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Psychometric Properties of the Suicide Acceptance Questionnaire

  • Patryk SteczEmail author
  • Agnieszka Gmitrowicz
  • Katarzyna Nowakowska-Domagała
Original Paper
  • 41 Downloads

Abstract

Only a few questionnaires are available for measuring attitude towards suicide as a unidimensional construct, i.e. emphasizing acceptance or disapproval of the suicidal act under a set of difficult life circumstances. The aim of this study was to develop the Suicide Acceptance Questionnaire (SAQ) and examine its psychometric properties. A group of 177 Psychology, Medicine and Law students completed the SAQ, Attitudes Towards Suicide questionnaire and a demographic survey. Exploratory factor analysis found the SAQ to have a single factor structure, explaining 55.49% of variance, with high goodness of fit. Owing to the nature of explicit attitudes, the SAQ may have limited power in predicting behavior. The findings indicate that the SAQ demonstrates appropriate reliability and concurrent validity for measuring the acceptance of suicide act. Future research with use of confirmatory factor analysis is needed for determining whether the proposed construct fits data.

Keywords

Acceptance of suicide Attitudes towards suicide Suicide prevention Psychometrics 

Notes

Acknowledgements

The authors would like to thank Edward Lowczowski for improving and proofreading the manuscript. A special thanks goes to Professor Doctor Honoris Causa Brunon Hołyst for access to the original survey from his study and for being our inspiration.

Funding

This study was funded by University of Lodz Grant No. B1611800001310.02

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have conflict of interest.

