Sheehan Suicidality Tracking Scale (S-STS): Reliability, convergent and discriminative validity in young Italian adults

Abstract Background and purpose The Sheehan Suicidality Tracking Scale (S-STS) is a patient self-report or clinician-administered rating scale that tracks spontaneous and treatment-emergent suicidal ideation and behaviors. This study set out to evaluate the reliability, convergent and divergent vali...

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Veröffentlicht in:Comprehensive psychiatry 2013-10, Vol.54 (7), p.842-849
Hauptverfasser: Preti, Antonio, Sheehan, David V, Coric, Vladimir, Distinto, Marco, Pitanti, Mirko, Vacca, Irene, Siddi, Alessandra, Masala, Carmelo, Petretto, Donatella Rita
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container_end_page 849
container_issue 7
container_start_page 842
container_title Comprehensive psychiatry
container_volume 54
creator Preti, Antonio
Sheehan, David V
Coric, Vladimir
Distinto, Marco
Pitanti, Mirko
Vacca, Irene
Siddi, Alessandra
Masala, Carmelo
Petretto, Donatella Rita
description Abstract Background and purpose The Sheehan Suicidality Tracking Scale (S-STS) is a patient self-report or clinician-administered rating scale that tracks spontaneous and treatment-emergent suicidal ideation and behaviors. This study set out to evaluate the reliability, convergent and divergent validity of the S-STS in a sample of college students, a population with a high risk of completed and attempted suicide. Methods Cross-sectional, survey design. Participants (303 undergraduate students; males: 42%) completed several measures assessing psychological distress (General Health Questionnaire; GHQ); self-esteem (Rosenberg Self Esteem Scale; RSES); social support (Modified Social Support Survey; MOSSS); and suicidal behavior, including ideation and attempts (S-STS). Results Both internal consistency and test–retest stability were excellent for the S-STS-global score. The S-STS subscale on suicide ideation also showed good reliability, while the subscale on suicidal behavior showed some inconsistency at retest. Convergent and divergent validity of S-STS was confirmed. All S-STS items loaded on a single factor, which had an excellent fit for the unidimensional model, thus justifying the use of the S-STS as a screening tool. In a mediation model, self-esteem and social support explained 45% of the effects of psychological distress on suicide ideation and behavior as measured by the S-STS-global score. Conclusions This study provided promising evidence on the convergent, divergent, internal consistency and test–retest stability of the Sheehan Suicidality Tracking Scale. The cross-sectional design and lack of measures of hopelessness and helplessness prevent any conclusion about the links of suicidal behavior with self-esteem and social support.
doi_str_mv 10.1016/j.comppsych.2013.03.012
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This study set out to evaluate the reliability, convergent and divergent validity of the S-STS in a sample of college students, a population with a high risk of completed and attempted suicide. Methods Cross-sectional, survey design. Participants (303 undergraduate students; males: 42%) completed several measures assessing psychological distress (General Health Questionnaire; GHQ); self-esteem (Rosenberg Self Esteem Scale; RSES); social support (Modified Social Support Survey; MOSSS); and suicidal behavior, including ideation and attempts (S-STS). Results Both internal consistency and test–retest stability were excellent for the S-STS-global score. The S-STS subscale on suicide ideation also showed good reliability, while the subscale on suicidal behavior showed some inconsistency at retest. Convergent and divergent validity of S-STS was confirmed. All S-STS items loaded on a single factor, which had an excellent fit for the unidimensional model, thus justifying the use of the S-STS as a screening tool. In a mediation model, self-esteem and social support explained 45% of the effects of psychological distress on suicide ideation and behavior as measured by the S-STS-global score. Conclusions This study provided promising evidence on the convergent, divergent, internal consistency and test–retest stability of the Sheehan Suicidality Tracking Scale. The cross-sectional design and lack of measures of hopelessness and helplessness prevent any conclusion about the links of suicidal behavior with self-esteem and social support.