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Development of a Korean Geriatric Suicidal Risk Scale (KGSRS)

한국형 노인자살위험 사정도구 개발

  • Received : 2015.04.21
  • Accepted : 2015.10.16
  • Published : 2016.02.29

Abstract

Purpose: Increase in suicide rate for senior citizens which has become widespread in our society today. It is not a normal social phenomenon and is beyond the danger level. The contents of this study include Korean senior citizens' suicide related risk factors and warning signs, and the development of a simple Geriatric Suicide Risk Scale. Methods: This study is Methodological Research to verify reliability and validity of the Geriatric Suicide Risk Scale according to the tool development process suggested by Devellis (2012). Results: For predictive validity assessment, high suicide screening accuracy was showed with an Area under the ROC curve (AUC) of .93. For the optimal cutoff point of 11, sensitivity was 93.9%, and specificity, 75.7% which are excellence levels. Cross validity for assessment of generalization possibility showed the Area under the ROC curve (AUC) as .82 and in case of a cutoff point of 11, sensitivity was 73.7%, and specificity, 65.9%. Conclusion: When it comes to practical nursing, it is significant that the Korean Geriatric Suicide Risk Scale has high reliability and validity through adequate tool development and the tool assessment step to select degree of suicide risk of senior citizens. Also, it can be easily applied and does not take a long time to administer. Further, it can be used by health care personnel or the general public.

