The Social Phobia and Social Interaction Anxiety Scales: Evaluation of Psychometric Properties

The present investigations examined the factor structure and psychometric properties of two new self-report measures of social phobia, the Social Interaction Anxiety Scale (SIAS) and the Social Phobia Scale (SPS). A confirmatory factor analysis in Study I provided support for the fit of a two-factor model of the SIAS and SPS. Internal consistency estimates were high for the original two scales with a sample of 200 undergraduates. Also, using an item parceling procedure, the obtained internal consistency reliability indices for each parcel were acceptable. Results of the CFA in Study II provided support for the factorial stability of the model identified in Study I. Furthermore, multisample analyses showed invariant patterns for factor loadings and factor correlations across 138 men and 272 women. Gender differences were not observed in the mean SIAS and SPS scale and item scores. Both scales correlated negatively and significantly with measures of social desirability. Concurrent validity was established for the scales. The SPS was less specific than the SIAS to symptoms of social phobia.     

Confirmatory Factor Analysis of the Multi-Attitude Suicide Tendency Scale

This paper reports an examination of the factor structure of Orbach's Multi-Attitude Suicide Tendency Scale (MAST) utilizing confirmatory factor analytic techniques. Participants were 215 undergraduate students ranging in age from 18 to 20 who completed the MAST, the Reynolds Adolescent Depression Scale, the Suicide Ideation Questionnaire, and a self-harmful behavior scale. Support was found for the original factor structure, reliability, and validity of the MAST. A correlated model fit the data significantly better than an uncorrelated model. The results of this study indicate that the MAST is a valid and reliable measure appropriate for use with college-aged individuals for research purposes. Because the correlated model fit the data better than the uncorrelated, we suggest that future studies should attempt to replicate this finding, which would lead to a reexamination of the theory which underlies the MAST.     

Development and initial validation of the Self-harm Behavior Questionnaire.

Evaluation of suicide-related behaviors and thoughts about suicide with a newly developed self-report instrument is described. The Self-Harm Behavior Questionnaire (SHBQ; Gutierrez, 1998) generates detailed clinical information from an easy to administer and score self-report form. A sample of 342 participants were drawn from university undergraduate students enrolled in various psychology courses. Participants were then divided into a severe suicidal ideation group (n = 20) and a nonsuicidal control group (n = 20) to conduct subgroup and criterion-related validity analyses. Preliminary analyses indicate this new questionnaire is both valid and reliable when used with young adults drawn from a nonclinical population. The questionnaire should be of use to both clinicians and researchers due to the flexibility of the data generated.     

Suicide risk screening in an urban high school

Qualitative data from an empirical study of adolescent suicide risk were analyzed to examine the screening component built in to a larger protocol. It was determined that a significant number of students were being identified as being in need of follow-up. Although the majority (88.7%) of students screened met criteria for placement in the no indicators (of risk) category, 3.8% evidenced apparent need of follow-up, 4.4% qualified for notable concern, and 3.1% were deemed to be at-risk or in crisis. Several gender and ethnic differences in risk category status are also discussed. The system utilized at the school and examples of the range of interventions utilized are discussed. Evidence for the positive effects of this screening on individual students and the school as a whole are presented. Arguments for the regular use of screening measures in high schools and suggestions for implementation are also given.     

Appropriateness of the Multi-Attitude Suicide Tendency Scale for non-White individuals

Analyses of data collected from 480 university students (approximately 56% White and 44% Black) challenge the utility of the Multi-Attitude Suicide Tendency Scale (MAST) for use with individuals of diverse cultural backgrounds. This size sample allowed for an examination of the psychometric properties and cultural relevance of the MAST for non-Whites. Correlations between scores on the MAST, suicide, and depression measures were in the expected directions for Whites but not for Blacks or Latinos. The White sample data fit the four-factor model of the MAST, but the model required several modifications to fit the data from the Black sample. Verification of the cultural relevance of the MAST and a revision of the scale are recommended to improve its usefulness.     

2005 Shneidman Award Address. Integratively assessing risk and protective factors for adolescent suicide

This article briefly reviews key issues in adolescent suicide risk assessment and proposes that assessing risk and protective factors in combination has the best probability of informing the field's understanding of this complex problem. Several newer measures are described along with summaries of their psychometric properties. A recommended protocol utilizing 4 developmentally appropriate, valid, and reliable self-report measures is suggested as a parsimonious way of gathering information on the range of risk and protective factors. Finally, a novel approach of employing short-term longitudinal studies to test models of adolescent suicide attempts is described along with a rationale for not focusing research efforts on completed suicide. Implications of this approach for prevention efforts conclude the article.     

The Positive and Negative Suicide Ideation (PANSI) inventory: psychometric evaluation with adolescent psychiatric inpatient samples

In this study, we evaluated the factor structure of the Positive and Negative Suicide Ideation (PANSI) Inventory (Osman, Gutierrez, Kopper, Barrios, & Chiros, 1998) using confirmatory factor analysis (CFA). The PANSI assesses the frequency of negative risk and protective factors that are related to suicidal behavior. Participants (n = 195) were adolescent psychiatric inpatients, ages 14 to 17 years, in the CFA. Results of the CFA supported the fit for the 2-factor oblique model as the best fitting model. The internal consistency reliability estimates of the 2 subscales, the PANSI-Negative (alpha = .96) and the PANSI-Positive (alpha = .89) were high. Scores on the PANSI scales differentiated between suicide attempters and controls and those at severe risk for suicide and controls. Correlational analyses provide strong support for the concurrent validity of the scales. The results of the logistic regression analyses provide support for the use of this new inventory as a risk measure of suicide-related behaviors: Scores on the PANSI scales (n = 54) also showed satisfactory evidence for test-retest reliability over a 2-week period.     

Prison suicides in Austria, 1975-1997

Suicide prevention in custody is hampered by the lack of funds and professional staff. In order to evaluate the prison suicide phenomenon, a study was conducted evaluating all suicides that occurred in Austrian prisons between 1975 and 1997 (n = 220). In addition to evaluating the number of male versus female suicides, the preferred suicide methods were studied, as well as suicide risk of different circumstances of custody. Suicide rates of distinguishable, important subgroups of prisoners were calculated. The suicide rate for prisoners on remand was 236.0 per 100,000, and for offenders classified as mentally ill it was 205.4 per 100,000. That is about 8 times higher than the suicide rate in Austria's general population (1975-1997: 24.6 per 100,000). The suicide rate for sentenced offenders was 81.3 per 100,000, about twice the suicide rate in Austria's general male population. We recommend that psychologists or psychiatrists concentrate on the suicide prevention of high-risk offenders after screening the newly admitted offenders for their propensity to suicide.     

Using a Constant Family in Role-Plays for Training MFTs

Marriage and Family Therapy training programs use role-plays and simulations to train their students in interviewing skills and in various therapeutic models. A review of literature shows that these training tools do not allow student-therapists to experience therapy beyond the first session. This article presents a modified version of the role-play, in which a constant family is used in preparing student-therapists for clinical work. This article describes a training scenario using the constant family role play and includes feedback from student-therapists. The authors present the benefits, limitations, and potential training considerations that can enhance use of the constant family role play.