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Psychometric Properties of the Attitudinal Beliefs Questionnaire about Suicidal Behavior (CCCS-18)

Published online by Cambridge University Press:  11 October 2016

Marta Villacieros*
Affiliation:
Centro de Humanización de la Salud (Spain)
José Carlos Bermejo
Affiliation:
Centro de Humanización de la Salud (Spain)
Marisa Magaña
Affiliation:
Centro de Humanización de la Salud (Spain)
Invención Fernández-Quijano
Affiliation:
Centro de Humanización de la Salud (Spain)
*
*Correspondence concerning this article should be addressed to Marta Villacieros. Centro de Humanización de la Salud. C/ Sector Escultores, 39. 28760. Tres Cantos. Madrid (Spain). E-mail: investigacion@humanizar.es

Abstract

The purpose of this study was to analyze psychometric properties of the Spanish version of Attitudinal Beliefs Questionnaire about Suicidal Behavior CCCS-18 (Ruiz, Navarro-Ruiz, Torrente, & Rodríguez, 2005). The participants were 277 subjects, 81.2% (225) women and 18.8% (52) men. The average age was 39.95 years old (SD = 15.9). A confirmatory factor analysis was performed to test the adequacy of the four-factor model proposed by the authors. As a result it was obtained a three-factor model (χ2/df = 1.96; CFI = .98; sRMR = .060; RMSEA = .059), with indices reflecting adequate goodness of fit. The reliability of the test using the omega coefficient showed satisfactory values (ωh = .95, CI 95% = [.94, .96]). The results indicate a close relation between the CCCS-18 dimensions and the suicidal tendency, showing discriminant validity properties. Predictive validity was also found in the significant correlations between the measures obtained in the questionnaire and a risk index resulting from the suicidal ideation predictor variables that were part of a logistic regression equation; CCCS-18 (r = .26, p < .001), F1, Legimization and terminal disease (r = .163, p < .01), F2, Moral dimension (r = .22, p < .001) and F3, Suicide itself (r = .252, p < .001). Conclusions: The CCCS-18 shows reliability and validity, as well as being a test of easy and brief application.

Type
Research Article
Copyright
Copyright © Universidad Complutense de Madrid and Colegio Oficial de Psicólogos de Madrid 2016 

