Suicidal behaviors questionnaire-revised: Adaptation and psychometric properties of the Brazilian version

The Suicide Behaviors Questionnaire-Revised (SBQ-R) was developed by Osman et al. (2001) to economically assess different aspects of suicidality. It consists of 4 items. There are several critical points concerning item construction: (1) temporal frame (e. g. retrospective vs. prospective) and (2) response labels of item 1 and 3 (e. g. 2 alternatives with the same scoring). Information about psychometric properties of the German version of the SBQ-R were not available until now. The SBQ-R is assumed to be a unidimensional measure and is evaluated using a total score, although its dimensionality has never been tested. The SBQ-R and several measures for convergent validity were assessed in a representative sample of the German general population (N=2497). Convergent validity was tested against symptoms of depression and anxiety (PHQ-4), as well as the core constructs of the Interpersonal Theory of Suicidal Behavior (IPTS) (INQ, ACSS-FAD). Unidimensionality of the SBQ-R was tested using confirmatory factor analysis and intercorrelations with the convergent measures were calculated. The initial model fit of the unidimensional solution was unsatisfactory. After inclusion of a correlated error term of item 2 and item 4 based on modification indices, the model fit was very good. Moreover the SBQ-R showed satisfactory internal consistency (Cronbach's α=0.72). With the exception of the ACSS-FAD, all correlations with convergent measures were according to the theoretically proposed expectations. In principle the findings on the psychometric properties justify the use of the SBQ-R, although several critical points concerning item scoring remain unresolved. Moreover, sufficient unidimensional model fit was not possible without including correlated errors. Since suicidality is a frequently assessed construct in suicide research and as an exclusion criterion in clinical studies, it would be desirable to develop an economic, psychometrically sound and compelling instrument for the assessment of the different aspects of suicidality in future.

The Suicidal Ideation Attributes Scale (SIDAS) and the Suicidal Behaviors Questionnaire-Revised (SBQ-R) are widely used psychological instruments for assessing people‘s suicidal ideation and suicidal behavior. The aim of this study was to examine the psychometric characteristics of the Lithuanian versions of the SIDAS and SBQ-R. We analysed data collected from four samples: a Lithuanian general population quota sample based on age, gender and place of residence (N = 697, 52.9% women, aged 18–79 years); a sample of students (N = 2013, 72 % women, aged 18–29 years); a clinical sample of suicidal patients (N = 35, 77.1% women, aged 18–59 years); and a test-retest sample of students who completed the instruments twice within a two-week period (N = 54, 70.4% women, aged 18–47 years). The participants answered questions on gender, and age and completed the SIDAS and SBQ-R. The data analysis revealed that the Lithuanian versions of the SIDAS and SBQ-R have good internal consistency, temporal stability, construct, convergent, and criterion validity. The Lithuanian versions of the SIDAS and SBQ-R can be used to measure suicidality in research settings, as well as in clinical work as auxiliary tools.

Introduction: When it comes to mental health, traditional research has been revolving around risk factors and their repercussions on mental health. On the other hand, understanding positive factors underlies prevention strategies of self-improvement of these skills, and social and clinical interventions necessary to maintain good health and well-being. Social support, self-esteem and resilience have been the focus of several studies of this scope, having been associated with better mental health outcomes and lower suicidal behaviors. Objectives: With this study, our objectives are to assess the importance of social support, self-esteem and resilience in protecting mental health and suicidal behavior, to determine differences between countries of residence, to assess levels of association between variables, as well as determining the effect of sociodemographic variables, country of residence, social support, self-esteem and resilience in predicting mental health and suicidal behavior. Method: In this study participated 1006 citizens of the Community of Portuguese Language Countries (CPLC), between 18 and 80 years of age (mean = 41.76; SD = 14.19). 40.7% of the participants lived in Brazil, 29.9% lived in the ACPOL and 29.4% were from Portugal. For this study, we included a sociodemographic questionnaire that asked about the participants’ age, country of residence, gender, sexual orientation, ethnicity, professional status, educational attainment, socioeconomic status and marital status. To identify the presence of psychological symptoms (depression, anxiety, or somatization) and thus measure participants’ mental health, we utilized the Brief Symptom Inventory-18 (BSI-18). To assess suicidal behavior, we included the Suicidal Behaviors Questionnaire – Revised (SBQ-R). To check for social support (family, friends and significant others), the Portuguese version of the Multidimensional Scale of Perceived Social Support (MSPSS) was utilized. To measure self-esteem, we utilized the Rosenberg Self-Esteem Scale (RSES). To measure resilience, we utilized the Conner-Davidson Resilience Scale–10 (CD-RISC-10). A website was created for the purpose of the investigation, to disseminate the questionnaire online through mailing lists and social media, from May to October 2021, using a convenience sample method. Results: The results showed statistically significant differences between the CPLC countries for social support, self-esteem, resilience, mental health, and suicidal behavior. The positive factors were negatively correlated with mental health and suicidal behavior. When added to sociodemographic variables, social support, self-esteem, and resilience are good predictors of both mental health and suicidal behavior. Conclusion: We concluded that, as previously shown in other studies, social support, self-esteem, and resilience all constitute protective factors for mental health and suicidal behaviors. Self-esteem took on an especially relevant role, possibly due to its moderating effect in positive life outcomes, less prevalence of psychological symptomatology and general mental well-being, since a strong sense of self-esteem is also linked to better locus of control and higher personal psychological resources to handle adversity.

