus multiple attempts. When depression was covaried in logistic regression analyses, FAD's relationship with suicide attempt history persisted, showing the construct's divergence from depression. Our findings present psychometric validity in adolescents for a widely used scale developed for adults. This validation offers confidence that this promising risk factor can be adequately investigated in adolescents. If future studies can confirm its predictive validity, the brevity of this scale would make it a practical addition to a clinical assessment. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

中文翻译：

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青少年死亡恐惧量表的验证。

最近的自杀行为理论提出了一个将自杀意念者与自杀未遂者区分开来的风险因素：自杀能力。对死亡的无畏是能力的一个组成部分，它预测了未来在成人样本中尝试的可能性。尽管有初步证据表明其在青少年中的价值，但死亡无畏量表 (FAD) 尚未在临床青少年中得到验证。我们试图在未来自杀未遂的高风险青少年中检查该量表的心理测量特性。接受过针对自杀青少年的强化门诊计划 (IOP) 评估的青年人（N = 496；年龄的 M、SD = 14.78、1.59）报告了自杀未遂和 NSSI、自杀意念、抑郁症状的终生历史，并在入院和出院时 (n = 329)。验证性因素分析表明 FAD 量表的结构有效性及其跨年龄、性别和时间的不变性。独立的 t 检验表明，FAD 分数区分有和没有 NSSI 的人，以及单次尝试和多次尝试的人。当抑郁症在逻辑回归分析中被协变时，FAD 与自杀未遂史的关系持续存在，表明该结构与抑郁症存在差异。我们的研究结果展示了针对成人开发的广泛使用的量表在青少年中的心理测量有效性。这一验证提供了信心，即可以在青少年中充分研究这一有前途的风险因素。如果未来的研究能够证实其预测有效性，那么该量表的简洁性将使它成为临床评估的实用补充。（PsycInfo 数据库记录 (c) 2021 APA，