Keywords

References

  1. Choi YJ, Park J. Economic hardship, social welfare and suicide in Korea. Social Welfare Policy. 2014;41(3):155-182. http://dx.doi.org/10.15855/swp.2014.41.3.155
  2. Conwell Y, Duberstein PR, Caine ED. Risk factors for suicide in later life. Biological Psychiatry. 2002;52(3):193-204. http://dx.doi.org/10.1016/S0006-3223(02)01347-1
  3. Minino AM, Arias E, Kochanek KD, Murphy SL, Smith BL. Deaths: Final data for 2000. National Vital Statistics Reports. 2002;50(15):1-120.
  4. Heisel MJ, Flett GL. The development and initial validation of the geriatric suicide ideation scale. The American Journal of Geriatric Psychiatry. 2006;14(9):742-751. http://dx.doi.org/10.1097/01.JGP.0000218699.27899.f9
  5. Beck AT, Schuyler D, Herman I. Development of suicidal intent scales. In: Beck AT, Resnik HLP, Lettieri DJ, editors. The prediction of suicide. Bowie, MD: The Charles Press; 1974. p.45-56.
  6. Beck AT, Kovacs M, Weissman A. Assessment of suicidal intention: The scale for suicide ideation. Journal of Consulting and Clinical Psychology. 1979;47(2):343-352. http://dx.doi.org/10.1037/0022-006X.47.2.343
  7. Harlow LL, Newcomb MD, Bentler PM. Depression, self-derogation, substance use, and suicide ideation: Lack of purpose in life as a mediational factor. Journal of Clinical Psychology. 1986;42(1):5-21. https://doi.org/10.1002/1097-4679(198601)42:1<5::AID-JCLP2270420102>3.0.CO;2-9
  8. Linehan MM, Goodstein JL, Nielsen SL, Chiles JA. Reasons for staying alive when you are thinking of killing yourself: The reasons for living inventory. Journal of Consulting and Clinical Psychology. 1983;51(2):276-286. http://dx.doi.org/10.1037/0022-006X.51.2.276
  9. Chu J, Floyd R, Diep H, Pardo S, Goldblum P, Bongar B. A tool for the culturally competent assessment of suicide: The cultural assessment of risk for suicide (CARS) measure. Psychological Assessment. 2013;25(2):424-434. http://dx.doi.org/10.1037/a0031264
  10. Cutcliffe JR, Barker P. The nurses' global assessment of suicide risk (NGASR): Developing a tool for clinical practice. Journal of Psychiatric and Mental Health Nursing. 2004;11(4):393-400. http://dx.doi.org/10.1111/j.1365-2850.2003.00721.x
  11. Rudd MD, Berman AL, Joiner TE, Jr., Nock MK, Silverman MM, Mandrusiak M, et al. Warning signs for suicide: Theory, research, and clinical applications. Suicide and Life-Threatening Behavior. 2006;36(3):255-262. http://dx.doi.org/10.1521/suli.2006.36.3.255
  12. Perlman CM, Neufeld E, Martin L, Goy M, Hirdes JP. Suicide risk assessment guide: A resource for health care organizations. Toronto, CA: Ontario Hospital and Canadian Patient Safety Institute; 2011.
  13. Mills PD, Watts BV, Miller S, Kemp J, Knox K, DeRosier JM, et al. A checklist to identify inpatient suicide hazards in veterans affairs hospitals. Joint Commission Journal on Quality and Patient Safety. 2010;36(2):87-93. https://doi.org/10.1016/S1553-7250(10)36015-6
  14. Cull JG, Gill WS. Suicide probability scale manual. Los Angeles, CA: Western Psychological Services; 1988.
  15. Kim HS, June KJ, Kim Y. Gender differences in factors affecting suicidal ideation among the Korean elderly. Journal of the Korea Gerontological Society. 2013;33(2):349-363.
  16. Yook SP, Choi KH, Kim EJ, Lee HS. Elders in crisis. Seoul: Hakjisa Corp.; 2011.
  17. Bryan CJ, Rudd MD. Advances in the assessment of suicide risk. Journal of Clinical Psychology. 2006;62(2):185-200. http://dx.doi.org/10.1002/jclp.20222
  18. DeVellis RF. Scale development: Theory and applications. 3rd ed. Thousand Oaks, CA: Sage Publications; 2012.
  19. Kim HS. A study on epistemology of Korean elder's suicidal thought. Journal of the Korea Gerontological Society. 2002;22(1):159-172.
  20. Shin HY, Shin YS, Ju JH, Jang HS, Hong JY, Jeon HJ, et al. A study on reliability and validity of the nurses' global assessment of suicide risk (NGASR) for psychiatric inpatients. Journal of Korean Academy of Psychiatric and Mental Health Nursing. 2012;21(1):21-29. http://dx.doi.org/10.12934/jkpmhn.2012.21.1.21
  21. Tak J. Psychological testing. 2nd ed. Seoul: Hakjisa Corp.; 2007.
  22. Crocker LM, Algina J. Introduction to classical and modern test theory. New York, NY: Holt, Rinehart, and Winston; 1986.
  23. Korean Association for Suicide Prevention, editor. Understanding and prevention of suicide. Seoul: Hakjisa Corp.; 2007.
  24. Shu HJ. Social work intervention strategies for preventing suicide in the elderly: With special reference to factors affecting on elderly suicide [dissertation]. Busan: Pusan National University; 2005.
  25. Patterson WM, Dohn HH, Bird J, Patterson GA. Evaluation of suicidal patients: The SAD PERSONS scale. Psychosomatics. 1983;24(4):343-345, 348-349. http://dx.doi.org/10.1016/s0033-3182(83)73213-5
  26. Hockberger RS, Rothstein RJ. Assessment of suicide potential by nonpsychiatrists using the sad persons score. The Journal of Emergency Medicine. 1988;6(2):99-107. http://dx.doi.org/10.1016/0736-4679(88)90147-3
  27. Greiner M, Pfeiffer D, Smith RD. Principles and practical application of the receiver-operating characteristic analysis for diagnostic tests. Preventive Veterinary Medicine. 2000;45(1-2):23-41. https://doi.org/10.1016/S0167-5877(00)00115-X
  28. Vergouwe Y, Steyerberg EW, Eijkemans MJ, Habbema JD. Substantial effective sample sizes were required for external validation studies of predictive logistic regression models. Journal of Clinical Epidemiology. 2005;58(5):475-483. http://dx.doi.org/10.1016/j.jclinepi.2004.06.017
  29. Kim JS, Lee SJ. Factors affecting suicide attempts of the elderly with suicide ideation: Secondary data analysis of KNHANES. Journal of the Korean Gerontological Society. 2014;34(1):73-85.
  30. Jeong HS. The effect of oversampling method for imbalanced data [master's thesis]. Busan: Dong-eui University; 2008.