Past suicidal behaviors including ideation and attempts have been identified as significant risk factors for subsequent suicidal behavior. However, inadequate attention has been given to the development or validation of measures of past suicidal behavior. The present study examined the reliability and validity of a brief self-report measure of past suicidal behavior, the Suicidal Behaviors Questionnaire-Revised (SBQ-R). Participants included psychiatric inpatient adolescents, high school students, psychiatric inpatient adults, and undergraduates. Logistic regression analyses provided empirical support for the usefulness of the SBQ-R as a risk measure of suicide to differentiate between suicide-risk and nonsuicidal study participants. Receiver operating characteristic (ROC) analyses indicated that the most useful cutoff scores on the SBQ-R were 7 for nonsuicidal samples, and 8 for clinical samples. Both the single SBQ-R Item 1 and SBQ-R total scores are recommended for use in clinical and nonclinical settings.

IntroductionSleep disturbances and suicidal behaviors are common among patients with type II bipolar disorder ( BDII), but the relationship between the two is unclear. Investigating this connection is important to identify interventions that can improve the quality of life and reduce the risk of suicide in this population.ObjectivesOur study’s objective is to examine the association between sleep disorders and suicidal behavior in patients with type II bipolar disorder (BDII).MethodsIn order to comprehensively investigate the association between sleep disturbances and suicidal behaviors among individuals diagnosed with type II bipolar disorder (TBII), we conducted a cross-sectional, descriptive, and analytical study over a duration of one month, specifically from the 1st to the 31st of October 2022. Our research was conducted within the follow-up unit of the mental health department at Nabeul Hospital, Tunisia, with the aim of capturing a diverse range of participants representative of the population of interest.To ensure the integrity and accuracy of our findings, we meticulously selected participants who met specific eligibility criteria. This included individuals aged between 18 and 60 years, who had a confirmed diagnosis of type II bipolar disorder according to the criteria outlined in the Diagnostic and Statistical Manual of Mental Disorders (DSM V). Furthermore, we sought to include participants who were psychiatrically stable, meaning they had not required hospitalization in the six months preceding the study.The Pittsburgh Sleep Quality Index (PSQI) was used to evaluate the participants’ sleep quality over a one-month period, while the Suicidal Behavior Questionnaire-Revised (SBQ-R) was used to assess suicidal behavior.The data was gathered through a questionnaire that prioritized ethical concerns, including obtaining informed consent from participants and maintaining confidentiality and anonymity throughout the study.ResultsIn this study, we enrolled 40 male patients with a mean age of 36 ± 13.2 years and evaluated their sleep quality and suicidal behaviors. The results showed that the participants had a mean PSQI score of 7.28 ± 3.35, indicating that the overall sleep quality was not optimal. Specifically, 65% of the participants had poor sleep quality (> 5), and 45% reported poor sleep(PSQI ≥ 8) . The mean SBQ-R score was 10.3 ± 3.6, indicating a moderate level of suicidal behavior. Interestingly, we found a statistically significant correlation between PSQI and SBQ-R subscales, particularly with regard to suicidal thoughts (p=0.003) and suicide attempts (p=0.002).ConclusionsOur study found a strong link between sleep problems and suicidal behavior in people with type II bipolar disorder. This highlights the need to address sleep issues to reduce suicide risk in these patients.Disclosure of InterestNone Declared

