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Lee and Kim: Development of a Korean Geriatric Suicidal Risk Scale (KGSRS)
Original Article

Journal of Korean Academy of Nursing 2016; 46(1): 59-68.

Published online: 29 February 2016

DOI: https://doi.org/10.4040/jkan.2016.46.1.59

Development of a Korean Geriatric Suicidal Risk Scale (KGSRS)

Sang Ju Lee1, Jung Soon Kim2

1Department of Nursing, Dong-eui Institute of Technology, Busan, Korea.

2College of Nursing, Pusan National University, Busan, Korea.

Address reprint requests to: Lee, Sang Ju. Department of Nursing, Dong-eui Institute of Technology, 54 Yangji-ro, Busanjin-gu, Busan 47230, Korea. Tel: +82-51-860-3282, Fax: +82-51-860-3484, sangju01@dit.ac.kr

Received 21 April 2015       Revised 4 May 2015       Accepted 16 October 2015

© 2016 Korean Society of Nursing Science

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0/) If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium.

Abstract

Purpose

Increase in suicide rate for senior citizens which has become widespread in our society today. It is not a normal social phenomenon and is beyond the danger level. The contents of this study include Korean senior citizens' suicide related risk factors and warning signs, and the development of a simple Geriatric Suicide Risk Scale.

Methods

This study is Methodological Research to verify reliability and validity of the Geriatric Suicide Risk Scale according to the tool development process suggested by Devellis (2012).

Results

For predictive validity assessment, high suicide screening accuracy was showed with an Area under the ROC curve (AUC) of .93. For the optimal cutoff point of 11, sensitivity was 93.9%, and specificity, 75.7% which are excellence levels. Cross validity for assessment of generalization possibility showed the Area under the ROC curve (AUC) as .82 and in case of a cutoff point of 11, sensitivity was 73.7%, and specificity, 65.9%.

Conclusion

When it comes to practical nursing, it is significant that the Korean Geriatric Suicide Risk Scale has high reliability and validity through adequate tool development and the tool assessment step to select degree of suicide risk of senior citizens. Also, it can be easily applied and does not take a long time to administer. Further, it can be used by health care personnel or the general public.

Keywords: Suicide, Aged, Instruments

Figures and Tables

Table 1

Selected Variables for Items Construction

jkan-46-59-i001
Table 2

Validity and Classification in Cut-off Point (Evaluation group) (N=202)

jkan-46-59-i002
Table 3

ROC Curve and Cut-off Point by Demographic Characteristic (Evaluation group) (N=202)

jkan-46-59-i003

*AUC: Under the cuver

Table 4

Validity and Classification in Cut-off Point (Test group) (N=110)

jkan-46-59-i004
Table 5

ROC Curve and Cut-off Point by Demographic Characteristic (Test group) (N=110)

jkan-46-59-i005

*AUC: Under the cuver

Notes

This manuscript is a condensed form of the first author's doctoral dissertation from Pusan National University.

CONFLICTS OF INTEREST The authors declared no conflict of interest.

