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Assessing suicidality in real time: A psychometric evaluation of self-report items for the assessment of suicidal ideation and its proximal risk factors using ecological momentary assessments.

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  • Author(s): Forkmann, Thomas, ORCID 0000-0001-9942-2016. Department of Clinical Psychology, University of Duisburg-Essen, Essen, Germany, Forkmann, Thomas, ORCID 0000-0001-9942-2016. Department of Clinical Psychology, University of Duisburg-Essen, Essen, Germany, ; Spangenberg, Lena. Department of Medical Psychology and Medical Sociology, University of Leipzig, Leipzig, Germany; Rath, Dajana. Institute of Medical Psychology and Medical Sociology, University Hospital of RWTH Aachen University, Aachen, Germany; Hallensleben, Nina. Department of Medical Psychology and Medical Sociology, University of Leipzig, Leipzig, Germany; Hegerl, Ulrich. Department of Psychiatry and Psychotherapy, University of Leipzig, Leipzig, Germany; Kersting, Anette. Clinic of Psychosomatic Medicine and Psychotherapy, University of Leipzig, Leipzig, Germany; Glaesmer, Heide. Department of Medical Psychology and Medical Sociology, University of Leipzig, Leipzig, Germany
  • Source:
    Journal of Abnormal Psychology, Vol 127(8), Nov, 2018. pp. 758-769.
  • Publisher:
    US : American Psychological Association
  • Language:
    English
  • Document Type:
    Journal Article
  • Publication Type:
    Journal; Peer Reviewed Journal
  • Additional Information
    • Address:
      Forkmann, Thomas, Department of Clinical Psychology, University of Duisburg-Essen, Universitätsstraße 2, 45141, Essen, Germany, [email protected]
    • Source:
      J Abnorm Psychol
    • Source:
      The Journal of Abnormal and Social Psychology; The Journal of Abnormal Psychology; The Journal of Abnormal Psychology and Social Psychology
    • ISSN:
      0021-843X (Print)
      1939-1846 (Electronic)
    • Keywords:
      suicide, reliability, ecological momentary assessment, real time, risk factors
    • Abstract:
      Suicidal ideation is a major risk factor for suicidal behavior and has recently been shown to be fluctuating in studies applying ecological momentary assessments (EMAs). The aims of this study are to introduce a reliable and valid item set for assessing suicidal ideation and relevant proximal risk factors that can be used in future EMA studies within suicidology. Additionally, we provide data on the ability of the items to capture moment-to-moment variability and discuss feasibility aspects of EMA studies on suicidal ideation in a clinical sample. Psychiatric inpatients diagnosed with a depressive disorder (N = 74) rated a set of 28 items measuring suicidal ideation, thwarted belongingness, perceived burdensomeness, depression, anxiety, hopelessness, and positive affect 10 times per day on 6 consecutive days. In addition, these constructs were assessed by self-report questionnaires before and after the EMA period. Intraclass correlations and mean squared successive differences were calculated as indicators of item variability. Reliability was calculated at the prompt (within-person) and the person (between-person) level, applying an approach based on multilevel factor analysis. Convergent validity was assessed by correlating the EMA scores with a self-report questionnaire measuring the same constructs. All items demonstrated moment-to-moment-variability and substantial within-person variance. Moreover, all items and scales, except those assessing anxiety, showed satisfying reliability at the prompt and the person level, and correlations indicated convergent validity of the EMA item set. Compliance with the EMAs was excellent (89.7%). Researchers are encouraged to apply this useful tool in future EMA studies in the field of suicidology. (PsycINFO Database Record (c) 2018 APA, all rights reserved)
    • Abstract:
      General Scientific Summary—This study psychometrically investigates an item set that can be used for the assessment of suicidal ideation and related risk factors in studies applying ecological momentary assessments (EMAs) in a sample of inpatients with depression. All items captured substantial within-person variability. Overall, reliability was satisfying at the prompt and the person level, and correlations with self-report measures indicated convergent validity of the EMA item set. Compliance with the EMAs was excellent. (PsycINFO Database Record (c) 2018 APA, all rights reserved)
    • Subject Terms:
    • PsycINFO Classification:
      Clinical Psychological Testing (2224)
      Behavior Disorders & Antisocial Behavior (3230)
    • Population:
      Human
      Male
      Female
      Inpatient
    • Location:
      Germany
    • Age Group:
      Adulthood (18 yrs & older)
      Young Adulthood (18-29 yrs)
      Thirties (30-39 yrs)
      Middle Age (40-64 yrs)
      Aged (65 yrs & older)
      Very Old (85 yrs & older)
    • Tests & Measures:
      Mehrfachwahl-Wortschatz-Intelligenztest
      Suicidal Behavior Questionnaire
      Suicide Cognition Scale
      Childhood Trauma Screener
      Persönlichkeitsstil- und Störungsinventar
      Beck Scale for Suicide Ideation
      Rasch-based Depression Screening Version 2   DOI: 10.1037/t14238-000
      Interpersonal Needs Questionnaire   DOI: 10.1037/t10483-000
      German Capability for Suicide Questionnaire   DOI: 10.1037/t62397-000
      Beck Hopelessness Scale
      Barratt Impulsiveness Scale
      Structured Clinical Interview for DSM-IV
    • Conference:
      International Suicide Research Summit, 2017, Henderson, NV, US
    • Conference Notes:
      Preliminary data from this study were presented at the aforementioned conference and at the 16th European Symposium on Suicide Research in 2016 (Oviedo, Spain).
