Cited by 166Suicide and Self-Harm StudiesMental Health Research TopicsMental Health via Writing

Assessing suicidality in real time: a psychometric evaluation of self-report items for the assessment of suicidal ideation and its proximal risk factors using ecological momentary assessments

Forkmann, Thomas, Spangenberg, Lena, Rath, Dajana, Hallensleben, Nina, Hegerl, Ulrich, Kersting, Anette, Glaesmer, Heide·2018·Journal of Abnormal Psychology

Abstract

Suicidal ideation is a major risk factor for suicidal behavior and has recently been shown to be fluctuating in studies applying ecological momentary assessments (EMAs). The aims of this study are to introduce a reliable and valid item set for assessing suicidal ideation and relevant proximal risk factors that can be used in future EMA studies within suicidology. Additionally, we provide data on the ability of the items to capture moment-to-moment variability and discuss feasibility aspects of EMA studies on suicidal ideation in a clinical sample. Psychiatric inpatients diagnosed with a depressive disorder (N = 74) rated a set of 28 items measuring suicidal ideation, thwarted belongingness, perceived burdensomeness, depression, anxiety, hopelessness, and positive affect 10 times per day on 6 consecutive days. In addition, these constructs were assessed by self-report questionnaires before and after the EMA period. Intraclass correlations and mean squared successive differences were calculated as indicators of item variability. Reliability was calculated at the prompt (within-person) and the person (between-person) level, applying an approach based on multilevel factor analysis. Convergent validity was assessed by correlating the EMA scores with a self-report questionnaire measuring the same constructs. All items demonstrated moment-to-moment-variability and substantial within-person variance. Moreover, all items and scales, except those assessing anxiety, showed satisfying reliability at the prompt and the person level, and correlations indicated convergent validity of the EMA item set. Compliance with the EMAs was excellent (89.7%). Researchers are encouraged to apply this useful tool in future EMA studies in the field of suicidology. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

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Crossref · 10.1037/abn0000381

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Authors
Forkmann, T., Spangenberg, L., Rath, D., Hallensleben, N., Hegerl, U., Kersting, A., & Glaesmer, H.
Affiliations
  • University of Duisburg-Essen (DE)
  • Leipzig University (DE)
  • Universitätsklinikum Aachen (DE)
Venue
Journal of Abnormal Psychology
Published
2018-11
Volume
127
Issue
8
Pages
758-769
ISSN
  • 0021-843X (ISSN-L)
  • 1939-1846
OpenAlex
W2896910592
Cited by
165
References
0
Citations by year
2026: 24 · 2025: 35 · 2024: 26 · 2023: 23 · 2022: 14 · 2021: 19 · 2020: 15 · 2019: 6 · 2018: 2
FWCI
12.36
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Abnormal Psychology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
  • Social Sciences › Psychology › Social Psychology › Mental Health via Writing
Keywords
suicidal ideation, ecological momentary assessment, suicidal behavior, proximal risk factors, thwarted belongingness, perceived burdensomeness, hopelessness, positive affect, anxiety, depression, convergent validity, psychiatric inpatients, depressive disorders
MeSH terms
Ecological Momentary Assessment, Suicide Prevention, Adolescent, Adult, Aged, Aged, 80 and over, Female, Humans, Male, Middle Aged, Psychometrics, Risk Factors, Reproducibility of Results, Young Adult, Self Report, Suicidal Ideation

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