Entrapment and suicide risk: The development of the 4-item Entrapment Scale Short-Form (E-SF)
Open accessAbstract
Evidence suggests that suicidal behaviour arises from one's attempt to escape from unbearable situations or unbearable thoughts and feelings. These feelings of entrapment are usually assessed via the 16-item Entrapment Scale, but this is too long for routine use in clinical practice. The aim of this study was to develop a brief version of the full scale that reliably assesses entrapment. We used data collected from a clinical sample (n = 497) of patients following hospital-treated self-harm and a population-based sample (n = 3457) of young adults. Four items were selected that had both the highest factor loading and discriminatory parameters and that covered the theoretical constructs of internal and external entrapment. Correlations between the 4-item short-form and the 16-item full scale were nearly perfect (0.94 for the clinical sample, 0.97 for the population-based sample). When comparing the correlations between the short-form and the full scale with other clinical and psychological scales, the correlations were nearly identical. The 4-item Entrapment Scale Short-Form (E-SF) will provide very comparable information about entrapment for each respondent as the full scale will do. However, its brevity will increase the likelihood that the assessment of entrapment will be implemented into everyday clinical practice.
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Correlations between the E-SF sum and the 16-item full Entrapment Scale were nearly perfect (0.94 for the clinical sample and 0.97 for the population-based sample).
“Correlations between the sum of these four items and the 16-item full Entrapment Scale [39] were nearly perfect (0.94 for the clinical sample and 0.97 for the population-based sample).”
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- Authors
- De Beurs, D., Cleare, S., Wetherall, K., Eschle-Byrne, S., Ferguson, E., B O'Connor, D., & C O'Connor, R.
- Affiliations
- University of Glasgow (GB)
- University of Leeds (GB)
- Venue
- Psychiatry Research
- Publisher
- Elsevier BV
- Published
- 2020-02
- Volume
- 284
- Pages
- 112765
- ISSN
- 0165-1781 (ISSN-L)
- OpenAlex
- W2998996553
- Cited by
- 77
- References
- 30
- Citations by year
- 2026: 26 · 2025: 20 · 2024: 20 · 2023: 5 · 2022: 4 · 2021: 1 · 2020: 1
- FWCI
- 1.09
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Psychiatry Research (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Repository@Nottingham (University of Nottingham) (publishedVersion, cc-by-nc-nd)
- White Rose Research Online (University of Leeds, The University of Sheffield, University of York) (acceptedVersion)
- ENLIGHTEN (Jurnal Bimbingan dan Konseling Islam) (acceptedVersion, cc-by-sa)
- Repository@Nottingham (University of Nottingham) (submittedVersion, cc-by-nc-nd)
- Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
- Funders
- U.S. Department of Defense
- ZonMw
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
- Keywords
- entrapment, suicide risk, scale development, self-harm, young adults, suicidal behavior, clinical evaluation
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Female, Humans, Male, Middle Aged, Neuropsychological Tests, Surveys and Questionnaires, Risk Factors, Scotland, Reproducibility of Results, Self-Injurious Behavior, Principal Component Analysis, Young Adult, Suicidal Ideation
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