Beck自杀意念量表中文版在社区成年人群中应用的信效度(1)
【摘 要】 目的:评估Beck自杀意念量表中文版(Beck Scale for Suicide Ideation-Chinese Version,BSI-CV)在国内社区成年人群中的应用情况。方法:选定天津市区(城市)和山东省莱芜市莱城区(农村)作为调查现场,采用多阶段分层随机抽样方法抽取≥18岁的社区居民,由受过培训的调查员使用包含BSI-CV[评估最近1周及最消沉、最忧郁或自杀倾向最严重时(简称最严重时)的状况]在内的调查表进行一对一入户调查。569例城市居民和603例农村居民完成首次调查,以评估量表的内部一致性和效度;在首次调查后第5~8天,对调查前期完成首次调查的256例城市受试和504例农村受试依次进行了重测,以检验量表的重测一致性。结果:(1)量表的内部一致性。首次调查全部受试最近1周和最严重时量表总分的Cronbach α值分别为0.68和0.87,城市受试0.72和0.84,农村受试0.57和0.88。(2)量表的重测一致性。最近一周和最严重时量表总分的ICC全部受试为0.64和0.76,城市受试0.84和0.76,农村受试0.39和0.76。(3)量表的效度。首次调查有自杀未遂史者(N=12)最严重时BSI-CV总分高于无自杀未遂史者(N=1146)[( 9.75±9.79)vs.(0.86±3.17),P<0.001],但两组最近一周BSI-CV总分差异无统计学意义[(0.42±0.79)vs.(0.14±0.78),P=0.057]。结论:Beck自杀意念量表中文版在国内社区成年人群中应用的信效度较好,特别是最消沉、最忧郁或自杀倾向最严重时的状况评分。
, 百拇医药
【关键词】 量表;自杀意念;信度;效度;社区人群;现况调查
中图分类号:B844.3,C913.9 文献标识码:A 文章编号:1000-6729(2010)004-0250-06
doi:10.3969/j.issn.1000-6729.2010.04.003
Reliability and validity of the Chinese version of Beck Suicide Ideation Scale(BSI-CV)in
adult community residents
LI Xian-Yun,PHILLIPS Michael R,TONG Yong-Sheng,LI Ke-Jin,ZHANG Ya-Li,ZHANG
, 百拇医药
Yan-Ping,XU Dong,NIU Ya-Juan
WHO Collaborating Center for Research and Training in Suicide Prevention,Beijing Suicide Research and
Prevention Center,Beijing Hui Long Guan Hospital,Beijing 100096,China
Corresponding author,LI Xian-Yun,E-mail:xianyunl@public3.bta.net.cn
【Abstract】 Objective:To assess the use of the Chinese version of the Beck Scale for Suicide Ideation(BSI-CV)in China.Method:Using Tianjin City as the urban location and Laicheng District of Laiwu City of Shandong Province as the rural location,participants aged 18 or older were identified at each site using a multi-stage random sampling method.Trained interviewers conducted face-to-face interviews in respondents'homes using a questionnaire battery that included the BSI-CV which assesses both the ideation in the last week and when the subject feeling the worst(most depressed or most suicidal).The internal reliability and validity of the scale were assessed using the results of 569 urban and 603 rural subjects who completed the first interview.The test-retest reliability was assessed with the results of 256 urban and 504 rural subjects who completed the first interview and a repeat interview 5~8 days later.Results:(1)The scale' s internal consistency was good.Using data from the first interview,the Cronbach α of the scale of "the last week" and "feeling the worst" were 0.68 and 0.87 in all subjects,0.72 and 0.84 in urban respondents,and 0.57 and 0.88 in rural respondents,respectively.(2)The scale' s test-retest reliability was good.The ICC of the scale of "the last week" and "feeling the worst" were 0.64 and 0.76 in all subjects,were 0.84 and 0.76 in urban residents,and were 0.39 and 0.76 in rural residents,respectively.(3)The scale' s validity was also good.At the first interview,the score of the scale of "feeling theworst" was significantly higher in those with a prior attempt [(9.75±9.79)vs.(0.86±3.17);P<0.001] than in those without a prior attempt.But there was no significant difference in the total score of the scale of "the last week" [(0.42±0.79)vs.(0.14±0.78);P=0.057].Conclusion:The BSI-CV is valid and reliable when employed with adult community members in China,especially for the assessment of ideation when the subject was feeling the worst., 百拇医药(李献云 费立鹏 童永胜 李可进 张亚利 张艳萍 徐 东 牛雅娟)
, 百拇医药
【关键词】 量表;自杀意念;信度;效度;社区人群;现况调查
中图分类号:B844.3,C913.9 文献标识码:A 文章编号:1000-6729(2010)004-0250-06
doi:10.3969/j.issn.1000-6729.2010.04.003
Reliability and validity of the Chinese version of Beck Suicide Ideation Scale(BSI-CV)in
adult community residents
LI Xian-Yun,PHILLIPS Michael R,TONG Yong-Sheng,LI Ke-Jin,ZHANG Ya-Li,ZHANG
, 百拇医药
Yan-Ping,XU Dong,NIU Ya-Juan
WHO Collaborating Center for Research and Training in Suicide Prevention,Beijing Suicide Research and
Prevention Center,Beijing Hui Long Guan Hospital,Beijing 100096,China
Corresponding author,LI Xian-Yun,E-mail:xianyunl@public3.bta.net.cn
【Abstract】 Objective:To assess the use of the Chinese version of the Beck Scale for Suicide Ideation(BSI-CV)in China.Method:Using Tianjin City as the urban location and Laicheng District of Laiwu City of Shandong Province as the rural location,participants aged 18 or older were identified at each site using a multi-stage random sampling method.Trained interviewers conducted face-to-face interviews in respondents'homes using a questionnaire battery that included the BSI-CV which assesses both the ideation in the last week and when the subject feeling the worst(most depressed or most suicidal).The internal reliability and validity of the scale were assessed using the results of 569 urban and 603 rural subjects who completed the first interview.The test-retest reliability was assessed with the results of 256 urban and 504 rural subjects who completed the first interview and a repeat interview 5~8 days later.Results:(1)The scale' s internal consistency was good.Using data from the first interview,the Cronbach α of the scale of "the last week" and "feeling the worst" were 0.68 and 0.87 in all subjects,0.72 and 0.84 in urban respondents,and 0.57 and 0.88 in rural respondents,respectively.(2)The scale' s test-retest reliability was good.The ICC of the scale of "the last week" and "feeling the worst" were 0.64 and 0.76 in all subjects,were 0.84 and 0.76 in urban residents,and were 0.39 and 0.76 in rural residents,respectively.(3)The scale' s validity was also good.At the first interview,the score of the scale of "feeling theworst" was significantly higher in those with a prior attempt [(9.75±9.79)vs.(0.86±3.17);P<0.001] than in those without a prior attempt.But there was no significant difference in the total score of the scale of "the last week" [(0.42±0.79)vs.(0.14±0.78);P=0.057].Conclusion:The BSI-CV is valid and reliable when employed with adult community members in China,especially for the assessment of ideation when the subject was feeling the worst., 百拇医药(李献云 费立鹏 童永胜 李可进 张亚利 张艳萍 徐 东 牛雅娟)