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References

Abad, F. J., Olea, J., Ponsoda, V., & García, C. (2011). Medición en ciencias sociales y de la salud. [Measurement in social sciences and health]. Madrid, Spain: Síntesis.Google Scholar
Agerbo, E., Nordentoft, M., & Mortensen, P. B. (2002). Familial, psychiatric, and socioeconomic risk factors for suicide in young people: Nested case-control study. British Medical Journal, 325, 7479. http://dx.doi.org/10.1136/bmj.325.7355.74 Google Scholar
American Psychiatric Association (2003). Practice guideline for the assessment and treatment of patients with suicidal behaviors. Retrieved from American Psychiatric Association Website. http://www.psychiatryonline.com/pracGuide/pracGuideChapToc14.aspx Google Scholar
Bentler, P. M. (1989). EQS Structural equations program manual. Los Angeles, CA: BMDP Statistical Software.Google Scholar
Brown, A. T. (2006). Confirmatory factor analysis. New York, NY: The Guilford Press.Google Scholar
Chioqueta, A. P., & Stiles, T. C. (2007). The relationship between psychological buffers, hopelessness, and suicidal ideation: Identification of protective factors. Crisis: The Journal of Crisis Intervention and Suicide Prevention, 28, 6773. http://dx.doi.org/10.1027/0227-5910.28.2.67 Google Scholar
Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd Ed.). New Jersey, NJ: Lawrence Erlbaum.Google Scholar
Cooper, J., Kapur, N., Webb, R., Lawlor, M., Guthrie, E., Mackway-Jones, K., & Appleby, L. (2005). Suicide after deliberate self-harm: A 4-year cohort study. American Journal of Psychiatry, 162, 297303. http://dx.doi.org/10.1176/appi.ajp.162.2.297 CrossRefGoogle ScholarPubMed
Deane, F. P., Wilson, C. J., & Ciarrochi, J. (2001). Suicidal ideation and help-negation: Not just hopelessness or prior help. Journal of Clinical Psychology, 57, 901914. http://dx.doi.org/10.1002/jclp.1058 Google Scholar
Desuque, D. A., Vargas, J., & Lemos, V. N. (2011). Análisis psicométrico del cuestionario de creencias actitudinales sobre el comportamiento suicida en población adolescente en Entre Ríos, Argentina [Psychometric analysis of the questionnaire of attitudinal beliefs about suicidal behavior in the adolescent population in Entre Rios]. Liberabit, 17, 187198. Retrieved from http://google.redalyc.org/articulo.oa?id=68622584008 Google Scholar
Diekstra, R. F. W., & Kerkhof, A. J. F. M. (1989). Attitudes towards suicide: The development of a suicide-attitude questionnaire (SUIATT). In Diekstra, R. F. W., Maris, R., Platt, S., Schmidtke, A., & Sonneck, G. (Eds.), Suicide and its prevention: The role of attitude and imitation (pp. 91107). Leiden, the Netherlands: Brill.CrossRefGoogle Scholar
Diekstra, R. F. W. (1996). The epidemiology of suicide and parasuicide. Archives of Suicide Research, 2, 129. http://dx.doi.org/10.1080/13811119608258991 Google Scholar
Domingo, G., Moore, D., Westlake, L., & Gibson, L. (1982). Attitudes toward suicide: A factor analytic approach. Journal of Clinical Psychology 38, 257262.Google Scholar
Etzersdorfer, E., Vijayakumar, L., Schöny, W., Grausgruber, A., & Sonneck, G. (1998). Attitudes towards suicide among medical students: Comparison between Madras (India) and Vienna (Austria). Social Psychiatry and Psychiatric Epidemiology, 33, 104110. http://dx.doi.org/10.1007/s001270050029 CrossRefGoogle ScholarPubMed
Flora, D. B., & Curran, P. J. (2004). An empirical evaluation of alternative methods of estimation for confirmatory factor analysis with ordinal data. Psychological Methods, 9, 466491. http://dx.doi.org/10.1037/1082-989X.9.4.466 Google Scholar
Fujikoshi, Y. (2000). Transformations with improved chi-squared approximations. Journal of Multivariate Analysis, 72, 249263. http://dx.doi.org/10.1006/jmva.1999.1854 CrossRefGoogle Scholar
Gibb, B. E., Andover, M. S., & Beach, S. R. (2006). Suicidal ideation and attitudes toward suicide. Suicide and Life-Threatening Behavior, 36(1), 1218.Google Scholar
Harris, E. C., & Barraclough, B. (1997). Suicide as an outcome for mental disorders: A meta-analysis. The British Journal of Psychiatry, 170, 205228. http://dx.doi.org/10.1192/bjp.170.3.205 CrossRefGoogle ScholarPubMed