BackgroundNon-suicidal self-injury (NSSI) and suicidal behavior (SB) are the major public health problems in adolescents. Despite the increased focus on these phenomena, there exist no reliable data in Nepal. This study aimed to determine the prevalence of NSSI and SB among adolescents. Furthermore the study identified the relationship between these two behaviors and assessed demographic, behavioral, and psychological risk factors of NSSI and SB in Nepalese adolescents in a representative sample of the general population.MethodsThe study was conducted among 730 adolescents studying in grade 9 to 12 of public and private schools of Pokhara Metropolitan city, Nepal. Data were collected through self administered standard tools- Functional Assessment of Self Mutilation (FASM) tool, Suicidal Behaviors Questionnaire-Revised (SBQ-R), Rosenberg self-esteem scale (RSES) and Beck Depression Inventory (BDI). Descriptive statistical measures such as frequency, percentage, mean, standard deviation, range were used to assess demographic characteristics and adolescent’s behavior regarding NSSI and suicide. For inferential analysis chi-square and one way ANOVA test was used. Furthermore, to determine the predictors of NSSI and SB, multiple logistic regression analysis was used.ResultsRegarding behavioral characteristics, nearly half of the sample 327 (44.8%) reported a history of NSSI in past 1 year. Furthermore, 25.8% (n = 188) of the overall sample engaged in minor NSSI only and 3.42% (n = 25) engaged in at least one act of moderate/severe NSSI. The mean number of type of NSSI performed was 2.63 ± 1.71. The most common type of NSSI method used were picking at wound (27.3%), biting self (20.3%), pulling hair out (11.8%), cutting self (11.1%). Boys (52.6%) were more likely to be engaged in NSSI than girls (47.4%) (χ2 = 10.298, p = 0.002). Furthermore, among 730 adolescents who completed the SBQ-R questionnaire, 131 (17.9%) had suicidal behaviors (SB) (as defined by SBQ-R a total score ≥ 7). Regarding sex differences female were significantly higher in life time prevalence of suicidal behavior than male (χ2 = 30.26, p = 0.001). Simple Chi-square tests indicated that NSSI was significantly associated with SB (χ2 = 58.16, P < .001). Logistic regressions identified the four significant predictors of NSSI behavior: male, low-level of self-esteem (SE), moderate to severe form of depression and SB. Similarly, significant predictors of SB were: female, low-level of SE, moderate to severe form of depression and NSSI behavior.ConclusionThe prevalence of both NSSI and SB is high in adolescents. Despite the differences between NSSI and SB a significant number of adolescents reported a history of both behaviors. Lower level of SE and moderate to severe depression were the significant predictors of both NSSI and SB. Furthermore, male and adolescents with the history of SB were at risk of NSSI behavior whereas female sex and adolescents with the history of NSSI were at risk of SB.

Understanding the influence of Social Determinants of Health (SDH) on suicidal behaviors among HIV-positive men who have sex with men (MSM) in China: A population-based study

The Suicidal Behaviors Questionnaire-Revised (SBQ-R), a 4-item instrument for assessing and screening suicide-related thoughts and behaviors, has been translated into several different languages. In this study, we examined the psychometric properties of the SBQ-R and a new Chinese version of the instrument (C-SBQ-R) for college student samples. We used the culture, comprehension, and translation bias (CCT) procedure to examine the responses of independent Chinese college student samples who completed the C-SBQ-R (N₁ = 298) and the SBQ-R (N₂ = 292) and a U.S. college student sample (N₃ = 320) who completed the SBQ-R. We found that the samples' C-SBQ-R and SBQ-R scale scores showed acceptable internal consistency reliability estimates, factor structures, and concurrent validity estimates. Measurement invariance was established across groups differing in (a) language but not culture, (b) culture but not language, and (c) both language and culture. Receiver operating characteristic curve analysis results showed that the cutoff score of 7 was similar for both the C-SBQ-R and the SBQ-R in screening for suicide-related thoughts and behaviors. Our findings provided empirical support that the psychometric properties of the C-SBQ-R and the SBQ-R are similar; both could be used to assess the suicide-related thoughts and behaviors constructs. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Validation and psychometric properties of Suicide Behaviors Questionnaire-Revised (SBQ-R) in Iran

