Psychiatr Prax 2016; 43(02): 95-100
DOI: 10.1055/s-0034-1387375
Originalarbeit
© Georg Thieme Verlag KG Stuttgart · New York

Furchtlosigkeit vor dem Tod und Suizidalität: Psychometrische Eigenschaften der deutschen Version der revidierten Acquired Capability for Suicide Scale (ACSS-FAD)

Fearlessness about Death and Suicidal Behavior: Psychometric Properties of the German Version of the Revised Acquired Capability for Suicide Scale (ACSS-FAD)
Lena Spangenberg
1   Abteilung für Medizinische Psychologie und Medizinische Soziologie, Universität Leipzig
,
Heide Glaesmer
1   Abteilung für Medizinische Psychologie und Medizinische Soziologie, Universität Leipzig
,
Anne Scherer
2   Institut für Medizinische Psychologie und Medizinische Soziologie, RWTH Aachen
,
Judith Gecht
2   Institut für Medizinische Psychologie und Medizinische Soziologie, RWTH Aachen
3   Institut für Psychologie, RWTH Aachen
,
Antonia Barke
4   Klinische Psychologie und Psychotherapie, Philipps-Universität Marburg
,
Verena Mainz
2   Institut für Medizinische Psychologie und Medizinische Soziologie, RWTH Aachen
,
Thomas Forkmann
2   Institut für Medizinische Psychologie und Medizinische Soziologie, RWTH Aachen
› Institutsangaben
Weitere Informationen

Publikationsverlauf

Publikationsdatum:
19. Dezember 2014 (online)

Zusammenfassung

Ziel der Studie: Die deutsche Acquired Capability for Suicide Scale – Fearlessness about Death (ACSS-FAD) wird psychometrisch und hinsichtlich der Konstruktvalidität analysiert.

Methodik: In einer Studierendenstichprobe (n = 268) wurde die Faktorstruktur konfirmatorisch untersucht und die diskriminante und konvergente Validität untersucht.

Ergebnisse: Die Eindimensionalität der Skala bestätigte sich und die Befunde sprechen weitgehend für die Validität der ACSS-FAD.

Schlussfolgerung: Die deutsche ACSS-FAD zeigt gute psychometrische Eigenschaften. Weitere Studien zur Validität sind dennoch wünschenswert.

Abstract

Objectives: The Acquired Capability of Suicide Scale (ACSS-FAD) assesses fearlessness about death according to the Interpersonal Theory of Suicide. Psychometric properties of the German version of the ACSS-FAD are investigated.

Methods: Dimensionality and validity were analysed in a sample of N = 268 undergraduate students.

Results: Confirmatory factor analysis replicated the unidimensionality of the measure. Correlations with suicidal ideation (r = .05) and self-reported capability for suicide (r = .14) supported the validity of the scale, while the association with depression (r = – .20) is not in line with the theory. Male participants and participants reporting past self-injurious behaviour/suicidal attempts did not show higher levels of fearlessness about death.

Conclusion: The study demonstrates good psychometric properties of the German ACSS-FAD and largely supports the validity of the measure. However, future research needs to further investigate the validity of the ACSS-FAD (i. e. testing the utility of the instrument in predicting suicidal behaviour in patients at risk).