    • Methodology:
      Empirical Study; Longitudinal Study; Quantitative Study
    • Supplemental Data:
      Tables and Figures Internet
    • Physical Description:
      Electronic
    • Publication Date:
      First Posted: Oct 8, 2018; Accepted: Jul 18, 2018; Revised: Jul 13, 2018; First Submitted: Sep 29, 2017
    • Publication Date:
      20181008
    • Publication Date:
      20181115
    • Copyright:
      American Psychological Association. 2018
    • Accession Number:
      http://dx.doi.org/10.1037/abn0000381; http://dx.doi.org/10.1037/abn0000381.supp(Supplemental)
    • Accession Number:
      30299116
    • Accession Number:
      abn-127-8-758
    • Accession Number:
      2018-50098-001
  • Citations
    • ABNT:
      FORKMANN, T. et al. Assessing suicidality in real time: A psychometric evaluation of self-report items for the assessment of suicidal ideation and its proximal risk factors using ecological momentary assessments. Journal of Abnormal Psychology, [s. l.], v. 127, n. 8, p. 758–769, 2018. DOI 10.1037/abn0000381.supp (Supplemental). Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pdh&AN=2018-50098-001. Acesso em: 26 out. 2020.
    • AMA:
      Forkmann T, Spangenberg L, Rath D, et al. Assessing suicidality in real time: A psychometric evaluation of self-report items for the assessment of suicidal ideation and its proximal risk factors using ecological momentary assessments. Journal of Abnormal Psychology. 2018;127(8):758-769. doi:10.1037/abn0000381.supp (Supplemental)
    • APA:
      Forkmann, T., Spangenberg, L., Rath, D., Hallensleben, N., Hegerl, U., Kersting, A., & Glaesmer, H. (2018). Assessing suicidality in real time: A psychometric evaluation of self-report items for the assessment of suicidal ideation and its proximal risk factors using ecological momentary assessments. Journal of Abnormal Psychology, 127(8), 758–769. https://doi.org/10.1037/abn0000381.supp (Supplemental)
    • Chicago/Turabian: Author-Date:
      Forkmann, Thomas, Lena Spangenberg, Dajana Rath, Nina Hallensleben, Ulrich Hegerl, Anette Kersting, and Heide Glaesmer. 2018. “Assessing Suicidality in Real Time: A Psychometric Evaluation of Self-Report Items for the Assessment of Suicidal Ideation and Its Proximal Risk Factors Using Ecological Momentary Assessments.” Journal of Abnormal Psychology 127 (8): 758–69. doi:10.1037/abn0000381.supp (Supplemental).
    • Harvard:
      Forkmann, T. et al. (2018) ‘Assessing suicidality in real time: A psychometric evaluation of self-report items for the assessment of suicidal ideation and its proximal risk factors using ecological momentary assessments’, Journal of Abnormal Psychology, 127(8), pp. 758–769. doi: 10.1037/abn0000381.supp (Supplemental).
    • Harvard: Australian:
      Forkmann, T, Spangenberg, L, Rath, D, Hallensleben, N, Hegerl, U, Kersting, A & Glaesmer, H 2018, ‘Assessing suicidality in real time: A psychometric evaluation of self-report items for the assessment of suicidal ideation and its proximal risk factors using ecological momentary assessments’, Journal of Abnormal Psychology, vol. 127, no. 8, pp. 758–769, viewed 26 October 2020, .
    • MLA:
      Forkmann, Thomas, et al. “Assessing Suicidality in Real Time: A Psychometric Evaluation of Self-Report Items for the Assessment of Suicidal Ideation and Its Proximal Risk Factors Using Ecological Momentary Assessments.” Journal of Abnormal Psychology, vol. 127, no. 8, Nov. 2018, pp. 758–769. EBSCOhost, doi:10.1037/abn0000381.supp (Supplemental).
    • Chicago/Turabian: Humanities:
      Forkmann, Thomas, Lena Spangenberg, Dajana Rath, Nina Hallensleben, Ulrich Hegerl, Anette Kersting, and Heide Glaesmer. “Assessing Suicidality in Real Time: A Psychometric Evaluation of Self-Report Items for the Assessment of Suicidal Ideation and Its Proximal Risk Factors Using Ecological Momentary Assessments.” Journal of Abnormal Psychology 127, no. 8 (November 2018): 758–69. doi:10.1037/abn0000381.supp (Supplemental).
    • Vancouver/ICMJE:
      Forkmann T, Spangenberg L, Rath D, Hallensleben N, Hegerl U, Kersting A, et al. Assessing suicidality in real time: A psychometric evaluation of self-report items for the assessment of suicidal ideation and its proximal risk factors using ecological momentary assessments. Journal of Abnormal Psychology [Internet]. 2018 Nov [cited 2020 Oct 26];127(8):758–69. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pdh&AN=2018-50098-001