This study aimed to investigate the association between the risk of suicidal behaviors and student-supervisor relationships and subjective family socioeconomic status (SFSS) in medical graduate students, and to propose preventive strategies to reduce the suicidal risk among medical graduate students. A total of 1,310 validated questionnaires were collected from medical graduate students, which included demographic information, study programs, the Suicidal Behaviors Questionnaire-Revised (SBQ-R) questionnaire, the Leader-Member Exchange 7 (LMX-7) questionnaire, and SFSS by MacArthur Scale. Multiple regression analysis was employed to examine the associations between variables and adjust for confounders. A moderation analysis, containing simple slope analysis and Johnson-Neyman interval plots were used to analyze the moderating effect of the SFSS in the association of SBQ-R and LMX-7 scores. A total of 88 participants (6.7%) were at risk of suicidal behaviors. In the high-quality student-supervisor relationship group (LMX-7 score ≥ 25), SFSS was significantly higher than in the low- and moderate-quality relationship group (p=0.002). The median SBQ-R score and proportion of suicide risk was significantly lower (p<0.001) in the high-quality student-supervisor relationship group. Multiple regression analysis indicated LMX-7 scores (β=-0.098, 95% CI [-0.118, -0.077], p<0.001) and SFSS (β=-0.073, 95% CI [-0.127, -0.019], p=0.008) were significantly negatively associated with SBQ-R, whereas the interaction term of SFSS with LMX-7 (β=0.018, 95% CI [0.007, 0.029], p=0.001) showed a significant positive association with SBQ-R. The Johnson-Neyman interval showed a significant association between LMX-7 and SBQ-R scores only when SFSS was less than 7.82 (p<0.05). The risk of suicidal behaviors was associated with student-supervisor relationships and SFSS among medical graduate students. Poor relationships with supervisor were associated with an elevated risk of suicidality, and SFSS moderated this association. Educators should pay increased attention to the suicidal risk of medical graduate students with poor supervisor relationships, especially those from families with low SFSS, and provide timely preventive strategies.

The psychometric characteristics of the 4-item Suicidal Behaviors Questionnaire-Revised (SBQ-R) as a screening tool in a non-clinical sample of Nigerian university students.

Suicide is an act of taking one’s life. This paper determined the suicidal-related thoughts among the first-year college students of the University of Bohol. Suicidal-related thought is a cognitive process that involves contemplation of ending one’s own life. It utilized a quantitative research design with the aid of a standardized instrument - The Suicidal Behaviors Questionnaire-Revised (SBQ-R) that assesses suicidal ideation and its frequency, suicide attempt, and the likelihood of suicidal thoughts and behaviors. There were 523 students from 11 colleges who participated in this study. It comprised 50.94% females and 41.63% males. Results revealed that having a suicide plan is evident among the respondents in college I, while suicide-risk ideation is apparent in colleges A, J, K, C, H, and E. Suicidal ideation is experienced rarely or at one time by some respondents. Nonetheless, they have manifested the risk of likely, somewhat likely, and very likely committing suicide in the future. Findings also revealed that females have higher suicidal ideation than males. But both sexes are at risk as regards committing suicide in the future. Hence, it takes into consideration that suicidal-related thoughts may influence suicidal behavior in the future.

