Improving the validity and reliability of medical-legal certifications of suicide

On a very basic level, those who study suicide are either explicitly or implicitly concerned with the certification of suicide deaths by coroners and medical examiners. Although many authors have questioned the reliability and validity of officially reported rates, these statistics continue to be quoted as fact--a potentially problematic practice for researchers who seek accurate and true causative factors for suicidal behavior. In relation to this topic, this article provides an overview of the existing vital statistics registry system and describes and proposes innovations that could ultimately improve the quality of officially reported suicide statistics.     

A meta-analysis of the reliability and validity of the Rorschach

The results of a meta-analysis of Rorschach studies indicate that reliabilities in the order of .83 and higher and validity coefficients of .45 or .50 and higher can be expected for the Rorschach--when hypotheses supported by empirical or theoretical rationales are tested using reasonably powerful statistics. Three important determinants of variance accounted for in a variety of Rorschach scores were identified in 530 statistics from 39 papers published in the Journal of Personality Assessment from 1971 to 1980. The a priori theoretical or empirical evidence determining the likelihood of obtaining significant results, and the power of the statistic used to measure the results, as well as the interaction between the likelihood of results and the power of the statistic used, were all significant determinants of the proportion of variance accounted for in the Rorschach measures reported.     

Personal problem-solving system for scoring TAT responses: preliminary validity and reliability data

Personal problem solving has emerged as an important construct in the cognitive-behavioral literature, yet there is a lack of clinically useful, performance-based measures practitioners can use to assess the personal problem-solving skills of their clients. Two studies evaluated the validity and reliability of a scoring system for measuring personal problem-solving processes via the Thematic Apperception Test (TAT; Morgan & Murray, 1935). In Experiment 1, undergraduate students (N = 87) completed two measures of personal problem solving, as well as three TAT cards, which were scored using the Personal Problem-Solving System (PPSS; Renan, 1990). In Experiment 2, an additional group of undergraduates (N = 56) responded to three TAT cards on two separate occasions and also completed a different measure of personal problem solving. Results from both studies supported the use of the PPSS for scoring TAT responses to assess personal problem-solving processes. Suggestions for future research are highlighted.     

Checking the reliability and validity of HSPQ profiles

Developed a scale designed to detect invalid response patterns on the High School Personality Questionnaire (HSPQ). Using a large sample of protocols drawn from the HSPQ standardization group, ten items were found to satisfy the necessary criterion for inclusion in the resulting "random" or "validity" (RV) scale. When applied to separate cross-validation groups of nearly 2,000 valid and randomly generated response protocols, RV was found to correctly classify 79% of the profiles. As a further test of the scale's utility, 100 profiles classified as valid and 100 classified as invalid were selected for comparison. In the invalid group, KR-20 reliabilities of the 14 trait scales were almost uniformly lowered, Also, for the invalid group the correlations among the trait scales were attenuated and altered to the extent that the underlying factor structure of the test was upset.     

A test of the validity of the IS PATH WARM warning signs for suicide

The 10 warning signs for suicide, encapsulated in the mnemonic IS PATH WARM, did not differentiate between genuine suicide notes and those written by people simulating a suicidal crisis or between notes written by completed suicides and those written by attempted suicides.     

The reliability and validity of the Infant Behavior Questionnaire-Revised

The reliability and validity of the Infant Behavior Questionnaire-Revised was examined in a sample of 6-month-old infants and their parents. One hundred and fifteen mothers and 79 fathers completed the IBQ-R and a measure of depression and 98 infants participated in a laboratory assessment of temperament. Internal consistency reliability was adequate for all 14 IBQ-R subscales for both mothers and fathers and inter-rater reliability of mother and father reports was demonstrated for 11 of 14 subscales. Convergent validity was established between observed fear and mother reported fear and father reported approach. Parent depression and infant gender were examined as moderators of the concordance between parent reported and observed temperament. As predicted, concordance was higher when parents reported low versus high symptoms of depression. Infant gender did not alter concordance.     