 
  • Literatur

  • 1 Sokero TP, Melartin TK, Rytsala HJ et al. Suicidal ideation and attempts among psychiatric patients with major depressive disorder. J Clin Psychiatry 2003; 64: 1094-1100
  • 2 Moller HJ. Suicide, suicidality and suicide prevention in affective disorders. Acta Psychiatr Scand 2003; 108: 73-80
  • 3 Ladwig KH, Klupsch D, Meisinger C et al. Gender Differences in Risk Assessment of Death Wishes and Suicidal Ideation in the Community Results From the KORA Augsburg F3 Study with 3079 Men and Women, 35 to 84 Years of Age. J Nerv Ment Dis 2010; 198: 52-58
  • 4 Forkmann T, Brähler E, Gauggel S et al. Prevalence of Suicidal Ideation and Related Risk Factors in the German General Population. J Nerv Ment Dis 2012; 200: 401-405
  • 5 Van Orden KA, Witte TK, Cukrowicz KC et al. The Interpersonal Theory of Suicide. Psychol Rev 2010; 117: 575-600
  • 6 Joiner TE. Why people die by suicide. Cambridge, Massachusetts: Harvard University Press; 2005
  • 7 Wachtel S, Teismann T. Die Interpersonale Theorie suizidalen Verhaltens. Z Klin Psychol Psychiatr Psychother 2013; 42: 96-106
  • 8 Reisch T. Where can Suicide Prevention be Applied? Proposal of a 6-Phase Model for Suicidal Crises. Psychiat Prax 2012; 39: 257-258
  • 9 Anestis MD, Joiner TE. Examining the role of emotion in suicidality: Negative urgency as an amplifier of the relationship between components of the interpersonal-psychological theory of suicidal behavior and lifetime number of suicide attempts. J Affect Dis 2011; 129: 261-269
  • 10 Van Orden KA, Witte TK, Gordon KH et al. Suicidal desire and the capability for suicide: Tests of the interpersonal-psychological theory of suicidal behavior among adults. J Consult Clin Psychol 2008; 76: 72-83
  • 11 Smith PN, Cukrowicz KC, Poindexter EK et al. The Acquired Capability for Suicide: A Comparison of Suicide Attempters, Suicide Ideators, and Non-Suicidal Controls. Depr Anx 2010; 27: 871-877
  • 12 Nademin E, Jobes DA, Pflanz SE et al. An Investigation of Interpersonal-Psychological Variables in Air Force Suicides: A Controlled-Comparison Study. Arch Suicide Res 2008; 12: 309-326
  • 13 Bryan CJ, Morrow CE, Anestis MD et al. A preliminary test of the interpersonal-psychological theory of suicidal behavior in a military sample. Pers Individ Dif 2010; 48: 347-350
  • 14 Bryan CJ, Cukrowicz KC. Associations Between Types of Combat Violence and the Acquired Capability for Suicide. Suicide Life Threat Behav 2011; 41: 126-136
  • 15 Anestis MD, Bagge CL, Tull MT et al. Clarifying the role of emotion dysregulation in the interpersonal-psychological theory of suicidal behavior in an undergraduate sample. J Psychiatr Res 2011; 45: 603-611
  • 16 Rasmussen KA, Wingate LR. The Role of Optimism in the Interpersonal-Psychological Theory of Suicidal Behavior. Suicide Life Threat Behav 2011; 41: 137-148
  • 17 Davidson CL, Wingate LR, Rasmussen KA et al. Hope as a Predictor of Interpersonal Suicide Risk. Suicide Life Threat Behav 2009; 39: 499-507
  • 18 Ribeiro JD, Witte TK, Van Orden KA et al. Fearlessness about death: The psychometric properties and construct validity of the revision to the Acquired Capability for Suicide Scale. Psychol Assess 2014; 26: 115-126
  • 19 Smith PN, Wolford-Clevenger C, Mandracchia JT et al. An Exploratory Factor Analysis of the Acquired Capability for Suicide Scale in Male Prison Inmates. Psychol Serv 2013; 10: 97-105
  • 20 Bender TW, Gordon KH, Bresin K et al. Impulsivity and suicidality: The mediating role of painful and provocative experiences. J Affect Dis 2011; 129: 301-307
  • 21 Hawkins KA, Hames JL, Ribeiro JD et al. An examination of the relationship between anger and suicide risk through the lens of the interpersonal theory of suicide. J Psychiatr Res 2014; 50: 59-65
  • 22 Glaesmer H, Spangenberg L, Scherer A et al. Die Erfassung von Suizidwünschen: Erste psychometrische Befunde zur deutschen Version des Interpersonal Needs Questionnaire (INQ). Psychiat Prax 2014; 41: 250-256
  • 23 Löwe B, Kroenke K, Grafe K. Detecting and monitoring depression with a two-item questionnaire (PHQ-2). J Psychosom Res 2005; 58: 163-171
  • 24 Kroenke K, Spitzer RL, Williams JBW. The Patient Health Questionnaire-2 – Validity of a two-item depression screener. Med Care 2003; 41: 1284-1292
  • 25 Arbuckle JL. AMOS TM 19 User´s Guide. Chicago: SPSS Inc; 2009
  • 26 Hu LT, Bentler PM. Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Struct Equat Mod 1999; 6: 1-55
  • 27 Hu LT, Bentler PM. Fit indices in covariance structure modeling: Sensitivity to underparameterized model misspecification. Psychol Methods 1998; 3: 424-453
  • 28 Beauducel A, Wittmann WW. Simulation study on fit indexes in CFA based on data with slierhtly distorted simple structure. Struct Equat Mod 2005; 12: 41-75
  • 29 Schermelleh-Engel K, Moosbrugger H, Müller H. Evaluating the fit of structural equation models: Test of significance and descriptive goodness-of-fit measures. Methods Psychol Res Online 2003; 8: 23-74
  • 30 Reimer C, Trinkaus S, Jurkat HB. Suicidal tendencies of physicians – An overview. Psychiat Prax 2005; 32: 381-385
  • 31 Wachtel S, Vocks S, Edel M-A et al. Validation and psychometric properties of the German Cability for Suicide Questionnaire. Compr Psychiatry DOI: 10.1016/j.comppsych.2014.03.008.
  • 32 Joiner TE, Ribeiro JD, Silva C. Nonsuicidal Self-Injury, Suicidal Behavior, and Their Co-occurrence as Viewed Through the Lens of the Interpersonal Theory of Suicide. Curr Direct Psychol Science 2012; 21: 342-347