References

  1. Aish, A. M., Ramberg, I. L., & Wasserman, D. (2002). Measuring attitudes of mental health care staff toward suicidal patients. Archives of Suicide Research,6(4), 309–324.  https://doi.org/10.1080/13811110214526.CrossRefGoogle Scholar
  2. Brunero, S., Smith, J., Bates, E., & Fairbrother, G. (2008). Health professionals’ attitudes towards suicide prevention initiatives. Journal of Psychiatric and Mental Health Nursing,15(7), 588–594.  https://doi.org/10.1111/j.1365-2850.2008.01278.x.CrossRefPubMedGoogle Scholar
  3. Carmona-Navarro, M. C., & Pichardo-Martínez, M. C. (2012). Attitudes of nursing professionals towards suicidal behavior: Influence of emotional intelligence. Revista Latino-Americana de Enfermagem,20(6), 1161–1168.  https://doi.org/10.1590/S0104-11692012000600019.CrossRefPubMedGoogle Scholar
  4. Cheung, G., Douwes, G., & Sundram, F. (2017). Late-life suicide in terminal cancer: A rational act or underdiagnosed depression? Journal of Pain and Symptom Management,54(6), 835–842.CrossRefGoogle Scholar
  5. Chodkiewicz, J., Gruszczyńska, E., et al. (2018). The polish adaptation of the suicide behaviors questionnaire by Osman et al. Psychiatria Polska,121, 1–11.  https://doi.org/10.12740/pp/onlinefirst/93492.CrossRefGoogle Scholar
  6. Cross, W., Matthieu, M. M., Lezine, D. Q., & Knox, K. L. (2010). Does a brief suicide prevention gatekeeper training program enhance observed skills? Crisis,31(3), 149–159.  https://doi.org/10.1027/0227-5910/a000014.CrossRefPubMedPubMedCentralGoogle Scholar
  7. Cwik, J. C., Till, B., Bieda, A., Blackwell, S., Walter, C., & Teismann, T. (2017). Measuring attitudes towards suicide: Preliminary evaluation of an attitude towards suicide scale. Comprehensive Psychiatry,72, 56–65.  https://doi.org/10.1016/j.comppsych.2016.09.008.CrossRefPubMedGoogle Scholar
  8. Eshun, S. (2006). Acculturation and suicide attitudes: A study of perceptions about suicide among a sample of Ghanaian immigrants in the United States. Psychological Reports,99(1), 295–304.  https://doi.org/10.2466/pr0.99.1.295-304.CrossRefPubMedGoogle Scholar
  9. Eskin, M., Kujan, O., Voracek, M., Shaheen, A., Carta, M. G., Sun, J. M., et al. (2016). Cross-national comparisons of attitudes towards suicide and suicidal persons in university students from 12 countries. Scandinavian Journal of Psychology,57(6), 554–563.  https://doi.org/10.1111/sjop.12318.CrossRefPubMedGoogle Scholar
  10. Foster, T. (2011). Adverse life events proximal to adult suicide: A synthesis of findings from psychological autopsy studies. Archives of Suicide Research,15(1), 1–15.  https://doi.org/10.1080/13811118.2011.540213.CrossRefPubMedGoogle Scholar
  11. Ghasemi, P., Shaghaghi, A., & Allahverdipour, H. (2015). Measurement scales of suicidal ideation and attitudes: A systematic review article. Health Promotion Perspectives,5(3), 156–168.  https://doi.org/10.15171/hpp.2015.019.CrossRefPubMedPubMedCentralGoogle Scholar
  12. Glasman, L. R., & Albarracín, D. (2006). Forming attitudes that predict future behavior: A meta-analysis of the attitude-behavior relation. Psychological Bulletin,132(5), 778–822.  https://doi.org/10.1037/0033-2909.132.5.778.CrossRefPubMedPubMedCentralGoogle Scholar
  13. Goldney, R., & Bottrill, A. (1980). Attitudes to patients who attempt suicide. The Medical Journal of Australia,2(13), 717–720.  https://doi.org/10.5694/j.1326-5377.1980.tb132009.x.CrossRefPubMedGoogle Scholar
  14. Herron, J., Ticehurst, H., Appleby, L., Perry, A., & Cordingley, L. (2001). Attitudes toward suicide prevention in front-line health staff. Suicide & Life-Threatening Behavior,31(3), 342–347.  https://doi.org/10.1521/SULI.31.3.342.24252.CrossRefGoogle Scholar
  15. Hjelmeland, H., Akotia, C. S., Owens, V., Knizek, B. L., Nordvik, H., Schroeder, R., et al. (2008). Self-reported suicidal behavior and attitudes toward suicide and suicide prevention among psychology students in Ghana, Uganda, and Norway. Crisis,29(1), 20–31.  https://doi.org/10.1027/0227-5910.29.1.20.CrossRefPubMedGoogle Scholar
  16. Hołyst, B. (2002). Suicidology [in Polish: Suicydologia] (1st ed.). Warsaw, Poland: Wydawnictwo Prawnicze Lexis Nexis.Google Scholar
  17. Hutcheson, G., & Sofroniou, N. (1999). The multivariate social scientist. Introductory statistics using generalized linear models. London: Sage Publications Ltd.  https://doi.org/10.4135/9780857028075.CrossRefGoogle Scholar
  18. Jenner, J. A., & Niesing, J. (2000). The construction of the SEDAS: A new suicide-attitude questionnaire. Acta Psychiatrica Scandinavica,102(2), 139–146.  https://doi.org/10.1034/j.1600-0447.2000.102002139.x.CrossRefPubMedGoogle Scholar
  19. Joiner, T. E., Van Orden, K., Witte, T., & Rudd, M. D. (2009). The interpersonal theory of suicide: Guidance for working with suicidal clients. Washington, DC: American Psychological Association.  https://doi.org/10.1037/11869-000.CrossRefGoogle Scholar