Appendix

Appendix 1

Korean Geriatric Suicide Risk Scale: KGSRS

jkan-46-59-a001

References

1. Choi YJ, Park J. Economic hardship, social welfare and suicide in Korea. Soc Welf Policy. 2014; 41(3):155–182. DOI: 10.15855/swp.2014.41.3.155.
2. Conwell Y, Duberstein PR, Caine ED. Risk factors for suicide in later life. Biol Psychiatry. 2002; 52(3):193–204. DOI: 10.1016/S0006-3223(02)01347-1.
3. Miniño AM, Arias E, Kochanek KD, Murphy SL, Smith BL. Deaths: Final data for 2000. Natl Vital Stat Rep. 2002; 50(15):1–120.
4. Heisel MJ, Flett GL. The development and initial validation of the geriatric suicide ideation scale. Am J Geriatr Psychiatry. 2006; 14(9):742–751. DOI: 10.1097/01.JGP.0000218699.27899.f9.
5. Beck AT, Schuyler D, Herman I. Development of suicidal intent scales. In : Beck AT, Resnik HLP, Lettieri DJ, editors. The prediction of suicide. Bowie, MD: The Charles Press;1974. p. 45–56.
6. Beck AT, Kovacs M, Weissman A. Assessment of suicidal intention: The scale for suicide ideation. J Consult Clin Psychol. 1979; 47(2):343–352. DOI: 10.1037/0022-006X.47.2.343.
7. Harlow LL, Newcomb MD, Bentler PM. Depression, self-derogation, substance use, and suicide ideation: Lack of purpose in life as a mediational factor. J Clin Psychol. 1986; 42(1):5–21.
8. Linehan MM, Goodstein JL, Nielsen SL, Chiles JA. Reasons for staying alive when you are thinking of killing yourself: The reasons for living inventory. J Consult Clin Psychol. 1983; 51(2):276–286. DOI: 10.1037/0022-006X.51.2.276.
9. Chu J, Floyd R, Diep H, Pardo S, Goldblum P, Bongar B. A tool for the culturally competent assessment of suicide: The cultural assessment of risk for suicide (CARS) measure. Psychol Assess. 2013; 25(2):424–434. DOI: 10.1037/a0031264.
10. Cutcliffe JR, Barker P. The nurses' global assessment of suicide risk (NGASR): Developing a tool for clinical practice. J Psychiatr Ment Health Nurs. 2004; 11(4):393–400. DOI: 10.1111/j.1365-2850.2003.00721.x.
11. Rudd MD, Berman AL, Joiner TE Jr, Nock MK, Silverman MM, Mandrusiak M, et al. Warning signs for suicide: Theory, research, and clinical applications. Suicide Life Threat Behav. 2006; 36(3):255–262. DOI: 10.1521/suli.2006.36.3.255.
12. Perlman CM, Neufeld E, Martin L, Goy M, Hirdes JP. Suicide risk assessment guide: A resource for health care organizations. Toronto, CA: Ontario Hospital and Canadian Patient Safety Institute;2011.
13. Mills PD, Watts BV, Miller S, Kemp J, Knox K, DeRosier JM, et al. A checklist to identify inpatient suicide hazards in veterans affairs hospitals. Jt Comm J Qual Patient Saf. 2010; 36(2):87–93.
14. Cull JG, Gill WS. Suicide probability scale manual. Los Angeles, CA: Western Psychological Services;1988.
15. Kim HS, June KJ, Kim Y. Gender differences in factors affecting suicidal ideation among the Korean elderly. J Korean Gerontol Soc. 2013; 33(2):349–363.
16. Yook SP, Choi KH, Kim EJ, Lee HS. Elders in crisis. Seoul: Hakjisa Corp;2011.
17. Bryan CJ, Rudd MD. Advances in the assessment of suicide risk. J Clin Psychol. 2006; 62(2):185–200. DOI: 10.1002/jclp.20222.
18. DeVellis RF. Scale development: Theory and applications. 3rd ed. Thousand Oaks, CA: Sage Publications;2012.
19. Kim HS. A study on epistemology of Korean elder's suicidal thought. J Korea Gerontol Soc. 2002; 22(1):159–172.
20. Shin HY, Shin YS, Ju JH, Jang HS, Hong JY, Jeon HJ, et al. A study on reliability and validity of the nurses' global assessment of suicide risk (NGASR) for psychiatric inpatients. J Korean Acad Psychiatr Ment Health Nurs. 2012; 21(1):21–29. DOI: 10.12934/jkpmhn.2012.21.1.21.
21. Tak J. Psychological testing. 2nd ed. Seoul: Hakjisa Corp;2007.
22. Crocker LM, Algina J. Introduction to classical and modern test theory. New York, NY: Holt, Rinehart, and Winston;1986.
23. Korean Association for Suicide Prevention. Understanding and prevention of suicide. Seoul: Hakjisa Corp;2007.
24. Shu HJ. Social work intervention strategies for preventing suicide in the elderly: With special reference to factors affecting on elderly suicide [dissertation]. Busan: Pusan National University;2005.
25. Patterson WM, Dohn HH, Bird J, Patterson GA. Evaluation of suicidal patients: The SAD PERSONS scale. Psychosomatics. 1983; 24(4):343–345. DOI: 10.1016/s0033-3182(83)73213-5.
26. Hockberger RS, Rothstein RJ. Assessment of suicide potential by nonpsychiatrists using the sad persons score. J Emerg Med. 1988; 6(2):99–107. DOI: 10.1016/0736-4679(88)90147-3.
27. Greiner M, Pfeiffer D, Smith RD. Principles and practical application of the receiver-operating characteristic analysis for diagnostic tests. Prev Vet Med. 2000; 45(1-2):23–41.
28. Vergouwe Y, Steyerberg EW, Eijkemans MJ, Habbema JD. Substantial effective sample sizes were required for external validation studies of predictive logistic regression models. J Clin Epidemiol. 2005; 58(5):475–483. DOI: 10.1016/j.jclinepi.2004.06.017.
29. Kim JS, Lee SJ. Factors affecting suicide attempts of the elderly with suicide ideation: Secondary data analysis of KNHANES. J Korean Gerontol Soc. 2014; 34(1):73–85.
30. Jeong HS. The effect of oversampling method for imbalanced data [master's thesis]. Busan: Dong-eui University;2008.
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