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Development and psychometric properties of the “Suicidality: Treatment Occurring in Paediatrics (STOP) Risk and Resilience Factors Scales” in adolescents

Suicidality in the child and adolescent population is a major public health concern. There is, however, a lack of developmentally sensitive valid and reliable instruments that can capture data on risk, and clinical and psychosocial mediators of suicidality in young people. In this study, we aimed to...

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Autores principales: Rodríguez-Quiroga, A., Flamarique, I., Castro-Fornieles, J., Lievesley, K., Buitelaar, J. K., Coghill, D., Díaz-Caneja, C. M., Dittmann, R. W., Gupta, A., Hoekstra, P. J., Kehrmann, L., Llorente, C., Purper-Ouakil, D., Schulze, U. M. E., Zuddas, A., Sala, R., Singh, J., Fiori, F., Arango, C., Santosh, Paramala
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7024696/
https://www.ncbi.nlm.nih.gov/pubmed/31054125
http://dx.doi.org/10.1007/s00787-019-01328-2
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author Rodríguez-Quiroga, A.
Flamarique, I.
Castro-Fornieles, J.
Lievesley, K.
Buitelaar, J. K.
Coghill, D.
Díaz-Caneja, C. M.
Dittmann, R. W.
Gupta, A.
Hoekstra, P. J.
Kehrmann, L.
Llorente, C.
Purper-Ouakil, D.
Schulze, U. M. E.
Zuddas, A.
Sala, R.
Singh, J.
Fiori, F.
Arango, C.
Santosh, Paramala
author_facet Rodríguez-Quiroga, A.
Flamarique, I.
Castro-Fornieles, J.
Lievesley, K.
Buitelaar, J. K.
Coghill, D.
Díaz-Caneja, C. M.
Dittmann, R. W.
Gupta, A.
Hoekstra, P. J.
Kehrmann, L.
Llorente, C.
Purper-Ouakil, D.
Schulze, U. M. E.
Zuddas, A.
Sala, R.
Singh, J.
Fiori, F.
Arango, C.
Santosh, Paramala
author_sort Rodríguez-Quiroga, A.
collection PubMed
description Suicidality in the child and adolescent population is a major public health concern. There is, however, a lack of developmentally sensitive valid and reliable instruments that can capture data on risk, and clinical and psychosocial mediators of suicidality in young people. In this study, we aimed to develop and assess the validity of instruments evaluating the psychosocial risk and protective factors for suicidal behaviours in the adolescent population. In Phase 1, based on a systematic literature review of suicidality, focus groups, and expert panel advice, the risk factors and protective factors (resilience factors) were identified and the adolescent, parent, and clinician versions of the STOP-Suicidality Risk Factors Scale (STOP-SRiFS) and the Resilience Factors Scale (STOP-SReFS) were developed. Phase 2 involved instrument validation and comprised of two samples (Sample 1 and 2). Sample 1 consisted of 87 adolescents, their parents/carers, and clinicians from the various participating centres, and Sample 2 consisted of three sub-samples: adolescents (n = 259) who completed STOP-SRiFS and/or the STOP-SReFS scales, parents (n = 213) who completed one or both of the scales, and the clinicians who completed the scales (n = 254). The STOP-SRiFS demonstrated a good construct validity—the Cronbach Alpha for the adolescent (α = 0.864), parent (α = 0.842), and clinician (α = 0.722) versions of the scale. Test–retest reliability, inter-rater reliability, and content validity were good for all three versions of the STOP-SRiFS. The sub-scales generated using Exploratory Factor Analysis (EFA) were the (1) anxiety and depression risk, (2) substance misuse risk, (3) interpersonal risk, (4) chronic risk, and (5) risk due to life events. For the STOP-SRiFS, statistically significant correlations were found between the Columbia-Suicide Severity Rating Scale (C-SSRS) total score and the adolescent, parent, and clinical versions of the STOP-SRiFS sub-scale scores. The STOP-SRiFS showed good psychometric properties. This study demonstrated a good construct validity for the STOP-SReFS—the Cronbach Alpha for the three versions were good (adolescent: α = 0.775; parent: α = 0.808; α = clinician: 0.808). EFA for the adolescent version of the STOP-SReFS, which consists of 9 resilience factors domains, generated two factors (1) interpersonal resilience and (2) cognitive resilience. The STOP-SReFS Cognitive Resilience sub-scale for the adolescent was negatively correlated (r = − 0.275) with the C-SSRS total score, showing that there was lower suicidality in those with greater Cognitive Resilience. The STOP-SReFS Interpersonal resilience sub-scale correlations were all negative, but none of them were significantly different to the C-SSRS total scores for either the adolescent, parent, or clinician versions of the scales. This is not surprising, because the items in this sub-scale capture a much larger time-scale, compared to the C-SSRS rating period. The STOP-SReFS showed good psychometric properties. The STOP-SRiFS and STOP-SReFS are instruments that can be used in future studies about suicidality in children and adolescents.