</description><identifier>ISSN: 0010-440X</identifier><identifier>EISSN: 1532-8384</identifier><identifier>DOI: 10.1016/j.comppsych.2013.03.012</identifier><identifier>PMID: 23618606</identifier><identifier>CODEN: COPYAV</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adolescent ; Adult ; Adult and adolescent clinical studies ; Biological and medical sciences ; College students ; Cross-Sectional Studies ; Emotions ; Female ; Humans ; Italy ; Male ; Medical sciences ; Mental disorders ; Psychiatric Status Rating Scales ; Psychiatry ; Psychology. Psychoanalysis. Psychiatry ; Psychometrics ; Psychopathology. Psychiatry ; Reproducibility of Results ; Risk Factors ; Self Concept ; Self destructive behavior ; Self esteem ; Social Support ; Suicidal Ideation ; Suicide ; Suicide - prevention &amp; control ; Suicide - psychology ; Suicide, Attempted - prevention &amp; control ; Suicide, Attempted - psychology ; Suicides &amp; suicide attempts</subject><ispartof>Comprehensive psychiatry, 2013-10, Vol.54 (7), p.842-849</ispartof><rights>Elsevier Inc.</rights><rights>2013 Elsevier Inc.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2013 Elsevier Inc. All rights reserved.</rights><rights>Copyright Elsevier Limited Oct 2013</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c484t-8d1749af8f609ed8b4c600803d376b6f47b805f02350b0111c0fba14417b9a413</citedby><cites>FETCH-LOGICAL-c484t-8d1749af8f609ed8b4c600803d376b6f47b805f02350b0111c0fba14417b9a413</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1433078059?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>314,780,784,3548,27922,27923,45993,64383,64385,64387,72239</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=27771266$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23618606$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Preti, Antonio</creatorcontrib><creatorcontrib>Sheehan, David V</creatorcontrib><creatorcontrib>Coric, Vladimir</creatorcontrib><creatorcontrib>Distinto, Marco</creatorcontrib><creatorcontrib>Pitanti, Mirko</creatorcontrib><creatorcontrib>Vacca, Irene</creatorcontrib><creatorcontrib>Siddi, Alessandra</creatorcontrib><creatorcontrib>Masala, Carmelo</creatorcontrib><creatorcontrib>Petretto, Donatella Rita</creatorcontrib><title>Sheehan Suicidality Tracking Scale (S-STS): Reliability, convergent and discriminative validity in young Italian adults</title><title>Comprehensive psychiatry</title><addtitle>Compr Psychiatry</addtitle><description>Abstract Background and purpose The Sheehan Suicidality Tracking Scale (S-STS) is a patient self-report or clinician-administered rating scale that tracks spontaneous and treatment-emergent suicidal ideation and behaviors. This study set out to evaluate the reliability, convergent and divergent validity of the S-STS in a sample of college students, a population with a high risk of completed and attempted suicide. Methods Cross-sectional, survey design. Participants (303 undergraduate students; males: 42%) completed several measures assessing psychological distress (General Health Questionnaire; GHQ); self-esteem (Rosenberg Self Esteem Scale; RSES); social support (Modified Social Support Survey; MOSSS); and suicidal behavior, including ideation and attempts (S-STS). Results Both internal consistency and test–retest stability were excellent for the S-STS-global score. The S-STS subscale on suicide ideation also showed good reliability, while the subscale on suicidal behavior showed some inconsistency at retest. Convergent and divergent validity of S-STS was confirmed. All S-STS items loaded on a single factor, which had an excellent fit for the unidimensional model, thus justifying the use of the S-STS as a screening tool. In a mediation model, self-esteem and social support explained 45% of the effects of psychological distress on suicide ideation and behavior as measured by the S-STS-global score. Conclusions This study provided promising evidence on the convergent, divergent, internal consistency and test–retest stability of the Sheehan Suicidality Tracking Scale. The cross-sectional design and lack of measures of hopelessness and helplessness prevent any conclusion about the links of suicidal behavior with self-esteem and social support.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Adult and adolescent clinical studies</subject><subject>Biological and medical sciences</subject><subject>College students</subject><subject>Cross-Sectional Studies</subject><subject>Emotions</subject><subject>Female</subject><subject>Humans</subject><subject>Italy</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mental disorders</subject><subject>Psychiatric Status Rating Scales</subject><subject>Psychiatry</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychometrics</subject><subject>Psychopathology. 