  20. Kodaka, M., Poštuvan, V., Inagaki, M., & Yamada, M. (2011). A systematic review of scales that measure attitudes toward suicide. International Journal of Social Psychiatry,57(4), 338–361.  https://doi.org/10.1177/0020764009357399.CrossRefPubMedGoogle Scholar
  21. Kontaxaki, M., Paplos, K., Dasopoulou, M., & Kontaxakis, V. (2018). Psychiatry trainees’ attitudes towards euthanasia and physician-assisted suicide. Journal Psychiatriki,29(1), 74–78.  https://doi.org/10.22365/jpsych.2018.291.74.CrossRefPubMedGoogle Scholar
  22. Lee, E. N., & Kim, J. M. (2017). Evaluation of the validity and reliability of the Suicide Opinion Questionnaire as a measure of Korean nurses’ attitudes towards suicide. European Journal for Person Centered Healthcare,5(4), 454–461.  https://doi.org/10.5750/ejpch.v5i4.1359.CrossRefGoogle Scholar
  23. MacCallum, R. C., Widaman, K. F., Zhang, S. B., & Hong, S. H. (1999). Sample size in factor analysis. Psychological Methods,4(1), 84–99.  https://doi.org/10.1037/1082-989x.4.1.84.CrossRefGoogle Scholar
  24. Oliffe, J., Ogrodniczuk, J., Gordon, S., Creighton, G., Kelly, M., Black, N., et al. (2016). Stigma in male depression and suicide: A Canadian sex comparison study. Community Mental Health Journal,52(3), 302–310.  https://doi.org/10.1007/s10597-015-9986-x.CrossRefPubMedPubMedCentralGoogle Scholar
  25. Perugini, M. (2005). Predictive models of implicit and explicit attitudes. The British Journal of Social Psychology,44(1), 29–45.  https://doi.org/10.1348/014466604X23491.CrossRefPubMedGoogle Scholar
  26. Pompili, M., Innamorati, M., Szanto, K., Di Vittorio, C., Conwell, Y., Lester, D., et al. (2011). Life events as precipitants of suicide attempts among first-time suicide attempters, repeaters, and non-attempters. Psychiatry Research,186(2–3), 300–305.  https://doi.org/10.1016/j.psychres.2010.09.003.CrossRefPubMedGoogle Scholar
  27. Sallander Renberg, E., & Jacobsson, L. (2003). Development of a questionnaire on attitudes towards suicide (ATTS) and its application in a Swedish population. Suicide & Life-Threatening Behavior,33(1), 52–64.  https://doi.org/10.1521/suli.33.1.52.22784.CrossRefGoogle Scholar
  28. Samuelsson, M., Åsberg, M., & Gustavsson, J. P. (1997). Attitudes of psychiatric nursing personnel towards patients who have attempted suicide. Acta Psychiatrica Scandinavica,95(3), 222–230.  https://doi.org/10.1111/j.1600-0447.1997.tb09623.x.CrossRefPubMedGoogle Scholar
  29. Sato, R., Kawanishi, C., Yamada, T., Hasegawa, H., Ikeda, H., Kato, D., et al. (2006). Knowledge and attitude towards suicide among medical students in Japan: Preliminary study. Psychiatry and Clinical Neurosciences,60(5), 558–562.  https://doi.org/10.1111/j.1440-1819.2006.01558.x.CrossRefPubMedGoogle Scholar
  30. Shneidman, E. (1998). The suicidal mind. Oxford: Oxford University Press.Google Scholar
  31. Sisask, M., Varnik, A., Kolves, K., Bertolote, J. M., Bolhari, J., Botega, N. J., et al. (2010). Is religiosity a protective factor against attempted suicide: A cross-cultural case-control study. Archives of Suicide Research,14(1), 44–55.  https://doi.org/10.1080/13811110903479052.CrossRefPubMedGoogle Scholar
  32. Stack, S. (2013). Religion and suicide acceptability: A review and extension. Suidicologi.  https://doi.org/10.5617/suicidologi.2181.CrossRefGoogle Scholar
  33. Stecz, P. (2019). Psychometric evaluation of the Questionnaire on Attitudes Towards Suicide (ATTS) in Poland. Current Psychology.  https://doi.org/10.1007/s12144-019-00185-1.CrossRefGoogle Scholar
  34. Werth, J., & Liddle, B. (1994). Psychotherapists’ attitudes toward suicide. Psychotherapy Theory, Research, Practice, Training,31(3), 440–448.CrossRefGoogle Scholar
  35. Winterrowd, E., Canetto, S. S., & Benoit, K. (2017). Permissive beliefs and attitudes about older adult suicide: A suicide enabling script? Aging and Mental Health,21(2), 173–181.  https://doi.org/10.1080/13607863.2015.1099609.CrossRefPubMedGoogle Scholar
  36. World Health Organization. (2014). Preventing suicide: A global perspective (A. Fleischmann, S. Howlader, L. Vijayakumar, & A. Butchart, Eds.). Geneva: WHO Press.Google Scholar
  37. Zhang, J., Dong, N., Delprino, R., & Zhou, L. (2009). Psychological strains found from in-depth interviews with 105 Chinese rural youth suicides. Archives of Suicide Research,13(2), 185–194.  https://doi.org/10.1080/13811110902835155.CrossRefPubMedPubMedCentralGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Preventive and Addiction Psychology, Institute of Psychology, Faculty of Educational SciencesUniversity of LodzLodzPoland
  2. 2.Department of Adolescent PsychiatryMedical University of LodzLodzPoland

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