Depression is the most common psychiatric disorder in people who die by suicide. Awareness of risk factors for suicide in depression is important for clinicians. The study was aimed at establishing models of factors related to the level of depression and suicidal behavior among men from three different groups—in men with depressive disorder, in comparison to men with physical disorder and healthy men. A total of 598 men were included in the study. The following questionnaires were used in research model: test with sociodemographic variables, AUDIT Test, Fagerström Test, Generalized Self-Efficacy Scale (GSES), Inventory for Measuring Coping with Stress (Mini-COPE), Resilience Evaluation Questionnaire (KOP-26), Suicide Behaviors Questionnaire—Revised (SBQ-R) by Osman, and Gotland Male Depression Scale. In men with depression, the positive factors strongly related to the intensity of depression and suicidal behavior were as follows: vocational education, active coping, turning toward religion, social competence for resilience, and bachelor status. The factors negatively related to the intensity of depression and suicidal behavior in this group were as follows: unemployed status, student status, low satisfaction with the financial situation, having children, history of mental disorders in family, alcohol addiction, and seeking instrumental support. In the group of men with physical disorders, the following protection factors were identified: the medium or small city as a place of living, active coping, venting, and personal competence. The following risk factors were identified in this group: psychiatric treatment in the past. In the group of healthy men, the following protective factors were identified: the medium city as a place of living, positive reappraisal, planning abilities, and personal and social competence for resilience. In this group, the following risk factors were identified: vocational and higher education, student status, satisfaction with the financial situation, having more than one children, the occurrence of mental disorders in the family, the occurrence of alcohol abuse in the family, and use of psychoactive substances as a strategy of dealing with stress. The risk factors identified in this study should be included in the clinical assessment of depression and suicidal behavior risk in male patients. There are some protective factors identified, including productive coping and personal and social competencies, which can be developed and should be especially considered and strengthened in mental health promotion programs aimed at men.

Background According to the World Health Organization, 85% of global suicides occur in low- and middle-income countries (LMICs). A major factor contributing to the alarming rates of suicides in LMIC is the unavailability of standardized and validated screening measures to screen and identify individuals at heightened risk of suicidal tendencies for early intervention. Aim To investigate the factorial validity, construct validity and gender invariance of the Suicidal Behavior Questionnaire-Revised (SBQ-R). Methods A cross-sectional self-report methodology was employed to gather data from 553 adolescents (average age = 16.85; girls = 322) in Ghana. Results The result of a multi-group confirmatory factor analysis supported a unidimensional structure of the SBQ-R that did not differ for boys and girls. The SBQ-R demonstrated construct validity for boys and girls by correlating significantly although moderately with measures of depression, anxiety and mental wellbeing. Conclusion The findings of this preliminary study suggest that the SBQ-R can be administered as a valid screening measure for adolescents at high risk for suicide for further assessment and intervention planning in Ghana, regardless of gender. Additionally, the study contributes to the literature on the universality and assessment of suicidal behaviors using SBQ-R.

Introduction: Suicidal and self-harm behaviors are among the topics that have long been considered by clinical psychologists. Aim: The present study aimed to compare suicidal and self-harm behaviors and the guilt and shame proneness among individuals with the "dark tetrad personality traits" and the "vulnerable dark triad" Method: The present cross-sectional study is a type of structural equation modeling that has been conducted using a large sample. The statistical population in the "general population" consists of all young people aged 18-40 in Tehran. The "clinical population" also included all people with suicidal and self-harm behaviors of the same age range. A total of 1876 people were included in the present analysis among which 1696 individuals were selected for the general population using online surveys and 180 ones in purposive sampling for the clinical population from psychiatric hospitals, and prisons located in Tehran. The research tools in the present study included the Short Dark Tetrad (SD4), Scales for vulnerable dark personality traits, the Guilt and Shame Proneness Scale (GASP), the Self-Harm Inventory (SHI) and Suicidal Behaviors Questionnaire-Revised (SBQ-R). Data were analyzed by SPSS-26 and AMOS-24 using a comparison of path coefficients and invariance Testing. Results: The findings indicated that only a statistically significant difference observed between the dark tetrad of personality traits and the vulnerable dark triad was self-harm behaviors (not Suicidal Behaviors) (P&lt;0.001, t=6.603, Δβ=0.13). Also, people with vulnerable dark triad possessed more pathological shame (P&lt;0.001, t=7.346, β=0.21) compared to those with dark tetrad of personality traits. Conclusion: It can be concluded that the vulnerable dark triad (Factor 2 psychopathy, vulnerable narcissism and BPD) is associated with an increasingly greater risk of self-harm behaviors and pathological shame compared to a dark tetrad of personality (Sadism, Psychopathy, Machiavellianism and Narcissism).