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spelling pubmed-70246962020-02-28 Development and psychometric properties of the “Suicidality: Treatment Occurring in Paediatrics (STOP) Risk and Resilience Factors Scales” in adolescents Rodríguez-Quiroga, A. Flamarique, I. Castro-Fornieles, J. Lievesley, K. Buitelaar, J. K. Coghill, D. Díaz-Caneja, C. M. Dittmann, R. W. Gupta, A. Hoekstra, P. J. Kehrmann, L. Llorente, C. Purper-Ouakil, D. Schulze, U. M. E. Zuddas, A. Sala, R. Singh, J. Fiori, F. Arango, C. Santosh, Paramala Eur Child Adolesc Psychiatry Original Contribution Suicidality in the child and adolescent population is a major public health concern. There is, however, a lack of developmentally sensitive valid and reliable instruments that can capture data on risk, and clinical and psychosocial mediators of suicidality in young people. In this study, we aimed to develop and assess the validity of instruments evaluating the psychosocial risk and protective factors for suicidal behaviours in the adolescent population. In Phase 1, based on a systematic literature review of suicidality, focus groups, and expert panel advice, the risk factors and protective factors (resilience factors) were identified and the adolescent, parent, and clinician versions of the STOP-Suicidality Risk Factors Scale (STOP-SRiFS) and the Resilience Factors Scale (STOP-SReFS) were developed. Phase 2 involved instrument validation and comprised of two samples (Sample 1 and 2). Sample 1 consisted of 87 adolescents, their parents/carers, and clinicians from the various participating centres, and Sample 2 consisted of three sub-samples: adolescents (n = 259) who completed STOP-SRiFS and/or the STOP-SReFS scales, parents (n = 213) who completed one or both of the scales, and the clinicians who completed the scales (n = 254). The STOP-SRiFS demonstrated a good construct validity—the Cronbach Alpha for the adolescent (α = 0.864), parent (α = 0.842), and clinician (α = 0.722) versions of the scale. Test–retest reliability, inter-rater reliability, and content validity were good for all three versions of the STOP-SRiFS. The sub-scales generated using Exploratory Factor Analysis (EFA) were the (1) anxiety and depression risk, (2) substance misuse risk, (3) interpersonal risk, (4) chronic risk, and (5) risk due to life events. For the STOP-SRiFS, statistically significant correlations were found between the Columbia-Suicide Severity Rating Scale (C-SSRS) total score and the adolescent, parent, and clinical versions of the STOP-SRiFS sub-scale scores. The STOP-SRiFS showed good psychometric properties. This study demonstrated a good construct validity for the STOP-SReFS—the Cronbach Alpha for the three versions were good (adolescent: α = 0.775; parent: α = 0.808; α = clinician: 0.808). EFA for the adolescent version of the STOP-SReFS, which consists of 9 resilience factors domains, generated two factors (1) interpersonal resilience and (2) cognitive resilience. The STOP-SReFS Cognitive Resilience sub-scale for the adolescent was negatively correlated (r = − 0.275) with the C-SSRS total score, showing that there was lower suicidality in those with greater Cognitive Resilience. The STOP-SReFS Interpersonal resilience sub-scale correlations were all negative, but none of them were significantly different to the C-SSRS total scores for either the adolescent, parent, or clinician versions of the scales. This is not surprising, because the items in this sub-scale capture a much larger time-scale, compared to the C-SSRS rating period. The STOP-SReFS showed good psychometric properties. The STOP-SRiFS and STOP-SReFS are instruments that can be used in future studies about suicidality in children and adolescents. Springer Berlin Heidelberg 2019-05-03 2020 /pmc/articles/PMC7024696/ /pubmed/31054125 http://dx.doi.org/10.1007/s00787-019-01328-2 Text en © The Author(s) 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Original Contribution
Rodríguez-Quiroga, A.
Flamarique, I.
Castro-Fornieles, J.
Lievesley, K.
Buitelaar, J. K.
Coghill, D.
Díaz-Caneja, C. M.
Dittmann, R. W.
Gupta, A.
Hoekstra, P. J.
Kehrmann, L.
Llorente, C.
Purper-Ouakil, D.
Schulze, U. M. E.
Zuddas, A.
Sala, R.
Singh, J.
Fiori, F.
Arango, C.
Santosh, Paramala
Development and psychometric properties of the “Suicidality: Treatment Occurring in Paediatrics (STOP) Risk and Resilience Factors Scales” in adolescents
title Development and psychometric properties of the “Suicidality: Treatment Occurring in Paediatrics (STOP) Risk and Resilience Factors Scales” in adolescents
title_full Development and psychometric properties of the “Suicidality: Treatment Occurring in Paediatrics (STOP) Risk and Resilience Factors Scales” in adolescents
title_fullStr Development and psychometric properties of the “Suicidality: Treatment Occurring in Paediatrics (STOP) Risk and Resilience Factors Scales” in adolescents
title_full_unstemmed Development and psychometric properties of the “Suicidality: Treatment Occurring in Paediatrics (STOP) Risk and Resilience Factors Scales” in adolescents
title_short Development and psychometric properties of the “Suicidality: Treatment Occurring in Paediatrics (STOP) Risk and Resilience Factors Scales” in adolescents
title_sort development and psychometric properties of the “suicidality: treatment occurring in paediatrics (stop) risk and resilience factors scales” in adolescents
topic Original Contribution
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7024696/
https://www.ncbi.nlm.nih.gov/pubmed/31054125
http://dx.doi.org/10.1007/s00787-019-01328-2
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