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Psychoanalysis. Psychiatry</topic><topic>Psychometrics</topic><topic>Psychopathology. Psychiatry</topic><topic>Reproducibility of Results</topic><topic>Risk Factors</topic><topic>Self Concept</topic><topic>Self destructive behavior</topic><topic>Self esteem</topic><topic>Social Support</topic><topic>Suicidal Ideation</topic><topic>Suicide</topic><topic>Suicide - prevention &amp; control</topic><topic>Suicide - psychology</topic><topic>Suicide, Attempted - prevention &amp; control</topic><topic>Suicide, Attempted - psychology</topic><topic>Suicides &amp; suicide attempts</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Preti, Antonio</creatorcontrib><creatorcontrib>Sheehan, David V</creatorcontrib><creatorcontrib>Coric, Vladimir</creatorcontrib><creatorcontrib>Distinto, Marco</creatorcontrib><creatorcontrib>Pitanti, Mirko</creatorcontrib><creatorcontrib>Vacca, Irene</creatorcontrib><creatorcontrib>Siddi, Alessandra</creatorcontrib><creatorcontrib>Masala, Carmelo</creatorcontrib><creatorcontrib>Petretto, Donatella Rita</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing &amp; Allied Health Database</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Comprehensive psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Preti, Antonio</au><au>Sheehan, David V</au><au>Coric, Vladimir</au><au>Distinto, Marco</au><au>Pitanti, Mirko</au><au>Vacca, Irene</au><au>Siddi, Alessandra</au><au>Masala, Carmelo</au><au>Petretto, Donatella Rita</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sheehan Suicidality Tracking Scale (S-STS): Reliability, convergent and discriminative validity in young Italian adults</atitle><jtitle>Comprehensive psychiatry</jtitle><addtitle>Compr Psychiatry</addtitle><date>2013-10-01</date><risdate>2013</risdate><volume>54</volume><issue>7</issue><spage>842</spage><epage>849</epage><pages>842-849</pages><issn>0010-440X</issn><eissn>1532-8384</eissn><coden>COPYAV</coden><abstract>Abstract Background and purpose The Sheehan Suicidality Tracking Scale (S-STS) is a patient self-report or clinician-administered rating scale that tracks spontaneous and treatment-emergent suicidal ideation and behaviors. This study set out to evaluate the reliability, convergent and divergent validity of the S-STS in a sample of college students, a population with a high risk of completed and attempted suicide. Methods Cross-sectional, survey design. Participants (303 undergraduate students; males: 42%) completed several measures assessing psychological distress (General Health Questionnaire; GHQ); self-esteem (Rosenberg Self Esteem Scale; RSES); social support (Modified Social Support Survey; MOSSS); and suicidal behavior, including ideation and attempts (S-STS). Results Both internal consistency and test–retest stability were excellent for the S-STS-global score. The S-STS subscale on suicide ideation also showed good reliability, while the subscale on suicidal behavior showed some inconsistency at retest. Convergent and divergent validity of S-STS was confirmed. All S-STS items loaded on a single factor, which had an excellent fit for the unidimensional model, thus justifying the use of the S-STS as a screening tool. In a mediation model, self-esteem and social support explained 45% of the effects of psychological distress on suicide ideation and behavior as measured by the S-STS-global score. Conclusions This study provided promising evidence on the convergent, divergent, internal consistency and test–retest stability of the Sheehan Suicidality Tracking Scale. The cross-sectional design and lack of measures of hopelessness and helplessness prevent any conclusion about the links of suicidal behavior with self-esteem and social support.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>23618606</pmid><doi>10.1016/j.comppsych.2013.03.012</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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subjects Adolescent
Adult
Adult and adolescent clinical studies
Biological and medical sciences
College students
Cross-Sectional Studies
Emotions
Female
Humans
Italy
Male
Medical sciences
Mental disorders
Psychiatric Status Rating Scales
Psychiatry
Psychology. Psychoanalysis. Psychiatry
Psychometrics
Psychopathology. Psychiatry
Reproducibility of Results
Risk Factors
Self Concept
Self destructive behavior
Self esteem
Social Support
Suicidal Ideation
Suicide
Suicide - prevention & control
Suicide - psychology
Suicide, Attempted - prevention & control
Suicide, Attempted - psychology
Suicides & suicide attempts
title Sheehan Suicidality Tracking Scale (S-STS): Reliability, convergent and discriminative validity in young Italian adults
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