Izquierdo, I., Olea, J., & Abad, F. J. (2014). Exploratory factor analysis in validation studies: Uses and recommendations. Psicothema, 26, 395400. http://dx.doi.org/10.7334/psicothema2013.349 Google Scholar
Jenner, J. A., & Niesing, J. (2000). The construction of the SEDAS: A new suicide-attitude questionnaire. Acta Psychiatrica Scandinavica, 102, 139146.Google Scholar
Jöreskog, K. G. (1970). A general method for analysis of covariance structures. Biometrika, 57, 239251.CrossRefGoogle Scholar
Kinkel, R. J., Bailey, C. W., & Josef, N. C. (1988). Suicide ideation in normal adolescents. Michigan, MI: Department of Sociology/Anthropology. Social Work, University of Michigan, Flint.Google Scholar
Kline, R. B. (2005). Principles and practice of structural equation modeling (2nd Ed.). New York, NY: Guilford.Google Scholar
Mangin, J. P. L. (2003). Modelización y análisis con ecuaciones estructurales [Modeling and analysis using structural equations]. In Mangin, J. P. L. & Varela Mallou, J. (Coords.), Análisis multivariable para las ciencias sociales [Multivariate analysis for the social sciences] (pp. 767814). Madrid, Spain: Pearson Educación.Google Scholar
Maris, R. W., & Lazerwitz, B. M. (1981). Pathways to suicide: A survey of self-destructive behaviors. Baltimore, MD: Johns Hopkins University Press.Google Scholar
McAuliffe, C., Corcoran, P., Keeley, H. S., & Perry, I. J. (2003). Risk of suicide ideation associated with problem-solving ability and attitudes toward suicidal behavior in university students. Crisis: The Journal of Crisis Intervention and Suicide Prevention, 24, 160167. http://dx.doi.org/10.1027//0227-5910.24.4.160 Google Scholar
McDonald, R. P. (1999). Test theory: A unified approach. Mahwah, NJ: Lawrence Erlbaum Associates.Google Scholar
Nock, M. K., Borges, G., Bromet, E. J., Cha, C. B., Kessler, R. C., & Lee, S. (2008). Suicide and suicidal behavior. Epidemiologic Reviews, 30(1), 133154. http://dx.doi.org/10.1093/epirev/mxn002 CrossRefGoogle ScholarPubMed
Nordentoft, M. (2007). Prevention of suicide and attempted suicide in Denmark. Epidemiological studies of suicide and intervention studies in selected risk groups. Danish Medical Bulletin, 54, 306369.Google Scholar
Pompili, M., Mancinelli, I., & Tatarelli, R. (2003). Stigma as a cause of suicide. The British Journal of Psychiatry, 183, 173174. http://dx.doi.org/10.1192/bjp.183.2.173-a Google Scholar
Revelle, W., & Zinbarg, R. E. (2009). Coefficients alpha, beta, omega, and the glb: Comments on Sijtsma. Psychometrika, 74(1), 145154. http://dx.doi.org/10.1007/s11336-008-9102-z Google Scholar
Rogers, J. R., & DeShon, R. P. (1995). Cross-validation of the five-factor interpretive model of the suicide opinion questionnaire. Suicide and Life-Threatening Behavior, 25, 305309.Google Scholar
Ruiz Hernández, J. A., Navarro-Ruiz, J. M., Torrente Hernández, G., & Rodríguez González, A. (2005). Construcción de un cuestionario de creencias actitudinales sobre el comportamiento suicida: El CCCS-18. [Construction of a questionnaire of attitudinal beliefs about suicidal behavior: The CCCS-18]. Psicothema, 17, 684690.Google Scholar
Simonson, R. H. (2008). Religiousness and non-hopeless suicide ideation. Death Studies, 32, 951960. http://dx.doi.org/10.1080/07481180802440589 Google Scholar
Tang, N. K. Y., & Crane, C. (2006). Suicidality in chronic pain: A review of the prevalence, risk factors and psychological links. Psychological Medicine, 36, 575586. http://dx.doi.org/10.1017/S0033291705006859 Google Scholar
Vilhjálmsson, R., Sveinbjarnardottir, E., & Kristjansdottir, G. (1998). Factors associated with suicide ideation in adults. Social Psychiatry and Psychiatric Epidemiology, 33, 97103.Google Scholar
Weston, R., & Gore, P. A Jr. (2006). A brief guide to structural equation modeling. The Counseling Psychologist, 34, 719751. http://dx.doi.org/10.1177/0011000006286345 Google Scholar
World Health Organization (WHO) (2014). Preventing suicide: A global imperative. Geneva, Switzerland: Department of Mental Health and Substance Abuse, WHO.Google Scholar
Worthington, R. L., & Whittaker, T. A. (2006). Scale development research: A content analysis and recommendations for best practices. The Counseling Psychologist, 34, 806838. http://dx.doi.org/10.1177/0011000006288127 CrossRefGoogle Scholar