The revised transliminality scale: reliability and validity data from a Rasch top-down purification procedure

The concept of transliminality ("a hypothesized tendency for psychological material to cross thresholds into or out of consciousness") was anticipated by William James (1902/1982), but it was only recently given an empirical definition by Thalbourne in terms of a 29-item Transliminality Scale. This article presents the 17-item Revised Transliminality Scale (or RTS) that corrects age and gender biases, is unidimensional by a Rasch criterion, and has a reliability of.82. The scale defines a probabilistic hierarchy of items that address magical ideation, mystical experience, absorption, hyperaesthesia, manic experience, dream interpretation, and fantasy proneness. These findings validate the suggestions by James and Thalbourne that some mental phenomena share a common underlying dimension with selected sensory experiences (such being overwhelmed by smells, bright lights, sights, and sounds). Low scores on transliminality remain correlated with "tough mindedness" in on Cattell 16PF test, as well as "self-control" and "rule consciousness," whereas high scores are associated with "abstractedness" and an "openness to change" on that test. An independent validation study confirmed the predictions implied by our definition of transliminality. Implications for test construction are discussed.     

Patterns of suicide mortality in Russia

While Russia perennially has one of the highest suicide rates in the world, researchers had little access to valid data during the Soviet era to examine this issue. Transparency increased following the dissolution of the USSR, and this article employs newly available vital statistics data to describe the demographic, temporal, and spatial patterns of suicide in Russia. The discussion reveals that suicide mortality in Russia is among the highest in the world and is more than three times higher than in the United States; exhibited radical changes between 1984 and 1994; varies widely within the country, with a general increase in rates from west to east; and is highest among working-age males.     

Evidence of reliability and validity for the Universal Orientation scale

The relationships of Universal Orientation with Right-Wing Authoritarianism and Social Dominance Orientation were examined in two studies. Undergraduate students from various universities completed three measures. 314 participated in Study 1 and 461 participated in Study 2. Scores on the Universal Orientation scale correlated weakly with those on the Right-Wing Authoritarianism scale (r = -.14 for both samples) and moderately with the Social Dominance Orientation scale (r = -.50 for Sample 1 and r = -.36 for Sample 2). Low Cronbach alphas for the Universal Orientation scale (alpha = .68 for the first sample and alpha = .60 for the second sample) suggest the scale requires revision.     

Examination of the reliability and validity of the personality assessment inventory

The reliability, discriminant validity, and construct validity of the Personality Assessment Inventory (PAI) — a multidimensional self-report measure of abnormal personality traits — were examined within the Australian context. Subjects included 151 normals, 30 alcoholics, and 30 schizophrenic patients. A subsample of 70 nonpsychiatric adults responded to the PAI items twice over a test-retest interval of 28 days. The resulting median retest coefficient was 0.7, indicating less than optimal stability. The median alpha (KR₂₁) coefficient was 0.8, suggesting somewhat narrow measurement scales. A significant multivariate main effect was obtained across groups after the effects of age and gender were removed. Multiple comparisons for each of the PAI scales revealed significant differences between the respective groups, as discussed. A higher-order scale factoring did not strongly support the purported PAI structure. In reanalyses of the correlation matrices included in the Professional Manual, the purported PAI factor structure was unable to be replicated for the standardization clinical sample (N=1246), and a confirmatory factor analysis using the normative (validation) correlational data (N=1000) revealed poor fit indices, raising further concerns about construct validity.     

Strengthening the validity of population-based suicide rate comparisons: an illustration using U.S. military and civilian data

The objectives of this study were to generate precise estimates of suicide rates in the military while controlling for factors contributing to rate variability such as demographic differences and classification bias, and to develop a simple methodology for the determination of statistically derived thresholds for detecting significant rate changes. Suicide rate estimates were calculated for the military population and each service branch over 11 years, directly standardized to the 2000 U.S. population. Military rates were highly comparable across branches and were approximately 20% lower than the civilian rate. Direct adjustment essentially controlled for the demographic confounds in this sample. Applying the Poisson-based method, we demonstrate that suicide rate fluctuations as large as 20-40% in any year may be attributed to random error.     

Association of national cancer mortality and suicide rates

Using WHO data from 1996 instead of 1990, the authors replicated and extended Knodrichin and Lester's 2001 study. Like their study, our total rates of cancer mortality and suicide in a similar sample of 37 European nations of the world were estimated to be positively associated.